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Study of Eszopiclone Compared to Placebo on Daytime Function in Subjects With Insomnia Related to Rheumatoid Arthritis

Primary Purpose

Insomnia, Arthritis, Rheumatoid

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Eszopiclone
placebo
Sponsored by
Sumitomo Pharma America, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Insomnia focused on measuring Insomnia related to rheumatoid arthritis (RA)

Eligibility Criteria

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

Inclusion Criteria Subject must understand the purpose of the study and be willing to adhere to the study schedule and procedures described in this protocol. Subject must be 25-64 years of age (inclusive) on the day of signing consent. Subject must be diagnosed with rheumatoid arthritis as defined by the American College of Rheumatology. Subject must be on stable regimen for treatment of rheumatoid arthritis for a minimum of 90 days prior to study start. Subject must report a wake time after sleep onset (WASO) of greater than or equal to 45 minutes and less than or equal to 6.5 hours of total sleep time at least three times a week over the previous month and symptoms of insomnia must post date onset of rheumatoid arthritis. Subject physical exam must show no clinically significant abnormal findings (other than those related to rheumatoid arthritis) at screening. Subject must have no clinically significant abnormal laboratory findings at screening (other than those related to rheumatoid arthritis). Subject must have no clinically significant ECG abnormalities at screening. Exclusion Criteria Subject has diagnosis of fibromyalgia, or juvenile rheumatoid arthritis. Subject has history of circadian rhythm disorder, or travels across >3 time zones on a regular basis. Female subject is pregnant, lactating or within 6-months post partum. Subject has a history of drug or alcohol abuse or dependence in the past 2 years or positive urine drug test at screening. Subject has clinically significant unstable medical abnormality or unstable chronic disease (other than insomnia and rheumatoid arthritis) including severe cardiac, renal, or hepatic or respiratory disease, seizure disorder. Subject has participated in any investigational drug study within 30 days prior to screening or plans to participate in any investigational drug study during participation in this study. Subject has a history of malignancy within 5 years, or current malignancy, except for non-melanoma skin cancer. Subject has a current primary psychiatric diagnosis of any of the following disorders: dementia, delirium, schizophrenia, psychosis, other psychotic disorders, dysthymic disorder; major depressive disorder, bipolar disorders; cyclothymic disorder, other mood disorders, primary anxiety disorders, primary panic disorders, or any nocturnal panic disorder. Subject has any of the following Personality Disorders diagnoses: schizotypal, schizoid, borderline personality disorder; or any other personality disorder that would compromise the investigator's ability to evaluate the safety and efficacy of the study medication. Subject has difficulties in sleep initiation or maintenance associated with known medical diagnosis [e.g. sleep apnea]; diagnosed and untreated restless leg syndrome (RLS) or periodic leg movement syndrome (PLMS). Subject has used any drugs known or suspected to affect hepatic or renal clearance capacity within a period of 30 days prior to screening. Subject reports consumption of more than two alcoholic beverages daily, 14 or more alcoholic beverages weekly, or five or more alcoholic beverages on any given day. Subject is a rotating or third/night shift worker. Subject is a staff member or relative of a staff member.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

1

2

Arm Description

eszopiclone 3 mg

placebo tablet

Outcomes

Primary Outcome Measures

mean subjective wake time after sleep onset (WASO)

Secondary Outcome Measures

WASO
Number of nocturnal awakening
Total sleep time (TST)
Sleep Efficiency
Sleep latency (SL) in subjects with sleep latency of 30 minutes or greater at screening
Quality of sleep
Depth of sleep
Daytime alertness
Ability to concentrate
Physical well-being
Ability to function
occurrence of rebound insomnia and withdrawal effects will be assessed for WASO, and TST as well as for SL in subjects with sleep latency of 30 minutes or greater at screening
Duration of morning stiffness
Pain severity (from IVRS)
Epworth Sleepiness Scale
Insomnia Severity Index
Arthritis Self-Efficacy Scale
SF-36
Physician Clinical Global Impression of treatment
ACR Response Criteria
Percentage of subjects with increase in dose or new prescription of pain medications
Percentage of subjects with increase in dose or new prescription of disease modifying medications

Full Information

First Posted
August 23, 2006
Last Updated
February 21, 2012
Sponsor
Sumitomo Pharma America, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00367965
Brief Title
Study of Eszopiclone Compared to Placebo on Daytime Function in Subjects With Insomnia Related to Rheumatoid Arthritis
Official Title
The Effect of Eszopiclone 3 mg Compared to Placebo on Daytime Function in Subjects With Insomnia Related to Rheumatoid Arthritis
Study Type
Interventional

2. Study Status

Record Verification Date
February 2012
Overall Recruitment Status
Completed
Study Start Date
February 2004 (undefined)
Primary Completion Date
November 2004 (Actual)
Study Completion Date
November 2004 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sumitomo Pharma America, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To demonstrate subjective sleep efficacy of eszopiclone 3 mg in subjects with insomnia related to rheumatoid arthritis (RA).
Detailed Description
A multicenter, randomized, double-blind, placebo controlled, parallel group study of eszopiclone 3 mg in subjects with insomnia related to rheumatoid arthritis. This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Insomnia, Arthritis, Rheumatoid
Keywords
Insomnia related to rheumatoid arthritis (RA)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
153 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
eszopiclone 3 mg
Arm Title
2
Arm Type
Placebo Comparator
Arm Description
placebo tablet
Intervention Type
Drug
Intervention Name(s)
Eszopiclone
Other Intervention Name(s)
Lunesta, S-zopiclone
Intervention Description
eszopiclone 3 mg
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
placebo tablet
Primary Outcome Measure Information:
Title
mean subjective wake time after sleep onset (WASO)
Time Frame
Week 1
Secondary Outcome Measure Information:
Title
WASO
Time Frame
Weeks 2, 3, and 4
Title
Number of nocturnal awakening
Time Frame
Weeks 1, 2, 3, and 4
Title
Total sleep time (TST)
Time Frame
Weeks 1, 2, 3, and 4
Title
Sleep Efficiency
Time Frame
Weeks 1, 2, 3, and 4
Title
Sleep latency (SL) in subjects with sleep latency of 30 minutes or greater at screening
Time Frame
Weeks 1, 2, 3, and 4
Title
Quality of sleep
Time Frame
Weeks 1, 2, 3, and 4
Title
Depth of sleep
Time Frame
Weeks 1, 2, 3, and 4
Title
Daytime alertness
Time Frame
Weeks 1, 2, 3, and 4
Title
Ability to concentrate
Time Frame
Weeks 1, 2, 3, and 4
Title
Physical well-being
Time Frame
Weeks 1, 2, 3, and 4
Title
Ability to function
Time Frame
Weeks 1, 2, 3, and 4
Title
occurrence of rebound insomnia and withdrawal effects will be assessed for WASO, and TST as well as for SL in subjects with sleep latency of 30 minutes or greater at screening
Time Frame
Weeks 1, 2, 3, and 4
Title
Duration of morning stiffness
Time Frame
Weeks 1, 2, 3, and 4
Title
Pain severity (from IVRS)
Time Frame
Weeks 1, 2, 3, and 4
Title
Epworth Sleepiness Scale
Time Frame
Weeks 2 and 4
Title
Insomnia Severity Index
Time Frame
Weeks 2 and 4
Title
Arthritis Self-Efficacy Scale
Time Frame
Week 4
Title
SF-36
Time Frame
Week 4
Title
Physician Clinical Global Impression of treatment
Time Frame
Week 4
Title
ACR Response Criteria
Time Frame
Week 4
Title
Percentage of subjects with increase in dose or new prescription of pain medications
Time Frame
Weeks 1, 2, 3, 4
Title
Percentage of subjects with increase in dose or new prescription of disease modifying medications
Time Frame
Weeks 1, 2, 3, 4

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Subject must understand the purpose of the study and be willing to adhere to the study schedule and procedures described in this protocol. Subject must be 25-64 years of age (inclusive) on the day of signing consent. Subject must be diagnosed with rheumatoid arthritis as defined by the American College of Rheumatology. Subject must be on stable regimen for treatment of rheumatoid arthritis for a minimum of 90 days prior to study start. Subject must report a wake time after sleep onset (WASO) of greater than or equal to 45 minutes and less than or equal to 6.5 hours of total sleep time at least three times a week over the previous month and symptoms of insomnia must post date onset of rheumatoid arthritis. Subject physical exam must show no clinically significant abnormal findings (other than those related to rheumatoid arthritis) at screening. Subject must have no clinically significant abnormal laboratory findings at screening (other than those related to rheumatoid arthritis). Subject must have no clinically significant ECG abnormalities at screening. Exclusion Criteria Subject has diagnosis of fibromyalgia, or juvenile rheumatoid arthritis. Subject has history of circadian rhythm disorder, or travels across >3 time zones on a regular basis. Female subject is pregnant, lactating or within 6-months post partum. Subject has a history of drug or alcohol abuse or dependence in the past 2 years or positive urine drug test at screening. Subject has clinically significant unstable medical abnormality or unstable chronic disease (other than insomnia and rheumatoid arthritis) including severe cardiac, renal, or hepatic or respiratory disease, seizure disorder. Subject has participated in any investigational drug study within 30 days prior to screening or plans to participate in any investigational drug study during participation in this study. Subject has a history of malignancy within 5 years, or current malignancy, except for non-melanoma skin cancer. Subject has a current primary psychiatric diagnosis of any of the following disorders: dementia, delirium, schizophrenia, psychosis, other psychotic disorders, dysthymic disorder; major depressive disorder, bipolar disorders; cyclothymic disorder, other mood disorders, primary anxiety disorders, primary panic disorders, or any nocturnal panic disorder. Subject has any of the following Personality Disorders diagnoses: schizotypal, schizoid, borderline personality disorder; or any other personality disorder that would compromise the investigator's ability to evaluate the safety and efficacy of the study medication. Subject has difficulties in sleep initiation or maintenance associated with known medical diagnosis [e.g. sleep apnea]; diagnosed and untreated restless leg syndrome (RLS) or periodic leg movement syndrome (PLMS). Subject has used any drugs known or suspected to affect hepatic or renal clearance capacity within a period of 30 days prior to screening. Subject reports consumption of more than two alcoholic beverages daily, 14 or more alcoholic beverages weekly, or five or more alcoholic beverages on any given day. Subject is a rotating or third/night shift worker. Subject is a staff member or relative of a staff member.
Facility Information:
City
Huntsville
State/Province
Alabama
Country
United States
City
Tucson
State/Province
Arizona
Country
United States
City
Santa Maria
State/Province
California
Country
United States
City
Whittier
State/Province
California
Country
United States
City
Danbury
State/Province
Connecticut
Country
United States
City
Hamden
State/Province
Connecticut
Country
United States
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Washington
State/Province
District of Columbia
Country
United States
City
Aventura
State/Province
Florida
Country
United States
City
Clearwater
State/Province
Florida
Country
United States
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Ft. Lauderdale
State/Province
Florida
Country
United States
City
Ocala
State/Province
Florida
Country
United States
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Sarasota
State/Province
Florida
Country
United States
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Tampa
State/Province
Florida
Country
United States
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Vero Beach
State/Province
Florida
Country
United States
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Springfield
State/Province
Illinois
Country
United States
City
Kansas City
State/Province
Kansas
Country
United States
City
Overland Park
State/Province
Kansas
Country
United States
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Louisville
State/Province
Kentucky
Country
United States
City
Fall River
State/Province
Massachusetts
Country
United States
City
Lansing
State/Province
Michigan
Country
United States
City
St. Louis
State/Province
Missouri
Country
United States
City
Medford
State/Province
New Jersey
Country
United States
City
Rochester
State/Province
New York
Country
United States
City
Winston-Salem
State/Province
North Carolina
Country
United States
City
Fargo
State/Province
North Dakota
Country
United States
City
Mayfield Village
State/Province
Ohio
Country
United States
City
Oklahoma City
State/Province
Oklahoma
Country
United States
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Eugene
State/Province
Oregon
Country
United States
City
Bethlehem
State/Province
Pennsylvania
Country
United States
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Norristown
State/Province
Pennsylvania
Country
United States
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West Reading
State/Province
Pennsylvania
Country
United States
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Columbia
State/Province
South Carolina
Country
United States
City
Myrtle Beach
State/Province
South Carolina
Country
United States
City
Memphis
State/Province
Tennessee
Country
United States
City
Amarillo
State/Province
Texas
Country
United States
City
Dallas
State/Province
Texas
Country
United States
City
Lubbock
State/Province
Texas
Country
United States
City
Everett
State/Province
Washington
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
20098520
Citation
Roth T, Price JM, Amato DA, Rubens RP, Roach JM, Schnitzer TJ. The effect of eszopiclone in patients with insomnia and coexisting rheumatoid arthritis: a pilot study. Prim Care Companion J Clin Psychiatry. 2009;11(6):292-301. doi: 10.4088/PCC.08m00749bro.
Results Reference
derived

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Study of Eszopiclone Compared to Placebo on Daytime Function in Subjects With Insomnia Related to Rheumatoid Arthritis

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