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A Long-Term Safety Study of Org 50081 in Elderly Outpatients With Chronic Primary Insomnia (176005) (Jade)
This study is currently recruiting participants.
Verified by Organon, December 2008
Sponsored by: Organon
Information provided by: Organon
ClinicalTrials.gov Identifier: NCT00561574
  Purpose

The current study is a 52-week safety study in elderly outpatients with chronic primary insomnia randomized to treatment with 1.5 mg or 3.0 mg of Org 50081 to investigate the safety and tolerability of long-term treatment with Org 50081 in elderly patients.


Condition Intervention Phase
Sleep Initiation and Maintenance Disorder; Elderly
Mental Disorder
Dyssomnias
Sleep Disorders
Sleep Disorder, Intrinsic
Drug: Org 50081
Phase III

MedlinePlus related topics: Mental Health Sleep Disorders
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Dose Comparison, Parallel Assignment, Safety Study
Official Title: A Randomized Long-Term Safety Study of Org 50081 in Elderly Outpatients With Chronic Primary Insomnia Examining the Effects of 1.5 mg or 3.0 mg of Org 50081

Further study details as provided by Organon:

Primary Outcome Measures:
  • To investigate the safety and tolerability of long-term treatment with 1.5 mg or 3.0 mg of Org 50081 in elderly outpatients with chronic primary insomnia. [ Time Frame: Prospective ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • To collect exploratory efficacy data of long-term treatment with Org 50081 in elderly outpatients with chronic primary insomnia. [ Time Frame: 1 Year ] [ Designated as safety issue: No ]

Estimated Enrollment: 250
Study Start Date: February 2008
Estimated Study Completion Date: April 2010
Estimated Primary Completion Date: March 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Org 50081-2: Experimental
One tablet daily
Drug: Org 50081
One tablet daily
Org 50081-1: Experimental
One tablet daily
Drug: Org 50081
One tablet daily

Detailed Description:

Insomnia is a common complaint or disorder throughout the world. About one third of the population in the industrial countries reports difficulty initiating or maintaining sleep, resulting in a non-refreshing or non-restorative sleep. The majority of the insomniacs suffer chronically from their complaints.

The maleic acid salt of Org 4420, code name Org 50081, was selected for development in the treatment of insomnia. The first clinical trial with Org 50081 was a proof-of-concept trial with a four-way cross-over design. All 3 Org 50081 dose groups showed a statistically significant positive effect on TST (objective and subjective) and WASO, as compared to placebo.

The current study is a 52-week safety study in elderly outpatients with chronic primary insomnia randomized to treatment with 1.5 mg or 3.0 mg of Org 50081 50081 to investigate the safety and tolerability of long-term treatment with Org 50081 in elderly patients.

  Eligibility

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

Inclusion Criteria:

  • are at least 65 years of age at screening;
  • sign written informed consent after the scope and nature of the investigation have been explained to them, before screening evaluations;
  • are able to speak, read and understand the language of the investigator, study staff (including raters) and the informed consent form, and possess the ability to respond to questions, follow instructions and complete questionnaires;
  • have demonstrated capability to independently complete the LogPad questionnaires in the week preceding randomization;
  • normal bedtime should be within the 21:00 - 01:00 hour range, with no more variation than 2 hours for 5 nights out of 7;
  • have a documented diagnosis of chronic primary insomnia, defined as fulfillment of the DSM-IV-TR criteria for primary insomnia (DSM-IV-TR 307.42) with a duration of >= 1 month;
  • fulfill the following criteria based on medical or sleep history. Each of these criteria should be present for at least 3 nights per week for at least one month;

    • TST <= 6.5 hours
    • WASO >= 60 minutes
    • SL >= 30 minutes

Exclusion Criteria:

  • have other sleep disorders (DSM-IV-TR) e.g. rapid eye movement (REM) behavioral disorders, sleep related breathing disorders, periodic leg movement disorder, restless leg syndrome, narcolepsy, circadian sleep wake rhythm disorders, or any parasomnia;
  • have any significant medical or DSM-IV-TR psychiatric illness causing the sleep disturbances;
  • currently meet diagnostic criteria for DSM-IV-TR depression (MDD) or have been diagnosed and treated for MDD within the last 2 years;
  • have signs of dementia or other serious cognitive impairment, defined by a score of less than 26 on the Mini-Mental State Examination (MMSE);
  • have a history of bipolar disorder, a history of suicide attempt or a family history of suicide; A family history of suicide is defined as any history of suicide in the first and second degree family (parents, siblings, grandparents, or offspring), or a pattern of completed suicides (more than one) in the third degree family (aunts, uncles, nieces, and nephews);
  • are night workers or rotating shift workers;
  • are traveling, or have plans to travel, through more than three time zones during the trial, from the screening visit onwards;
  • have a significant, unstable medical illness e.g. acute or chronic pain, hepatic, renal, metabolic or cardiac disease;
  • have clinically relevant ECG abnormalities at screening, as judged by the investigator;
  • have clinically relevant abnormal hematology or biochemistry values at screening, as judged by the investigator;
  • have DSM-IV-TR substance abuse or DSM-IV-TR addiction within the last year;
  • drink more than 2 alcoholic drinks in a day. One drink is approximately equal to: 12 oz or 360 ml of beer (regular or light), or 4 oz or 120 ml of red or white wine, or 2 oz or 60 ml of desert wine (e.g. port, sherry), or 12 oz or 360 ml of wine cooler (regular or light), or 1 oz or 30 ml or spirits (80 to 100 proof, e.g. whiskey, vodka);
  • had serious head injury or stroke within the past year, or a history of (non-febrile) seizures;
  • use psychotropic drugs affecting sleep within 2 weeks prior to randomization (fluoxetine: 5 weeks);
  • use concomitant medication affecting sleep (see Protocol Section 3.4, Concomitant medication);
  • smoke > 15 cigarettes per day and/or can not abstain from smoking during the night;
  • drink excessive amounts of caffeinated beverages (more than 500 mg caffeine per day);
  • have a positive urine drug screen at screening;
  • are routinely sleeping during daytime (napping) for more than 60 minutes per day, 3 times/ week;
  • have a body mass index (BMI) >= 36;
  • have a known hypersensitivity to mirtazapine or to any of the excipients;
  • participated in another clinical trial within the last 30 days prior to screening;
  • participated in another clinical trial using esmirtazapine (Org 50081) at any time.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00561574

Contacts
Contact: SP Clinical Trial Registry Call Center 1-888-772-8734

Locations
United States, New Jersey
Coordinating Location Recruiting
Roseland, New Jersey, United States, 07068
Sponsors and Collaborators
Organon
  More Information

Responsible Party: NV Organon, part of Schering-Plough Corporation ( Study Director )
Study ID Numbers: 176005, P05697
Study First Received: November 19, 2007
Last Updated: December 9, 2008
ClinicalTrials.gov Identifier: NCT00561574  
Health Authority: United States: Food and Drug Administration

Keywords provided by Organon:
elderly
randomized
double blind

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

Additional relevant MeSH terms:
Pathologic Processes
Disease
Nervous System Diseases

ClinicalTrials.gov processed this record on January 15, 2009