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Safety and Efficacy of Chronic Hypnotic Use 2 (CIS2)

Primary Purpose

Chronic Insomnia

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
placebo
Zolpidem CR
Eszopiclone
Sponsored by
Henry Ford Health System
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Insomnia

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • DSM-5 diagnosis of insomnia

Exclusion Criteria:

  • acute or unstable medical disease,
  • current or past history of psychiatric disease, alcoholism or drug abuse, and other primary sleep disorders

Sites / Locations

  • HFHS Sleep Disorders Ctr

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Active Comparator

Active Comparator

Arm Label

Placebo

Zolpidem CR

Eszopiclone

Arm Description

Intervention: Six months of nightly placebo

Intervention: Six months of zolpidem cr 12.5 mg nightly use

Intervention: Six months of eszopiclone 3 mg nightly use

Outcomes

Primary Outcome Measures

change in number capsules chosen: nightly choice of 0, 1, 2, or 3 capsules
total possible nightly dose limited to upper clinical dose
discontinuation difficulty: nightly choice of 0, 1, 2, or 3 capsules
instruction to stop nightly hypnotic use

Secondary Outcome Measures

change in actigraphic determined sleep time
comparing the three treatment arms for hypnotic efficacy

Full Information

First Posted
May 6, 2015
Last Updated
August 23, 2022
Sponsor
Henry Ford Health System
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1. Study Identification

Unique Protocol Identification Number
NCT02456532
Brief Title
Safety and Efficacy of Chronic Hypnotic Use 2
Acronym
CIS2
Official Title
Risks for Transition From Therapeutic Hypnotic Use to Abuse
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
July 2015 (Actual)
Primary Completion Date
February 2022 (Actual)
Study Completion Date
February 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Henry Ford Health System

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This proposal will assess risks for transition from therapeutic hypnotic use to abuse in people with insomnia. The investigators will study a hypothesized at-risk sub-population, insomniacs with hyperarousal, and compare two hypnotics, a drug with mood effects, eszopiclone, versus one without mood effects, zolpidem.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
42 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Intervention: Six months of nightly placebo
Arm Title
Zolpidem CR
Arm Type
Active Comparator
Arm Description
Intervention: Six months of zolpidem cr 12.5 mg nightly use
Arm Title
Eszopiclone
Arm Type
Active Comparator
Arm Description
Intervention: Six months of eszopiclone 3 mg nightly use
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Type
Drug
Intervention Name(s)
Zolpidem CR
Intervention Type
Drug
Intervention Name(s)
Eszopiclone
Primary Outcome Measure Information:
Title
change in number capsules chosen: nightly choice of 0, 1, 2, or 3 capsules
Description
total possible nightly dose limited to upper clinical dose
Time Frame
last two weeks of month1 and 3
Title
discontinuation difficulty: nightly choice of 0, 1, 2, or 3 capsules
Description
instruction to stop nightly hypnotic use
Time Frame
last two weeks of month 6
Secondary Outcome Measure Information:
Title
change in actigraphic determined sleep time
Description
comparing the three treatment arms for hypnotic efficacy
Time Frame
first two weeks of months 1, 3, and 6

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: DSM-5 diagnosis of insomnia Exclusion Criteria: acute or unstable medical disease, current or past history of psychiatric disease, alcoholism or drug abuse, and other primary sleep disorders
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Timothy A Roehrs, PhD
Organizational Affiliation
Henry Ford Health System Sleep Disorders Ctr
Official's Role
Principal Investigator
Facility Information:
Facility Name
HFHS Sleep Disorders Ctr
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States

12. IPD Sharing Statement

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Safety and Efficacy of Chronic Hypnotic Use 2

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