Trial Outcomes & Findings for Efficacy of Suvorexant in the Treatment of Hot Flash-associated Insomnia (NCT NCT03034018)

NCT ID: NCT03034018

Last Updated: 2022-03-14

Results Overview

The Insomnia Severity Index (ISI) is a scale comprising seven questions scored 0-3. The total ISI score is the sum of all questions, with a total range from 0-21 with higher values indicating worse insomnia. Within-person change in ISI score from baseline to 4 weeks was calculated.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

60 participants

Primary outcome timeframe

baseline and 4 weeks

Results posted on

2022-03-14

Participant Flow

Participant milestones

Participant milestones
Measure
Suvorexant
suvorexant 10-20 mg taken at bedtime for four weeks
Placebo
placebo taken at bedtime for four weeks
Overall Study
STARTED
30
30
Overall Study
Initiated Assigned Treatment
27
29
Overall Study
COMPLETED
25
28
Overall Study
NOT COMPLETED
5
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Suvorexant
n=27 Participants
suvorexant 10-20 mg taken at bedtime for four weeks
Placebo
n=29 Participants
placebo taken at bedtime for four weeks
Total
n=56 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
Age, Categorical
Between 18 and 65 years
27 Participants
n=5 Participants
29 Participants
n=7 Participants
56 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
55.2 years
STANDARD_DEVIATION 4.5 • n=5 Participants
53.4 years
STANDARD_DEVIATION 3.9 • n=7 Participants
54.3 years
STANDARD_DEVIATION 4.3 • n=5 Participants
Sex: Female, Male
Female
27 Participants
n=5 Participants
29 Participants
n=7 Participants
56 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants
n=5 Participants
23 Participants
n=7 Participants
47 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
25 Participants
n=5 Participants
20 Participants
n=7 Participants
45 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
Region of Enrollment
United States
27 participants
n=5 Participants
29 participants
n=7 Participants
56 participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline and 4 weeks

Population: Participants who initiated treatment

The Insomnia Severity Index (ISI) is a scale comprising seven questions scored 0-3. The total ISI score is the sum of all questions, with a total range from 0-21 with higher values indicating worse insomnia. Within-person change in ISI score from baseline to 4 weeks was calculated.

Outcome measures

Outcome measures
Measure
Suvorexant
n=27 Participants
suvorexant 10-20 mg taken at bedtime for four weeks
Placebo
n=29 Participants
placebo taken at bedtime for four weeks
Within-person Change in ISI Score
-8.1 score on a scale
Interval -10.2 to -6.0
-5.6 score on a scale
Interval -7.4 to -3.9

Adverse Events

Suvorexant

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Suvorexant
n=27 participants at risk
suvorexant 10-20 mg taken at bedtime for four weeks
Placebo
n=29 participants at risk
placebo taken at bedtime for four weeks
General disorders
somnolence
14.8%
4/27 • Number of events 4 • 4 weeks
3.4%
1/29 • Number of events 1 • 4 weeks
General disorders
dry mouth
11.1%
3/27 • Number of events 3 • 4 weeks
6.9%
2/29 • Number of events 2 • 4 weeks
Gastrointestinal disorders
gastro-intestinal symptoms
7.4%
2/27 • Number of events 2 • 4 weeks
3.4%
1/29 • Number of events 1 • 4 weeks
Psychiatric disorders
mood symptoms
7.4%
2/27 • Number of events 2 • 4 weeks
3.4%
1/29 • Number of events 1 • 4 weeks
General disorders
headache
3.7%
1/27 • Number of events 1 • 4 weeks
6.9%
2/29 • Number of events 2 • 4 weeks

Additional Information

Hadine Joffe, MD MSc

Brigham and Women's Hospital

Phone: 617-732-4906

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place