Single Dose Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Evaluation of Eplivanserin in Children With Insomnia (PKiDs)
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Purpose
Given the potential age-related differences in safety, tolerability, pharmacokinetics, and differences in sleep architecture in young children versus adolescent versus adult, studies to identify the appropriate drug and dosage for children of all ages are essential in addressing this health problem that impacts the child and their family. The objective of this study is to evaluate the safety, pharmacokinetics and preliminary efficacy of eplivanserin.
Primary objective: to assess the safety and tolerability after administration of single ascending oral doses of eplivanserin to children aged 6-17 years with insomnia of various origins.
To assess the pharmacokinetics of eplivanserin (and active metabolite: SR141342) after administration of single ascending oral doses of eplivanserin to children aged 6-17 years with insomnia of various origins.
Secondary objective: to assess the effect of single ascending oral doses of eplivanserin on global sleep parameters and sleep architecture measured via polysomnography recordings in children aged 6-17 years old with insomnia of various origins.
| Condition | Intervention | Phase |
|---|---|---|
|
Sleep Initiation and Maintenance Disorders |
Drug: Eplivanserin (SR46349) |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Single Dose, Open Label Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Evaluation of Three Different Eplivanserin Doses in Children Aged 6-17 Years With Insomnia of Various Origins |
- Safety in terms of adverse events, laboratory tests, vital signs, ECGs [ Time Frame: Up to 12 days following single dose administration ] [ Designated as safety issue: Yes ]
- Pharmacokinetics parameters [ Time Frame: on Day 1, Day 2, Day 5, Day 7 and Day 10 ] [ Designated as safety issue: No ]
- Global sleep parameters [ Time Frame: Immediately following single dose administration ] [ Designated as safety issue: No ]
- Sleep architecture [ Time Frame: Immediately following single dose administration ] [ Designated as safety issue: No ]
| Enrollment: | 41 |
| Study Start Date: | June 2009 |
| Study Completion Date: | December 2009 |
| Primary Completion Date: | December 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Age Group 6-11 year old - Dose level 1 |
Drug: Eplivanserin (SR46349)
Oral administration
|
| Experimental: Age Group 6-11 year old - Dose Level 2 |
Drug: Eplivanserin (SR46349)
Oral administration
|
| Experimental: Age Group 6-11 year old - Dose Level 3 |
Drug: Eplivanserin (SR46349)
Oral administration
|
| Experimental: Age Group 12-17 year old - Dose level 1 |
Drug: Eplivanserin (SR46349)
Oral administration
|
| Experimental: Age Group 12-17 year old - Dose level 2 |
Drug: Eplivanserin (SR46349)
Oral administration
|
| Experimental: Age Group 12-17 year old - Dose level 3 |
Drug: Eplivanserin (SR46349)
Oral administration
|
Eligibility| Ages Eligible for Study: | 6 Years to 17 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Children with a diagnosis of insomnia of various origins.
- Complaint of childhood insomnia as defined by repeated difficulty with sleep initiation or consolidation that occurs despite adequate age appropriate time and opportunity for sleep. The existence of sleep difficulty will be supported by statements from the child and/or the caregiver that sleep is not properly initiated or maintained.
- Written consent must be obtained from the parent/legal guardian.
- Written assent must be obtained from children of the appropriate age who are capable of giving assent as determined by parent/legal guardian.
Exclusion Criteria:
- The sleep disturbance must not be attributable to either the direct physiologic effect of a drug of abuse or misuse of a prescribed medication.
- Subject, if female of childbearing potential, which are unwilling to abstain from sexual intercourse or practice a double contraception method for the length of the study.
- Mental retardation.
- The presence of any untreated or uncompensated clinically significant renal, endocrine, hepatic, respiratory, cardiovascular, neurologic (excluding ADHD), hematologic, immunologic, cerebrovascular disease, or malignancy.
- Subjects with a history of any significant gastrointestinal disease.
- Presence of drug or alcohol abuse within one year before inclusion.
- Current history of substance abuse/dependence.
- Pregnant or breast-feeding.
- Use of any hypnotics/psychotropics, antihistamines, melatonin, herbal products, or other sleep aids including clonidine for initiation or maintenance of sleep within one week or five half lives (whichever is longer), prior to screening and unwillingness to discontinue them at the screening visit.
- Subject tested positive at screening or at baseline or at Day 1, on urine drug screen for drugs known to alter sleep (amphetamine/methamphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, opiates and alcohol).
- Inability to swallow a pill in similar size as the tablets to be administered for this study.
- Current or recent (<60 days) participation in another clinical trial receiving an investigational drug.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Contacts and Locations
More Information
No publications provided
| Responsible Party: | International Clinical Development Study Director, sanofi-aventis |
| ClinicalTrials.gov Identifier: | NCT00913614 History of Changes |
| Other Study ID Numbers: | PKD10491 |
| Study First Received: | June 2, 2009 |
| Last Updated: | November 29, 2010 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Sanofi:
|
insomnia pediatric safety |
Additional relevant MeSH terms:
|
Sleep Initiation and Maintenance Disorders Sleep Disorders, Intrinsic Dyssomnias Sleep Disorders Nervous System Diseases Mental Disorders SR 46349B Fibrinolytic Agents Fibrin Modulating Agents Molecular Mechanisms of Pharmacological Action |
Pharmacologic Actions Cardiovascular Agents Therapeutic Uses Hematologic Agents Platelet Aggregation Inhibitors Serotonin Antagonists Serotonin Agents Neurotransmitter Agents Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 23, 2013