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This is a phase II study. It is conducted using a randomized, double-blind, 3-arm placebo controlled, parallel group design. Eligible patients will be randomized in a 1:1:1 ratio to receive Neu-P11 20 mg, Neu-P11 50 mg or placebo for 4 weeks The objective of this study is to assess the efficacy of Neu-P11 (20 and 50mg) on sleep continuity parameters in insomnia patients aged 18-80 years, following the first two nights (immediate effect) and at the end of 4 weeks of double-blind treatment. The primary efficacy endpoint in this study is Latency to Persistent Sleep (LPS) measured by polysomnogram (PSG) at the first two nights of treatment (nights 15-16 of the study; mean of two consecutive nights recordings). The secondary endpoints are number of awakenings after sleep onset and the duration of wake after sleep onset measured by PSG at the first two nights of treatment (nights 15-16 of the study; mean of two consecutive nights recordings).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 20 mg | Active Comparator | Neu-P11 dose of 20 mg |
|
| 50 mg | Active Comparator | Neu-P11 dose of 50 mg |
|
| placebo | Placebo Comparator | matching placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neu-P11 | Drug | 1 tablet daily 1-2 before bed time for 28 days of double blind treatment |
|
| Measure | Description | Time Frame |
|---|---|---|
| Latency to Persistent Sleep | The primary efficacy parameter is Latency to persistent sleep (LPS) measured by the PSG at the first two nights (immediate effect) of the double blind treatment period. LPS was summarized at baseline and after two days double-blind treatment (actual and change from baseline) for each treatment group using descriptive statistics. For each treatment group, the mean score at the end of the two days was compared, adjusting for the baselinescore. An ANCOVA model was used. Lower score indicates reduction in latency to persistent sleep and thus considered improvement | 2 days |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Awakenings (NOA) | The secondary efficacy parameter is number of awakenings (NOA) measured by the PSG after 28 nights of the double blind treatment period. NOA was summarized at baseline and after 28 days double-blind treatment (actual and change from baseline) for each treatment group using descriptive statistics. For each treatment group, the mean score at the end of the 28 nights was compared, adjusting for the baseline score. An ANCOVA model was used. Lower score indicates less awakenings and thus considered improvement. |
Inclusion Criteria:
Male or female and aged 18-80 years (both ages included).
Suffering from primary insomnia according to DSM-IV criteria (307.42 primary insomnia, Appendix 25.1) (based on a Sleep History Questionnaire (SHQ) that is given to the patient at Visit Day 0, Appendix 25.1).
Reported subjective sleep latency of at least 30 minutes on at least three nights per week for at least one month and subjective WASO of at least 45 minutes per night on at least 3 nights per week for at least one month (based on the SHQ).
Subjects with habitual bed time within the range of 21:00-01:00 (inclusive), as reported by the subject during screening on Day 0.
If female of childbearing potential, using a reliable method of contraception during the entire study duration and for at least 3 months after study drug intake.
Have not been using benzodiazepine (BZD) and non-BZD hypnotics or melatoninergic drugs for the past 2 weeks or more prior to Screening.
Have not been using psychotropic treatments for the past 3 months or more prior to Screening.
Are stabilized on non-psychotropic treatments for more than 3 months prior to Screening.
Are willing to sign a written informed consent to participate in the study.
• After initial screening, recruited patients will enter a 2 week placebo baseline/eligibility period.
Patients will be admitted into a sleep lab and will continue to the double blind treatment phase if polysomnography (PSG) results meet the following criteria:
Mean LPS ≥30 minutes on both PSG screening nights, with neither night <15 minutes.
Mean total sleep time (TST) ≤390 minutes, or mean WASO ≥30 minutes on both of the 2 PSG screening nights, with neither night <15 minutes.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pacific Research Network | San Diego | California | 92103 | United States | ||
| MD Clinical |
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| ID | Title | Description |
|---|---|---|
| FG000 | Neu-P11 20mg | Neu-P11 dose of 20 mg Neu-P11: 1 tablet daily 1-2 before bed time for 28 days of double blind treatment |
| FG001 | Neu-P11 50mg | Neu-P11 dose of 50 mg Neu-P11: 1 tablet daily 1-2 before bed time for 28 days of double blind treatment |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| 28 days |
| Duration of Wake After Sleep Onset (WASO) | The secondary efficacy parameter is the duration of wake after sleep onset (WASO) measured by the PSG after 28 nights of the double blind treatment period. WASO was summarized at baseline and after 28 days double-blind treatment (actual and change from baseline) for each treatment group using descriptive statistics. For each treatment group, the mean score at the end of the 28 nights was compared, adjusting for the baseline score. An ANCOVA model was used. Lower score indicates less waking time and thus considered improvement. | 28 days |
| Hallandale |
| Florida |
| 33009 |
| United States |
| Miami research Associates | South Miami | Florida | 33143 | United States |
| Sleep Disorders Centers of Georgia | Atlanta | Georgia | 30342 | United States |
| Chicago Research Center | Chicago | Illinois | 60634 | United States |
| Vince & Associates Clinical Research | Overland Park | Kansas | 66212 | United States |
| Community Research and Sleep Management | Crestview Hills | Kentucky | 41017 | United States |
| Center for Sleep and Wake Disorders | Chevy Chase | Maryland | 20815 | United States |
| Clinilabs, Inc. | New York | New York | 10119 | United States |
| FG002 | Placebo | matching placebo Neu-P11: 1 tablet daily 1-2 before bed time for 28 days of double blind treatment |
| COMPLETED |
|
| NOT COMPLETED |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Neu-P11 20mg | Neu-P11 dose of 20 mg Neu-P11: 1 tablet daily 1-2 before bed time for 28 days of double blind treatment |
| BG001 | Neu-P11 50mg | Neu-P11 dose of 50 mg Neu-P11: 1 tablet daily 1-2 before bed time for 28 days of double blind treatment |
| BG002 | Placebo | matching placebo Neu-P11: 1 tablet daily 1-2 before bed time for 28 days of double blind treatment |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
|
| 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 | Latency to Persistent Sleep | The primary efficacy parameter is Latency to persistent sleep (LPS) measured by the PSG at the first two nights (immediate effect) of the double blind treatment period. LPS was summarized at baseline and after two days double-blind treatment (actual and change from baseline) for each treatment group using descriptive statistics. For each treatment group, the mean score at the end of the two days was compared, adjusting for the baselinescore. An ANCOVA model was used. Lower score indicates reduction in latency to persistent sleep and thus considered improvement | Posted | Mean | Standard Deviation | minutes | 2 days |
|
|
| ||||||||||||||||||||||||||||||||
| Other Pre-specified | Number of Awakenings (NOA) | The secondary efficacy parameter is number of awakenings (NOA) measured by the PSG after 28 nights of the double blind treatment period. NOA was summarized at baseline and after 28 days double-blind treatment (actual and change from baseline) for each treatment group using descriptive statistics. For each treatment group, the mean score at the end of the 28 nights was compared, adjusting for the baseline score. An ANCOVA model was used. Lower score indicates less awakenings and thus considered improvement. | Posted | Mean | Standard Deviation | Awekenings | 28 days |
|
| |||||||||||||||||||||||||||||||||
| Other Pre-specified | Duration of Wake After Sleep Onset (WASO) | The secondary efficacy parameter is the duration of wake after sleep onset (WASO) measured by the PSG after 28 nights of the double blind treatment period. WASO was summarized at baseline and after 28 days double-blind treatment (actual and change from baseline) for each treatment group using descriptive statistics. For each treatment group, the mean score at the end of the 28 nights was compared, adjusting for the baseline score. An ANCOVA model was used. Lower score indicates less waking time and thus considered improvement. | Posted | Mean | Standard Deviation | minutes | 28 days |
|
28 days
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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 | Neu-P11 20mg | Neu-P11 dose of 20 mg Neu-P11: 1 tablet daily 1-2 before bed time for 28 days of double blind treatment | 0 | 45 | 0 | 45 | 8 | 45 |
| EG001 | Neu-P11 50mg | Neu-P11 dose of 50 mg Neu-P11: 1 tablet daily 1-2 before bed time for 28 days of double blind treatment | 0 | 47 | 0 | 47 | 3 | 47 |
| EG002 | Placebo | matching placebo Neu-P11: 1 tablet daily 1-2 before bed time for 28 days of double blind treatment | 0 | 45 | 0 | 45 | 0 | 45 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Vision blurred | Eye disorders | Systematic Assessment |
| ||
| Influenza like illness | General disorders | Systematic Assessment |
| ||
| Pharyngitis streptococcal | Infections and infestations | Systematic Assessment |
| ||
| Scarlet fever | Infections and infestations | Systematic Assessment |
| ||
| Upper respiratory tract infection | Infections and infestations | Systematic Assessment |
| ||
| Laceration | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Hyperglycaemia | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Headache | Nervous system disorders | Systematic Assessment |
| ||
| Haematuria | Renal and urinary disorders | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Amnon Katz | Neurim Pharmaceuticals (1991) LTD | 972-3-768-4906 | amnonk@neurim.com |
| ID | Term |
|---|---|
| D007319 | Sleep Initiation and Maintenance Disorders |
| D012892 | Sleep Deprivation |
| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D001523 | Mental Disorders |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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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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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
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| Counts |
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| Participants |
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| Counts |
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| Participants |
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