Phase 3
Completed N=486
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
| Outcome | Result | p-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.
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.