ID
35342
Description
Study ID: 111364 Clinical Study ID: 111364 Study Title: A 28-Day, Polysomnographic and subjective assessment of Vestipitant (15mg/day) for the treatment of Primary Insomnia in adult Outpatients Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00992160 Clinicaltrials.gov Links: https://clinicaltrials.gov/ct2/show/NCT00992160 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: Vestipitant, Placebo Trade Name: N/A Study Indication: Primary Insomnia, Sleep Disorders The purpose of this form is to check for the subjects eligibility and should be filled out at visit 1.
Link
https://clinicaltrials.gov/ct2/show/NCT00992160
Keywords
Versions (3)
- 3/1/19 3/1/19 -
- 11/12/19 11/12/19 -
- 11/12/19 11/12/19 -
Copyright Holder
GlaxoSmithKline
Uploaded on
March 1, 2019
DOI
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License
Creative Commons BY-NC 3.0
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Polysomnographic Assessment of Vestipitant for the Treatment of Primary Insomnia NCT00992160
Eligibility Criteria
- StudyEvent: ODM
Description
Eligibility Criteria
Alias
- UMLS CUI-1
- C1516637
Description
Inclusion Criteria
Alias
- UMLS CUI-1
- C1512693
Description
Able to Read and Understand Informed Consent
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0586740
- UMLS CUI [1,2]
- C0021430
- UMLS CUI [1,3]
- C0162340
- UMLS CUI [2]
- C0525058
Description
Gender and Age
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0079399
- UMLS CUI [1,2]
- C0001779
Description
Text Revision (DSM-JV-TR) criteria 307.42 • A complaint of difficulty initiating and maintaining sleep or of nonrestorative sleep three or more times per week, for at least the 3 months preceding screening . • The sleep disturbance causes clinically significant distress or impairment in social, occupational, or other impo1tant areas of functioning. • The disturbance in sleep does not occur exclusively during the course of another sleep disorder or occur exclusively during the course of another mental disorder. • Lastly, the disturbance is not due to the direct physiological effects of a substance or general medical condition, such as lung disease, cerebrovascular disease, systemic infectious disease, cancer, chronic pain conditions (e.g. arthritis), endocrine conditions, and degenerative neurological disorders.
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0332137
- UMLS CUI [1,2]
- C0393760
Description
Self Reported Sleep History
Data type
boolean
Alias
- UMLS CUI [1,1]
- C2700446
- UMLS CUI [1,2]
- C0037317
Description
Time in Bed
Data type
boolean
Alias
- UMLS CUI [1]
- C4289366
Description
Bed Time
Data type
boolean
Alias
- UMLS CUI [1]
- C0521112
Description
Sleep Variables from Polysomnography
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0162701
- UMLS CUI [1,2]
- C0037317
Description
Non-childbearing potential defined as pre-menopausal females with a documented tubal ligation or hysterectomy; or postmenopausal defined as 12 months of spontaneous amenorrhea [in questionable cases a blood sample with simultaneous follicle stin11Ulating hormone (FSH) > 40 MIU/ml and estradiol < 40 pg/ml (<140 pmol/L) is confirmatory].
Data type
boolean
Alias
- UMLS CUI [1]
- C1960468
- UMLS CUI [2,1]
- C1524063
- UMLS CUI [2,2]
- C0700589
Description
Health Status
Data type
boolean
Alias
- UMLS CUI [1]
- C0018759
- UMLS CUI [2]
- C0262926
- UMLS CUI [3]
- C0748059
- UMLS CUI [4]
- C0031809
- UMLS CUI [5]
- C1623258
- UMLS CUI [6]
- C1883010
- UMLS CUI [7]
- C0474523
- UMLS CUI [8]
- C0036743
- UMLS CUI [9]
- C0042014
Description
Exclusion Criteria
Alias
- UMLS CUI-1
- C0680251
Description
Symptoms of Sleep Disorder
Data type
boolean
Alias
- UMLS CUI [1]
- C0851578
- UMLS CUI [2,1]
- C0033139
- UMLS CUI [2,2]
- C0332300
- UMLS CUI [3]
- C0037315
- UMLS CUI [4]
- C0035258
- UMLS CUI [5]
- C0813142
Description
Clinically Significant Psychiatric Disorder Axis I
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0270287
- UMLS CUI [1,2]
- C0004936
- UMLS CUI [1,3]
- C0750502
Description
History of Mental Disorders
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0004936
- UMLS CUI [1,2]
- C0262926
- UMLS CUI [1,3]
- C0332185
- UMLS CUI [2,1]
- C0566251
- UMLS CUI [2,2]
- C0917801
Description
Patients scoring 17 to 28 must he confirmed to not have major depressive illness to be eligible.
Data type
boolean
Alias
- UMLS CUI [1]
- C2960571
Description
History of Substance Abuse, Alcohol, Narcotic, Benzodiazepine
Data type
boolean
Alias
- UMLS CUI [1]
- C1299544
- UMLS CUI [2]
- C0085762
- UMLS CUI [3]
- C0524661
- UMLS CUI [4]
- C0005064
- UMLS CUI [5]
- C0038580
Description
Positive Urine Drug Screens
Data type
boolean
Alias
- UMLS CUI [1]
- C0743300
- UMLS CUI [2]
- C0002667
- UMLS CUI [3]
- C0004745
- UMLS CUI [4]
- C0005064
- UMLS CUI [5]
- C0006864
- UMLS CUI [6]
- C0009170
Description
Positive Alcohol Breath Test
Data type
boolean
Alias
- UMLS CUI [1]
- C0202306
Description
History of Neurological Abnormality or History of Seizure
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0036572
- UMLS CUI [2,1]
- C0027765
- UMLS CUI [2,2]
- C0262926
Description
Unstable Medical Disorder
Data type
boolean
Alias
- UMLS CUI [1,1]
- C3843040
- UMLS CUI [1,2]
- C0443343
- UMLS CUI [2,1]
- C0521102
- UMLS CUI [2,2]
- C0000854
- UMLS CUI [3,1]
- C0521102
- UMLS CUI [3,2]
- C1378698
- UMLS CUI [4,1]
- C0521102
- UMLS CUI [4,2]
- C0025519
- UMLS CUI [5,1]
- C0521102
- UMLS CUI [5,2]
- C0036043
- UMLS CUI [6,1]
- C0521102
- UMLS CUI [6,2]
- C0220825
Description
ECG Abnormalities
Data type
boolean
Alias
- UMLS CUI [1]
- C0522055
Description
ECG Abnormalities
Data type
boolean
Alias
- UMLS CUI [1]
- C0522055
Description
HIV, Hepatitis B or Hepatitis C
Data type
boolean
Alias
- UMLS CUI [1]
- C0019682
- UMLS CUI [2]
- C0019163
- UMLS CUI [3]
- C0019196
Description
Positive Serum HCG Test
Data type
boolean
Alias
- UMLS CUI [1]
- C0430060
Description
Laboratory Tests Abnormal
Data type
boolean
Alias
- UMLS CUI [1]
- C0438215
Description
Laboratory Results Abnormality
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1254595
- UMLS CUI [1,2]
- C1704258
Description
Euthyroid
Data type
boolean
Alias
- UMLS CUI [1]
- C0117002
Description
BMI
Data type
boolean
Alias
- UMLS CUI [1]
- C1305855
Description
Apnea-hypopnea Index
Data type
boolean
Alias
- UMLS CUI [1]
- C2111846
Description
Periodic Limb Movements with Arousal
Data type
boolean
Alias
- UMLS CUI [1]
- C0596840
- UMLS CUI [2]
- C0003808
Description
Recent Nightshift or Rotating Shift
Data type
boolean
Alias
- UMLS CUI [1]
- C1658633
- UMLS CUI [2]
- C0555008
Description
Planned Long Distance Travel
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0040802
- UMLS CUI [1,2]
- C1301732
Description
Regular Napping
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0870935
- UMLS CUI [1,2]
- C0205272
Description
Note: 360 mL soda = - 50mg, 210 mL coffee or 60 mL espresso = - I 00mg, 21 OmL tea = -7 5mg caffeine].
Data type
boolean
Alias
- UMLS CUI [1]
- C0948365
- UMLS CUI [2]
- C0043314
Description
Smoking Status
Data type
boolean
Alias
- UMLS CUI [1]
- C1519386
Description
(Note: I unit= 240mL beer, 90mL wine, or 30mL hard liquor].
Data type
boolean
Alias
- UMLS CUI [1]
- C0001948
Description
Use of Psychotropic Medications
Data type
boolean
Alias
- UMLS CUI [1]
- C0033978
- UMLS CUI [2]
- C0005064
- UMLS CUI [3]
- C0040616
- UMLS CUI [4]
- C0004745
- UMLS CUI [5]
- C0027415
- UMLS CUI [6,1]
- C0013227
- UMLS CUI [6,2]
- C0205394
- UMLS CUI [7,1]
- C2709201
- UMLS CUI [7,2]
- C0013227
Description
Recent Cognitive Behavioral Therapy
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0009244
- UMLS CUI [1,2]
- C0332185
Description
Chronic or Systemic Corticosteroids
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0001617
- UMLS CUI [1,2]
- C0220922
- UMLS CUI [1,3]
- C0205191
- UMLS CUI [2,1]
- C0332300
- UMLS CUI [2,2]
- C0013227
- UMLS CUI [2,3]
- C0004096
Description
History of Depot Neuroleptic Use
Data type
boolean
Alias
- UMLS CUI [1]
- C2585377
Description
Drugs Metabolized by CYP3A4
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0013227
- UMLS CUI [1,2]
- C1142644
- UMLS CUI [1,3]
- C1524026
- UMLS CUI [2,1]
- C3830624
- UMLS CUI [2,2]
- C3830625
- UMLS CUI [3,1]
- C2709201
- UMLS CUI [3,2]
- C0013227
Description
History of Allergic Reaction or Adverse Effects to Vestipant
Data type
boolean
Alias
- UMLS CUI [1,1]
- C1527304
- UMLS CUI [1,2]
- C0013230
- UMLS CUI [2,1]
- C0559546
- UMLS CUI [2,2]
- C0013230
Description
Hypersensitivity to NK1 Antagonists
Data type
boolean
Alias
- UMLS CUI [1,1]
- C0020517
- UMLS CUI [1,2]
- C3543440
Description
Clinical Trial Participation Status
Data type
boolean
Alias
- UMLS CUI [1]
- C2348568
Description
Protocol Compliance
Data type
boolean
Alias
- UMLS CUI [1]
- C0525058
Similar models
Eligibility Criteria
- StudyEvent: ODM
C2985720 (UMLS CUI [1,2])
C0021430 (UMLS CUI [1,2])
C0162340 (UMLS CUI [1,3])
C0525058 (UMLS CUI [2])
C0001779 (UMLS CUI [1,2])
C0393760 (UMLS CUI [1,2])
C0037317 (UMLS CUI [1,2])
C0037317 (UMLS CUI [1,2])
C1524063 (UMLS CUI [2,1])
C0700589 (UMLS CUI [2,2])
C0262926 (UMLS CUI [2])
C0748059 (UMLS CUI [3])
C0031809 (UMLS CUI [4])
C1623258 (UMLS CUI [5])
C1883010 (UMLS CUI [6])
C0474523 (UMLS CUI [7])
C0036743 (UMLS CUI [8])
C0042014 (UMLS CUI [9])
C0033139 (UMLS CUI [2,1])
C0332300 (UMLS CUI [2,2])
C0037315 (UMLS CUI [3])
C0035258 (UMLS CUI [4])
C0813142 (UMLS CUI [5])
C0004936 (UMLS CUI [1,2])
C0750502 (UMLS CUI [1,3])
C0262926 (UMLS CUI [1,2])
C0332185 (UMLS CUI [1,3])
C0566251 (UMLS CUI [2,1])
C0917801 (UMLS CUI [2,2])
C0085762 (UMLS CUI [2])
C0524661 (UMLS CUI [3])
C0005064 (UMLS CUI [4])
C0038580 (UMLS CUI [5])
C0002667 (UMLS CUI [2])
C0004745 (UMLS CUI [3])
C0005064 (UMLS CUI [4])
C0006864 (UMLS CUI [5])
C0009170 (UMLS CUI [6])
C0036572 (UMLS CUI [1,2])
C0027765 (UMLS CUI [2,1])
C0262926 (UMLS CUI [2,2])
C0443343 (UMLS CUI [1,2])
C0521102 (UMLS CUI [2,1])
C0000854 (UMLS CUI [2,2])
C0521102 (UMLS CUI [3,1])
C1378698 (UMLS CUI [3,2])
C0521102 (UMLS CUI [4,1])
C0025519 (UMLS CUI [4,2])
C0521102 (UMLS CUI [5,1])
C0036043 (UMLS CUI [5,2])
C0521102 (UMLS CUI [6,1])
C0220825 (UMLS CUI [6,2])
C0019163 (UMLS CUI [2])
C0019196 (UMLS CUI [3])
C1704258 (UMLS CUI [1,2])
C0003808 (UMLS CUI [2])
C0555008 (UMLS CUI [2])
C1301732 (UMLS CUI [1,2])
C0205272 (UMLS CUI [1,2])
C0043314 (UMLS CUI [2])
C0005064 (UMLS CUI [2])
C0040616 (UMLS CUI [3])
C0004745 (UMLS CUI [4])
C0027415 (UMLS CUI [5])
C0013227 (UMLS CUI [6,1])
C0205394 (UMLS CUI [6,2])
C2709201 (UMLS CUI [7,1])
C0013227 (UMLS CUI [7,2])
C0332185 (UMLS CUI [1,2])
C0220922 (UMLS CUI [1,2])
C0205191 (UMLS CUI [1,3])
C0332300 (UMLS CUI [2,1])
C0013227 (UMLS CUI [2,2])
C0004096 (UMLS CUI [2,3])
C1142644 (UMLS CUI [1,2])
C1524026 (UMLS CUI [1,3])
C3830624 (UMLS CUI [2,1])
C3830625 (UMLS CUI [2,2])
C2709201 (UMLS CUI [3,1])
C0013227 (UMLS CUI [3,2])
C0013230 (UMLS CUI [1,2])
C0559546 (UMLS CUI [2,1])
C0013230 (UMLS CUI [2,2])
C3543440 (UMLS CUI [1,2])