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Clinical Trials/NCT00805350
NCT00805350CompletedPhase 3

Efficacy and Safety of Eplivanserin 5mg/Day in Insomnia Characterized by Sleep Maintenance Difficulties: a 6-week, Randomized, Double-blind, Placebo-controlled, Polysomnography Study.

Sanofi1 site in 1 country637 target enrollmentStarted: December 2008Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 3
Status
Completed
Sponsor
Sanofi
Enrollment
637
Locations
1
Primary Endpoint
Change from baseline of mean PSG-NAW on N41/N42

Study Overview

Brief Summary

Primary objective:

  • To assess the efficacy of eplivanserin 5mg/day in comparison to placebo after 6 weeks of treatment on sleep maintenance of insomniac patients, as measured by Polysomnography Wake Time After Sleep Onset (PSG-WASO) and Polysomnography Number of Awakenings (PSG-NAW).

Secondary objectives:

  • To evaluate the effects of eplivanserin 5mg/day as compared to placebo after 6 weeks of treatment on other sleep parameters measured by PSG recordings (Total Sleep Time - PSG-TST, Sleep Efficiency - PSG-SE, Latency to Persistent Sleep - PSG-LPS) and reported by patients (Wake Time After Sleep Onset - pr-WASO, Number of Awakenings - pr-NAW, Total Sleep Time - pr-TST, Quality of Sleep - QoS and Refreshing Quality of Sleep - RqoS).
  • To evaluate the effects of eplivanserin 5mg/day on sleep architecture compared to placebo.
  • To evaluate the effect of eplivanserin 5mg/day on daytime functioning using the Sleep Impact Scale (SIS), as compared with placebo after 6 weeks of treatment.
  • To evaluate patient's impression of treatment effects using the Patient's Global Impression questionnaire.
  • To evaluate the potential for next-day residual effects (using patient's morning questionnaire and psychometric tests) with eplivanserin 5mg/day as compared to placebo.
  • To evaluate the potential for rebound insomnia following abrupt discontinuation of eplivanserin 5mg/day in comparison with placebo.
  • To evaluate the effect of eplivanserin, compared to placebo, on the quality of life of patients with primary insomnia using the SF-36 Health Survey.
  • To evaluate the clinical safety and tolerability of eplivanserin 5mg/day compared to placebo.

Detailed Description

Randomized, double-blind, placebo, controlled study with 2 parallel groups Duration of treatment : 6 weeks

Duration of observation: 9 weeks

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Triple (Participant, Investigator, Outcomes Assessor)

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Diagnosis of primary insomnia based on DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition - Text Revisions) criteria

Exclusion Criteria

  • Inpatients.
  • Mean screening PSG-WASO for screening night 1+ screening night 2 < 45 mn, or screening night with PSG-WASO < 30 mn.
  • Mean screening PSG-TST for screening night 1 + screening night 2 ≥7 hours or ≤3hours.
  • Mean screening PSG-LPS for screening night 1+ screening night 2 > 30 mn.
  • The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Arms & Interventions

Eplivanserin

Experimental

Eplivanserin 5 mg/day

Intervention: Eplivanserin (Drug)

Placebo

Placebo Comparator

Placebo of Eplivanserin 5 mg/day

Intervention: Placebo (Drug)

Outcomes

Primary Outcomes

Change from baseline of mean PSG-NAW on N41/N42

Time Frame: 6 weeks

Change from baseline of mean PSG-WASO on N41/N42

Time Frame: 6 weeks

Secondary Outcomes

  • Patient-reported sleep parameters(6 weeks)
  • Patient Global impression (PGI)(6 weeks)
  • SF-36 Health Survey(6 weeks)
  • sleep architecture: percentage of time spent in each sleep stage (1, 2, 3-4/SWS, REM), shift to stage 1, shift to wake, stage 1 + WASO, [stages 3&4]/[stage 1 + WASO]).(6 weeks)
  • Sleep Impact Scale (SIS)(6 weeks)
  • Other PSG sleep parameters: PSG-TST, PSG-SE (TST/Time in Bed), PSG-LPS(6 weeks)

Investigators

Sponsor
Sanofi
Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (1)

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