Table 2b.
Krystal et al (2003) | Scharf et al (2005) | McCall et al (2006) | |
---|---|---|---|
Study design | randomized double-blind placebo-controlled | randomized double-blind placebo-controlled | randomized double-blind placebo-controlled |
Number of patients | 788 (471 completed the study) | 231 (210 completed the study) | 264 (255 completed the study) |
Mean age (years) | 43.8 (range 21–69) | 72.3 (range 64–85) | 71.1 |
Diagnostic criteria | DSM-IV criteria for primary insomnia | DSM-IV criteria for primary insomnia | DSM-IV criteria for primary insomnia |
Number of drug evaluation nights | 6 months | 2 weeks | 2 weeks |
Dosage (mg) | placebo (n = 196); eszopiclone 3 mg (n = 595) | placebo (n = 80); eszopiclone 1 mg (n = 72); 2 mg (n = 79) | placebo (n = 128); eszopiclone 2 mg (n = 136) |
Assessment of sleep | interactive voice response system | interactive voice response system | polysomnography: nights 1, 2, 13 and 14; patients reports: nights 1 to 14 |
Objective sleep parameters | |||
Sleep induction | |||
NREM sleep latency (min) | --- | --- | decreasea |
Sleep maintenance | |||
Number of awakenings | --- | --- | n.s. |
WASO (min) | --- | --- | decreasea |
Total sleep time (min) | --- | --- | increasea |
Sleep efficiency (%) | --- | --- | increasea |
Sleep architecture | |||
Stage 1 sleep (min or %) | --- | --- | n.s. |
Stage 2 sleep (min or %) | --- | --- | increasea |
Slow wave sleep (stage 3/4) (min or %) | --- | --- | n.s. |
REM latency (min) | --- | --- | --- |
REM sleep (min) | --- | --- | n.s. |
REM sleep (% of TST) | --- | --- | increasea |
Subjective sleep parameters | |||
Sleep latency | decreasea | decrease (1–2 mg)a | decreasea |
Number of awakenings | decreasea | n.s. | decreasea |
WASO | decreasea | decrease (2 mg)a | decreasea |
Total sleep time | increasea | increase (2 mg)a | increasea |
Quality of sleep | increasea | increase (2 mg)a | increasea |
Rebound insomnia | --- | --- | --- |
Tolerance | absent | --- | --- |
Significantly different from placebo (p < 0.05)