MedPath

Almorexant (ACT 078573) in Adult Subjects With Chronic Primary Insomnia

Phase 3
Completed
Conditions
Primary Insomnia
Interventions
Registration Number
NCT00608985
Lead Sponsor
Midnight Pharma, LLC
Brief Summary

A polysomnography study to evaluate the effect, safety and tolerability of oral administration of almorexant (ACT 078573) in adult subjects with primary insomnia.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
709
Inclusion Criteria
  • Adult subjects (18-64 years) with a diagnosis of primary insomnia.
Exclusion Criteria
  • History of any sleep disorder, or any Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) axis I disorder other than primary insomnia.
  • Sleep apnea, or restless legs syndrome.
  • Daytime napping of more than 1 hour per day.
  • Important caffeine consumption, heavy tobacco use, alcohol or drug abuse within 2 years prior to the screening visit.
  • Unwillingness to refrain from drugs, over-the-counter or herbal medication having an effect on sleep or behavior.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
3PlaceboPlacebo
4zolpidemzolpidem 10 mg
1almorexantalmorexant 200 mg
2almorexantalmorexant 100 mg
Primary Outcome Measures
NameTimeMethod
Change From Baseline to Day 1&2 in Wake After Sleep Onset (WASO)From baseline to Day 1&2

WASO was defined as the time spent in epochs scored as wake after onset of persistent sleep as determined by polysomnography (PSG) until lights on.

For WASO assessed at the study center, the mean of the 2 PSG nights at each of Visits 3 and 4 was used for Day 1\&2 and Day 15\&16

Change From Baseline to Day 15&16 in WASOFrom baseline to Day 15&16

WASO was defined as the time spent in epochs scored as wake after onset of persistent sleep as determined by polysomnography (PSG) until lights on.

For WASO assessed at the study center, the mean of the 2 PSG nights at each of Visits 3 and 4 was used for Day 1\&2 and Day 15\&16

Change From Baseline to Week 1&2 in the Self-reported WASO (sWASO)From baseline to Week 1&2

sWASO was the self-reported time spent awake after sleep onset as reported in the sleep diary. For sWASO assessed at home, the mean of all available data collected between Visits 3 and 4 (i.e., after the second morning of Visit 3 and before the first evening of Visit 4) was used for Week 1\&2

Secondary Outcome Measures
NameTimeMethod
Change From Baseline to Day 1&2 in Latency to Persistent Sleep (LPS)From baseline to Day 1&2

LPS was defined as the time from the start of the PSG recording to the beginning of the first continuous 20 epochs (i.e., 10 minutes) scored as non-wake (i.e., either sleep stage 1 (S1), sleep stage 2 (S2), slow-wave sleep (SWS), or rapid eye movement sleep(REM)) as determined by PSG

Change From Baseline to Day 15&16 in LPSFrom baseline to Day 15&16

LPS was defined as the time from the start of the PSG recording to the beginning of the first continuous 20 epochs (i.e., 10 minutes) scored as non-wake (i.e., either sleep stage 1 (S1), sleep stage 2 (S2), slow-wave sleep (SWS), or rapid eye movement sleep(REM)) as determined by PSG

Change From Baseline to Week 1&2 in Subjective Latency to Sleep Onset (sLSO)From baseline to Week 1&2

sLSO was the self-reported time to fall asleep as reported in the sleep diary

Trial Locations

Locations (90)

The Woolcock Institute of Medical Research

🇦🇺

Glebe, Australia

Australian Clinical Research Organisation

🇦🇺

Kippa Ring, Australia

Melbourne Sleep Disorder Centre

🇦🇺

Melbourne, Australia

Burnside Hospital Clinical Trials Centre

🇦🇺

Toorak Gardens, Australia

Medical University of Innsbruck, Department of Neurology

🇦🇹

Innsbruck, Austria

Westmead Hospital, Department of Respiratory

🇦🇺

Westmead, Australia

Rudolfinerhaus

🇦🇹

Vienna, Austria

Clinique Andre Vesale

🇧🇪

Montigny le Tilleuil, Belgium

MHAT 'St. Marina'

🇧🇬

Varna, Bulgaria

Scansleep Aps, Sovnlaegecentret

🇩🇰

Arhus, Denmark

Somnocentrum Trutnov-spankova laborator, Oddeleni neurologie

🇨🇿

Trutnov, Czech Republic

Tutkimuskeskus Vitalmed

🇫🇮

Helsinki, Finland

Unesta Research Center

🇫🇮

Tampere, Finland

Hopital Pellegrin

🇫🇷

Bordeaux, France

Service de Neurologie B, Hopital Gui de Chauliac

🇫🇷

Montpellier, France

Hopital Raymond Poincare

🇫🇷

Garches, France

Hopital Pitie-Salpetriere

🇫🇷

Paris, France

Charite Campus Benjamin Franklin, Klinik und Hochschulambulanz fur Psychiatrie und Psychotherapie

🇩🇪

Berlin, Germany

Centre du Sommeil et de la Vigilance, Hopital Hotel Dieu de Paris

🇫🇷

Paris, France

Advanced Sleep Research GmbH

🇩🇪

Berlin, Germany

Federation des Pathologies du Sommeil

🇫🇷

Paris, France

ClinPharm International GmbH Berlin

🇩🇪

Berlin, Germany

Klinische Forschung Berlin GmbH

🇩🇪

Berlin, Germany

ClinPharm International GmbH Dresden

🇩🇪

Dresden, Germany

St. Hedwig-Krnkenhaus

🇩🇪

Berlin, Germany

ClinPharm International GmbH Bochum

🇩🇪

Bochum, Germany

ClinPharm International GmbH Chemnitz

🇩🇪

Chemnitz, Germany

ClinPharm International GmbH Frankfurt

🇩🇪

Frankfurt, Germany

Department of Psychiatry and Psychotherapy of the University Hospital of Freiburg

🇩🇪

Freiburg, Germany

ClinPharm International GmbH Gorlitz

🇩🇪

Gorlitz, Germany

Interdisziplinäres Schlafmedizinisches Zentrum, Universitätsklinikum Giesen und Marburg GmbH

🇩🇪

Marburg, Germany

Klinische Forschung

🇩🇪

Hamburg, Germany

ClinPharm International GmbH Leipzig

🇩🇪

Leipzig, Germany

ClinPharm International GmbH Magdeburg

🇩🇪

Magdeburg, Germany

ClinPharm International GmbH Potsdam

🇩🇪

Potsdam, Germany

Klinische Forschung Schwerin GmbH

🇩🇪

Schwerin, Germany

Klinik und Poliklinik fur Psychiatre

🇩🇪

Regensburg, Germany

SOMNIBENE Institut fur Medizinische

🇩🇪

Schwerin, Germany

Sleep Disorder Centre, State Health Centre

🇭🇺

Budapest, Hungary

Sleep Laboratory, Ilnd Hospital

🇭🇺

Szeged, Hungary

Soroka University Medical Center, Unit for Sleep Research

🇮🇱

Beer Sheva, Israel

Technion Sleep Medicine Center, Rambam Medical Center

🇮🇱

Haifa, Israel

Klinika Chorob Psychicznych i Zaburzen Nerwicowych ACK, Szpital AMG

🇵🇱

Gdansk, Poland

Instytut Psychiatrii i Neurologii, Zaklad Neurofizjologii Klinicznej

🇵🇱

Warsaw, Poland

I. Neurologická klinika FNsP Bratislava Nemocnica Staré Mesto

🇸🇰

Bratislava, Slovakia

EMC Instytut Medyczny S.A

🇵🇱

Wroclaw, Poland

Neurologicka klinika, FN L. Pasteura Kosice

🇸🇰

Kosice, Slovakia

BenMed Park Clinic

🇿🇦

Benoni, Johannesburg, South Africa

WITS Sleep Laboratory School of Physiology

🇿🇦

Parktown, Johannesburg, South Africa

Little Company of Mary Hospital

🇿🇦

Pretoria, South Africa

Somerset West Trial Centre

🇿🇦

Somerset West, South Africa

Gatesville Medical Centre

🇿🇦

Gatesville, Western Cape, South Africa

Hospital Son Dureta, Unidad de Psicologia

🇪🇸

Palma de Mallorca, Spain

Hospital de la Santa Creu i Sant Pau, Unidad Framacologia Clinica

🇪🇸

Barcelona, Spain

Instituto de Investigaciones del Sueno

🇪🇸

Madrid, Spain

Hospital La Fe, Unidad de Neurofisiologi

🇪🇸

Valencia, Spain

Carlanderska Sömnlaboratoriet

🇸🇪

Goteborg, Sweden

Hospital MAZ, Unidad de Neurofisiologia y Sueno

🇪🇸

Zaragoza, Spain

Aleris Fysiologlab

🇸🇪

Stockholm, Sweden

Örebro University Hospital, Neurology department Sleep Unit

🇸🇪

Orebro, Sweden

Psychiatric University Clinics (UPK) Basel, Sleep Medicine and Neurophysiology

🇨🇭

Basel, Switzerland

Centre pour l'Etude et le Traitement des Troubles du Sommeil Hopital Bell Idee

🇨🇭

Chene-Bourg, Switzerland

KSM Luzern Klinik fur Schlafmedizin, c/o Klinik St. Anna

🇨🇭

Lucerne, Switzerland

National Medical University n.a. O.O. BohomoletsChair of Diseases of Nervous System, City Clinical Hospital No.4, Neurological Departments I and II

🇺🇦

Kiev, Ukraine

University Hospital Zurich (USZ) Neurology Polyclinic, Center for Sleep Medicine

🇨🇭

Zurich, Switzerland

KSM Zurzach Klinik fur Schlafmedizin

🇨🇭

Zurzach, Switzerland

The Edinburgh Sleep Centre

🇬🇧

Edinburgh, United Kingdom

The London Sleep Centre

🇬🇧

London, United Kingdom

IRCCS Neurologico Casimiro Mondino, Centro Multidisciplinare di Medicina del Sonno, Servizio di Neurofisiopatologia

🇮🇹

Bologna, Italy

IRCCS Fondazione San Raffaele del Monte Tabor, Centro per i Disturbi del Sonno

🇮🇹

Milan, Italy

Centro del Sonno, Dipartimento di Neuroscienze, Clinica Neuroligica, Università di Pisa

🇮🇹

Pisa, Italy

Scan Sleep ApS, Sovnlaegecentret

🇩🇰

Copenhagen, Denmark

Sovnlagecentret - Scan Sleep

🇩🇰

Copenhagen, Denmark

Sleep Disorders Laboratory, Royal Adelaide Hospital

🇦🇺

Adelaide, South Australia, Australia

CH Jolimont / Sleep Disorders Center, Hospital de Jolimont

🇧🇪

Haine Saint Paul, Belgium

Institute for Breathing and Sleep (IBAS)

🇦🇺

Heidelburg, Victoria, Australia

Cliniques Universitaires Saint Luc

🇧🇪

Brussels, Belgium

Oddeleni nasledne pece, Nemocnice Ceske Budejovice

🇨🇿

Ceske Budejovice, Czech Republic

University of Vienna - Department of Neurology

🇦🇹

Vienna, Austria

Poradna pro porchy spanku a spankova, Laborator Unimeds s.r.o.

🇨🇿

Prague, Czech Republic

Department of Neurology , University of Debrecen

🇭🇺

Debrecen, Hungary

Osrodek Diagnostyki i Leczenia Zaburzen Snu i Chorob Ukladu

🇵🇱

Lodz, Poland

Western Hospitpal, Private Bag

🇦🇺

Footscray, Victoria, Australia

Hospital St. Naum, Paediatr. Neurology

🇧🇬

Sofia, Bulgaria

Centrum pro poruchy spanku a bdeni, Neurologicka klinika

🇨🇿

Katerinska, Czech Republic

University of Turku, Sleep Research Unit

🇫🇮

Turku, Finland

Laboratorium Diagnostyka Snu, Pro-Medica

🇵🇱

Warszawa, Poland

Monash Adult Sleep Center, Monash Medical Centre

🇦🇺

Clayton, Victoria, Australia

Fakultni nemocnice Ostrava/Klinika detske neurologie SLEEP LABORATORY

🇨🇿

Ostava-Poruba, Czech Republic

Dept of Neurology, University of Pecs

🇭🇺

Pecs, Hungary

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