Efficacy of Suvorexant in the Treatment of Hot Flash-associated Insomnia

NCT ID: NCT03034018

Last Updated: 2022-03-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-05-25

Study Completion Date

2020-04-03

Brief Summary

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The aim of this study is to determine the effect of suvorexant on insomnia symptoms in peri- and postmenopausal women who are experiencing sleep difficulties related to nighttime hot flashes.

Detailed Description

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Conditions

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Insomnia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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suvorexant

suvorexant 10-20 mg taken at bedtime for four weeks

Group Type EXPERIMENTAL

suvorexant

Intervention Type DRUG

10-20 mg taken at bedtime for four weeks

placebo

placebo taken at bedtime for four weeks

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

placebo taken at bedtime for four weeks

Interventions

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suvorexant

10-20 mg taken at bedtime for four weeks

Intervention Type DRUG

placebo

placebo taken at bedtime for four weeks

Intervention Type DRUG

Other Intervention Names

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Belsomra

Eligibility Criteria

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Inclusion Criteria

* Peri- or postmenopausal women
* DSM-5 criteria for Insomnia disorder, with onset of symptoms attributed to hot flashes
* Some awakenings co-occur with a hot flash
* Score on the Insomnia Severity Index (ISI) measure ≥15
* Hot flashes present, including at night

Exclusion Criteria

* Diagnosis of other primary sleep disorders
* Shift workers
* Current or expected use of hypnotic medications
* Current major depressive episode
* Lifetime history of bipolar disorder, psychosis, or other serious mental health problem
* Current alcohol/substance use disorder
* Obesity
* Renal or hepatic disease
* Pregnancy or breastfeeding
* Recent malignancy
* Recent surgery
* Neurological disorder or cardiovascular disease raising safety concerns
* Medical instability considered to interfere with study procedures
* Concomitant medications with drug interaction or co-administration concerns
* Contraindications or allergic responses to suvorexant
* Recent or planned travel across time zones
* Excessive coffee or cigarette use
Minimum Eligible Age

40 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Brigham and Women's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Hadine Joffe, MD MSc

Executive Director, Connors Center for Women's Health and Gender Biology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hadine Joffe, MD MSc

Role: PRINCIPAL_INVESTIGATOR

Brigham and Women's Hospital

Locations

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Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Rahman SA, Nathan MD, Wiley A, Crawford S, Cohn AY, Harder JA, Grant LK, Erickson A, Srivastava A, McCormick K, Bertisch SM, Winkelman JW, Joffe H. A double-blind, randomized, placebo-controlled trial of suvorexant for the treatment of vasomotor symptom-associated insomnia disorder in midlife women. Sleep. 2022 Mar 14;45(3):zsac007. doi: 10.1093/sleep/zsac007.

Reference Type DERIVED
PMID: 35022783 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2016P002667

Identifier Type: -

Identifier Source: org_study_id

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