ClinicalTrials.gg
CompletedNCT03489304Updated Oct 16, 2018Results posted

Zaleplon in HIV Patients With Depression

A Phase 2 interventional study of Zaleplon in HIV/AIDS and Clinical Depression, sponsored by University of Pennsylvania. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-10-16.

Sponsored by University of Pennsylvania · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years 11 months after the study started (first participant enrolled Apr 2014, registered Mar 2018).

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Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 31 studies in Acquired Immunodeficiency Syndrome by University of Pennsylvania — 1 open to participants now, 4 under way, none of them phase 3. Acquired Immunodeficiency Syndrome · University of Pennsylvania.

Enrollment
26th of 30
20 · median 243
Started
2014
the only one that year
Phase 2
2 of 31
none open now
Registered
16th of 31
by date

Among the 31 studies in Acquired Immunodeficiency Syndrome by University of Pennsylvania, this one is the 26th largest by enrollment of the 30 interventional ones that give a count, is the only one that started in 2014, is one of 2 in phase 2, and was the 16th registered.

Acquired Immunodeficiency Syndrome

3,037 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 307 are open to participants now.

Browse Acquired Immunodeficiency Syndrome studies →

Open to participants now

1 of the 31 studies in Acquired Immunodeficiency Syndrome by University of Pennsylvania is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

Who these studies take

Of the 198 Acquired Immunodeficiency Syndrome studies recruiting now, 118 (60%) set no upper age limit and 67 (34%) stop at 75 or younger; 43 take children under 18; 68 take healthy volunteers.

This study: 18 Years to 65 Years · all sexes · no healthy volunteers.

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02

Study summary

In HIV positive patients with sleep onset insomnia and receiving pharmacologic treatment for comorbid depression, the proposed study aims to evaluate the impact of zaleplon on sleep measures determined by insomnia severity index (ISI) and Epworth sleepiness scale (ESS).

Read the detailed description

An estimated >50% of HIV positive individuals report insomnia. Insomnia and other sleep disturbances negatively impact outcomes in this population by contributing to metabolic dysfunction, reducing quality of life, and impairing psychosocial functioning. Additionally, in HIV depressed populations, insomnia may hinder remission from clinical depression. To date, there have been no pharmacotherapeutic studies treating insomnia in this population, emphasizing the need to determine whether known hypnotic medications work as effectively in HIV positive patients, including those with comorbid depression. Non-benzodiazepine hypnotics represent an attractive pharmacotherapy for treatment of insomnia in a depressed population, as there are reduced side effects and abuse potential compared to classical benzodiazepines. Consequently, an open-label study evaluating zaleplon for insomnia in HIV positive patients with comorbid depression warrants further study.

03

Conditions studied

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male or female subjects aged 18-65 years with a diagnosis of asymptomatic seropositive
  2. Principal diagnosis of Major Depressive Disorder or Dysthymic Disorder in accordance with criteria, and receiving pharmacologic treatment.
  3. Subject has obtained some subjective benefit from current antidepressant therapy and is agreeable to remain on the same medication for the course of this study
  4. Current symptoms of insomnia as determined by a total score of at least 2 on items 4, 5, and 6 of the HAM-D, and specific complaint of sleep onset insomnia (sleep onset latency of at least 1 hour, 3 or more times per week))
  5. Free of sleep medication for at least 2 weeks prior to enrollment (we will not enroll any patients who might require weaning off of sedative hypnotic medications in order to be eligible for the study)
  6. Ability to understand the requirements of the study and provide

Exclusion criteria

Exclusion Criteria:

  1. Significant chronic, systemic illness or significant neurologic disorder, including traumatic brain injury
  2. history of liver disease
  3. Psychiatrically unstable patients in the clinical judgment of the investigator as indicated by current acute suicidality, current homicidal thoughts, or current psychosis
  4. Lifetime history of schizophrenia, schizoaffective disorder, or any psychotic illness
  5. History of substance abuse or dependence over the past 6 months
  6. Currently taking medication to assist with sleep (e.g., Ambien/Zolpidem,Dalmane/Flurazepam, Doral/Quazepam, Halcion/Triazolam, Lunesta/Eszopiclone, Prosom/Estazolam, Restoril/Temazepam, Rozerem/Ramelteon, Sonata/Zaleplon, Melatonin, Unisom, Benadryl).
  7. Pregnant
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Other
    Zaleplon

    Open-label zaleplon 5-10mg daily

    Drug: Zaleplon

Interventions

  • non-benzodiazepine hypnotic agent

06

What researchers measure

Primary outcomes

  1. Insomnia Severity Index (ISI)

    The Insomnia Severity Index is a validated sleep scale that measures clinical insomnia severity. The total score ranges from 0-28 where higher values indicate increased severity of insomnia.

    Time frame: Measure at 6 weeks

Secondary outcomes

  1. Epworth Sleepiness Scale (ESS)

    The Epworth Sleepiness Scale (ESS) is a validated sleep scale that quantifies daytime sleepiness across eight domains. The total score ranges from 0-24 where higher values indicate greater daytime sleepiness.

    Time frame: Measure at 6 weeks

  2. Quick Inventory of Depressive Symptomatology (QIDS)

    The Quick Inventory of Depressive Symptomatology (QIDS) is a validated mood scale that quantifies depression symptoms. The total score ranges from 0-48, where higher values indicate greater depressive symptoms.

    Time frame: Measure at 6 weeks

07

Results

Posted Sep 18, 2018

Participant flow

Participant flow — Overall Study
MilestoneZaleplon
Started20
Completed16
Not completed4
Withdrew: Lost to follow-up4

Outcome measures

PrimaryInsomnia Severity Index (ISI)

The Insomnia Severity Index is a validated sleep scale that measures clinical insomnia severity. The total score ranges from 0-28 where higher values indicate increased severity of insomnia.

Time frame:
Measure at 6 weeks
Reported as:
Mean · score on a scale
Insomnia Severity Index (ISI)
score on a scaleZaleplon
Insomnia Severity Index (ISI)11 ± 4.5
SecondaryEpworth Sleepiness Scale (ESS)

The Epworth Sleepiness Scale (ESS) is a validated sleep scale that quantifies daytime sleepiness across eight domains. The total score ranges from 0-24 where higher values indicate greater daytime sleepiness.

Time frame:
Measure at 6 weeks
Reported as:
Mean · score on a scale
Epworth Sleepiness Scale (ESS)
score on a scaleZaleplon
Epworth Sleepiness Scale (ESS)6.5 ± 4.9
SecondaryQuick Inventory of Depressive Symptomatology (QIDS)

The Quick Inventory of Depressive Symptomatology (QIDS) is a validated mood scale that quantifies depression symptoms. The total score ranges from 0-48, where higher values indicate greater depressive symptoms.

Time frame:
Measure at 6 weeks
Reported as:
Mean · score on a scale
Quick Inventory of Depressive Symptomatology (QIDS)
score on a scaleZaleplon
Quick Inventory of Depressive Symptomatology (QIDS)8.7 ± 6.3

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Zaleplon—0/20 (0%)0/20 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Zaleplon
<=18 years0
Between 18 and 65 years20
>=65 years0
Age, Continuous
Age, Continuous(years)Zaleplon
Mean49 ± 9
Sex: Female, Male
Sex: Female, Male(Participants)Zaleplon
Female6
Male14
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Zaleplon
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American16
White4
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)Zaleplon
United States20
08

Study locations

1 site
  • Mood & Anxiety Disorders Research and Treatment Program
    Philadelphia, Pennsylvania 29615, United States
09

References and documents

Publications

  • Goldschmied JR, Sengupta A, Sharma A, Taylor L, Morales KH, Thase ME, Thase ME, Weljie A, Kayser MS. Treatment of Insomnia with Zaleplon in HIV+ Significantly Improves Sleep and Depression. Psychopharmacol Bull. 2021 Jun 1;51(3):50-64. PubMed 34421144 ↗

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2014 to primary completion in Feb 2015, 10 months.

Results were first posted in Sep 2018, 3 years 7 months after primary completion.

Of 57 non-industry phase 2 interventional studies under Acquired Immunodeficiency Syndrome, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 65. This study's 10 months is below that.

Counting every sponsor, half of 86 studies reached it within 36 months; a quarter within 18 and three quarters within 71.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 27, 2018
First posted
Apr 5, 2018
StartActual
Apr 3, 2014
Primary completionActual
Feb 4, 2015
CompletionActual
Feb 4, 2015
Results first posted
Sep 18, 2018
Last update
Oct 16, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 16, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03489304
Responsible party
Sponsor
First posted
Apr 5, 2018
Start date
Apr 3, 2014
Primary completion
Feb 4, 2015
Completion
Feb 4, 2015
Results posted
Sep 18, 2018
Last update
Oct 16, 2018

Study contacts

Matthew Kayser, MD, PhD
principal investigator · University of Pennsylvania

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2018. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Zaleplon

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