Trial Outcomes & Findings for A Study of Zolpidem Tartrate Sublingual Tablet in Adult Patients With Insomnia (NCT NCT00380081)

NCT ID: NCT00380081

Last Updated: 2012-02-14

Results Overview

Polysomnography was used to measure the time to return to persistent sleep after a middle-of-the-night (MOTN) awakening for each day of every two-day treatment period.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

82 participants

Primary outcome timeframe

Days 1 and 2 for each treatment

Results posted on

2012-02-14

Participant Flow

A total of 83 patient volunteers were enrolled and of these, 82 patients were randomized, received at least 1 dose of study drug during the double-blind treatment period and were included in safety and efficacy analyses.

Participant milestones

Participant milestones
Measure
Placebo/Zolpidem 3.5/Zolpidem 1.75
Cross-over interventions administered in the order listed.
Placebo/Zolpidem 1.75/Zolpidem 3.5
Cross-over interventions administered in the order listed.
Zolpidem 3.5/Placebo/Zolpidem 1.75
Cross-over interventions administered in the order listed.
Zolpidem 3.5/Zolpidem 1.75/Placebo
Cross-over interventions administered in the order listed.
Zolpidem 1.75/Placebo/Zolpidem 3.5
Cross-over interventions administered in the order listed.
Zolpidem 1.75/Zolpidem 3.5/Placebo
Cross-over interventions administered in the order listed.
Overall Study
STARTED
14
13
13
15
13
14
Overall Study
COMPLETED
14
13
13
15
12
13
Overall Study
NOT COMPLETED
0
0
0
0
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo/Zolpidem 3.5/Zolpidem 1.75
Cross-over interventions administered in the order listed.
Placebo/Zolpidem 1.75/Zolpidem 3.5
Cross-over interventions administered in the order listed.
Zolpidem 3.5/Placebo/Zolpidem 1.75
Cross-over interventions administered in the order listed.
Zolpidem 3.5/Zolpidem 1.75/Placebo
Cross-over interventions administered in the order listed.
Zolpidem 1.75/Placebo/Zolpidem 3.5
Cross-over interventions administered in the order listed.
Zolpidem 1.75/Zolpidem 3.5/Placebo
Cross-over interventions administered in the order listed.
Overall Study
Withdrawal by Subject
0
0
0
0
1
0
Overall Study
Family Emergency
0
0
0
0
0
1

Baseline Characteristics

A Study of Zolpidem Tartrate Sublingual Tablet in Adult Patients With Insomnia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo/Zolpidem 3.5/Zolpidem 1.75
n=14 Participants
Cross-over interventions administered in the order listed.
Placebo/Zolpidem 1.75/Zolpidem 3.5
n=13 Participants
Cross-over interventions administered in the order listed.
Zolpidem 3.5/Placebo/Zolpidem 1.75
n=13 Participants
Cross-over interventions administered in the order listed.
Zolpidem 3.5/Zolpidem 1.75/Placebo
n=15 Participants
Cross-over interventions administered in the order listed.
Zolpidem 1.75/Placebo/Zolpidem 3.5
n=13 Participants
Cross-over interventions administered in the order listed.
Zolpidem 1.75/Zolpidem 3.5/Placebo
n=14 Participants
Cross-over interventions administered in the order listed.
Total
n=82 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=5 Participants
13 Participants
n=7 Participants
13 Participants
n=5 Participants
15 Participants
n=4 Participants
13 Participants
n=21 Participants
14 Participants
n=10 Participants
82 Participants
n=115 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Age Continuous
48.2 years
STANDARD_DEVIATION 10.21 • n=5 Participants
47.2 years
STANDARD_DEVIATION 14.90 • n=7 Participants
49.6 years
STANDARD_DEVIATION 10.74 • n=5 Participants
45.0 years
STANDARD_DEVIATION 9.64 • n=4 Participants
41.8 years
STANDARD_DEVIATION 13.33 • n=21 Participants
43.5 years
STANDARD_DEVIATION 12.99 • n=10 Participants
45.9 years
STANDARD_DEVIATION 11.97 • n=115 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
10 Participants
n=7 Participants
10 Participants
n=5 Participants
11 Participants
n=4 Participants
10 Participants
n=21 Participants
9 Participants
n=10 Participants
58 Participants
n=115 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
4 Participants
n=4 Participants
3 Participants
n=21 Participants
5 Participants
n=10 Participants
24 Participants
n=115 Participants
Race/Ethnicity, Customized
Caucasian
8 participants
n=5 Participants
8 participants
n=7 Participants
7 participants
n=5 Participants
6 participants
n=4 Participants
7 participants
n=21 Participants
6 participants
n=10 Participants
42 participants
n=115 Participants
Race/Ethnicity, Customized
Hispanic
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
2 participants
n=115 Participants
Race/Ethnicity, Customized
Black
5 participants
n=5 Participants
5 participants
n=7 Participants
4 participants
n=5 Participants
9 participants
n=4 Participants
6 participants
n=21 Participants
7 participants
n=10 Participants
36 participants
n=115 Participants
Race/Ethnicity, Customized
Asian/Pacific
0 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
1 participants
n=10 Participants
2 participants
n=115 Participants
Region of Enrollment
United States
14 participants
n=5 Participants
13 participants
n=7 Participants
13 participants
n=5 Participants
15 participants
n=4 Participants
13 participants
n=21 Participants
14 participants
n=10 Participants
82 participants
n=115 Participants
Body Mass Index
27.72 kilograms/square meters
STANDARD_DEVIATION 3.494 • n=5 Participants
27.10 kilograms/square meters
STANDARD_DEVIATION 4.164 • n=7 Participants
27.27 kilograms/square meters
STANDARD_DEVIATION 4.164 • n=5 Participants
27.43 kilograms/square meters
STANDARD_DEVIATION 3.717 • n=4 Participants
25.92 kilograms/square meters
STANDARD_DEVIATION 4.393 • n=21 Participants
26.84 kilograms/square meters
STANDARD_DEVIATION 2.681 • n=10 Participants
27.06 kilograms/square meters
STANDARD_DEVIATION 3.718 • n=115 Participants
Height
174.6 centimeters
STANDARD_DEVIATION 9.353 • n=5 Participants
166.4 centimeters
STANDARD_DEVIATION 7.574 • n=7 Participants
172.4 centimeters
STANDARD_DEVIATION 10.740 • n=5 Participants
167.2 centimeters
STANDARD_DEVIATION 10.246 • n=4 Participants
167.4 centimeters
STANDARD_DEVIATION 8.775 • n=21 Participants
169.8 centimeters
STANDARD_DEVIATION 9.955 • n=10 Participants
169.6 centimeters
STANDARD_DEVIATION 9.700 • n=115 Participants
Number of Nights with Middle of the Night Awakening
9.3 number of nights
STANDARD_DEVIATION 0.99 • n=5 Participants
9.4 number of nights
STANDARD_DEVIATION 1.19 • n=7 Participants
8.9 number of nights
STANDARD_DEVIATION 1.38 • n=5 Participants
9.3 number of nights
STANDARD_DEVIATION 0.98 • n=4 Participants
9.3 number of nights
STANDARD_DEVIATION 1.11 • n=21 Participants
8.6 number of nights
STANDARD_DEVIATION 1.50 • n=10 Participants
9.1 number of nights
STANDARD_DEVIATION 1.20 • n=115 Participants
Weight
84.41 kilograms
STANDARD_DEVIATION 11.409 • n=5 Participants
75.10 kilograms
STANDARD_DEVIATION 12.665 • n=7 Participants
81.83 kilograms
STANDARD_DEVIATION 17.816 • n=5 Participants
77.46 kilograms
STANDARD_DEVIATION 16.739 • n=4 Participants
72.91 kilograms
STANDARD_DEVIATION 14.421 • n=21 Participants
77.50 kilograms
STANDARD_DEVIATION 10.331 • n=10 Participants
78.25 kilograms
STANDARD_DEVIATION 14.249 • n=115 Participants

PRIMARY outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent-to-treat population

Polysomnography was used to measure the time to return to persistent sleep after a middle-of-the-night (MOTN) awakening for each day of every two-day treatment period.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=80 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=82 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=81 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Latency to Persistent Sleep After Middle-of-the-Night Awakening as Measured by Polysomnography
9.69 minutes
Interval 8.06 to 11.65
16.89 minutes
Interval 14.07 to 20.26
28.12 minutes
Interval 23.41 to 33.77

SECONDARY outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent to treat population

Polysomnography was used to measure the time to return to persistent sleep after a middle-of-the-night (MOTN) awakening for each day of every two-day treatment period. A participant was considered to be a responder if the time to return to persistent sleep was less than twenty minutes.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=80 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=82 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=81 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Number of Treatment Responders Based on Polysomnography Latency to Persistent Sleep After Middle-of-the-Night Awakening
60 participants
46 participants
23 participants

SECONDARY outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent-to-treat population.

Polysomnography was used to measure the time from return to persistent sleep after a middle-of-the-night (MOTN) awakening until final awakening for each day of every two-day treatment period.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=80 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=82 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=81 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Total Sleep Time After Scheduled Middle-of-the-Night Awakening Measured by Polysomnography
208.99 minutes
Interval 200.92 to 217.38
197.80 minutes
Interval 190.23 to 205.68
183.12 minutes
Interval 176.08 to 190.45

SECONDARY outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent to treat population

The time from return to persistent sleep after a middle-of-the-night (MOTN) awakening until final awakening for each day of every two-day treatment period was recorded by each participant using the Treatment Morning Sleep Questionnaire.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=80 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=82 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=81 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Average Subjective Total Sleep Time After Scheduled Middle-of-the-Night Awakening
172.51 minutes
Interval 161.92 to 183.1
162.36 minutes
Interval 151.87 to 172.85
148.61 minutes
Interval 138.07 to 159.15

SECONDARY outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent to treat population

Sleep quality was rated by participants for each day of every two-day treatment period using the Treatment Morning Sleep Questionnaire. The percentage of participants within each rating category is reported. The rating scale was poor, fair, good and excellent.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=80 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=82 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=81 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Subjective Sleep Quality Rating
Poor
18.8 percentage of participants
29.3 percentage of participants
34.6 percentage of participants
Subjective Sleep Quality Rating
Fair
38.8 percentage of participants
37.8 percentage of participants
42.0 percentage of participants
Subjective Sleep Quality Rating
Good
36.3 percentage of participants
30.5 percentage of participants
19.8 percentage of participants
Subjective Sleep Quality Rating
Excellent
6.3 percentage of participants
2.4 percentage of participants
3.7 percentage of participants

SECONDARY outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent to treat population

Level of refreshed sleep was rated by participants for each day of every two-day treatment period using the Treatment Morning Sleep Questionnaire. The percentage of participants within each rating category is reported. The rating scale was poor, fair, good and excellent.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=80 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=82 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=81 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Subjective Level of Refreshed Sleep
Poor
17.5 percentage of participants
22.0 percentage of participants
32.1 percentage of participants
Subjective Level of Refreshed Sleep
Fair
42.5 percentage of participants
41.5 percentage of participants
44.4 percentage of participants
Subjective Level of Refreshed Sleep
Good
35.0 percentage of participants
34.1 percentage of participants
19.8 percentage of participants
Subjective Level of Refreshed Sleep
Excellent
5.0 percentage of participants
2.4 percentage of participants
3.7 percentage of participants

SECONDARY outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent to treat population

Ability to function was rated by participants for each day of every two-day treatment period using the Treatment Morning Sleep Questionnaire. The percentage of participants within each rating category is reported. The rating scale was poor, fair, good and excellent.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=80 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=82 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=81 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Subjective Ability to Function
Fair
41.3 percentage of participants
42.7 percentage of participants
42.0 percentage of participants
Subjective Ability to Function
Good
45.0 percentage of participants
41.5 percentage of participants
33.3 percentage of participants
Subjective Ability to Function
Excellent
6.3 percentage of participants
6.1 percentage of participants
6.2 percentage of participants
Subjective Ability to Function
Poor
7.5 percentage of participants
9.8 percentage of participants
18.5 percentage of participants

SECONDARY outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent to treat population

Sleep efficiency is a measurement of the percentage of time asleep to the total time in bed. It was measured by polysomnography for each day of every two-day treatment period.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=80 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=82 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=81 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Polysomnography Sleep Efficiency After Scheduled Middle-of-the-Night Awakening
87.08 percentage of time asleep
Interval 83.73 to 90.57
82.63 percentage of time asleep
Interval 79.47 to 85.9
76.31 percentage of time asleep
Interval 73.38 to 79.35

SECONDARY outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent to treat population

Participants documented the time to return to sleep after a middle-of-the-night (MOTN) awakening for each day of every two-day treatment period using the Treatment Morning Sleep Questionnaire.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=80 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=82 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=81 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Subjective Sleep Onset Latency After Middle-of-the-Night Awakening
25.23 minutes
Interval 21.58 to 29.49
28.58 minutes
Interval 24.49 to 33.36
40.43 minutes
Interval 34.62 to 47.23

SECONDARY outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent to treat population

Amount of time awake after sleep onset following a middle-of-the-night awakening was measured by polysomnography for each day of every two-day treatment period.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=80 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=82 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=81 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Polysomnography Wake Time After Sleep Onset Following Middle-of-the-Night Awakening
15.06 minutes
Interval 12.54 to 18.08
15.81 minutes
Interval 13.18 to 18.97
15.71 minutes
Interval 13.09 to 18.86

SECONDARY outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent to treat population

Amount of time awake after sleep onset following a middle-of-the-night awakening was recorded by participants using the Treatment Morning Sleep Questionnaire for each day of every two-day treatment period.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=67 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=74 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=70 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Subjective Wake Time After Sleep Onset After Middle-of-the-Night Awakening
28.69 minutes
Interval 24.25 to 33.94
29.43 minutes
Interval 25.03 to 34.62
34.22 minutes
Interval 29.0 to 40.37

SECONDARY outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent to treat population

Number of times a participant awoke following sleep onset after the middle-of-the-night awakening, as measured by polysomnography for each day of every two-day treatment period.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=80 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=82 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=81 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Polysomnography Number of Awakenings After Middle-of-the-Night Awakening
3.71 number of awakenings
Interval 3.22 to 4.19
3.70 number of awakenings
Interval 3.22 to 4.18
4.13 number of awakenings
Interval 3.65 to 4.62

OTHER_PRE_SPECIFIED outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent to treat population

Polysomnography was used to measure the time from return to persistent sleep after a middle-of-the-night (MOTN) awakening until final awakening for each day of every two-day treatment period in the subpopulation of patients with greater than 60 minutes to fall asleep after a MOTN awakening at baseline.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=37 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=38 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=37 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Total Sleep Time After Scheduled Middle-of-the-Night Awakening Measured by Polysomnography for Participants With More Severe Insomnia
194.58 minutes
Interval 179.72 to 210.65
179.98 minutes
Interval 166.34 to 194.73
166.62 minutes
Interval 153.9 to 180.39

OTHER_PRE_SPECIFIED outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent to treat population

Polysomnography was used to measure the time to return to persistent sleep after a middle-of-the-night (MOTN) awakening for each day of every two-day treatment period in a subpopulation of patients with greater than 60 minutes to fall asleep after a MOTN awakening at baseline.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=37 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=38 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=37 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Latency to Persistent Sleep After Middle-of-the-Night Awakening as Measured by Polysomnography for a Subpopulation of Participants With More Severe Insomnia
12.62 minutes
Interval 9.12 to 17.47
23.28 minutes
Interval 16.88 to 32.12
37.89 minutes
Interval 27.38 to 52.43

POST_HOC outcome

Timeframe: Days 1 and 2 for each treatment

Population: Intent to treat population

Number of times a participant awoke following sleep onset after the middle-of-the-night awakening, as documented by the participant for each day of every two-day treatment period using the Treatment Morning Sleep Questionnaire.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=80 Participants
Zolpidem tartrate sublingual tablet 3.5 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Zolpidem 1.75 mg
n=82 Participants
Zolpidem tartrate sublingual tablet 1.75 milligram administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Placebo
n=81 Participants
Placebo sublingual tablet administered between 2:15 and 3:15 a.m. on Night 1 and 2 of each treatment period. Participants placed the study drug under the tongue until it dissolved.
Subjective Number of Awakenings After Middle-of-the-Night Awakening
0.86 number of awakenings
Interval 0.7 to 1.04
1.03 number of awakenings
Interval 0.85 to 1.25
1.14 number of awakenings
Interval 0.94 to 1.39

Adverse Events

Zolpidem 3.5 mg

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Zolpidem 1.75 mg

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Clinical Leader

Purdue Pharma LP

Phone: 800-733-1333

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor agrees to review manuscripts within a reasonable period of time. If sponsor determines the publication included patentable subject matter, sponsor will be granted no less than 120 days to prepare patent applications.
  • Publication restrictions are in place

Restriction type: OTHER