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Eplivanserin

Phase 3

Primary Insomnia | Small molecule | Psychiatry |Sanofi|Trials Updated: Mar 7, 2016

Eplivanserin development status

Highest phase Phase 3
Registered trials 2 across 1 sponsor since Nov 2005

Eplivanserin target and mechanism

Molecular targetHTR2A
Target classAntagonist
ModalitySmall molecule

Also known as Eplivanserin (SR46349), SR46349

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials7
Total Enrollment3,896

FDA Designations

No designations recorded

Eplivanserin clinical trials

Eplivanserin · 7 trials · 6 indications

Phase 3 5Phase 2 1Phase 1 1
NCT00805350Efficacy and Safety of Eplivanserin 5mg/Day in Insomnia Characterized by Sleep Maintenance DifficultiesPrimary Insomnia
COMPLETED637 Analytics
NCT00679900Comparison of Eplivanserin and Lormetazepam in the Treatment of Insomnia Characterized by Sleep Maintenance DifficultiesSleep Initiation and Maintenance Disorders
COMPLETED283 Analytics
NCT00308503Efficacy and Safety of Eplivanserin 5mg/Day on Sleep Maintenance InsomniaSleep Initiation and Maintenance Disorders
COMPLETED608 Analytics
NCT00253903Efficacy and Safety of Eplivanserin Treatment for Sleep Maintenance Insomnia Followed by Optional Extension up to 1 YearSleep Initiation and Maintenance Disorders
COMPLETED1,155 Analytics
NCT00253968Efficacy and Safety of Eplivanserin Treatment for Sleep Maintenance InsomniaSleep Initiation and Maintenance Disorders
COMPLETED967 Analytics
PHASE3COMPLETED
Efficacy and Safety of Eplivanserin 5mg/Day in Insomnia Characterized by Sleep Maintenance Difficulties
Primary InsomniaUnlock trial analytics
PHASE3COMPLETED
Comparison of Eplivanserin and Lormetazepam in the Treatment of Insomnia Characterized by Sleep Maintenance Difficulties
Sleep Initiation and Maintenance DisordersUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Eplivanserin 5mg/Day on Sleep Maintenance Insomnia
Sleep Initiation and Maintenance DisordersUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Eplivanserin Treatment for Sleep Maintenance Insomnia Followed by Optional Extension up to 1 Year
Sleep Initiation and Maintenance DisordersUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Eplivanserin Treatment for Sleep Maintenance Insomnia
Sleep Initiation and Maintenance DisordersUnlock trial analytics

Study Endpoints

Primary Endpoints

Change from baseline of mean PSG-WASO on N41/N42
6 weeks
Change from baseline of mean PSG-NAW on N41/N42
6 weeks
Sleepiness in the morning measured on a visual analog scale of the patient's sleep questionnaire
4 weeks
Change from baseline of night polysomnography Wake Time After Sleep Onset (PSG WASO)
week 6
Change from baseline of the mean pr-WASO (wake time after sleep onset using patient's sleep questionnaire)
at week 12
refreshing quality of sleep measured by the patient sleep questionnaire
8 weeks
Safety in terms of adverse events, laboratory tests, vital signs, ECGs
Up to 12 days following single dose administration
Pharmacokinetics parameters
on Day 1, Day 2, Day 5, Day 7 and Day 10

Secondary Endpoints

Other PSG sleep parameters: PSG-TST, PSG-SE (TST/Time in Bed), PSG-LPS
6 weeks
Patient-reported sleep parameters
6 weeks
Patient Global impression (PGI)
6 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
EplivanserinEXPERIMENTALEplivanserin 5 mg/day
PlaceboPLACEBO_COMPARATORPlacebo of Eplivanserin 5 mg/day
1EXPERIMENTAL -
2ACTIVE_COMPARATOR -
3PLACEBO_COMPARATOR -
Age Group 6-11 year old - Dose level 1EXPERIMENTAL -
Age Group 6-11 year old - Dose Level 2EXPERIMENTAL -
Age Group 6-11 year old - Dose Level 3EXPERIMENTAL -
Age Group 12-17 year old - Dose level 1EXPERIMENTAL -
Age Group 12-17 year old - Dose level 2EXPERIMENTAL -
Age Group 12-17 year old - Dose level 3EXPERIMENTAL -

Interventions

NameTypeDescription
EplivanserinDRUGone 5 mg tablet once a day
PlaceboDRUGPlacebo of Eplivanserin one tablet once a day
eplivanserin (SR46349)DRUG5 mg/day
lormetazepamDRUG1 mg/day
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: * Diagnosis of primary insomnia based on DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition - Text Revisions) criteria Exclusion Criteria: * Inpatients. * Mean screening PSG-WASO for screening night 1+ screening night 2 \< 45 mn, or screening nigh...

Countries:United StatesAustriaCanadaFranceGermanyHungaryPolandChileEstoniaFinlandNetherlandsNorwayPortugalSpainAustraliaArgentinaCzechiaMexicoUnited Kingdom
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Frequently asked questions about Eplivanserin

What is eplivanserin?

Eplivanserin is an investigational small molecule developed by Sanofi for sleep related conditions. It has been studied in fibromyalgia, primary insomnia, and sleep initiation and maintenance disorders. Development reached Phase 2, and the program includes five completed clinical trials with a combined enrollment of about 3,054 participants.

What does eplivanserin target?

Eplivanserin targets HTR2A, also known as the serotonin 5-HT2A receptor, and acts as an antagonist at this receptor. Antagonist activity means the compound blocks signaling through the receptor rather than activating it. This target class distinguishes it from many older sleep medications that act through other receptor systems.

Who makes eplivanserin?

Eplivanserin is developed by Sanofi, which trades under the ticker SNY. Sanofi sponsored the clinical program, including the Phase 3 insomnia studies and the Phase 2 fibromyalgia study. The compound is also identified in research records by the code SR46349 and the ChEMBL identifier CHEMBL257704.

What phase is eplivanserin in?

Eplivanserin is in Phase 2 development and is not approved. Its clinical program includes Phase 1, Phase 2, and Phase 3 studies, all of which are completed, with no trials currently active. The Phase 2 work covered sleep disorders in fibromyalgia, while Phase 3 studies focused on primary insomnia and sleep maintenance difficulties.

What clinical trials is eplivanserin in?

Five completed trials have evaluated eplivanserin. These include NCT00913614, a Phase 1 single dose study in children with insomnia; NCT00805350, a Phase 3 study in primary insomnia; NCT00679900, a Phase 3 comparison with lormetazepam in insomnia; and NCT00313885, a Phase 2 study in fibromyalgia with sleep disorders.

Is eplivanserin the same as SR46349?

Yes, eplivanserin is also known as SR46349 and SR46349B. These are alternate identifiers used for the same compound in study titles and research records, so searches for SR46349 refer to eplivanserin. The drug is additionally indexed under the ChEMBL identifier CHEMBL257704.