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临床试验/EUCTR2015-001463-39-DE
EUCTR2015-001463-39-DE进行中(未招募)1 期

A Long-Term Multicenter, Randomized, Double-Blind, Controlled, Parallel-Group Study of the Safety and Efficacy of Lemborexant in Subjects With Insomnia Disorder

Eisai Ltd.0 个研究点目标入组 900 人开始时间: 2016年11月21日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
900

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

入选标准

  • 1. Male or female, age 18 years or older at the time of informed consent
  • 2. Meets the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for Insomnia Disorder, as follows:
  • - Complains of dissatisfaction with nighttime sleep in the form of difficulty getting to sleep, difficulty staying asleep and/or awakening earlier in the morning than desired despite adequate opportunity for sleep
  • - Frequency of complaint =3 times per week
  • - Duration of complaint =3 months
  • - Associated with complaint of daytime impairment
  • 3. At Screening: History of sSOL =30 minutes on at least 3 nights per week in the previous 4 weeks AND/OR sWASO =60 minutes on at least 3 nights per week in the previous 4 weeks
  • 4. At Screening: Reports regular time spent in bed, either sleeping or trying to sleep, between 7 and 9 hours
  • 5. At 1st Screening Visit (Visit 1) and 2nd Screening Visit (Visit 2a): Reports regular bedtime, defined as the time the subject attempts to sleep, between 21:00 and 01:00 and regular waketime, defined as the time the subject gets out of bed for the day, between 05:00 and 10:00
  • 7. At the 2nd Screening Visit (Visit 2a): Confirmation of current insomnia symptoms as determined from responses on the Sleep Diary completed on at least 7 consecutive mornings (minimum 5 of 7 for eligibility), such that sSOL =30 minutes on at least 3 of the 7 nights and/or sWASO =60 minutes on at least 3 of the 7 nights
  • 8. At the 2nd Screening Visit (Visit 2a): Confirmation of regular bedtimes and waketimes, as determined from responses on the Sleep Diary completed on a minimum of 7 consecutive mornings between the 1st and 2nd screening visit, such that the subject has a regular time spend in bed, either sleeping or trying to sleep, between 1 and 10 hours
  • 9. At the 2nd Screening Visit (Visit 2a): Confirmation of sufficient duration of time spent in bed, as determined from responses on the Sleep Diary completed on 7 mornings between the 1st and 2nd screening visit, such that there are not more than 2 nights with duration of time spent in bed <7 hours or >10 hours
  • 10. At Baseline (Visit 3a): Reconfirmation of insomnia symptoms, as determined from responses on the Sleep Diary for the final 7 nights of the Run-in Period, such that sSOL =30 minutes on at least 3 of the 7 nights and/or sWASO =60 minutes on at least 3 of the 7 nights
  • 11. At Baseline (Visit 3a): Confirmation of regular bedtimes and waketimes such that the subject has a regular time spent in bed, either sleeping or trying to sleep, between7 and 10 hours, for the final 7 nights of the Run-In Period
  • 12. At Baseline (Visit 3a): Reconfirmation of regular bedtime, defined as the time subject attempts to sleep, between 21:00 and 01:00 and regular waketime, defined as the time the subject gets out of bed for the day, between 05:00 and 10:00, for the final 7 nights of the Run-In period
  • 13. Willing and able to comply with all aspects of the protocol, including staying in bed for at least 7 hours each night
  • 14. Willing to not start a behavioral or other treatment program for insomnia during the subject’s participation in the study
  • Are the trial subjects under 18? no
  • Number of su

排除标准

  • 1. A current diagnosis of sleep-related breathing disorder including obstructive sleep apnea (with or without continuous positive airway pressure [CPAP] treatment), periodic limb movement disorder, restless legs syndrome, circadian rhythm sleep disorder, or narcolepsy, or an exclusionary score on the SDSB as follows: STOPBang score =5, IRLS score =16, ESS score >15 (Scores of 11-15 require excessive daytime sleepiness must be recorded in subject's Medical History)
  • 2. Reports symptoms potentially related to narcolepsy, that in the clinical opinion of the investigator indicate the need for referral for a diagnostic evaluation for the presence of narcolepsy
  • 3. Reports a history of sleep-related violent behavior, or sleep driving, or an other complex sleep-related behavior, eg, making phone calls, or preparing an eating food while asleep
  • 4. For subjects who underwent diagnostic PSG within 1 year before informed consent: Age 18 to 64 years: Apnea-Hypopnea Index =10, or Periodic Limb Movements with Arousal Index =10; Age =65 years: Apnea-Hypopnea Index >15, or Periodic Limb Movements with Arousal Index >15
  • 5. Beck Depression Inventory – II (BDI-II) score >19 at Screening
  • 6. Beck Anxiety Inventory (BAI) score >15 at Screening
  • 7. Habitually naps more than 3 times per week
  • 8. Females who are breastfeeding or pregnant at Screening or Study Baseline (as documented by a positive serum beta-human chorionic gonadotropin [ß-hCG]). A separate baseline assessment is required if a negative screening pregnancy test was obtained more than 72 hours before the 1st dose of study drug.
  • 9. Females of childbearing potential who:
  • -Had unprotected sexual intercourse within 30 days before study entry or who do not agree to use a highly effective method of contraception (eg, total abstinence, an intrauterine device, a contraceptive implant, injectable contraceptives, an oral contraceptive, or have a vasectomized partner with confirmed azoospermia) throughout the entire study period or for 28 days after study drug discontinuation. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception.
  • 10. Excessive caffeine use that in the opinion of the investigator contributes to the subject’s insomnia, or habitually consumes caffeine-containing beverages after 18:00 and is unwilling to forego caffeine after 18:00 for the duration of his/her participation in the study
  • 16. Current evidence of clinically significant disease (eg, cardiac; respiratory including chronic obstructive pulmonary disease, acute and/or severe respiratory depression; severe hepatic insufficiency; gastrointestinal; renal including severe renal impairment; neurological [including subjects who lack capacity and/or whose cognitive decline indicates disorientation to person/place/ time and/or situation] or psychiatric disease or malignancy within the past 5 years [other than adequately treated basal cell carcinoma]) or chronic pain that in the opinion of the investigator(s) could affect the subject’s safety or interfere with the study assessments. Subjects for whom a sedating drug would be contraindicated for safety reasons because of the subject’s occupation or activities are also excluded.
  • 17. Comorbid

研究者

发起方
Eisai Ltd.

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