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CompletedNCT00856973Updated Jun 17, 2013Results posted

Safety & Efficacy Study of Study Drug (Eszopiclone) in Children and Adolescents With Attention-deficit/Hyperactivity Disorder - Associated Insomnia

A Phase 3 interventional study of eszopiclone and eszopiclone in Insomnia and Attention Deficit Hyperactivity Disorder, sponsored by Sumitomo Pharma America, Inc.. Completed at 73 sites in United States. Open to participants aged 6 Years to 17 Years. Per ClinicalTrials.gov, last updated 2013-06-17.

Sponsored by Sumitomo Pharma America, Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
486
Allocation
Randomized
Ages
6 Years to 17 Years
Sex
All
01

Study summary

A multi center, randomized study to evaluate the efficacy and safety of eszopiclone compared to placebo in children (6-11 years of age, inclusive) and adolescents (12-17 years of age, inclusive) with attention deficit/hyperactivity disorder (ADHD) associated insomnia.

Read the detailed description

This is a multi center, randomized, double blind, placebo controlled, fixed dose study of eszopiclone in pediatric subjects 6-17 years of age, inclusive, with ADHD associated insomnia. Subjects will be randomized at approximately 1:1:1 to either low dose oral eszopiclone (1 mg for children ages 6-11 years, 2 mg for adolescents ages 12-17 years), high dose oral eszopiclone (2 mg for children ages 6-11 years, 3 mg for adolescents ages 12-17 years) or placebo. This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.

02

Conditions studied

  • Insomnia
  • Attention Deficit Hyperactivity Disorder

Keywords

  • Hypnotic
  • Eszopiclone
  • Attention Deficit/Hyperactivity Disorder
  • Insomnia
  • Children
  • Adolescent
  • Polysomnography
  • Actigraphy
03

In context

Sleep Initiation and Maintenance Disorders

1,856 studies on the registry are indexed under Sleep Initiation and Maintenance Disorders; 594 are open to participants now.

This study's enrollment of 486 is above the median of 73 across 1,631 interventional studies indexed under Sleep Initiation and Maintenance Disorders.

Browse Sleep Initiation and Maintenance Disorders studies →

Lead sponsor

Sumitomo Pharma America, Inc. is the lead sponsor of 176 studies on the registry; 5 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 20 (63%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subject is male or female 6 to 17 years of age, inclusive, at the time of consent.
  • Subject must have a diagnosis of ADHD as defined by DSM-IV criteria
  • Subject must have documented ADHD associated insomnia, defined as the subject or subject's parent/legal guardian having reported repeated difficulty with sleep initiation (sleep latency >30 minutes) or consolidation, (wake time after sleep onset >45 minutes) despite adequate age appropriate time and opportunity for sleep.
  • Subject's Baseline PSG must reveal either >30 minutes latency to persistent sleep (LPS) or >45 minutes wake after sleep onset (WASO).
  • Subject or subject's parent/legal guardian should have reported daytime functional impairment as a result of sleep problems.
  • Subject or subject's parent/legal guardian should have reported attempted and failed behavioral interventions for sleep problems, including a regular bedtime and rise time
  • Subject's sleep disturbance must not be attributable to either the direct physiologic effect of a drug of abuse or misuse of a prescribed medication whether it is being used as intended or in an illicit manner.(Female subjects ≥8 years of age must have a negative serum pregnancy test)
  • Subject must be in general good health
  • Subject must be able to swallow tablets.
  • If subject is currently taking medication for ADHD, they must be on a stable dose and regimen for a minimum of 1 month prior to the time of consent

Exclusion criteria

Exclusion Criteria:

  • Subject with weight \<10th percentile for age and gender
  • Subject has any clinically significant or unstable medical illness/abnormality or chronic disease.
  • Subject has a documented history of Bipolar I or II Disorder, major depression, conduct disorder, generalized anxiety disorder or any history of psychosis.
  • Subject has periodic limb movement >5 times per hour, as demonstrated on Baseline PSG.
  • Subject has sleep disordered breathing, as demonstrated on Baseline PSG.
  • Subject has another primary sleep disorder, a secondary sleep disorder, or any other known or suspected medical or psychiatric condition that has affected or may affect sleep
  • Subject has a history of circadian rhythm disorder or will travel across ≥3 time zones more than once during the study.
  • Subject has organic brain disease, or a history of febrile seizures.
  • Subject is, in the opinion of the investigator, at suicidal or homicidal risk.
  • Female subject who is pregnant or lactating or planning to become pregnant.
  • Subject has taken any psychotropic medication without an appropriate washout period (≥5 half-lives) prior to randomization.
  • Subject has a history of severe allergies to more than 1 class of medications or multiple adverse drug reactions.
  • Subject has a history of allergic reaction or has a known or suspected sensitivity to racemic zopiclone, eszopiclone, or any substance that is contained in the formulation.
  • Subject has a history of alcohol or substance abuse within 3 months of study participation.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
486 participants (actual)

Study arms

  • Experimental
    Low dose eszopiclone

    1 mg eszopiclone for 6-11 years, 2 mg for 12-17 years

    Drug: eszopiclone

  • Experimental
    High dose eszopiclone

    2 mg eszopiclone for 6-11 years, 3 mg eszopiclone for 12-17 years

    Drug: eszopiclone

  • Placebo comparator
    Placebo

    Placebo 6-17 years

    Drug: Placebo

Interventions

  • Drugeszopiclone

    1 mg eszopiclone for 6-11 years, 2 mg for 12-17 years

  • Drugeszopiclone

    2 mg eszopiclone for 6-11 years, 3 mg eszopiclone for 12-17 years

  • DrugPlacebo

    1 tablet per day for 12 weeks

06

What researchers measure

Primary outcomes

  1. Change From Baseline to the End of the Double- Blind Treatment Period (Week 12) in Polysomnography (PSG) Defined Latency to Persistent Sleep (LPS).

    A central scoring facility was used to derive the PSG sleep parameters Latency to Persistent Sleep (LPS) from the epochs and stages collected via the PSG recordings. Each epoch is 30 seconds. The PSG parameters provided an objective assessment of the subject's sleep on a given night. Change from BL at Week 12 in LPS was derived from Week 12 LPS subtracted by BL LPS. Latency to persistent sleep (LPS; minutes): time from lights out to the first of 20 consecutive epochs (10 minutes) of non-wake, as determined by PSG recordings.

    Time frame: Baseline (Day 0) to Week 12

Secondary outcomes

  1. Change From Baseline (Day 0) to Week 12 in PSG Defined Wake Time After Sleep Onset (WASO)

    A central scoring facility was used to derive the PSG sleep parameters Wake Time After Sleep Onset (WASO) from the epochs and stages collected via the PSG recordings. Each epoch is 30 seconds. The PSG parameters provided an objective assessment of the subject's sleep on a given night. Change from BL at Week 12 in WASO was derived from Week 12 WASO subtracted by BL WASO. Wake time after sleep onset (WASO; minutes): The number of wake epochs after the onset of persistent sleep to the end of the recording, divided by 2.

    Time frame: Baseline (Day 0) to Week 12

  2. Change From Baseline in Clinical Global Improvement (CGI)-Parent/Caregiver at Week 12

    The CGI-I Parent/Caregiver was completed by the investigator based on interviews and interactions with the subject's parent or caregiver and represented their assessment of severity and improvement in the subject's symptoms since the start of the study. A 7 point scale was used for improvement with numeric values assigned to each of the responses: very much improved (1), much improved (2), minimally improved (3), no change (4), minimally worse (5), much worse (6), and very much worse (7).

    Time frame: Baseline (Day 0) to Week 12

  3. Change From Baseline in CGI-Child at Week 12

    The CGI - I Child was completed by the investigator based on interviews and interactions with the subject and represented the subject's assessment of improvement in his/her symptoms since the start of the study. A 7 point scale was used for improvement with numeric values assigned to each of the responses: very much improved (1), much improved (2), minimally improved (3), no change (4), minimally worse (5), much worse (6), and very much worse (7).

    Time frame: Baseline (Day 0) to Week 12

  4. Change From Baseline (Day 0) to Week 12 in Conners' ADHD Inattention Rating Scale.

    The Conners' 3 -Parent Short Form was completed by the parent and provided an assessment of Attention-Deficit/ Hyperactivity Disorder (ADHD) and the most common comorbid problems and disorders in children and adolescents. It is a multi-informant assessment of children and adolescents between 6 and 18 years of age that took into account home, social and school settings. The short version of the Conners' 3 -Parent Short Form was a subset of items from the full-length form, and included the Conners' 3 Content Scales of Inattention, Hyperactivity/Impulsivity, Learning Problems, Executive Functioning, Aggression, and Peer/Family Relations. The scale scores were presented as standardized age and gender based t scores. Inattention score was used for this endpoint. The lowest scale score is 40 (best) and the highest is 90 (worse)\].

    Time frame: Baseline (Day 0) to Week 12

  5. Change From Baseline to Week 12 in Subjective SL (Sleep Latency)

    A Sponsor produced sleep questionnaire asked the subject or parent/guardian to report information about the subject's sleep and daytime functioning since the last visit. This questionnaire provided a subjective assessment of SL over a pre-defined time period. SL is subjective time to fall asleep.

    Time frame: Baseline (Day 0) to Week 12

  6. Change From Baseline to Week 12 in Subjective Wake Time After Sleep Onset (WASO).

    A Sponsor produced sleep questionnaire asked the subject or parent/guardian to report information about the subject's sleep and daytime functioning since the last visit. This questionnaire provided a subjective assessment of WASO over a pre-defined time period. WASO is the aggregate duration of awakenings from the time subjects fall asleep until last awakening. Wake time after sleep onset (WASO; minutes): The number of wake epochs after the onset of persistent sleep to the end of the recording, divided by 2.

    Time frame: Baseline (Day 0) to Week 12

  7. Change From Baseline to Week 12 in PSG Defined Sleep Efficiency (SE)

    A central scoring facility was used to derive the PSG sleep parameter of Sleep Efficiency (SE) from the epochs and stages collected via the PSG recordings. The PSG parameters provided an objective assessment of the subject's sleep on a given night. Sleep efficiency: (total sleep time)/(total recording time) x 100. For this endpoint, total sleep time was defined as the number of non-wake epochs from the beginning of recording to the end of recording divided by 2. If total recording time was greater than 960 epochs (480 minutes), total sleep time was calculated from the PSG truncated at 480 minutes.

    Time frame: Baseline (Day 0) to Week 12

  8. Change From Baseline to Week 12 in PSG Defined Number of Awakenings After Sleep Onset (NAASO).

    A central scoring facility was used to derive the PSG sleep parameter of Number of Awakenings after Sleep Onset (NAASO). The PSG parameters provided an objective assessment of the subject's sleep on a given night. Number of awakenings: The number of times, after onset of persistent sleep, that there was a wake entry of at least one-minute duration. Each awakening must have been separated by an epoch of non rapid eye movement (NREM) sleep stage 2, 3/4, or rapid eye movement (REM) sleep.

    Time frame: Baseline (Day 0) to Week 12

  9. Change From Baseline to Week 12 in PSG Defined Total Sleep Time (TST)

    A central scoring facility was used to derive the PSG sleep parameter of Total Sleep Time (TST) from the epochs and stages collected via the PSG recordings. The PSG parameters provided an objective assessment of the subject's sleep on a given night. Total sleep time was defined as the number of non-wake epochs from the beginning of recording to the end of recording divided by 2. If total recording time was greater than 960 epochs (480 minutes), total sleep time was calculated from the PSG truncated at 480 minutes.

    Time frame: Baseline (Day 0) to Week 12

  10. Change From Baseline to Week 12 in Subjective Total Sleep Time (TST).

    A Sponsor produced sleep questionnaire asked the subject or parent/guardian to report information about the subject's sleep and daytime functioning since the last visit. This questionnaire provided a subjective assessment of TST over a pre-defined time period. TST is subjective total sleep time.

    Time frame: Baseline (Day 0) to Week 12

  11. Change From Baseline to Week 11 in Subjective Sleep Latency (SL) Measured by Actigraphy Monitoring in the Actigraphy Population.

    A central scoring facility was used to derive the actigraphy sleep parameter of Sleep Latency (SL). Actigraphy data were used for additional efficacy evaluation as well as for the evaluation of rebound and withdrawal effects.

    Time frame: Baseline (Day 0) to Week 11

  12. Change From Baseline to Week 11 in Subjective WASO From Actigraphy Population.

    A central scoring facility was used to derive the actigraphy sleep parameters Wake Time After Sleep Onset (WASO). Actigraphy data were used for additional efficacy evaluation as well as for the evaluation of rebound and withdrawal effects.

    Time frame: Baseline (Day 0) to Week 11

  13. Change From Baseline to Week 11 in Total Sleep Time (TST) Measured by Actigraphy Monitoring in the Actigraphy Population.

    A central scoring facility was used to derive the actigraphy sleep parameter of Total Sleep Time (TST). Actigraphy data were used for additional efficacy evaluation as well as for the evaluation of rebound and withdrawal effects.

    Time frame: Baseline (Day 0) to Week 11

  14. Change From Baseline to Week 12 in Pediatric Daytime Sleepiness Scale (PDSS) Total Score.

    The PDSS is a validated measure of excessive sleepiness specifically designed for use in school aged children. The scale allowed for measurement of sleepiness across several relatively sedentary activities and provided a means to unmask sleepiness that may not be recognized during more active situations. It consisted of 8 items that assessed the frequency of a sleep related behavior (eg, how often do you fall asleep or get drowsy during class periods; are you usually alert most of the day; how often do you think you need more sleep) using a 5-point Likert type scale (0 = never, 4 = always). All items were summed to obtain the PDSS total score. PDSS data were used for efficacy evaluation as well as for the evaluation of residual effects.The overall PDSS scores range from a low of 0 where the individual is endorsing each item at the lowest level of sleepiness to a high of 32 where the individual is endorsing each item at the highest level of sleepiness.

    Time frame: Baseline (Day 0) to Week 12

  15. Change From Baseline to Week 12 in Coding Copy Subtest / Digit Symbol Substitution Test (DSST) Scaled Score.

    These tests are standardized information processing tasks to assess recognition and recoding of sensory information. The subject was given 90 seconds to complete as many substitutions of symbols as possible according to a code provided on top of the sheet. The Coding Copy Subtest A was used for subjects 6-7 years of age and the Coding Copy Subtest B was used for subjects 8-16 years of age, and the DSST was used for subjects 17 years of age. The score is the number of squares filled in correctly. Individuals are measured against their own pre-treatment baseline to determine levels of impairment using the scaled score. Higher scores mean less impairment (or potentially improvement) as the number of correct substitutions generally improves as cognition improves. Scaled scores are used to account for age differences among test takers. Scaled scores range from 1 to 19, and higher scores indicate higher cognitive function.

    Time frame: Baseline (Day 0) to Week 12

  16. Change From Baseline to Week 12 in Pediatric Quality-of-Life Scale (Short Form-10).

    The SF 10 Health Survey for Children is a 10 item care-giver completed assessment designed to measure children's health-related quality of life. The scale asked questions about the child's physical wellness, feelings, behavior, and activities at school and with family and friends. The SF 10 Physical and Psychosocial summary measures were scored such that higher scores indicated more favorable functioning.

    Time frame: Baseline (Day 0) to Week 12

  17. Change From Baseline to Week 12 in Subjective Number of Awakenings After Sleep Onset (NAASO).

    A Sponsor produced sleep questionnaire asked the subject or parent/guardian to report information about the subject's sleep and daytime functioning since the last visit. This questionnaire provided a subjective assessment of NAASO over a pre-defined time period.

    Time frame: Baseline (Day 0) to Week 12

  18. Change in School Tardiness/Attendance Reports at Week 12 (Days)

    School tardiness/attendance reports were to be collected when subject was actively enrolled in school (fall and spring semesters only; summer school, camps or other school attendance was not recorded.) The School Tardiness Report captured the number of days that the subject was tardy to school, had partial attendance at school or was completely absent from school. Data were collected for the 30-day period prior to Baseline, 6-week period prior to Week 6, 6-week period prior to Week 12.

    Time frame: Baseline (Day 0) to Week 12

  19. Change in School Tardiness/Attendance Reports at Week 12 (Hours)

    School tardiness/attendance reports were to be collected when subject was actively enrolled in school (fall and spring semesters only; summer school, camps or other school attendance was not recorded.) The School Tardiness Report captured the number of days that the subject was tardy to school, had partial attendance at school or was completely absent from school. Data were collected for the 30-day period prior to Baseline, 6-week period prior to Week 6, 6-week period prior to Week 12.

    Time frame: Baseline (Day 0) to Week 12

07

Results

Posted Apr 10, 2013
Limitations and caveats
Per protocol, study did not have PSG adaptation nights at baseline and contained one PSG assessment post randomization visit

Participant flow

Participant flow — Overall Study
MilestonePooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Started162163161
Completed126122123
Not completed364138
Withdrew: Adverse event553
Withdrew: Lost to follow-up635
Withdrew: Physician decision031
Withdrew: Protocol violation121
Withdrew: Withdrawal by subject131615
Withdrew: Other111213

Outcome measures

PrimaryChange From Baseline to the End of the Double- Blind Treatment Period (Week 12) in Polysomnography (PSG) Defined Latency to Persistent Sleep (LPS).

A central scoring facility was used to derive the PSG sleep parameters Latency to Persistent Sleep (LPS) from the epochs and stages collected via the PSG recordings. Each epoch is 30 seconds. The PSG parameters provided an objective assessment of the subject's sleep on a given night. Change from BL at Week 12 in LPS was derived from Week 12 LPS subtracted by BL LPS. Latency to persistent sleep (LPS; minutes): time from lights out to the first of 20 consecutive epochs (10 minutes) of non-wake, as determined by PSG recordings.

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · minutes
Change From Baseline to the End of the Double- Blind Treatment Period (Week 12) in Polysomnography (PSG) Defined Latency to Persistent Sleep (LPS).
minutesPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline to the End of the Double- Blind Treatment Period (Week 12) in Polysomnography (PSG) Defined Latency to Persistent Sleep (LPS).-18.33 ± 3.91-23.45 ± 3.91-25.66 ± 3.92
Statistical analysis
  • Pooled High Dose Eszopiclone vs Placebo · ANCOVA · p = >0.05 · Ls mean treatment difference: 7.33 · 97.5% CI -5.17 to 19.83Difference calculated as Eszopiclone minus placebo
  • Pooled Low Dose Eszopiclone vs Placebo · ANCOVA · p = >0.05 · Ls mean treatment difference: 2.21 · 97.5% CI -10.23 to 14.65
SecondaryChange From Baseline (Day 0) to Week 12 in PSG Defined Wake Time After Sleep Onset (WASO)

A central scoring facility was used to derive the PSG sleep parameters Wake Time After Sleep Onset (WASO) from the epochs and stages collected via the PSG recordings. Each epoch is 30 seconds. The PSG parameters provided an objective assessment of the subject's sleep on a given night. Change from BL at Week 12 in WASO was derived from Week 12 WASO subtracted by BL WASO. Wake time after sleep onset (WASO; minutes): The number of wake epochs after the onset of persistent sleep to the end of the recording, divided by 2.

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · Minutes
Change From Baseline (Day 0) to Week 12 in PSG Defined Wake Time After Sleep Onset (WASO)
MinutesPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline (Day 0) to Week 12 in PSG Defined Wake Time After Sleep Onset (WASO)-23.35 ± 3.40-16.75 ± 3.41-17.30 ± 3.43
SecondaryChange From Baseline in Clinical Global Improvement (CGI)-Parent/Caregiver at Week 12

The CGI-I Parent/Caregiver was completed by the investigator based on interviews and interactions with the subject's parent or caregiver and represented their assessment of severity and improvement in the subject's symptoms since the start of the study. A 7 point scale was used for improvement with numeric values assigned to each of the responses: very much improved (1), much improved (2), minimally improved (3), no change (4), minimally worse (5), much worse (6), and very much worse (7).

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · Units on a scale
Change From Baseline in Clinical Global Improvement (CGI)-Parent/Caregiver at Week 12
Units on a scalePooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline in Clinical Global Improvement (CGI)-Parent/Caregiver at Week 122.3 ± 0.12.6 ± 0.12.7 ± 0.1
SecondaryChange From Baseline in CGI-Child at Week 12

The CGI - I Child was completed by the investigator based on interviews and interactions with the subject and represented the subject's assessment of improvement in his/her symptoms since the start of the study. A 7 point scale was used for improvement with numeric values assigned to each of the responses: very much improved (1), much improved (2), minimally improved (3), no change (4), minimally worse (5), much worse (6), and very much worse (7).

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · Units on a scale
Change From Baseline in CGI-Child at Week 12
Units on a scalePooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline in CGI-Child at Week 122.3 ± 0.12.5 ± 0.12.7 ± 0.1
SecondaryChange From Baseline (Day 0) to Week 12 in Conners' ADHD Inattention Rating Scale.

The Conners' 3 -Parent Short Form was completed by the parent and provided an assessment of Attention-Deficit/ Hyperactivity Disorder (ADHD) and the most common comorbid problems and disorders in children and adolescents. It is a multi-informant assessment of children and adolescents between 6 and 18 years of age that took into account home, social and school settings. The short version of the Conners' 3 -Parent Short Form was a subset of items from the full-length form, and included the Conners' 3 Content Scales of Inattention, Hyperactivity/Impulsivity, Learning Problems, Executive Functioning, Aggression, and Peer/Family Relations. The scale scores were presented as standardized age and gender based t scores. Inattention score was used for this endpoint. The lowest scale score is 40 (best) and the highest is 90 (worse)\].

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · units on a scale
Change From Baseline (Day 0) to Week 12 in Conners' ADHD Inattention Rating Scale.
units on a scalePooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline (Day 0) to Week 12 in Conners' ADHD Inattention Rating Scale.-8.8 ± 1.0-5.8 ± 1.0-7.1 ± 1.0
SecondaryChange From Baseline to Week 12 in Subjective SL (Sleep Latency)

A Sponsor produced sleep questionnaire asked the subject or parent/guardian to report information about the subject's sleep and daytime functioning since the last visit. This questionnaire provided a subjective assessment of SL over a pre-defined time period. SL is subjective time to fall asleep.

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · Minutes
Change From Baseline to Week 12 in Subjective SL (Sleep Latency)
MinutesPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline to Week 12 in Subjective SL (Sleep Latency)0.5 ± 1.10.6 ± 1.10.6 ± 1.1
SecondaryChange From Baseline to Week 12 in Subjective Wake Time After Sleep Onset (WASO).

A Sponsor produced sleep questionnaire asked the subject or parent/guardian to report information about the subject's sleep and daytime functioning since the last visit. This questionnaire provided a subjective assessment of WASO over a pre-defined time period. WASO is the aggregate duration of awakenings from the time subjects fall asleep until last awakening. Wake time after sleep onset (WASO; minutes): The number of wake epochs after the onset of persistent sleep to the end of the recording, divided by 2.

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · Minutes
Change From Baseline to Week 12 in Subjective Wake Time After Sleep Onset (WASO).
MinutesPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline to Week 12 in Subjective Wake Time After Sleep Onset (WASO).0.2 ± 1.20.3 ± 1.20.3 ± 1.2
SecondaryChange From Baseline to Week 12 in PSG Defined Sleep Efficiency (SE)

A central scoring facility was used to derive the PSG sleep parameter of Sleep Efficiency (SE) from the epochs and stages collected via the PSG recordings. The PSG parameters provided an objective assessment of the subject's sleep on a given night. Sleep efficiency: (total sleep time)/(total recording time) x 100. For this endpoint, total sleep time was defined as the number of non-wake epochs from the beginning of recording to the end of recording divided by 2. If total recording time was greater than 960 epochs (480 minutes), total sleep time was calculated from the PSG truncated at 480 minutes.

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · percentage of SE
Change From Baseline to Week 12 in PSG Defined Sleep Efficiency (SE)
percentage of SEPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline to Week 12 in PSG Defined Sleep Efficiency (SE)7.31 ± 1.077.40 ± 1.087.94 ± 1.08
SecondaryChange From Baseline to Week 12 in PSG Defined Number of Awakenings After Sleep Onset (NAASO).

A central scoring facility was used to derive the PSG sleep parameter of Number of Awakenings after Sleep Onset (NAASO). The PSG parameters provided an objective assessment of the subject's sleep on a given night. Number of awakenings: The number of times, after onset of persistent sleep, that there was a wake entry of at least one-minute duration. Each awakening must have been separated by an epoch of non rapid eye movement (NREM) sleep stage 2, 3/4, or rapid eye movement (REM) sleep.

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · Number of Awakenings after sleep onse
Change From Baseline to Week 12 in PSG Defined Number of Awakenings After Sleep Onset (NAASO).
Number of Awakenings after sleep onsePooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline to Week 12 in PSG Defined Number of Awakenings After Sleep Onset (NAASO).-2.0 ± 0.4-1.5 ± 0.4-0.7 ± 0.4
SecondaryChange From Baseline to Week 12 in PSG Defined Total Sleep Time (TST)

A central scoring facility was used to derive the PSG sleep parameter of Total Sleep Time (TST) from the epochs and stages collected via the PSG recordings. The PSG parameters provided an objective assessment of the subject's sleep on a given night. Total sleep time was defined as the number of non-wake epochs from the beginning of recording to the end of recording divided by 2. If total recording time was greater than 960 epochs (480 minutes), total sleep time was calculated from the PSG truncated at 480 minutes.

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · Minutes
Change From Baseline to Week 12 in PSG Defined Total Sleep Time (TST)
MinutesPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline to Week 12 in PSG Defined Total Sleep Time (TST)36.90 ± 6.0137.78 ± 6.0535.38 ± 6.07
SecondaryChange From Baseline to Week 12 in Subjective Total Sleep Time (TST).

A Sponsor produced sleep questionnaire asked the subject or parent/guardian to report information about the subject's sleep and daytime functioning since the last visit. This questionnaire provided a subjective assessment of TST over a pre-defined time period. TST is subjective total sleep time.

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · Minutes
Change From Baseline to Week 12 in Subjective Total Sleep Time (TST).
MinutesPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline to Week 12 in Subjective Total Sleep Time (TST).77.2 ± 8.066.4 ± 8.049.2 ± 8.0
SecondaryChange From Baseline to Week 11 in Subjective Sleep Latency (SL) Measured by Actigraphy Monitoring in the Actigraphy Population.

A central scoring facility was used to derive the actigraphy sleep parameter of Sleep Latency (SL). Actigraphy data were used for additional efficacy evaluation as well as for the evaluation of rebound and withdrawal effects.

Time frame:
Baseline (Day 0) to Week 11
Reported as:
Least squares mean · Minutes
Change From Baseline to Week 11 in Subjective Sleep Latency (SL) Measured by Actigraphy Monitoring in the Actigraphy Population.
MinutesPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline to Week 11 in Subjective Sleep Latency (SL) Measured by Actigraphy Monitoring in the Actigraphy Population.0.90 ± 1.120.81 ± 1.120.93 ± 1.13
SecondaryChange From Baseline to Week 11 in Subjective WASO From Actigraphy Population.

A central scoring facility was used to derive the actigraphy sleep parameters Wake Time After Sleep Onset (WASO). Actigraphy data were used for additional efficacy evaluation as well as for the evaluation of rebound and withdrawal effects.

Time frame:
Baseline (Day 0) to Week 11
Reported as:
Least squares mean · Minutes
Change From Baseline to Week 11 in Subjective WASO From Actigraphy Population.
MinutesPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline to Week 11 in Subjective WASO From Actigraphy Population.0.94 ± 1.061.02 ± 1.060.99 ± 1.07
SecondaryChange From Baseline to Week 11 in Total Sleep Time (TST) Measured by Actigraphy Monitoring in the Actigraphy Population.

A central scoring facility was used to derive the actigraphy sleep parameter of Total Sleep Time (TST). Actigraphy data were used for additional efficacy evaluation as well as for the evaluation of rebound and withdrawal effects.

Time frame:
Baseline (Day 0) to Week 11
Reported as:
Least squares mean · Minutes
Change From Baseline to Week 11 in Total Sleep Time (TST) Measured by Actigraphy Monitoring in the Actigraphy Population.
MinutesPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline to Week 11 in Total Sleep Time (TST) Measured by Actigraphy Monitoring in the Actigraphy Population.-4.72 ± 8.381.63 ± 8.28-6.02 ± 8.74
SecondaryChange From Baseline to Week 12 in Pediatric Daytime Sleepiness Scale (PDSS) Total Score.

The PDSS is a validated measure of excessive sleepiness specifically designed for use in school aged children. The scale allowed for measurement of sleepiness across several relatively sedentary activities and provided a means to unmask sleepiness that may not be recognized during more active situations. It consisted of 8 items that assessed the frequency of a sleep related behavior (eg, how often do you fall asleep or get drowsy during class periods; are you usually alert most of the day; how often do you think you need more sleep) using a 5-point Likert type scale (0 = never, 4 = always). All items were summed to obtain the PDSS total score. PDSS data were used for efficacy evaluation as well as for the evaluation of residual effects.The overall PDSS scores range from a low of 0 where the individual is endorsing each item at the lowest level of sleepiness to a high of 32 where the individual is endorsing each item at the highest level of sleepiness.

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · units on a scale
Change From Baseline to Week 12 in Pediatric Daytime Sleepiness Scale (PDSS) Total Score.
units on a scalePooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline to Week 12 in Pediatric Daytime Sleepiness Scale (PDSS) Total Score.-4.5 ± 0.5-4.0 ± 0.5-3.5 ± 0.5
SecondaryChange From Baseline to Week 12 in Coding Copy Subtest / Digit Symbol Substitution Test (DSST) Scaled Score.

These tests are standardized information processing tasks to assess recognition and recoding of sensory information. The subject was given 90 seconds to complete as many substitutions of symbols as possible according to a code provided on top of the sheet. The Coding Copy Subtest A was used for subjects 6-7 years of age and the Coding Copy Subtest B was used for subjects 8-16 years of age, and the DSST was used for subjects 17 years of age. The score is the number of squares filled in correctly. Individuals are measured against their own pre-treatment baseline to determine levels of impairment using the scaled score. Higher scores mean less impairment (or potentially improvement) as the number of correct substitutions generally improves as cognition improves. Scaled scores are used to account for age differences among test takers. Scaled scores range from 1 to 19, and higher scores indicate higher cognitive function.

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · Score
Change From Baseline to Week 12 in Coding Copy Subtest / Digit Symbol Substitution Test (DSST) Scaled Score.
ScorePooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline to Week 12 in Coding Copy Subtest / Digit Symbol Substitution Test (DSST) Scaled Score.2.2 ± 3.32.1 ± 3.92.6 ± 5.3
SecondaryChange From Baseline to Week 12 in Pediatric Quality-of-Life Scale (Short Form-10).

The SF 10 Health Survey for Children is a 10 item care-giver completed assessment designed to measure children's health-related quality of life. The scale asked questions about the child's physical wellness, feelings, behavior, and activities at school and with family and friends. The SF 10 Physical and Psychosocial summary measures were scored such that higher scores indicated more favorable functioning.

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · units on a scale
Change From Baseline to Week 12 in Pediatric Quality-of-Life Scale (Short Form-10).
units on a scalePooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Physical4.40 ± 0.643.07 ± 0.644.07 ± 0.65
Psychosocial2.234 ± 0.5621.347 ± 0.566-0.121 ± 0.569
SecondaryChange From Baseline to Week 12 in Subjective Number of Awakenings After Sleep Onset (NAASO).

A Sponsor produced sleep questionnaire asked the subject or parent/guardian to report information about the subject's sleep and daytime functioning since the last visit. This questionnaire provided a subjective assessment of NAASO over a pre-defined time period.

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · Number of Awakenings
Change From Baseline to Week 12 in Subjective Number of Awakenings After Sleep Onset (NAASO).
Number of AwakeningsPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change From Baseline to Week 12 in Subjective Number of Awakenings After Sleep Onset (NAASO).-1.1 ± 0.1-0.8 ± 0.1-1.0 ± 0.1
SecondaryChange in School Tardiness/Attendance Reports at Week 12 (Days)

School tardiness/attendance reports were to be collected when subject was actively enrolled in school (fall and spring semesters only; summer school, camps or other school attendance was not recorded.) The School Tardiness Report captured the number of days that the subject was tardy to school, had partial attendance at school or was completely absent from school. Data were collected for the 30-day period prior to Baseline, 6-week period prior to Week 6, 6-week period prior to Week 12.

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · Days
Change in School Tardiness/Attendance Reports at Week 12 (Days)
DaysPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Number of Days Tardy-0.4 ± 0.1-0.2 ± 0.1-0.3 ± 0.1
Number of Days of Partial Attendance0.1 ± 0.1-0.2 ± 0.1-0.1 ± 0.1
Number of Days Absent0.0 ± 0.08-0.2 ± 1.20.3 ± 2.0
SecondaryChange in School Tardiness/Attendance Reports at Week 12 (Hours)

School tardiness/attendance reports were to be collected when subject was actively enrolled in school (fall and spring semesters only; summer school, camps or other school attendance was not recorded.) The School Tardiness Report captured the number of days that the subject was tardy to school, had partial attendance at school or was completely absent from school. Data were collected for the 30-day period prior to Baseline, 6-week period prior to Week 6, 6-week period prior to Week 12.

Time frame:
Baseline (Day 0) to Week 12
Reported as:
Least squares mean · Hours
Change in School Tardiness/Attendance Reports at Week 12 (Hours)
HoursPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
Change in School Tardiness/Attendance Reports at Week 12 (Hours)-0.10 ± 0.05-0.12 ± 0.05-0.12 ± 0.05

Adverse events

Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pooled High Dose Eszopiclone—2/159 (1.3%)72/159 (45.3%)
Pooled Low Dose Eszopiclone—0/163 (0%)68/163 (41.7%)
Placebo—0/161 (0%)55/161 (34.2%)
Most frequent serious events
Most frequent serious events
EventPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
SedationNervous system disorders1/1590/1630/161
Respiratory distressRespiratory, thoracic and mediastinal disorders1/1590/1630/161
Most frequent other events
Showing 10 of 20
Most frequent other events
EventPooled High Dose EszopiclonePooled Low Dose EszopiclonePlacebo
HeadacheNervous system disorders22/15919/16319/161
DysgeusiaNervous system disorders22/1598/1632/161
DizzinessNervous system disorders13/1596/1633/161
Upper respiratory tract infectionInfections and infestations5/15913/1637/161
VomitingGastrointestinal disorders5/15910/1633/161
NasopharyngitisInfections and infestations6/1599/1637/161
Abdominal pain upperGastrointestinal disorders8/1596/1635/161
Abdominal DiscomfortGastrointestinal disorders8/1594/1630/161
PyrexiaGeneral disorders8/1594/1635/161
NauseaGastrointestinal disorders7/1594/1636/161

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Pooled High Dose EszopiclonePooled Low Dose EszopiclonePlaceboTotal
<=18 years160163160483
Between 18 and 65 years0000
>=65 years00000
Age Continuous
Age Continuous(years)Pooled High Dose EszopiclonePooled Low Dose EszopiclonePlaceboTotal
Mean11.3 ± 3.011.4 ± 3.011.6 ± 3.011.5 ± 3.0
Sex: Female, Male
Sex: Female, Male(Participants)Pooled High Dose EszopiclonePooled Low Dose EszopiclonePlaceboTotal
Female566059175
Male104103101308
Region of Enrollment
Region of Enrollment(participants)Pooled High Dose EszopiclonePooled Low Dose EszopiclonePlaceboTotal
United States160163160483
08

Study locations

73 sites
  • Sleep Disorders Center of Alabama
    Birmingham, Alabama 35213, United States
  • Dothan Behavioral Medicine Clinic
    Dothan, Alabama 36303, United States
  • Metropolitan Neuro Behavioral Institute
    Chandler, Arizona 85226, United States
  • PsyPharma Clinical Research
    Phoenix, Arizona 85050, United States
  • REM Medical Clinical Research
    Tucson, Arizona 85712, United States
  • Paul E. Wylie
    Little Rock, Arkansas 72211, United States
  • AV Institute, Inc.
    Carson, California 90746, United States
  • Clinical Innovations, Inc.
    Costa Mesa, California 92626, United States
  • Avastra Clinical Trials
    Fountain Valley, California 92708, United States
  • Behavioral Research Specialists, LLC
    Glendale, California 91204, United States
  • Pacific Institute for Medical Research Inc
    Los Angeles, California 90024, United States
  • Excell Research, Inc.
    Oceanside, California 92056, United States
  • North County Clinical Research (NCCR)
    Oceanside, California 92056, United States
  • Pacific Clinical Research Medical Group
    Orange, California 92868, United States
  • SDS Clinical Trials
    Orange, California 92868, United States
  • California Clinical Trials Medical Group
    Paramount, California 90723, United States
  • Clinical Innovations, Inc.
    Riverside, California 92506, United States
  • Artemis Institute for Clinical Research
    San Diego, California 92123, United States
  • Clinical Innovations, Inc.
    San Diego, California 92128, United States
  • Neuropsychiatric Research Center of Orange County
    Santa Ana, California 92701, United States
  • Clinical Innovations, Inc.
    Santa Ana, California 92705, United States
  • Elite Clinical Trials
    Wildomar, California 92595, United States
  • Delta Waves, INC
    Colorado Springs, Colorado 80918, United States
  • Sarkis Clinical Trials
    Gainesville, Florida 32607, United States
  • MD Clinical
    Hallandale Beach, Florida 33009, United States
  • Florida Clinical Research Center LLC
    Maitland, Florida 32751, United States
  • Florida Institute for Clinical Research, LLC
    Orlando, Florida 32822, United States
  • SomnoMedics, LLC
    Tampa, Florida 33607, United States
  • Pediatric Epilepsy and Neurology Specialists
    Tampa, Florida 33609, United States
  • Neuro Trials Research, Inc.
    Atlanta, Georgia 30342, United States
  • Sleep Disorders Center of Georgia
    Atlanta, Georgia 30342, United States
  • Mountain West Clinical Trials
    Eagle, Idaho 83616, United States
  • Alexian Brothers Center for Psychiatric Research
    Hoffman Estates, Illinois 60169, United States
  • AMR Baber Research Inc.
    Naperville, Illinois 60563, United States
  • American Medical Research, Inc.
    Oak Brook, Illinois 60523, United States
  • Davis Clinic
    Indianapolis, Indiana 46260, United States
  • Goldpoint Clinical Research
    Indianapolis, Indiana 46260, United States
  • Psychiatric Associates
    Overland Park, Kansas 66211, United States
  • Pedia Research LLC
    Owensboro, Kentucky 42301, United States
  • Louisiana Research Associates, Inc.
    New Orleans, Louisiana 70114, United States
  • Clinical Insights
    Glen Burnie, Maryland 21061, United States
  • Neurocare, Inc.
    Newton, Massachusetts 02459, United States
  • Neurobehavioral Medicine Group
    Bloomfield Hills, Michigan 48302, United States
  • Mid-Michigan Sleep Center
    Grand Blanc, Michigan 48439, United States
  • Clinical Neurophysiology Services, P.C.
    Troy, Michigan 48085, United States
  • Midwest Research Group
    St. Charles, Missouri 63301, United States
  • Premier Psychiatric Research Institute, LLC
    Lincoln, Nebraska 68510, United States
  • Clinical Research Center of Nevada
    Henderson, Nevada 89015, United States
  • Center for Psychiatry and Behavioral Medicine, Inc.
    Las Vegas, Nevada 89128, United States
  • CRI Worldwide, LLC
    Willingboro, New Jersey 08046, United States
  • Synergy Clinical Research Center
    Farmingdale, New York 11735, United States
  • Tristate Sleep Disorders Center
    Cincinnati, Ohio 45246, United States
  • MD & Associates, Inc.
    Garfield Heights, Ohio 44125, United States
  • IPS Reserach Company
    Oklahoma City, Oklahoma 73103, United States
  • Pahl Pharmaceutical Professionals, LLC
    Oklahoma City, Oklahoma 73112, United States
  • Cutting Edge Research Group
    Oklahoma City, Oklahoma 73116, United States
  • Eminence Research, LLC
    Oklahoma City, Oklahoma 73139, United States
  • Tulsa Clinical Research
    Tulsa, Oklahoma 74104, United States
  • Paradigm Research Professional, LLP
    Tulsa, Oklahoma 74114, United States
  • Cyn3rgy Research
    Gresham, Oregon 97030, United States
  • Oregon Center for Clinical Investigations, Inc.
    Portland, Oregon 97210, United States
  • CRI Worldwide
    Philadelphia, Pennsylvania 19139, United States
  • Carolina Clinical Trials Inc.
    Charleston, South Carolina 29405, United States
  • InSite Clinical Research LLC
    DeSoto, Texas 75115, United States
  • Claghorn-Lesem Research Clinic
    Houston, Texas 77008, United States
  • Allegiant Clinical Research, LLC
    Houston, Texas 77024, United States
  • MD
    Houston, Texas 77042, United States
  • Todd J. Swick, MD, PA
    Houston, Texas 77063, United States
  • MD
    Lubbock, Texas 79423, United States
  • The Mech Center
    Plano, Texas 75024, United States
  • Aspen Clinical Research, LLC
    Orem, Utah 84058, United States
  • Northwest Clinical Research Center
    Bellevue, Washington 98007, United States
  • Eastside Therapeutic Resource
    Kirkland, Washington 98033, United States
09

References and documents

Publications

  • Sangal RB, Blumer JL, Lankford DA, Grinnell TA, Huang H. Eszopiclone for insomnia associated with attention-deficit/hyperactivity disorder. Pediatrics. 2014 Oct;134(4):e1095-103. doi: 10.1542/peds.2013-4221. PubMed 25266438 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 17, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00856973
Lead sponsor
Sumitomo Pharma America, Inc.
Responsible party
Sponsor
First posted
Mar 6, 2009
Start date
May 2009
Primary completion
Jul 2011
Completion
Jul 2011
Results posted
Apr 10, 2013
Last update
Jun 17, 2013

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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