Trial Outcomes & Findings for A Study of Zolpidem Tartrate Sublingual Tablet in Adult Patients With Insomnia (NCT NCT00466193)

NCT ID: NCT00466193

Last Updated: 2012-02-14

Results Overview

Time was recorded by study participants using a telephone interactive voice response system (IVRS) to answer the question: How long did it take you to fall asleep after taking your study medication?

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

295 participants

Primary outcome timeframe

Weeks -1 to 0

Results posted on

2012-02-14

Participant Flow

Seven hundred and three (703) subjects were screened. Three hundred (300) subjects were randomized, but 5 subjects never took drug.

Participant milestones

Participant milestones
Measure
Zolpidem 3.5 mg
Zolpidem tartrate sublingual tablet, 3.5 milligram, taken following a middle-of-the-night awakening.
Placebo
Placebo sublingual tablet taken following a middle-of-the-night awakening.
Overall Study
STARTED
150
145
Overall Study
COMPLETED
138
137
Overall Study
NOT COMPLETED
12
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Zolpidem 3.5 mg
Zolpidem tartrate sublingual tablet, 3.5 milligram, taken following a middle-of-the-night awakening.
Placebo
Placebo sublingual tablet taken following a middle-of-the-night awakening.
Overall Study
Adverse Event
0
1
Overall Study
Lost to Follow-up
2
4
Overall Study
Physician Decision
1
0
Overall Study
Protocol Violation
1
1
Overall Study
Withdrawal by Subject
7
2
Overall Study
Patient refused Visit 4 procedures
1
0

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Zolpidem 3.5 mg
n=150 Participants
Zolpidem tartrate sublingual tablet, 3.5 milligram, taken following a middle-of-the-night awakening.
Placebo
n=145 Participants
Placebo sublingual tablet taken following a middle-of-the-night awakening.
Total
n=295 Participants
Total of all reporting groups
Weight
74.27 kilograms
STANDARD_DEVIATION 15.050 • n=5 Participants
75.73 kilograms
STANDARD_DEVIATION 13.434 • n=7 Participants
74.99 kilograms
STANDARD_DEVIATION 14.273 • n=5 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
150 Participants
n=5 Participants
145 Participants
n=7 Participants
295 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age Continuous
42.3 years
STANDARD_DEVIATION 11.38 • n=5 Participants
43.4 years
STANDARD_DEVIATION 11.30 • n=7 Participants
42.8 years
STANDARD_DEVIATION 11.33 • n=5 Participants
Sex: Female, Male
Female
107 Participants
n=5 Participants
94 Participants
n=7 Participants
201 Participants
n=5 Participants
Sex: Female, Male
Male
43 Participants
n=5 Participants
51 Participants
n=7 Participants
94 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
47 Participants
n=5 Participants
45 Participants
n=7 Participants
92 Participants
n=5 Participants
Race (NIH/OMB)
White
96 Participants
n=5 Participants
94 Participants
n=7 Participants
190 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
United States
150 participants
n=5 Participants
145 participants
n=7 Participants
295 participants
n=5 Participants
Body Mass Index
26.17 kilogram per square meter
STANDARD_DEVIATION 3.860 • n=5 Participants
26.55 kilogram per square meter
STANDARD_DEVIATION 3.754 • n=7 Participants
26.35 kilogram per square meter
STANDARD_DEVIATION 3.807 • n=5 Participants

PRIMARY outcome

Timeframe: Weeks -1 to 0

Population: Efficacy population: randomized participants who took at least one dose of study medication and had at least one latency to sleep onset following a middle-of-the-night awakening value.

Time was recorded by study participants using a telephone interactive voice response system (IVRS) to answer the question: How long did it take you to fall asleep after taking your study medication?

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=150 Participants
Zolpidem tartrate sublingual tablet, 3.5 milligram, taken following a middle-of-the-night awakening.
Placebo
n=144 Participants
Placebo sublingual tablet taken following a middle-of-the-night awakening.
Latency to Sleep Onset After Middle-of-the-Night Awakening at Baseline
68.13 minutes
Interval 63.9 to 72.64
69.42 minutes
Interval 65.03 to 74.1

PRIMARY outcome

Timeframe: Weeks 1 to 4

Population: Efficacy population: randomized participants who took at least one dose of study medication and had at least one latency to sleep onset following a middle-of-the-night awakening value.

Time was recorded by study participants using a telephone interactive voice response system (IVRS) to answer the question: How long did it take you to fall asleep after taking your study medication?

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=150 Participants
Zolpidem tartrate sublingual tablet, 3.5 milligram, taken following a middle-of-the-night awakening.
Placebo
n=144 Participants
Placebo sublingual tablet taken following a middle-of-the-night awakening.
Latency to Sleep Onset After Middle-of-the-Night Awakening During Double-blind Treatment
38.22 minutes
Interval 35.06 to 41.66
56.37 minutes
Interval 51.63 to 61.56

SECONDARY outcome

Timeframe: Weeks -1 to 0

Population: Efficacy population: randomized participants who took at least one dose of study medication and had at least one latency to sleep onset following a middle-of-the-night awakening value.

Total sleep time in minutes after waking in the middle of the night. The values were recorded by participants using a telephone interactive voice response system (IVRS) to answer the question: After you fell back to sleep, how long did you sleep until you woke up this morning?

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=150 Participants
Zolpidem tartrate sublingual tablet, 3.5 milligram, taken following a middle-of-the-night awakening.
Placebo
n=144 Participants
Placebo sublingual tablet taken following a middle-of-the-night awakening.
Subjective Total Sleep Time Following Middle-of-the-Night Awakening at Baseline
241.2 minutes
Interval 229.1 to 253.4
222.9 minutes
Interval 210.5 to 235.3

SECONDARY outcome

Timeframe: Weeks 1 to 4

Population: Efficacy population: randomized participants who took at least one dose of study medication and had at least one latency to sleep onset following a middle-of-the-night awakening value.

Total sleep time in minutes after waking in the middle of the night. The values were recorded by participants using a telephone interactive voice response system (IVRS) to answer the question: After you fell back to sleep, how long did you sleep until you woke up this morning?

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=150 Participants
Zolpidem tartrate sublingual tablet, 3.5 milligram, taken following a middle-of-the-night awakening.
Placebo
n=144 Participants
Placebo sublingual tablet taken following a middle-of-the-night awakening.
Subjective Total Sleep Time Following Middle-of-the-Night Awakening During Double-blind Treatment
264.1 minutes
Interval 255.7 to 272.4
255.0 minutes
Interval 246.5 to 263.5

SECONDARY outcome

Timeframe: Weeks -1 to 0

Population: Efficacy population: randomized participants who took at least one dose of study medication and had at least one latency to sleep onset following a middle-of-the-night awakening value.

Number of awakenings following middle-of-the-night awakening were recorded by study participants using a telephone interactive voice response system (IVRS) to answer the question: After you fell back to sleep, how many times did you wake up again before waking up in the morning?

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=150 Participants
Zolpidem tartrate sublingual tablet, 3.5 milligram, taken following a middle-of-the-night awakening.
Placebo
n=144 Participants
Placebo sublingual tablet taken following a middle-of-the-night awakening.
Subjective Number of Awakenings Following Middle-of-the-Night Awakening at Baseline.
0 awakenings
16.7 percentage of participants
11.8 percentage of participants
Subjective Number of Awakenings Following Middle-of-the-Night Awakening at Baseline.
>0 and <=1 awakenings
46.0 percentage of participants
45.1 percentage of participants
Subjective Number of Awakenings Following Middle-of-the-Night Awakening at Baseline.
>1 and <=2 awakenings
26.0 percentage of participants
27.1 percentage of participants
Subjective Number of Awakenings Following Middle-of-the-Night Awakening at Baseline.
>2 awakenings
11.3 percentage of participants
16.0 percentage of participants

SECONDARY outcome

Timeframe: Weeks 1 to 4

Population: Efficacy population: randomized participants who took at least one dose of study medication and had at least one latency to sleep onset following a middle-of-the-night awakening value.

Number of awakenings following middle-of-the-night awakening were recorded by study participants using a telephone interactive voice response system (IVRS) to answer the question: After you fell back to sleep, how many times did you wake up again before waking up in the morning?

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=150 Participants
Zolpidem tartrate sublingual tablet, 3.5 milligram, taken following a middle-of-the-night awakening.
Placebo
n=144 Participants
Placebo sublingual tablet taken following a middle-of-the-night awakening.
Subjective Number of Awakenings Following Middle-of-the-Night Awakening During Double-blind Treatment
0 awakenings
30.0 percentage of participants
16.7 percentage of participants
Subjective Number of Awakenings Following Middle-of-the-Night Awakening During Double-blind Treatment
>0 and <=1 awakenings
46.0 percentage of participants
43.1 percentage of participants
Subjective Number of Awakenings Following Middle-of-the-Night Awakening During Double-blind Treatment
>1 and <=2 awakenings
17.3 percentage of participants
25.0 percentage of participants
Subjective Number of Awakenings Following Middle-of-the-Night Awakening During Double-blind Treatment
>2 awakenings
6.7 percentage of participants
15.3 percentage of participants

SECONDARY outcome

Timeframe: Weeks -1 to 0

Population: Efficacy population: randomized participants who took at least one dose of study medication and had at least one latency to sleep onset following a middle-of-the-night awakening value.

The number of minutes subjects reported being awake after onset of sleep following middle-of-the-night awakening during the baseline period. Values were recorded using a telephone interactive voice response system (IVRS) to answer the question: Considering all of these awakenings (after taking study medication and returning to sleep), how long were you awake from the time you went back to sleep after dosing until you got out of bed this morning?

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=150 Participants
Zolpidem tartrate sublingual tablet, 3.5 milligram, taken following a middle-of-the-night awakening.
Placebo
n=144 Participants
Placebo sublingual tablet taken following a middle-of-the-night awakening.
Subjective Wake Time After Sleep Onset Following Middle-of-the-Night Awakening at Baseline
No wake time
16.7 percentage of participants
11.8 percentage of participants
Subjective Wake Time After Sleep Onset Following Middle-of-the-Night Awakening at Baseline
>0 to 20 minutes
18.7 percentage of participants
14.6 percentage of participants
Subjective Wake Time After Sleep Onset Following Middle-of-the-Night Awakening at Baseline
21 to 60 minutes
25.3 percentage of participants
32.6 percentage of participants
Subjective Wake Time After Sleep Onset Following Middle-of-the-Night Awakening at Baseline
>60 minutes
39.3 percentage of participants
41.0 percentage of participants

SECONDARY outcome

Timeframe: Weeks 1 to 4

Population: Efficacy population: randomized participants who took at least one dose of study medication and had at least one latency to sleep onset following a middle-of-the-night awakening value.

The number of minutes subjects reported being awake after onset of sleep following middle-of-the-night awakening during double-blind treatment. Values were recorded using a telephone interactive voice response system (IVRS) to answer the question: Considering all of these awakenings (after taking study medication and returning to sleep), how long were you awake from the time you went back to sleep after dosing until you got out of bed this morning?

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=150 Participants
Zolpidem tartrate sublingual tablet, 3.5 milligram, taken following a middle-of-the-night awakening.
Placebo
n=144 Participants
Placebo sublingual tablet taken following a middle-of-the-night awakening.
Subjective Wake Time After Sleep Onset Following Middle-of-the-Night Awakening During Double-blind Treatment
No wake time
30.0 percentage of participants
16.7 percentage of participants
Subjective Wake Time After Sleep Onset Following Middle-of-the-Night Awakening During Double-blind Treatment
>0 to 20 minutes
27.3 percentage of participants
26.4 percentage of participants
Subjective Wake Time After Sleep Onset Following Middle-of-the-Night Awakening During Double-blind Treatment
21 to 60 minutes
26.0 percentage of participants
31.9 percentage of participants
Subjective Wake Time After Sleep Onset Following Middle-of-the-Night Awakening During Double-blind Treatment
> 60 minutes
16.7 percentage of participants
25.0 percentage of participants

SECONDARY outcome

Timeframe: Weeks -1 to 0

Population: Safety population: participants who took at least one dose of study medication post-randomization.

Morning sleepiness was assessed using a 9-point sleepiness scale (1=very sleepy to 9=wide awake and alert). During the baseline period, all participants received placebo.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=150 Participants
Zolpidem tartrate sublingual tablet, 3.5 milligram, taken following a middle-of-the-night awakening.
Placebo
n=145 Participants
Placebo sublingual tablet taken following a middle-of-the-night awakening.
Morning Sleepiness Rating Following Dosing Post Middle-of-the-Night Awakening at Baseline
4.87 units on a scale
Interval 4.61 to 5.13
4.71 units on a scale
Interval 4.45 to 4.97

SECONDARY outcome

Timeframe: Weeks 1 to 4

Population: Safety population: participants who took at least one dose of study medication post-randomization.

Morning sleepiness was assessed using a 9-point sleepiness scale (1=very sleepy to 9=wide awake and alert). Values are from dosing nights during double-blind treatment.

Outcome measures

Outcome measures
Measure
Zolpidem 3.5 mg
n=150 Participants
Zolpidem tartrate sublingual tablet, 3.5 milligram, taken following a middle-of-the-night awakening.
Placebo
n=145 Participants
Placebo sublingual tablet taken following a middle-of-the-night awakening.
Morning Sleepiness Rating Following Dosing Post Middle-of-the-Night Awakening During Double-blind Treatment
5.59 units on a scale
Interval 5.42 to 5.76
5.24 units on a scale
Interval 5.06 to 5.41

Adverse Events

Zolpidem 3.5 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 sixty (60) days prior to submission for publication. If sponsor determines the publication includes patentable subject matter, sponsor may take an additional sixty (60) days to permit the filing of any patent applications.
  • Publication restrictions are in place

Restriction type: OTHER