Study for Evaluating the Efficacy of Ciprofol in Patients Under Narcotic Sleep With Chronic Insomnia

NCT ID: NCT04958382

Last Updated: 2023-11-30

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-12-01
• Study Completion Date: 2024-06-01

Brief Summary

This is a single center, randomized, single blind, exploratory clinical study.About 30 patients with chronic insomnia are planned to be enrolled in this study and randomized into two groups by a ratio of 4:1 (Figure 1), with group 1 (24 subjects) for ciprofol and group 2 (6 subjects) for placebo (fat emulsion). Cognitive behavioral therapy (CBT) will be given to these patients during the treatment.

Conditions

Chronic Insomnia

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Ciprofol

Group Type: EXPERIMENTAL

ciprofol

Intervention Type: DRUG

intravenous infusion of ciprofol at 0.12 mg/kg, followed by 0.4-1.6 mg/kg/h for maintenance

placebo

Group Type: PLACEBO_COMPARATOR

medium/long chain fat emulsion injection (C8-24Ve)

Intervention Type: DRUG

at the infusion rate of 25-30 mL/h

Interventions

ciprofol

intravenous infusion of ciprofol at 0.12 mg/kg, followed by 0.4-1.6 mg/kg/h for maintenance

Intervention Type: DRUG

medium/long chain fat emulsion injection (C8-24Ve)

at the infusion rate of 25-30 mL/h

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

1. Male or female aged 18 (inclusive) to 70 (inclusive) years old;

2. ASA class of I-II;

3. With chronic insomnia refractory to conventional drugs in the past 3 months (benzodiazepine receptor agonists and other drugs). Other drugs: melatonin, melatonin receptor agonists, and traditional Chinese medicine;

4. Compliant with the diagnostic criteria of ICSD-3 chronic insomnia:

1. At least one of the following chief complaints: initial insomnia, difficulty in sleep maintenance, early awakening, refusal to go to bed at an appropriate time, and difficulty in falling asleep without nursing;

2. At least one of the following daytime symptoms: tiredness, short tempered, work/study/social skills decreased;

3. Occurrence of the above symptoms at least 3 times per week and lasting for more than 3 months;

5. Voluntarily adopt narcotic sleep and obtain the written informed consent form.

Exclusion Criteria

1. With contraindications to deep sedation/general anesthesia or a history of past sedation/anesthesia accidents;

2. With a history of allergy or contraindications to anesthetics;

3. With a medical history or evidence of any of the followings before screening/at baseline, which may increase sedation/anesthesia risks:

1. History of cardiovascular diseases: uncontrolled hypertension [systolic blood pressure (SBP) ≥ 170 mmHg and/or diastolic blood pressure (DBP) ≥ 105 mmHg without treatment, or SBP > 160 mmHg and/or DBP > 100 mmHg despite antihypertensive treatment], severe arrhythmia, heart failure, Adams-stokes syndrome, New York Heart Association (NYHA) Class ≥ III, severe superior vena cava syndrome, pericardial effusion, acute myocardial ischemia, unstable angina, myocardial infarction within 6 months before screening, history of tachycardia/bradycardia requiring medical treatment, II-III degree atrioventricular block (excluding patients with pacemakers);

2. History of respiratory system disorders: respiratory insufficiency, history of obstructive pulmonary disease, history of bronchospasm requiring treatment within 3 months before screening, and acute respiratory tract infection with obvious symptoms such as fever, wheezing, nasal obstruction, and cough within 1 week before baseline;

3. History of neurological and psychiatric disorders: craniocerebral injury, possible convulsions, myoclonus, intracranial hypertension, cerebral aneurysms, history of cerebrovascular accidents; schizophrenia, mania, insanity, history of cognitive disorder; history of epilepsy; mental disorder suggested by Mini International Neuropsychiatric Interview (MINI);

4. History of gastrointestinal disorders: gastrointestinal retention, active hemorrhage, or conditions that may lead to reflux and aspiration;

5. History of blood donation or blood loss of ≥ 400 mL within 3 months before screening;

4. With the following airway management risks at screening:

1. History of asthma or stridor;

2. Sleep apnea syndrome;

3. History or family history of malignant hyperthermia;

4. History of tracheal intubation failure;

5. Judged by investigators to have difficult airway or judged as difficult tracheal intubation (modified Mallampati class IV) at screening;

5. Receipt of any of the following medications/therapies at screening/baseline:

1. Any clinical study within 1 month before screening;

2. Sedatives/anesthetics, and/or sedative-hypnotics within 72 h before baseline;

3. Antidepressants and anxiolytics within 14 days before baseline;

6. Laboratory test abnormalities at screening:

1. Total bilirubin > 2 × ULN (upper limit of normal);

2. Aspartate aminotransferase (AST) and alanine transaminase (ALT) > 2 × ULN;

3. Blood creatinine > 1.5 × ULN;

7. Unable to fast for 6 h before dose administration;

8. With a history of smoking, drug abuse and/or positive urine drug screening results, or positive breath alcohol test results at baseline and/or a history of alcohol abuse within 3 months before screening. Alcohol abuse is defined as an average of > 2 units of alcohol consumed per day (1 unit = 360 mL of beer with 5% alcohol, 45 mL of liquor with 40% alcohol, or 150 mL of wine);

9. Pregnant or breastfeeding females; women of child-bearing potential or men who are unwilling to use contraception during the trial; or patients who are planning pregnancy within 1 month after the trial (including male patients);

10. Unable to avoid engaging in dangerous occupations requiring concentration and/or motor coordination 72 h after administration;

11. Judged by investigators to be unsuitable for participating in this trial for any reason.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Sichuan Provincial People's Hospital

OTHER

Sponsor Role: lead

Responsible Party

Mengchang Yang

Deputy Chief Physician

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Sichuan Provincial People's Hospital

Sichuan, , China

Countries

China

Other Identifiers

HSK3486-IIT-01

Identifier Type: -

Identifier Source: org_study_id