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Phase 3 Completed N=486 Randomized Triple-blind Treatment

Safety & Efficacy Study of Study Drug (Eszopiclone) in Children and Adolescents With Attention-deficit/Hyperactivity Disorder - Associated Insomnia

Source: ClinicalTrials.gov NCT00856973 ↗
Enrolled (actual)
486
Serious AEs
0.4%
Results posted
Apr 2013
Primary outcomePrimary: Change From Baseline to the End of the Double- Blind Treatment Period (Week 12) in Polysomnography (PSG) Defined Latency to Persistent Sleep (LPS). — -18.33; -23.45; -25.66 minutes — p=>0.05

Summary

A multi center, randomized study to evaluate the efficacy and safety of eszopiclone compared to placebo in children (6-11 years of age, inclusive) and adolescents (12-17 years of age, inclusive) with attention deficit/hyperactivity disorder (ADHD) associated insomnia.

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline to the End of the Double- Blind Treatment Period (Week 12) in Polysomnography (PSG) Defined Latency to Persistent Sleep (LPS).
-18.33; -23.45; -25.66 >0.05
SECONDARY
Change From Baseline (Day 0) to Week 12 in PSG Defined Wake Time After Sleep Onset (WASO)
-23.35; -16.75; -17.30
SECONDARY
Change From Baseline in Clinical Global Improvement (CGI)-Parent/Caregiver at Week 12
2.3; 2.6; 2.7
SECONDARY
Change From Baseline in CGI-Child at Week 12
2.3; 2.5; 2.7
SECONDARY
Change From Baseline (Day 0) to Week 12 in Conners' ADHD Inattention Rating Scale.
-8.8; -5.8; -7.1
SECONDARY
Change From Baseline to Week 12 in Subjective SL (Sleep Latency)
0.5; 0.6; 0.6
SECONDARY
Change From Baseline to Week 12 in Subjective Wake Time After Sleep Onset (WASO).
0.2; 0.3; 0.3
SECONDARY
Change From Baseline to Week 12 in PSG Defined Sleep Efficiency (SE)
7.31; 7.40; 7.94
SECONDARY
Change From Baseline to Week 12 in PSG Defined Number of Awakenings After Sleep Onset (NAASO).
-2.0; -1.5; -0.7
SECONDARY
Change From Baseline to Week 12 in PSG Defined Total Sleep Time (TST)
36.90; 37.78; 35.38
SECONDARY
Change From Baseline to Week 12 in Subjective Total Sleep Time (TST).
77.2; 66.4; 49.2
SECONDARY
Change From Baseline to Week 11 in Subjective Sleep Latency (SL) Measured by Actigraphy Monitoring in the Actigraphy Population.
0.90; 0.81; 0.93
SECONDARY
Change From Baseline to Week 11 in Subjective WASO From Actigraphy Population.
0.94; 1.02; 0.99
SECONDARY
Change From Baseline to Week 11 in Total Sleep Time (TST) Measured by Actigraphy Monitoring in the Actigraphy Population.
-4.72; 1.63; -6.02
SECONDARY
Change From Baseline to Week 12 in Pediatric Daytime Sleepiness Scale (PDSS) Total Score.
-4.5; -4.0; -3.5
SECONDARY
Change From Baseline to Week 12 in Coding Copy Subtest / Digit Symbol Substitution Test (DSST) Scaled Score.
2.2; 2.1; 2.6
SECONDARY
Change From Baseline to Week 12 in Pediatric Quality-of-Life Scale (Short Form-10).
4.40; 3.07; 4.07; 2.234; 1.347; -0.121
SECONDARY
Change From Baseline to Week 12 in Subjective Number of Awakenings After Sleep Onset (NAASO).
-1.1; -0.8; -1.0
SECONDARY
Change in School Tardiness/Attendance Reports at Week 12 (Days)
-0.4; -0.2; -0.3; 0.1; -0.2; -0.1
SECONDARY
Change in School Tardiness/Attendance Reports at Week 12 (Hours)
-0.10; -0.12; -0.12

Eligibility Criteria

Inclusion Criteria

  • Subject is male or female 6 to 17 years of age, inclusive, at the time of consent.
  • Subject must have a diagnosis of ADHD as defined by DSM-IV criteria
  • Subject must have documented ADHD associated insomnia, defined as the subject or subject's parent/legal guardian having reported repeated difficulty with sleep initiation (sleep latency >30 minutes) or consolidation, (wake time after sleep onset >45 minutes) despite adequate age appropriate time and opportunity for sleep.
  • Subject's Baseline PSG must reveal either >30 minutes latency to persistent sleep (LPS) or >45 minutes wake after sleep onset (WASO).
  • Subject or subject's parent/legal guardian should have reported daytime functional impairment as a result of sleep problems.
  • Subject or subject's parent/legal guardian should have reported attempted and failed behavioral interventions for sleep problems, including a regular bedtime and rise time
  • Subject's sleep disturbance must not be attributable to either the direct physiologic effect of a drug of abuse or misuse of a prescribed medication whether it is being used as intended or in an illicit manner.(Female subjects ≥8 years of age must have a negative serum pregnancy test)
  • Subject must be in general good health
  • Subject must be able to swallow tablets.
  • If subject is currently taking medication for ADHD, they must be on a stable dose and regimen for a minimum of 1 month prior to the time of consent

Exclusion Criteria

  • Subject with weight 5 times per hour, as demonstrated on Baseline PSG.
  • Subject has sleep disordered breathing, as demonstrated on Baseline PSG.
  • Subject has another primary sleep disorder, a secondary sleep disorder, or any other known or suspected medical or psychiatric condition that has affected or may affect sleep
  • Subject has a history of circadian rhythm disorder or will travel across ≥3 time zones more than once during the study.
  • Subject has organic brain disease, or a history of febrile seizures.
  • Subject is, in the opinion of the investigator, at suicidal or homicidal risk.
  • Female subject who is pregnant or lactating or planning to become pregnant.
  • Subject has taken any psychotropic medication without an appropriate washout period (≥5 half-lives) prior to randomization.
  • Subject has a history of severe allergies to more than 1 class of medications or multiple adverse drug reactions.
  • Subject has a history of allergic reaction or has a known or suspected sensitivity to racemic zopiclone, eszopiclone, or any substance that is contained in the formulation.
  • Subject has a history of alcohol or substance abuse within 3 months of study participation.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00856973). 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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