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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00608985
Registration number
NCT00608985
Ethics application status
Date submitted
11/01/2008
Date registered
6/02/2008
Date last updated
14/03/2016
Titles & IDs
Public title
Almorexant (ACT 078573) in Adult Subjects With Chronic Primary Insomnia
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Scientific title
Multi-center, Double-blind, Randomized, Placebo-controlled, Active Reference, Parallel-group Polysomnography Study to Assess the Efficacy and Safety of a 16-day Oral Administration of ACT-078573 in Adult Subjects With Chronic Primary Insomnia
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Secondary ID [1]
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AC-057A301
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Universal Trial Number (UTN)
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Trial acronym
RESTORA 1
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Primary Insomnia
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Condition category
Condition code
Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - almorexant
Treatment: Drugs - almorexant
Treatment: Drugs - Placebo
Treatment: Drugs - zolpidem
Experimental: 1 - almorexant 200 mg
Experimental: 2 - almorexant 100 mg
Placebo comparator: 3 - Placebo
Active comparator: 4 - zolpidem 10 mg
Treatment: Drugs: almorexant
2 100 mg almorexant tablets and 1 placebo matching over-encapsulated zolpidem
Treatment: Drugs: almorexant
1 100 mg almorexant tablet, 1 placebo matching almorexant tablet, and 1 placebo matching over-encapsulated zolpidem
Treatment: Drugs: Placebo
2 placebo matching almorexant tablets and 1 placebo matching over-encapsulated zolpidem
Treatment: Drugs: zolpidem
2 placebo matching almorexant tablets and 1 zolpidem 10 mg over-encapsulated
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change From Baseline to Day 1&2 in Wake After Sleep Onset (WASO)
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Assessment method [1]
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WASO was defined as the time spent in epochs scored as wake after onset of persistent sleep as determined by polysomnography (PSG) until lights on.
For WASO assessed at the study center, the mean of the 2 PSG nights at each of Visits 3 and 4 was used for Day 1\&2 and Day 15\&16
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Timepoint [1]
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From baseline to Day 1&2
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Primary outcome [2]
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Change From Baseline to Day 15&16 in WASO
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Assessment method [2]
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WASO was defined as the time spent in epochs scored as wake after onset of persistent sleep as determined by polysomnography (PSG) until lights on.
For WASO assessed at the study center, the mean of the 2 PSG nights at each of Visits 3 and 4 was used for Day 1\&2 and Day 15\&16
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Timepoint [2]
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From baseline to Day 15&16
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Primary outcome [3]
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Change From Baseline to Week 1&2 in the Self-reported WASO (sWASO)
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Assessment method [3]
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sWASO was the self-reported time spent awake after sleep onset as reported in the sleep diary. For sWASO assessed at home, the mean of all available data collected between Visits 3 and 4 (i.e., after the second morning of Visit 3 and before the first evening of Visit 4) was used for Week 1\&2
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Timepoint [3]
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Secondary outcome [1]
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Change From Baseline to Day 1&2 in Latency to Persistent Sleep (LPS)
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Assessment method [1]
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LPS was defined as the time from the start of the PSG recording to the beginning of the first continuous 20 epochs (i.e., 10 minutes) scored as non-wake (i.e., either sleep stage 1 (S1), sleep stage 2 (S2), slow-wave sleep (SWS), or rapid eye movement sleep(REM)) as determined by PSG
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Timepoint [1]
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From baseline to Day 1&2
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Secondary outcome [2]
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Change From Baseline to Day 15&16 in LPS
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Assessment method [2]
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LPS was defined as the time from the start of the PSG recording to the beginning of the first continuous 20 epochs (i.e., 10 minutes) scored as non-wake (i.e., either sleep stage 1 (S1), sleep stage 2 (S2), slow-wave sleep (SWS), or rapid eye movement sleep(REM)) as determined by PSG
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Timepoint [2]
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From baseline to Day 15&16
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Secondary outcome [3]
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Change From Baseline to Week 1&2 in Subjective Latency to Sleep Onset (sLSO)
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Assessment method [3]
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sLSO was the self-reported time to fall asleep as reported in the sleep diary
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Timepoint [3]
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From baseline to Week 1&2
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Eligibility
Key inclusion criteria
* Adult subjects (18-64 years) with a diagnosis of primary insomnia.
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Minimum age
18
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Maximum age
64
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* History of any sleep disorder, or any Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) axis I disorder other than primary insomnia.
* Sleep apnea, or restless legs syndrome.
* Daytime napping of more than 1 hour per day.
* Important caffeine consumption, heavy tobacco use, alcohol or drug abuse within 2 years prior to the screening visit.
* Unwillingness to refrain from drugs, over-the-counter or herbal medication having an effect on sleep or behavior.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/03/2008
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/11/2009
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Sample size
Target
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Accrual to date
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Final
709
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Recruitment in Australia
Recruitment state(s)
SA,VIC
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Recruitment hospital [1]
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Sleep Disorders Laboratory, Royal Adelaide Hospital - Adelaide
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Recruitment hospital [2]
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Monash Adult Sleep Center, Monash Medical Centre - Clayton
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Recruitment hospital [3]
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Western Hospitpal, Private Bag - Footscray
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Recruitment hospital [4]
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Institute for Breathing and Sleep (IBAS) - Heidelburg
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Recruitment hospital [5]
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The Woolcock Institute of Medical Research - Glebe
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Recruitment hospital [6]
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Australian Clinical Research Organisation - Kippa Ring
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Recruitment hospital [7]
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Melbourne Sleep Disorder Centre - Melbourne
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Recruitment hospital [8]
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Burnside Hospital Clinical Trials Centre - Toorak Gardens
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Recruitment hospital [9]
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Westmead Hospital, Department of Respiratory - Westmead
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Recruitment postcode(s) [1]
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5000 - Adelaide
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Recruitment postcode(s) [2]
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3168 - Clayton
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Recruitment postcode(s) [3]
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3011 - Footscray
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Recruitment postcode(s) [4]
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3084 - Heidelburg
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Recruitment postcode(s) [5]
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2050 - Glebe
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Recruitment postcode(s) [6]
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4021 - Kippa Ring
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Recruitment postcode(s) [7]
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- Melbourne
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Recruitment postcode(s) [8]
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5065 - Toorak Gardens
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Recruitment postcode(s) [9]
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2145 - Westmead
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Recruitment outside Australia
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Austria
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Innsbruck
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Austria
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Vienna
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Belgium
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Brussels
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Belgium
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Haine Saint Paul
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Belgium
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Montigny le Tilleuil
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Sofia
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Bulgaria
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Varna
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Ceske Budejovice
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Katerinska
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Prague
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Edinburgh
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United Kingdom
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Midnight Pharma, LLC
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
A polysomnography study to evaluate the effect, safety and tolerability of oral administration of almorexant (ACT 078573) in adult subjects with primary insomnia.
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Trial website
https://clinicaltrials.gov/study/NCT00608985
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Trial related presentations / publications
Black J, Pillar G, Hedner J, Polo O, Berkani O, Mangialaio S, Hmissi A, Zammit G, Hajak G. Efficacy and safety of almorexant in adult chronic insomnia: a randomized placebo-controlled trial with an active reference. Sleep Med. 2017 Aug;36:86-94. doi: 10.1016/j.sleep.2017.05.009. Epub 2017 May 29.
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Public notes
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Contacts
Principal investigator
Name
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Raymond Cluydts, Dr.
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Address
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Cognitive and Biological Psychology, University of Brussels
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT00608985
Download to PDF