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InsomniaNCT07714772

A Study of Dimdazenil in Patients With Parkinson's Disease and Insomnia

An observational study of Insomnia and Parkinson's Disease (PD), run by Second Affiliated Hospital of Soochow University.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study will use sleep parameters measured by polysomnography (PSG) as the primary means to evaluate the efficacy and safety of dimdazenil, a GABAA receptor partial agonist, in treating insomnia in Parkinson's disease patients. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Insomnia, Parkinson's Disease (PD)
How many people
50 participants
Where
No sites listed yet
Study dates
1 Aug 2026to 31 Dec 2026
Phase
Observational
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Parkinson's disease with insomnia,aged ≥18 years, male or female

Who may be able to join

  • Provide written informed consent voluntarily after full comprehension of the study.
  • Be aged ≥18 years, male or female.
  • Meet the diagnostic criteria for Parkinson's disease according to the Chinese Diagnostic Criteria for Parkinson's Disease (2016 Edition), with a modified Hoehn-Yahr stage ≤3.
  • Have insomnia symptoms [reduced total sleep time (<6.5 h) and/or sleep-onset latency >30 min, and/or ≥2 nocturnal awakenings, early-morning awakening, or poor sleep quality], occurring at least three times per week, accompanied by daytime dysfunction or daytime distress, with adequate opportunity for sleep yet difficulty initiating or maintaining sleep, and that cannot be fully explained by another sleep-wake disorder; and have satisfactory control of Parkinson's disease motor symptoms [MDS-UPDRS Part III (ON state) score ≤30].
  • Be on a stable anti-Parkinsonian medication regimen, defined as no change in the type, dosage, or frequency of anti-Parkinsonian drugs for at least 4 weeks prior to enrollment, with no motor fluctuations or dyskinesia.
  • Have a clinical decision by the attending physician to initiate didazinin treatment per routine practice.
  • Be able to undergo polysomnography (PSG) monitoring.
  • Be conscious, capable of normal communication, and able to complete sleep diaries independently.

Who cannot join

  • Have Parkinson-plus syndromes, secondary parkinsonism, or other non-idiopathic Parkinson's disease.
  • Have used benzodiazepine sedative-hypnotics within 7 days prior to enrollment.
  • Have other significant comorbidities, such as malignant tumors, or clinically significant impairment of cardiac, hepatic, or renal function.
  • Have severe obstructive sleep apnea (OSA), chronic obstructive pulmonary disease (COPD), respiratory insufficiency, or myasthenia gravis.
  • Have known hypersensitivity to any component of didazinin.
  • Have moderate-to-severe depression or anxiety, defined as a Hamilton Depression Rating Scale (HAMD) score ≥25 or a Hamilton Anxiety Rating Scale (HAMA) score ≥29.
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  • Have a history of substance abuse (e.g., drug addiction or alcohol dependence).
  • Have a history of epilepsy, schizophrenia, bipolar disorder, developmental delay, or cognitive impairment.
  • Be pregnant or breastfeeding.
  • Be unwilling or unable to comply with scheduled follow-up visits.
  • Have any other condition that, in the investigator's judgment, would make the subject unsuitable for participation (e.g., anticipated inability to complete follow-up within 14 days, or concurrent use of other medications that may substantially interfere with sleep assessment and cannot be withdrawn).

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

Official title: Efficacy and Safety of Dimdazenil, a GABAA Receptor Partial Agonist, in the Treatment of Insomnia in Patients With Parkinson's Disease

This study will use sleep parameters measured by polysomnography (PSG) as the primary means to evaluate the efficacy and safety of dimdazenil, a GABAA receptor partial agonist, in treating insomnia in Parkinson's disease patients.

Read the detailed description

This study will enroll a total of 50 Parkinson's disease patients with insomnia, aged ≥18 years. Eligible subjects who meet the inclusion and exclusion criteria and are judged by the investigator to be suitable for the study drug will receive dimdazenil capsules at a dose of 2.5 mg per night, with a total treatment duration of 14 days,taken orally immediately before bedtime as prescribed.

The primary efficacy endpoint is the change from baseline in total sleep time (TST) measured by polysomnography (PSG) on the night of Day 14. Secondary endpoints include multiple objective and subjective sleep parameters derived from PSG and sleep diaries, daytime function assessed by validated scales, and Parkinson's disease symptoms.

Keywords
Insomnia, Parkinson's disease, Daytime Function, effective, safety, dimdazenil
Medical subject headings
Sleep Initiation and Maintenance Disorders, Parkinson Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT07714772
Study groupRoleWhat they receive
Parkinson's disease patients with insomnia, aged ≥18 years, male or femaleNot described

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline in total sleep time (TST) measured by polysomnography (PSG) on the night of Day 14 of dimdazenil treatment

    Total sleep time (TST) is an objective sleep parameter derived from automatic recordings obtained via polysomnography (PSG).

    Measured: Baseline, Night 14

Secondary outcomes (30)
  1. Change from baseline in total sleep time (TST) measured by polysomnography (PSG) on the night of Day 1 of dimdazenil treatment

    Total sleep time (TST) is an objective sleep parameter derived from automatic recordings obtained via polysomnography (PSG).

    Measured: baseline, Night 1

  2. Change from baseline in Movement Disorder Society - Unified Parkinson's Disease Rating Scale Part III (MDS-UPDRS-III) motor examination score after 14 days of dimdazenil treatment

    Movement Disorder Society - Unified Parkinson's Disease Rating Scale Part III (MDS-UPDRS-III) is the motor examination section of the MDS-UPDRS, used to assess the severity of motor symptoms in patients with Parkinson's disease. The MDS-UPDRS-III comprises 27 items across 14 categories, including facial expression, tremor, rigidity, bradykinesia, postural instability, and gait examination. Each item is scored on a 5-point Likert scale (ranging from 0 to 4), with a total score range of 0 to 108. Higher scores indicate more severe motor symptoms.

    Measured: baseline, Day 14

  3. Change from baseline in latency to persistent sleep (LPS) measured by polysomnography (PSG)

    Latency to persistent sleep (LPS) is an objective sleep parameter derived from automatic recordings obtained via polysomnography (PSG), defined as the time from the start of PSG recording to the onset of non-rapid eye movement (NREM) sleep stage 1。

    Measured: baseline, Night 1,Night 14

  4. Change from baseline in wake after sleep onset (WASO) measured by polysomnography (PSG)

    Wake after sleep onset(WASO) is an objective sleep parameter derived from automatic recordings obtained via polysomnography (PSG)。Polysomnography (PSG) is a medical device that comprehensively evaluates sleep quality by simultaneously recording more than 10 physiological parameters, including electroencephalography (EEG)。PSG is regarded as the "gold standard" for the diagnosis of sleep disorders.

    Measured: baseline, Night 1,Night 14

  5. Change from baseline in number of awakenings (NAW) measured by polysomnography (PSG)

    Number of awakenings (NAW) is an objective sleep parameter derived from automatic recordings obtained via polysomnography (PSG).

    Measured: baseline, Night 1,Night 14

  6. Change from baseline in sleep efficiency (SE) measured by polysomnography (PSG)

    Sleep efficiency (SE) is calculated from the total sleep time (TST) and total time in bed (TIB) recorded automatically by PSG, with the formula: SE = TST / TIB × 100%.

    Total sleep time (TST): The sum of the durations of all epochs scored as N1, N2, N3, and REM sleep in the PSG recording, excluding all epochs scored as "Wake".

    Total time in bed (TIB): The total duration from the start of PSG recording (when the subject goes to bed and prepares to sleep) to the end of recording (when the subject gets out of bed and leaves).

    Measured: baseline, Night 1,Night 14

  7. Change from baseline in subjective total sleep time (sTST)

    subjective total sleep time (sTST) is recorded in sleep diary

    Measured: baseline, Day 14 under the treatment of dimdazenil

  8. Change from baseline in subjective sleep onset latency (sSL)

    sSL is recorded in sleep diary

    Measured: baseline, Day 14 under the treatment of dimdazenil

  9. Change from baseline in subjective wake after sleep onset (sWASO)

    sWASO is recorded in sleep diary

    Measured: baseline, Day 14 under the treatment of dimdazenil

  10. Change from baseline in subjective number of awakenings (sNAW)

    sNAW is recorded in sleep diary

    Measured: baseline, Day 14 under the treatment of dimdazenil

  11. Change from baseline in subjective sleep efficiency (sSE)

    Subjective sleep efficiency (sSE) is calculated from the subjective total sleep time (sTST) and total time in bed (TIB) recorded by the subject via a sleep diary, using the formula: sSE = sTST / TIB × 100%.

    Total time in bed (TIB): The total duration recorded by the subject from the time they go to bed and attempt to sleep to the time they get out of bed the next morning. Subjective total sleep time (sTST): The total sleep duration calculated by subtracting sleep latency (time to fall asleep) and wake after sleep onset (WASO) from the total time in bed (TIB).

    Measured: baseline, Day 14 under the treatment of dimdazenil

  12. Change from baseline in Insomnia Severity Index (ISI) total score

    The Insomnia Severity Index (ISI) is a self-reported questionnaire used to assess the severity of insomnia in subjects. The ISI comprises 7 items grouped under 5 major domains. The total score is the sum of each individual item score, ranging from 0 to 28. Scores are interpreted as follows: 0-7: no clinically significant insomnia; 8-14: subthreshold insomnia; 15-21: clinical insomnia (moderate); 22-28: clinical insomnia (severe).

    Measured: baseline, Day 14 under the treatment of dimdazenil

  13. Changes from baseline in the Parkinson's Disease Sleep Scale (PDSS) total score and individual item scores after 14 days of dimdazenil treatment

    The Parkinson's Disease Sleep Scale (PDSS) is a 15-item self-reported instrument specifically designed to evaluate nocturnal sleep disturbances and daytime functioning in patients with Parkinson's disease. Each item is scored from 0 to 10 (0 = extremely severe symptoms, 10 = no symptoms), with a total score ranging from 0 to 150. Higher scores indicate better sleep quality.

    Measured: baseline, Day 14

  14. PSG-recorded sleep time duration in NREM sleep stages 1(N1)

    Sleep time duration in Non-rapid eye movement(NREM) sleep stages 1(N1) is derived from automatic recordings obtained via polysomnography (PSG).

    Measured: baseline, Night 1, Night 14

  15. PSG-recorded sleep time duration in NREM sleep stages 2(N2)

    Sleep time duration in Non-rapid eye movement(NREM) sleep stages 2(N2) is derived from automatic recordings obtained via polysomnography (PSG).

    Measured: baseline, Night 1, Night 14

  16. PSG-recorded sleep time duration in NREM sleep stages 3(N3)

    Sleep time duration in Non-rapid eye movement(NREM) sleep stages 3(N3) is derived from automatic recordings obtained via polysomnography (PSG).

    Measured: baseline, Night 1, Night 14

  17. PSG-recorded sleep time duration in REM sleep

    Sleep time duration in rapid eye movement(REM) sleep is derived from automatic recordings obtained via polysomnography (PSG).

    Measured: baseline, Night 1, Night 14

  18. PSG-recorded sleep latency for N1 sleep

    Sleep latency for N1 sleep is derived from automatic recordings obtained via polysomnography (PSG). N1 latency is defined as the time from sleep onset to the first occurrence of N1 sleep.

    Measured: baseline, Night 1, Night 14

  19. PSG-recorded sleep latency for N2 sleep

    Sleep latency for N2 sleep is derived from automatic recordings obtained via polysomnography (PSG). N2 latency is defined as the time from sleep onset to the first occurrence of N2 sleep.

    Measured: baseline, Night 1, Night 14

  20. PSG-recorded sleep latency for N3 sleep

    "Sleep latency for N3 sleep is derived from automatic recordings obtained via polysomnography (PSG). N3 latency is defined as the time from sleep onset to the first occurrence of N3 sleep. "

    Measured: baseline, Night 1, Night 14

  21. PSG-recorded sleep latency for REM sleep

    Sleep latency for rapid eye movement(REM) sleep is derived from automatic recordings obtained via polysomnography (PSG). REM latency is defined as the time from sleep onset to the first occurrence of REM sleep.

    Measured: baseline, Night 1, Night 14

  22. the percentage of total sleep time accounted for by N1 sleep

    The percentage of total sleep time spent in N1 sleep (N1%) was calculated using the following formula: N1% = (N1 duration / TST) × 100%, where N1 duration was defined as the total duration of epochs scored as N1 sleep on PSG, and TST was defined as the total duration of all sleep epochs (N1 + N2 + N3 + REM).

    Measured: baseline, Night 1, Night 14

  23. the percentage of total sleep time accounted for by N2 sleep

    The percentage of total sleep time spent in N2 sleep (N2%) was calculated using the following formula: N2% = (N2 duration / TST) × 100%, where N2 duration was defined as the total duration of epochs scored as N2 sleep on PSG, and TST was defined as the total duration of all sleep epochs (N1 + N2 + N3 + REM).

    Measured: baseline, Night 1, Night 14

  24. the percentage of total sleep time accounted for by N3 sleep

    The percentage of total sleep time spent in N3 sleep (N3%) was calculated using the following formula: N3% = (N3 duration / TST) × 100%, where N3 duration was defined as the total duration of epochs scored as N3 sleep on PSG, and TST was defined as the total duration of all sleep epochs (N1 + N2 + N3 + REM).

    Measured: baseline, Night 1, Night 14

  25. the percentage of total sleep time accounted for by REM sleep

    The percentage of total sleep time spent in REM sleep (REM%) was calculated using the following formula: REM% = (REM duration / TST) × 100%, where REM duration was defined as the total duration of epochs scored as REM sleep on PSG, and TST was defined as the total duration of all sleep epochs (N1 + N2 + N3 + REM).

    Measured: baseline, Night 1, Night 14

  26. Fatigue assessment after 14 days of dimdazenil treatment

    Fatigue will be assessed using the Flinders Fatigue Scale, and changes in scores from baseline will be evaluated after treatment. The Flinders Fatigue Scale is a self-reported instrument used to assess fatigue severity. It yields a total score ranging from 0 to 31, with higher scores reflecting more severe fatigue.

    Measured: baseline, Day 14

  27. Daytime sleepiness assessment after 14 days of dimdazenil treatment

    Daytime sleepiness assessment will be assessed using the Epworth Sleepiness Scale (ESS), and changes in scores from baseline will be evaluated after treatment. The Epworth Sleepiness Scale is a self-reported instrument used to assess daytime sleepiness severity. It yields a total score ranging from 0 to 24, with higher scores reflecting more severe sleepiness.

    Measured: baseline, Day 14

  28. Attention and working memory assessment after 14 days of dimdazenil treatment

    Attention and working memory assessment will be assessed using the Digit Symbol Substitution Test (DSST), and changes in scores from baseline will be evaluated after treatment. The Digit Symbol Substitution Test (DSST) is a self-reported instrument used to assess attention and working memory. In the Digit Symbol Substitution Test (DSST), the total number of symbols completed and the total number of errors made by the subjects will be recorded. A higher number of symbols completed and a lower number of errors indicate better attention and working memory function.

    Measured: baseline, Day 14

  29. Cognitive function assessment after 14 days of dimdazenil treatment

    Cognitive function assessment will be assessed using the Trail Making Test-A (TMT-A), and changes in scores from baseline will be evaluated after treatment. The Trail Making Test-A (TMT-A) is a self-reported instrument used to assess cognitive function. In the Trail Making Test-A (TMT-A), the completion time and number of errors are recorded. Shorter completion times and fewer errors indicate better cognitive function.

    Measured: baseline, Day 14

  30. Incidence of adverse events during dimdazenil treatment

    Measured: From date of signing the informed consent until the date of the end of study visit or early withdrawal, assessed up to 14 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Jul 2026
  2. Study start1 Aug 2026 (estimated)
  3. Primary completion10 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07714772
Sponsor's protocol ID
LK2026076
Status last verified
Jun 2026
First submitted
1 Jul 2026
Last updated
20 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Insomnia and Parkinson's Disease (PD), run by Second Affiliated Hospital of Soochow University.

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 8 inclusion and 11 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: opening soon, as of the sponsor's last update on 20 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Xy Cheng (0086 0512-67784179, chengxiaoyu2007@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline in total sleep time (TST) measured by polysomnography (PSG) on the night of Day 14 of dimdazenil treatment (time frame: Baseline, Night 14). 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 20 Jul 2026.

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