Literature DB >> 26094929

Patient Background Factors Affecting the Therapeutic Outcomes in Response to Eszopiclone in Adult Patients with Chronic Insomnia: A Post Hoc Analysis of a Double-Blind Phase III Study in Japan.

Yuichi Inoue1, Atsushi Kamijo2, Reiko Nagai2.   

Abstract

STUDY
OBJECTIVE: To identify whether baseline demographic factors or subjective sleep variables are associated with the outcomes following treatment with eszopiclone using data from a recent randomized controlled trial of 78 Japanese subjects with insomnia who were treated with 2 mg eszopiclone per day.
METHODS: We performed a post hoc analysis of factors including sleep latency (SL), wake time after sleep onset (WASO) (both assessed via sleep diaries), and several demographic variables. Subjects with a SL or WASO > 30 min at baseline and with evaluable SL/WASO data at Week 4 were included in SL and WASO remitter analyses, respectively; those with a SL or WASO ≤ 30 min at Week 4 were defined as SL or WASO remitters, respectively. Threshold baseline SL and WASO values for identification of remitters were determined.
RESULTS: No relationships between subjectively assessed therapeutic outcomes and demographic factors were identified. Patients with shorter SL and lower WASO values at baseline showed better outcomes following treatment with eszopiclone in terms of SL and WASO changes, respectively. Baseline SL of 75 min and baseline WASO of 80 min were selected as arbitrary cutoff values for determination of SL and WASO remitters/non-remitters, respectively.
CONCLUSION: These findings may help clinicians to predict their patients' outcomes in response to standard doses of eszopiclone in clinical practice.
© 2015 American Academy of Sleep Medicine.

Entities:  

Keywords:  benzodiazepine receptor agonists; short-acting hypnotics; sleep latency; sleep maintenance insomnia; sleep-onset insomnia; wake after sleep onset

Mesh:

Substances:

Year:  2015        PMID: 26094929      PMCID: PMC4582058          DOI: 10.5664/jcsm.5094

Source DB:  PubMed          Journal:  J Clin Sleep Med        ISSN: 1550-9389            Impact factor:   4.062


  36 in total

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2.  Association between depression and insomnia subtypes: a longitudinal study on the elderly in Japan.

Authors:  Eise Yokoyama; Yoshitaka Kaneita; Yasuhiko Saito; Makoto Uchiyama; Yoko Matsuzaki; Tetsuo Tamaki; Takeshi Munezawa; Takashi Ohida
Journal:  Sleep       Date:  2010-12       Impact factor: 5.849

3.  Frequent napping is associated with excessive daytime sleepiness, depression, pain, and nocturia in older adults: findings from the National Sleep Foundation '2003 Sleep in America' Poll.

Authors:  Daniel J Foley; Michael V Vitiello; Donald L Bliwise; Sonia Ancoli-Israel; Andrew A Monjan; James K Walsh
Journal:  Am J Geriatr Psychiatry       Date:  2007-04       Impact factor: 4.105

4.  Efficacy and safety of eszopiclone across 6-weeks of treatment for primary insomnia.

Authors:  Gary K Zammit; Louis J McNabb; Judy Caron; David A Amato; Thomas Roth
Journal:  Curr Med Res Opin       Date:  2004-12       Impact factor: 2.580

5.  Dismantling multicomponent behavioral treatment for insomnia in older adults: a randomized controlled trial.

Authors:  Dana R Epstein; Souraya Sidani; Richard R Bootzin; Michael J Belyea
Journal:  Sleep       Date:  2012-06-01       Impact factor: 5.849

6.  The effect of eszopiclone in patients with insomnia and coexisting rheumatoid arthritis: a pilot study.

Authors:  Thomas Roth; Janet M Price; David A Amato; Robert P Rubens; James M Roach; Thomas J Schnitzer
Journal:  Prim Care Companion J Clin Psychiatry       Date:  2009

7.  A 2-week efficacy and safety study of eszopiclone in elderly patients with primary insomnia.

Authors:  Martin Scharf; Milton Erman; Russell Rosenberg; David Seiden; W Vaughn McCall; David Amato; Thomas C Wessel
Journal:  Sleep       Date:  2005-06       Impact factor: 5.849

8.  Association of insomnia severity and comorbid medical and psychiatric disorders in a health plan-based sample: Insomnia severity and comorbidities.

Authors:  Khaled Sarsour; Charles M Morin; Kathleen Foley; Anupama Kalsekar; James K Walsh
Journal:  Sleep Med       Date:  2009-05-01       Impact factor: 3.492

Review 9.  Insomnia in women.

Authors:  Andrew D Krystal
Journal:  Clin Cornerstone       Date:  2003

10.  Parasomnia among psychiatric outpatients: a clinical, epidemiologic, cross-sectional study.

Authors:  Siu P Lam; Samson Y Y Fong; Crover K W Ho; Mandy W M Yu; Yun K Wing
Journal:  J Clin Psychiatry       Date:  2008-09       Impact factor: 4.384

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  2 in total

1.  Association between insomnia patients' pre-treatment characteristics and their responses to distinctive treatment sequences.

Authors:  Jack D Edinger; Simon Beaulieu-Bonneau; Hans Ivers; Bernard Guay; Lynda Bélanger; Bryan Simmons; Charles M Morin
Journal:  Sleep       Date:  2022-01-11       Impact factor: 5.849

2.  Eszopiclone for insomnia.

Authors:  Susanne Rösner; Christian Englbrecht; Renate Wehrle; Göran Hajak; Michael Soyka
Journal:  Cochrane Database Syst Rev       Date:  2018-10-10
  2 in total

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