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    Clinical Trial Results:
    Multi-center, single-arm, open-label study in patients with Insomnia Disorder to validate the Insomnia Daytime Symptoms and Impacts Questionnaire™ (IDSIQ™)

    Summary
    EudraCT number
    2016-004259-59
    Trial protocol
    DE  
    Global end of trial date
    12 Jun 2017

    Results information
    Results version number
    v2(current)
    This version publication date
    07 Nov 2019
    First version publication date
    28 Jun 2018
    Other versions
    v1
    Version creation reason
    • Correction of full data set
    Change of Sponsor

    Trial information

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    Trial identification
    Sponsor protocol code
    AC-078A203
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03056053
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Idorsia Pharmaceuticals Ltd
    Sponsor organisation address
    Hegenheimermattweg 91, Allschwil, Switzerland, 4123
    Public contact
    Clinical Trials Disclosure Desk, Idorsia Pharmaceuticals Ltd, clinical-trials-disclosure@idorsia.com
    Scientific contact
    Clinical Trials Disclosure Desk, Idorsia Pharmaceuticals Ltd, clinical-trials-disclosure@idorsia.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    27 Jun 2017
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    21 Apr 2017
    Global end of trial reached?
    Yes
    Global end of trial date
    12 Jun 2017
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main study objective was to assess the content validity and the psychometric characteristics of the IDSIQ™ and evaluate its appropriateness for use in the population of patients with insomnia disorder.
    Protection of trial subjects
    An Independent Ethics Committee (IEC) or Institutional Review Board (IRB), i.e., a review panel that was responsible for ensuring the protection of the rights, safety and wellbeing of human subjects involved in a clinical investigation. Sponsor personnel and the investigators ensured that the study was conducted in full compliance with ICH-Good Clinical Practice (GCP) Guidelines, the principles of the “Declaration of Helsinki”, and with the laws and regulations of the countries in which the study was conducted. Prior to any study procedure and after adequate explanation of the aims, methods, objectives, and potential hazards of the study, written informed consent was obtained from each participating subject. Subjects could voluntarily withdraw from the study without justification for any reason at any time.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    30 Jan 2017
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United States: 58
    Country: Number of subjects enrolled
    Germany: 56
    Worldwide total number of subjects
    114
    EEA total number of subjects
    56
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    103
    From 65 to 84 years
    11
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    The screening period lasted at least 14 days, from signature of informed consent at Visit 1 (Day –14) up to subject enrollment at Visit 2.

    Period 1
    Period 1 title
    Overall study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Zolpidem
    Arm description
    Treatment with open-label zolpidem according to prescription.
    Arm type
    Reference treatment

    Investigational medicinal product name
    Zolpidem
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Commercially available zolpidem (5 or 10 mg) was administered orally once daily during the treatment period following prescribing information from each country participating in the trial (Germany and the US).

    Number of subjects in period 1
    Zolpidem
    Started
    114
    Completed
    112
    Not completed
    2
         Consent withdrawn by subject
    1
         Adverse event, non-fatal
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall study
    Reporting group description
    -

    Reporting group values
    Overall study Total
    Number of subjects
    114 114
    Age categorical
    Units: Subjects
    Age continuous
    Full analysis set.
    Units: years
        median (full range (min-max))
    53 (19 to 74) -
    Gender categorical
    Full analysis set.
    Units: Subjects
        Female
    74 74
        Male
    40 40

    End points

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    End points reporting groups
    Reporting group title
    Zolpidem
    Reporting group description
    Treatment with open-label zolpidem according to prescription.

    Primary: IDSIQ™ Total Score-Change from Day 1 to Day 14/15

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    End point title
    IDSIQ™ Total Score-Change from Day 1 to Day 14/15 [1]
    End point description
    NOTE: The primary study objective was to validate a new scale. The endpoints were the items of the IDSIQ™. The Attachment provided below describes the Conceptual Framework of the study (Figure 1) and the Responsiveness of the IDSIQ™ (Total Score) from Day 1 to Day 14/15 (Table 1). IDSIQ™ Total Score (Weekly Average); IDSIQ™ = Insomnia Daytime Symptoms and Impacts Questionnaire™
    End point type
    Primary
    End point timeframe
    Day 1 to Day 14/15
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: See version 1.
    End point values
    Zolpidem
    Number of subjects analysed
    113
    Units: Score
        arithmetic mean (standard deviation)
    -26.60 ( 22.802 )
    Attachments
    ACT-541468 - AC-078A203_Attachment
    No statistical analyses for this end point

    Other pre-specified: IDSIQ™ Alert/Cognition Domain_Change from Day 1 to Day 14/15

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    End point title
    IDSIQ™ Alert/Cognition Domain_Change from Day 1 to Day 14/15
    End point description
    End point type
    Other pre-specified
    End point timeframe
    Day 1 to Day 14/15
    End point values
    Zolpidem
    Number of subjects analysed
    113
    Units: Score
        arithmetic mean (standard deviation)
    -11.80 ( 10.741 )
    No statistical analyses for this end point

    Other pre-specified: IDSIQ™ Mood Domain_Change from Day 1 to Day 14/15

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    End point title
    IDSIQ™ Mood Domain_Change from Day 1 to Day 14/15
    End point description
    End point type
    Other pre-specified
    End point timeframe
    Day 1 to Day 14/15
    End point values
    Zolpidem
    Number of subjects analysed
    113
    Units: Score
        arithmetic mean (standard deviation)
    -8.42 ( 7.331 )
    No statistical analyses for this end point

    Other pre-specified: IDSIQ™ Sleepiness Domain_Change from Day 1 to Day 14/15

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    End point title
    IDSIQ™ Sleepiness Domain_Change from Day 1 to Day 14/15
    End point description
    IDSIQ™ Sleepiness Domain (Weekly Average); IDSIQ™ = Insomnia Daytime Symptoms and Impacts Questionnaire™
    End point type
    Other pre-specified
    End point timeframe
    Day 1 to Day 14/15
    End point values
    Zolpidem
    Number of subjects analysed
    113
    Units: Score
        arithmetic mean (standard deviation)
    -6.38 ( 5.815 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events were collected from the Screening Start (Day -14) to the Safety Follow-up (Day 45). Below, data are reported for treatment-emergent adverse events (TEAEs).
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.0
    Reporting groups
    Reporting group title
    Zolpidem
    Reporting group description
    Zolpidem

    Serious adverse events
    Zolpidem
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 114 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Zolpidem
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    12 / 114 (10.53%)
    Nervous system disorders
    Coordination abnormal
         subjects affected / exposed
    1 / 114 (0.88%)
         occurrences all number
    1
    Headache
         subjects affected / exposed
    9 / 114 (7.89%)
         occurrences all number
    9
    Dizziness
         subjects affected / exposed
    1 / 114 (0.88%)
         occurrences all number
    1
    Memory impairment
         subjects affected / exposed
    1 / 114 (0.88%)
         occurrences all number
    1
    Somnolence
         subjects affected / exposed
    1 / 114 (0.88%)
         occurrences all number
    1
    Paraesthesia
         subjects affected / exposed
    1 / 114 (0.88%)
         occurrences all number
    1
    General disorders and administration site conditions
    Crying
         subjects affected / exposed
    1 / 114 (0.88%)
         occurrences all number
    1
    Fatigue
         subjects affected / exposed
    1 / 114 (0.88%)
         occurrences all number
    1
    Eye disorders
    Blepharospasm
         subjects affected / exposed
    1 / 114 (0.88%)
         occurrences all number
    1
    Gastrointestinal disorders
    Flatulence
         subjects affected / exposed
    1 / 114 (0.88%)
         occurrences all number
    1
    Tongue coated
         subjects affected / exposed
    1 / 114 (0.88%)
         occurrences all number
    1
    Nausea
         subjects affected / exposed
    2 / 114 (1.75%)
         occurrences all number
    2
    Vomiting
         subjects affected / exposed
    1 / 114 (0.88%)
         occurrences all number
    1
    Psychiatric disorders
    Mood swings
         subjects affected / exposed
    1 / 114 (0.88%)
         occurrences all number
    1
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    1 / 114 (0.88%)
         occurrences all number
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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