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InsomniaPhase 2NCT04035200

Safety, Tolerability and Efficacy Study of V117957 in Subjects With Insomnia Associated With Alcohol Cessation

A Phase 2 study testing V117957 tablets in people with Insomnia, run by Imbrium Therapeutics at 17 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the safety, tolerability and efficacy of V117957 in subjects with alcohol use disorder (AUD) who experience insomnia associated with alcohol cessation, compared to placebo. Read more about this study

Who is it for?
Ages 18 to 64 years
Conditions the study is for
Insomnia
What is being tested?
V117957 tablets
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
114 participants
Where
17 sitesUnited States
Study dates
23 Sep 2019to 6 Nov 2020
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Male or female, 18-64 years of age with a body weight of 50-100 kg (110-220 lbs) and a body mass index (BMI) of 18-32 kg/m2.
  • Otherwise healthy as determined by medical evaluation that includes: medical history, physical examination, neurological exam, laboratory tests, vital signs, and cardiac monitoring.
  • History of moderate or severe alcohol use disorder (AUD) categorized based on Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) criteria, as follows:
  • Moderate as defined by presence of 4-5 of the 11 criteria
  • Severe as defined by the presence of ≥ 6 of the 11 criteria.
  • At least 3 weeks and not more than 6 months since last alcoholic beverage intake at the time of study screening. Any subject who completed an alcohol detoxification program must be at least 7 days from completion of the program at the time of screening.
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  • Persistent insomnia that emerged or worsened during AUD period, or during or after alcohol cessation characterized by a study-specific sleep diary.
  • A female participant is eligible to participate if she is not pregnant and not breastfeeding. Both females of childbearing potential and nonsurgically sterilized males with a sexual partner of childbearing potential must be willing to use adequate and reliable contraception throughout the study.
  • Willing to refrain from a behavioral or other treatment program for insomnia during participation in the study.

Who cannot join

  • Current diagnosis of a sleep-related breathing disorder including obstructive sleep apnea (with or without continuous positive airway pressure (CPAP) treatment), periodic limb movement disorder, restless legs syndrome, circadian rhythm sleep disorder or narcolepsy.
  • An apnea-hypopnea index (AHI) score of >10 or a periodic limb movement arousal index (PLMAI) score of > 15 recorded during the screening period PSG.
  • Documented history of insomnia prior to onset of the alcohol use disorder (AUD), which did not worsen during the AUD period or during or after alcohol cessation.
  • Comorbid conditions which interfere with normal sleep pattern or the evaluation of next day residual effects.
  • Any lifetime history of suicidal ideation or behavior.
  • History of or any current conditions that might interfere with drug absorption, distribution, metabolism, or excretion (including any surgical interventions for weight loss).
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  • Any history of seizures (except related to alcohol withdrawal) or head trauma with sequelae.
  • Known history of testing positive for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C antibody (anti-HCV).
  • History of diagnosed, active liver disease or elevated liver enzymes/bilirubin.
  • History of kidney stones or renal insufficiency or abnormal kidney function at screening.
  • Uncontrolled hypertension (> 140 mm Hg systolic / 90 mm Hg diastolic).
  • Use of any medication that affects sleep and/or wake function during the week before starting the screening period.
  • Subjects currently undergoing treatment of other addictions in addition to alcohol.
  • Excessive caffeine consumption.
  • Positive urine drug screen for prohibited substances, except for cannabis on a case-by-case basis.
  • History of drug use disorder over the past year, other than alcohol/nicotine/caffeine/cannabis.
  • Plans to travel across more than 3 time zones in the 2 weeks before screening, or during study participation.
  • Night or rotating shift worker.
  • Any history and/or current evidence of other medical (eg, cardiac, respiratory, gastrointestinal, renal, malignancy other than basal cell carcinoma), neurological, or psychiatric conditions that, in the opinion of the investigator, could affect the subject's safety or interfere with the study.
  • Other protocol-specific inclusion/exclusion criteria may apply.

Trial locations and contacts

17 sites in 1 country.

17 sites in 1 country

United States17 sites
  • NeuroTrials Research Inc

    Atlanta, Georgia, 30328

  • SPRI Clinical Trials

    Brooklyn, New York, 11235

  • Investigational Site

    Chevy Chase, Maryland, 20815

  • CTI Clinical Research Center

    Cincinnati, Ohio, 45212

  • St. Francis Medical Institute

    Clearwater, Florida, 33765

  • Advanced Medical Trials

    Georgetown, Texas, 78628

  • Sleep Disorders Centers of the Mid Atlantic

    Glen Burnie, Maryland, 21061

  • California Clinical Trials Medical Group

    Glendale, California, 91206

  • Research Centers of America

    Hollywood, Florida, 33024

  • Wake Research - Clinical Research Center of Nevada, LLC

    Las Vegas, Nevada, 89104

  • Research Centers of America, LLC

    Miami, Florida, 33157

  • Innovative Clinical Research, Inc.

    Miami Lakes, Florida, 33016

  • Clinilabs Drug Development Corporation

    New York, New York, 10019

  • Artemis Institute for Clinical Research

    Riverside, California, 92503

  • Artemis Institute for Clinical Research

    San Diego, California, 92103

  • CITrials

    Santa Ana, California, 92705

  • SDS Clinical Trials, Inc.

    Santa Ana, California, 92705

Other trials in United States

About this study

Official title: A Phase 2, Randomized, Double-Blind, Multi-Center, Placebo-Controlled, Parallel-Group Study to Evaluate the Safety, Tolerability, and Efficacy of V117957 in Subjects With an Alcohol Use Disorder Who Are Experiencing Insomnia Associated With Alcohol Cessation

The purpose of this study is to evaluate the safety, tolerability and efficacy of V117957 in subjects with alcohol use disorder (AUD) who experience insomnia associated with alcohol cessation, compared to placebo.

Conditions
Insomnia
Being tested
V117957 tablets, Placebo
Medical subject headings
Sleep Initiation and Maintenance Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • V117957 tabletsDrug

    V117957 tablets taken orally at bedtime

  • PlaceboDrug

    Tablets to match V117957

Study groups in NCT04035200
Study groupRoleWhat they receive
V117957 1 mgExperimentalV117957 tablets taken orally at bedtime
Receives: Drug: V117957 tablets
V117957 2 mgExperimentalV117957 tablets taken orally at bedtime
Receives: Drug: V117957 tablets
PlaceboPlacebo comparatorPlacebo to match V117957 tablets taken orally at bedtime
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline of Wakefulness After Sleep Onset (WASO) Measured by Polysomnography (PSG)

    Wakefulness After Sleep Onset, as measured by PSG, was defined as wake time after persistent sleep (wake time during sleep plus wake time after sleep, expressed in minutes). Nights 1 / 2 is the average of the PSG measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the PSG measurements taken during nights 20 and 21 of study drug exposure.

    Measured: Baseline, Nights 1 / 2, Nights 20 / 21

Secondary outcomes (16)
  1. Change From Baseline in Mean Sleep Efficiency (SE)

    Sleep efficiency, as measured by PSG, is defined as Total Sleep Time (TST), divided by total recording time, multiplied by 100.

    Nights 1 / 2 is the average of the PSG measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the PSG measurements taken during nights 20 and 21 of study drug exposure.

    Measured: Baseline, Nights 1 / 2, Nights 20 / 21

  2. Change From Baseline in Mean Latency to Persistent Sleep (LPS)

    Latency to onset of persistent sleep (LPS), as measured by PSG, is defined as time from lights-off to the first of 20 consecutive periods of non-wake sleep stages. Latency to persistent sleep is reported in minutes.

    Nights 1 / 2 is the average of the PSG measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the PSG measurements taken during nights 20 and 21 of study drug exposure.

    Measured: Baseline, Nights 1 / 2, Nights 20 / 21

  3. Change From Baseline in Mean Total Sleep Time (TST)

    Total sleep time, as measured by PSG, is the duration of rapid eye movement (REM) plus NREM (stages N1 + N2 + N3) during time in bed.

    Nights 1 / 2 is the average of the PSG measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the PSG measurements taken during nights 20 and 21 of study drug exposure.

    Measured: Baseline, Nights 1 / 2, Nights 20 / 21

  4. Change From Baseline in Mean Number of Awakenings (NAW)

    Sleep component as measured by PSG. Number of awakenings is determined from persistent sleep to lights-on. An awakening is defined as a PSG recording of at least 2 consecutive wake periods.

    Nights 1 / 2 is the average of the PSG measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the PSG measurements taken during nights 20 and 21 of study drug exposure.

    Measured: Baseline, Nights 1 / 2, Nights 20 / 21

  5. Change From Baseline in Subjective Sleep Quality (sSleep)

    Self-reported sleep outcome measured by subject diary data. Scores have a range of 1 to 5, with 1 being equal to "Very Poor" and 5 being equal to "'Very Good."

    Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

    Measured: Baseline, Nights 1 / 2, Nights 20 / 21

  6. Change From Baseline in Subjective Total Sleep Time (sTST)

    Self-reported sleep outcome measured by subject diary data. Total sleep time is reported in minutes.

    Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

    Measured: Baseline, Nights 1 / 2, Nights 20 / 21

  7. Change From Baseline in Subjective Wakefulness After Sleep Onset (sWASO)

    Self-reported sleep outcome measured by subject diary data. WASO is defined as wake time after persistent sleep (wake time during sleep plus wake time after sleep, expressed in minutes).

    Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

    Measured: Baseline, Nights 1 / 2, Nights 20 / 21

  8. Change From Baseline in Subjective Sleep Onset Latency (sSOL)

    Self-reported sleep outcome measured by subject diary data. Sleep onset latency (SOL) is the time it takes to fall asleep after turning the lights out.

    Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

    Measured: Baseline, Nights 1 / 2, Nights 20 / 21

  9. Change From Baseline in Subjective Sleep Efficiency (sSE)

    Self-reported sleep outcome measured by subject diary data. Sleep efficiency (SE) is calculated by dividing the time asleep by the total time in bed multiplied by 100 (SE is reported as percent).

    Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

    Measured: Baseline, Nights 1 / 2, Nights 20 / 21

  10. Change From Baseline in Subjective Number of Awakenings (sNAW)

    Self-reported sleep outcome measured by subject diary data. The subject recorded the number of awakenings in the diary.

    Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

    Measured: Baseline, Nights 1 / 2, Nights 20 / 21

  11. Change From Baseline in Subjective Morning Sleepiness on Awakening

    Self-reported sleep outcome measured by subject diary data. Individual scores have a range of 1 to 5, with 1 being equal to "Not at All Rested" and 5 being equal to "Very Well Rested." Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

    Measured: Baseline, Nights 1 / 2, Nights 20 / 21

  12. Proportion of Responders to V117957 1 mg and 2 mg Compared to Placebo

    The proportion of responders is based on subjects meeting or exceeding WASO (wakefulness after sleep onset) 15 minute threshold as derived from polysomnography (PSG).

    Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

    Measured: Nights 1 / 2, Nights 20 / 21

  13. Occurrence of Rebound Insomnia During the Washout/Follow-up Period

    Rebound insomnia is defined as a worsening of sleep compared with pretreatment. The comparison is based on the Wakefulness After Sleep Onset (WASO) measured by PSG of the Washout/Follow-up Period versus Baseline. If the LS means for WASO for the Washout/Follow-up Period is lower than Baseline, then no rebound insomnia was suggested. Nights 22 / 23 is the average of the measurements taken during nights 22 and 23 (Washout Period).

    Measured: Baseline Compared to Washout/Follow-up Period (Nights 22 / 23)

  14. Next Day Residual Effects as Determined by Digit Symbol Substitution Test (DSST).

    The DSST explores attention and psychomotor speed by measuring total correct responses. The maximum score is 165. Higher scores represent better outcome/improvement.

    Measured: Baseline, Night 2, Night 21

  15. Next Day Residual Effects as Determined by Karolinska Sleepiness Scale (KSS)

    The KSS is a 9-point Likert scale (range: 1 = "extremely alert" to 9 = "very sleepy") that measures level of sleepiness.

    Measured: Baseline, Night 2 (9- and 10-hours postdose), Night 21 (9- and 10-hours postdose)

  16. Next Day Residual Effects as Determined by Profile of Mood States (POMS) - Brief

    The POMS-Brief contains 30 questions that assess mood states. Scores for each question range 0 = not at all to 4 = extremely. Total mood disturbance assessment is the total of the subject's subscales scores on anger/hostility, confusion/bewilderment, depression/dejection, fatigue/inertia, tension/anxiety, and vigor/activity. Total scores range from 0-120 and a higher total score indicates more mood disturbance.

    Measured: Baseline, Night 2, Night 21

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jul 2019
  2. Study start23 Sep 2019
  3. Primary completion6 Nov 2020
  4. Study completion6 Nov 2020

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
114 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04035200
Sponsor's protocol ID
OAG2002
Status last verified
Sep 2023
First submitted
25 Jul 2019
Last updated
18 Sep 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Whiteside GT, Kyle DJ, Kapil RP, Cipriano A, He E, Zhou M, Shet MS, Hummel M, Knappenberger T, Fukumura K, Matsuo Y, Uehira M, Hiroyama S, Takai N, Willsie SK, Harris SC. The nociceptin/orphanin FQ receptor partial agonist sunobinop promotes non-REM sleep in rodents and patients with insomnia. J Clin Invest. 2024 Jan 2;134(1):e171172. doi: 10.1172/JCI171172.

    PubMed 37883189

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing V117957 tablets in people with Insomnia, run by Imbrium Therapeutics at 17 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 9 inclusion and 20 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 18 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Sep 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Change From Baseline of Wakefulness After Sleep Onset (WASO) Measured by Polysomnography (PSG) (time frame: Baseline, Nights 1 / 2, Nights 20 / 21). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04035200, which also lists 1 linked publication.

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 18 Sep 2023.

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