Phase 3
N=84
Efficacy and Safety of Tasimelteon Compared With Placebo in Totally Blind Subjects With Non-24-Hour Sleep-Wake Disorder
Non-24-Hour Sleep-Wake Disorder
Bottom Line
View on ClinicalTrials.gov: NCT01163032 ↗Enrolled (actual)
84
Serious AEs
5.8%
Results posted
Oct 2014
Primary outcome: Primary: Proportion of Patients Entrained as Assessed by Urinary aMT6 — 20; 2.6 percentage of patients
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- tasimelteon (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Vanda Pharmaceuticals
- Primary completion
- Nov 2012
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Proportion of Patients Entrained as Assessed by Urinary aMT6 |
20; 2.6 | — |
| PRIMARY Proportion of Patients With a Clinical Response: Entrainment of aMT6 and Score of ≥ 3 on N24CRS |
23.7; 0 | — |
| SECONDARY Proportion of Patients Entrained as Assessed by Urinary Cortisol |
17.5; 2.6 | — |
| SECONDARY Average Clinical Global Impression of Change (CGI-C) |
2.6; 3.4 | — |
| SECONDARY Proportion of Responders With a Combined Sleep/Wake Response for LQ-nTST (≥ 90 Minutes) and UQ-dTSD (≤ 90 Minutes) |
13.2; 2.9 | — |
| SECONDARY Average Lower Quartile of Nights of Nighttime Total Sleep Time (LQ-nTST) |
56.80; 17.08 | — |
| SECONDARY Average Upper Quartile of Days of Subjective Daytime Sleep Duration (UQ-dTSD) |
-46.48; -17.87 | — |
| SECONDARY Average Midpoint of Sleep (MoST) |
35.00; 14.48 | — |
| SECONDARY Number of Patients With a Treatment Emergent Adverse Event (Open Label Extension Phase Only) |
37 | — |
Summary
The purpose of this study is to evaluate the efficacy and safety of a six month double-mask treatment of tasimelteon or placebo in male and female subjects with Non-24-Hour Sleep-Wake Disorder
Eligibility Criteria
Inclusion Criteria
- Ability and acceptance to provide informed consent;
- No perception of light by the subject's own report;
- Diagnosis of N24HSWD as determined by:
- History (within the last 3 months) of trouble sleeping at night difficulty initiating sleep or staying asleep), difficulty awakening in the morning, or daytime sleepiness as determined by answering yes to at least one question in the Sleep Complaint Questionnaire and
- Urinary aMT6s demonstrates a progressive delay of the aMT6 acrophase time.
- Willing and able to comply with study requirements and restrictions including a commitment to a fixed 9-hour sleep opportunity during the study;
- Fluent in English;
Exclusion Criteria
- Have a probable diagnosis of a current sleep disorder other than N24HSWD that is the primary cause of the sleep disturbance based on clinical investigator medical judgment;
- Current clinically significant cardiovascular, respiratory, neurologic, hepatic, hematopoietic, renal, gastrointestinal or metabolic dysfunction unless currently controlled and stable;
- History (within the 12 months prior to screening) of psychiatric disorders including Major Depressive Disorder, Generalized Anxiety Disorder, Axis II Disorders, delirium or any other psychiatric disorder that in the opinion of the clinical investigator would affect participation in the study or full compliance with study procedures;
- History of intolerance and/or hypersensitivity to melatonin or melatonin agonists;
- Worked night, rotating, or split (period of work, followed by break, and then return to work) shift work within 1 month of the screening visit or plan to work these shifts during the study;
- Unable to perform calls to the study IVR system to report questionnaire results;
- Exposure to any investigational drug, including placebo, within 30 days or 5 half lives (whichever was longer) of screening;
- Use of central nervous system prescription or OTC medications, other than melatonin, that affects the sleep-wake cycle
- Use of melatonin or melatonin agonist
Data sourced from ClinicalTrials.gov (NCT01163032). 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.