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Efficacy of Ramelteon on Transient Insomnia in Healthy Adults

Primary Purpose

Transient Insomnia

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Ramelteon
Ramelteon
Placebo
Sponsored by
Takeda
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Transient Insomnia focused on measuring Insomnia, Sleep Disorder, Drug Therapy

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria

  • Females of childbearing potential who are sexually active must agree to use adequate contraception, and can neither be pregnant nor lactating from Screening throughout the duration of the study.
  • Habitual bedtime is between 8:30 p.m. and 12:00 a.m.
  • Sleeps 6.5 to 8 hours per night and has a subjective sleep latency of less than or equal to 30 minutes.
  • Body mass index between 18 and 34, inclusive.

Exclusion Criteria:

  • Any history of insomnia.
  • Spent one or more nights in a sleep laboratory.
  • Epworth Sleepiness Scale score of greater than 10.
  • Known hypersensitivity to Ramelteon or related compounds, including melatonin.
  • Previously participated in a study involving Ramelteon.
  • Participated in any other investigational study and/or taken any investigational drug within 30 days or five half-lives prior to Day 1, whichever is longer.
  • Sleep schedule changes required by employment (ie, shift work) within three months preceding Day 1 or has flown across greater than three time zones within seven days prior to screening.
  • Participated in a weight loss program or substantially altered their exercise routine within 30 days prior to Day 1.
  • History of seizures, sleep apnea, chronic obstructive pulmonary disease, restless leg syndrome, schizophrenia, bipolar disorder, mental retardation, or cognitive disorder.
  • History of a psychiatric disorder (including anxiety or depression) within the past 12 months.
  • History of drug addiction or drug abuse within the past 12 months.
  • Any physical or psychiatric disorder that may be associated with sleep disturbance.
  • History of alcohol abuse within the past 12 months, as defined in Diagnostic and Statistical Manual of Mental Disorders, 4th Edition Revised and/or regularly consumes 4 or more alcoholic drinks per day.
  • Current significant neurological, hepatic, renal, endocrine, cardiovascular, gastrointestinal, pulmonary, hematologic or metabolic disease.
  • Uses tobacco products during nightly awakenings.
  • Any clinically important abnormal finding as determined by a medical history, physical examination, electrocardiogram, or clinical laboratory tests, as determined by the investigator.
  • Positive hepatitis panel.
  • Positive urine drug screen including alcohol at screening or a positive breathalyzer test at check-in.
  • Any additional condition(s) that in the investigator's opinion would

    • affect sleep-wake function
    • prohibit the subject from completing the study
    • not be in the best interest of the subject.
  • Is required to take or continues taking any disallowed medication, prescription medication, herbal treatment or over-the counter medication, including:

    • Anxiolytics
    • Hypnotics
    • Antidepressants
    • Anticonvulsants
    • Sedating H1 antihistamines
    • Systemic steroids
    • Respiratory stimulants (eg, theophylline)
    • Decongestants
    • Over-the-counter and prescription stimulants
    • Over-the-counter and prescription diet aids
    • Central nervous system active drugs
    • Narcotic analgesics
    • All beta blockers
    • St. John's Wort
    • Kava-kava
    • gingko biloba

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Ramelteon 8 mg QD

Ramelteon 16 mg QD

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Latency to Persistent Sleep from 1 night of polysomnography (PSG) recording in a sleep laboratory.

Secondary Outcome Measures

Total Sleep Time.
Sleep Efficiency.
Wake Time after Persistent Sleep Onset.
Number of Awakenings after Persistent Sleep.
Subjective Sleep Latency.
Subjective Total Sleep Time.
Subjective Sleep Quality.
Subjective Wake Time after Sleep Onset.
Subjective Number of Awakenings.
Subjective Ease of Falling Back to Sleep after Awakening.
Stage 1 Nonrapid Eye Movement (NREM) Sleep
Stage 2 Nonrapid Eye Movement (NREM) Sleep
Stage 3/4 Nonrapid Eye Movement (NREM) Sleep
Latency to Rapid Eye Movement (REM) Sleep
Percentage of Total Sleep Time in REM Sleep

Full Information

First Posted
May 1, 2008
Last Updated
February 27, 2012
Sponsor
Takeda
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1. Study Identification

Unique Protocol Identification Number
NCT00671398
Brief Title
Efficacy of Ramelteon on Transient Insomnia in Healthy Adults
Official Title
A Phase III, Randomized, Double-Blind, Placebo-Controlled, Multicenter, Single-Dose Study of TAK-375 in Healthy Adult Volunteers in a Sleep Lab Model of Transient Insomnia
Study Type
Interventional

2. Study Status

Record Verification Date
February 2012
Overall Recruitment Status
Completed
Study Start Date
December 2002 (undefined)
Primary Completion Date
May 2003 (Actual)
Study Completion Date
May 2003 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Takeda

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and efficacy of Ramelteon, once daily (QD), in healthy subjects within a sleep lab.
Detailed Description
Insomnia is characterized by difficulties initiating and maintaining sleep, or of non-restorative and non-refreshing sleep. Transient insomnia affects approximately one-third to one-half of the US population, based on the results of 2 surveys of representative samples of the adult US population conducted by the Gallup Organization in which respondents were asked if they had "ever had difficulty sleeping." Based on reports of "regular" or "frequent" sleep difficulty, results from the same studies suggest that approximately one-tenth of the US population experiences chronic insomnia. The ideal treatment for insomnia would reduce the latency to onset of sleep and increase total sleep time, without a negative impact on sleep architecture and without safety concerns or next-day effects. Ramelteon is a selective melatonin-1 receptor agonist under global development by Takeda Chemical Industries, Ltd., for the treatment of transient and chronic insomnia and for the treatment of Circadian Rhythm Sleep Disorders. This study is being conducted to evaluate the safety and efficacy of a single dose of Ramelteon in normal healthy subjects in a sleep lab model of transient insomnia. Participation is this study is anticipated to be about 3 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Transient Insomnia
Keywords
Insomnia, Sleep Disorder, Drug Therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
289 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Ramelteon 8 mg QD
Arm Type
Experimental
Arm Title
Ramelteon 16 mg QD
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Ramelteon
Other Intervention Name(s)
Rozerem™, TAK-375
Intervention Description
Ramelteon 8 mg, tablets, orally for one night only.
Intervention Type
Drug
Intervention Name(s)
Ramelteon
Other Intervention Name(s)
Rozerem™, TAK-375
Intervention Description
Ramelteon 16 mg, tablets, orally for one night only
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Ramelteon placebo-matching tablets, orally for one night only
Primary Outcome Measure Information:
Title
Latency to Persistent Sleep from 1 night of polysomnography (PSG) recording in a sleep laboratory.
Time Frame
Day 1
Secondary Outcome Measure Information:
Title
Total Sleep Time.
Time Frame
Days 1 and 2.
Title
Sleep Efficiency.
Time Frame
Days 1 and 2.
Title
Wake Time after Persistent Sleep Onset.
Time Frame
Days 1 and 2.
Title
Number of Awakenings after Persistent Sleep.
Time Frame
Days 1 and 2.
Title
Subjective Sleep Latency.
Time Frame
Day 2
Title
Subjective Total Sleep Time.
Time Frame
Day 2
Title
Subjective Sleep Quality.
Time Frame
Day 2
Title
Subjective Wake Time after Sleep Onset.
Time Frame
Day 2
Title
Subjective Number of Awakenings.
Time Frame
Day 2
Title
Subjective Ease of Falling Back to Sleep after Awakening.
Time Frame
Day 2
Title
Stage 1 Nonrapid Eye Movement (NREM) Sleep
Time Frame
Day 2.
Title
Stage 2 Nonrapid Eye Movement (NREM) Sleep
Time Frame
Day 2.
Title
Stage 3/4 Nonrapid Eye Movement (NREM) Sleep
Time Frame
Day 2.
Title
Latency to Rapid Eye Movement (REM) Sleep
Time Frame
Day 2.
Title
Percentage of Total Sleep Time in REM Sleep
Time Frame
Day 2.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria Females of childbearing potential who are sexually active must agree to use adequate contraception, and can neither be pregnant nor lactating from Screening throughout the duration of the study. Habitual bedtime is between 8:30 p.m. and 12:00 a.m. Sleeps 6.5 to 8 hours per night and has a subjective sleep latency of less than or equal to 30 minutes. Body mass index between 18 and 34, inclusive. Exclusion Criteria: Any history of insomnia. Spent one or more nights in a sleep laboratory. Epworth Sleepiness Scale score of greater than 10. Known hypersensitivity to Ramelteon or related compounds, including melatonin. Previously participated in a study involving Ramelteon. Participated in any other investigational study and/or taken any investigational drug within 30 days or five half-lives prior to Day 1, whichever is longer. Sleep schedule changes required by employment (ie, shift work) within three months preceding Day 1 or has flown across greater than three time zones within seven days prior to screening. Participated in a weight loss program or substantially altered their exercise routine within 30 days prior to Day 1. History of seizures, sleep apnea, chronic obstructive pulmonary disease, restless leg syndrome, schizophrenia, bipolar disorder, mental retardation, or cognitive disorder. History of a psychiatric disorder (including anxiety or depression) within the past 12 months. History of drug addiction or drug abuse within the past 12 months. Any physical or psychiatric disorder that may be associated with sleep disturbance. History of alcohol abuse within the past 12 months, as defined in Diagnostic and Statistical Manual of Mental Disorders, 4th Edition Revised and/or regularly consumes 4 or more alcoholic drinks per day. Current significant neurological, hepatic, renal, endocrine, cardiovascular, gastrointestinal, pulmonary, hematologic or metabolic disease. Uses tobacco products during nightly awakenings. Any clinically important abnormal finding as determined by a medical history, physical examination, electrocardiogram, or clinical laboratory tests, as determined by the investigator. Positive hepatitis panel. Positive urine drug screen including alcohol at screening or a positive breathalyzer test at check-in. Any additional condition(s) that in the investigator's opinion would affect sleep-wake function prohibit the subject from completing the study not be in the best interest of the subject. Is required to take or continues taking any disallowed medication, prescription medication, herbal treatment or over-the counter medication, including: Anxiolytics Hypnotics Antidepressants Anticonvulsants Sedating H1 antihistamines Systemic steroids Respiratory stimulants (eg, theophylline) Decongestants Over-the-counter and prescription stimulants Over-the-counter and prescription diet aids Central nervous system active drugs Narcotic analgesics All beta blockers St. John's Wort Kava-kava gingko biloba
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
VP Clinical Science
Organizational Affiliation
Takeda
Official's Role
Study Director
Facility Information:
City
Palm Springs
State/Province
California
Country
United States
City
San Diego
State/Province
California
Country
United States
City
Miami
State/Province
Florida
Country
United States
City
Pembroke Pines
State/Province
Florida
Country
United States
City
Atlanta
State/Province
Georgia
Country
United States
City
Overland Park
State/Province
Kansas
Country
United States
City
New York
State/Province
New York
Country
United States
City
Rochester
State/Province
New York
Country
United States
City
Cincinnati
State/Province
Ohio
Country
United States
City
Dublin
State/Province
Ohio
Country
United States
City
Columbia
State/Province
South Carolina
Country
United States
City
Houston
State/Province
Texas
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
18691937
Citation
Zammit G, Schwartz H, Roth T, Wang-Weigand S, Sainati S, Zhang J. The effects of ramelteon in a first-night model of transient insomnia. Sleep Med. 2009 Jan;10(1):55-9. doi: 10.1016/j.sleep.2008.04.010. Epub 2008 Aug 8.
Results Reference
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Efficacy of Ramelteon on Transient Insomnia in Healthy Adults

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