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Long-Term Effects of TAK-375 on Endocrine Function in Adult Subjects 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: Insomnia

Intervention: 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 safety and efficacy of TAK-375 16 mg compared to placebo on endocrine function taken once daily and for six months.

Clinical Details

Official title: A Phase III Safety Study to Evaluate the Long-Term Effects of TAK-375 on Endocrine Function in Adult Subjects With Chronic Insomnia

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

Primary outcome: To determine if long-term administration of TAK-375 16 mg had an effect on endocrine function in subjects with chronic insomnia.

Secondary outcome: To confirm the safety profile of long-term administration of TAK-375 16 mg in subjects with chronic insomnia.

Detailed description: Eligible subjects were randomly assigned to either TAK-375 16 mg or placebo once daily. Subjects were instructed to take their assigned medication every night, and women were given a luteinizing hormone surge home test kit and a menstrual diary to be maintained during the Treatment Period. During the Treatment Period, subjects returned to the clinic on a monthly basis for assessment of vital signs, adverse events, and concomitant medications, a pregnancy test for women, and endocrine measurements. At the Month 3 Visit, an abbreviated physical examination, a full battery of clinical laboratory tests, and a 12-lead ECG were performed. The 6-month Treatment Period was followed by a 2-week Washout Period, during which subjects did not take any study medication. After the 2-week Washout Period, subjects returned to the clinic for a final visit.

Eligibility

Minimum age: 18 Years. Maximum age: 45 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- The subject, if female, was nonpregnant, nonlactating, and had regular menses.

- The subject had primary insomnia as defined by the Diagnostic and Statistic Manual of

Mental Disorders, 4th Edition Revised (DSM-IV-TRâ„¢) for at least 3 months and a history of daytime complaint(s) associated with disturbed sleep.

- The subject had a subjective sleep latency greater than or equal to 45 minutes and a

subjective total sleep time less than or equal to 6. 5 hours for at least 3 nights out of 1 week.

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

- The subject's habitual awakening time was between 5: 00 AM and 10: 00 AM.

- Subjects had serum prolactin, LH, FSH, ACTH, TSH, T3, and T4 within normal range.

Normal ranges for LH and FSH for women were defined as the lowest value among the menstrual phases to the highest value among the menstrual phases.

- Men had serum testosterone values greater than or equal to 150 ng/dL.

- Women had serum estradiol values within normal range. Normal ranges for estradiol were

defined as the lowest value among the menstrual phases to the highest value among the menstrual phases.

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 sleep schedule changes required by employment (eg, shift worker)

within 3 months prior to Day 1, or has flown across greater than 3 time zones within 7 days prior to Screening.

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

exercise routine within 30 days prior to Day 1.

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

pulmonary disease, 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 used tobacco products during nightly awakenings.

- The subject used melatonin or other drugs or supplements known to affect sleep/wake

function within 1 week (or 5 half lives of the drug, whichever is longer) prior to Day 1.

Locations and Contacts

Birmingham, Alabama, United States

Jasper, Alabama, United States

Peoria, Arizona, United States

Mesa, Arizona, United States

Los Angeles, California, United States

La Palma, California, United States

Riverside, California, United States

San Diego, California, United States

Denver, Colorado, United States

West Palm Beach, Florida, United States

Fort Lauderdale, Florida, United States

Roswell, Georgia, United States

Austell, Georgia, United States

Des Moines, Iowa, United States

Overland Park, Kansas, United States

Prairie Village, Kansas, United States

Florence, Kentucky, United States

Wentzville, Missouri, United States

South Plainfield, New Jersey, United States

Kenilworth, New Jersey, United States

Cincinnati, Ohio, United States

Columbus, Ohio, United States

Portland, Oregon, United States

Ninety Six, South Carolina, United States

Sioux Falls, South Dakota, United States

San Angelo, Texas, United States

Austin, Texas, United States

Fort Worth, Texas, United States

Wichita Falls, Texas, United States

Additional Information

Starting date: January 2003
Ending date: July 2004
Last updated: May 2, 2008

Page last updated: June 20, 2008

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