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Phase 2 N=39 Randomized Quadruple-blind Treatment

Pilot Study of a Combination Drug Product for Treatment of Short-term Insomnia

Short-term Insomnia

Enrolled (actual)
39
Serious AEs
0.0%
Results posted
Mar 2018
Primary outcome: Primary: Total Sleep Time — 382.9; 339.2; 256.2 minutes

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
SM-1 (Drug); Comparator (Drug); Placebo (Drug)
Age
Adult · 25+ yrs
Sex
All
Sponsor
Sequential Medicine Ltd
Primary completion
Jun 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Total Sleep Time
382.9; 339.2; 256.2
SECONDARY
Latency to Persistent Sleep
31.2; 42.1; 50.1
SECONDARY
Awakenings
12.2; 11.0; 9.6
SECONDARY
Latency to REM Sleep Onset
112.5; 71.3; 61.2
SECONDARY
Adverse Events
2; 3; 2
SECONDARY
Safety and Tolerability in Terms of Residual Sleepiness
53.1; 53.3; 55.3
SECONDARY
Safety and Tolerability in Terms of Residual Sleepiness
53.1; 53.3; 55.3

Summary

The purpose of this study is to evaluate the effect of a combination drug product containing diphenhydramine, zolpidem and lorazepam on total sleep time. Participants will be adults who sometimes have difficulty falling asleep or staying asleep, but who do not have chronic insomnia. The study involves 3 one-night stays in a sleep center in New York City.

Eligibility Criteria

Inclusion Criteria

  • Body mass index (BMI) between 19 and 32 kg/m2, inclusive;
  • Report occasional difficulty falling asleep or staying asleep;
  • Report a regular, habitual bedtime between 21:00 and 24:00, routinely spend at least 7.5 and no more than 9.0 hours in bed each night and observe a bedtime that does not vary by more than 2 hours over the course of the week. Subjects will be required to complete at least 5 days of sleep information in a diary provided at the screening visit and returned to study personnel no later than 24 hours prior to check-in for the first overnight visit.
  • Be in good general health as determined by a thorough medical history and physical examination including vital signs and clinical laboratory tests;
  • Females of childbearing potential must be using an acceptable method of contraception, have a negative serum pregnancy test at screening and have a negative urine pregnancy test before randomization and prior to each Treatment Period. Acceptable methods of contraception include oral, intrauterine and injectable contraceptives or double barrier methods. After screening, subjects using oral contraceptives must agree to add a double barrier method until 30 days following the last dose of study medication. Female subjects relying on oral contraceptives must have been using them for at least one month prior to screening;
  • Female subjects who have been surgically sterilized are eligible if they have a negative serum pregnancy test at screening and negative urine pregnancy test at check-in for Visits 2 and 3, or are post-menopausal as defined by the cessation of menses for a period of at least 2 years prior to screening or have had a complete hysterectomy;
  • Male subjects must use an acceptable method of contraception during the course of the study and for the 30 days following the last dose of study medication. Acceptable methods of contraception include:
  • Abstinence
  • A condom and one of the following:

i. Vasectomy for more than 6 months. ii. Female partner who meets one of the following conditions:

  • Uses a spermicidal gel or foam; or
  • Has had a tubal ligation, hysterectomy or bilateral oophorectomy; or
  • Is post-menopausal (menopause is defined as over the age of 60 years, or between 45 and 60 years being amenorrheic for at least 2 years with plasma follicle stimulating hormone (FSH) level > 30 UI/L); or
  • Be able to read, understand, and provide written/dated informed consent before enrolling in the study and must be willing to comply with all study procedures;
  • Be willing and able to be confined to the clinical research site for one night in each of 3 treatment periods as required by the protocol.
  • Refrain from alcohol on PSG days;
  • On the days of check-in for each of the study's two treatment periods, refrain from the use of alcohol and from napping, defined as any sleep episode occurring outside of the subject's main sleep episode of the day;
  • Report a recent history of napping of no more than once per week.
  • An Epworth Sleepiness Scale score ≤8 at screening.

Exclusion Criteria

  • Clinically significant, acute illness within 14 days prior to screening (Visit 1).
  • Clinically significant, unstable medical illness;
  • Evidence or history of clinically significant allergic (except for untreated, asymptomatic, seasonal allergies at time of dosing), hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic or neurological disease;
  • History of cancer or diabetes;
  • A supine blood pressure > 140/90 millimeters mercury (mm/Hg) at screening;
  • Heart rate > 100 beats per minute (BPM) at screening;
  • Clinically significant psychiatric illness, including chronic psychiatric illness or the history or presence of any Axis I condition;
  • History or presence of chronic pain;
  • Lifetime history of seizure disorder or serious head injury;
  • Clinically significant sleep disorder, including insomnia, sleep apnea, narcolepsy, parasomnia, restless leg syndrome or circadi
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02671760). 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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