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A Study to Determine the Safety and Efficacy of TAK-375 in Elderly Subjects With Chronic Insomnia.
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: NCT00671294
  Purpose

This study evaluated the safety and efficacy of TAK-375 4 mg for two nights, TAK-375 8 mg for two nights and a placebo for two nights in elderly subjects with chronic insomnia.


Condition Intervention Phase
Chronic Insomnia
Drug: TAK-375
Phase III

Drug Information available for: Ramelteon
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Crossover Assignment, Safety/Efficacy Study
Official Title: A Phase III, Randomized, Double-Blind, Placebo-Controlled, Crossover Study to Determine the Safety and Efficacy of TAK-375 in Elderly Subjects With Chronic Insomnia.

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

Primary Outcome Measures:
  • The primary objective of this study was to evaluate the safety and efficacy of TAK-375 at doses of 4 and 8 mg compared to placebo in elderly subjects with chronic insomnia. [ Time Frame: 6 Days ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Subjective and objective measures of efficacy. [ Time Frame: 6 days ] [ Designated as safety issue: No ]
  • Sleep architecture variables. [ Time Frame: 6 days ] [ Designated as safety issue: No ]
  • Safety variables, including adverse events, laboratory tests, vital signs, ECG results, and physical examination findings. [ Time Frame: 6 days ] [ Designated as safety issue: Yes ]

Enrollment: 100
Study Start Date: November 2002
Study Completion Date: July 2003
Primary Completion Date: July 2003 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1.: Experimental
TAK-375 4 mg, TAK-375 8 mg and Placebo Tablet
Drug: TAK-375
TAK-375 4 mg tablet, orally, one day only; TAK-375 8 mg tablet, orally, one day only and placebo tablet, orally

Detailed Description:

Subjects were randomized into a dosing sequence that included 4 and 8 mg of TAK-375 and placebo. Each treatment period consisted of 2 consecutive nights in a sleep laboratory. All study medications were administered 30 minutes before lights out. Polysomnography recording started at subjects' usual bedtimes. After each treatment period, subjects underwent a 5 to 12-day washout period before returning to the clinic and commencing with the next treatment in the sequence. This was repeated until all treatment periods were completed.

  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • The subject was a man or a postmenopausal woman.
  • The subject had primary insomnia as defined by the DSM-IV-TR™ for at least 3 months and by sSL greater than or equal to 30 minutes, sTST less than or equal to 6.5 hours per night, and daytime complaint(s) associated with disturbed sleep.
  • The subject had a mean latency of greater than or equal to 20 minutes per PSG on 2 consecutive Screening nights with neither night less than 15 minutes. Also a mean of 60 minutes of wake time during the 480 minutes in bed across 2 nights with no night less than 45 minutes.
  • 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 Day 1 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 Day 1 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 had substantially altered their exercise routine within 30 days prior to Day 1 of single-blind study medication.
  • The subject had a history of seizures, sleep apnea, chronic obstructive pulmonary disease (COPD), 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 DSM-IV-TR™, or regularly consumed 4 or more alcoholic drinks per day.
  • The subject had an acute clinically significant illness, as determined by the investigator, within 30 days prior to Day 1 of single-blind study medication.
  • 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 Day 1 of single-blind study medication.
  • The subject used tobacco products within 90 days prior to Day 1 of single-blind study medication.
  • The subject had used melatonin, or other drugs or supplements known to affect sleep-wake function, or had consumed grapefruit or grapefruit juice within 5 days (or 5 T1/2s whichever is longer) prior to Day 1 of single-blind study medication.
  • The subject had used any CNS medication within 3 weeks (or 5 T1/2s, of the drug, whichever was longer) prior to Day 1 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 OTC medication that is known to affect the sleep-wake function or otherwise interfere with evaluation of the study medication. The subject must have reported all prescription and OTC 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 hepatitis A antibody (only reactive IgM was exclusionary), hepatitis B surface antibody, hepatitis B core antibody (only reactive IgM was exclusionary), hepatitis C antibody, or hepatitis B surface antigen. Subjects who tested positive for hepatitis B surface antibody were not excluded if the result was due to vaccination.
  • The subject had an apnea hypopnea index (per hour of sleep) greater than 15 as seen on PSG, on the first night of the PSG Screening.
  • The subject had periodic leg movement (PLM) with arousal index (per hour of sleep) greater than 20 as seen on PSG, on the first night of PSG Screening.
  • The subject had any additional condition(s) that in the investigator's opinion would: 1) affect sleep-wake function, 2) prohibit the subject from completing the study, or 3) not be in the best interest of the subject to participate in the study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00671294

Locations
United States, Arkansas
Hot Springs,, Arkansas, United States
United States, California
San Diego, California, United States
Irvine, California, United States
Palm Springs, California, United States
United States, Florida
Naples, Florida, United States
St. Petersburg, Florida, United States
Miami, Florida, United States
Brandon, Florida, United States
Pembroke Pines, Florida, United States
United States, Georgia
Atlanta, Georgia, United States
United States, Kansas
Overland Park, Kansas, United States
United States, Kentucky
Crestview Hills, Kentucky, United States
United States, Michigan
Troy, Michigan, United States
United States, Missouri
St. Louis, Missouri, United States
United States, North Carolina
Winston-Salem, North Carolina, United States
United States, Ohio
Cincinnati, Ohio, United States
Toledo, Ohio, United States
United States, Texas
Houston, Texas, 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-375-017
Study First Received: May 1, 2008
Last Updated: May 1, 2008
ClinicalTrials.gov Identifier: NCT00671294  
Health Authority: United States: Food and Drug Administration

Keywords provided by Takeda Global Research & Development Center, Inc.:
Insomnia

Study placed in the following topic categories:
Sleep Initiation and Maintenance Disorders
Mental Disorders
Dyssomnias
Sleep Disorders
Sleep Disorders, Intrinsic

Additional relevant MeSH terms:
Nervous System Diseases

ClinicalTrials.gov processed this record on January 16, 2009