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A Study to Evaluate the Phase-Shifting Effects of Repeated Daily Dosing of TAK-375 in Healthy Subjects

This study has been completed.

Sponsored by: Takeda Global Research & Development Center, Inc.
Information provided by: Takeda Global Research & Development Center, Inc.
ClinicalTrials.gov Identifier: NCT00671190
  Purpose

This was a Dose-Ranging Study to Evaluate TAK-375 at 1 mg, 2 mg, 4 mg, or 8 mg versus a placebo taken once daily for five days.


Condition Intervention Phase
Sleep Disorder
Drug: TAK-375
Drug: Placebo
Phase II

MedlinePlus related topics:   Sleep Disorders   

ChemIDplus related topics:   Ramelteon   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Safety Study
Official Title:   A Phase 2 Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Dose-Ranging Study to Evaluate the Phase-Shifting Effects of Repeated Daily Dosing of TAK-375 in Healthy Subjects

Further study details as provided by Takeda Global Research & Development Center, Inc.:

Primary Outcome Measures:
  • To evaluate TAK-375 at various doses vs. placebo to facilitate restoration of normal circadian phase relationships in healthy subjects after imposition of a 5-hour phase advance, measured by dim light salivary melatonin offset time. [ Time Frame: 5 Days ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To evaluate the continued impact of repeated doses of TAK-375 on measures of sleep latency and sleep quality, as determined both objectively by polysomnography (PSG), and subjectively by subject-assessed questionnaires. [ Time Frame: 5 Days ] [ Designated as safety issue: No ]
  • To evaluate the safety in this study based on adverse events, clinical laboratory results, ECG findings, vital signs, and physical examination findings. [ Time Frame: 5 Days ] [ Designated as safety issue: Yes ]

Enrollment:   75
Study Start Date:   March 2005
Study Completion Date:   May 2005
Primary Completion Date:   May 2005 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1.: Experimental
TAK-375 1 mg tablet
Drug: TAK-375
TAK-375 1 mg tablet, orally, taken once daily for five days
2.: Experimental
TAK-375 2 mg tablet
Drug: TAK-375
TAK-375 2mg tablet, orally, taken once daily for five days
3.: Experimental
TAK-375 4 mg tablet
Drug: TAK-375
TAK-375 4 mg tablet orally, taken once daily for five days
4.: Experimental
TAK-375 8 mg tablet
Drug: TAK-375
TAK-375 8 mg tablet, orally, taken once daily for five days
5.: Placebo Comparator
Placebo tablet
Drug: Placebo
placebo tablet orally, taken once daily for five days

Detailed Description:

Eligible subjects were randomized to one of 5 treatments: TAK-375 1, 2, 4, or 8 mg, or placebo taken once daily, and were confined to the sleep laboratory for the Treatment Period (Day 1 to Day 5), where they received their assigned study medication and went to bed 5 hours earlier than their habitual bedtime—undergoing an 8-hour, PSG-recorded sleep each night. Upon awakening, subjects provided a salivary melatonin sample (within 5 minutes), and filled out a post-sleep questionnaire. Melatonin samples were collected every hour for 10 hours after awakening. On Day 5, subjects underwent end-of-study procedures and were discharged from the sleep laboratory.

  Eligibility
Ages Eligible for Study:   18 Years to 45 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Female subjects of childbearing potential were nonpregnant and nonlactating; had a negative serum human chorionic gonadotropin (HCG) pregnancy test result prior to dosing; had a negative urine HCG test result on the evening of PSG screening; and used an acceptable method of contraception (see the protocol, Appendix 16.1.1)
  • Had a habitual bedtime between 10:00 p.m. and 1:00 a.m. as determined by a sleep diary.
  • Had a median sSL of <30 minutes and a median sTST >6.5 but <9 hours as determined by a sleep diary.

Exclusion Criteria:

  • Known hypersensitivity to TAK-375 or related compounds, including melatonin, and melatonin related compounds.
  • Previously participated in a study involving TAK-375.
  • Participated in any other investigational study and/or taken any investigational drug within 30 days or 5 half-lives of the investigational drug, whichever is longer, prior to the first dose of single-blind study medication.
  • Sleep schedule changes required by employment (eg, shift worker) within 3 months prior to the administration of single-blind study medication.
  • Flew across more than 3 time zones within 21 days prior to or during screening.
  • Participated in a weight loss program or substantially altered exercise routine within 30 days prior to the administration of single-blind study medication.
  • History of seizures, sleep apnea, restless leg syndrome, periodic limb movement disorder, COPD, schizophrenia, bipolar disorder, mental retardation, or cognitive disorder.
  • History of primary sleep disorders as defined in the DSM-IV-TR TM within the past 6 months.
  • History of psychiatric disorder (including anxiety or depression) within the past 12 months.
  • History of alcohol abuse within the past 12 months as defined in DSM-IV-TR TM; regularly consumed more than 14 alcoholic drinks per week; consumed any alcoholic drinks 2 hours prior to bedtime; or consumed any alcoholic drinks within 24 hours of Screening Visit 2.
  • History of drug abuse within the past 12 months, as defined in DSM-IV-TR TM.
  • Current neurological (including cognitive), hepatic, renal, endocrine, cardiovascular, gastrointestinal, pulmonary, hematologic, or metabolic disease.
  • Apnea hypopnea index (per hour of sleep) >10 as seen on the PSG screening night (Screening Visit 2).
  • Periodic limb movement syndrome with arousal index (per hour of sleep) >10 as seen on the PSG screening night (Screening Visit 2).
  • Smoked >3 cigarettes per day or used tobacco products during nightly awakenings.
  • High caffeine consumption (>500 mg daily).
  • Use of any central nervous system medication within 1 week (or 5 half lives of the drug, whichever is longer) prior to the administration of single-blind study medication. These medications must not have been used to treat psychiatric disorders.
  • Use of prescription or over-the-counter (OTC) hypnotic medication (including melatonin) within 6 months of the screening visit.
  • Intended to continue taking any disallowed medication or any prescription medication or OTC medication that was known to affect the sleep/wake function or otherwise interfere with evaluation of the study medication (subjects were required to report all prescription and OTC medications taken during the 3 weeks prior to screening).
  • 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 must have been approved by both TGRD or its designee and the Principal Investigator).
  • Positive hepatitis panel including anti-HAV (only IgM is exclusionary), HBsAg, or anti-HCV.
  • Any additional condition(s) that in the Investigator's opinion would have: (a) affected sleep/wake function, (b) prohibited the subject from completing the study, or (c) not been in the best interest of the subject.
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00671190

Locations
United States, Arkansas
      Hot Springs, Arkansas, United States
United States, California
      San Diego, California, United States
      Los Angeles, California, United States
United States, Florida
      Miami, Florida, United States
United States, Georgia
      Atlanta, Georgia, United States
      Macon, Georgia, United States
United States, Indiana
      Danville, Indiana, United States
United States, Kansas
      Overland Park, Kansas, United States
United States, Louisiana
      Metairie, Louisiana, United States
United States, Maryland
      Chevy Chase, Maryland, United States
United States, Nevada
      Las Vegas, Nevada, United States
United States, Ohio
      Dublin, Ohio, United States
United States, South Carolina
      Columbia, South Carolina, United States

Sponsors and Collaborators
Takeda Global Research & Development Center, Inc.

Investigators
Study Director:     Stephen Sainati, MD, PhD     Takeda Global Research & Development Center, Inc.    
  More Information


Responsible Party:   Takeda Global Research & Development Center, Inc. ( VP, Clinical Science )
Study ID Numbers:   01-02-TL-375-018
First Received:   May 1, 2008
Last Updated:   May 1, 2008
ClinicalTrials.gov Identifier:   NCT00671190
Health Authority:   United States: Food and Drug Administration

Keywords provided by Takeda Global Research & Development Center, Inc.:
Sleep Disorder  
Circadian Rhythm Sleep Disorder  

Study placed in the following topic categories:
Signs and Symptoms
Sleep Disorders, Circadian Rhythm
Mental Disorders
Neurologic Manifestations
Sleep Disorders
Healthy

Additional relevant MeSH terms:
Nervous System Diseases

ClinicalTrials.gov processed this record on October 10, 2008




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