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| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1114-3109 | Registry Identifier | WHO |
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The purpose of this study is to determine the relative abuse potential of ramelteon, once daily (QD), compared to triazolam in subjects with a history of drug abuse.
Insomnia is characterized by a complaint of either difficulties initiating and maintaining sleep, or of nonrestorative and non-refreshing sleep. Transient insomnia affects approximately one-third to one-half of the US population, based on the results of 2 surveys of representative samples of the adult US population conducted by the Gallup Organization in which respondents were asked if they had "ever had difficulty sleeping." Based on reports of "regular" or "frequent" sleep difficulty, results from the same studies suggest that approximately one-tenth of the US population experiences chronic insomnia. The ideal treatment for insomnia would reduce the latency to onset of sleep and increase total sleep time, without a negative impact on sleep architecture and without safety concerns or next-day effects.
Ramelteon is a melatonin-1 receptor agonist under global development by Takeda Chemical Industries, Ltd., for the treatment of transient and chronic insomnia and for the treatment of Circadian Rhythm Sleep Disorders.
Participation in this study is anticipated to be about 1 month.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ramelteon, triazolam, and placebo (56 poss. combinations) | Experimental | Ramelteon, triazolam, and placebo (56 possible combinations total) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ramelteon, triazolam, and placebo (56 possible combinations total) | Drug | Randomized sequence over eight consecutive days to include the following: Ramelteon 16 mg, tablets, orally, one day only; Ramelteon 80 mg, tablets, orally, one day only; Ramelteon 160 mg, tablets, orally, one day only; Triazolam 0.25 mg, capsules, orally, one day only; Triazolam 0.50 mg, capsules, orally, one day only; Triazolam 0.75 mg, capsules, orally, one day only; Ramelteon placebo-matching tablets, orally, one day only, OR Triazolam placebo-matching capsules, orally, one day only; Additional dose of study medication or placebo, tablets or capsules, orally, one day only. |
| Measure | Description | Time Frame |
|---|---|---|
| Peak liking score from the Drug Effect Questionnaire as recorded during the 24 hours following administration. | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Measure | Description | Time Frame |
|---|---|---|
| Next Day Questionnaire. | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit | |
| Addiction Research Center Inventory. | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit | |
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Inclusion Criteria
Exclusion Criteria
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| Name | Affiliation | Role |
|---|---|---|
| VP Clinical Science | Takeda | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Baltimore | Maryland | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17015817 | Result | Johnson MW, Suess PE, Griffiths RR. Ramelteon: a novel hypnotic lacking abuse liability and sedative adverse effects. Arch Gen Psychiatry. 2006 Oct;63(10):1149-57. doi: 10.1001/archpsyc.63.10.1149. |
| Label | URL |
|---|---|
| Rozerem Package Insert | View source |
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| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| D016739 | Behavior, Addictive |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
| D003192 | Compulsive Behavior |
| D007175 | Impulsive Behavior |
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| ID | Term |
|---|---|
| C495910 | ramelteon |
| D014229 | Triazolam |
| ID | Term |
|---|---|
| D001569 | Benzodiazepines |
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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|
| Drug Effect Questionnaire. |
| Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Subjective Effects Questionnaire. | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Pharmacologic Class Questionnaire. | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Drug Versus Money Multiple Choice Procedure. | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Observer Rated Questionnaire. | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Word Recall/Recognition Task. | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Enter and Recall Task. | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Balance task. | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Digit Symbol Substitution Task. | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Circular lights task. | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Neuropsychometric Testing | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Adverse Events | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Laboratory Test Results | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Vital Signs | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Electrocardiograms | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| Physical Examination Findings. | Days 1, 2, 3, 4, 5, 6, 7, and 8 or Final Visit |
| D001519 |
| Behavior |
| D006571 | Heterocyclic Compounds |