Efficacy, Safety, and Tolerability of Ambien (Zolpidem) in the Treatment of Children Ages 6 to 17 With Attention Deficit Hyperactivity Disorder (ADHD)-Associated Insomnia

Last updated: April 6, 2009
Sponsor: Sanofi
Overall Status: Completed

Phase

3

Condition

Williams Syndrome

Attention Deficit/hyperactivity Disorder (Adhd - Adults)

Autism Spectrum Disorder (Asd)

Treatment

N/A

Clinical Study ID

NCT00318448
EFC6820
  • Ages 6-17
  • All Genders

Study Summary

There has been an increased interest in the association between ADHD and sleep disorders over the past years. A high incidence of sleep disturbance, ranging from 10% to 70%, has been identified in ADHD children regardless of whether or not they are receiving stimulant therapy. This study will assess the safety and efficacy of zolpidem in children with ADHD associated insomnia.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Male or female between the ages of 6 and 17 years, inclusive

  • Children with diagnosed ADHD (as defined by the Diagnostic and Statistical Manual ofMental Disorders, 4th Edition, Text Revision [DSM-IV-TR] criteria)

  • Complaint of childhood insomnia as defined by repeated difficulty with sleepinitiation or consolidation that occurs despite adequate age, appropriate time, andopportunity for sleep

  • The sleep disturbance must not be attributable to either the direct physiologic effectof drug abuse or misuse of a prescribed medication.

  • Subjects should be stabilized on all long-term therapy, including treatment of ADHD,for at least one month prior to study entry.

  • Subjects, if females of childbearing potential (as determined by the initiation ofmenses), must have confirmed negative pregnancy test prior to randomization and beusing a recognized effective method of birth control (oral, implant, depot ortransdermal oestroprogestatives, intrauterine device, double-barrier with spermicide).Abstinence is an acceptable method of birth control for this study.

Exclusion

Exclusion Criteria:

  • Mental retardation

  • Autistic spectrum disorder

  • A history of sleep apnea

  • A history of bipolar disorder, conduct disorder, major depression, or generalizedanxiety disorder (not obsessive compulsive disorder), as determined by clinicalinterview and DSM-IV-TR criteria

  • Current history of substance abuse/dependence

  • Known hypersensitivity to zolpidem or previous adverse experience with zolpidem

  • Pregnant or breast-feeding

  • Current use of hypnotics, antihistamines, melatonin, herbal products, or other sleepaids

Study Design

Total Participants: 201
Study Start date:
April 01, 2006
Estimated Completion Date:
August 31, 2006

Study Description

The study is being conducted in the United States. It consists of 3 segments:

  • Segment A: 2 to 21 day screening period

  • Segment B: 8-week double-blind treatment period

  • Segment C: 1-week follow-up period

Subjects will have a polysomnography in a sleep lab two times during the study (at baseline and between visit 4-5) and also be required to wear an actigraphy monitoring tool. There will be several questionnaires completed throughout the study: CGI-child, CGI-parent/legal guardian, ADHD Rating Scale-IV, and the Pediatric Daytime Sleepiness Scale.

Connect with a study center

  • Sanofi-Aventis Administrative Office

    Laval,
    Canada

    Site Not Available

  • Sanofi-Aventis Administrative Office

    Bridgewater, New Jersey 08807
    United States

    Site Not Available

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