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Efficacy and Safety Study of Org 50081 in Elderly Patients (21108AM1)(P05709)
This study is currently recruiting participants.
Verified by Schering-Plough, October 2009
First Received: November 19, 2007   Last Updated: October 2, 2009   History of Changes
Sponsor: Schering-Plough
Information provided by: Schering-Plough
ClinicalTrials.gov Identifier: NCT00561821
  Purpose

To investigate the efficacy of treatment with Org 50081 compared to placebo in elderly subjects with chronic primary insomnia. Primary efficacy variable is Wake time After Sleep Onset (WASO), averaged over all in-treatment time points and measured by polysomnography (PSG).


Condition Intervention Phase
Insomnia
Sleep Initiation and Maintenance Disorders
Mental Disorders
Dyssomnias
Sleep Disorders
Drug: Org 50081
Drug: Placebo
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Efficacy Study
Official Title: A Double-Blind, Randomized, Parallel Group, Placebo- Controlled Sleep Laboratory Efficacy and Safety Study With Org 50081 in Elderly Subjects With Chronic Primary Insomnia

Resource links provided by NLM:


Further study details as provided by Schering-Plough:

Primary Outcome Measures:
  • Primary efficacy variable is Wake time After Sleep Onset (WASO), averaged over all in-treatment time points and measured by polysomnography (PSG). [ Time Frame: Prospective ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To investigate PSG defined latency to persistent sleep (LPS); to investigate subjective reports of efficacy, using electronic diaries; to investigate the safety and tolerability of Org 50081 in elderly subjects; [ Time Frame: Prospective ] [ Designated as safety issue: No ]

Estimated Enrollment: 520
Study Start Date: November 2007
Estimated Study Completion Date: February 2010
Estimated Primary Completion Date: February 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Org 50081-1: Experimental
one tablet daily
Drug: Org 50081
one tablet daily
Org 50081-2: Experimental
one tablet daily
Drug: Org 50081
one tablet daily
Org 50081-3: Experimental
one tablet daily
Drug: Org 50081
one tablet daily
Placebo: Placebo Comparator
one tablet daily
Drug: Placebo
one tablet daily

Detailed Description:

Insomnia is a common complaint or disorder throughout the world. About one third of the population in the industrial countries reports difficulty initiating or maintaining sleep, resulting in a non-refreshing or non-restorative sleep. The majority of the insomniacs suffer chronically from their complaints. The maleic acid salt of Org 4420, code name Org 50081, was selected for development in the treatment of insomnia. The first clinical trial with Org 50081 was a proof-of-concept trial with a four-way cross-over design. All 3 Org 50081 dose groups showed a statistically significant positive effect on TST (objective and subjective) and WASO, as compared to placebo. The current study is designed to assess the efficacy and safety of Org 50081 in a double-blind, placebo-controlled, parallel, randomized trial in elderly subjects suffering from chronic primary insomnia.

  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • are at least 65 years of age at screening;
  • sign written informed consent after the scope and nature of the investigation have been explained to them, before screening evaluations;
  • are able to speak, read and understand the language of the investigator, study staff (including raters) and the informed consent form, and possess the ability to respond to questions, follow instructions and complete questionnaires;
  • have demonstrated capability to independently complete the LogPad questionnaires and have completed the questionnaires at least 6 out of 7 days of the week preceding randomization;
  • have a regular sleep pattern, meaning bedtime regularly occurs between 2100 and 2400, with no more variation from these boundaries than 2 times/ week, with 5-8.5 hours in bed;
  • have a documented diagnosis of chronic primary insomnia, defined as fulfillment of the DSM-IV-TR criteria for primary insomnia (DSM-IV-TR 307.42) with a duration of >= 1 month; fulfill the following PSG criteria on the two screening/baseline PSG nights:
  • average TST < 6.5 h (and each night greater than or equal to 3 h and < 7 h),
  • average WASO greater than or equal to 45 minutes (and each night greater than or equal to 30 min),
  • average LPS 15 min (and each night greater than or equal to 10 min).

Exclusion Criteria:

  • have other sleep disorders (DSM-IV-TR), such as sleep related breathing disorders (AHI greater than or equal to 15), periodic leg movements with arousals (PLMAI greater than opr equal to 10), restless leg syndrome, narcolepsy, circadian sleep wake rhythm disorders, REM behavioral disorder or any parasomnia;
  • have any significant medical or DSM-IV-TR psychiatric illness causing the sleep disturbances;
  • currently meet diagnostic criteria for DSM-IV-TR depression (MDD) or have been diagnosed and treated for MDD within the last 2 years;
  • have a history of bipolar disorder, a history of suicide attempt or a family history of suicide. A family history of suicide is defined as any history of suicide in the first and second degree family (parents, siblings, grandparents, or offspring), or a pattern of completed suicides (more than one) in the third degree family (aunts, uncles, nieces and nephews);
  • have a history or signs of dementia or other serious cognitive impairment, as defined by a score of less than 26 on the Mini-Mental State Examination;
  • have a significant, unstable medical illness e.g. acute or chronic pain, hepatic, renal, metabolic or cardiac disease;
  • had serious head injury or stroke within the past year, or a history of (non-febrile) seizures;
  • have clinically relevant ECG abnormalities at screening, as judged by the investigator;
  • have clinically relevant abnormal hematology or biochemistry values at screening, as judged by the investigator;
  • have DSM-IV-TR substance abuse or DSM-IV-TR addiction within the last year;
  • drink more than 2 alcoholic drinks in a day. One drink is approximately equal to: 12 oz or 360 ml of beer (regular or light), or 4 oz or 120 ml of red or white wine, or 2 oz or 60 ml of desert wine (e.g. port, sherry), or 12 oz or 360 ml of wine cooler (regular or light), or 1 oz or 30 ml or spirits (80 to 100 proof, e.g. whiskey, vodka);
  • are routinely sleeping during daytime (napping) for more than 20 minutes per day, 3 days or more per week;
  • are night workers or rotating shift workers currently, or in the past 6 months
  • use of psychotropic drugs affecting sleep within two weeks prior to randomization (fluoxetine: five weeks);
  • use of concomitant medication affecting sleep (e.g. anxiolytics, sedatives, antidepressants, antipsychotics, centrally active sedating antihistamines, CNS stimulants, alpha-2-antagonists, respiratory stimulants and decongestants);
  • smoke > 15 cigarettes per day and/or can not abstain from smoking during the night;
  • drink excessive amounts of caffeinated beverages/day (more than 500 mg caffeine per day);
  • have a body mass index (BMI) = 36;
  • have a positive urine drug screen at screening or at baseline;
  • have a known hypersensitivity to mirtazapine or to any of the excipients;
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00561821

Contacts
Contact: SP Clinical Trial Registry Call Center 1-888-772-8734

  Hide Study Locations
Locations
United States, California
Investigational Site Recruiting
Tustin, California, United States, 92780
Investigational Site 134 Recruiting
Glendale, California, United States, 92106
Investigational Site 135 Recruiting
Tustin, California, United States, 92780
United States, Florida
Investigational Site Recruiting
South Miami, Florida, United States, 33143
Investigational Site 127 Recruiting
Naples, Florida, United States, 34110
Investigational Site 137 Recruiting
Pembroke Pines, Florida, United States, 33026
Investigational Site 150 Recruiting
Miami, Florida, United States, 33143
Investigational Site 166 Recruiting
Brandon, Florida, United States, 33511
Investigational Site 176 Recruiting
Hallandale Beach, Florida, United States, 33009
United States, Georgia
Investigational Site 138 Recruiting
Atlanta, Georgia, United States, 30342
Investigational Site 166 Recruiting
Gainesville, Georgia, United States, 30501
United States, Illinois
Investigational Site 140 Recruiting
Chicago, Illinois, United States, 60634
United States, Kansas
Investigational Site 141 Recruiting
Overland Park, Kansas, United States, 66211
United States, Kentucky
Investigational Site 130 Recruiting
Crestview Hills, Kentucky, United States, 41017
United States, Massachusetts
Investigational Site 153 Recruiting
Belmont, Massachusetts, United States, 02478
United States, New Jersey
Investigational Site Recruiting
Roseland, New Jersey, United States, 07068
United States, New York
Investigational Site 143 Recruiting
New York, New York, United States, 10025
United States, North Carolina
Investigational Site 165 Recruiting
Durham, North Carolina, United States, 27710
United States, Ohio
Investigational Site 169 Recruiting
Cincinnati, Ohio, United States, 45246
United States, Texas
Investigational Site 147 Recruiting
Austin, Texas, United States, 78756
Argentina
Investigational Site 101 Recruiting
Pilar (Pcia. Buenos Aires), Argentina, B1629ODT
Investigational Site 102 Recruiting
Uruguay 840, Argentina, C1015ABR
Investigational Site 111 Recruiting
Buenos Aires, Argentina, C1431FWO
Argentina, San Fernando - Prov. de Buenos Aires
Investigational Site 103 Recruiting
Av. del Libertador 2588, San Fernando - Prov. de Buenos Aires, Argentina, 1646
Canada
Investigational Site 157 Recruiting
Buenos Aires, Canada, M4P1P2
Investigational Site 158 Recruiting
Toronto, Ontario, Canada, M6J 3S3
Investigational Site 160 Recruiting
Kitchener, Canada, N2G 1G1
Investigational Site 161 Recruiting
Québec, Canada, G1V 0A6
Investigational Site 162 Recruiting
Calgary, Alberta, Canada, T2X2A8
Investigational Site 170 Recruiting
Parry Sound, Canada, P2A 3A4
Denmark
Investigational Site 105 Recruiting
København K, Denmark, 1364
Investigational Site 168 Recruiting
Kolding, Denmark, DK-6000
Germany
Investigational Site 120 Recruiting
Regensburg, Germany, 93042
Investigational Site 121 Recruiting
Schwerin, Germany, 19053
Investigational Site 122 Recruiting
Berlin, Germany, 10117
Investigational Site 173 Recruiting
München, Germany, 80331
Hungary
Investigational Site 106 Recruiting
Budapest, Hungary, H-1134
Investigational Site 107 Recruiting
Pécs, Hungary, H-7623
Investigational Site 108 Recruiting
Debrecen, Hungary, H-4012
Investigational Site 109 Recruiting
Szeged, Hungary, H-6725
Mexico
Investigational Site 113 Recruiting
México D.F., Mexico, 06726
Investigational Site 114 Recruiting
México, D.F., Mexico, 14080
Norway
Investigational Site 155 Recruiting
TRONDHEIM, Norway, NO-7006
Poland
Investigational Site 117 Recruiting
Warszawa, Poland, 00-123
Investigational Site 118 Recruiting
Gdansk, Poland, 80-211
United Kingdom
Investigational Site 171 Recruiting
Cambridge, United Kingdom, CB3 7TR
Sponsors and Collaborators
Schering-Plough
  More Information

No publications provided

Responsible Party: Schering-Plough ( Head, Clinical Trials Registry & Results Disclosure Group )
Study ID Numbers: 21108, P05709
Study First Received: November 19, 2007
Last Updated: October 2, 2009
ClinicalTrials.gov Identifier: NCT00561821     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Schering-Plough:
elderly
randomized
placebo controlled

Additional relevant MeSH terms:
Sleep Initiation and Maintenance Disorders
Signs and Symptoms
Pathologic Processes
Disease
Mental Disorders
Nervous System Diseases
Neurologic Manifestations
Sleep Disorders
Dyssomnias
Sleep Disorders, Intrinsic

ClinicalTrials.gov processed this record on November 20, 2009