A new design of trial for hypnotics comparison: A double-blind cross-over trial with patient's preference assessment and continuation of the preferred treatment

1. 1. This study compared two hypnotics administrated at comparable therapeutic dosages: triazolam (0.25 mg) and loprazolam (1 mg), were administered using an original scheme (cross-over on the first 2 nights, and continuation of the preferred treatment or new randomization). 2. 2. Sixty-seven outpa...

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Veröffentlicht in:Progress in neuro-psychopharmacology & biological psychiatry 1996-04, Vol.20 (3), p.373-385
Hauptverfasser: Bourin, Michel, Malinge, Myriam
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description 1. 1. This study compared two hypnotics administrated at comparable therapeutic dosages: triazolam (0.25 mg) and loprazolam (1 mg), were administered using an original scheme (cross-over on the first 2 nights, and continuation of the preferred treatment or new randomization). 2. 2. Sixty-seven outpatients complaining of common insomnia participated in this study conducted by general practitioners. 3. 3. Both drugs provided improvement in sleep quality (decreased sleep latency, increased total duration of sleep, decreased number of night awakenings), and are equally well tolerated. 4. 4. For the first 2 nights, triazolam was evaluated to be more efficient than loprazolam (p < 0.001) and patients felt more rested the following day (p < 0.01) with the former drug. Moreover, triazolam is more frequently preferred than loprazolam by 47.7% and 29.2%, respectively, (p = 0.09). 5. 5. No interaction was found between treatment and order of administration or specific effects and order of administration.
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This study compared two hypnotics administrated at comparable therapeutic dosages: triazolam (0.25 mg) and loprazolam (1 mg), were administered using an original scheme (cross-over on the first 2 nights, and continuation of the preferred treatment or new randomization). 2. 2. Sixty-seven outpatients complaining of common insomnia participated in this study conducted by general practitioners. 3. 3. Both drugs provided improvement in sleep quality (decreased sleep latency, increased total duration of sleep, decreased number of night awakenings), and are equally well tolerated. 4. 4. For the first 2 nights, triazolam was evaluated to be more efficient than loprazolam (p &lt; 0.001) and patients felt more rested the following day (p &lt; 0.01) with the former drug. Moreover, triazolam is more frequently preferred than loprazolam by 47.7% and 29.2%, respectively, (p = 0.09). 5. 5. 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This study compared two hypnotics administrated at comparable therapeutic dosages: triazolam (0.25 mg) and loprazolam (1 mg), were administered using an original scheme (cross-over on the first 2 nights, and continuation of the preferred treatment or new randomization). 2. 2. Sixty-seven outpatients complaining of common insomnia participated in this study conducted by general practitioners. 3. 3. Both drugs provided improvement in sleep quality (decreased sleep latency, increased total duration of sleep, decreased number of night awakenings), and are equally well tolerated. 4. 4. For the first 2 nights, triazolam was evaluated to be more efficient than loprazolam (p &lt; 0.001) and patients felt more rested the following day (p &lt; 0.01) with the former drug. Moreover, triazolam is more frequently preferred than loprazolam by 47.7% and 29.2%, respectively, (p = 0.09). 5. 5. No interaction was found between treatment and order of administration or specific effects and order of administration.</description><subject>Adult</subject><subject>Anti-Anxiety Agents - therapeutic use</subject><subject>Benzodiazepines</subject><subject>Benzodiazepinones - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>common insomnia</subject><subject>cross-over trial</subject><subject>Female</subject><subject>Humans</subject><subject>Hypnotics. Sedatives</subject><subject>loprazolam</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neuropharmacology</subject><subject>patient's preference</subject><subject>Pharmacology. Drug treatments</subject><subject>Psychology. Psychoanalysis. 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Sedatives</topic><topic>loprazolam</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neuropharmacology</topic><topic>patient's preference</topic><topic>Pharmacology. Drug treatments</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopharmacology</topic><topic>Sleep Initiation and Maintenance Disorders - drug therapy</topic><topic>triazolam</topic><topic>Triazolam - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bourin, Michel</creatorcontrib><creatorcontrib>Malinge, Myriam</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Progress in neuro-psychopharmacology &amp; biological psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bourin, Michel</au><au>Malinge, Myriam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A new design of trial for hypnotics comparison: A double-blind cross-over trial with patient's preference assessment and continuation of the preferred treatment</atitle><jtitle>Progress in neuro-psychopharmacology &amp; biological psychiatry</jtitle><addtitle>Prog Neuropsychopharmacol Biol Psychiatry</addtitle><date>1996-04-01</date><risdate>1996</risdate><volume>20</volume><issue>3</issue><spage>373</spage><epage>385</epage><pages>373-385</pages><issn>0278-5846</issn><eissn>1878-4216</eissn><coden>PNPPD7</coden><abstract>1. 1. This study compared two hypnotics administrated at comparable therapeutic dosages: triazolam (0.25 mg) and loprazolam (1 mg), were administered using an original scheme (cross-over on the first 2 nights, and continuation of the preferred treatment or new randomization). 2. 2. Sixty-seven outpatients complaining of common insomnia participated in this study conducted by general practitioners. 3. 3. Both drugs provided improvement in sleep quality (decreased sleep latency, increased total duration of sleep, decreased number of night awakenings), and are equally well tolerated. 4. 4. For the first 2 nights, triazolam was evaluated to be more efficient than loprazolam (p &lt; 0.001) and patients felt more rested the following day (p &lt; 0.01) with the former drug. Moreover, triazolam is more frequently preferred than loprazolam by 47.7% and 29.2%, respectively, (p = 0.09). 5. 5. No interaction was found between treatment and order of administration or specific effects and order of administration.</abstract><cop>Amsterdam</cop><pub>Elsevier Inc</pub><pmid>8771595</pmid><doi>10.1016/0278-5846(96)00003-6</doi><tpages>13</tpages></addata></record>
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subjects Adult
Anti-Anxiety Agents - therapeutic use
Benzodiazepines
Benzodiazepinones - therapeutic use
Biological and medical sciences
common insomnia
cross-over trial
Female
Humans
Hypnotics. Sedatives
loprazolam
Male
Medical sciences
Middle Aged
Neuropharmacology
patient's preference
Pharmacology. Drug treatments
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Sleep Initiation and Maintenance Disorders - drug therapy
triazolam
Triazolam - therapeutic use
title A new design of trial for hypnotics comparison: A double-blind cross-over trial with patient's preference assessment and continuation of the preferred treatment
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