About this trial
This is a placebo controlled clinical trial to assess the utility of light therapy as a sufficient treatment for excessive daytime sleepiness in patients with Prader-Willi Syndrome
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of PWS confirmed by genetic testing
Score of 12 or above on the Epworth Sleepiness Scale (ESS).
Disqualifiers
Subjects with an eye condition that could be negatively affected by bright light such as patients with a history of retinal damage or patients needing photosensitizing medications
A history of previous treatment with LT
Patients presenting with active psychosis or mania
Trial design
Crossover
Treatments tested in this trial
Sham Light
Other interventionSham treatment will be provided from a light box at a distance of at least 70cm but no greater than 90cm.
Bright Light Therapy
Other interventionBright Light Therapy will be provided using light box with an artificial full spectrum lamp at a distance of at least 70cm but no greater than 90cm.
Treatment groups
Trial outcomes
Primary outcomes
Clinical Global Impression- Improvement (CGI-I)
A positive clinical response will be determined by a rating of 1 or 2 (Very much/Much improved) on the Clinical Global Impression- Improvement (CGI-I) scale at the end of the blinded trial.
Secondary outcomes
Aberrant Behavior Checklist
Consists of 2 subscales; irritability (15 items) and hyperactivity/noncompliance (16 items).
Self-Injury Trauma scale
Scores of 5 or greater were found to be indicative of borderline personality disorder. Part 1 is ranking based on the number of wounds 1=one would (common in a mild self-injurious behavior but rare in a severe case) 2=two or four wounds (common) and 3=five or more wounds (rare). Injury severity is scored on a subjective basis with labels such as "mild" "moderate" and "severe" accompanied by descriptions of the observed state of the anatomy. Part 3 is the Estimate of Current Risk.
Modified Overt Aggression Scale
Four-part behavior rating scale used to evaluate and document the "frequency and severity" of aggressive episodes.\[1\] The rating scale is made up of four categories; verbal aggression, aggression against objects, aggression against self, and aggression against others
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Maimonides Medical Center
Lead sponsor
Foundation for Prader-Willi Research
Collaborator