NCT06795776

Brief Summary

This is a clinical study aimed at evaluating the efficacy and safety of Eschscholzia tablets in adults with insomnia disorder symptoms. The study will be conducted at one center, participants will randomly be assigned to either the treatment or placebo. Neither the participants, nor the researchers will know who is receiving the treatment (double-blind). The study is also placebo-controlled, meaning some participants receive a dummy pill instead of the actual treatment, and it involves a parallel-group design, where the treatment and placebo groups are studied at the same time. The study is exploratory, meaning it is investigating new possibilities and is not yet fully conclusive. The purpose of this study is to determine main efficacy and safety of the newly developed herbal medicinal product Eschscholzia tablets. A total of 100 subjects will be enrolled in the study and assigned to either Eschscholzia tablets or placebo. The Local Ethics Committee at the clinical site has given their approval for the study to be run. Male or female participats aged between 18 and 75 years (inclusive), generally healthy and with a self reported history of disturbed sleep on at least 3 nights per week for at least the prior 1 month with a self-reported impact on daytime functioning are allowed to take part in the study. Overall, the study has the following visits in the clinic, planned for each patient: Screening visit, Study centre Visit 2, Final study centre Visit 3. Between these visits participants will go through a "run-in" period (1 week between Visit 1 and 2) and treatment period (1 month between visit 1 and 3), both at home. Upon visit 2 participants will obtain the study product. They will be asked to administer a daily dose of 2 tablets (either Eschscholzia tablets or Placebo) over a 4-week period, starting from Visit 2 and continuing until Visit 3. Every intake of study product should be noted on the sleep diary pages that the participants obtain.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
104

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Apr 2025

Shorter than P25 for phase_3

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 15, 2025

Completed
13 days until next milestone

First Posted

Study publicly available on registry

January 28, 2025

Completed
2 months until next milestone

Study Start

First participant enrolled

April 7, 2025

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 4, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 4, 2025

Completed
Last Updated

March 2, 2026

Status Verified

February 1, 2026

Enrollment Period

7 months

First QC Date

January 15, 2025

Last Update Submit

February 26, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Change from baseline over the 4-week treatment phase in perceived sleep quality, as measured by the summed area under the curve (summed up ISI AUC) of the Insomnia Severity Index (ISI) Total Score.

    Min: 0 score points, Max: 28 score points Lower scores mean better outcomes The global effect of the investigational medicinal product (IMP) on sleep will be evaluated using the area under the curve (AUC) of repeatedly measured subjective insomnia severity, assessed by the ISI Total Score.

    Change between baseline and over 4-week treatment phase

  • Time to reach a clinically relevant insomnia symptom severity reduction of -9 units on the ISI total score scale

    achieves a clinically relevant reduction in insomnia severity, corresponding to a change from baseline of Δ ISI ≤ -9 points

    From baseline over the phase of the 4 weeks treatment

Secondary Outcomes (24)

  • Change in perceived sleep quality over time during the treatment and post-treatment period, as assessed by ISI AUC values at each intervention time point.

    From baseline over the phase of the 4 weeks treatment

  • Change in perceived sleep quality over time during the treatment and post-treatment period, as assessed by raw ISI total score values at each intervention time point

    From baseline over the phase of the 4 weeks treatment

  • Change in perceived overall sleep quality over time during the treatment, as assessed by the sleep diary composite score TSQ1

    From baseline over the phase of the 4 weeks treatment

  • Change in perceived overall sleep quality over time during the treatment, as assessed by the sleep diary subscores

    From baseline over the phase of the 4 weeks treatment

  • ISI Responder criteria assessed at the end of intervention on visit 3

    From baseline to the end of treatment after 4 weeks treatment

  • +19 more secondary outcomes

Study Arms (2)

Verum Group: Eschscholzia tablets

EXPERIMENTAL

One Escholzia tablet (1.0 g) contains as active pharmaceutical ingredient: 0.503 g Eschscholzia californica Herba rec. tinct. conc. as the active pharmaceutical ingredient (API) corresponding 600 mg powdered herbal material.

Drug: Eschscholzia tablets

Control Group: Placebo tablets

PLACEBO COMPARATOR

A placebo tablet will be provided that matches the verum in its optical and sensorial properties and posology. Contains: microcrystalline cellulose, Colloidal anhydrous silica, glycerol distearate, caramel couleur and colorants.

Drug: Placebo Tablets

Interventions

A placebo tablet will be provided that matches the verum in its optical and sensorial properties and posology. Contains: microcrystalline cellulose, Colloidal anhydrous silica, glycerol distearate, caramel couleur and colorants.

Control Group: Placebo tablets

The intervention will be provided as swallowable "Eschscholzia tablets" (1.0 g) containing 0.503g Eschscholzia californica Herba rec. tinct. conc. as the active pharmaceutical ingredient (API) corresponding 600 mg powdered herbal material.

Verum Group: Eschscholzia tablets

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Voluntary, written, informed consent to participate in the study
  • Self reported difficulty or maintaining sleep or waking too early, or daytime impairement or distress based on subject's information related to sleep pattern during at least the preceding month before screening.
  • Self reported history of disturbed sleep on at least 3 nights per week for at least the last 1 month before screening.
  • ≥30 min to fall asleep
  • ≥30 min awake during sleep time
  • Self-reported total sleep time of ≤ 6.5 h
  • ISI total score ≥ 10
  • Confirmation of presence of insomnia diagnosis according to the ICD-10 F51.0/ICD-11 7A00 criteria by the physician upon anamnesis.
  • Reported Impact on daytime functioning associated with sleep maintenance as measured with question 7 of the ISI, Score \>= 2
  • Freezing capacities available for storage of saliva samples.
  • Willingness and infrastructure available to run aktigraphic device (bed sensor) properly

You may not qualify if:

  • Body mass index (BMI) \<18.0 or \>30.0 kg/m2.
  • Individual is pregnant, planning to be pregnant during the study period, lactating, or women of childbearing potential who are unwilling to commit to the use of a medically approved form of contraception throughout the study period.
  • Any known acute organic disorder affecting sleep quality, such as narcolepsy, obstructive sleep apnea (OSA), restless leg syndrome (RLS), periodic limb movement syndrome (PLMS), circadian rhythm disorder, rapid-eye-movement behavior disorder, benign prostatic hyperplasia (BPH), urinary tract infections, irritated bladder, acute and/or chronic pain.
  • Any known acute or chronic psychiatric condition (e.g., severe mono- or bipolar depression, history of suicidal ideation or attempt, severe anxiety disorders, severe personality disorders, borderline personality disorder, psychoses).
  • Have a significant acute or chronic coexisting illness or any condition which contraindicates entry to the study in the opinion of the Investigator (e.g. migraines, active infections, renal insufficiency, hepatopathy, and dementia).
  • History of alcohol or drug misuse
  • Regular alcohol consumption exceeding 140g/week, heavy smoking (\>10 cigarettes/day), high caffeine intake (\>10 glasses/day).
  • Current intake of drugs that could influence sleep (e.g., psychotropic, sedatives, hypnotics, nicotine-replacement therapies, over-the-counter sleep aids, hormone therapy, health products and oriental herbs (such as valerian, hops, passionflower, hypericum).
  • Have a clinically significant high/low blood pressure (systolic over 159 mmHg, resp. lower than 80 mmHg or diastolic over 99 mmHg, resp. lower than 60 mmHg).
  • History or planned travel to a different time zone within 1 month of the first visit or/and during the study participation.
  • Shift-worker.
  • Not fluent in local language.
  • Have (known) hypersensitivity to plants from the poppy family (Papaveraceae) or known hypersensitivity to the active substance/s (Eschscholzia californica, microcrystalline cellulose, Colloidal anhydrous silica, sodium croscarmellose, glycerol distearate, caramel couleur and Ferrous(III) oxide).
  • Participation in another study with any investigational product within 30 days of screening and during the intervention period.
  • Investigator believes that the subject may be uncooperative and/or noncompliant and should therefore not participate in the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Diagnostics and Consultation Center Convex

Sofia, 1680, Bulgaria

Location

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 15, 2025

First Posted

January 28, 2025

Study Start

April 7, 2025

Primary Completion

November 4, 2025

Study Completion

November 4, 2025

Last Updated

March 2, 2026

Record last verified: 2026-02

Locations