A method by a wireless device includes receiving a message from a radio access network, RAN, node serving the wireless device including an indication of failure of a clear channel assessment, CCA, procedure by the RAN node on a wireless channel, and adapting a serving cell procedure in response to the message. A method by a RAN node, includes performing a CCA on a downlink channel, determining based on the CCA whether or not the downlink channel is occupied, and transmitting a message to a wireless device including an indication of a CCA failure based on a determination that the downlink channel was occupied. Related wireless devices and network nodes are disclosed.