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Suvorexant for Sleep Disturbances in PSP

Phase 4
Recruiting
Led By Thomas Neylan, MD
Research Sponsored by University of California, San Francisco
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Documentation of a Progressive Supranuclear Palsy diagnosis as evidenced by one or more clinical features consistent with the Progressive Supranuclear Palsy phenotype as described in the Movement Disorder Society criteria or the NINDS-SPSP criteria
Be older than 18 years old
Must not have
Presence of insulin-dependent diabetes
Presence of a medical condition other than PSP that could account for cognitive deficits (e.g. active seizure disorder, stroke, vascular dementia)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up average of 5th-7th night of treatment for each of the two hypnotic drugs and placebo (weeks 2, 4 and 6) compared to baseline (week 1).
Awards & highlights
Drug Has Already Been Approved
Pivotal Trial

Summary

This trial tests two medications, suvorexant and zolpidem, on people with PSP who have severe sleep issues. Suvorexant helps block wakefulness signals to improve sleep, while zolpidem boosts sleep signals to help people fall asleep. The study aims to see if these medications can safely improve sleep and well-being.

Who is the study for?
This trial is for adults with Progressive Supranuclear Palsy (PSP) who have stable medications, a caregiver, and can comply with study requirements. Participants must not be on sleep-modifying meds prior to the study or have conditions that could affect safety/data quality.
What is being tested?
The trial tests if suvorexant or zolpidem improves sleep in PSP compared to a placebo. It's a double-blind study where each treatment lasts one week with washout periods in between. Sleep patterns and daytime symptoms are measured to assess effectiveness.
What are the potential side effects?
Potential side effects of suvorexant may include drowsiness, headache, dizziness, and abnormal dreams. Zolpidem might cause daytime drowsiness, weakness, feelings of being drugged or light-headedness.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have been diagnosed with Progressive Supranuclear Palsy.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have diabetes that requires insulin.
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I do not have any medical conditions like seizures or stroke that could explain my cognitive issues.
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I have a serious illness affecting my heart, blood, kidneys, or liver.
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I cannot communicate in English.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~average of 5th-7th night of treatment for each of the two hypnotic drugs and placebo (weeks 2, 4 and 6) compared to baseline (week 1).
This trial's timeline: 3 weeks for screening, Varies for treatment, and average of 5th-7th night of treatment for each of the two hypnotic drugs and placebo (weeks 2, 4 and 6) compared to baseline (week 1). for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Clinical Global Impression
Sleep Efficiency
Secondary study objectives
Adverse Events
Alertness
Anxiety
+8 more

Awards & Highlights

Drug Has Already Been Approved
The FDA has already approved this drug, and is just seeking more data.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.

Trial Design

3Treatment groups
Active Control
Placebo Group
Group I: Zolpidem ArmActive Control1 Intervention
Participants will be given one week of Zolpidem.
Group II: Suvorexant ArmActive Control1 Intervention
Participants will be given one week of Suvorexant.
Group III: Placebo ArmPlacebo Group1 Intervention
Participants will be given one week of a placebo pill.

Find a Location

Who is running the clinical trial?

US Department of Veterans AffairsFED
873 Previous Clinical Trials
497,781 Total Patients Enrolled
University of California, San FranciscoLead Sponsor
2,586 Previous Clinical Trials
14,899,986 Total Patients Enrolled
Thomas Neylan, MDPrincipal InvestigatorUniversity of California, San Francisco

Media Library

Suvorexant (Other) Clinical Trial Eligibility Overview. Trial Name: NCT04014387 — Phase 4
Treatment Research Study Groups: Zolpidem Arm, Suvorexant Arm, Placebo Arm
Treatment Clinical Trial 2023: Suvorexant Highlights & Side Effects. Trial Name: NCT04014387 — Phase 4
Suvorexant (Other) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04014387 — Phase 4
~3 spots leftby Mar 2025