Status:

TERMINATED

Ramelteon for Sleep Initiation Insomnia in Individuals With Panic Disorder Who Are Also on Escitalopram for Anxiety

Lead Sponsor:

Milton S. Hershey Medical Center

Collaborating Sponsors:

Takeda Pharmaceuticals North America, Inc.

Conditions:

Panic Disorder

Insomnia

Eligibility:

All Genders

18-50 years

Phase:

NA

Brief Summary

Almost 80% of panic disorder patients report difficulty sleeping. Sleep disturbances in turn may exacerbate underlying anxiety/panic attacks. Moreover, individuals with insomnia (sleep disturbance) ar...

Eligibility Criteria

Inclusion

  • 1\) Clinical diagnosis of panic disorder
  • 2\) Difficulty initiating sleep (subjective sleep latency (SL) of \>30 minutes) for at least 3 times per week in the preceding month.

Exclusion

  • 1)Patients meeting DSM-IV criteria (as determined by MINI) for a current anxiety disorder (other than panic disorder), or current major depressive disorder that is considered by the investigator to be primary (i.e., causing a higher degree of distress or impairment than panic disorder)., Patients with past history of DSM-IV anxiety disorders or depressive disorder will not be excluded.
  • 2\) Patients with current psychotic disorder, current bipolar disorder, or substance use disorder (except nicotine dependence) or Subjects with significant suicide risk.
  • 3\) Candidates with known sensitivity to any selective serotonin reuptake inhibitors (SSRI) will be excluded.
  • 4\) CNS diseases: Candidates with seizure disorder (other than febrile seizure in early childhood), a history of other neurological disorder, and head trauma will be excluded.
  • 5\) Cardiovascular and respiratory diseases: Candidates with hypertension (systolic \>130; diastolic \> 85), arrhythmias, coronary artery disease, cardiac pacemakers, COPD, asthma, and other pulmonary diseases will be excluded.
  • 6\) Primary sleep disorders: Candidates with breathing related sleep disorder, restless leg syndrome, circadian rhythm sleep disorders, narcolepsy, and other major primary sleep disorders will be excluded.
  • 7\) Systemic diseases: Candidates with other medical problems, such as endocrinopathies, renal or hepatic failure, autoimmune diseases involving the CNS, obesity (BMI \> 30 kg/m2), or a history of pheochromocytoma will not be eligible.
  • 8\) Consumption of greater than 720 mgs. of caffeine daily.
  • 9\) History of shift work (11 PM to 7 AM) in the past 6 months.
  • 10\) Reproductive status: Women candidates who are pregnant (based on urine test) are not eligible. Women of child bearing age will be on birth control methods during the study period.
  • 11\) Individuals with personality, behavior, or medical disorders likely to interfere with study participation.

Key Trial Info

Start Date :

August 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 1 2010

Estimated Enrollment :

11 Patients enrolled

Trial Details

Trial ID

NCT00746239

Start Date

August 1 2008

End Date

July 1 2010

Last Update

May 30 2018

Active Locations (1)

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1

Penn State Hershey Medical Center

Hershey, Pennsylvania, United States, 17033