Insomnia Treatment Without Grogginess
The first treatment, an experimental drug called TAK-375 developed by Takeda Pharmaceuticals North America, was more effective than placebo in inducing sleep and increasing total sleep time in patients with either short-term or long-term insomnia.
Sleep specialist Thomas Roth, MD, who conducted one of the TAK-375 studies presented last week, says the compound offers the promise of promoting sleep without making people feel "drugged" and groggy.
"This has tremendous potential advantages in terms of safety," Roth tells WebMD. "If someone needs to wake up in the middle of the night, they can."
A separate presentation at the sleep meeting addressed the effectiveness of the experimental drug Estorra, developed by Sepracor Inc. of Boston. Nearly 300 patients took the drug every night for a year, and most reported improved sleep as well as improved daytime alertness and functioning.
In a news release issued Monday, researcher Andrew Krystal, MD, of Duke University called the research a "landmark study for the treatment of insomnia."
"The fact that nearly 300 patients took this medication nightly for a year provides an unprecedented wealth of data," he says. "[Estorra] demonstrated sustained therapeutic effect for the full twelve months of this study."
The National Institutes of Health reports that more than 70 million Americans are affected by either short-term or long-term insomnia. Many people are never treated, and many who are treated do not need drug treatments at all, says sleep disorders specialist James Wyatt, PhD. Wyatt tells WebMD that too many people may be taking drugs for insomnia.
"The data are pretty clear that nondrug treatments for chronic insomnia are about as effective for many patients as the drug treatments," Wyatt tells WebMD.
Nondrug insomnia treatments include relaxation techniques, having a bedtime routine, and learning various coping mechanisms.
But Roth says new insomnia drugs could revolutionize the treatment of sleep disorders, in much the same way that SSRIs changed the treatment of depression and Cox-2 inhibitors changed the treatment of rheumatoid arthritis.
"Chronic insomnia occurs in about 10% of the population, and it is associated with tremendous morbidity," Roth says. "It is clear that we need mediations that are safer because this affects so many people."