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Behavioral and Subjective Efficacy of Ramelteon in Subjects With a History of Polydrug Abuse

Primary Purpose

Drug Abuse

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Ramelteon, triazolam, and placebo (56 possible combinations total)
Sponsored by
Takeda
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Drug Abuse focused on measuring Addiction

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept 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.
  • Must be in good health as determined by a physician (ie, via medical history and physical examination).
  • Clinical laboratory evaluations (including clinical chemistry, hematology, and complete urinalysis) within the reference range for the testing laboratory unless the results are deemed not clinically significant by the investigator or sponsor.
  • Must have a history of substance abuse or dependence, on a commonly abuse recreational psychoactive drug (e.g., benzodiazepines, cocaine, opiates, cannabinoids).
  • Must have a negative urine sample for substances of abuse and a negative breathalyzer test before the first dose of study medication is administered.
  • Must be free of any signs/symptoms of withdrawal from substances after admittance to the research unit and prior to the first dose of study medication.
  • Must report liking for study medication given on Day -2 and liking must be of greater magnitude that than the liking for study medication given on Day -1.

Exclusion Criteria

  • Known hypersensitivity to ramelteon or related compounds including melatonin.
  • Known hypersensitivity to benzodiazepines or related compounds.
  • Current diagnosis of any type of physical drug dependence other than nicotine or caffeine.
  • Positive HBsAg are excluded.
  • Positive human immunodeficiency virus antibody at screening.
  • Diastolic blood pressure greater than 90 mm Hg or a systolic pressure of greater than 140 mm Hg at screening.
  • Previous history of cancer, other than basal cell carcinoma, that has not been in remission for at least 5 years prior to the first dose of study drug.
  • Body weight is less than 99 or greater than 264 pounds. Subjects that are morbidly obese as defined by greater than 2 times ideal body weight
  • Significant urine concentration of any drug that could interfere with the study.
  • Clinically significant abnormal finding on physical examination or electrocardiogram. Subjects with a clinically significant illness in the past 30 days.
  • Current Diagnostic and Statistical Manual of Mental Disorders, 4th Edition Revised diagnosis of a serious psychiatric condition (e.g. Schizophrenia, Major Depression).
  • Currently is participating in another investigational study or has participated in an investigational study within the past 30 days.
  • Any other serious disease or condition at screening or at randomization that might affect life expectancy or make it difficult to successfully manage and follow the subject according to the protocol.
  • Is required to take or continues taking any disallowed medication, prescription medication, herbal treatment or over-the counter medication that may interfere with evaluation of the study medication.

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Ramelteon, triazolam, and placebo (56 poss. combinations)

Arm Description

Ramelteon, triazolam, and placebo (56 possible combinations total)

Outcomes

Primary Outcome Measures

Peak liking score from the Drug Effect Questionnaire as recorded during the 24 hours following administration.

Secondary Outcome Measures

Next Day Questionnaire.
Addiction Research Center Inventory.
Drug Effect Questionnaire.
Subjective Effects Questionnaire.
Pharmacologic Class Questionnaire.
Drug Versus Money Multiple Choice Procedure.
Observer Rated Questionnaire.
Word Recall/Recognition Task.
Enter and Recall Task.
Balance task.
Digit Symbol Substitution Task.
Circular lights task.
Neuropsychometric Testing
Adverse Events
Laboratory Test Results
Vital Signs
Electrocardiograms
Physical Examination Findings.

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
NCT00671632
Brief Title
Behavioral and Subjective Efficacy of Ramelteon in Subjects With a History of Polydrug Abuse
Official Title
A Randomized, Single Center, Double-Blind, Multiple-Dose, Placebo-Controlled, Crossover, Double-Dummy Study of The Acute Behavioral and Subjective Effects of Ramelteon in Subjects With a History of Polydrug Abuse.
Study Type
Interventional

2. Study Status

Record Verification Date
February 2012
Overall Recruitment Status
Completed
Study Start Date
June 2003 (undefined)
Primary Completion Date
December 2003 (Actual)
Study Completion Date
December 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 determine the relative abuse potential of ramelteon, once daily (QD), compared to triazolam in subjects with a history of drug abuse.
Detailed Description
Insomnia is characterized by a complaint of either difficulties initiating and maintaining sleep, or of nonrestorative 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 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. Participation in this study is anticipated to be about 1 month.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Drug Abuse
Keywords
Addiction

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
14 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Ramelteon, triazolam, and placebo (56 poss. combinations)
Arm Type
Experimental
Arm Description
Ramelteon, triazolam, and placebo (56 possible combinations total)
Intervention Type
Drug
Intervention Name(s)
Ramelteon, triazolam, and placebo (56 possible combinations total)
Other Intervention Name(s)
Rozerem™, TAK-375
Intervention Description
Randomized sequence over eight consecutive days to include the following: Ramelteon 16 mg, tablets, orally, one day only; Ramelteon 80 mg, tablets, orally, one day only; Ramelteon 160 mg, tablets, orally, one day only; Triazolam 0.25 mg, capsules, orally, one day only; Triazolam 0.50 mg, capsules, orally, one day only; Triazolam 0.75 mg, capsules, orally, one day only; Ramelteon placebo-matching tablets, orally, one day only, OR Triazolam placebo-matching capsules, orally, one day only; Additional dose of study medication or placebo, tablets or capsules, orally, one day only.
Primary Outcome Measure Information:
Title
Peak liking score from the Drug Effect Questionnaire as recorded during the 24 hours following administration.
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Secondary Outcome Measure Information:
Title
Next Day Questionnaire.
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Addiction Research Center Inventory.
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Drug Effect Questionnaire.
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Subjective Effects Questionnaire.
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Pharmacologic Class Questionnaire.
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Drug Versus Money Multiple Choice Procedure.
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Observer Rated Questionnaire.
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Word Recall/Recognition Task.
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Enter and Recall Task.
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Balance task.
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Digit Symbol Substitution Task.
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Circular lights task.
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Neuropsychometric Testing
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Adverse Events
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Laboratory Test Results
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Vital Signs
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Electrocardiograms
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit
Title
Physical Examination Findings.
Time Frame
Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
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. Must be in good health as determined by a physician (ie, via medical history and physical examination). Clinical laboratory evaluations (including clinical chemistry, hematology, and complete urinalysis) within the reference range for the testing laboratory unless the results are deemed not clinically significant by the investigator or sponsor. Must have a history of substance abuse or dependence, on a commonly abuse recreational psychoactive drug (e.g., benzodiazepines, cocaine, opiates, cannabinoids). Must have a negative urine sample for substances of abuse and a negative breathalyzer test before the first dose of study medication is administered. Must be free of any signs/symptoms of withdrawal from substances after admittance to the research unit and prior to the first dose of study medication. Must report liking for study medication given on Day -2 and liking must be of greater magnitude that than the liking for study medication given on Day -1. Exclusion Criteria Known hypersensitivity to ramelteon or related compounds including melatonin. Known hypersensitivity to benzodiazepines or related compounds. Current diagnosis of any type of physical drug dependence other than nicotine or caffeine. Positive HBsAg are excluded. Positive human immunodeficiency virus antibody at screening. Diastolic blood pressure greater than 90 mm Hg or a systolic pressure of greater than 140 mm Hg at screening. Previous history of cancer, other than basal cell carcinoma, that has not been in remission for at least 5 years prior to the first dose of study drug. Body weight is less than 99 or greater than 264 pounds. Subjects that are morbidly obese as defined by greater than 2 times ideal body weight Significant urine concentration of any drug that could interfere with the study. Clinically significant abnormal finding on physical examination or electrocardiogram. Subjects with a clinically significant illness in the past 30 days. Current Diagnostic and Statistical Manual of Mental Disorders, 4th Edition Revised diagnosis of a serious psychiatric condition (e.g. Schizophrenia, Major Depression). Currently is participating in another investigational study or has participated in an investigational study within the past 30 days. Any other serious disease or condition at screening or at randomization that might affect life expectancy or make it difficult to successfully manage and follow the subject according to the protocol. Is required to take or continues taking any disallowed medication, prescription medication, herbal treatment or over-the counter medication that may interfere with evaluation of the study medication.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
VP Clinical Science
Organizational Affiliation
Takeda
Official's Role
Study Director
Facility Information:
City
Baltimore
State/Province
Maryland
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
17015817
Citation
Johnson MW, Suess PE, Griffiths RR. Ramelteon: a novel hypnotic lacking abuse liability and sedative adverse effects. Arch Gen Psychiatry. 2006 Oct;63(10):1149-57. doi: 10.1001/archpsyc.63.10.1149.
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Behavioral and Subjective Efficacy of Ramelteon in Subjects With a History of Polydrug Abuse

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