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 ]
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.