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Trial · NCT03331042

SM-1 vs 2 Comparators and Placebo in Participants With a History of Transient Insomnia.

NCT03331042, Phase 3, Completed, Sequential Medicine Ltd; results first posted 2019-06-05

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. SM-1 vs 2 Comparators and Placebo in Participants With a History of Transient Insomnia. Trials, record NCT03331042. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03331042

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
SM-1 vs 2 Comparators and Placebo in Participants With a History of Transient Insomnia.
NCT number
NCT03331042
Status
Completed
Phases
Phase 3
Enrollment
85 participants, actual
Lead sponsor
Sequential Medicine Ltd
Conditions
Transient Insomnia
Interventions
SM-1, D+Z, D+L, Placebo
First posted
2017-11-06
Last updated
2019-06-05
Results first posted
2019-06-05

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTotal Sleep Time (TST)8 hours
TST efficacy of SM-1 versus placebo, combination product diphenhydramine plus zolpidem and combination product diphenhydramine plus lorazepam measured by polysomnography (PSG)-defined total sleep time (TST)
SecondaryLatency to Persistent Sleep (LPS)8 hours
Efficacy of SM-1 versus placebo, combination product diphenhydramine plus zolpidem and combination product diphenhydramine plus lorazepam measured by polysomnography (PSG)-measured sleep induction, the amount of time it takes the subject to fall asleep.
SecondaryNumber of Awakenings (NAW)8 hours
NAW efficacy of SM-1 versus placebo, combination product diphenhydramine plus zolpidem and combination product diphenhydramine plus lorazepam measured by polysomnography (PSG)-measured sleep maintenance.
SecondaryWakefulness After Sleep Onset (WASO)8 hours
WASO efficacy of SM-1 versus placebo, combination product diphenhydramine plus zolpidem and combination product diphenhydramine plus lorazepam measured by polysomnography (PSG)-measured sleep maintenance as the amount of time spent awake after falling asleep.
SecondaryKarolinska Sleepiness Scale (KSS) of Morning Alertness.Up to Visit 5Morning alertness measured by Karolinska Sleepiness Scale (KSS). KSS ranges from 1-9, with higher numbers indicating sleepier and lower numbers more alert.
SecondaryNumber Correct on Digit Symbol Substitution Test (DSST)Up to Visit 5
Morning alertness measured by DSST. The digit symbol substitution test assesses attention, psychomotor speed, complex scanning, visual tracking, and immediate memory. This test consists of 4 rows each with 25 small blank squares; above each square is a number between 1 and 9. At the top is a 'key,' which pairs each number (1 through 9) with an unfamiliar symbol. The participant has 90 seconds to work as quickly as possible (left to right across the rows) to fill in each blank square with the appropriate symbol based on the number above the square. Results are presented as total number correct; therefore, lower numbers indicate greater impairment. Scores on the DSST range from 0-93
SecondarySubjective Total Sleep Time (sTST)Up to 22 days.Subject reported TST from Post-Sleep Questionnaire (PSQ).
SecondarySubjective Sleep Onset Latency (sSOL)Up to 22 days.Subject reported SOL, the amount of time the subject felt it took to fall asleep, from Post-Sleep Questionnaire (PSQ).
SecondarySubjective Number of Awakenings (sNAW)Up to 22 days.Subject reported NAW from Post-Sleep Questionnaire (PSQ).
SecondaryNumber of Participants According to Sleep QualityUp to 22 days.Subject reported sleep quality, how well the subject felt he or she slept, from Post-Sleep Questionnaire (PSQ).

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTotal Sleep Time (TST)8 hoursFull analysis set consisted of all subjects who were randomized to a treatment sequence, and had taken any study drug.minutesMEAN
SECONDARYLatency to Persistent Sleep (LPS)8 hoursFull analysis set consisted of all subjects who were randomized to a treatment sequence, and had taken any study drug.minutesMEAN
SECONDARYNumber of Awakenings (NAW)8 hoursFull analysis set consisted of all subjects who were randomized to a treatment sequence, and had taken any study drug.awakeningsMEAN
SECONDARYWakefulness After Sleep Onset (WASO)8 hoursFull analysis set consisted of all subjects who were randomized to a treatment sequence, and had taken any study drug.minutesMEAN
SECONDARYKarolinska Sleepiness Scale (KSS) of Morning Alertness.Up to Visit 5The Safety Population included all subjects that received any study drug, and were grouped by actual treatment.units on a scaleMEAN
SECONDARYNumber Correct on Digit Symbol Substitution Test (DSST)Up to Visit 5Safety Population included all subjects that received any study drug, and were grouped by actual treatment.number correctMEAN
SECONDARYSubjective Total Sleep Time (sTST)Up to 22 days.All subjects who were randomized to a treatment sequence, and had taken any study drug.minutesMEAN
SECONDARYSubjective Sleep Onset Latency (sSOL)Up to 22 days.All subjects who were randomized to a treatment sequence, and had taken any study drug.minutesMEAN
SECONDARYSubjective Number of Awakenings (sNAW)Up to 22 days.All subjects who were randomized to a treatment sequence, and had taken any study drug.awakeningsMEAN
SECONDARYNumber of Participants According to Sleep QualityUp to 22 days.All subjects who were randomized to a treatment sequence, and had taken any study drug.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group52

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Total Sleep Time (TST)SM-1401.82Standard Deviation 68.074minutes
Total Sleep Time (TST)Diphenhydramine Plus Zolpidem404.83Standard Deviation 47.252minutes
Total Sleep Time (TST)Diphenhydramine Plus Lorazepam397.28Standard Deviation 56.982minutes
Total Sleep Time (TST)Placebo307.38Standard Deviation 107.365minutes
Latency to Persistent Sleep (LPS)SM-118.59Standard Deviation 18.548minutes
Latency to Persistent Sleep (LPS)Diphenhydramine and Zolpidem23.10Standard Deviation 29.145minutes
Latency to Persistent Sleep (LPS)Diphenhydramine and Lorazepam23.55Standard Deviation 29.125minutes
Latency to Persistent Sleep (LPS)Placebo39.25Standard Deviation 73.961minutes
Number of Awakenings (NAW)SM-111.0Standard Deviation 6.06awakenings
Number of Awakenings (NAW)Diphenhydramine and Zolpidem10.7Standard Deviation 6.22awakenings

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSequence 122
Overall StudySTARTEDSequence 221
Overall StudySTARTEDSequence 321
Overall StudySTARTEDSequence 421
Overall StudyCOMPLETEDSequence 121
Overall StudyCOMPLETEDSequence 221
Overall StudyCOMPLETEDSequence 320
Overall StudyCOMPLETEDSequence 420
Overall StudyNOT COMPLETEDSequence 11
Overall StudyNOT COMPLETEDSequence 20

Adverse events20

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
othernightmareNervous system disordersSM-11841
othernightmareNervous system disordersDiphenhydramine Plus Zolpidem0830
othernightmareNervous system disordersDiphenhydramine Plus Lorazepam0830
othernightmareNervous system disordersPlacebo0830
othersomnolenceNervous system disordersSM-11841
othersomnolenceNervous system disordersDiphenhydramine Plus Zolpidem1831
othersomnolenceNervous system disordersDiphenhydramine Plus Lorazepam0830
othersomnolenceNervous system disordersPlacebo1831
otherabdominal painGastrointestinal disordersSM-10840
otherabdominal painGastrointestinal disordersDiphenhydramine Plus Zolpidem1831

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySM-1084
Total, all-cause mortalityDiphenhydramine Plus Zolpidem083
Total, all-cause mortalityDiphenhydramine Plus Lorazepam083
Total, all-cause mortalityPlacebo083
Total, other adverse eventsSM-1384
Total, other adverse eventsDiphenhydramine Plus Zolpidem283
Total, other adverse eventsDiphenhydramine Plus Lorazepam183
Total, other adverse eventsPlacebo183
Total, serious adverse eventsSM-1084
Total, serious adverse eventsDiphenhydramine Plus Zolpidem083

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests1

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

TestNamed as
Symbol CodingSecondary outcome

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03331042

GET https://conductscience.org/api/trials/v1/NCT03331042/results?page=2