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Phase 3 Completed N=538 Randomized Triple-blind Treatment

Efficacy and Safety Study of Org 50081 (Esmirtazapine) in Elderly Participants (P05709)

Insomnia · Sleep Initiation and Maintenance Disorders · Mental Disorders · Dyssomnias
Source: ClinicalTrials.gov NCT00561821 ↗
Enrolled (actual)
538
Serious AEs
0.0%
Results posted
Aug 2014
Primary outcomePrimary: Average Wake Time After Sleep Onset Measured by Polysomnography — 80.3; 79.6; 74.8; 109.8 Minutes — p=<0.0001

Summary

This study was conducted to investigate the efficacy of treatment with Org 50081 (Esmirtazapine) compared to placebo in elderly participants with chronic primary insomnia. Primary efficacy variable is Wake time After Sleep Onset (WASO), averaged over all in-treatment time points and measured by polysomnography (PSG).

Outcome Measures

OutcomeResultp-value
PRIMARY
Average Wake Time After Sleep Onset Measured by Polysomnography
80.3; 79.6; 74.8; 109.8 <0.0001 sig
SECONDARY
Average Latency to Persistent Sleep Measured by Polysomnography
32.3; 30.7; 29.3; 37.1 0.0146 sig
SECONDARY
Average Total Sleep Time Measured by Polysomnography
374.1; 376.2; 383.4; 338.7 <0.0001 sig
SECONDARY
Average Number of Awakenings Measured by Polysomnography
13.5; 13.4; 13.5; 12.1 0.001 sig
SECONDARY
Average Wake Time After Sleep Onset in the First Quarter of the Night Measured by Polysomnography
34.5; 33.7; 31.2; 40.6 0.0001 sig
SECONDARY
Average Wake Time After Sleep Onset in the Second Quarter of the Night Measured by Polysomnography
20.1; 19.2; 18.9; 25.9 <0.0001 sig
SECONDARY
Average Wake Time After Sleep Onset in the Third Quarter of the Night Measured by Polysomnography
20.5; 21.3; 19.1; 31.9 <0.0001 sig
SECONDARY
Average Wake Time After Sleep Onset in the Fourth Quarter of the Night Measured by Polysomnography
30.9; 29.7; 27.4; 42.4 <0.0001 sig
SECONDARY
Average Number of Stage Shifts to Stage 1 or Wake Measured by Polysomnography
51.8; 50.6; 51.3; 44.0 <0.0001 sig
SECONDARY
Average Subjective Total Sleep Time Based on Sleep Diary
364.4; 357.3; 368.8; 339.9 <0.0001 sig
SECONDARY
Average Subjective Sleep Latency Based on Sleep Diary
51.6; 53.1; 50.5; 46.5 0.6317
SECONDARY
Average Subjective Number of Awakenings Based on Sleep Diary
1.9; 2.2; 2.1; 1.9 0.4033
SECONDARY
Average Subjective Wake Time After Sleep Onset Based on Sleep Diary
58.4; 70.3; 62.2; 81.7 <0.0001 sig
SECONDARY
Average Subjective Quality of Sleep Based on Sleep Diary
57.8; 56.7; 58.0; 54.8 0.0243 sig
SECONDARY
Average Subjective Satisfaction of Sleep Duration Based on Sleep Diary
57.8; 56.8; 58.1; 54.0 0.0199 sig
SECONDARY
Number of Participants With an Adverse Event During the 16 Day, Double-blind Treatment Period
48; 54; 56; 40
SECONDARY
Number of Participants Who Discontinued Treatment Due to an Adverse Event During the 16 Day, Double-blind Treatment Period
2; 3; 1; 1

Eligibility Criteria

Inclusion Criteria

  • are at least 65 years of age at screening;
  • sign written informed consent after the scope and

nature of the investigation have been explained to

them, before screening evaluations;

  • are able to speak, read and understand the language of

the investigator, study staff (including raters) and the

informed consent form, and possess the ability to

respond to questions, follow instructions and complete

questionnaires;

  • have demonstrated capability to independently

complete the LogPad questionnaires and have

completed the questionnaires at least 6 out of 7 days of

the week preceding randomization;

  • have a regular sleep pattern, meaning bedtime regularly

occurs between 2100 hours and 2400 hours, with no more variation

from these boundaries than 2 times/ week, with 5-8.5

hours in bed;

  • have a documented diagnosis of chronic primary

insomnia, defined as fulfillment of the Diagnostic and Statistical Manual of Mental Disorders IV - Text Revision (DSM-IV-TR) criteria

for primary insomnia (DSM-IV-TR 307.42) with a duration

of >= 1 month; fulfill the following PSG criteria on the

two screening/baseline PSG nights:

  • average Total Sleep Time (TST) 15 cigarettes per day and/or can not abstain from smoking during the night;
  • drink excessive amounts of caffeinated beverages/day (more than 500 mg caffeine per day);
  • have a body mass index (BMI) >= 36;
  • have a positive urine drug screen at screening or at baseline;
  • have a known hypersensitivity to mirtazapine or to any of the excipients;
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00561821). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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