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The purpose of this study is to evaluate subjective sleep efficacy in subjects with insomnia related to major depressive disorder.
This study is a double-blind, randomized, placebo-controlled, parallel group study. The study consists of two groups of subjects with major depression treated for ten weeks with a common antidepressant regimen, 20-40 mg of fluoxetine hydrochloride per day; and randomized to receive (in addition) either eszopiclone 3 mg or placebo for eight weeks. 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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Experimental | Eszopiclone 3 mg QD |
|
| B | Placebo Comparator | Placebo tablet |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eszopiclone | Drug | Eszopiclone 3 mg QD |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean subjective wake time after sleep onset (WASO) | 1 week |
| Measure | Description | Time Frame |
|---|---|---|
| Time to onset of 30% antidepressant response using the HAM-D-6 (Bech) | ||
| Mean WASO | Weeks 2, 3, 4, 6 and 8 | |
| Mean subjective total sleep time (TST) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Birmingham | Alabama | United States | ||||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20571180 | Result | Snedecor SJ, Botteman MF, Schaefer K, Sarocco P, Barry N, Pickard AS. Economic outcomes of eszopiclone treatment in insomnia and comorbid major depressive disorder. J Ment Health Policy Econ. 2010 Mar;13(1):27-35. | |
| 21208574 | Result | Fava M, Schaefer K, Huang H, Wilson A, Iosifescu DV, Mischoulon D, Wessel TC. A post hoc analysis of the effect of nightly administration of eszopiclone and a selective serotonin reuptake inhibitor in patients with insomnia and anxious depression. J Clin Psychiatry. 2011 Apr;72(4):473-9. doi: 10.4088/JCP.09m05131gry. Epub 2010 Nov 2. |
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| Placebo | Other | Placebo tablet |
|
| Weeks 1, 2, 3, 4, 6, and 8 |
| Mean subjective sleep latency (SL) | Weeks 1, 2, 3, 4, 6, and 8 |
| Mean number of awakenings | Weeks 1, 2, 3, 4, 6, and 8 |
| Quality and depth of sleep | Weeks 1, 2, 3, 4, 6 and 8 |
| Daytime alertness | Weeks 1, 2, 3, 4, 6 and 8 |
| Ability to concentrate | Weeks 1, 2, 3, 4, 6 and 8 |
| Physical well-being | Weeks 1, 2, 3, 4, 6 and 8 |
| Ability to function | Weeks 1, 2, 3, 4, 6, and 8 |
| average rebound and withdrawal effects will be analyzed for each of the subjective sleep endpoints | Weeks 1, 2, 3, 4, 6, and 8 |
| Time to onset of 50% antidepressant response using the HAM-D-6 (Bech) | Weeks 1, 2, 3, 4, 6, and 8 |
| Time to onset of 50% and 30% antidepressant responses using the HAM-D-6 (Maier) | Weeks 1, 2, 3, 4, 6, and 8 |
| Change in the HAM-D-6 (Bech) and HAM-D-6 (Maier) from baseline to each visit | Weeks 1, 2, 3, 4, 6, and 8 |
| Change in the HAM-D-17 from baseline | Weeks 4 and 8 |
| Symptom Questionnaire (SQ) Score (Depression Subscale) | Weeks 1, 2, 3, 4, 6, and 8 |
| Daily Telephone Assessment (DTA) Score | Weeks 1, 2, 3, 4, 6, and 8 |
| Change in HAM-D-6 (Bech), HAM-D-6 (Maier), HAM-D-17, SQ, and DTA during the wash-out phase until end of study | Weeks 8 and 10 |
| SF-36 Score | Weeks 4, 8, and 10 |
| Work Limitations Questionnaire (WLQ) Score | Weeks 2, 4, 8, and 10 |
| Epworth Sleepiness Scale (ESS) | Weeks 1, 2, 3, 4, 6, 8, and 10 |
| Insomnia Severity Index (ISI) score | Weeks 2, 4, 8, and 10 |
| Clinical Global Impression | Weeks 1, 2, 3, 4, 6, 8, and 10 |
| Safety will be assessed by physical examinations, a standard 12-lead ECG, vital signs, clinical laboratory assessments and AE reporting | Weeks 1 through 10 |
| Peoria |
| Arizona |
| United States |
| Tucson | Arizona | United States |
| Fayetteville | Arkansas | United States |
| Garden Grove | California | United States |
| Irvine | California | United States |
| Northridge | California | United States |
| Riverside | California | United States |
| San Diego | California | United States |
| Wheat Ridge | Colorado | United States |
| New Britian | Connecticut | United States |
| Jacksonville | Florida | United States |
| Miami | Florida | United States |
| Miami Beach | Florida | United States |
| North Miami | Florida | United States |
| St. Petersburg | Florida | United States |
| Atlanta | Georgia | United States |
| Augusta | Georgia | United States |
| Decatur | Georgia | United States |
| Smyrna | Georgia | United States |
| Boise | Idaho | United States |
| Overland Park | Kansas | United States |
| Rockville | Maryland | United States |
| Boston | Massachusetts | United States |
| Braintree | Massachusetts | United States |
| Brighton | Massachusetts | United States |
| Brockton | Massachusetts | United States |
| Cambridge | Massachusetts | United States |
| Watertown | Massachusetts | United States |
| Farmington Hills | Michigan | United States |
| St Louis | Missouri | United States |
| Omaha | Nebraska | United States |
| Clementon | New Jersey | United States |
| Morestown | New Jersey | United States |
| Lawerence | New York | United States |
| New York | New York | United States |
| The Bronx | New York | United States |
| Durham | North Carolina | United States |
| Winston-Salem | North Carolina | United States |
| Bismarck | North Dakota | United States |
| Beachwood | Ohio | United States |
| Cincinnati | Ohio | United States |
| Dayton | Ohio | United States |
| Oklahoma City | Oklahoma | United States |
| Eugene | Oregon | United States |
| Portland | Oregon | United States |
| Salem | Oregon | United States |
| Springfield | Oregon | United States |
| Conshohocken | Pennsylvania | United States |
| Emmaus | Pennsylvania | United States |
| Philadelphia | Pennsylvania | United States |
| Scotland | Pennsylvania | United States |
| Anderson | South Carolina | United States |
| Madison | Tennessee | United States |
| Memphis | Tennessee | United States |
| Selmer | Tennessee | United States |
| Austin | Texas | United States |
| San Antonio | Texas | United States |
| Wichita Falls | Texas | United States |
| Salt Lake City | Utah | United States |
| Richmond | Virginia | United States |
| Lakewood | Washington | United States |
| Seatle | Washington | United States |
| Spokane | Washington | United States |
| Madison | Wisconsin | United States |
| ID | Term |
|---|---|
| D007319 | Sleep Initiation and Maintenance Disorders |
| D003865 | Depressive Disorder, Major |
| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D001523 | Mental Disorders |
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
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| ID | Term |
|---|---|
| D000069582 | Eszopiclone |
| ID | Term |
|---|---|
| D010879 | Piperazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011719 | Pyrazines |
| D011725 | Pyridines |
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