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Study of Eszopiclone Compared to Placebo in the Treatment of Insomnia Secondary to Perimenopause/Menopause

Primary Purpose

Insomnia

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Eszopiclone
Placebo
Sponsored by
Sumitomo Pharma America, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Insomnia focused on measuring Menopause, Perimenopause

Eligibility Criteria

40 Years - 60 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria Subject must understand the purpose of the study and be willing to adhere to the study schedule and procedures described in this protocol. Subject must be between the ages of 40 and 60 years, inclusive, on the day of signing consent. Subject must have perimenopausal or menopausal signs and symptoms. Subject must report SL of >45 minutes and <6 hours of TST at least three times a week over the previous month and symptoms of insomnia must post date onset of perimenopausal or menopausal symptoms. Subject's physical exam must show no clinically significant abnormal findings (other than insomnia and menopause symptoms) at screening. Exclusion Criteria Subject has history of circadian rhythm disorder, or travels across >3 time zones on a regular basis. Female subject is pregnant, lactating or within 6-months post partum. Subject has a history of drug or alcohol abuse or dependence in the past 2 years or positive urine drug test at screening . Subject has unstable medical abnormality, or unstable chronic disease; or history of significant cardiac, renal, or hepatic disease, seizure disorder, or current or past acute suicidal tendencies. Subject has participated in any investigational drug study within 30 days prior to screening or plans to participate in another investigational drug study during participation in this study. Subject is taking hormone replacement therapy or an hormonal contraceptive, and has not been on a stable dose for a minimum of 60 days prior to study start. Subject is known to be seropositive for HIV. Subject has a disorder or history of a condition (e.g., malabsorption, gastrointestinal surgery) that may interfere with drug absorption distribution, metabolism, or excretion. Subject has a history of malignancy within 5 years, or current malignancy, except for non-melanoma skin cancer. Subject has a diagnosis of any psychiatric disorder as identified by a psychiatric screening questionnaire. Subject has any primary diagnosis (personality disorder or mental retardation) that would impact the investigator's ability to evaluate the safety or efficacy of the study medication. Subject has difficulties in sleep initiation or maintenance associated with other known primary sleep disorders [e.g. sleep apnea, restless leg syndrome (RLS), or periodic leg movement syndrome (PLMS)], or has any condition that may affect sleep (e.g., chronic pain, urinary incontinence, etc.). Subject has used any drugs known or suspected to affect hepatic or renal clearance capacity within a period of 30 days prior to screening. Subject reports consumption of more than two alcoholic beverages daily, 14 or more alcoholic beverages weekly, or five or more alcoholic beverages on any given day. Subject is a rotating or third/night shift worker. Subject is a staff member or relative of a staff member. Subject is experiencing symptoms of premature menopause or surgical menopause. Subject has discontinued hormone replacement therapy or a hormonal contraceptive, and has not been off treatment for a minimum of 60 days prior to study start. Subject has been on hormone replacement therapy or hormonal contraceptives for greater then one year.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

1

2

Arm Description

eszopiclone 3 mg

Placebo tablet

Outcomes

Primary Outcome Measures

mean subjective SL

Secondary Outcome Measures

mean subjective WASO
Mean subjective SL
Mean subjective WASO
Mean subjective TST
Mean number of awakenings
Sleep quality and depth
Daytime alertness
Ability to concentrate
Physical well-being
Ability to function
Mean subjective number of nocturnal awakenings due to hot flashes
Mean number of hot flashes per day
Mean number of nocturnal hot flashes per night
Mean severity of hot flashes
ESS score
ISI score
GCS score
SDS score
MenQOL score
MADRS score
Physician Global Assessment
withdrawal effects will be assessed for the ISI, ESS, MADRS, MenQOL, Greene Climacteric Scale, Sheehan Disability Scale, and Physician Global Assessment.

Full Information

First Posted
August 17, 2006
Last Updated
February 21, 2012
Sponsor
Sumitomo Pharma America, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00366093
Brief Title
Study of Eszopiclone Compared to Placebo in the Treatment of Insomnia Secondary to Perimenopause/Menopause
Official Title
The Efficacy of Eszopiclone 3 mg Compared to Placebo in the Treatment of Insomnia Secondary to Perimenopause or Menopause
Study Type
Interventional

2. Study Status

Record Verification Date
February 2012
Overall Recruitment Status
Completed
Study Start Date
February 2004 (undefined)
Primary Completion Date
January 2005 (Actual)
Study Completion Date
January 2005 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sumitomo Pharma America, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To demonstrate improved subjective sleep in women with insomnia secondary to perimenopause or menopause following treatment with 3 mg of eszopiclone.
Detailed Description
A multicenter, randomized, double-blind, placebo-controlled, parallel-group study of eszopiclone 3 mg in women with insomnia secondary to perimenopause or menopause. Eligible subjects will be randomized to either eszopiclone 3 mg or placebo nightly for four weeks. This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Insomnia
Keywords
Menopause, Perimenopause

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
410 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
eszopiclone 3 mg
Arm Title
2
Arm Type
Placebo Comparator
Arm Description
Placebo tablet
Intervention Type
Drug
Intervention Name(s)
Eszopiclone
Other Intervention Name(s)
Lunesta, S-zopiclone
Intervention Description
eszopiclone 3 mg
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
placebo tablet
Primary Outcome Measure Information:
Title
mean subjective SL
Time Frame
Week 1
Secondary Outcome Measure Information:
Title
mean subjective WASO
Time Frame
Week 1
Title
Mean subjective SL
Time Frame
Weeks 2, 3, 4
Title
Mean subjective WASO
Time Frame
Weeks 2, 3, 4
Title
Mean subjective TST
Time Frame
Weeks 1, 2, 3, 4
Title
Mean number of awakenings
Time Frame
Weeks 1, 2, 3, 4
Title
Sleep quality and depth
Time Frame
Weeks 1, 2, 3, and 4
Title
Daytime alertness
Time Frame
Weeks 1, 2, 3, and 4
Title
Ability to concentrate
Time Frame
Weeks 1, 2, 3, and 4
Title
Physical well-being
Time Frame
Weeks 1, 2, 3, and 4
Title
Ability to function
Time Frame
Weeks 1, 2, 3, and 4
Title
Mean subjective number of nocturnal awakenings due to hot flashes
Time Frame
Weeks 1, 2, 3, and 4
Title
Mean number of hot flashes per day
Time Frame
Weeks 1, 2, 3, and 4
Title
Mean number of nocturnal hot flashes per night
Time Frame
Weeks 1, 2, 3, and 4
Title
Mean severity of hot flashes
Time Frame
Weeks 1, 2, 3, and 4
Title
ESS score
Time Frame
Weeks 2 and 4
Title
ISI score
Time Frame
Weeks 2 and 4
Title
GCS score
Time Frame
Weeks 2 and 4
Title
SDS score
Time Frame
Week 4
Title
MenQOL score
Time Frame
Week 4
Title
MADRS score
Time Frame
Week 4
Title
Physician Global Assessment
Time Frame
Week 4
Title
withdrawal effects will be assessed for the ISI, ESS, MADRS, MenQOL, Greene Climacteric Scale, Sheehan Disability Scale, and Physician Global Assessment.
Time Frame
Week 5

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Subject must understand the purpose of the study and be willing to adhere to the study schedule and procedures described in this protocol. Subject must be between the ages of 40 and 60 years, inclusive, on the day of signing consent. Subject must have perimenopausal or menopausal signs and symptoms. Subject must report SL of >45 minutes and <6 hours of TST at least three times a week over the previous month and symptoms of insomnia must post date onset of perimenopausal or menopausal symptoms. Subject's physical exam must show no clinically significant abnormal findings (other than insomnia and menopause symptoms) at screening. Exclusion Criteria Subject has history of circadian rhythm disorder, or travels across >3 time zones on a regular basis. Female subject is pregnant, lactating or within 6-months post partum. Subject has a history of drug or alcohol abuse or dependence in the past 2 years or positive urine drug test at screening . Subject has unstable medical abnormality, or unstable chronic disease; or history of significant cardiac, renal, or hepatic disease, seizure disorder, or current or past acute suicidal tendencies. Subject has participated in any investigational drug study within 30 days prior to screening or plans to participate in another investigational drug study during participation in this study. Subject is taking hormone replacement therapy or an hormonal contraceptive, and has not been on a stable dose for a minimum of 60 days prior to study start. Subject is known to be seropositive for HIV. Subject has a disorder or history of a condition (e.g., malabsorption, gastrointestinal surgery) that may interfere with drug absorption distribution, metabolism, or excretion. Subject has a history of malignancy within 5 years, or current malignancy, except for non-melanoma skin cancer. Subject has a diagnosis of any psychiatric disorder as identified by a psychiatric screening questionnaire. Subject has any primary diagnosis (personality disorder or mental retardation) that would impact the investigator's ability to evaluate the safety or efficacy of the study medication. Subject has difficulties in sleep initiation or maintenance associated with other known primary sleep disorders [e.g. sleep apnea, restless leg syndrome (RLS), or periodic leg movement syndrome (PLMS)], or has any condition that may affect sleep (e.g., chronic pain, urinary incontinence, etc.). Subject has used any drugs known or suspected to affect hepatic or renal clearance capacity within a period of 30 days prior to screening. Subject reports consumption of more than two alcoholic beverages daily, 14 or more alcoholic beverages weekly, or five or more alcoholic beverages on any given day. Subject is a rotating or third/night shift worker. Subject is a staff member or relative of a staff member. Subject is experiencing symptoms of premature menopause or surgical menopause. Subject has discontinued hormone replacement therapy or a hormonal contraceptive, and has not been off treatment for a minimum of 60 days prior to study start. Subject has been on hormone replacement therapy or hormonal contraceptives for greater then one year.
Facility Information:
City
Mobile
State/Province
Alabama
Country
United States
City
San Diego
State/Province
California
Country
United States
City
Denver
State/Province
Colorado
Country
United States
City
Newington
State/Province
Connecticut
Country
United States
City
Aventura
State/Province
Florida
Country
United States
City
Clearwater
State/Province
Florida
Country
United States
City
Ft. Meyers
State/Province
Florida
Country
United States
City
Gainesville
State/Province
Florida
Country
United States
City
Melbourne
State/Province
Florida
Country
United States
City
Miami
State/Province
Florida
Country
United States
City
Naples
State/Province
Florida
Country
United States
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New Port Richey
State/Province
Florida
Country
United States
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Pembroke Pines
State/Province
Florida
Country
United States
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Tampa
State/Province
Florida
Country
United States
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West Palm Beach
State/Province
Florida
Country
United States
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Atlanta
State/Province
Georgia
Country
United States
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Savannah
State/Province
Georgia
Country
United States
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Arlington Heights
State/Province
Illinois
Country
United States
City
Champaign
State/Province
Illinois
Country
United States
City
Chicago
State/Province
Illinois
Country
United States
City
Lexington
State/Province
Kentucky
Country
United States
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Louisville
State/Province
Kentucky
Country
United States
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Boston
State/Province
Massachusetts
Country
United States
City
Brockton
State/Province
Massachusetts
Country
United States
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Ann Arbor
State/Province
Michigan
Country
United States
City
St. Louis
State/Province
Missouri
Country
United States
City
Lincoln
State/Province
Nebraska
Country
United States
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Reno
State/Province
Nevada
Country
United States
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Rochester
State/Province
New York
Country
United States
City
Cary
State/Province
North Carolina
Country
United States
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Raleigh
State/Province
North Carolina
Country
United States
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Winston-Salem
State/Province
North Carolina
Country
United States
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Cleveland
State/Province
Ohio
Country
United States
City
Dayton
State/Province
Ohio
Country
United States
City
Mentor
State/Province
Ohio
Country
United States
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Oklahoma City
State/Province
Oklahoma
Country
United States
City
Medford
State/Province
Oregon
Country
United States
City
Erie
State/Province
Pennsylvania
Country
United States
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Philadelphia
State/Province
Pennsylvania
Country
United States
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Pittsburg
State/Province
Pennsylvania
Country
United States
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Warwick
State/Province
Rhode Island
Country
United States
City
Columbia
State/Province
South Carolina
Country
United States
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Cordova
State/Province
Tennessee
Country
United States
City
Houston
State/Province
Texas
Country
United States
City
Irving
State/Province
Texas
Country
United States
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Sandy
State/Province
Utah
Country
United States
City
Richmond
State/Province
Virginia
Country
United States
City
Renton
State/Province
Washington
Country
United States
City
Seatle
State/Province
Washington
Country
United States
City
Spokane
State/Province
Washington
Country
United States
City
Tacoma
State/Province
Washington
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
17138773
Citation
Soares CN, Joffe H, Rubens R, Caron J, Roth T, Cohen L. Eszopiclone in patients with insomnia during perimenopause and early postmenopause: a randomized controlled trial. Obstet Gynecol. 2006 Dec;108(6):1402-10. doi: 10.1097/01.AOG.0000245449.97365.97.
Results Reference
derived

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Study of Eszopiclone Compared to Placebo in the Treatment of Insomnia Secondary to Perimenopause/Menopause

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