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The primary objective of the study is to evaluate the safety and tolerability of Neu-P11, following the administration of multiple ascending oral doses (2, 5, 20, 50 mg or matching placebo) given nightly over 2 periods of 5 days to male and female subjects with primary insomnia. In addition, the study is aimed to determine the pharmacokinetic profile of Neu-P11 after 1 and 5 days of administration and to evaluate the hypnotic effects of Neu-P11 as well as the effects on mood and memory. The study hypothesis is that Neu-P11 is safe, tolerated and have significant sleep promoting effects.
The effects of four multiple ascending doses of orally administered Neu-P11 will be evaluated in a double- blind, placebo-controlled, crossover design. Following a screening visit, the recruited subjects will undergo an inclusion/habituation full night PSG screening recording in the sleep clinic to exclude subjects with sleep disorders. Eligible subjects will be divided into 2 cohorts of 12 subjects each. Following screening, each cohort will be randomised to receive Neu-P11 or placebo for a first period of 5 days and will be crossed over following at least 21 days to receive placebo or a higher dose of Neu-P11 for a second period of 5 days. Each cohort will receive a different dose of Neu-P11, chosen from 2, 5, 20 and 50 mg. The starting dose is 5 mg but a smaller dose (2 mg) is also included for the purpose of pharmacodynamic evaluation. Before proceeding from 5mg to the next higher dose safety will be evaluated based on adverse events, clinical and biological data. Subjects of Cohort A will be randomised to dose levels 2 and 3 (doses 5 and 20 mg). Subjects of Cohort B will be randomised to dose levels 1 and 4 (doses 2 and 50 mg).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neu-P11 2mg | Experimental |
| |
| Neu-P11 5 mg | Experimental |
| |
| Neu-p11 20 mg | Experimental |
| |
| Neu-P11 50 mg | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neu-P11 | Drug | comparison of different dosages of drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number and description of participants with adverse events | adverse events will be recorded and reported throughout the study | 5 days |
| Measure | Description | Time Frame |
|---|---|---|
| Neu-P11 concentration, exposure and clearance | To learn about the concentration, exposure and clearence of to Neu-P11 Pharmacokinetic(PK)parameters will be recorded and reported:
|
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Inclusion Criteria:
Primary insomnia male or female subjects according to DSM-IV criteria (307.42) ,
Sleep latency of > 30 minutes and total sleep time < 6 hrs based on Sleep History Questionnaire (SHQ) and verified by the inclusion + habituation night PSG,
Men or women 18 to 65 years inclusive,
Women of childbearing potential must have a negative pregnancy test at the screening visit, on Day 1 of each treatment period, and use a reliable method of contraception during the entire study duration and for at least 3 months after study drug intake. Reliable methods of contraception are:
Subjects must be in good health as determined by their medical history, physical examination, ECG, vital signs, standard EEG, serum biochemistry, haematology and urinalysis. A subject with clinical abnormality may be included only if the investigator or his designee considers that the abnormality will not introduce additional risk factor for the subject's health, or interfere with the study objectives,
Subjects who have not been using BZD and non-BZD hypnotics or melatoninergic drugs for the past 2 weeks or more prior to Screening,
Subjects who have not been using psychotropic treatments for the past 3 months or more prior to screening,
Subjects who have not been using any other non-psychotropic treatments for the past 2 weeks or more prior to Screening with the exception of occasional paracetamol intake (1 g per day),
Subjects having read and signed the informed consent form,
Subjects having a body mass index between 18 and 30 (extremes included),
Subjects having no documented hypersensitivity to exogenous melatonin or agonists,
Subjects who agree to completely refrain from alcohol, caffeine and tobacco during the institutionalisation periods,
Subjects able to take part in the whole study,
Subjects affiliated with, or beneficiary of, a social security system
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Deborah Metzger, MD | Forenap Pharma | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre hospitallier de Rouffach | Rouffach | 68250 | France |
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| ID | Term |
|---|---|
| D007319 | Sleep Initiation and Maintenance Disorders |
| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| C581609 | N-(2-(5-methoxy-indol-3-yl)-ethyl)-4-oxo-4H-pyran-2-carboxamide |
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| Neu-P11 placebo | Drug | comparison of different dosages |
|
| 5 days |
| Objective and subjective assessment sleep quality | PSG parameters (sleep time, efficiency and architecture) as an objective assessment of sleep quality will be recorded Subjective means of evaluation of sleep qulity will include:
| 5 days |
| Subjective evaluation of mood and emotions | To study the effect of Neu-P11 on mood and emotions, subjective evaluation of mood and emotions will be recorded and reported using:
| 5 days |
| D001523 |
| Mental Disorders |