E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Insomnia characterized by difficulty returning to sleep following a nocturnal awakening, otherwise called middle-of-the-night (MONT) insomnia |
Disturbo da risveglio intra-sonno (night-time awakening) ma senza difficoltà di addormentamento |
|
E.1.1.1 | Medical condition in easily understood language |
Night-time awakening followed by a difficult to fall asleep |
Risveglio notturno con difficoltà a riaddormentarsi |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10029448 |
E.1.2 | Term | Nocturnal awakening |
E.1.2 | System Organ Class | 100000004873 |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the efficacy of different triazolam dosage in patients affected by difficulty returning to sleep following a nocturnal awakening |
Valutare l’efficacia di diversi dosaggi di Triazolam in pazienti senza difficoltà di addormentamento, ma affetti da risveglio intra-sonno (nighttime awakening) |
|
E.2.2 | Secondary objectives of the trial |
To evaluate the next morning residual effects of triazolam |
Valutare i possibili effetti di triazolam al risveglio mattutino in termini di vigilanza e performance attentiva |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Night-time awakening (>= 5 nights/week) followed by a difficult to fall asleep in men or female aged over 18 years.
- Latency to sleep after the night-time awakening: > 45 minutes
- No difficult to fall asleep at the evening (Sleep Latency < 30 minutes)
- Moderate use of alcool (max 2 glasses of wine/day), caffeine (not after 5 pm and max 2 cups/day) e nicotine (max 10 cigarettes/day)
- No pregnancy, if woman |
- Pazienti di entrambi i sessi di età ≥ 18 anni
- Pazienti con risveglio notturno, dopo 1-4 h dall’addormentamento, per almeno 45’ in almeno 5 notti su 7 (dato anamnestico)
- Sleep Latency < 30’ (dato anamnestico)
- Alcol: uso moderato (max 2 bicchieri di vino/die)
- Caffeina: non dopo le 17:00 e al massimo 2 tazzine/die
- Nicotina: max 10 sigarette/die
- Test di gravidanza negativ |
|
E.4 | Principal exclusion criteria |
- obstructive sleep apnoea syndrome (OSA),
- restless leg syndrome
- shift worker
- any pathology influncing the sleep
- psychiatric disorder according to ASSE 1 – DSM IV-TR
- known hyperseitivity to triazolam
- use of any central nervous system medication or other medications known to affect the sleep/wake function (washout at least of 7 days) |
- sindrome delle apnee morfeiche (es. OSA),
- sindrome delle gambe senza riposo,
- condizione medica che possa condizionare il sonno
- turnista
- disturbi psichiatrici secondo ASSE 1 – DSM IV-TR
- allergie o intolleranze ai trattamenti
- farmaci che possano interferire con il ritmo sonno-veglia (wash out di almeno 7 giorni) |
|
E.5 End points |
E.5.1 | Primary end point(s) |
To evaluate the efficacy of different triazolam dosage |
Valutare l'efficacia di diversi dosaggi di triazolam |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Each morning. |
Ogni mattina. |
|
E.5.2 | Secondary end point(s) |
To evaluate the next morning residual effects of triazolam |
Valutare i possibili effetti di triazolam al risveglio mattutino in termini di vigilanza e performance attentiva |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
each morning and every week with the vigilance tests |
Ogni mattina ed ogni settimana con i test di vigilanza |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
dosi differenti di triazolam |
different dosages of triazolam |
|
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 15 |
E.8.9.1 | In the Member State concerned days | |