Efficacy of Vestipitant, A Neurokinin-1 Receptor Antagonist, in Primary Insomnia
Efficacy of Vestipitant, A Neurokinin-1 Receptor Antagonist, in Primary Insomnia
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DOI：
10.5665/sleep.3208
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发表时间：
2013-12-01
期刊：
影响因子：
5.6
通讯作者：
Merlo-Pich, Emilio
中科院分区：
文献类型：
--
作者：
Ratti, Emiliangelo;Carpenter, David J.;Merlo-Pich, Emilio
Study Objectives: Investigate the hypnotic effects of repeated doses of neurokinin-1 receptor antagonist, vestipitant, in primary insomnia.Design: Randomized, double-blind, placebo-controlled 28-day parallel-group study.Setting: Eleven sleep centers in Germany.Patients: One hundred sixty-one patients with primary insomnia.Interventions: Patients received vestipitant (15 mg) or placebo for 28 days; 2-night polysomnographic assessment occurred on nights 1/2 and 27/28.Measurements and Results: Wake after sleep onset (WASO) was improved on nights 1/2 and 27/28 (ratio, vestipitant versus placebo [95% confidence interval]: 0.76 [0.65, 0.90], P = 0.001 and 0.79 [0.65, 0.96], P = 0.02, respectively), demonstrating maintenance of the effect following repeated dosing. Latency to persistent sleep was shorter with vestipitant on nights 1/2 (P = 0.0006 versus placebo), but not on nights 27/28. Total sleep time (TST) improved with vestipitant (nights 1/2: P < 0.0001, nights 27/28: P = 0.02 versus placebo). Next-day cognitive function tests demonstrated no residual effects of vestipitant (P > 0.05 versus placebo). Adverse events (AEs) occurred in 25% of vestipitant patients versus 22% for placebo. Headache was the most common AE (8% of vestipitant patients versus 9% for placebo).Conclusions: Vestipitant improved sleep maintenance in patients with primary insomnia, with no associated next-day cognitive impairment. The effects on wake after sleep onset and total sleep time were maintained following repeated dosing.
