Chronic InsomniaPhase 3NCT00671567
Ramelteon in Adults With Chronic Insomnia
A Phase 3 study testing Ramelteon in people with Chronic Insomnia, run by Takeda at 70 sites in United States.
Trial summary
The purpose of this study is to determine the safety and efficacy of Ramelteon, once daily (QD), in adult subjects with chronic insomnia. Read more about this study
- Who is it for?
- Ages 18 to 64 years
- Conditions the study is for
- Chronic Insomnia
- What is being tested?
- Ramelteon
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 848 participants
- Where
- 70 sitesUnited States
- Study dates
- Dec 2002to Sep 2003
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 64 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Females of childbearing potential who are sexually active must agree to use adequate contraception, and can neither be pregnant nor lactating from Screening throughout the duration of the study.
- Has had primary insomnia as defined by the Diagnostic and Statistical Manual of Mental Disorders, Text Revision and a history of daytime complaint(s) associated with disturbed sleep.
- Subjective sleep latency greater than or equal to 45 minutes and a subjective total sleep time less than or equal to 6.5 hours per night for at least 3 nights during the week of the lead-in period, based on subject diary.
- Habitual bedtime is between 8:30 PM and 12:00 AM.
- Body mass index between 18 and 34, inclusive.
Who cannot join
- Known hypersensitivity to Ramelteon or related compounds, including melatonin.
- Previously participated in a study involving Ramelteon.
- Participated in any other investigational study, and/or taken any investigational drug within 30 days or five half-lives prior to the first day of single-blind study medication, whichever is longer.
- Sleep schedule changes required by employment (eg, shift worker) within three months prior to the first day of single-blind study medication, or has flown across greater than three time zones within seven days prior to screening.
- Participated in a weight loss program or has substantially altered their exercise routine within 30 days prior to the first day of single-blind study medication.
- Has ever had a history of seizures, sleep apnea, chronic obstructive pulmonary disease, restless leg syndrome, schizophrenia, bipolar disorder, mental retardation, or cognitive disorder.
Show all 35Show fewer
- History of psychiatric disorder (including anxiety or depression) within the past 12 months.
- History of drug addiction or drug abuse within the past 12 months.
- History of alcohol abuse within the past 12 months.
- Current significant neurological, hepatic, renal, endocrine, cardiovascular, gastrointestinal, pulmonary, hematologic or metabolic disease unless currently controlled and stable with protocol-allowed medication 30 days prior to the first day of single-blind study medication.
- Uses tobacco products during nightly awakenings.
- Any clinically important abnormal finding as determined by a medical history, physical examination, electrocardiogram, or clinical laboratory tests, as determined by the investigator.
- Positive hepatitis panel.
- Any additional condition that in the Investigator's opinion would:
- Affect sleep-wake function
- Prohibit the subject from completing the study
- Not be in the best interest of the subject.
- Is required to take or continues taking any disallowed medication, prescription medication, herbal treatment or over-the counter medication that may interfere with evaluation of the study medication, including:
- melatonin or other drugs or supplements known to affect sleep/wake function.
- anxiolytics
- hypnotics
- antidepressants
- anticonvulsants
- sedating H1 antihistamines
- systemic steroids
- respiratory stimulants and decongestants
- over-the-counter and prescription stimulants
- over-the-counter and prescription diet aids
- central nervous system active drugs (including herbal preparations with central nervous system effects)
- narcotic analgesics
- beta blockers
- melatonin
- St. John's Wort
- kava-kava
- gingko biloba
Trial locations and contacts
70 sites in 1 country.
70 sites in 1 country
United States70 sites
Study site
Albuquerque, New Mexico
Study site
Altoona, Pennsylvania
Study site
Anaheim, California
Study site
Arlington Heights, Illinois
Study site
Atlanta, Georgia
Study site
Beachwood, Ohio
Study site
Bethesda, Maryland
Study site
Birmingham, Alabama
Study site
Blairsville, Georgia
Study site
Brockton, Massachusetts
Study site
Cary, North Carolina
Study site
Chicago, Illinois
Study site
Chula Vista, California
Study site
Cincinnati, Ohio
Study site
Clearwater, Florida
Study site
Colorado Springs, Colorado
Study site
Dallas, Texas
Study site
Danville, Indiana
Study site
Decatur, Georgia
Study site
Denver, Colorado
Study site
Detroit, Michigan
Study site
Evansville, Indiana
Study site
Gig Harbor, Washington
Study site
Hattiesburg, Mississippi
Study site
Hollywood, Florida
Study site
Hot Springs, Arkansas
Study site
Houston, Texas
Study site
Irvine, California
Study site
Jacksonville, Florida
Study site
Jenkintown, Pennsylvania
Study site
Johnson City, Tennessee
Study site
La Mesa, California
Study site
Lawrenceville, New Jersey
Study site
Little Rock, Arkansas
Study site
Longwood, Florida
Study site
Macon, Georgia
Study site
Marietta, Georgia
Study site
Mesa, Arizona
Study site
Mineola, New York
Study site
Mobile, Alabama
Study site
Moorestown, New Jersey
Study site
Mt. Pleasant, South Carolina
Study site
Newport Beach, California
Study site
Norfolk, Virginia
Study site
Northridge, California
Study site
Oakland, California
Study site
Oklahoma City, Oklahoma
Study site
Pembroke Pines, Florida
Study site
Philadelphia, Pennsylvania
Study site
Phoenix, Arizona
Study site
Raleigh, North Carolina
Study site
Redlands, California
Study site
Safety Harbor, Florida
Study site
Salt Lake City, Utah
Study site
San Antonio, Texas
Study site
Scottsdale, Arizona
Study site
Sellersville, Pennsylvania
Study site
Shawnee Mission, Kansas
Study site
Spring Valley, California
Study site
St Louis, Missouri
Study site
St. Petersburg, Florida
Study site
Tampa, Florida
Study site
Tempe, Arizona
Study site
Vero Beach, Florida
Study site
Virginia Beach, Virginia
Study site
Warwick, Rhode Island
Study site
West Palm Beach, Florida
Study site
Williamsville, New York
Study site
Winston-Salem, North Carolina
Study site
Winter Park, Florida
About this study
Official title: A Phase III, Randomized, Double-Blind, Placebo-Controlled, Outpatient, Safety and Efficacy Study of TAK-375 in Adults With Chronic Insomnia
The purpose of this study is to determine the safety and efficacy of Ramelteon, once daily (QD), in adult subjects with chronic insomnia.
Read the detailed description
Insomnia is characterized by difficulties initiating and maintaining sleep or complaints 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.
This study is designed to determine the safety and efficacy of 35-day treatment of chronic insomnia with Ramelteon, using subjective measures of sleep. Total subject participation time in this study is expected to be approximately 2 months.
- Conditions
- Chronic Insomnia
- Being tested
- Ramelteon, Placebo
- Keywords
- Sleep Disorder, Insomnia
- Medical subject headings
- Sleep Initiation and Maintenance Disorders, Sleep Wake Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RamelteonDrug
Also called Rozerem™, TAK-375
Ramelteon, 8 mg, tablets, orally, once daily for up to 5 weeks.
RamelteonDrug
Also called Rozerem™, TAK-375
Ramelteon, 16 mg, tablets, orally, once daily for up to 5 weeks.
PlaceboDrug
Ramelteon placebo-matching tablets, orally, once daily for up to 5 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Ramelteon 8 mg QD | Experimental | Not described Receives: Drug: Ramelteon |
| Ramelteon 16 mg QD | Experimental | Not described Receives: Drug: Ramelteon |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Subjective Sleep Latency per subject diary, from Nights 1 through 7 of double-blind treatment.
Measured: Weeks 1, 2, 3, 4, and 5 or Final Visit
Secondary outcomes (6)
Mean Subjective Sleep Latency per subject diary, over the week preceding the Day 15, Day 22, Day 29, and Day 36 Visits.
Measured: Weeks 2, 3, 4, and 5 or Final Visit
Subjective Total Sleep Time
Measured: Weeks 1, 2, 3, 4, and 5 or Final Visit
Subjective Number of Awakenings.
Measured: Weeks 1, 2, 3, 4, and 5 or Final Visit
Subjective Ease of Falling Back to Sleep after Awakening.
Measured: Weeks 1, 2, 3, 4, and 5 or Final Visit
Subjective Sleep Quality.
Measured: Weeks 1, 2, 3, 4, and 5 or Final Visit
Clinician's Clinical Global Impression
Measured: Weeks 1, 2, 3, 4, and 5 or Final Visit
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 May 2008 (estimated)
- Study startDec 2002
- Primary completionSep 2003
- Study completionSep 2003
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic InsomniaStudies of the same condition, open and under way.
- More trials run by TakedaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 848 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- VP, Clinical Science, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00671567
- Sponsor's protocol ID
- 01-02-TL-375-020
- Other IDs
- U1111-1114-3130
- Status last verified
- Nov 2012
- First submitted
- 1 May 2008
- Last updated
- 20 Nov 2012
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Nov 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Randomized, Double-Blind, Placebo-Controlled, Outpatient, Safety and Efficacy Study of TAK-375 in Adults With Chronic Insomnia
- ClinicalTrials.gov ID
- NCT00671567
- Acronym / sponsor ID
- 01-02-TL-375-020
- Conditions
- Chronic Insomnia
- Keywords
- Sleep Disorder, Insomnia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 848 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- Dec 2002
- Primary completion
- Sep 2003 (actual)
- Study completion
- Sep 2003 (actual)
- First posted
- 5 May 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine the safety and efficacy of Ramelteon, once daily (QD), in adult subjects with chronic insomnia.
Detailed description
Insomnia is characterized by difficulties initiating and maintaining sleep or complaints 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.
This study is designed to determine the safety and efficacy of 35-day treatment of chronic insomnia with Ramelteon, using subjective measures of sleep. Total subject participation time in this study is expected to be approximately 2 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Ramelteon 8 mg QD | Experimental | Drug: Ramelteon |
| Ramelteon 16 mg QD | Experimental | Drug: Ramelteon |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 to 64 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Females of childbearing potential who are sexually active must agree to use adequate contraception, and can neither be pregnant nor lactating from Screening throughout the duration of the study.
- Has had primary insomnia as defined by the Diagnostic and Statistical Manual of Mental Disorders, Text Revision and a history of daytime complaint(s) associated with disturbed sleep.
- Subjective sleep latency greater than or equal to 45 minutes and a subjective total sleep time less than or equal to 6.5 hours per night for at least 3 nights during the week of the lead-in period, based on subject diary.
- Habitual bedtime is between 8:30 PM and 12:00 AM.
- Body mass index between 18 and 34, inclusive.
Key exclusion criteria (35 listed)
- Known hypersensitivity to Ramelteon or related compounds, including melatonin.
- Previously participated in a study involving Ramelteon.
- Participated in any other investigational study, and/or taken any investigational drug within 30 days or five half-lives prior to the first day of single-blind study medication, whichever is longer.
- Sleep schedule changes required by employment (eg, shift worker) within three months prior to the first day of single-blind study medication, or has flown across greater than three time zones within seven days prior to screening.
- Participated in a weight loss program or has substantially altered their exercise routine within 30 days prior to the first day of single-blind study medication.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RamelteonAlso: Rozerem™, TAK-375Ramelteon, 8 mg, tablets, orally, once daily for up to 5 weeks. | Drug | Ramelteon 8 mg QD |
| RamelteonAlso: Rozerem™, TAK-375Ramelteon, 16 mg, tablets, orally, once daily for up to 5 weeks. | Drug | Ramelteon 16 mg QD |
| PlaceboRamelteon placebo-matching tablets, orally, once daily for up to 5 weeks. | Drug | Placebo |
Primary outcome
Mean Subjective Sleep Latency per subject diary, from Nights 1 through 7 of double-blind treatment.
Time frame: Weeks 1, 2, 3, 4, and 5 or Final Visit
6 secondary outcomes
Mean Subjective Sleep Latency per subject diary, over the week preceding the Day 15, Day 22, Day 29, and Day 36 Visits.
Time frame: Weeks 2, 3, 4, and 5 or Final Visit
Subjective Total Sleep Time
Time frame: Weeks 1, 2, 3, 4, and 5 or Final Visit
Subjective Number of Awakenings.
Time frame: Weeks 1, 2, 3, 4, and 5 or Final Visit
Subjective Ease of Falling Back to Sleep after Awakening.
Time frame: Weeks 1, 2, 3, 4, and 5 or Final Visit
Subjective Sleep Quality.
Time frame: Weeks 1, 2, 3, 4, and 5 or Final Visit
Clinician's Clinical Global Impression
Time frame: Weeks 1, 2, 3, 4, and 5 or Final Visit
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Nov 2012.
- Rozerem Package InsertLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
VP, Clinical Science study director
Takeda
70 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ramelteon in people with Chronic Insomnia, run by Takeda at 70 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 35 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Nov 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 70 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mean Subjective Sleep Latency per subject diary, from Nights 1 through 7 of double-blind treatment. (time frame: Weeks 1, 2, 3, 4, and 5 or Final Visit). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Nov 2012.