search
Back to results

Evaluating Efficacy and Safety of CBD TPM Capsules for Use in Insomnia

Primary Purpose

Insomnia

Status
Not yet recruiting
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Cannabidiol
Sponsored by
Avecho Biotechnology
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Insomnia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Males and females aged 18 years or older at the time of informed consent. Stated willingness to comply with all study procedures and availability for the duration of the study. Provide a signed and dated patient information and consent form (PICF) for the study. Met the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for insomnia disorder, as follows: Complained of dissatisfaction with night-time sleep in the form of difficulty getting to sleep, difficulty staying asleep and/or awakening earlier in the morning than desired despite adequate opportunity for sleep. Frequency of the complaint ≥3 times per week. Duration of complaint ≥3 months. Associated with a complaint of daytime impairment. History of subjective Sleep Onset Latency (sSOL) ≥30 minutes on at least 3 nights per week in the previous 4 weeks AND/OR subjective Wake After Sleep Onset (sWASO) ≥30 minutes on at least 3 nights per week in the previous 4 weeks. Subject reports a regular time spent in bed, either sleeping or trying to sleep is between 7-10 hours. Subjects must have clinical insomnia symptoms as classified by an insomnia severity index (ISI) Score of ≥15. Confirmation of current insomnia symptoms as determined from the Sleep Diary completed on at least 7 consecutive mornings (minimum 5 of 7 for eligibility), such that sSOL ≥30 minutes on at least 3 of the 7 nights and/or sWASO ≥30 minutes on at least 3 of the 7 nights. Subject reports a typical bedtime, (defined as the time the subject attempts to sleep), between 21:00 and 01:00, and waketime, (defined as the time the subject got out of bed for the day), between 05:00 and 10:00. Subject has access to and is able to use a smart phone. Female subjects of childbearing potential must be abstinent or agree to use a highly effective method of contraception for 30 days prior to Day 1, during the study, and for at least 28 days following the last dose of Investigational Product (IP). Agrees to refrain from donating eggs (ova, oocytes) (from Day 1 until 28 days following the last dose of IP). Male subjects that are not surgically sterile (i.e., vasectomy) must be abstinent or agree to use effective barrier contraception (i.e., condom) from Day 1 and for at least 28 days following the last dose of IP and agrees to refrain from sperm donation (from Day 1 until 28 days following the last dose of IP). Exclusion Criteria: Significant insomnia caused during another sleep-wake disorder, including narcolepsy, a breathing-related sleep disorder, a circadian rhythm sleep-wake disorder, a parasomnia, restless leg syndrome, or an exclusionary score on the Sleep Disorders Screening Battery, or Epworth Sleepiness Scale score as follows: STOP-Bang score ≥5. International Restless Legs Scale score ≥16. Epworth Sleepiness Scale score >15 (scores of 11-15 required excessive daytime sleepiness to be recorded in subject's medical history). Reports symptoms potentially related to narcolepsy that in the clinical opinion of the Investigator indicates the need for referral for a diagnostic evaluation for the presence of narcolepsy. Reports a history of sleep-related violent behavior, or sleep driving, or any other complex sleep-related behavior, e.g., making phone calls, or preparing and eating food while asleep. Beck Depression Inventory - (BDI II) score >19 at Screening. Beck Anxiety Inventory >15 at Screening. Habitually napped more than three times per week. Current or recent cannabis use, within 30 days of consent, and throughout the study. Use of any drug known to affect sleep, within 30 days of Screening and throughout the study, including: Sedatives (e.g. benzodiazepines, zopiclone, eszopiclone, zaleplon, zolpidem, agomelatine, suvorexant, dual orexin receptor antagonists, sodium oxybate mirtazipine (sedating SSRI) and all tricyclic antidepressants,, , sedating H antihistamines (cyproheptadine, dexchlorpheniramine, promethazine, trimeprazine, doxylamine, diphenhydramine, cyclizine),, antipsychotics, melatonin, valerian). Opioids (e.g. morphine, codeine, oxycodone, methadone, buprenorphine, fentanyl, tramadol, tapentadol, hydromorphone). Stimulants (e.g. modafinil, methylphenidate, dexamphetamine, phentermine). Have care responsibilities for an infant <1 year of age. Females who are pregnant or lactating. Have excessive caffeine use (>300 mg or ~3 cups of caffeinated beverages a day) that, in the opinion of the Investigator, contributes to the subject's insomnia, and is unwilling to forgo caffeine-containing beverages for the duration of their participation in the study. Any caffeine consumed needs to be prior to 4:00 pm. PI determined excessive history of acute or severe bronchial asthma (excluding childhood or exercise induced asthma), diagnosed obstructive sleep apnea, hypoxia, hypoxemia, hypercarbia, or other obstructive airway disease or any condition that may increase the risk for respiratory depression. History of neurologic conditions such as seizures or convulsive disorders (including epilepsy), severe head injury or increased intracranial pressure. A calculated creatinine clearance of < 85 mL/minute at Screening according to the equation using Cockcroft and Gault. Liver function tests for alanine transaminase or aspartate aminotransferase > 1.5 times the upper limit of normal at Screening. History of clinically significant (in the opinion of the Investigator) other cardiovascular, pulmonary, neurologic or renal disorders or hepatic, gastrointestinal, oral (difficulty swallowing / taking oral medication), hematological, endocrine, or psychiatric impairment/disorders. Use of any over the counter product, or other medicine derived from hemp or containing cannabidiol, within 30 days of Screening and for duration of study. Known intolerance, allergy or hypersensitivity reactions to cannabis or cannabinoid products (e.g. hemp), and excipients of the IP. Currently taking or have taken drugs that are moderate or strong inhibitors of CYP3A4 or CYP2C19 within 2 weeks or 5 half-lives, whichever is longer, prior to randomisation. Excessive use of alcohol (i.e. drink more than 2 standard units of alcohol per day or >8 standard units per week), including positive results for the alcohol breath test at Screening, Compliance Check, and Run-in/Randomization (Baseline) visits or is unwilling to abstain from alcohol consumption within 3 hours before bedtime for the duration of their participation in the study. Recreational drug use, including positive results for the urine drugs of abuse test during at Screening, Compliance Check and Run-in/Randomization (Baseline) visits. Use of any investigational drug or involvement in another clinical trial within 30 days of Screening. Use of anti-coagulant drugs such as warfarin or those known to be metabolized by CYP450 enzymes, within 30 days of Screening. Use of treatments for insomnia (e.g. cognitive-behavioral therapy and Central Nervous System-active drugs), within 30 days of Screening. Self-reported or physician diagnosed comorbid nocturia resulting in frequent (>2) need to get out of bed to use the bathroom during the night. Any history of a medical or psychiatric condition that, in the opinion of the Investigator, may affect the subject's safety or interfere with the study assessments. Scheduled for major surgery during the study. Shift work, jet lag or trans-meridian travel (three time zones) in the past month, at Screening and while on study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Placebo Comparator

    Experimental

    Experimental

    Arm Label

    Placebo

    75mg CBD

    150mg CBD

    Arm Description

    Nightly dose of two placebo capsules

    Nightly dose of one 75mg CBD capsule and one placebo capsule

    Nightly dose of two 75mg CBD capsules

    Outcomes

    Primary Outcome Measures

    Mean change from study baseline of insomnia severity index (ISI) score at 8 weeks
    Mean change from study baseline in subject sleep efficiency (sSE) at 8 weeks

    Secondary Outcome Measures

    Full Information

    First Posted
    April 23, 2023
    Last Updated
    April 23, 2023
    Sponsor
    Avecho Biotechnology
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT05840822
    Brief Title
    Evaluating Efficacy and Safety of CBD TPM Capsules for Use in Insomnia
    Official Title
    A Randomized, Double-blind, Placebo-controlled Phase III Clinical Study Evaluating the Efficacy and Safety of CBD TPM Capsules in Adults for Use in the Reduction of Insomnia Severity
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    June 2023 (Anticipated)
    Primary Completion Date
    March 2024 (Anticipated)
    Study Completion Date
    May 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Avecho Biotechnology

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    Yes
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Insomnia is a common sleep disorder in which a person has difficulty falling asleep or staying asleep or getting good quality sleep. Consequences of insomnia include daytime sleepiness, poor memory function, decline in concentration with negative impacts on social and work activities. Although medical cannabis and cannabis products are widely used worldwide for the management of symptoms associated with insomnia, there is little clinical data available to support the efficacy or utility of CBD in the management of sleep disorders. The proposed study will assess whether nightly doses of 75mg or 150mg of an 8 week period are able to improve patient reported sleep quality when compared to a placebo.

    6. Conditions and Keywords

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

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Nightly dose of two placebo capsules
    Arm Title
    75mg CBD
    Arm Type
    Experimental
    Arm Description
    Nightly dose of one 75mg CBD capsule and one placebo capsule
    Arm Title
    150mg CBD
    Arm Type
    Experimental
    Arm Description
    Nightly dose of two 75mg CBD capsules
    Intervention Type
    Drug
    Intervention Name(s)
    Cannabidiol
    Intervention Description
    Nightly capsules prior to bed containing 0mg (placebo), 75mg cannabidiol or 150mg cannabidiol
    Primary Outcome Measure Information:
    Title
    Mean change from study baseline of insomnia severity index (ISI) score at 8 weeks
    Time Frame
    8 weeks
    Title
    Mean change from study baseline in subject sleep efficiency (sSE) at 8 weeks
    Time Frame
    8 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Males and females aged 18 years or older at the time of informed consent. Stated willingness to comply with all study procedures and availability for the duration of the study. Provide a signed and dated patient information and consent form (PICF) for the study. Met the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for insomnia disorder, as follows: Complained of dissatisfaction with night-time sleep in the form of difficulty getting to sleep, difficulty staying asleep and/or awakening earlier in the morning than desired despite adequate opportunity for sleep. Frequency of the complaint ≥3 times per week. Duration of complaint ≥3 months. Associated with a complaint of daytime impairment. History of subjective Sleep Onset Latency (sSOL) ≥30 minutes on at least 3 nights per week in the previous 4 weeks AND/OR subjective Wake After Sleep Onset (sWASO) ≥30 minutes on at least 3 nights per week in the previous 4 weeks. Subject reports a regular time spent in bed, either sleeping or trying to sleep is between 7-10 hours. Subjects must have clinical insomnia symptoms as classified by an insomnia severity index (ISI) Score of ≥15. Confirmation of current insomnia symptoms as determined from the Sleep Diary completed on at least 7 consecutive mornings (minimum 5 of 7 for eligibility), such that sSOL ≥30 minutes on at least 3 of the 7 nights and/or sWASO ≥30 minutes on at least 3 of the 7 nights. Subject reports a typical bedtime, (defined as the time the subject attempts to sleep), between 21:00 and 01:00, and waketime, (defined as the time the subject got out of bed for the day), between 05:00 and 10:00. Subject has access to and is able to use a smart phone. Female subjects of childbearing potential must be abstinent or agree to use a highly effective method of contraception for 30 days prior to Day 1, during the study, and for at least 28 days following the last dose of Investigational Product (IP). Agrees to refrain from donating eggs (ova, oocytes) (from Day 1 until 28 days following the last dose of IP). Male subjects that are not surgically sterile (i.e., vasectomy) must be abstinent or agree to use effective barrier contraception (i.e., condom) from Day 1 and for at least 28 days following the last dose of IP and agrees to refrain from sperm donation (from Day 1 until 28 days following the last dose of IP). Exclusion Criteria: Significant insomnia caused during another sleep-wake disorder, including narcolepsy, a breathing-related sleep disorder, a circadian rhythm sleep-wake disorder, a parasomnia, restless leg syndrome, or an exclusionary score on the Sleep Disorders Screening Battery, or Epworth Sleepiness Scale score as follows: STOP-Bang score ≥5. International Restless Legs Scale score ≥16. Epworth Sleepiness Scale score >15 (scores of 11-15 required excessive daytime sleepiness to be recorded in subject's medical history). Reports symptoms potentially related to narcolepsy that in the clinical opinion of the Investigator indicates the need for referral for a diagnostic evaluation for the presence of narcolepsy. Reports a history of sleep-related violent behavior, or sleep driving, or any other complex sleep-related behavior, e.g., making phone calls, or preparing and eating food while asleep. Beck Depression Inventory - (BDI II) score >19 at Screening. Beck Anxiety Inventory >15 at Screening. Habitually napped more than three times per week. Current or recent cannabis use, within 30 days of consent, and throughout the study. Use of any drug known to affect sleep, within 30 days of Screening and throughout the study, including: Sedatives (e.g. benzodiazepines, zopiclone, eszopiclone, zaleplon, zolpidem, agomelatine, suvorexant, dual orexin receptor antagonists, sodium oxybate mirtazipine (sedating SSRI) and all tricyclic antidepressants,, , sedating H antihistamines (cyproheptadine, dexchlorpheniramine, promethazine, trimeprazine, doxylamine, diphenhydramine, cyclizine),, antipsychotics, melatonin, valerian). Opioids (e.g. morphine, codeine, oxycodone, methadone, buprenorphine, fentanyl, tramadol, tapentadol, hydromorphone). Stimulants (e.g. modafinil, methylphenidate, dexamphetamine, phentermine). Have care responsibilities for an infant <1 year of age. Females who are pregnant or lactating. Have excessive caffeine use (>300 mg or ~3 cups of caffeinated beverages a day) that, in the opinion of the Investigator, contributes to the subject's insomnia, and is unwilling to forgo caffeine-containing beverages for the duration of their participation in the study. Any caffeine consumed needs to be prior to 4:00 pm. PI determined excessive history of acute or severe bronchial asthma (excluding childhood or exercise induced asthma), diagnosed obstructive sleep apnea, hypoxia, hypoxemia, hypercarbia, or other obstructive airway disease or any condition that may increase the risk for respiratory depression. History of neurologic conditions such as seizures or convulsive disorders (including epilepsy), severe head injury or increased intracranial pressure. A calculated creatinine clearance of < 85 mL/minute at Screening according to the equation using Cockcroft and Gault. Liver function tests for alanine transaminase or aspartate aminotransferase > 1.5 times the upper limit of normal at Screening. History of clinically significant (in the opinion of the Investigator) other cardiovascular, pulmonary, neurologic or renal disorders or hepatic, gastrointestinal, oral (difficulty swallowing / taking oral medication), hematological, endocrine, or psychiatric impairment/disorders. Use of any over the counter product, or other medicine derived from hemp or containing cannabidiol, within 30 days of Screening and for duration of study. Known intolerance, allergy or hypersensitivity reactions to cannabis or cannabinoid products (e.g. hemp), and excipients of the IP. Currently taking or have taken drugs that are moderate or strong inhibitors of CYP3A4 or CYP2C19 within 2 weeks or 5 half-lives, whichever is longer, prior to randomisation. Excessive use of alcohol (i.e. drink more than 2 standard units of alcohol per day or >8 standard units per week), including positive results for the alcohol breath test at Screening, Compliance Check, and Run-in/Randomization (Baseline) visits or is unwilling to abstain from alcohol consumption within 3 hours before bedtime for the duration of their participation in the study. Recreational drug use, including positive results for the urine drugs of abuse test during at Screening, Compliance Check and Run-in/Randomization (Baseline) visits. Use of any investigational drug or involvement in another clinical trial within 30 days of Screening. Use of anti-coagulant drugs such as warfarin or those known to be metabolized by CYP450 enzymes, within 30 days of Screening. Use of treatments for insomnia (e.g. cognitive-behavioral therapy and Central Nervous System-active drugs), within 30 days of Screening. Self-reported or physician diagnosed comorbid nocturia resulting in frequent (>2) need to get out of bed to use the bathroom during the night. Any history of a medical or psychiatric condition that, in the opinion of the Investigator, may affect the subject's safety or interfere with the study assessments. Scheduled for major surgery during the study. Shift work, jet lag or trans-meridian travel (three time zones) in the past month, at Screening and while on study.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Paul Gavin
    Phone
    +61390025000
    Email
    pgavin@avecho.com.au
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Darren Mansfield
    Organizational Affiliation
    Monash Health
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Evaluating Efficacy and Safety of CBD TPM Capsules for Use in Insomnia

    We'll reach out to this number within 24 hrs