Actively Recruiting

Phase 2
Age: 8Years - 17Years
All Genders
NCT05540574

Trial of Zolpidem for Sleep in Children With Autism

Led by Stanford University · Updated on 2026-03-27

26

Participants Needed

1

Research Sites

246 weeks

Total Duration

On this page

Sponsors

S

Stanford University

Lead Sponsor

N

National Institutes of Health (NIH)

Collaborating Sponsor

AI-Summary

What this Trial Is About

The purpose of this study is to examine the effect of zolpidem on sleep in children and adolescents with Autism Spectrum Disorder (ASD). Zolpidem is a nonbenzodiazepine GABAa receptor agonist drug that acts as a hypnotic. To accomplish this, the investigators will use a randomized double-blind placebo-controlled crossover 8-week study design to examine the effect of zolpidem on sleep physiology as assessed by polysomnography (PSG), actigraphy, circadian rhythm, and clinical measures.

CONDITIONS

Official Title

Trial of Zolpidem for Sleep in Children With Autism

Who Can Participate

Age: 8Years - 17Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants aged 8 to 17 years (12 to 17 years old at consent during year 1)
  • Diagnosed with Autism Spectrum Disorder (ASD) confirmed by clinical evaluation and standardized diagnostic tools (ADI-R, ADOS-2, or CARS-2)
  • Both males and females eligible
  • Availability of polysomnography (PSG) and/or actigraphy sleep data
  • Sleep disturbances identified by Children's Sleep Habits Questionnaire (CSHQ) score of 41 or higher and sleep efficiency of 85% or less and/or total sleep time under 7 hours and/or wake after sleep onset over 30 minutes measured by PSG or actigraphy
  • Caregiver able to reliably bring participant to visits, provide accurate ratings, and have regular interaction
  • Stable medications for at least 2 weeks, except Prozac which requires 4 weeks stability
  • No planned changes in psychosocial or biomedical treatments during the study
  • Willingness to provide saliva samples and participate in study procedures including safety checks at every visit, PSG at weeks 4 and 8, and wearing actigraphy watch before and during the trial
  • Female participants who are sexually active and of childbearing potential must use dual contraceptive methods
Not Eligible

You will not qualify if you...

  • Active suicidal thoughts or diagnosis of severe depression, substance use disorder, schizophrenia, schizoaffective disorder, or psychotic disorder
  • Unstable medical conditions such as migraine, asthma, seizure disorder, serious liver, kidney, or heart problems, or liver failure
  • Evidence of metabolic or infectious causes for autism
  • Pregnant females or sexually active females not using reliable contraception
  • Use of benzodiazepines, antiepileptic drugs for seizure disorders, antidepressants, melatonin, or centrally-acting antihistamines
  • Known allergy or severe side effects from zolpidem
  • Previous adequate trial of zolpidem
  • Current use of medications that interact with zolpidem (e.g., CYP3A4 and CYP1A2 inhibitors)
  • History of complex sleep-related behaviors
  • Use of alcohol, marijuana, or other substances

AI-Screening

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Trial Site Locations

Total: 1 location

1

Stanford University

Stanford, California, United States, 94305-5719

Actively Recruiting

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Research Team

R

Ryan Villacrucis

CONTACT

R

Robin Libove, BS

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

BASIC_SCIENCE

Number of Arms

2

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