Study to Evaluate Efficacy, Safety and Tolerability of JNJ-42847922 in Participants With Insomnia Disorder Without Psychiatric Comorbidity



Status:Completed
Conditions:Insomnia Sleep Studies
Therapuetic Areas:Psychiatry / Psychology
Healthy:No
Age Range:18 - 65
Updated:4/21/2016
Start Date:July 2015
End Date:December 2015

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A Randomized, Placebo-controlled, 2-way Crossover, Double-blind Study to Evaluate the Efficacy, Safety and Tolerability of JNJ-42847922 in Subjects With Insomnia Disorder Without Psychiatric Comorbidity

The primary purpose of this study is to investigate the effect of JNJ-42847922 (change
versus placebo) on sleep efficiency (SE) measured by polysomnography (PSG) after single and
multiple dose administration to participants with insomnia disorder without psychiatric
comorbidity.

This is a multi-center, randomized (study medication assigned to participants by chance),
placebo-controlled, double-blind (neither physician nor participant knows the identity of
the assigned treatment), 2-way cross-over study of JNJ-42847922 participants with insomnia
disorder without psychiatric comorbidity. The study consists of following phases: screening
(28 days prior to Day 1), a double-blind treatment phase (consists of 5-day treatments,
either JNJ-42847922 or placebo in subsequent 2-treatment periods, each separated with
washout period of 5 to 9 days), and a follow-up examination (7 to 14 days after last dose
administration). Participants' safety will be monitored throughout the study.

Inclusion Criteria:

- Healthy male and female participants aged between 18 and 65 years, inclusive

- Body mass index (BMI) between 18 and 30 kilogram per square meters (kg/m^2) inclusive
(BMI = weight/height^2)

- Insomnia Severity Index (ISI) score more than or equal to (>=) 15 at screening

- Insomnia: at screening participants will report both difficulties with sleep onset
and sleep maintenance. Insomnia will furthermore objectively be established prior to
enrollment per PSG recorded over 3 consecutive nights. Participants will sleep for 3
consecutive nights in the sleep center. First and second night data will be used to
exclude any participant with restless leg syndrome, apnea, parasomnias or other sleep
disorders. On the second and third night participants are required to meet objective
inclusion criteria: 2-night mean LPS of >=30 minutes with no night <20 minutes, and
on both nights TST <=6 hours and wake after sleep onset (WASO) >30 minutes

- Participants must be healthy / medically stable on the basis of clinical laboratory
tests, medical history, vital signs, and 12-lead electrocardiogram (ECG) performed at
screening and baseline

Exclusion Criteria:

- Participant has current signs/symptoms of, liver or renal insufficiency;
hypothyroidism or hyperthyroidism, significant cardiac, vascular, pulmonary,
gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, or metabolic
disturbances. Participants with non-insulin dependent diabetes mellitus who are
adequately controlled (not on insulin) may participate in the study

- History of epilepsy or fits or unexplained black-outs

- Clinically significant abnormal values for hematology, clinical chemistry or
urinalysis at screening or admission

- Clinically significant abnormal physical and neurological examination, vital signs or
12-lead ECG at screening or baseline

- Smoking >=10 cigarettes/daily

- Insomnia related to restless leg syndrome, sleep breathing disorder, narcolepsy,
obstructive sleep apnea/hypopnea, central sleep apnea, sleep-related hypoventilation,
circadian rhythm sleep-wake disorders, substance/medication-induced sleep disorder or
parasomnias

- Night-shift worker or significantly shifted diurnal activity pattern
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