A NEW DESIGN OF TRIAL FOR HYPNOTICS COMPARISON - A DOUBLE-BLIND CROSS-OVER TRIAL WITH PATIENTS PREFERENCE ASSESSMENT AND CONTINUATION OF THE PREFERRED TREATMENT
M. Bourin et M. Malinge, A NEW DESIGN OF TRIAL FOR HYPNOTICS COMPARISON - A DOUBLE-BLIND CROSS-OVER TRIAL WITH PATIENTS PREFERENCE ASSESSMENT AND CONTINUATION OF THE PREFERRED TREATMENT, Progress in neuro-psychopharmacology & biological psychiatry, 20(3), 1996, pp. 373-385
1. This study compared two hypnotics administrated at comparable thera
peutic dosages: triazolam (0.25 mg) and loprazolam (1 mg), were admini
stered using an original scheme (cross-over on the first 2 nights, and
continuation of the preferred treatment or new randomization). 2. Six
ty-seven outpatients complaining of common insomnia participated in th
is study conducted by general practitioners. 3. Both drugs provided im
provement in sleep quality (decreased sleep latency, increased total d
uration of sleep, decreased number of night awakenings),and are equall
y well tolerated. 4. For the first 2 nights, triazolam was evaluated t
o be more efficient than loprazolam (p < 0.001), and patients felt mor
e 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. No interaction was found between tre
atment and order of administration or specific effects and order of ad
ministration.