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The main purpose of this study is to assess efficacy of YZJ-1139 for 28 days in adult subjects with insomnia disorder. Efficacy will be evaluated on objective and subjective sleep parameters.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| YZJ-1139 group | Experimental |
| |
| Zolpidem group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| YZJ-1139 | Drug | YZJ-1139 20mg tablets, once daily in the evening |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline of Mean Objective Wake After Sleep Onset (WASO) | WASO is defined as minutes of wake from the onset of persistent sleep until lights on as measured by polysomnography (PSG). | Baseline, Day 1/Day 2, Day 27/Day 28 |
| Change from baseline of Mean Objective Sleep Efficiency (SE) | SE is defined as percentage of time spent in bed asleep, calculated as total sleep time (TST) divided by interval from lights off until lights on as measured by PSG, multiplied by 100. | Baseline, Day 1/Day 2, Day 27/Day 28 |
| Change from baseline of Mean Objective Total Sleep Time (TST) | TST is defined as total sleep time measured by PSG. | Baseline, Day 1/Day 2, Day 27/Day 28 |
| Change from baseline of Mean Objective Latency to Persistent Sleep (LPS) | LPS is defined as latency to persistent sleep measured by PSG. | Baseline, Day 1/Day 2, Day 27/Day 28 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline of Mean Subject Wake After Sleep Onset (sWASO) | sWASO is self-reported sleep outcome measured by subject diary data, collected daily and analyzed at appropriate intervals. | Baseline, Week1, Week 4 |
| Change from baseline of Mean Subject Sleep Efficiency (sSE) |
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Inclusion Criteria:
Males and females, aged ≥ 18 to < 65 years.
Meet the clinical diagnostic criteria for insomnia disorder as defined in ICSD-3 criteria.
sTSO ≥ 30 min for at least 3 nights per week and/or sWASO ≥ 60 min for at least 3 nights per week within 4 weeks prior to screening.
Able to recognize 26 English letters and MMSE score indicats no cognitive impairment.
During the run-in period and on Day 1 of the treatment period, sTSO ≥ 30 min for at least 3 nights in the last 7 sleep diaries and/or sWASO ≥ 60 min for at least 3 nights out of 7 nights as confirmed by the sleep diary prior to PSG monitoring.
PSG results for 2 consecutive nights during the run-in period should meet the following conditions:
ISI score ≥ 15 at screening and on Day 1 of the treatment period .
Have a bedtime between 9 p.m. and 1 a.m., wake up between 5 a.m. and 10 a.m., and stay in bed for 6.5 to 9 hours for at least 5 nights in the last 7 sleep diaries as confirmed by the sleep diary prior to PSG monitoring during the run-in period and on Day 1 of the treatment period.
Reproductive-age male and female participants must agree to use effective contraceptive measures from the screening visit through at least 30 days after the last dose of double-blind study treatment, and must not be planning to become pregnant or donate sperm/eggs during this period.
Understand the study procedures and contents, voluntarily participate in the clinical study and sign the written Informed Consent Form, have good compliance during participation in the study, and are willing to attend the visits.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University People's Hospital | Beijing | China | ||||
| ChengDu Second People's Hospital |
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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 |
|---|---|
| D000077334 | Zolpidem |
| ID | Term |
|---|---|
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| Zolpidem |
| Drug |
Zolpidem 10mg tablets, once daily in the evening |
|
sSE is defined as percentage of time spent in bed asleep, calculated as subject total sleep time (sTST) divided by interval from lights off until lights on, multiplied by 100. |
| Baseline, Week1, Week 4 |
| Change from baseline of Mean subject Total Sleep Time (sTST) | sTST is self-reported sleep outcome measured by subject diary data, collected daily and analyzed at appropriate intervals. | Baseline, Week1, Week 4 |
| Change from baseline of Mean Subjective Time to Sleep Onset (sTSO) | sTSO is self-reported sleep outcome measured by subject diary data, collected daily and analyzed at appropriate intervals. | Baseline, Week1, Week 4 |
| Change from baseline of Mean Subjective Number of awakenings (sNAW) | sNAW is self-reported sleep outcome measured by subject diary data, collected daily and analyzed at appropriate intervals. | Baseline, Week1, Week 4 |
| Change from baseline of Sleep structure (wakefulness, N1, N2, N3, rapid eye movement sleep [REM], non-rapid eye movement sleep [NREM]) | Wakefulness, N1, N2, N3, REM, NREM are measured by PSG in minutes, and expressed as the percent change from time spent in bed (TIB) and TST. | Baseline, Day 1/Day 2, Day 27/Day 28 |
| Change from baseline of Sleep structure (REM latency, number of awakenings [NAW], arousal index for REM and NREM) | REM latency, NAW and the arousal index for REM and NREM are measured by PSG. | Baseline, Day 1/Day 2, Day 27/Day 28 |
| Change from baseline in the mean subjective sleep quality score | Subjective sleep quality score is a self-report assessment of participant perception of the effects of a medication on their sleep. Higher score indicated severe insomnia problem. | Baseline, Week1, Week 4 |
| Change from baseline in the ISI score | Insomnia Severity Index is a self-report questionnaire assessing the nature, severity, and impact of insomnia. Higher score indicated severe insomnia problem. | Baseline, Day15 and Day 28 |
| Percentage of participants on each scale of Global Impression of Insomnia (PGI-I) each item | the PGI-I was a self-report assessment of participant perception of the effects of a medication on their sleep. The PGI-I had 3 items related to study medication effects (a) helped/worsened sleep, (b) decreased/increased time to fall asleep, (c) increased/decreased total sleep time, and 1 item related to perceived appropriateness of study medication strength. The first 3 items were answered on a 3-point scale (1=positive medication effect, 2=neutral medication effect, 3=negative medication effect) and the last item on a different 3 point scale (medication: 1=too strong, 2=just right, 3=too weak). | Day15 and Day 28 |
| Chengdu |
| China |
| ChongQing Traditional Chinese Medicine Hospital | Chongqing | China |
| Deyang People's Hospital | Deyang | China |
| The First Affiliated Hospital of Jinan University (Guangzhou Overseas Chinese Hospital) | Guangzhou | China |
| The First Affiliated Hospital of Shandong First Medical University (Qianfoshan Hospital) | Jinan | China |
| The Second Affiliated Hospital Of NanChang University | Nanchang | China |
| The First Affiliated Hospital of Ningbo University | Ningbo | China |
| ShengJing Hospital Of China Medical University | Shenyang | China |
| The Third Hospital of Hebei Medical University | Shijiazhuang | China |
| SuZhou GuangJi Hospital | Suzhou | China |
| The Second Affiliated Hospital of Soochow University | Suzhou | China |
| Tianjin Anding Hospital | Tianjin | China |
| Wuhan No.1 Hospital | Wuhan | China |
| Yan'an University Xianyang Hospital | Yan’an | China |
| The Second Affiliated Hospital of Zhengzhou University | Zhengzhou | China |
| D001523 |
| Mental Disorders |