A Polysomnographic Study to Compare the Efficacy of Gastric Retentive Zaleplon Accordion Pill to Placebo in Subjects With Insomnia
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
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Haifa, Israel
- Rambam sleep center
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California
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San Diego, California, United States
- Pacific Sleep Medicine
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Florida
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Miami, Florida, United States
- Miami Research Associates
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Pembroke Pines, Florida, United States
- Broward Research Group
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St. Petersburg, Florida, United States
- CRG of St. Petersburg
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Kansas
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Overland Park, Kansas, United States
- Vince and Associates Clinical Research
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: CROSSOVER
- Masking: QUADRUPLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Zaleplon AP formulation
Gastric Retentive Dual Release Zaleplon (Zaleplon AP)
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Gastric retentive dual release Zaleplon
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PLACEBO_COMPARATOR: Placebo
Identical placebo capsule
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Identical placebo capsule
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
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
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The change from baseline on the mean of drug nights 1 and 2 relative to placebo.
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Polysomnography tests for 2 consecutive nights at each treatment arm
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
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
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The change from baseline on the mean of drug nights 1 and 2 relative to placebo.
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Polysomnography tests for 2 consecutive nights at each treatment arm
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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
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The change from baseline on the mean of drug nights 1 and 2 relative to placebo.
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Polysomnography tests for 2 consecutive nights at each treatment arm
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|
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
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The change from baseline on the mean of drug nights 1 and 2 relative to placebo.
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2 consecutive mornings at each treatment arm
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Mental Disorders
- Nervous System Diseases
- Sleep Disorders, Intrinsic
- Dyssomnias
- Sleep Wake Disorders
- Sleep Initiation and Maintenance Disorders
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Hypnotics and Sedatives
- GABA Modulators
- GABA Agents
- Anticonvulsants
- Zaleplon
Other Study ID Numbers
Other Study ID Numbers
- IN 09 006
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