Safety and Efficacy Study of YZJ-1139 in Insomnia Disorder

NCT ID: NCT05525637

Last Updated: 2024-04-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

1041 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-17

Study Completion Date

2024-12-31

Brief Summary

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The main purpose of this study is to assess efficacy and safety of YZJ-1139 in adult subjects with insomnia disorder. Efficacy will be evaluated on objective and subjective sleep parameters.

Detailed Description

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Conditions

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Insomnia Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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YZJ-1139 20mg

Group Type EXPERIMENTAL

YZJ-1139 20mg

Intervention Type DRUG

YZJ-1139 20mg tablets, once daily in the evening

YZJ-1139 40mg

Group Type EXPERIMENTAL

YZJ-1139 40mg

Intervention Type DRUG

YZJ-1139 40mg tablets, once daily in the evening

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Match placebo tablets, once daily in the evening

Interventions

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YZJ-1139 20mg

YZJ-1139 20mg tablets, once daily in the evening

Intervention Type DRUG

YZJ-1139 40mg

YZJ-1139 40mg tablets, once daily in the evening

Intervention Type DRUG

Placebo

Match placebo tablets, once daily in the evening

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

\- Subjects who meet all of the following criteria may be enrolled in the study:

1. Aged ≥ 18 to \< 65 years.
2. Meet the clinical diagnostic criteria for insomnia disorder as defined in International Classification of Sleep Disorders, 3rd Edition (ICSD-3) criteria.
3. sTSO ≥ 30 min for at least 3 nights per week and/or sWASO ≥ 60 min for at least 3 nights per week within 28 days (4 weeks) prior to screening.
4. During the run-in period or on Day 1 of the treatment period, sTSO ≥ 30 min for at least 3 nights in the last 7 sleep diaries and/or sWASO ≥ 60 min for at least 3 nights out of 7 nights as confirmed by the sleep diary prior to Polysomnography (PSG) monitoring.
5. PSG results for 2 consecutive nights during the run-in period should meet the following conditions:

* The mean LPS of 2 nights is ≥ 30 min, with the LPS ≥ 20 min for any night;
* And/or the mean WASO of 2 nights is ≥ 60 min, with neither night \< 45 min;
* The mean SE of 2 nights is ≤ 85%, with the SE ≤ 87.5% for both nights.
6. ISI score ≥ 15 at screening and on Day 1 of the treatment period.
7. Agree to follow the habitual bedtime between 9 p.m. and 1 a.m., wake up between 5 a.m. and 10 a.m. every day, and stay in bed for 6.5 to 9 hours per night during the study.
8. Have a bedtime between 9 p.m. and 1 a.m., wake up between 5 a.m. and 10 a.m., and stay in bed for 6.5 to 9 hours for at least 5 days in the last 7 sleep diaries as confirmed by the sleep diary prior to PSG monitoring during the run-in period or on Day 1 of the treatment period.
9. Female subjects are confirmed to be non-pregnant at screening; both men of reproductive potential and women of childbearing potential should agree to use medically acceptable and effective contraception throughout the study and within 3 months after the end of the study.
10. Understand the study procedures and contents, voluntarily participate in the clinical study and sign the written Informed Consent Form (ICF), have good compliance during participation in the study, and are willing to attend the visits.

Exclusion Criteria

* Subjects who meet any of the following criteria should be excluded from this study:

1. Depression: Hamilton Depression Scale (HAMD) score ≥ 18; anxiety: Hamilton Anxiety Scale (HAMA) score ≥ 14.
2. Suicidal ideation with or without plan at screening or within 6 months prior to screening (score ≥ 3 on item 3 \[suicide\] of HAMD, or select "Yes" on item 3, 4 or 5 of suicidal ideation subscale of Columbia-Suicide Severity Rating Scale (C-SSRS)), or have any suicidal behavior in the past 10 years (as assessed by the suicidal ideation subscale of C-SSRS).
3. Apnea-hypopnea index (AHI) and/or periodic limb movement index (PLMI) \> 10 times/hour detected by PSG monitoring during the run-in period.
4. Repeat electrocardiogram (ECG) at screening shows QTcF interval prolongation (QTcF \> 450 ms) (the ECG should be repeated 2 more times only if the initial ECG shows QTcF interval \> 450 ms).
5. Have serious endocrine diseases, hematological diseases, cardiovascular and cerebrovascular diseases, gastrointestinal diseases, liver and kidney diseases, autoimmune diseases, impaired respiratory function or other related diseases, or have other medical history that may affect the safety of the subjects or interfere with the study assessments in the opinion of the investigator.
6. Have insomnia disorder due to other causes such as chronic pain, headache, eczema, neurodermatitis, allergic rhinitis, and serious dermatitis (difficulty sleeping due to physical reasons, difficulty falling asleep due to medical reasons).
7. Previous history of nervous system disorders such as epilepsy, schizophrenia, bipolar mental disorder, neurodevelopmental retardation, and cognitive disorder, or previous history of other mental illness that may affect the safety of the subjects or interfere with the study assessments in the opinion of the investigator.
8. Previous history of sleep-related respiratory disorders including obstructive sleep apnea (with or without continuous positive airway pressure (CPAP) therapy), periodic limb movement disorder, restless legs syndrome, circadian rhythm sleep disturbances, narcolepsy or other sleep disorders: subjects with restless legs syndrome which is diagnosed by relevant diagnostic and treatment guidelines should be excluded.
9. Have previous complex sleep behaviors, such as sleep driving, sleep eating, and sleep phone calls.
10. Plan to undergo surgery during the study.
11. Have received any hypnotics, antidepressants, antipsychotic drugs, anticholinergics, memory-enhancing drugs, antihistamines, centrally acting analgesics, centrally acting muscle relaxants, central nervous system stimulants, cytochrome P450 3A (CYP3A) inducers, CYP3A inhibitors, traditional Chinese medicines and traditional Chinese medicinal products with sleep-improving effects, or any other therapies for insomnia disorder within 1 week prior to the run-in period or within 5 half-lives of the investigational product, whichever is longer.
12. History of drug taking or addiction, which is known through questioning.
13. Have any lifestyle that interferes with the study process or may interfere with sleep: for example, there will be travels across 3 or more time zones (mainland China is considered as 1 time zone) within the next 2 weeks or during the study period, or there will be shift work (night and daytime shift).
14. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \> 2 × the upper limit of normal (ULN), or Creatinine (Cr) \> 1.5 × ULN.
15. Hyperthyroidism.
16. History of alcohol abuse (defined as regular daily alcohol consumption exceeding the following criteria: approximately 720 mL of beer, or 240 mL of wine, or 60 mL of liquor) within the past 2 years.
17. History of drug abuse within the past 2 years, or positive urine drug screening for any indicator.
18. Regular daily consumption of excessive tea and coffee drinks (defined as consumption of \> 4 cups of caffeinated beverages or \> 400 mg of caffeine per day), or daily habituation to drinking caffeinated beverages beyond 18:00.
19. Have nocturia increased caused by urinary tract infection, urinary tract injury or prostatic disorder.
20. Have positive infectious disease screening for hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCVAb) and human immunodeficiency virus (HIV) antibody at screening.
21. Unable to avoid vaccination within 1 month prior to screening or during the first treatment phase.
22. Have participated in clinical studies of other drugs within the past 1 month or 5 half-lives (whichever is longer), or plan to participate in other studies simultaneously during participation in this study.
23. Pregnant or lactating women.
24. History of allergy to the investigational product or its components.
25. Have prior participation in clinical studies of YZJ-1139 Tablets.
26. Have other conditions that make the subject unsuitable for participation in the clinical study in the opinion of the investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Haiyan Pharmaceutical Technology Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Beijing Chao-Yang Hospital, Capital Medical University

Beijing, , China

Site Status RECRUITING

Beijing Hui Long Guan Hospital, Capital Medical University

Beijing, , China

Site Status RECRUITING

Beijing Tiantan Hospital, Capital Medical University

Beijing, , China

Site Status RECRUITING

Beijing Tsinghua Changgung Hospital

Beijing, , China

Site Status RECRUITING

China-Japan Friendship Hospital

Beijing, , China

Site Status RECRUITING

Peking University First Hospital

Beijing, , China

Site Status RECRUITING

Peking University People's Hospital

Beijing, , China

Site Status RECRUITING

Xuanwu Hospital Capital Medical University

Beijing, , China

Site Status RECRUITING

The First affiliated hospital of bengbu medical college

Bengbu, , China

Site Status NOT_YET_RECRUITING

Binzhou Medical University Hospital

Binzhou, , China

Site Status RECRUITING

The First Bethune Hospital Of Jilin University

Changchun, , China

Site Status RECRUITING

The First Hospital of ChangSha

Changsha, , China

Site Status RECRUITING

The Second XiangYa Hospital Of Central University

Changsha, , China

Site Status RECRUITING

The Secong People's Hospital Of HuNan Province

Changsha, , China

Site Status RECRUITING

Xiangya Hospital Central South University

Changsha, , China

Site Status RECRUITING

ChengDu Second People's Hospital

Chengdu, , China

Site Status WITHDRAWN

The Fourth People's Hospital Of ChengDu

Chengdu, , China

Site Status RECRUITING

Army Medical Center of PLA

Chongqing, , China

Site Status RECRUITING

ChongQing Eleventh People's Hospital

Chongqing, , China

Site Status RECRUITING

ChongQing Mental Health Center

Chongqing, , China

Site Status RECRUITING

ChongQing Traditional Chinese Medical Hospital

Chongqing, , China

Site Status RECRUITING

ChongQing University Three Gorges Hospital

Chongqing, , China

Site Status RECRUITING

People's Hospital Of DeYang City

Deyang, , China

Site Status RECRUITING

The First Affiliated Hospital Of FuJan Medical University

Fuzhou, , China

Site Status RECRUITING

Guangdong Provincial People's Hospital

Guangzhou, , China

Site Status RECRUITING

Nanfang Hospital Southern Medical University

Guangzhou, , China

Site Status RECRUITING

The First Affiliated Hospital of Jinan University

Guangzhou, , China

Site Status RECRUITING

The Affiliated Hospital Of GuiZhou Medical University

Guiyang, , China

Site Status NOT_YET_RECRUITING

HanDan Central Hospital

Handan, , China

Site Status RECRUITING

Affiliated HangZhou First People's Hospital

Hangzhou, , China

Site Status RECRUITING

Sir Run Run Shaw hospital

Hangzhou, , China

Site Status RECRUITING

The 2nd Affiliated Hospital Of Harbin Medical University

Ha’erbin, , China

Site Status RECRUITING

Chaohu hospital of anhui medical university

Hefei, , China

Site Status NOT_YET_RECRUITING

The Second Hospital Of AnHui Medical University

Hefei, , China

Site Status RECRUITING

The Secong People's Hospital Of HeFei

Hefei, , China

Site Status RECRUITING

Affiliated NanHua Hospital,University Of South China

Hengyang, , China

Site Status RECRUITING

JiangMen Central Hospital

Jiangmen, , China

Site Status RECRUITING

ShanDong Provincial QianFoShan Hospital

Jinan, , China

Site Status RECRUITING

Jingjiang People's Hospital

Jingjiang, , China

Site Status NOT_YET_RECRUITING

Shandong Daizhuang Hospital

Jining, , China

Site Status NOT_YET_RECRUITING

Jiujiang University Affiliated Hospital

Jiujiang, , China

Site Status RECRUITING

First People's Hospital of Yunnan Province

Kunming, , China

Site Status NOT_YET_RECRUITING

LiaoCheng People's Hospital

Liaocheng, , China

Site Status RECRUITING

HeNan University Of Science &Technology

Luoyang, , China

Site Status RECRUITING

The Affiliated Hospital Of Southwest Medical University

Luzhou, , China

Site Status RECRUITING

JiangXi Provincial People's Hospital

Nanchang, , China

Site Status RECRUITING

The First Affiliated Hospital Of NanChang University

Nanchang, , China

Site Status RECRUITING

The Second Affiliated Hospital Of NanChang University

Nanchang, , China

Site Status RECRUITING

NanJing Drum Tower Hospital

Nanjing, , China

Site Status WITHDRAWN

Zhongda Hospital Southeast Unveristy

Nanjing, , China

Site Status NOT_YET_RECRUITING

NanTong First People's Hospital

Nantong, , China

Site Status RECRUITING

NingBo KangNing Hospital

Ningbo, , China

Site Status NOT_YET_RECRUITING

NingBo Medical Center LiHuiLi Hospital

Ningbo, , China

Site Status RECRUITING

QingDao Center Medical Group

Qingdao, , China

Site Status NOT_YET_RECRUITING

QingDao Municipal Hospital

Qingdao, , China

Site Status RECRUITING

The affilated hospital of qingdao university

Qingdao, , China

Site Status NOT_YET_RECRUITING

The 2nd Affiliated Hospital Of FuJan Medical University

Quanzhou, , China

Site Status RECRUITING

Affiliated ZhongShan Hospital,University Of FuDan

Shanghai, , China

Site Status RECRUITING

HuaShan Hospital Fudan University

Shanghai, , China

Site Status RECRUITING

ShangHai University Of Traditional Chinese Medical Shuguang Hospital

Shanghai, , China

Site Status WITHDRAWN

ShengJing Hospital Of China Medical University

Shenyang, , China

Site Status RECRUITING

ShenZhen People's Hospital

Shenzhen, , China

Site Status RECRUITING

The First Hospital of Hebei Medical University

Shijiazhuang, , China

Site Status RECRUITING

The Third Hospital of Hebei Medical University

Shijiazhuang, , China

Site Status RECRUITING

Jilin Neuropsychiatric Hospital

Siping, , China

Site Status NOT_YET_RECRUITING

SuZhou GuangJi Hospital

Suzhou, , China

Site Status RECRUITING

The First People's Hospital Of KunShan

Suzhou, , China

Site Status RECRUITING

The Second Affiliated Hospital of Soochow University

Suzhou, , China

Site Status RECRUITING

First Hospital Of ShanXi Medical University

Taiyuan, , China

Site Status RECRUITING

Peking University BinHai Hospital

Tianjin, , China

Site Status NOT_YET_RECRUITING

Tianjin Huanhu Hospital

Tianjin, , China

Site Status NOT_YET_RECRUITING

Tianjin Mental Health Center

Tianjin, , China

Site Status RECRUITING

The Center Hospital of WuHan

Wuhan, , China

Site Status NOT_YET_RECRUITING

Unidn Hospital TongJi Medical College HuaZhong University Of Science And Technology

Wuhan, , China

Site Status WITHDRAWN

Wuhan Mental Health Centre

Wuhan, , China

Site Status RECRUITING

Affiliated Hospital Of Jiangnan University

Wuxi, , China

Site Status NOT_YET_RECRUITING

WuXi People's Hospital

Wuxi, , China

Site Status RECRUITING

Air Force Medical University

Xi'an, , China

Site Status NOT_YET_RECRUITING

XianYang Hospital OF Yan'an University

Xianyang, , China

Site Status NOT_YET_RECRUITING

HeNan Mental Hospital

Xinxiang, , China

Site Status RECRUITING

The Affiliated Hospital Of XuZhou Medical University

Xuzhou, , China

Site Status RECRUITING

XuZhou Central Hospital

Xuzhou, , China

Site Status RECRUITING

HeNan Provincial People's Hospital

Zhengzhou, , China

Site Status WITHDRAWN

The First Affiliated Hospital Of ZhenZhou University

Zhengzhou, , China

Site Status RECRUITING

ZhenZhou Central Hospital

Zhengzhou, , China

Site Status RECRUITING

ZhenJiang Mental Health Center

Zhenjiang, , China

Site Status RECRUITING

ZhuMaDian Second People's Hospital

Zhumadian, , China

Site Status RECRUITING

ZiGong First People's Hospital

Zigong, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Fang Han

Role: CONTACT

010-88324206

Facility Contacts

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Qiang Xia

Role: primary

Song Chen

Role: primary

Jiaqing Wang

Role: primary

Manting Liu

Role: primary

Qing Wang

Role: primary

Yanling Qing

Role: primary

Huaying Fan

Role: primary

Huizhen Wu

Role: primary

Qian Zhang

Role: primary

Changling Ding

Role: primary

Li Liu

Role: primary

Yu Liu

Role: primary

Feiyan Xiao

Role: primary

Li Liu

Role: primary

Dan Li

Role: primary

Hongqian Wang

Role: primary

Hongyu Song

Role: primary

Gang Liu

Role: primary

Hezhen Xie

Role: primary

Yan Huang

Role: primary

Jing Wang

Role: primary

Shan Xie

Role: primary

Anpeng Wu

Role: primary

Yuying Liang

Role: primary

Qingcai Zhen

Role: primary

Qingcui Huang

Role: primary

Peng Du

Role: primary

Chen Chen

Role: primary

Lin Wang

Role: primary

Yecai Xu

Role: primary

Li Zhang

Role: primary

Xiaolin Fang

Role: primary

Bin Yu

Role: primary

Juanjuan Liu

Role: primary

Yong Li

Role: primary

Shiju Gong

Role: primary

Dajian Gu

Role: primary

Liping Sha

Role: primary

Zhonggang Wang

Role: primary

Jie Li

Role: primary

Tiecheng Luo

Role: primary

Jianzhong Chen

Role: primary

Caie Wang

Role: primary

Xiaolin Zhang

Role: primary

Min Jiang

Role: primary

Duanwen Cao

Role: primary

Jian Li

Role: primary

Yue Yang

Role: primary

Jiali Xing

Role: primary

Xiujuan Wu

Role: primary

Taotao Yang

Role: primary

Na Zhu

Role: primary

Wenzhu Zhang

Role: primary

Xin Li

Role: primary

Liuzhi Kang

Role: primary

Yiju Gao

Role: primary

Yuran Cao

Role: primary

Xiaodan Zhao

Role: primary

Hongying Yang

Role: primary

Wenxiu Si

Role: primary

Ting Zhao

Role: primary

Mingyan Yang

Role: primary

Shuyong Yao

Role: primary

Tingting Wen

Role: primary

Yifang Zhu

Role: primary

Zhihui Yin

Role: primary

Haoshuang Ju

Role: primary

Fu Pan

Role: primary

Jingjing Sun

Role: primary

Yanlin Qin

Role: primary

Xiaojin Xu

Role: primary

Yiqing Zhao

Role: primary

Yi Zhao

Role: primary

Linna Liu

Role: primary

Xiaodong Bai

Role: primary

Supei Huang

Role: primary

Haijing Jiang

Role: primary

Qiujin Xu

Role: primary

Xiaoyun Wang

Role: primary

Mengfei Yu

Role: primary

Xue Sun

Role: primary

Hongxin Deng

Role: primary

Tong Wu

Role: primary

Other Identifiers

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YZJ-1139-3-01

Identifier Type: -

Identifier Source: org_study_id

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