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A Safety Study of TAK-375 in Subjects With Mild to Moderate Obstructive Sleep Apnea

Information source: Takeda Global Research & Development Center, Inc.
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Sleep Apnea, Obstructive

Intervention: TAK-375 (Drug)

Phase: Phase 2

Status: Completed

Sponsored by: Takeda Global Research & Development Center, Inc.

Official(s) and/or principal investigator(s):
Stephen Sainati, MD, PhD, Study Director, Affiliation: Takeda Global Research & Development Center, Inc.

Summary

This was a safety study of 16 mg of TAK-375 and a placebo taken once daily for two days in subjects with sleep apnea.

Clinical Details

Official title: A Phase II Safety Study of TAK-375 in Subjects With Mild to Moderate Obstructive Sleep Apnea

Study design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Crossover Assignment, Safety Study

Primary outcome: To determine if TAK-375 exacerbates sleep apnea, based on the Apnea Hypopnea Index.

Secondary outcome:

To evaluate the safety and tolerability of TAK-375 in sleep apnea subjects.

To evaluate effects of TAK-375 on sleep in sleep apnea subjects by means of objective and subjective assessments.

To evaluate mean oxygen saturation during the entire night.

Detailed description: Subjects were confined to the clinic for one night during Screening with polysomnography, and one night during each of two, separate treatment periods (Treatment Period 1 and Treatment Period 2). A washout of 5 to 12 days began after subjects were discharged from the sleep laboratory after Treatment Period 1. Each subject received TAK-375 16 mg or matching placebo 30 minutes before habitual bedtime during each Treatment Period.

Eligibility

Minimum age: 21 Years. Maximum age: 64 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- The subject was male or female, 21 to 64 years of age, inclusive.

- Females of childbearing potential were nonpregnant and nonlactating and used

appropriate birth control for the study duration.

- The subject had a diagnosis of mild (AHI of ≥5 and <10) to moderate (AHI of ≥10 and

≤20) obstructive or mixed sleep apnea.

- The subject's habitual bedtime was between 8: 30 PM and 12: 00 AM.

- The subject reported sleeping more than 4 hours per night.

- The subject had an AHI (per hour of sleep) greater than or equal to 5, as determined

by PSG during the PSG Screening night.

Exclusion Criteria:

- The subject had a known hypersensitivity to TAK-375 or related compounds, including

melatonin.

- The subject had previously participated in a study involving TAK-375.

- The subject had participated in any other investigational study and/or taken any

investigational drug within 30 days or 5 half lives prior to the first dose of study medication, whichever was longer.

- The subject had an AHI (per hour of sleep) greater than 20, as determined by PSG

during the PSG Screening night.

- The subject had a history of surgical intervention for sleep apnea and/or had used a

Continuous Positive Airway Pressure device or a dental device within 30 days of office Screening.

- The subject had SaO2 less than 80% at any time during the PSG Screening night.

- The subject had periodic leg movement with arousal index (per hour of sleep) of

greater than 20 during the PSG Screening night.

- The subject had an acute, clinically significant illness within 2 weeks or had been

hospitalized within 4 weeks of study participation.

- The subject had sleep schedule changes required by employment (ie, shift work) within

3 months prior to the first dose of study medication or had flown across more than 3 time zones within 7 days prior to Initial Screening.

- The subject had a history of seizures, chronic obstructive pulmonary disease, restless

leg syndrome, other known sleep disorders, period limb movement disorder, schizophrenia, bipolar disease, mental retardation, or a cognitive disorder.

- The subject had a history of a psychiatric disorder (including anxiety or depression)

within the past 12 months.

- The subject was unable to discontinue the use of hypnotics (other than study drug) for

the study duration.

- The subject used melatonin, other drugs, or supplements known to affect sleepwake

function within 1 week or 5 half lives prior to the first dose of study medication, whichever was longer.

- The subject used any central nervous system medications within 1 week or 5 half lives

prior to the first dose of study medication, whichever was longer. These medications could not have been used to treat psychiatric disorders.

- The subject intended to continue to use any disallowed prescription or

over-the-counter (OTC) medication that is known to affect the sleep-wake function or otherwise interfere with evaluation of study medication. The subject reported all prescription and OTC medications taken 3 weeks prior to Screening.

- The subject had any condition(s) that would, in the investigator's opinion, affect

sleep-wake function or prohibit the subject from completing the study, or where study participation would not be in the best interest of the subject.

- Subject had a history of drug addiction or drug abuse within the past 12 months.

Locations and Contacts

Birmingham, Alabama, United States

Palm Springs, California, United States

Santa Monica, California, United States

Winter Park, Florida, United States

Cincinnati, Ohio, United States

Additional Information

Starting date: July 2003
Ending date: December 2003
Last updated: May 2, 2008

Page last updated: June 20, 2008

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