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| Sponsor: | Takeda Global Research & Development Center, Inc. |
|---|---|
| Information provided by: | Takeda Global Research & Development Center, Inc. |
| ClinicalTrials.gov Identifier: | NCT00492011 |
Purpose
The purpose of this study to determine the degree to which ramelteon can reduce the insomnia symptoms associated with rapid, eastward travel across 5 time zones.
| Condition | Intervention | Phase |
|---|---|---|
|
Circadian Dysregulation |
Drug: Ramelteon Drug: Placebo |
Phase IV |
| Study Type: | Interventional |
| Study Design: | Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study |
| Official Title: | A Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Ability of Ramelteon 1 mg, 4 mg, and 8 mg to Alleviate the Insomnia Symptoms Associated With Eastward Bound Jet Lag Across 5 Time Zones in Healthy Adult Volunteers |
| Enrollment: | 110 |
| Study Start Date: | February 2007 |
| Study Completion Date: | August 2007 |
| Primary Completion Date: | August 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| 1: Experimental |
Drug: Ramelteon
Ramelteon 1 mg, tablets, orally, once nightly for 4 nights.
|
| 2: Experimental |
Drug: Ramelteon
Ramelteon 4 mg, tablets, orally, once nightly for 4 nights.
|
| 3: Experimental |
Drug: Ramelteon
Ramelteon 8 mg, tablets, orally, once nightly for 4 nights.
|
| 4: Placebo Comparator |
Drug: Placebo
Ramelteon placebo-matching tablets, orally, once nightly for 4 nights.
|
Circadian dysrhythmia, or jet lag, is defined as multiple biologic and psychologic stresses created by rapid travel across multiple time zones. As more people are transported by jet aircraft, the issue of jet lag becomes more important. What was an inconvenience during travel for leisure is now a physiologic consequence for the travelers and crew.
Jet lag is composed of a variety of unpleasant symptoms that vary with the number of time zones crossed, the individual, and even the direction flown (east versus west). The most typical symptoms include daytime sleepiness, fatigue, impaired alertness, and trouble initiating and maintaining sleep. Other symptoms of circadian dysrhythmia are insomnia, gastrointestinal complaints, apathy, weakness, irritability, malaise, and loss of appetite. Travel across time zones also has been associated with diabetic ketoacidosis, depression, and impaired cognitive performance in individuals at risk. Decreased sport performance has been noted in several studies.
In addition to environmental and social cues, physical factors, such as age, hydration status, and illness, could adversely affect the ability to entrain (adjust) quickly. The stressors of flight, noise, vibration, decreased humidity, barometric pressure changes, and decreased partial pressure of oxygen all contribute to crew and travelers health at the destination.
Being out of synchronicity with the environment causes jet lag symptoms. Travel through time zones places the body in a situation when it must sleep when not tired and awaken when the internal cues are initiating sleep. The brain's internal clock is the suprachiasmatic nucleus within the hypothalamus the body is in a constant state of circadian adjustment to remain entrained to a given time zone. In addition to the subjective feeling of well being are measurable changes associated with daily patterns. For example, core body temperature changes throughout the day and decreases before falling asleep. Melatonin levels increase in the evening and night and recede during the day.
Ramelteon is a melatonin receptor 1 and melatonin receptor 2 agonist currently marketed in the US for the treatment of insomnia characterized by difficulty with sleep onset. Study participation is anticipated to be about 2 weeks.
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria
Exclusion Criteria
Any additional condition(s) that in the Investigator's opinion would:
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:
Contacts and Locations| United States, Florida | |
| Miami, Florida, United States | |
| Pembroke Pines, Florida, United States | |
| United States, Hawaii | |
| Honolulu, Hawaii, United States | |
| United States, New York | |
| New York, New York, United States | |
| Study Director: | Medical Director Clinical Science | Takeda Global Research & Development Center, Inc. |
More Information
| Responsible Party: | Takeda Global Research & Development Center, Inc. ( Sr. VP, Clinical Science ) |
| Study ID Numbers: | 01-04-TL-375-045 |
| Study First Received: | June 25, 2007 |
| Last Updated: | January 23, 2009 |
| ClinicalTrials.gov Identifier: | NCT00492011 History of Changes |
| Health Authority: | United States: Food and Drug Administration |
|
Circadian Rhythm Disorders Biological Clock Disturbances Jet Lag Syndrome Time Zone Change Syndrome Drug Therapy |
|
Nervous System Diseases Chronobiology Disorders |