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Completed

NCT Number: NCT01277107

A Polysomnographic Study to Compare the Efficacy of Gastric Retentive Zaleplon Accordion Pill to Placebo in Subjects With Insomnia

This is a multi center, double blind placebo controlled, two-way crossover study in patients with Insomnia suffering from difficulty in falling asleep and staying asleep. This study intends to assess the efficacy of Zaleplon AP in improving sleep parameters, comparing to placebo.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Rambam sleep center, Haifa, Israel

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subjects between the ages of 18 and 65 years of age
  • Subjects that meet DSM IV diagnostic criteria for Primary Insomnia
  • Subjects that report a time in bed ≥6.5 and ≤9 hours
  • Subjects that report on a one week sleep diary (on at least 3 of 7 nights) TST ≤6.5 hours
  • Subjects that report on a one week sleep diary (on at least 3 of 7 nights)Wake time after sleep >1.0 hour
  • Subjects that report on a one week sleep diary (on at least 3 of 7 nights) ≥30 minutes time to sleep onset
  • On two nights of PSG screening a mean WASO of ≥60 minutes with neither night less than 45 minutes
  • On two nights of PSG screening a mean LPS of ≥20 minutes with neither night less than 15 minutes
  • On two nights of PSG screening a TST of ≤6.5 hours on each of the two nights
  • Body mass index of 18 - 34 inclusive
  • Subjects that report a median habitual bedtime between 9:00pm (21:00 hours) and 12:00am (00:00) on a one week sleep diary (based on 3 or more nights).

Exclusion criteria

  • Participation in another drug clinical trial within 1 month prior to first screening diary day (calculated from the previous study's last dosing date).
  • On screening PSG night 1 an AHI >10 (apnea hypopnea index)
  • On screening PSG night 1 a PLMAI ≥10 (periodic limb movements with arousal)
  • Subject has a circadian rhythm disorder including shift work or the need to travel ≥3 time zones during the course of the study
  • Subject has any other sleep disorder (e.g. Restless Legs Syndrome )
  • Use of any drug known to effect sleep or wake functions within 5 half lives of the drug or two weeks, whichever comes first.
  • Subject with a history (past year) of alcohol or substance abuse
  • Subject that needs to smoke during the sleep period time
  • Subject that reports habitual napping (more than 3 times per week)
  • Subject has currently or a significant history of seizures, sleep apnea or restless leg syndrome or other sleep disorders which, in the opinion of the investigator responsible, contraindicates his/her participation
  • Subjects with a recent history of clinically defined GERD, peptic ulcer or any gastrointestinal surgery other than appendectomy or herniotomy which, in the opinion of the investigator responsible, contraindicates his/her participation
  • Subject with any gastrointestinal disorder likely to influence drug absorption, or with any history of inflammatory bowel disease, intestinal obstruction, irritable bowel syndrome, severe gastrointestinal narrowing, or frequent nausea or emesis, regardless of etiology which, in the opinion of the investigator responsible, contraindicates his/her participation
  • Subjects suffering from any Axis 1 Psychiatric Disorder that in the opinion of the investigator responsible may interfere with full participation
  • Subject has significant history of cardiac, pulmonary, hepatic or renal disease or other condition or any major complication/illness which, in the opinion of the investigator responsible, contraindicates his/her participation.
  • The subject has any clinically important abnormal finding as determined by a medical history, physical examination, electrocardiogram, or clinical laboratory tests, as determined by the investigator
  • Subject is taking CNS-active drugs (including herbal products with CNS effects), known to affect the sleep/wake cycle including but not limited to anxiolytic, hypnotics, antidepressants, sedating H1 antihistamines, systemic steroids, anticonvulsants, narcotic analgesics, respiratory stimulants respiratory decongestants, OTC and prescription diet aids, OTC and prescription stimulants, St. John's Wort, and melatonin.
  • Females who are pregnant or nursing.

Treatment and study plan

Zaleplon AP formulation

Drug

Gastric retentive dual release Zaleplon

Placebo capsule

Drug

Identical placebo capsule

Primary outcomes

  1. To determine the effect of dual release Zaleplon (Zaleplon AP) on Total Sleep Time (TST)

    Time frame: Polysomnography tests for 2 consecutive nights at each treatment arm

    The change from baseline on the mean of drug nights 1 and 2 relative to placebo.

Secondary outcomes

  1. To determine the efficacy of Zaleplon AP on Latency to Persistent Sleep (LPS)

    Time frame: Polysomnography tests for 2 consecutive nights at each treatment arm

    The change from baseline on the mean of drug nights 1 and 2 relative to placebo.

  2. To determine the efficacy of Zaleplon AP on Wake time After Sleep Onset (WASO)

    Time frame: Polysomnography tests for 2 consecutive nights at each treatment arm

    The change from baseline on the mean of drug nights 1 and 2 relative to placebo.

  3. To evaluate the presence of any residual effects using the digital symbol substitution test (DSST) and a memory test

    Time frame: 2 consecutive mornings at each treatment arm

    The change from baseline on the mean of drug nights 1 and 2 relative to placebo.

Sponsors and collaborators

Lead sponsor

Intec Pharma Ltd.

Industry

Registry information

Official study title

Double Blind, Polysomnographic, Two-Way Crossover Study To Compere The Efficacy Of Gastric Retentive Zaleplon (Zaleplon AP) To Placebo In Subjects With Insomnia Characterized By Both Difficulty In Falling Asleep And Staying Asleep

Important dates

Study start
2011
Primary completion
2011
Study completion
2011
First posted
Jan 14, 2011
Registry last updated
Dec 19, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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