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This study terminated 27Apr2010 due to slow recruitment and the need to use the existing information to determine dosing for another study.
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This is a study to evaluate the safety, tolerability and blood levels of PF-03654746 in subjects will mild to moderate Alzheimer's disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PF-03654746 | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PF-03654746 | Drug | PF-03654746 capsule of 0.25 mg, 0.5 mg, and 1.0 mg strength. Drug is dosed orally once a day. Forced titration dosing for the first 15 days of the study being at 0.25 mg for 5 days, then 0.5 mg for days 6-10, then 1.0 mg for days 11-15. Flexible dosing for the next 15 days depending on tolerability and safety assessments done by the investigator. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Clinically Significant Vital Sign Abnormalities | Criteria for potential clinical concern in vital signs: supine and standing systolic blood pressure (SBP) less than (<) 90 millimeter of mercury (mmHg), supine and standing diastolic BP (DBP) <50 mmHg, supine pulse rate <40 beats per minute (bpm) or >120 bpm, standing pulse rate <40 bpm or >140 bpm. Maximum increase or decrease from baseline in supine (Su) and standing (St) SBP >=30 mmHg and maximum increase or decrease from baseline in supine and standing DBP >=20 mmHg. | Baseline up to 7 to 10 days after last dose |
| Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities | Criteria for potential clinical concern in ECG parameters: maximum PR interval of >=300 milliseconds (msec), maximum QRS interval >=200 msec, maximum fridericia's corrected QT (QTcF) interval >=500 msec, PR interval or QRS interval increase from baseline >=25 percent (%) or 50 percent (%), QTCF interval increase from baseline 30 to 60 msec or >=60 msec. | Baseline up to 7 to 10 days after last dose |
| Number of Participants With Clinically Significant Laboratory Test Abnormalities | Criteria for laboratory tests abnormalities included: hemoglobin, hematocrit and red blood cells (< 0.8*lower limit of normal[LLN]); leucocytes (<0.6/>1.5*upper limit of normal [ULN]); platelets (<0.5*LLN/>1.75*ULN); neutrophils, lymphocytes (<0.8*LLN/>1.2*ULN); eosinophils, basophils, monocytes (>1.2*ULN); total bilirubin (>1.5*ULN); aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (>3*ULN), total protein, albumin (<0.8*LLN/>1.2*ULN); creatinine, urea (>1.3*ULN); glucose (<0.6*LLN/>1.5*ULN); uric acid (>1.2*ULN); sodium, potassium, chloride, calcium, bicarbonate (<0.9*LLN/>1.1*ULN); urine red blood cells (RBCs), urine white blood cells (WBCs), urine epithelial cells (>=6 high-powered field), urine bacteria >20 high-powered field; qualitative urine glucose, ketones, protein values >=1 in urine dipstick test. Total number of participants with any laboratory abnormalities was reported. | Baseline up to 7 to 10 days after last dose |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) for PF-03654746 | 0 hour (pre-dose), 0.5, 1, 3, 8 and 12 hours post-dose on Day 30 | |
| Maximum Serum Concentration (Cmax) for PF-03654746 | 0 hour (pre-dose), 0.5, 1, 3, 8 and 12 hours post-dose on Day 30 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pfizer CT.gov Call Center | Pfizer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pfizer Investigational Site | Wichita | Kansas | 67207 | United States | ||
| Pfizer Investigational Site |
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| Label | URL |
|---|---|
| To obtain contact information for a study center near you, click here. | View source |
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Participants who were on a stable dose of donepezil (Aricept) 10 milligram (mg) once daily for at least 30 days before screening and on stable morning dosing at least 14 days before Day 0 were enrolled in this study.
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| ID | Title | Description |
|---|---|---|
| FG000 | PF-03654746 and Donepezil | PF-03654746 0.25 milligram (mg) powder in capsule orally once daily on Day 1 to 5, followed by PF-03654746 0.5 mg powder in capsule orally once daily on Day 6 to 10 and PF-03654746 1 mg powder in capsule orally once daily on Day 11 to 15 during the forced titration phase. PF-03654746 0.5 mg to 2 mg powder in capsule orally once daily, based on investigator's discretion and tolerability, on Day 16 to 30 during the flexible titration phase. Background donepezil (Aricept) 10 mg tablet orally once daily throughout the study. |
| FG001 | Placebo and Donepezil | Placebo matched to PF-03654746 powder in capsule once daily on Day 1 to 30 along with background donepezil (Aricept) 10 mg tablet orally once daily throughout the study. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
Safety population included all participants who took at least 1 dose of study drug.
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| ID | Title | Description |
|---|---|---|
| BG000 | PF-03654746 and Donepezil | PF-03654746 0.25 milligram (mg) powder in capsule orally once daily on Day 1 to 5, followed by PF-03654746 0.5 mg powder in capsule orally once daily on Day 6 to 10 and PF-03654746 1 mg powder in capsule orally once daily on Day 11 to 15 during the forced titration phase. PF-03654746 0.5 mg to 2 mg powder in capsule orally once daily, based on investigator's discretion and tolerability, on Day 16 to 30 during the flexible titration phase. Background donepezil (Aricept) 10 mg tablet orally once daily throughout the study. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Number |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Clinically Significant Vital Sign Abnormalities | Criteria for potential clinical concern in vital signs: supine and standing systolic blood pressure (SBP) less than (<) 90 millimeter of mercury (mmHg), supine and standing diastolic BP (DBP) <50 mmHg, supine pulse rate <40 beats per minute (bpm) or >120 bpm, standing pulse rate <40 bpm or >140 bpm. Maximum increase or decrease from baseline in supine (Su) and standing (St) SBP >=30 mmHg and maximum increase or decrease from baseline in supine and standing DBP >=20 mmHg. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Number | participants | Baseline up to 7 to 10 days after last dose |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | PF-03654746 and Donepezil | PF-03654746 0.25 milligram (mg) powder in capsule orally once daily on Day 1 to 5, followed by PF-03654746 0.5 mg powder in capsule orally once daily on Day 6 to 10 and PF-03654746 1 mg powder in capsule orally once daily on Day 11 to 15 during the forced titration phase. PF-03654746 0.5 mg to 2 mg powder in capsule orally once daily, based on investigator's discretion and tolerability, on Day 16 to 30 during the flexible titration phase. Background donepezil (Aricept) 10 mg tablet orally once daily throughout the study. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | Nervous system disorders | MedDRA 13.0 | Non-systematic Assessment |
The study was terminated early due to slow recruitment and the need to use the existing information to determine dosing for another study.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pfizer ClinicalTrials.gov Call Center | Pfizer, Inc. | 1-800-718-1021 | ClinicalTrials.gov_Inquiries@pfizer.com |
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| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| ID | Term |
|---|---|
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| C569672 | N-ethyl-3-fluoro-3-(3-fluoro-4-(pyrrolidinylmethyl)phenyl)cyclobutanecarboxamide |
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|
| Placebo | Drug | Matching placebo capsules to PF-03654746 with strengths of 0.25 mg, 0.5 mg, and 1.0 mg. Drug is dosed orally once a day. Forced titration dosing for the first 15 days of the study being at 0.25 mg for 5 days, then 0.5 mg for days 6-10, then 1.0 mg for days 11-15. Flexible dosing for the next 15 days depending on tolerability and safety assessments done by the investigator. |
|
| Number of Participants With Clinically Significant Change From Baseline in Physical Examination | Physical examination included examination of the skin, eyes, ears, throat, neck, and cardiac, respiratory, gastrointestinal and musculoskeletal systems. The examination assessed the participants for any potential changes in physical status, as determined by the investigator. Any untoward findings identified on physical exams conducted after the administration of the first dose of study medication was captured as an adverse event. | Baseline up to 7 to 10 days after last dose |
| Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Baseline | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Baseline |
| Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 5 | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Day 5 |
| Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 10 | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Day 10 |
| Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 15 | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Day 15 |
| Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 20 | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Day 20 |
| Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 25 | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Day 25 |
| Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 30 | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Day 30 |
| Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Follow-up | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Follow-up (7 to 10 days after last dose) |
| Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 5 | NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement. | Baseline, Day 5 |
| Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 10 | NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement. | Baseline, Day 10 |
| Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 15 | NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement. | Baseline, Day 15 |
| Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 20 | NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement. | Baseline, Day 20 |
| Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 25 | NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement. | Baseline, Day 25 |
| Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 30 | NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement. | Baseline, Day 30 |
| Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Follow-up | NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement. | Baseline, Follow-up (7 to 10 days after last dose) |
| Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 5 | MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state. | Baseline, Day 5 |
| Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 10 | MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state. | Baseline, Day 10 |
| Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 15 | MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state. | Baseline, Day 15 |
| Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 20 | MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state. | Baseline, Day 20 |
| Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 25 | MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state. | Baseline, Day 25 |
| Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 30 | MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state. | Baseline, Day 30 |
| Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Follow-up | MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state. | Baseline, Follow-up (7 to 10 days after last dose) |
| Time to Reach Maximum Observed Serum Concentration (Tmax) for PF-03654746 | 0 hour (pre-dose), 0.5, 1, 3, 8 and 12 hours post-dose on Day 30 |
| Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) for Donepezil | 0 hour (pre-dose), 0.5, 1, 3, 8, 12 hours post-dose on Day 0, Day 30 |
| Maximum Plasma Concentration (Cmax) for Donepezil | 0 hour (pre-dose), 0.5, 1, 3, 8, 12 hours post-dose on Day 0, Day 30 |
| Time to Reach Maximum Observed Plasma Concentration (Tmax) for Donepezil | 0 hour (pre-dose), 0.5, 1, 3, 8, 12 hours post-dose on Day 0, Day 30 |
| Wichita |
| Kansas |
| 67211 |
| United States |
| BG001 | Placebo and Donepezil | Placebo matched to PF-03654746 powder in capsule once daily on Day 1 to 30 along with background donepezil (Aricept) 10 mg tablet orally once daily throughout the study. |
| BG002 | Total | Total of all reporting groups |
| participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| OG001 | Placebo and Donepezil | Placebo matched to PF-03654746 powder in capsule once daily on Day 1 to 30 along with background donepezil (Aricept) 10 mg tablet orally once daily throughout the study. |
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| Primary | Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities | Criteria for potential clinical concern in ECG parameters: maximum PR interval of >=300 milliseconds (msec), maximum QRS interval >=200 msec, maximum fridericia's corrected QT (QTcF) interval >=500 msec, PR interval or QRS interval increase from baseline >=25 percent (%) or 50 percent (%), QTCF interval increase from baseline 30 to 60 msec or >=60 msec. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Number | participants | Baseline up to 7 to 10 days after last dose |
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| Primary | Number of Participants With Clinically Significant Laboratory Test Abnormalities | Criteria for laboratory tests abnormalities included: hemoglobin, hematocrit and red blood cells (< 0.8*lower limit of normal[LLN]); leucocytes (<0.6/>1.5*upper limit of normal [ULN]); platelets (<0.5*LLN/>1.75*ULN); neutrophils, lymphocytes (<0.8*LLN/>1.2*ULN); eosinophils, basophils, monocytes (>1.2*ULN); total bilirubin (>1.5*ULN); aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (>3*ULN), total protein, albumin (<0.8*LLN/>1.2*ULN); creatinine, urea (>1.3*ULN); glucose (<0.6*LLN/>1.5*ULN); uric acid (>1.2*ULN); sodium, potassium, chloride, calcium, bicarbonate (<0.9*LLN/>1.1*ULN); urine red blood cells (RBCs), urine white blood cells (WBCs), urine epithelial cells (>=6 high-powered field), urine bacteria >20 high-powered field; qualitative urine glucose, ketones, protein values >=1 in urine dipstick test. Total number of participants with any laboratory abnormalities was reported. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Number | participants | Baseline up to 7 to 10 days after last dose |
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| Primary | Number of Participants With Clinically Significant Change From Baseline in Physical Examination | Physical examination included examination of the skin, eyes, ears, throat, neck, and cardiac, respiratory, gastrointestinal and musculoskeletal systems. The examination assessed the participants for any potential changes in physical status, as determined by the investigator. Any untoward findings identified on physical exams conducted after the administration of the first dose of study medication was captured as an adverse event. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Number | participants | Baseline up to 7 to 10 days after last dose |
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| Primary | Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Baseline | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline |
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| Primary | Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 5 | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Day 5 |
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| Primary | Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 10 | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Day 10 |
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| Primary | Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 15 | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Day 15 |
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| Primary | Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 20 | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Day 20 |
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| Primary | Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 25 | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Day 25 |
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| Primary | Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 30 | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Day 30 |
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| Primary | Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Follow-up | Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Follow-up (7 to 10 days after last dose) |
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| Primary | Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 5 | NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Day 5 |
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| Primary | Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 10 | NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Day 10 |
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| Primary | Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 15 | NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Day 15 |
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| Primary | Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 20 | NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Day 20 |
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| Primary | Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 25 | NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Day 25 |
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| Primary | Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 30 | NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Day 30 |
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| Primary | Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Follow-up | NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Follow-up (7 to 10 days after last dose) |
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| Primary | Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 5 | MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Day 5 |
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| Primary | Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 10 | MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Day 10 |
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| Primary | Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 15 | MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Day 15 |
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| Primary | Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 20 | MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Day 20 |
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| Primary | Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 25 | MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Day 25 |
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| Primary | Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 30 | MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Day 30 |
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| Primary | Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Follow-up | MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state. | Safety population included all participants who took at least 1 dose of study drug. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Follow-up (7 to 10 days after last dose) |
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| Secondary | Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) for PF-03654746 | Pharmacokinetic (PK) parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest during the study. | Posted | Geometric Mean | Standard Deviation | nanogram hour per milliliter (ng*hr/mL) | 0 hour (pre-dose), 0.5, 1, 3, 8 and 12 hours post-dose on Day 30 |
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| Secondary | Maximum Serum Concentration (Cmax) for PF-03654746 | PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest during the study. | Posted | Geometric Mean | Standard Deviation | nanogran per millileter (ng/mL) | 0 hour (pre-dose), 0.5, 1, 3, 8 and 12 hours post-dose on Day 30 |
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| Secondary | Time to Reach Maximum Observed Serum Concentration (Tmax) for PF-03654746 | PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest during the study. | Posted | Median | Full Range | hours | 0 hour (pre-dose), 0.5, 1, 3, 8 and 12 hours post-dose on Day 30 |
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| Secondary | Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) for Donepezil | PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest during the study. | Posted | Geometric Mean | Standard Deviation | ng*hr/mL | 0 hour (pre-dose), 0.5, 1, 3, 8, 12 hours post-dose on Day 0, Day 30 |
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| Secondary | Maximum Plasma Concentration (Cmax) for Donepezil | PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest during the study. | Posted | Geometric Mean | Standard Deviation | ng/mL | 0 hour (pre-dose), 0.5, 1, 3, 8, 12 hours post-dose on Day 0, Day 30 |
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| Secondary | Time to Reach Maximum Observed Plasma Concentration (Tmax) for Donepezil | PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest during the study. | Posted | Median | Full Range | hours | 0 hour (pre-dose), 0.5, 1, 3, 8, 12 hours post-dose on Day 0, Day 30 |
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| 0 |
| 7 |
| 5 |
| 7 |
| EG001 | Placebo and Donepezil | Placebo matched to PF-03654746 powder in capsule once daily on Day 1 to 30 along with background donepezil (Aricept) 10 mg tablet orally once daily throughout the study. | 0 | 2 | 0 | 2 |
| Abnormal dreams | Psychiatric disorders | MedDRA 13.0 | Non-systematic Assessment |
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| Euphoric mood | Psychiatric disorders | MedDRA 13.0 | Non-systematic Assessment |
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| Hypnagogic hallucination | Psychiatric disorders | MedDRA 13.0 | Non-systematic Assessment |
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| Illusion | Psychiatric disorders | MedDRA 13.0 | Non-systematic Assessment |
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| Erectile dysfunction | Reproductive system and breast disorders | MedDRA 13.0 | Non-systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 13.0 | Non-systematic Assessment |
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| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA 13.0 | Non-systematic Assessment |
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| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA 13.0 | Non-systematic Assessment |
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| Urticaria | Skin and subcutaneous tissue disorders | MedDRA 13.0 | Non-systematic Assessment |
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Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
| D024801 |
| Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| Maximum QTCF interval >=500 msec |
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| PR interval increase from baseline >=25/50 % |
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| QRS complex increase from baseline >=25/50 % |
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| QTCF interval increase from baseline 30 to 60 msec |
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| QTCF interval increase from baseline >=60 msec |
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| Sleep adequacy |
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| Snore |
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| Awaken short of breath or with headache |
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| Quantity of sleep |
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| Optimal sleep |
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| Sleep problem index I |
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| Sleep problem index II |
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| Sleep adequacy |
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| Snore |
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| Awaken short of breath or with headache |
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| Quantity of sleep |
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| Optimal sleep |
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| Sleep problem index I |
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| Sleep problem index II |
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| Sleep adequacy |
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| Snore |
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| Awaken short of breath or with headache |
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| Quantity of sleep |
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| Optimal sleep |
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| Sleep problem index I |
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| Sleep problem index II |
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| Sleep adequacy |
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| Snore |
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| Awaken short of breath or with headache |
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| Quantity of sleep |
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| Optimal sleep |
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| Sleep problem index I |
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| Sleep problem index II |
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| Sleep adequacy |
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| Snore |
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| Awaken short of breath or with headache |
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| Quantity of sleep |
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| Optimal sleep |
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| Sleep problem index I |
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| Sleep problem index II |
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| Sleep adequacy |
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| Snore |
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| Awaken short of breath or with headache |
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| Quantity of sleep |
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| Optimal sleep |
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| Sleep problem index I |
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| Sleep problem index II |
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| Sleep adequacy |
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| Snore |
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| Awaken short of breath or with headache |
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| Quantity of sleep |
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| Optimal sleep |
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| Sleep problem index I |
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| Sleep problem index II |
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| Sleep adequacy |
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| Snore |
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| Awaken short of breath or with headache |
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| Quantity of sleep |
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| Optimal sleep |
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| Sleep problem index I |
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| Sleep problem index II |
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