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A Safety and Efficacy Study of TAK-375 in Adults With Chronic Insomnia

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: Chronic Insomnia

Intervention: TAK-375 (Drug); TAK-375 (Drug); Placebo (Drug)

Phase: Phase 3

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 study to evaluate the efficacy and safety of 8 mg TAK-375, 16 mg of TAK-375 or a placebo taken once daily in adults with chronic insomina for 7 weeks.

Clinical Details

Official title: A Phase III, Randomized, Double-Blind, Placebo-Controlled, Outpatient, Safety and Efficacy Study of TAK-375 in Adults With Chronic Insomnia

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

Primary outcome: The objective of this study was to assess the safety and efficacy of TAK-375 at doses of 8 and 16 mg, compared to placebo, in patients with chronic insomnia.

Secondary outcome:

Objective and subjective measures of efficacy.

Safety based on adverse events, laboratory tests, vital signs, ECG results, and physical examination findings.

Detailed description: Subjects who met entry criteria were randomized to TAK-375 8 mg, TAK-375 16 mg, or placebo and completed a 35-night double-blind treatment period. This was followed by a 7-night, single-blind placebo run-out period to evaluate for possible rebound insomnia and withdrawal effects. Throughout the course of the study, subjects were asked to maintain daily diaries and return to the clinic weekly for Clinical Global Impressions (CGIs) and review of diaries, concomitant medications, and adverse events.

Eligibility

Minimum age: 18 Years. Maximum age: 64 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- The subject was a man or women 18 to 64 years of age, inclusive.

- The subject, if women, was nonpregnant and nonlactating.

- The subject had primary insomnia as defined by the DSM-IV-TRTM for at least 3 months

and a history of daytime complaint(s) associated with disturbed sleep.

- The subject had a sSL greater than or equal to 45 minutes and a sTST less than or

equal to 6. 5 hours per night for at least 3 nights during the week of the Single-Blind Lead-in Period, based on subject diary.

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

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, or taken any

investigational drug within 30 days or 5 half-lives (T1/2s) prior to the first day of single-blind study medication, whichever was longer.

- The subject had sleep schedule changes required by employment (eg, shift worker)

within 3 months prior to the first day of single-blind study medication, or had flown across greater than 3 time zones within 7 days prior to Screening.

- The subject had participated in a weight loss program or has substantially altered

their exercise routine within 30 days prior to the first day of single-blind study medication.

- The subject had a history of seizures, sleep apnea, chronic obstructive pulmonary

disease (COPD), restless leg syndrome, schizophrenia, bipolar disorder, mental retardation, or cognitive disorder.

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

within the past 12 months.

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

- The subject had a history of alcohol abuse within the past 12 months, as defined in

the DSM-IV-TRTM or regularly consumed 4 or more alcoholic drinks per day.

- The subject had a current significant neurological (including cognitive and

psychiatric disorders), hepatic, renal, endocrine, cardiovascular, gastrointestinal, pulmonary, hematologic, or metabolic disease, unless currently controlled and stable with protocol-allowed medication 30 days prior to the first day of single-blind study medication.

- The subject used tobacco products during nighttime wakenings.

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

sleep/wake function within 1 week (or 5 T1/2s of the drug, whichever was longer) prior to the first day of single-blind study medication.

- The subject had used any CNS medication within 1 week (or 5 T1/2s of the drug,

whichever was longer) prior to the first day of single-blind study medication. These medications must not have been used to treat psychiatric disorders.

- The subject intended to continue taking any disallowed medication or any prescription

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

- The subject had any clinically important abnormal finding as determined by a medical

history, physical examination, ECG, or clinical laboratory tests, as determined by the investigator. Subjects with clinically significant abnormal laboratory values being considered for the study had to be approved by both TPNA and the principal investigator.

- The subject had a positive hepatitis panel including anti-hepatitis A virus (only IgM

was exclusionary), anti- hepatitis B surface [except in subjects who had received hepatitis B virus vaccination], hepatitis B surface antigen, anti-hepatitis B core (only IgM was exclusionary), or anti-hepatitis C virus.

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

a) affect sleep-wake function, b) prohibit the subject from completing the study, or c) not be in the best interest of the subject.

Locations and Contacts

Birmingham, Alabama, United States

Mobile, Alabama, United States

Phoenix, Arizona, United States

Scottsdale, Arizona, United States

Tempe, Arizona, United States

Mesa, Arizona, United States

Little Rock, Arkansas, United States

Hot Springs, Arkansas, United States

Irvine, California, United States

Anaheim, California, United States

Chula Vista, California, United States

Northridge, California, United States

Newport Beach, California, United States

La Mesa, California, United States

Redlands, California, United States

Oakland, California, United States

Spring Valley, California, United States

Colorado Springs, Colorado, United States

Denver, Colorado, United States

St. Petersburg, Florida, United States

Longwood, Florida, United States

Safety Harbor, Florida, United States

Hollywood, Florida, United States

Clearwater, Florida, United States

Vero Beach, Florida, United States

Winter Park, Florida, United States

Tampa, Florida, United States

West Palm Beach, Florida, United States

Pembroke Pines, Florida, United States

Jacksonville, Florida, United States

Atlanta, Georgia, United States

Blairsville, Georgia, United States

Marietta, Georgia, United States

Macon, Georgia, United States

Decatur, Georgia, United States

Chicago, Illinois, United States

Arlington Heights, Illinois, United States

Evansville, Indiana, United States

Danville, Indiana, United States

Shawnee Mission, Kansas, United States

Bethesda, Maryland, United States

Brockton, Massachusetts, United States

Detroit, Michigan, United States

Hattiesburg, Mississippi, United States

St. Louis, Missouri, United States

Lawrenceville, New Jersey, United States

Moorestown, New Jersey, United States

Albuquerque, New Mexico, United States

Mineola, New York, United States

Williamsville, New York, United States

Raleigh, North Carolina, United States

Cary, North Carolina, United States

Winston-Salem, North Carolina, United States

Beachwood, Ohio, United States

Cincinnati, Ohio, United States

Oklahoma City, Oklahoma, United States

Philadelphia, Pennsylvania, United States

Jenkintown, Pennsylvania, United States

Sellersville, Pennsylvania `, United States

Altoona, Pennsylvania, United States

Warwick, Rhode Island, United States

Mt. Pleasant, South Carolina, United States

Johnson City, Tennessee, United States

Dallas, Texas, United States

Houston, Texas, United States

San Antonio, Texas, United States

Salt Lake City, Utah, United States

Virginia Beach, Virginia, United States

Norfolk, Virginia, United States

Gig Harbor, Washington, United States

Additional Information

Starting date: January 2003
Ending date: September 2003
Last updated: May 2, 2008

Page last updated: June 20, 2008

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