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CTRI Number  CTRI/2021/10/037106 [Registered on: 05/10/2021] Trial Registered Prospectively
Last Modified On: 02/05/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   Zolsoma Tablet in Sleep Disorder  
Scientific Title of Study   An Open-label, Single-arm, Prospective, Multicenter Study to Evaluate Safety and Efficacy of Zolsoma Tablets in Patients with Insomnia 
Trial Acronym  SAEFZ (Safety And Efficacy For Zolsoma) 
Secondary IDs if Any  
Secondary ID  Identifier 
Pulse/Zolsoma-01/06-18/Revised-2011,version2.0, 05.03.2021  DCGI 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr K Chandra Sekhar  
Designation  Consultant Psychiatrist  
Affiliation  Asha Hospital 
Address  Department of Psychiatry,1st Floor, ASHA HOSPITAL Road No.14 Banjara Hills Hyderabad Telangana State

Hyderabad
TELANGANA
500 034
India 
Phone  9866192374  
Fax    
Email  kcsekhar56@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr K Chandra Sekhar  
Designation  Consultant Psychiatrist  
Affiliation  Asha Hospital 
Address  Department of Psychiatry,1st Floor, ASHA HOSPITAL Road No.14 Banjara Hills Hyderabad Telangana State

Hyderabad
TELANGANA
500 034
India 
Phone  9866192374  
Fax    
Email  kcsekhar56@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr K Chandra Sekhar  
Designation  Consultant Psychiatrist  
Affiliation  Asha Hospital 
Address  Department of Psychiatry,1st Floor, ASHA HOSPITAL Road No.14 Banjara Hills Hyderabad Telangana State

Hyderabad
TELANGANA
500 034
India 
Phone  9866192374  
Fax    
Email  kcsekhar56@yahoo.co.in  
 
Source of Monetary or Material Support  
Pulse Pharmaceuticals Pvt. Ltd Plot No. 18/1, Sector-III, HUDA Techno Enclave, HITEC City, Hyderabad, Telangana 500081 
 
Primary Sponsor  
Name  Pulse Pharmaceuticals Pvt Ltd 
Address  Plot no.18/1, Sector-III, HUDA Techno Enclave Hitech City, Madhapur, Hyderabad 500 081, Telangana State.  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 4  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr K Chandra Sekhar  Asha Hospital  Department of Psychiatry,1st floor , room no. 120, Road No. 14, Banjara Hills, Hyderabad
Hyderabad
TELANGANA 
9866192374

kcsekhar56@yahoo.co.in 
Dr Nilesh Shah  Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College  Department of Psychiatry, O.P.D 21, 1st floor, Sion Mumbai -400 022, India
Mumbai
MAHARASHTRA 
9821788658

drnilshah@hotmail.com 
Dr VG Watve  Poona Hospital and Research Institute  Department of Psychiatry,1st floor, 27, Sadashiv Peth, Nr. Alka Talkies, Pune 411030, Maharashtra
Pune
MAHARASHTRA 
9822053625

vidyadharw@gmail.com 
Dr Pankaj Verma  Vardhman Mahavir Medical College & Safdarjung Hospital  Department of Psychiatry,3rd floor, B-wing, OPD block, Ansari Nagar West, New Delhi-110029 India
West
DELHI 
9313534345

pverma_md1@rediffmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 4  
Name of Committee  Approval Status 
Poona Hospital and Research Institute  Submittted/Under Review 
Ethics Committee - Asha Hosptital  Approved 
Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College  Approved 
The Institutional Ethics Committee of VMMC & Safdarjung Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G998||Other specified disorders of nervous system in diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
Intervention  ZOLSOMA TABLET  Fixed dose combination of Zolpidem Tartrate 5mg and Melatonin 3mg for 30 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1.Patients of either gender of age 18 years and above.
2.Patients visiting Psychiatry opd with complaints of co-morbid disorders.
3.A history of daytime complaints associated with disturbed sleep.
4.Patients are required to have language competency to respond to study related questionnaires including Pittsburgh Sleep Quality Index, Insomnia Severity Index and Epworth Sleepiness Scale to measure the quality of sleep and sleep latency.
5.Patients with self-reported sleep disturbances.
6.Patients with normal medical history and a record of Physical Examination, Lab Tests are included.
7.Women of childbearing potential are required to receive a highly effective form of contraception.
8.Subjects willing to sign the Informed Consent Form.
9.Subject or legally acceptable representative (LAR) is able to attend all scheduled visits and to comply with the trial protocol. 
 
ExclusionCriteria 
Details  1.Patients who have consumed any sedative (Benzodiazepine/ Baribiturate) one week prior to the initiation of the study.
2.Subjects with history of substance abuse except nicotine use.
3.Patients with known hypersensitivity or any contraindications to the use of any study medication.
4.Patients with chronic illness that might interfere with the trial completion or conduct.
5.Pregnant women & lactating mothers & women intending pregnancy.
6.Subject who is identified as a natural or adopted child of the investigator, relatives or employee with direct involvement in the proposed study. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To document any adverse events associated with the use of Zolsoma tablets.

To evaluate day-time sleepiness using Epworth Sleepiness Scale
 
Time Frame: Baseline and Day 30±2 
 
Secondary Outcome  
Outcome  TimePoints 
Measurement of quality of sleep and sleep latency using Pittsburgh Sleep Quality index.

To determine the changes in the severity of insomnia by using Insomnia Severity Index 
[Time Frame: Baseline and Day 30±2] 
 
Target Sample Size   Total Sample Size="280"
Sample Size from India="280" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   05/10/2021 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Aim:

            -   To evaluate safety and efficacy of Zolsoma tablet

Primary objective:

-  To document any adverse events associated with the use of Zolsoma tablets

-  To evaluate day time sleep using Epworth Sleepiness scale.  

Secondary objective:

-    Measurement of quality of sleep and sleep latency using Pittsburgh Sleep Quality Index

-   To determine the changes in severity of insomnia by using Insomnia severity Index.

Study Site:

                          Out-patient departments of Psychiatry of Asha Hospitals, Banjara Hills, Hyderabad, Telangana.,

                                                                          of LTMMC and LTMGH, Sion, Mumbai.,

                                                                         of Poona Hospital & Research centre , Pune.,

                                                                         of Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi

 

Duration of Study:   The maximum study duration for a patient is 45 days (Screening to Follow-up Visit).


Study Description:

Design:  Prospective, multi-centre, open label, single-arm

Sample SizeTwo Hundred and Eighty (280) patients will be recruited in the study

Sample MethodAll patients fulfilling inclusion criteria will be included in the study

Study Population:

·         Inclusion Criteria:

1.    Patients of either gender of age 18 years and above

2.      Patients visiting Psychiatry opd with complaints of comorbid disorders

3.      A history of daytime complaints associated with disturbed sleep.

4.    Patients are required to have language competency to respond to study related questionnaires including Pittsburgh Sleep Quality Index, Insomnia Severity Index and Epworth Sleepiness Scale to measure the quality of sleep and sleep latency.

5.      Patients with self-reported sleep disturbances.

6.      Patients with normal medical history and a record of Physical Examination, Lab Tests are included.

7.      Women of childbearing potential are required to receive a highly effective form of contraception.

8.      Subjects willing to sign the Informed Consent Form Subject or legally acceptable representative (LAR) is able to attend all scheduled visits and to comply with the trial protocol.

   Exclusion criteria:

1.      Patients who have consumed any sedative (Benzodiazepine/ Baribiturate) one week prior to the initiation of the study.

2.      Subjects with history of substance abuse except nicotine use.

3.      Patients with known hypersensitivity or any contraindications to the use of any study medication.

4.      Patients with chronic illness that might interfere with the trial completion or conduct.

5.      Pregnant women & lactating mothers & women intending pregnancy.

6.      Subject who is identified as a natural or adopted child of the investigator, relatives or employee with direct involvement in the proposed study.


  STUDY ENDPOINTS

 Efficacy Endpoints

Primary Endpoint

Change from Screening/ Baseline in Pittsburgh Insomnia rating scale at Day 30±2 [Time Frame: Baseline and Day 30±2]

                      

Secondary Endpoint

Change from Screening/ Baseline in Insomnia Severity Index (ISI) at Day 30±2 [Time Frame: Baseline and Day 30±2]


           Safety Endpoints

Primary Endpoint

Safety/ Tolerability: Number of Participants with Adverse Events (AEs) [Time Frame: From enrollment up to Day 30± 2]


Secondary Endpoint

Change from Screening/ Baseline in Epworth Sleepiness Scale at Day 30±2 [Time Frame: Baseline and Day 30±2]


Study Procedure:

Screening /Washout Period (Visit 1 – Within 3 days prior to Treatment Initiation)

Baseline Phase :     Visit 2 - Day 1 – Treatment Initiation

Follow –up Visit-1 :  Visit 3/ week 1- Day 7 ± 2

End of treatment :    Visit 4/week 5- Day  30±2 


Follow-up Period

On completion of the treatment period, a follow up visit will be performed either in person or telephonically to inquire the overall well-being of the patient. The patients will be followed-up for a period of up to 7 days from the end of treatment visit.


Rescue Medication :  Any rescue medication which is taken by the patient should be recorded in the daily diary.


Statistical Methodology : The analyses in the ITT population will be considered primary and those on the PP population as supportive.

All continuous safety and demographic variables will be calculated using descriptive statistics n, mean, median and range.


 
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