Depression with ongoing insomnia is a common clinical presentation with patients. Clinical data suggests that patients with insomnia that receive concomitant treatment with a sleep aid experience a more robust antidepressant response along with a quicker response. The purpose of this clinical study is to compare the effectiveness of the FDA-approved insomnia medication suvorexant, also known as Belsomra®, as add-on treatment to an antidepressant to that of placebo plus antidepressant treatment in patients with depression and residual or ongoing insomnia.
Many patients with depression suffer from residual insomnia. This study is a six week, randomized, double-blind, placebo-controlled, trial to study suvorexant augmentation of continuing antidepressant therapy against placebo with continuing antidepressant therapy. Patient volunteers must be on a stable antidepressant treatment and will remain on this treatment for the duration of the study. Patient volunteers that qualify and enroll in the clinical trial will either receive suvorexant 10 mg/day and may have it adjusted to a dose of either 15 mg or 20 mg/day. Treatment is for a total of six weeks in addition to a clinical follow-up visit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
74
an FDA-approved sleep aid
control group
Institute for Advanced Medical Research @ Mercer Univeristy
Atlanta, Georgia, United States
RECRUITINGMedical College of GA at Augusta Univeristy
Augusta, Georgia, United States
RECRUITINGTotal Sleep Time
assessment of total amount of time spent sleeping
Time frame: Six weeks ( baseline to end of treatment)
Insomnia Severity Index (ISI)
assessment of insomnia severity
Time frame: Six weeks ( baseline to end of treatment)
Hamilton Depression Rating Scale
assessment fo depressive symptom severity
Time frame: Six weeks ( baseline to end of treatment)
Sheehan Disability Scale
assessment of impact of symptoms on performance
Time frame: Six weeks ( baseline to end of treatment)
Wake After Sleep Onset (WASO)
assessment of amount of time spent awake after initial onset of sleep
Time frame: Six weeks ( baseline to end of treatment)
Sleep Latency (SL)
assessment of amount of time it takes to fall asleep
Time frame: Six weeks ( baseline to end of treatment)
Perceived Deficits Questionnaire (PDQ)
a brief patient-rated scale to assess subjective cognitive dysfunction in people with depression
Time frame: Six weeks ( baseline to end of treatment)
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