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Phase 3 N=460 Randomized Triple-blind Treatment

A 6-Month Efficacy and Safety Study of Org 50081 in Adult Patients With Chronic Primary Insomnia (21106/P05701/MK-8265-002)

Sleep Initiation and Maintenance Disorders · Mental Disorders · Dyssomnias · Sleep Disorders · Sleep Disorder, Intrinsic

Enrolled (actual)
460
Serious AEs
2.2%
Results posted
Aug 2014
Primary outcome: Primary: Change From Baseline in Total Sleep Time (TST) - 6-Month Treatment Period — 65.9; 19.3 minutes — p=<0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Esmirtazapine (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Merck Sharp & Dohme LLC
Primary completion
Nov 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in Total Sleep Time (TST) - 6-Month Treatment Period
65.9; 19.3 <0.0001 sig
SECONDARY
Number of Participants Who Experienced Adverse Events (AEs)
253; 75
SECONDARY
Number of Participants Who Discontinued Study Drug Due to an AE
47; 7
SECONDARY
Change From Baseline in Sleep Latency (SL) - 6-Month Treatment Period
-29.7; -26.9 0.2145
SECONDARY
Change From Baseline in Wake Time After Sleep Onset (WASO) - 6-Month Treatment Period
-46.4; -20.8 <0.0001 sig

Summary

To investigate the long-term efficacy and safety of treatment with esmirtazapine (Org 50081, SCH 900265, MK-8265) compared to placebo, in participants with chronic primary insomnia. Primary efficacy variable is Total Sleep Time (TST).

Eligibility Criteria

Inclusion Criteria

  • are at least 18 and less than 65 years;
  • sign written informed consent after the scope and nature of the investigation have been explained;
  • have shown capability to complete the LogPad questionnaires;
  • have difficulty falling asleep, maintaining sleep or have early morning awakening;

Exclusion Criteria

  • Significant medical or psychiatric illness causing sleep disturbances.
  • Have a history of bipolar disorder or attempted suicide or have a family (immediate family) history of suicide.
  • Have a sleep disorder such as sleep-related breathing disorder, restless leg syndrome, narcolepsy.
  • Significant other medical illness such as acute or chronic pain, heart-, kidney-, or liver disease within the last year.
  • Currently diagnosed or meet the criteria for Major Depressive Disorder (MDD) or have been treated for MDD in the last 2 years.
  • Substance abuse, excessive use of alcohol (determined by the physician) or drug addiction within the last year.
  • Are night workers or rotating shift workers or plan to travel through more than 3 time-zones.
  • Routinely nap during the day.
  • Have a Body Mass Index (BMI) of 36 or more.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00631657). 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.

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