Trial Outcomes & Findings for Safety, Tolerability and Efficacy Study of V117957 in Subjects With Insomnia Associated With Alcohol Cessation (NCT NCT04035200)

NCT ID: NCT04035200

Last Updated: 2023-09-18

Results Overview

Wakefulness After Sleep Onset, as measured by PSG, was defined as wake time after persistent sleep (wake time during sleep plus wake time after sleep, expressed in minutes). Nights 1 / 2 is the average of the PSG measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the PSG measurements taken during nights 20 and 21 of study drug exposure.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

114 participants

Primary outcome timeframe

Baseline, Nights 1 / 2, Nights 20 / 21

Results posted on

2023-09-18

Participant Flow

This was a multi-center study conducted at study sites in the US.

Participant milestones

Participant milestones
Measure
V117957 1 mg
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Overall Study
STARTED
38
38
38
Overall Study
COMPLETED
36
31
34
Overall Study
NOT COMPLETED
2
7
4

Reasons for withdrawal

Reasons for withdrawal
Measure
V117957 1 mg
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Overall Study
Lost to Follow-up
0
1
0
Overall Study
Withdrawal by Subject
1
4
4
Overall Study
COVID-19
1
0
0
Overall Study
Early Termination
0
1
0
Overall Study
Non-compliance
0
1
0

Baseline Characteristics

Safety, Tolerability and Efficacy Study of V117957 in Subjects With Insomnia Associated With Alcohol Cessation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Total
n=114 Participants
Total of all reporting groups
Age, Continuous
43.3 years
STANDARD_DEVIATION 12.85 • n=5 Participants
45.2 years
STANDARD_DEVIATION 13.01 • n=7 Participants
44.9 years
STANDARD_DEVIATION 12.18 • n=5 Participants
44.5 years
STANDARD_DEVIATION 12.60 • n=4 Participants
Sex: Female, Male
Female
21 Participants
n=5 Participants
16 Participants
n=7 Participants
24 Participants
n=5 Participants
61 Participants
n=4 Participants
Sex: Female, Male
Male
17 Participants
n=5 Participants
22 Participants
n=7 Participants
14 Participants
n=5 Participants
53 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 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
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=5 Participants
11 Participants
n=7 Participants
6 Participants
n=5 Participants
23 Participants
n=4 Participants
Race (NIH/OMB)
White
31 Participants
n=5 Participants
26 Participants
n=7 Participants
32 Participants
n=5 Participants
89 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline, Nights 1 / 2, Nights 20 / 21

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

Wakefulness After Sleep Onset, as measured by PSG, was defined as wake time after persistent sleep (wake time during sleep plus wake time after sleep, expressed in minutes). Nights 1 / 2 is the average of the PSG measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the PSG measurements taken during nights 20 and 21 of study drug exposure.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Change From Baseline of Wakefulness After Sleep Onset (WASO) Measured by Polysomnography (PSG)
Baseline
100.88 Minutes
Standard Deviation 45.098
99.70 Minutes
Standard Deviation 36.496
103.51 Minutes
Standard Deviation 32.456
Change From Baseline of Wakefulness After Sleep Onset (WASO) Measured by Polysomnography (PSG)
Nights 1 / 2
48.64 Minutes
Standard Deviation 28.453
42.44 Minutes
Standard Deviation 28.189
63.00 Minutes
Standard Deviation 29.349
Change From Baseline of Wakefulness After Sleep Onset (WASO) Measured by Polysomnography (PSG)
Nights 20 / 21
50.56 Minutes
Standard Deviation 34.115
46.17 Minutes
Standard Deviation 27.275
64.43 Minutes
Standard Deviation 33.999

SECONDARY outcome

Timeframe: Baseline, Nights 1 / 2, Nights 20 / 21

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

Sleep efficiency, as measured by PSG, is defined as Total Sleep Time (TST), divided by total recording time, multiplied by 100. Nights 1 / 2 is the average of the PSG measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the PSG measurements taken during nights 20 and 21 of study drug exposure.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Change From Baseline in Mean Sleep Efficiency (SE)
Baseline
64.54 Percent
Standard Deviation 11.502
67.18 Percent
Standard Deviation 9.919
63.17 Percent
Standard Deviation 12.825
Change From Baseline in Mean Sleep Efficiency (SE)
Nights 1 / 2
82.00 Percent
Standard Deviation 10.810
85.55 Percent
Standard Deviation 7.953
77.64 Percent
Standard Deviation 9.950
Change From Baseline in Mean Sleep Efficiency (SE)
Nights 20 / 21
79.46 Percent
Standard Deviation 10.516
84.89 Percent
Standard Deviation 7.456
78.38 Percent
Standard Deviation 8.890

SECONDARY outcome

Timeframe: Baseline, Nights 1 / 2, Nights 20 / 21

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

Latency to onset of persistent sleep (LPS), as measured by PSG, is defined as time from lights-off to the first of 20 consecutive periods of non-wake sleep stages. Latency to persistent sleep is reported in minutes. Nights 1 / 2 is the average of the PSG measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the PSG measurements taken during nights 20 and 21 of study drug exposure.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Change From Baseline in Mean Latency to Persistent Sleep (LPS)
Baseline
76.63 Minutes
Standard Deviation 34.305
66.30 Minutes
Standard Deviation 25.653
81.58 Minutes
Standard Deviation 48.928
Change From Baseline in Mean Latency to Persistent Sleep (LPS)
Nights 1 / 2
43.03 Minutes
Standard Deviation 38.542
31.31 Minutes
Standard Deviation 20.593
51.74 Minutes
Standard Deviation 37.243
Change From Baseline in Mean Latency to Persistent Sleep (LPS)
Nights 20 / 21
53.48 Minutes
Standard Deviation 47.123
31.70 Minutes
Standard Deviation 25.709
47.42 Minutes
Standard Deviation 31.165

SECONDARY outcome

Timeframe: Baseline, Nights 1 / 2, Nights 20 / 21

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

Total sleep time, as measured by PSG, is the duration of rapid eye movement (REM) plus NREM (stages N1 + N2 + N3) during time in bed. Nights 1 / 2 is the average of the PSG measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the PSG measurements taken during nights 20 and 21 of study drug exposure.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Change From Baseline in Mean Total Sleep Time (TST)
Baseline
309.87 Minutes
Standard Deviation 55.265
323.11 Minutes
Standard Deviation 48.065
303.24 Minutes
Standard Deviation 61.559
Change From Baseline in Mean Total Sleep Time (TST)
Nights 1 / 2
393.80 Minutes
Standard Deviation 51.677
410.12 Minutes
Standard Deviation 38.771
372.68 Minutes
Standard Deviation 47.771
Change From Baseline in Mean Total Sleep Time (TST)
Nights 20 / 21
381.65 Minutes
Standard Deviation 50.528
407.45 Minutes
Standard Deviation 35.765
376.26 Minutes
Standard Deviation 42.640

SECONDARY outcome

Timeframe: Baseline, Nights 1 / 2, Nights 20 / 21

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

Sleep component as measured by PSG. Number of awakenings is determined from persistent sleep to lights-on. An awakening is defined as a PSG recording of at least 2 consecutive wake periods. Nights 1 / 2 is the average of the PSG measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the PSG measurements taken during nights 20 and 21 of study drug exposure.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Change From Baseline in Mean Number of Awakenings (NAW)
Baseline
10.70 Number of Awakenings
Standard Deviation 5.733
14.05 Number of Awakenings
Standard Deviation 5.101
10.32 Number of Awakenings
Standard Deviation 5.609
Change From Baseline in Mean Number of Awakenings (NAW)
Nights 1 / 2
8.25 Number of Awakenings
Standard Deviation 3.860
9.62 Number of Awakenings
Standard Deviation 5.599
10.20 Number of Awakenings
Standard Deviation 4.256
Change From Baseline in Mean Number of Awakenings (NAW)
Nights 20 / 21
9.29 Number of Awakenings
Standard Deviation 5.114
10.63 Number of Awakenings
Standard Deviation 6.055
10.28 Number of Awakenings
Standard Deviation 5.575

SECONDARY outcome

Timeframe: Baseline, Nights 1 / 2, Nights 20 / 21

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

Self-reported sleep outcome measured by subject diary data. Scores have a range of 1 to 5, with 1 being equal to "Very Poor" and 5 being equal to "'Very Good." Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Change From Baseline in Subjective Sleep Quality (sSleep)
Baseline
1.80 score on a scale
Standard Deviation 0.686
1.82 score on a scale
Standard Deviation 0.683
1.99 score on a scale
Standard Deviation 0.727
Change From Baseline in Subjective Sleep Quality (sSleep)
Nights 1 / 2
2.72 score on a scale
Standard Deviation 0.984
2.92 score on a scale
Standard Deviation 1.004
2.64 score on a scale
Standard Deviation 0.734
Change From Baseline in Subjective Sleep Quality (sSleep)
Nights 20 / 21
2.94 score on a scale
Standard Deviation 0.989
3.11 score on a scale
Standard Deviation 1.027
3.20 score on a scale
Standard Deviation 0.841

SECONDARY outcome

Timeframe: Baseline, Nights 1 / 2, Nights 20 / 21

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

Self-reported sleep outcome measured by subject diary data. Total sleep time is reported in minutes. Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Change From Baseline in Subjective Total Sleep Time (sTST)
Baseline
296.42 Minutes
Standard Deviation 45.586
304.60 Minutes
Standard Deviation 50.458
315.05 Minutes
Standard Deviation 56.092
Change From Baseline in Subjective Total Sleep Time (sTST)
Nights 1 / 2
355.82 Minutes
Standard Deviation 69.903
357.35 Minutes
Standard Deviation 80.198
350.64 Minutes
Standard Deviation 51.843
Change From Baseline in Subjective Total Sleep Time (sTST)
Nights 20 / 21
366.14 Minutes
Standard Deviation 59.562
385.13 Minutes
Standard Deviation 71.181
384.13 Minutes
Standard Deviation 58.830

SECONDARY outcome

Timeframe: Baseline, Nights 1 / 2, Nights 20 / 21

Population: \\Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

Self-reported sleep outcome measured by subject diary data. WASO is defined as wake time after persistent sleep (wake time during sleep plus wake time after sleep, expressed in minutes). Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Change From Baseline in Subjective Wakefulness After Sleep Onset (sWASO)
Baseline
92.51 Minutes
Standard Deviation 42.137
85.93 Minutes
Standard Deviation 42.222
83.49 Minutes
Standard Deviation 63.929
Change From Baseline in Subjective Wakefulness After Sleep Onset (sWASO)
Nights 1 / 2
63.77 Minutes
Standard Deviation 63.476
59.48 Minutes
Standard Deviation 55.546
55.72 Minutes
Standard Deviation 34.974
Change From Baseline in Subjective Wakefulness After Sleep Onset (sWASO)
Nights 20 / 21
51.53 Minutes
Standard Deviation 40.574
54.21 Minutes
Standard Deviation 44.666
46.84 Minutes
Standard Deviation 32.499

SECONDARY outcome

Timeframe: Baseline, Nights 1 / 2, Nights 20 / 21

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

Self-reported sleep outcome measured by subject diary data. Sleep onset latency (SOL) is the time it takes to fall asleep after turning the lights out. Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Change From Baseline in Subjective Sleep Onset Latency (sSOL)
Baseline
74.54 Minutes
Standard Deviation 30.022
75.84 Minutes
Standard Deviation 31.274
63.45 Minutes
Standard Deviation 19.795
Change From Baseline in Subjective Sleep Onset Latency (sSOL)
Nights 1 / 2
54.42 Minutes
Standard Deviation 29.031
50.53 Minutes
Standard Deviation 32.579
57.24 Minutes
Standard Deviation 28.375
Change From Baseline in Subjective Sleep Onset Latency (sSOL)
Nights 20 / 21
63.13 Minutes
Standard Deviation 32.740
47.14 Minutes
Standard Deviation 24.289
47.68 Minutes
Standard Deviation 33.170

SECONDARY outcome

Timeframe: Baseline, Nights 1 / 2, Nights 20 / 21

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

Self-reported sleep outcome measured by subject diary data. Sleep efficiency (SE) is calculated by dividing the time asleep by the total time in bed multiplied by 100 (SE is reported as percent). Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Change From Baseline in Subjective Sleep Efficiency (sSE)
Baseline
61.51 Percent
Standard Deviation 8.768
63.14 Percent
Standard Deviation 8.898
63.50 Percent
Standard Deviation 10.924
Change From Baseline in Subjective Sleep Efficiency (sSE)
Nights 1 / 2
73.26 Percent
Standard Deviation 14.436
73.72 Percent
Standard Deviation 16.661
71.53 Percent
Standard Deviation 10.229
Change From Baseline in Subjective Sleep Efficiency (sSE)
Nights 20 / 21
73.74 Percent
Standard Deviation 11.925
76.78 Percent
Standard Deviation 12.383
75.88 Percent
Standard Deviation 11.743

SECONDARY outcome

Timeframe: Baseline, Nights 1 / 2, Nights 20 / 21

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

Self-reported sleep outcome measured by subject diary data. The subject recorded the number of awakenings in the diary. Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Change From Baseline in Subjective Number of Awakenings (sNAW)
Baseline
2.49 Number of Awakenings
Standard Deviation 1.100
2.24 Number of Awakenings
Standard Deviation 1.013
2.37 Number of Awakenings
Standard Deviation 0.984
Change From Baseline in Subjective Number of Awakenings (sNAW)
Nights 1 / 2
1.87 Number of Awakenings
Standard Deviation 1.245
2.14 Number of Awakenings
Standard Deviation 2.703
2.63 Number of Awakenings
Standard Deviation 1.647
Change From Baseline in Subjective Number of Awakenings (sNAW)
Nights 20 / 21
1.42 Number of Awakenings
Standard Deviation 1.049
1.30 Number of Awakenings
Standard Deviation 0.815
1.66 Number of Awakenings
Standard Deviation 1.405

SECONDARY outcome

Timeframe: Baseline, Nights 1 / 2, Nights 20 / 21

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

Self-reported sleep outcome measured by subject diary data. Individual scores have a range of 1 to 5, with 1 being equal to "Not at All Rested" and 5 being equal to "Very Well Rested." Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Change From Baseline in Subjective Morning Sleepiness on Awakening
Baseline
1.54 score on a scale
Standard Deviation 0.655
1.60 score on a scale
Standard Deviation 0.613
1.72 score on a scale
Standard Deviation 0.611
Change From Baseline in Subjective Morning Sleepiness on Awakening
Nights 1 /2
2.23 score on a scale
Standard Deviation 0.870
2.19 score on a scale
Standard Deviation 0.847
2.24 score on a scale
Standard Deviation 0.695
Change From Baseline in Subjective Morning Sleepiness on Awakening
Nights 20 / 21
2.52 score on a scale
Standard Deviation 0.979
2.69 score on a scale
Standard Deviation 1.158
2.81 score on a scale
Standard Deviation 0.937

SECONDARY outcome

Timeframe: Nights 1 / 2, Nights 20 / 21

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

The proportion of responders is based on subjects meeting or exceeding WASO (wakefulness after sleep onset) 15 minute threshold as derived from polysomnography (PSG). Nights 1 / 2 is the average of the measurements taken during the first two nights of study drug exposure. Nights 20 / 21 is the average of the measurements taken during nights 20 and 21 of study drug exposure.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Proportion of Responders to V117957 1 mg and 2 mg Compared to Placebo
Responder - Nights 1 / 2 - Threshold 15 minutes
29 Participants
33 Participants
30 Participants
Proportion of Responders to V117957 1 mg and 2 mg Compared to Placebo
Responder - Nights 20 / 21 - Threshold 15 minutes
33 Participants
27 Participants
25 Participants

SECONDARY outcome

Timeframe: Baseline Compared to Washout/Follow-up Period (Nights 22 / 23)

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

Rebound insomnia is defined as a worsening of sleep compared with pretreatment. The comparison is based on the Wakefulness After Sleep Onset (WASO) measured by PSG of the Washout/Follow-up Period versus Baseline. If the LS means for WASO for the Washout/Follow-up Period is lower than Baseline, then no rebound insomnia was suggested. Nights 22 / 23 is the average of the measurements taken during nights 22 and 23 (Washout Period).

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Occurrence of Rebound Insomnia During the Washout/Follow-up Period
Baseline
100.88 Minutes
Standard Deviation 45.098
99.70 Minutes
Standard Deviation 36.496
103.51 Minutes
Standard Deviation 32.456
Occurrence of Rebound Insomnia During the Washout/Follow-up Period
Washout/Follow-up Period
78.82 Minutes
Standard Deviation 48.048
94.23 Minutes
Standard Deviation 58.961
65.03 Minutes
Standard Deviation 33.942

SECONDARY outcome

Timeframe: Baseline, Night 2, Night 21

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

The DSST explores attention and psychomotor speed by measuring total correct responses. The maximum score is 165. Higher scores represent better outcome/improvement.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Next Day Residual Effects as Determined by Digit Symbol Substitution Test (DSST).
Baseline - Total correct responses
49.0 Correct Responses
Standard Deviation 17.82
46.4 Correct Responses
Standard Deviation 15.85
46.2 Correct Responses
Standard Deviation 18.95
Next Day Residual Effects as Determined by Digit Symbol Substitution Test (DSST).
Night 2;10-hours postdose - Total correct responses
51.6 Correct Responses
Standard Deviation 16.06
51.7 Correct Responses
Standard Deviation 13.83
54.8 Correct Responses
Standard Deviation 13.58
Next Day Residual Effects as Determined by Digit Symbol Substitution Test (DSST).
Night 21; 10-hours postdose - Total correct responses
52.0 Correct Responses
Standard Deviation 16.67
52.6 Correct Responses
Standard Deviation 18.65
54.3 Correct Responses
Standard Deviation 15.66

SECONDARY outcome

Timeframe: Baseline, Night 2 (9- and 10-hours postdose), Night 21 (9- and 10-hours postdose)

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

The KSS is a 9-point Likert scale (range: 1 = "extremely alert" to 9 = "very sleepy") that measures level of sleepiness.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=34 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=32 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=32 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Next Day Residual Effects as Determined by Karolinska Sleepiness Scale (KSS)
Baseline
4.3 score on a scale
Standard Deviation 2.30
4.4 score on a scale
Standard Deviation 2.23
4.4 score on a scale
Standard Deviation 2.09
Next Day Residual Effects as Determined by Karolinska Sleepiness Scale (KSS)
Night 2 - 9 hours postdose
4.2 score on a scale
Standard Deviation 1.94
4.7 score on a scale
Standard Deviation 2.17
4.3 score on a scale
Standard Deviation 2.06
Next Day Residual Effects as Determined by Karolinska Sleepiness Scale (KSS)
Night 2 - 10 hours postdose
3.8 score on a scale
Standard Deviation 1.94
4.0 score on a scale
Standard Deviation 2.03
3.9 score on a scale
Standard Deviation 1.93
Next Day Residual Effects as Determined by Karolinska Sleepiness Scale (KSS)
Night 21 - 9 hours postdose
4.1 score on a scale
Standard Deviation 1.99
4.5 score on a scale
Standard Deviation 2.34
3.9 score on a scale
Standard Deviation 1.75
Next Day Residual Effects as Determined by Karolinska Sleepiness Scale (KSS)
Night 21 - 10 hours postdose
3.8 score on a scale
Standard Deviation 2.02
4.0 score on a scale
Standard Deviation 1.88
3.1 score on a scale
Standard Deviation 1.31

SECONDARY outcome

Timeframe: Baseline, Night 2, Night 21

Population: Full analysis population: The group of subjects who were randomly assigned to 1 of the 3 treatment groups, received study drug, and had at least 1 valid postdose efficacy measurement.

The POMS-Brief contains 30 questions that assess mood states. Scores for each question range 0 = not at all to 4 = extremely. Total mood disturbance assessment is the total of the subject's subscales scores on anger/hostility, confusion/bewilderment, depression/dejection, fatigue/inertia, tension/anxiety, and vigor/activity. Total scores range from 0-120 and a higher total score indicates more mood disturbance.

Outcome measures

Outcome measures
Measure
V117957 1 mg
n=38 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=37 Participants
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 Participants
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Next Day Residual Effects as Determined by Profile of Mood States (POMS) - Brief
Baseline
13.54 score on a scale
Standard Deviation 23.612
12.03 score on a scale
Standard Deviation 15.658
11.80 score on a scale
Standard Deviation 16.863
Next Day Residual Effects as Determined by Profile of Mood States (POMS) - Brief
Night 2
5.41 score on a scale
Standard Deviation 16.732
5.46 score on a scale
Standard Deviation 14.674
6.34 score on a scale
Standard Deviation 15.905
Next Day Residual Effects as Determined by Profile of Mood States (POMS) - Brief
Night 21
2.02 score on a scale
Standard Deviation 15.075
5.22 score on a scale
Standard Deviation 13.630
1.58 score on a scale
Standard Deviation 16.305

Adverse Events

V117957 1 mg

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

V117957 2 mg

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
V117957 1 mg
n=38 participants at risk
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
V117957 2 mg
n=38 participants at risk
V117957 tablets taken orally at bedtime V117957 tablets: V117957 tablets taken orally at bedtime
Placebo
n=38 participants at risk
Placebo to match V117957 tablets taken orally at bedtime Placebo: Tablets to match V117957
Nervous system disorders
Somnolence
5.3%
2/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).
26.3%
10/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).
0.00%
0/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).
Nervous system disorders
Headache
7.9%
3/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).
2.6%
1/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).
5.3%
2/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).
Gastrointestinal disorders
Nausea
5.3%
2/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).
2.6%
1/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).
7.9%
3/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).
General disorders
Fatigue
0.00%
0/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).
5.3%
2/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).
5.3%
2/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).
Investigations
Blood triglycerides increased
0.00%
0/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).
0.00%
0/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).
5.3%
2/38 • Adverse events (AEs) were reported from the start of study participation up to 3 weeks. All-cause mortality and serious adverse events were reported from the start of study participation up to 30 days after last study drug dose (approximately 7 weeks).

Additional Information

Medical Information

Imbrium Therapeutics

Phone: 1-888-726-7535

Results disclosure agreements

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