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A Non-inferiority Study With Two Treatment Arms Eszopiclone 3 mg Versus Zopiclone 7.5 mg - for the Treatment of Insomnia (Eszo)

Primary Purpose

INSOMNIA

Status
Completed
Phase
Phase 3
Locations
Brazil
Study Type
Interventional
Intervention
Eszopiclone
Zopiclone
Sponsored by
Eurofarma Laboratorios S.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for INSOMNIA focused on measuring INSOMNIA, FOR THE TREATMENT OF INSOMNIA

Eligibility Criteria

20 Years - 64 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Sign the informed consent form for the study;
  • Be ≥ 20 to ≥ 64 years old;
  • Have diagnosis of symptomatic primary insomnia for at least 3 months;
  • Have polysomnography conducted at least 90 days before the inclusion in the study with sleep time less than 6.5 hours and sleep latency ≥ 20 minutes;
  • Be able not to take any insomnia medication for 14 days before randomization to the study (washout period).

Exclusion Criteria:

  • Diagnosis of other sleep disorder by polysomnography conducted 90 days before the inclusion in the study;
  • Use of any medication affecting the sleep, such as psychotropic, hypnotic or antihistamine agents for at least 15 days before the inclusion in the study;
  • Use of any herbal supplement for insomnia or melatonin during the 14 days before entering the study;
  • Current use of liver metabolized medication, especially those metabolized through the cytochrome P450 enzyme complex, especially through the CYP3A4 and/or CYP2E1 routes;
  • History of daily use of alcohol beverages in quantities equivalent - from the ethanol standpoint - to two cans of beer a day (35 g of alcohol/day);
  • History of substance abuse or dependence;
  • Patients with severe co-morbidities (at the investigator's opinion);
  • Presence of liver disorders, cirrhosis or liver failure;
  • Presence of psychiatric disorders diagnosed at the adult life or currently under treatment;
  • Pregnant and breastfeeding women and women who want to become pregnant during the study period and who refuse to use a proper contraceptive methods during the study.

Sites / Locations

  • CRDB - Clinical Research & Development Brazil

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

eszopiclone 3 mg

zopiclone 7,5mg

Arm Description

Eszopiclone - once a day (30 minutes before lying down to sleep for a period of 4 weeks of treatment)

Zopiclone once a day (30 minutes before lying down to sleep for a period of 4 weeks of treatment)

Outcomes

Primary Outcome Measures

Latency to persistent sleep measured by polysomnography
Determine whether eszopiclone is noninferior to the reference drug zopiclone (Imovane®) in the treatment of insomnia. The latency to persistent sleep will be used as a primary endpoint at the end of the treatment, measured by polysomnography

Secondary Outcome Measures

Efficiency using the variables latency time to persistent sleep, frequency of night awakenings, time awake during bedtime, early morning awakening, total time in bed, total time awake and sleep efficiency

Full Information

First Posted
April 5, 2010
Last Updated
July 24, 2015
Sponsor
Eurofarma Laboratorios S.A.
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1. Study Identification

Unique Protocol Identification Number
NCT01100164
Brief Title
A Non-inferiority Study With Two Treatment Arms Eszopiclone 3 mg Versus Zopiclone 7.5 mg - for the Treatment of Insomnia
Acronym
Eszo
Official Title
A Phase III, Non-inferiority, Double-blind, Unicenter Clinical Trial With Two Treatment Arms - Test Group With Eszopiclone 3 mg Versus Zopiclone 7.5 mg - for the Treatment of Insomnia
Study Type
Interventional

2. Study Status

Record Verification Date
March 2010
Overall Recruitment Status
Completed
Study Start Date
March 2011 (undefined)
Primary Completion Date
March 2012 (Actual)
Study Completion Date
April 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Eurofarma Laboratorios S.A.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary objective of the study is to determine whether eszopiclone (Eurofarma) is non-inferior to the reference drug zopiclone (Imovane®, Sanofi-Aventis) in the treatment of insomnia.
Detailed Description
The primary objective of the study is to determine whether eszopiclone (Eurofarma) is non-inferior to the reference drug zopiclone (Imovane®, Sanofi-Aventis) in the treatment of insomnia. To that end, the latency to persistent sleep (LPS) will be used as a primary endpoint at the end of the treatment, measured by polysomnography. The secondary objectives and endpoints of this study are as follows: To evaluate the efficiency of eszopiclone compared to zopiclone by means of the patient's clinical history, using as secondary endpoints: Variables of the sleep diary of the Associação Fundo de Incentivo à Psicofarmacologia (see Appendix A), namely: Latency time to the beginning of the sleep; Frequency of night wake-ups; Time awake during bedtime; Early morning awakening; Total time in bed; Sleep efficiency; Sleep variables measured by actigraph; Insomnia Severity Index (see Appendix B);45 Pittsburgh Sleep Quality Index (see Appendix C);46 To evaluate the safety of eszopiclone compared to zopiclone by means of adverse events in each study arm.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
INSOMNIA
Keywords
INSOMNIA, FOR THE TREATMENT OF INSOMNIA

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
263 (Actual)

8. Arms, Groups, and Interventions

Arm Title
eszopiclone 3 mg
Arm Type
Experimental
Arm Description
Eszopiclone - once a day (30 minutes before lying down to sleep for a period of 4 weeks of treatment)
Arm Title
zopiclone 7,5mg
Arm Type
Active Comparator
Arm Description
Zopiclone once a day (30 minutes before lying down to sleep for a period of 4 weeks of treatment)
Intervention Type
Drug
Intervention Name(s)
Eszopiclone
Intervention Description
Eszopiclone - once a day (30 minutes before lying down to sleep for a period of 4 weeks of treatment)
Intervention Type
Drug
Intervention Name(s)
Zopiclone
Intervention Description
Zopiclone - once a day (30 minutes before lying down to sleep for a period of 4 weeks of treatment)
Primary Outcome Measure Information:
Title
Latency to persistent sleep measured by polysomnography
Description
Determine whether eszopiclone is noninferior to the reference drug zopiclone (Imovane®) in the treatment of insomnia. The latency to persistent sleep will be used as a primary endpoint at the end of the treatment, measured by polysomnography
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Efficiency using the variables latency time to persistent sleep, frequency of night awakenings, time awake during bedtime, early morning awakening, total time in bed, total time awake and sleep efficiency
Time Frame
6 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Sign the informed consent form for the study; Be ≥ 20 to ≥ 64 years old; Have diagnosis of symptomatic primary insomnia for at least 3 months; Have polysomnography conducted at least 90 days before the inclusion in the study with sleep time less than 6.5 hours and sleep latency ≥ 20 minutes; Be able not to take any insomnia medication for 14 days before randomization to the study (washout period). Exclusion Criteria: Diagnosis of other sleep disorder by polysomnography conducted 90 days before the inclusion in the study; Use of any medication affecting the sleep, such as psychotropic, hypnotic or antihistamine agents for at least 15 days before the inclusion in the study; Use of any herbal supplement for insomnia or melatonin during the 14 days before entering the study; Current use of liver metabolized medication, especially those metabolized through the cytochrome P450 enzyme complex, especially through the CYP3A4 and/or CYP2E1 routes; History of daily use of alcohol beverages in quantities equivalent - from the ethanol standpoint - to two cans of beer a day (35 g of alcohol/day); History of substance abuse or dependence; Patients with severe co-morbidities (at the investigator's opinion); Presence of liver disorders, cirrhosis or liver failure; Presence of psychiatric disorders diagnosed at the adult life or currently under treatment; Pregnant and breastfeeding women and women who want to become pregnant during the study period and who refuse to use a proper contraceptive methods during the study.
Facility Information:
Facility Name
CRDB - Clinical Research & Development Brazil
City
São Paulo
Country
Brazil

12. IPD Sharing Statement

Citations:
PubMed Identifier
26872077
Citation
Pinto LR Jr, Bittencourt LR, Treptow EC, Braga LR, Tufik S. Eszopiclone versus zopiclone in the treatment of insomnia. Clinics (Sao Paulo). 2016 Jan;71(1):5-9. doi: 10.6061/clinics/2016(01)02.
Results Reference
derived

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A Non-inferiority Study With Two Treatment Arms Eszopiclone 3 mg Versus Zopiclone 7.5 mg - for the Treatment of Insomnia

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