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Bright light glasses for leftover daytime sleepiness in obstructive sleep apnea

Tests light-therapy glasses against sham glasses for daytime sleepiness despite CPAP use.

Key facts

Who runs it
VA Office of Research and Development
Where
Pittsburgh, United StatesSee the site
Trial code
Registry title
Bright Light Therapy for OSA
Status
Recruiting
People taking part
60 people, planned
Started
26 Oct 2024
Expected to end
31 Dec 2027
Type of study
Interventional, 2 groupsOne group gets a sham (pretend) treatment, for comparison.
Treatments tested
  • BLT
  • s-BLT
Record updated
9 January 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults with obstructive sleep apnea who still feel very sleepy in the daytime despite using CPAP. It tests bright light therapy glasses against sham (fake) glasses.

Age
40 Years to 65 Years
Sex
All sexes can join
Disease stage
Diagnosed obstructive sleep apnea that is well controlled on CPAP (AHI of 10 or less), but with excessive daytime sleepiness (Epworth score > 10).
Earlier treatment
Must be on CPAP or BiPAP for at least 3 months, worn >6h/night on at least 75% of nights. Alertness medicines must be at a stable dose for at least one month. People already prescribed bright light therapy must not have used it for at least one month.

Main reasons for not taking part

  • Shift work or travel across time zones in the past month
  • Narcolepsy, primary central sleep apnea needing oxygen, or regular sleeping pill use
  • Decompensated heart failure, poorly controlled diabetes (HgA1c>8% (64 mmol/mol)), dementia, active substance use disorder, or untreated bipolar disorder
  • Macular degeneration, lasik surgery within 3 months, or legally blind
  • Taking medicines causing sensitivity to blue-green light, or already using bright light therapy

The registry criteria, word for word

Show all 19 criteriaShow less

Who can take part

  • Documented diagnosis of OSA
  • Currently on CPAP or BiPAP for at least 3 months; with documented adherence (defined as wearing CPAP/BiPAP for >6h/night on at least 75% of nights), and adequate control of sleep apnea, as indicated by an AHI of 10 or less when on CPAP
  • Excessive residual daytime sleepiness (Epworth score > 10)
  • If taking alertness promoting medication, the investigators will require that they are on a stable dose for at least one month prior to entering the study and that they refrain from dose changes while participating in the study
  • If already prescribed BLT, subjects must not have used it for at least one month prior to participating

Who cannot take part

  • Primary central sleep apnea, needing O2 therapy via nasal cannula
  • Macular degeneration, recent lasik surgery (within 3 months)
  • Taking medication that will cause photosensitivity to blue-green light spectrum wavelength
  • Already using bright light therapy
  • Decompensated congestive heart failure (CHF)
  • Poorly controlled diabetes (HgA1c>8%)
  • Active substance use disorder
  • Dementia
  • Untreated bipolar disorder; the investigators will consider individuals with a diagnosis of bipolar disorder who are currently in treatment and stable
  • Shift work
  • Travel across time zones in the past month
  • Narcolepsy
  • Regular hypnotics use
  • Legally blind

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 40 and 65 years old?

Where in United States

  • VA Pittsburgh Healthcare System University Drive Division, Pittsburgh, PAPittsburgh, United StatesContact: Isabella Soreca, MDTaking people

About the trial

What the trial wants to find out

Persistent daytime symptoms of sleepiness in individuals with obstructive sleep apnea (OSA) who are using Continuous Positive Airway Pressure (CPAP) are associated with adverse long term medical and functional outcomes. Supplementary exposure to bright light has beneficial effects on sleep quality and daytime vigilance in healthy individuals and it has been increasingly applied in a variety of sleep and neuropsychiatric conditions. This study will explore the role of Bright Light Therapy (BLT), a well-established non-pharmacological intervention for circadian disturbances, for the treatment of residual daytime symptoms of OSA which do not respond to CPAP. BLT will be delivered via therapy glasses in a cross-over design, where each participant will be exposed to active treatment and sham treatment (4 weeks in each arm) in a randomized order. The hypothesis is that participants will demonstrate improvements in the variables of interest during the four-week active treatment portion of the eight-week crossover study, compared to the four-week sham treatment portion.

The 2 groups in the trial

  • BLTTreatment being tested

    Bright light therapy delivered via glasses

  • s-BLTSham treatment, for comparison

    Sham Bright light therapy

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Bright Light Therapy for Residual Daytime Symptoms Associated With Obstructive Sleep Apnea
Plain-language title
Bright light glasses for leftover daytime sleepiness in obstructive sleep apneaGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 14 November 2026.
Fit questions
Built from NCT05917119, who can take part
Record updated
9 January 2026