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Ambien CR vs. Placebo For Treatment Of Insomnia Associated With Anxiety When Used Concomitantly With Escitalopram (Lexapro)

This study has been completed.
Information provided by:
Sanofi Identifier:
First received: February 23, 2006
Last updated: October 11, 2007
Last verified: October 2007
A comparison of Zolpidem Tartrate Extended-Release (Ambien CR)vs. Placebo in the Treatment of Insomnia Associated with Generalized Anxiety Disorder (GAD) when Used Concomitantly with Escitalopram (Lexapro - antidepressant).

Condition Intervention Phase
Insomnia Drug: zolpidem tartrate Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double
Primary Purpose: Treatment

Resource links provided by NLM:

Further study details as provided by Sanofi:

Primary Outcome Measures:
  • Evaluate safety and hypnotic efficacy of zolpidem tartrate extended release vs. placebo in treatment of insomnia associated with Generalized Anxiety Disorder when used concomitantly with escitalopram

Secondary Outcome Measures:
  • To show that treating insomnia from beginning of SSRI (Selective Serotonin Reuptake Inhibitor) treatment for anxiety results in improvement in quality of life and possibly greater response to anti-anxiety therapy

Estimated Enrollment: 372
Study Start Date: February 2006
Estimated Study Completion Date: February 2007

Ages Eligible for Study:   21 Years to 64 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No


  1. Male or female between the ages of 21and 64 years, inclusive;
  2. Women must use a medically acceptable form of contraception during the entire study period, or: be surgically sterilized, post-menopausal, agree to use double-barrier contraception throughout the study period, or must have a negative urine pregnancy test prior to randomization;
  3. Must meet the diagnostic requirements of Generalized Anxiety Disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders;
  4. Score at least 18 on the Hamilton Rating Scale for Anxiety (HAM-A)
  5. Must be either newly diagnosed or show symptoms of relapse during a period of no drug therapy for anxiety.
  6. Subject must experience sleep disturbances at least three nights per week, for at least one month prior to study entry, based on historical data.
  7. Subject must be stabilized on all long-term medication therapy for at least one month prior to study entry.


  1. History of Post-Traumatic Stress Disorder;
  2. Concomitant Major Depressive Disorder or Bipolar Disorder;
  3. Any abnormal pre-study laboratory values that require clinical intervention
  4. Shift work or requirement for a regular change in sleep schedule by at least six hours within the previous month.
  5. Pregnant or breastfeeding
  6. History of drug addiction, alcoholism, or drug abuse
  7. Currently using a benzodiazepine or SSRI or more than 2 days of use within the 28 days preceding randomization.
  8. A positive urine drug screen for compounds that would interfere with the assessment of a hypnotic.
  9. Use of prescription and non-prescription sedative drugs;
  10. Prior failure to respond to escitalopram therapy for anxiety
  11. The presence of any untreated or uncompensated clinically significant renal, endocrine, gastrointestinal, hepatic, respiratory, cardiovascular, other neurologic, hematologic, oncologic, immunologic, cerebrovascular disease or malignancy.
  12. History of sleep apnea
  13. History of myasthenia gravis
  14. Known hypersensitivity and/or allergy to or previous adverse experience with zolpidem or escitalopram or any of their excipients
  15. Subject is currently participating in another clinical trial (or within 28 days of screening).
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Please refer to this study by its identifier: NCT00296790

United States, New Jersey
Bridgewater, New Jersey, United States, 08807
Sponsors and Collaborators
Study Director: Phyllis Diener Sanofi
  More Information Identifier: NCT00296790     History of Changes
Other Study ID Numbers: PM_L_0167
Study First Received: February 23, 2006
Last Updated: October 11, 2007

Additional relevant MeSH terms:
Sleep Initiation and Maintenance Disorders
Sleep Disorders, Intrinsic
Sleep Wake Disorders
Nervous System Diseases
Mental Disorders
Hypnotics and Sedatives
Central Nervous System Depressants
Physiological Effects of Drugs
GABA-A Receptor Agonists
GABA Agonists
GABA Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action processed this record on September 19, 2017