Insomnia DisorderPhase 2NCT06680505
Safety and Efficacy Study of YZJ-1139 in Primary Chronic Insomnia Disorder
A Phase 2 study testing YZJ-1139 10mg, YZJ-1139 20mg and YZJ-1139 40mg in people with Insomnia Disorder, run by Shanghai Haiyan Pharmaceutical Technology Co., Ltd. at 33 sites in China.
Trial summary
The main purpose of this study is to evaluate the efficacy and safety of YZJ-1139 in the short-term treatment of primary chronic insomnia, explore the optimal effective dose, and provide the basis for phase III clinical trials Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Insomnia Disorder
- What is being tested?
- YZJ-1139 10mg, YZJ-1139 20mg and YZJ-1139 40mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 300 participants
- Where
- 33 sitesChina
- Study dates
- 4 Aug 2019to 29 Mar 2021
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Aged ≥ 18 to < 65 years.
- Meet the clinical diagnostic criteria for primary chronic insomnia disorder as defined in ICSD-3 criteria.
- PSG results for 2 consecutive nights during the run-in period should meet the following conditions:
- 1) The mean LPS of 2 nights is ≥ 30 min, with the LPS ≥ 15 min for any night; 2) And/or the mean WASO of 2 nights is ≥ 30 min, with neither night ≥20 min; 3) The mean SE of 2 nights is ≤ 85%, with the SE ≤ 87.5% for both nights. 4. During the study, the patient agreed to follow the daily bedtime between 9 and 12 pm , stayed in bed for 6.5-9 hours every night, and agreed to refrain from taking a nap.
- 5. 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 1 month after the end of the study.
- 6. 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
Who cannot join
- Sleep disorders associated with neurological disorders such as depression, anxiety, sleep disorders due to dementia; depression: Hamilton Depression Scale (HAMD) score ≥ 18 or item 3 (suicidal ideation) score of 3 or more; anxiety: Hamilton Anxiety Scale (HAMA) score ≥ 14; dementia: MMSE scale score ≤ 20 for primary school, ≤ 22 for secondary school (including technical secondary school), and ≤ 23 for college (including junior college).
- Apnea-hypopnea index [AHI] and/or periodic limb movement index [PLMI] > 10 times/hour detected by PSG monitoring during the run-in period.
- Patients with severe endocrine diseases, blood diseases, cardiovascular and cerebrovascular diseases, autoimmune diseases, respiratory function impairment and other related diseases.
- Previous history of nervous system disorders such as epilepsy, schizophrenia, bipolar mental disorder, neurodevelopmental retardation, cognitive disorder, narcolepsy, and restless leg syndrome.
- Receiving any hypnotics, antidepressants, antipsychotics, anticholinergics, memory-enhancing drugs, antihistamines, CYP3A inducers, CYP3A inhibitors within 2 weeks prior to the start of the lead-in PSG.
- History of drug taking or addiction, which is known through questioning.
Show all 18Show fewer
- Have any lifestyle that interferes with the study process or may interfere with sleep: for example, there will be travels across zones within the next 2 weeks or during the study period, or there will be shift work (night and daytime shift).etc.
- Special occupants who need to operate machinery during the test period, such as professional drivers, high-altitude operators, etc.
- Subjects who were treated with any other approved or investigational insomnia medication prior to the study, including other orexin receptor inhibitors, or specific herbal preparations, traditional Chinese medicines, and still needed to continue in the study.
- AST and ALT > 2 × the upper limit of normal (ULN), or Cr > 1.5 × ULN, or white blood cells < lower limit of normal.
- Hyperthyroidism or hypothyroidism.
- 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).
- History of drug abuse , or positive urine drug screening (screening and/or baseline) for any indicator.
- Regular daily consumption of excessive tea and coffee drinks.
- Patients who have participated in other drug clinical trials within the past 3 months, or participated in other research trials during this trial.
- Pregnant or lactating women.
- History of allergy to the investigational product or its components.
- Have other conditions that make the subject unsuitable for participation in the clinical study in the opinion of the investigator.
Trial locations and contacts
33 sites in 1 country.
33 sites in 1 country
China33 sites
Beijing HuiLongGuan Hospital
Beijing
Peking University People's Hospital
Beijing
Xuanwu Hospital, Capital Medical University
Beijing
The First Affiliated Hospital of Bengbu Medical College
Bengbu
The First Hospital of Jilin University
Changchun
Hunan Brain Hospital
Changsha
Xiangya Hospital, Central South University
Changsha
West China Hospital, Sichuan University
Chengdu
Army Specialty Medical Center
Chongqing
Guangdong Provincial People's Hospital
Guangzhou
Nanfang Hospital of Southern Medical University (Department of Psychiatry)
Guangzhou
Nanfang Hospital, Southern Medical University (Sleep Medicine Center)
Guangzhou
The First Affiliated Hospital of Jinan University
Guangzhou
The Second Affiliated Hospital of Anhui Medical University
Hefei
The Affiliated Hospital of Jiujiang University
Jiujiang
The First Affiliated Hospital of Kunming Medical University
Kunming
The First People's Hospital of Yunnan Province
Kunming
Jiangxi Provincial Psychiatric Hospital
Nanchang
Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing
Nanjing
The First People 's Hospital of Nantong
Nantong
Qingdao Municipal Hospital
Qingdao
The Second Affiliated Hospital of Fujian Medical University
Quanzhou
Huashan Hospital Affiliated to Fudan University
Shanghai
Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
Shanghai
The First Hospital of Hebei Medical University
Shijiazhuang
The Third Hospital of Hebei Medical University
Shijiazhuang
The Second Affiliated Hospital of Soochow University
Suzhou
Tianjin Anding Hospital
Tianjin
Wuhan Mental Health Center
Wuhan
Tangdu Hospital, Fourth Military Medical University, PLA
Xi'an
The Second Affiliated Hospital of Xinxiang Medical University
Xinxiang
Henan Provincial People's Hospital
Zhengzhou
The Affiliated Hospital of Zunyi Medical College
Zunyi
About this study
Official title: A Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter, Phase Ⅱ Clinical Study to Evaluate the Efficacy and Safety of YZJ-1139 Tablets in the Treatment of Primary Chronic Insomnia Disorder
The main purpose of this study is to evaluate the efficacy and safety of YZJ-1139 in the short-term treatment of primary chronic insomnia, explore the optimal effective dose, and provide the basis for phase III clinical trials
- Conditions
- Insomnia Disorder
- Being tested
- YZJ-1139 10mg, YZJ-1139 20mg, YZJ-1139 40mg, YZJ-1139 60mg, Placebo
- Medical subject headings
- Sleep Initiation and Maintenance Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
YZJ-1139 10mgDrug
YZJ-1139 10mg tablets
YZJ-1139 20mgDrug
YZJ-1139 20mg tablets
YZJ-1139 40mgDrug
YZJ-1139 40mg tablets
YZJ-1139 60mgDrug
YZJ-1139 60mg tablets
PlaceboDrug
Match placebo tablets
| Study group | Role | What they receive |
|---|---|---|
| YZJ-1139 10mg | Experimental | Not described Receives: Drug: YZJ-1139 10mg |
| YZJ-1139 20mg | Experimental | Not described Receives: Drug: YZJ-1139 20mg |
| YZJ-1139 40mg | Experimental | Not described Receives: Drug: YZJ-1139 40mg |
| YZJ-1139 60mg | Experimental | Not described Receives: Drug: YZJ-1139 60mg |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Sleep efficiency (SE) monitored by PSG
SE is the percentage of the subject 's total sleep time versus the monitored time;Changes from baseline (mean of any consecutive 2 days from Day -7 to Day -1) were evaluated separately for all subjects on Day 1 / Day 2, Day 13 / Day 14 of dosing, and for 1/5 subjects in each group on Day 27 / Day 28 of dosing.
Measured: Baseline , for all subjects: Day 1 / Day 2,Day 13 / Day 14; for 1/5 subjects: Day 27 / Day 28
Secondary outcomes (6)
Total sleep time (TST), sleep latency (LPS), sleep wake time (WASO), number of sleep awakenings (NAW) monitored by PSG
Changes from baseline (mean of any consecutive 2 days from Day -7 to Da y -1) were evaluated separately for all subjects on Day 1 / Day 2, Day 13 / Day 14 of dosing, and for 1/5 subjects in each group on Day 27 / Day 28 of dosing.
Measured: Baseline ; for all subjects: Day 1 / Day 2, Day 13 / Day 14; for 1/5 subjects: Day 27 / Day 28
Evaluation of Sleep Structures Recorded by PSG Monitoring
To evaluate changes from baseline on Day 1 and Day 14 of dosing in all subjects and Day 28 of dosing in 1/5 subjects in each group
Measured: Baseline, for all subjects: Day 1, Day 14; for 1/5 subjects: Day 28
Subjective Total Sleep Time (sTST), Subjective Sleep Latency (sTSO) Recorded by Sleep Diary
The mean value at Week 1 and Week 2 for all subjects and the mean value at Week 4 for 1/5 subjects in each group were evaluated for the changes from the baseline value (mean value during the run-in period)
Measured: Baseline, for all subjects: Week 1,Week 2, for 1/5 subjects:Week 4
Total sleep time (TST), sleep latency (SL), sleep awakening time (WASO), number of sleep awakenings (NAW) and sleep efficiency (SE) recorded by body movement recorder
According to the index values measured by body movement recorder, the mean value at Week 1, mean value at Week 2 and mean value at Week 4 of medication for 1/5 subjects in each group were taken from all subjects to evaluate the change values from the baseline values (mean value during run-in period), respectively
Measured: Baseline, for all subjects:Week 1,Week 2, for 1/5 subjects:Week 4
Insomnia Severity Index (ISI)
Changes from baseline were evaluated separately for all subjects on Day 14 of dosing and for 1/5 subjects in each group on Day 28 of dosing
Measured: Baseline, for all subjects: Day 14, for 1/5 subjects:Day 28
Rebound evaluation and proportion of rebound patients
All subjects should receive body movement recorder test and sleep diary during the follow-up period, and each indicator will be compared with the baseline period. If the baseline value is reached or worse than the baseline value, it is defined as rebound
Measured: Follow-up Period, 7 days after double-blind treatment.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Nov 2024
- Study start4 Aug 2019
- Primary completion30 Sep 2020
- Study completion29 Mar 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Insomnia DisorderStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 300 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shanghai Haiyan Pharmaceutical Technology Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06680505
- Sponsor's protocol ID
- YZJ-1139-2-01
- Status last verified
- Nov 2024
- First submitted
- 1 Nov 2024
- Last updated
- 8 Nov 2024
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled, Parallel-group, Multicenter, Phase Ⅱ Clinical Study to Evaluate the Efficacy and Safety of YZJ-1139 Tablets in the Treatment of Primary Chronic Insomnia Disorder
- ClinicalTrials.gov ID
- NCT06680505
- Acronym / sponsor ID
- YZJ-1139-2-01
- Conditions
- Insomnia Disorder
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 300 participants (actual)
- Lead sponsor
- Shanghai Haiyan Pharmaceutical Technology Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 4 Aug 2019 (actual)
- Primary completion
- 30 Sep 2020 (actual)
- Study completion
- 29 Mar 2021 (actual)
- First posted
- 8 Nov 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main purpose of this study is to evaluate the efficacy and safety of YZJ-1139 in the short-term treatment of primary chronic insomnia, explore the optimal effective dose, and provide the basis for phase III clinical trials
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| YZJ-1139 10mg | Experimental | Drug: YZJ-1139 10mg |
| YZJ-1139 20mg | Experimental | Drug: YZJ-1139 20mg |
| YZJ-1139 40mg | Experimental | Drug: YZJ-1139 40mg |
| YZJ-1139 60mg | Experimental | Drug: YZJ-1139 60mg |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Aged ≥ 18 to < 65 years.
- Meet the clinical diagnostic criteria for primary chronic insomnia disorder as defined in ICSD-3 criteria.
- PSG results for 2 consecutive nights during the run-in period should meet the following conditions:
- 1) The mean LPS of 2 nights is ≥ 30 min, with the LPS ≥ 15 min for any night; 2) And/or the mean WASO of 2 nights is ≥ 30 min, with neither night ≥20 min; 3) The mean SE of 2 nights is ≤ 85%, with the SE ≤ 87.5% for both nights. 4. During the study, the patient agreed to follow the daily bedtime between 9 and 12 pm , stayed in bed for 6.5-9 hours every night, and agreed to refrain from taking a nap.
- 5. 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 1 month after the end of the study.
Key exclusion criteria (18 listed)
- Sleep disorders associated with neurological disorders such as depression, anxiety, sleep disorders due to dementia; depression: Hamilton Depression Scale (HAMD) score ≥ 18 or item 3 (suicidal ideation) score of 3 or more; anxiety: Hamilton Anxiety Scale (HAMA) score ≥ 14; dementia: MMSE scale score ≤ 20 for primary school, ≤ 22 for secondary school (including technical secondary school), and ≤ 23 for college (including junior college).
- Apnea-hypopnea index [AHI] and/or periodic limb movement index [PLMI] > 10 times/hour detected by PSG monitoring during the run-in period.
- Patients with severe endocrine diseases, blood diseases, cardiovascular and cerebrovascular diseases, autoimmune diseases, respiratory function impairment and other related diseases.
- Previous history of nervous system disorders such as epilepsy, schizophrenia, bipolar mental disorder, neurodevelopmental retardation, cognitive disorder, narcolepsy, and restless leg syndrome.
- Receiving any hypnotics, antidepressants, antipsychotics, anticholinergics, memory-enhancing drugs, antihistamines, CYP3A inducers, CYP3A inhibitors within 2 weeks prior to the start of the lead-in PSG.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| YZJ-1139 10mgYZJ-1139 10mg tablets | Drug | YZJ-1139 10mg |
| YZJ-1139 20mgYZJ-1139 20mg tablets | Drug | YZJ-1139 20mg |
| YZJ-1139 40mgYZJ-1139 40mg tablets | Drug | YZJ-1139 40mg |
| YZJ-1139 60mgYZJ-1139 60mg tablets | Drug | YZJ-1139 60mg |
| PlaceboMatch placebo tablets | Drug | Placebo |
Primary outcome
Sleep efficiency (SE) monitored by PSG
Time frame: Baseline , for all subjects: Day 1 / Day 2,Day 13 / Day 14; for 1/5 subjects: Day 27 / Day 28
SE is the percentage of the subject 's total sleep time versus the monitored time;Changes from baseline (mean of any consecutive 2 days from Day -7 to Day -1) were evaluated separately for all subjects on Day 1 / Day 2, Day 13 / Day 14 of dosing, and for 1/5 subjects in each group on Day 27 / Day 28 of dosing.
6 secondary outcomes
Total sleep time (TST), sleep latency (LPS), sleep wake time (WASO), number of sleep awakenings (NAW) monitored by PSG
Time frame: Baseline ; for all subjects: Day 1 / Day 2, Day 13 / Day 14; for 1/5 subjects: Day 27 / Day 28
Evaluation of Sleep Structures Recorded by PSG Monitoring
Time frame: Baseline, for all subjects: Day 1, Day 14; for 1/5 subjects: Day 28
Subjective Total Sleep Time (sTST), Subjective Sleep Latency (sTSO) Recorded by Sleep Diary
Time frame: Baseline, for all subjects: Week 1,Week 2, for 1/5 subjects:Week 4
Total sleep time (TST), sleep latency (SL), sleep awakening time (WASO), number of sleep awakenings (NAW) and sleep efficiency (SE) recorded by body movement recorder
Time frame: Baseline, for all subjects:Week 1,Week 2, for 1/5 subjects:Week 4
Insomnia Severity Index (ISI)
Time frame: Baseline, for all subjects: Day 14, for 1/5 subjects:Day 28
Rebound evaluation and proportion of rebound patients
Time frame: Follow-up Period, 7 days after double-blind treatment.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Nov 2024.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
33 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing YZJ-1139 10mg, YZJ-1139 20mg and YZJ-1139 40mg in people with Insomnia Disorder, run by Shanghai Haiyan Pharmaceutical Technology Co., Ltd. at 33 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 33 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Sleep efficiency (SE) monitored by PSG (time frame: Baseline , for all subjects: Day 1 / Day 2,Day 13 / Day 14; for 1/5 subjects: Day 27 / Day 28). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Nov 2024.