Phase 2
N=137
Sleep Laboratory Study to Investigate the Safety and Efficacy of Neu-P11 in Primary Insomnia Patients
Primary Insomnia
Bottom Line
View on ClinicalTrials.gov: NCT01489969 ↗Enrolled (actual)
137
Serious AEs
0.0%
Results posted
Jun 2018
Primary outcome: Primary: Latency to Persistent Sleep — -22.7; -39.1; -37.5 minutes
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Neu-P11 (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Neurim Pharmaceuticals Ltd.
- Primary completion
- May 2012
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Latency to Persistent Sleep |
-22.7; -39.1; -37.5 | — |
Summary
This is a phase II study. It is conducted using a randomized, double-blind, 3-arm placebo controlled, parallel group design. Eligible patients will be randomized in a 1:1:1 ratio to receive Neu-P11 20 mg, Neu-P11 50 mg or placebo for 4 weeks The objective of this study is to assess the efficacy of Neu-P11 (20 and 50mg) on sleep continuity parameters in insomnia patients aged 18-80 years, following the first two nights (immediate effect) and at the end of 4 weeks of double-blind treatment. The primary efficacy endpoint in this study is Latency to Persistent Sleep (LPS) measured by polysomnogram (PSG) at the first two nights of treatment (nights 15-16 of the study; mean of two consecutive nights recordings). The secondary endpoints are number of awakenings after sleep onset and the duration of wake after sleep onset measured by PSG at the first two nights of treatment (nights 15-16 of the study; mean of two consecutive nights recordings).
Eligibility Criteria
Inclusion Criteria
- Male or female and aged 18-80 years (both ages included).
- Suffering from primary insomnia according to DSM-IV criteria (307.42 primary insomnia, Appendix 25.1) (based on a Sleep History Questionnaire (SHQ) that is given to the patient at Visit Day 0, Appendix 25.1).
- Reported subjective sleep latency of at least 30 minutes on at least three nights per week for at least one month and subjective WASO of at least 45 minutes per night on at least 3 nights per week for at least one month (based on the SHQ).
- Subjects with habitual bed time within the range of 21:00-01:00 (inclusive), as reported by the subject during screening on Day 0.
- If female of childbearing potential, using a reliable method of contraception during the entire study duration and for at least 3 months after study drug intake.
- Have not been using benzodiazepine (BZD) and non-BZD hypnotics or melatoninergic drugs for the past 2 weeks or more prior to Screening.
- Have not been using psychotropic treatments for the past 3 months or more prior to Screening.
- Are stabilized on non-psychotropic treatments for more than 3 months prior to Screening.
- Are willing to sign a written informed consent to participate in the study.
- After initial screening, recruited patients will enter a 2 week placebo baseline/eligibility period.
Patients will be admitted into a sleep lab and will continue to the double blind treatment phase if polysomnography (PSG) results meet the following criteria:
- Mean LPS ≥30 minutes on both PSG screening nights, with neither night 10 and/or AHI > 10 per hour).
- Use of psychotropic treatments for the past 3 months and during the study.
- Use of strong CYP inhibitors in the preceding 3 months and during the study
- Use of benzodiazepines or other hypnotics during preceding two weeks (including all benzodiazepines; zopiclone, zolpidem, zaleplon, barbiturates, buspirone and hydroxyzine).
- Alcohol intake - no more than 2 alcoholic drinks per day and any consumption less than 2 hours before study drug intake.
- Immunosuppressive medication in the preceding 3 months and during the study
- Severe neurological, psychiatric disorders especially psychosis, anxiety and depression
- Intercurrent acute or chronic somatic diseases likely to interact with sleep (for example: chronic pain from any etiology, benign prostatic hypertrophy likely to require surgery in the coming six months)
Data sourced from ClinicalTrials.gov (NCT01489969). 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.