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Single Dose Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Evaluation of Eplivanserin in Children With Insomnia (PKiDs)

Primary Purpose

Sleep Initiation and Maintenance Disorders

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Eplivanserin (SR46349)
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sleep Initiation and Maintenance Disorders focused on measuring insomnia pediatric safety

Eligibility Criteria

6 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Children with a diagnosis of insomnia of various origins.
  • Complaint of childhood insomnia as defined by repeated difficulty with sleep initiation or consolidation that occurs despite adequate age appropriate time and opportunity for sleep. The existence of sleep difficulty will be supported by statements from the child and/or the caregiver that sleep is not properly initiated or maintained.
  • Written consent must be obtained from the parent/legal guardian.
  • Written assent must be obtained from children of the appropriate age who are capable of giving assent as determined by parent/legal guardian.

Exclusion Criteria:

  • The sleep disturbance must not be attributable to either the direct physiologic effect of a drug of abuse or misuse of a prescribed medication.
  • Subject, if female of childbearing potential, which are unwilling to abstain from sexual intercourse or practice a double contraception method for the length of the study.
  • Mental retardation.
  • The presence of any untreated or uncompensated clinically significant renal, endocrine, hepatic, respiratory, cardiovascular, neurologic (excluding ADHD), hematologic, immunologic, cerebrovascular disease, or malignancy.
  • Subjects with a history of any significant gastrointestinal disease.
  • Presence of drug or alcohol abuse within one year before inclusion.
  • Current history of substance abuse/dependence.
  • Pregnant or breast-feeding.
  • Use of any hypnotics/psychotropics, antihistamines, melatonin, herbal products, or other sleep aids including clonidine for initiation or maintenance of sleep within one week or five half lives (whichever is longer), prior to screening and unwillingness to discontinue them at the screening visit.
  • Subject tested positive at screening or at baseline or at Day 1, on urine drug screen for drugs known to alter sleep (amphetamine/methamphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, opiates and alcohol).
  • Inability to swallow a pill in similar size as the tablets to be administered for this study.
  • Current or recent (<60 days) participation in another clinical trial receiving an investigational drug.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Sanofi-Aventis Administrative Office

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Age Group 6-11 year old - Dose level 1

Age Group 6-11 year old - Dose Level 2

Age Group 6-11 year old - Dose Level 3

Age Group 12-17 year old - Dose level 1

Age Group 12-17 year old - Dose level 2

Age Group 12-17 year old - Dose level 3

Arm Description

Outcomes

Primary Outcome Measures

Safety in terms of adverse events, laboratory tests, vital signs, ECGs
Pharmacokinetics parameters

Secondary Outcome Measures

Global sleep parameters
Sleep architecture

Full Information

First Posted
June 2, 2009
Last Updated
November 29, 2010
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT00913614
Brief Title
Single Dose Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Evaluation of Eplivanserin in Children With Insomnia
Acronym
PKiDs
Official Title
Single Dose, Open Label Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Evaluation of Three Different Eplivanserin Doses in Children Aged 6-17 Years With Insomnia of Various Origins
Study Type
Interventional

2. Study Status

Record Verification Date
November 2010
Overall Recruitment Status
Completed
Study Start Date
June 2009 (undefined)
Primary Completion Date
December 2009 (Actual)
Study Completion Date
December 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Sanofi

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Given the potential age-related differences in safety, tolerability, pharmacokinetics, and differences in sleep architecture in young children versus adolescent versus adult, studies to identify the appropriate drug and dosage for children of all ages are essential in addressing this health problem that impacts the child and their family. The objective of this study is to evaluate the safety, pharmacokinetics and preliminary efficacy of eplivanserin. Primary objective: to assess the safety and tolerability after administration of single ascending oral doses of eplivanserin to children aged 6-17 years with insomnia of various origins. To assess the pharmacokinetics of eplivanserin (and active metabolite: SR141342) after administration of single ascending oral doses of eplivanserin to children aged 6-17 years with insomnia of various origins. Secondary objective: to assess the effect of single ascending oral doses of eplivanserin on global sleep parameters and sleep architecture measured via polysomnography recordings in children aged 6-17 years old with insomnia of various origins.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sleep Initiation and Maintenance Disorders
Keywords
insomnia pediatric safety

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
41 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Age Group 6-11 year old - Dose level 1
Arm Type
Experimental
Arm Title
Age Group 6-11 year old - Dose Level 2
Arm Type
Experimental
Arm Title
Age Group 6-11 year old - Dose Level 3
Arm Type
Experimental
Arm Title
Age Group 12-17 year old - Dose level 1
Arm Type
Experimental
Arm Title
Age Group 12-17 year old - Dose level 2
Arm Type
Experimental
Arm Title
Age Group 12-17 year old - Dose level 3
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Eplivanserin (SR46349)
Intervention Description
Oral administration
Primary Outcome Measure Information:
Title
Safety in terms of adverse events, laboratory tests, vital signs, ECGs
Time Frame
Up to 12 days following single dose administration
Title
Pharmacokinetics parameters
Time Frame
on Day 1, Day 2, Day 5, Day 7 and Day 10
Secondary Outcome Measure Information:
Title
Global sleep parameters
Time Frame
Immediately following single dose administration
Title
Sleep architecture
Time Frame
Immediately following single dose administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Children with a diagnosis of insomnia of various origins. Complaint of childhood insomnia as defined by repeated difficulty with sleep initiation or consolidation that occurs despite adequate age appropriate time and opportunity for sleep. The existence of sleep difficulty will be supported by statements from the child and/or the caregiver that sleep is not properly initiated or maintained. Written consent must be obtained from the parent/legal guardian. Written assent must be obtained from children of the appropriate age who are capable of giving assent as determined by parent/legal guardian. Exclusion Criteria: The sleep disturbance must not be attributable to either the direct physiologic effect of a drug of abuse or misuse of a prescribed medication. Subject, if female of childbearing potential, which are unwilling to abstain from sexual intercourse or practice a double contraception method for the length of the study. Mental retardation. The presence of any untreated or uncompensated clinically significant renal, endocrine, hepatic, respiratory, cardiovascular, neurologic (excluding ADHD), hematologic, immunologic, cerebrovascular disease, or malignancy. Subjects with a history of any significant gastrointestinal disease. Presence of drug or alcohol abuse within one year before inclusion. Current history of substance abuse/dependence. Pregnant or breast-feeding. Use of any hypnotics/psychotropics, antihistamines, melatonin, herbal products, or other sleep aids including clonidine for initiation or maintenance of sleep within one week or five half lives (whichever is longer), prior to screening and unwillingness to discontinue them at the screening visit. Subject tested positive at screening or at baseline or at Day 1, on urine drug screen for drugs known to alter sleep (amphetamine/methamphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, opiates and alcohol). Inability to swallow a pill in similar size as the tablets to be administered for this study. Current or recent (<60 days) participation in another clinical trial receiving an investigational drug. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
ICD CSD
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Sanofi-Aventis Administrative Office
City
Bridgewater
State/Province
New Jersey
ZIP/Postal Code
08807
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Single Dose Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Evaluation of Eplivanserin in Children With Insomnia

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