Sleep Laboratory Study to Investigate the Safety and Efficacy of Neu-P11 in Primary Insomnia Patients
Status: | Completed |
---|---|
Conditions: | Insomnia Sleep Studies |
Therapuetic Areas: | Psychiatry / Psychology |
Healthy: | No |
Age Range: | 18 - 80 |
Updated: | 6/8/2018 |
Start Date: | December 2011 |
End Date: | January 2013 |
A Double-blind, Parallel Group, Randomized, Placebo Controlled Sleep Laboratory Study of Efficacy and Safety of Neu-P11 in Insomnia Patients Aged 18-80
This is a phase II study. It is conducted using a randomized, double-blind, 3-arm placebo
controlled, parallel group design. Eligible patients will be randomized in a 1:1:1 ratio to
receive Neu-P11 20 mg, Neu-P11 50 mg or placebo for 4 weeks The objective of this study is to
assess the efficacy of Neu-P11 (20 and 50mg) on sleep continuity parameters in insomnia
patients aged 18-80 years, following the first two nights (immediate effect) and at the end
of 4 weeks of double-blind treatment. The primary efficacy endpoint in this study is Latency
to Persistent Sleep (LPS) measured by polysomnogram (PSG) at the first two nights of
treatment (nights 15-16 of the study; mean of two consecutive nights recordings). The
secondary endpoints are number of awakenings after sleep onset and the duration of wake after
sleep onset measured by PSG at the first two nights of treatment (nights 15-16 of the study;
mean of two consecutive nights recordings).
controlled, parallel group design. Eligible patients will be randomized in a 1:1:1 ratio to
receive Neu-P11 20 mg, Neu-P11 50 mg or placebo for 4 weeks The objective of this study is to
assess the efficacy of Neu-P11 (20 and 50mg) on sleep continuity parameters in insomnia
patients aged 18-80 years, following the first two nights (immediate effect) and at the end
of 4 weeks of double-blind treatment. The primary efficacy endpoint in this study is Latency
to Persistent Sleep (LPS) measured by polysomnogram (PSG) at the first two nights of
treatment (nights 15-16 of the study; mean of two consecutive nights recordings). The
secondary endpoints are number of awakenings after sleep onset and the duration of wake after
sleep onset measured by PSG at the first two nights of treatment (nights 15-16 of the study;
mean of two consecutive nights recordings).
Inclusion Criteria:
1. Male or female and aged 18-80 years (both ages included).
2. Suffering from primary insomnia according to DSM-IV criteria (307.42 primary insomnia,
Appendix 25.1) (based on a Sleep History Questionnaire (SHQ) that is given to the
patient at Visit Day 0, Appendix 25.1).
3. Reported subjective sleep latency of at least 30 minutes on at least three nights per
week for at least one month and subjective WASO of at least 45 minutes per night on at
least 3 nights per week for at least one month (based on the SHQ).
4. Subjects with habitual bed time within the range of 21:00-01:00 (inclusive), as
reported by the subject during screening on Day 0.
5. If female of childbearing potential, using a reliable method of contraception during
the entire study duration and for at least 3 months after study drug intake.
6. Have not been using benzodiazepine (BZD) and non-BZD hypnotics or melatoninergic drugs
for the past 2 weeks or more prior to Screening.
7. Have not been using psychotropic treatments for the past 3 months or more prior to
Screening.
8. Are stabilized on non-psychotropic treatments for more than 3 months prior to
Screening.
9. Are willing to sign a written informed consent to participate in the study.
• After initial screening, recruited patients will enter a 2 week placebo
baseline/eligibility period.
Patients will be admitted into a sleep lab and will continue to the double blind
treatment phase if polysomnography (PSG) results meet the following criteria:
10. Mean LPS ≥30 minutes on both PSG screening nights, with neither night <15 minutes.
11. Mean total sleep time (TST) ≤390 minutes, or mean WASO ≥30 minutes on both of the 2
PSG screening nights, with neither night <15 minutes.
Exclusion Criteria:
1. According to DSM IV, subjects belonging to the following groups are excluded: 780.59
(breathing related sleep disorder); 307.45 (circadian rhythm sleep disorder); 307.47
(dyssomnia not otherwise specified); 780.xx (sleep disorder due to general medical
condition)
2. Subjects suffering from insomnia secondary to other causes according to the sleep
history questionnaire.
3. Subjects with sleep disorders detected during PSG inclusion/habituation night, such as
sleep apnea/hypopnea and periodic leg movement syndrome (with arousal) (PLMAI>10
and/or AHI > 10 per hour).
4. Use of psychotropic treatments for the past 3 months and during the study.
5. Use of strong CYP inhibitors in the preceding 3 months and during the study
6. Use of benzodiazepines or other hypnotics during preceding two weeks (including all
benzodiazepines; zopiclone, zolpidem, zaleplon, barbiturates, buspirone and
hydroxyzine).
7. Alcohol intake - no more than 2 alcoholic drinks per day and any consumption less than
2 hours before study drug intake.
8. Immunosuppressive medication in the preceding 3 months and during the study
9. Severe neurological, psychiatric disorders especially psychosis, anxiety and
depression
10. Intercurrent acute or chronic somatic diseases likely to interact with sleep (for
example: chronic pain from any etiology, benign prostatic hypertrophy likely to
require surgery in the coming six months)
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