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Study of Lunesta Versus Placebo for Sleep Problems Related to Smoking Cessation and Zyban
This study has been terminated.
( Study has been terminated due low recruitment of participant population. )
First Received: August 1, 2007   Last Updated: January 19, 2009   History of Changes
Sponsors and Collaborators: Yale University
Sepracor, Inc.
Information provided by: Yale University
ClinicalTrials.gov Identifier: NCT00511134
  Purpose

Objectives:

The primary objective of this study is to determine the efficacy of eszopiclone at treating sleep problems related to withdrawal from nicotine in healthy smokers attempting smoking cessation.

Sleep disturbances are a significant problem for smokers who are trying to quit smoking. Smokers may be more likely to have sleep problems and both nicotine withdrawal and agents used to aid smoking cessation (e.g., pharmacotherapies) may disrupt sleep. Lunesta (eszopiclone) is a medication that has been approved by the FDA to treat insomnia. Eszopiclone's efficacy for treating insomnia makes it a promising agent for treating nicotine withdrawal-related symptoms of sleep disturbance.

This study will be 7 weeks duration. All participants will begin taking Zyban at the beginning of week 1 and will be asked to try to quit smoking at the beginning of week 2. Participants will also begin to take Lunesta or matched placebo (3 mg qd x 6 weeks) on the target quit date at the beginning of week 2. All subjects will receive eight (8) weekly sessions of brief individual supportive smoking cessation counseling.

Hypothesis:

It is hypothesized that significantly fewer sleep problems will be reported by participants taking Lunesta as compared to placebo. Specifically, it is expected that participants taking Lunesta will report less difficulty falling and staying sleep, higher sleep quality, and less insomnia-related fatigue and distress than participants taking placebo.


Condition Intervention Phase
Insomnia
Nicotine Dependence
Drug: Lunesta (Eszopiclone)
Drug: Zyban (bupropion)
Phase IV

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Efficacy Study
Official Title: A Placebo-Controlled, Randomized Trial of Eszopiclone for the Treatment of Bupropion- and Abstinence-Related Insomnia During Smoking Cessation

Resource links provided by NLM:


Further study details as provided by Yale University:

Primary Outcome Measures:
  • Level of insomnia as measured by the Insomnia Severity Index [ Time Frame: 6 weeks after target smoking quit date ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Smoking abstinence as measured by self reported smoking [ Time Frame: 6 weeks after target smoking quite date ] [ Designated as safety issue: No ]
  • Smoking abstinence as measured by expired breath carbon monoxide (CO) level [ Time Frame: 6 weeks after target smoking quit date ] [ Designated as safety issue: No ]

Enrollment: 4
Study Start Date: April 2007
Study Completion Date: December 2008
Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Zyban + Lunesta
Drug: Lunesta (Eszopiclone)
3 mg capsule taken by mouth once a day immediately prior to bedtime
Drug: Zyban (bupropion)
150 mg capsules taken by mouth twice per day (300 mg total taken daily)
2: Placebo Comparator
Zyban + placebo
Drug: Zyban (bupropion)
150 mg capsules taken by mouth twice per day (300 mg total taken daily)

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Are between ages 18-65 years old.
  • Meet DSM-IV criteria for nicotine dependence.
  • Smoke at least 15 cigarettes (3/4 pack) daily (averaged over 1 week, in the past 1 month) and have an expired breath CO level > 10.
  • At the time of initial evaluation, are motivated to quit smoking in the next 30 days.
  • Receive a score of ≥ 10 on the Insomnia Severity Index (ISI)
  • Have the capacity to give informed consent, and are English-speaking.

Exclusion Criteria:

  • Are taking an over-the-counter or prescription medications that are known to affect sleep.
  • Are taking medications contraindicated for use with eszopiclone or bupropion including: Ketoconazole, Itraconazole, Clarithromycin, Erythromycin, Nefazodone, Troleandomycin, Ritonavir, Nelfinavir, Trazodone, and Methadone.
  • Are using any over-the-counter analgesics that contain caffeine.
  • Have serious medical disorders that may make participation in the trial unsafe.
  • Are physiologically dependent on and/or abusing alcohol or other drugs of abuse (e.g., cocaine, opiates, benzodiazepines, etc.) in the past 6 months prior to randomization into the trial.
  • Consume greater than 1 alcoholic beverage per day or greater than 7 alcoholic drinks per week.
  • Meet DSM-IV criteria for a current diagnosis of major depressive disorder, panic disorder or post-traumatic stress disorder, or a current or past history bipolar disorder, schizophrenia, or anorexia or bulimia nervosa. Have a past history of major depression, with historical evidence of suicidal or homicidal behavior, or psychotic symptoms.
  • Have the presence of suicidal or homicidal ideation, or significant impairment of social or occupational functioning, either at study baseline during the evaluation process, or during participation in the trial.
  • Are from the same household as another study participant.
  • A history of seizures of any etiology.
  • A history of hypersensitivity to bupropion or Lunesta (eszopiclone).
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00511134

Locations
United States, Connecticut
Connecticut Mental Health Center
New Haven, Connecticut, United States, 06519
Sponsors and Collaborators
Yale University
Sepracor, Inc.
Investigators
Principal Investigator: Andrea H. Weinberger, Ph.D. Yale University
  More Information

No publications provided

Responsible Party: Yale University School of Medicine ( Andrea Weinberger, Ph.D. )
Study ID Numbers: 0609001866, ESRC099
Study First Received: August 1, 2007
Last Updated: January 19, 2009
ClinicalTrials.gov Identifier: NCT00511134     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by Yale University:
insomnia
nicotine dependence
smoking
smoking cessation
zyban

Study placed in the following topic categories:
Dopamine Uptake Inhibitors
Sleep Initiation and Maintenance Disorders
Nicotine polacrilex
Neurotransmitter Agents
Tobacco Use Disorder
Psychotropic Drugs
Sleep Disorders
Dyssomnias
Disorders of Environmental Origin
Sleep Disorders, Intrinsic
Smoking
Dopamine
Mental Disorders
Nicotine
Bupropion
Substance-Related Disorders
Dopamine Agents
Antidepressive Agents, Second-Generation
Antidepressive Agents

Additional relevant MeSH terms:
Dopamine Uptake Inhibitors
Sleep Initiation and Maintenance Disorders
Neurotransmitter Uptake Inhibitors
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Tobacco Use Disorder
Physiological Effects of Drugs
Nervous System Diseases
Psychotropic Drugs
Disorders of Environmental Origin
Dyssomnias
Sleep Disorders
Pharmacologic Actions
Sleep Disorders, Intrinsic
Mental Disorders
Therapeutic Uses
Bupropion
Substance-Related Disorders
Dopamine Agents
Antidepressive Agents, Second-Generation
Central Nervous System Agents
Antidepressive Agents

ClinicalTrials.gov processed this record on July 02, 2009