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A Study of Eszopiclone in Subjects With Insomnia Related to Major Depressive Disorder
This study has been completed.
First Received: August 23, 2006   Last Updated: October 9, 2008   History of Changes
Sponsor: Sepracor, Inc.
Information provided by: Sepracor, Inc.
ClinicalTrials.gov Identifier: NCT00368030
  Purpose

The purpose of this study is to evaluate subjective sleep efficacy in subjects with insomnia related to major depressive disorder.


Condition Intervention Phase
Insomnia
Depressive Disorder, Major
Drug: Eszopiclone
Other: Placebo
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Depression Response to Eszopiclone in Adults With Major Depressive Disorder (DREAMDD): A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, 8-Week, Safety & Efficacy Study of Eszopiclone 3 mg Compared to Placebo in Subjects With Insomnia Related to MDD Acronym: DREAMDD

Resource links provided by NLM:


Further study details as provided by Sepracor, Inc.:

Primary Outcome Measures:
  • Mean subjective wake time after sleep onset (WASO) [ Time Frame: 1 week ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Time to onset of 30% antidepressant response using the HAM-D-6 (Bech) [ Designated as safety issue: No ]
  • Mean WASO [ Time Frame: Weeks 2, 3, 4, 6 and 8 ] [ Designated as safety issue: No ]
  • Mean subjective total sleep time (TST) [ Time Frame: Weeks 1, 2, 3, 4, 6, and 8 ] [ Designated as safety issue: No ]
  • Mean subjective sleep latency (SL) [ Time Frame: Weeks 1, 2, 3, 4, 6, and 8 ] [ Designated as safety issue: No ]
  • Mean number of awakenings [ Time Frame: Weeks 1, 2, 3, 4, 6, and 8 ] [ Designated as safety issue: No ]
  • Quality and depth of sleep [ Time Frame: Weeks 1, 2, 3, 4, 6 and 8 ] [ Designated as safety issue: No ]
  • Daytime alertness [ Time Frame: Weeks 1, 2, 3, 4, 6 and 8 ] [ Designated as safety issue: No ]
  • Ability to concentrate [ Time Frame: Weeks 1, 2, 3, 4, 6 and 8 ] [ Designated as safety issue: No ]
  • Physical well-being [ Time Frame: Weeks 1, 2, 3, 4, 6 and 8 ] [ Designated as safety issue: No ]
  • Ability to function [ Time Frame: Weeks 1, 2, 3, 4, 6, and 8 ] [ Designated as safety issue: No ]
  • average rebound and withdrawal effects will be analyzed for each of the subjective sleep endpoints [ Time Frame: Weeks 1, 2, 3, 4, 6, and 8 ] [ Designated as safety issue: No ]
  • Time to onset of 50% antidepressant response using the HAM-D-6 (Bech) [ Time Frame: Weeks 1, 2, 3, 4, 6, and 8 ] [ Designated as safety issue: No ]
  • Time to onset of 50% and 30% antidepressant responses using the HAM-D-6 (Maier) [ Time Frame: Weeks 1, 2, 3, 4, 6, and 8 ] [ Designated as safety issue: No ]
  • Change in the HAM-D-6 (Bech) and HAM-D-6 (Maier) from baseline to each visit [ Time Frame: Weeks 1, 2, 3, 4, 6, and 8 ] [ Designated as safety issue: No ]
  • Change in the HAM-D-17 from baseline [ Time Frame: Weeks 4 and 8 ] [ Designated as safety issue: No ]
  • Symptom Questionnaire (SQ) Score (Depression Subscale) [ Time Frame: Weeks 1, 2, 3, 4, 6, and 8 ] [ Designated as safety issue: No ]
  • Daily Telephone Assessment (DTA) Score [ Time Frame: Weeks 1, 2, 3, 4, 6, and 8 ] [ Designated as safety issue: No ]
  • Change in HAM-D-6 (Bech), HAM-D-6 (Maier), HAM-D-17, SQ, and DTA during the wash-out phase until end of study [ Time Frame: Weeks 8 and 10 ] [ Designated as safety issue: No ]
  • SF-36 Score [ Time Frame: Weeks 4, 8, and 10 ] [ Designated as safety issue: No ]
  • Work Limitations Questionnaire (WLQ) Score [ Time Frame: Weeks 2, 4, 8, and 10 ] [ Designated as safety issue: No ]
  • Epworth Sleepiness Scale (ESS) [ Time Frame: Weeks 1, 2, 3, 4, 6, 8, and 10 ] [ Designated as safety issue: No ]
  • Insomnia Severity Index (ISI) score [ Time Frame: Weeks 2, 4, 8, and 10 ] [ Designated as safety issue: No ]
  • Clinical Global Impression [ Time Frame: Weeks 1, 2, 3, 4, 6, 8, and 10 ] [ Designated as safety issue: No ]
  • Safety will be assessed by physical examinations, a standard 12-lead ECG, vital signs, clinical laboratory assessments and AE reporting [ Time Frame: Weeks 1 through 10 ] [ Designated as safety issue: No ]

Enrollment: 545
Study Start Date: January 2004
Study Completion Date: October 2004
Primary Completion Date: October 2004 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Experimental
Eszopiclone 3 mg QD
Drug: Eszopiclone
Eszopiclone 3 mg QD
B: Placebo Comparator
Placebo tablet
Other: Placebo
Placebo tablet

Detailed Description:

This study is a double-blind, randomized, placebo-controlled, parallel group study. The study consists of two groups of subjects with major depression treated for ten weeks with a common antidepressant regimen, 20-40 mg of fluoxetine hydrochloride per day; and randomized to receive (in addition) either eszopiclone 3 mg or placebo for eight weeks.

  Eligibility

Ages Eligible for Study:   21 Years to 64 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Subject must understand the purpose of the study and be willing to adhere to the study schedule and procedures described in this protocol.
  • Subject must be 21 to 64 years of age (inclusive) on the day of signing consent.
  • Subject must meet criteria for a primary and principal diagnosis of Major Depressive Disorder.
  • Subject's current depressive episode is at least 2 weeks but not longer than 6 months in duration.
  • Subject must meet criteria for insomnia related to MDD and the symptoms of insomnia must not pre-date the symptoms of MDD by more than 10 weeks.
  • Subject must report a sleep onset time of > 30 minutes, and wake time after sleep onset of > 45 minutes, and < 6.5 hours of total sleep time at least three times a week over the previous month.
  • Subject must take the Hamilton-D-17 scale and have a protocol pre-specified minimum score.
  • Subject must have no known clinically significant abnormal laboratory, ECG, or physical examination findings at screening.
  • Subject must meet one of the following conditions:
  • Subject is not taking antidepressant medications at the time of study start.
  • Subject is taking a sub-therapeutic dose of antidepressant or other disallowed psychotropic medication and with the approval of the investigator agrees to taper off of this medication, prior to completion of screening assessments at study start.

Exclusion Criteria:

  • Female subject is pregnant, lactating or within 6 months post partum.
  • Subject has known sensitivity to any selective SSRI, zopiclone, or eszopiclone.
  • Subject has history of major depressive disorder that was refractory to treatment with SSRIs.
  • Subject has a current primary psychiatric diagnosis of any of the following disorders: dementia, delirium, schizophrenia, psychosis, other psychotic disorders, dysthymic disorder; bipolar disorders; cyclothymic disorder, other mood disorders, nocturnal panic disorder, primary anxiety disorders, primary panic disorders or any other psychiatric disorder that would compromise the investigator's ability to evaluate the safety and efficacy of the study medication.
  • Note: Subjects with Sexual and Gender Identity Disorders or other non-psychotic disorders will be considered on a case-by-case basis. Subjects with MDD and a secondary diagnosis of generalized anxiety disorder, panic disorders other than nocturnal panic disorder or seasonal affective disorder will be allowed.
  • Subject has any of the following Personality Disorders diagnoses: schizotypal, schizoid, borderline personality disorder; mental retardation or any other personality disorder that would compromise the investigator's ability to evaluate the safety and efficacy of the study medication.
  • Subject has difficulties in sleep initiation or maintenance associated with known medical diagnosis [e.g. sleep apnea, restless leg syndrome (RLS), or periodic leg movement syndrome (PLMS)], or has any condition that has or may affect sleep [(e.g., chronic pain, benign prostatic hypertrophy (BPH)].
  • Subject has any clinically significant unstable medical or neurologic abnormality, unstable chronic disease, or a history of a clinically significant abnormality of the cardiovascular, respiratory, hepatic, or renal systems.
  • Subject has a disorder or history of a condition (e.g., malabsorption, gastrointestinal surgery) that may interfere with drug absorption, distribution, metabolism, or excretion.
  • Subject has a history of malignancy within 5 years, or current malignancy, except for non-melanoma skin cancer.
  • Subject has a history of drug or alcohol abuse or dependence in the past 6 months or positive urine drug and alcohol test at screening.
  • Subject is participating in, has participated in, or plans to participate in any investigational drug study within 30 days prior to screening until the end of this study.
  • Subject has history of circadian rhythm disorder, or travels across >3 time zones on a regular basis.
  • Subject is known to be seropositive for Human Immunodeficiency Virus (HIV).
  • Subject has used any drugs known or suspected to affect hepatic or renal clearance capacity within a period of 30 days prior to screening.
  • Subject is unwilling to refrain from drinking alcoholic beverages during study participation.
  • Subject is a rotating or third/night shift worker.
  • Subject is a staff member or relative of a staff member.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00368030

  Hide Study Locations
Locations
United States, Alabama
Birmingham, Alabama, United States
United States, Arizona
Tucson, Arizona, United States
Peoria, Arizona, United States
United States, Arkansas
Fayetteville, Arkansas, United States
United States, California
Irvine, California, United States
Garden Grove, California, United States
Northridge, California, United States
San Diego, California, United States
Riverside, California, United States
United States, Colorado
Wheat Ridge, Colorado, United States
United States, Connecticut
New Britian, Connecticut, United States
United States, Florida
St. Petersburg, Florida, United States
North Miami, Florida, United States
Miami Beach, Florida, United States
Miami, Florida, United States
Jacksonville, Florida, United States
United States, Georgia
Atlanta, Georgia, United States
Smyrna, Georgia, United States
Decatur, Georgia, United States
Augusta, Georgia, United States
United States, Idaho
Boise, Idaho, United States
United States, Kansas
Overland Park, Kansas, United States
United States, Maryland
Rockville, Maryland, United States
United States, Massachusetts
Cambridge, Massachusetts, United States
Brighton, Massachusetts, United States
Watertown, Massachusetts, United States
Braintree, Massachusetts, United States
Boston, Massachusetts, United States
Brockton, Massachusetts, United States
United States, Michigan
Farmington Hills, Michigan, United States
United States, Missouri
St Louis, Missouri, United States
United States, Nebraska
Omaha, Nebraska, United States
United States, New Jersey
Clementon, New Jersey, United States
Morestown, New Jersey, United States
United States, New York
Bronx, New York, United States
Lawerence, New York, United States
New York, New York, United States
United States, North Carolina
Durham, North Carolina, United States
Winston-Salem, North Carolina, United States
United States, North Dakota
Bismarck, North Dakota, United States
United States, Ohio
Beachwood, Ohio, United States
Dayton, Ohio, United States
Cincinatti, Ohio, United States
United States, Oklahoma
Oklahoma City, Oklahoma, United States
United States, Oregon
Eugene, Oregon, United States
Salem, Oregon, United States
Portland, Oregon, United States
Springfield, Oregon, United States
United States, Pennsylvania
Philadelphia, Pennsylvania, United States
Emmaus, Pennsylvania, United States
Scotland, Pennsylvania, United States
Conshohocken, Pennsylvania, United States
United States, South Carolina
Anderson, South Carolina, United States
United States, Tennessee
Memphis, Tennessee, United States
Selmer, Tennessee, United States
Madison, Tennessee, United States
United States, Texas
San Antonio, Texas, United States
Austin, Texas, United States
Wichita Falls, Texas, United States
United States, Utah
Salt Lake City, Utah, United States
United States, Virginia
Richmond, Virginia, United States
United States, Washington
Spokane, Washington, United States
Lakewood, Washington, United States
Seatle, Washington, United States
United States, Wisconsin
Madison, Wisconsin, United States
Sponsors and Collaborators
Sepracor, Inc.
  More Information

No publications provided

Responsible Party: Sepracor Inc ( Eszopiclone Medical Director )
Study ID Numbers: 190-052
Study First Received: August 23, 2006
Last Updated: October 9, 2008
ClinicalTrials.gov Identifier: NCT00368030     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Sepracor, Inc.:
Insomnia related to major depressive disorder.

Additional relevant MeSH terms:
Sleep Initiation and Maintenance Disorders
Depression
Disease
Nervous System Diseases
Dyssomnias
Sleep Disorders
Depressive Disorder, Major
Depressive Disorder
Behavioral Symptoms
Sleep Disorders, Intrinsic
Pathologic Processes
Mental Disorders
Mood Disorders

ClinicalTrials.gov processed this record on November 25, 2009