A Study to Evaluate the Efficacy, Safety, and Tolerability of JNJ-42847922 in Participants With Insomnia Disorder

Sponsor
Janssen Research & Development, LLC (Industry)
Overall Status
Completed
CT.gov ID
NCT03375203
Collaborator
(none)
365
56
5
16.3
6.5
0.4

Study Details

Study Description

Brief Summary

The purpose of this 2 month phase 2b study is to investigate the dose response of 3 doses of JNJ-42847922 (Seltorexant) (5,10 and 20 mg) compared to placebo and zolpidem on sleep onset and maintenance and to further document safety and tolerability of JNJ-42847922 (Seltorexant) upon multiple (14 days) dose administration in participants with insomnia disorder.

Condition or Disease Intervention/Treatment Phase
  • Drug: Placebo
  • Drug: JNJ-42847922, 5 mg
  • Drug: JNJ-42847922, 10 mg
  • Drug: JNJ-42847922, 20 mg
  • Drug: Zolpidem
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
365 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Double-Blind, Randomized, Parallel-Group, Active- and Placebo-Controlled Polysomnography Study to Evaluate the Efficacy, Safety, and Tolerability of JNJ-42847922 in Subjects With Insomnia Disorder
Actual Study Start Date :
Nov 23, 2017
Actual Primary Completion Date :
Apr 3, 2019
Actual Study Completion Date :
Apr 3, 2019

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: Placebo

Participants will receive matching placebo to JNJ-42847922 as oral capsules at normal study bedtime on Nights 1 through 14.

Drug: Placebo
Matching placebo will be administered once daily based upon dosing group.

Experimental: JNJ-42847922 5 milligram (mg)

Participant will receive JNJ-42847922 5 mg dose as oral capsules at normal study bedtime on Nights 1 through 14.

Drug: JNJ-42847922, 5 mg
JNJ-42847922 will be administered as 5 mg (2*2.5 mg capsule) oral capsules once daily.
Other Names:
  • MIN-202;
  • Seltorexant
  • Experimental: JNJ-42847922 10 mg plus Placebo

    Participant will receive JNJ-42847922 10 mg as oral capsule and one placebo capsule at normal study bedtime on Nights 1 through 14.

    Drug: Placebo
    Matching placebo will be administered once daily based upon dosing group.

    Drug: JNJ-42847922, 10 mg
    JNJ-42847922 will be administered as 10 mg oral capsule once daily.
    Other Names:
  • MIN-202;
  • Seltorexant
  • Experimental: JNJ-42847922 20 mg plus Placebo

    Participant will receive JNJ-42847922 20 mg as oral capsule and one placebo capsule at normal study bedtime on Nights 1 through 14.

    Drug: Placebo
    Matching placebo will be administered once daily based upon dosing group.

    Drug: JNJ-42847922, 20 mg
    JNJ-42847922 will be administered as 20 mg oral capsule once daily.
    Other Names:
  • MIN-202;
  • Seltorexant
  • Experimental: Zolpidem plus Placebo

    Participants will receive Zolpidem 5 mg plus one placebo capsule or 10 mg dose as oral capsule at normal study bedtime on Nights 1 through 14.

    Drug: Placebo
    Matching placebo will be administered once daily based upon dosing group.

    Drug: Zolpidem
    Zolpidem will be administered as 5 mg or 10 mg (2*5mg capsule) oral capsule once daily based upon the local labeling information.

    Outcome Measures

    Primary Outcome Measures

    1. Change From Baseline in Latency to Persistent Sleep (LPS) as Measured by Polysomnography (PSG) on Night 1 [Baseline and Night 1]

      Change in LPS was measured on Night 1 by PSG. LPS is the time in minutes from 'lights out' that marks the starting of total recording time to the first epoch recorded as sleep. The LPS change from baseline on Night 1 was calculated as (LPS at Night 1 minus Baseline LPS). Negative changes in LPS indicated improvement.

    Secondary Outcome Measures

    1. Change From Baseline in Wake After Sleep Onset (WASO) Over the First 6 Hours as Measured by PSG on Night 1 [Baseline and over first 6 hours on Night 1]

      PSG was used to measure the time to wake after initial sleep onset (WASO) over the first 6 hours on Night 1. Negative changes in WASO indicate improvement.

    2. Change From Baseline in LPS as Measured by PSG on Night 13 [Baseline and Night 13]

      LPS was measured on Night 13 by PSG. LPS is the time in minutes from 'lights out' that marks the starting of total recording time to the first epoch recorded as sleep. Negative changes in LPS indicate improvement.

    3. Change From Baseline in WASO Over the First 6 Hours as Measured by PSG on Night 13 [Baseline and over first 6 hours on Night 13]

      PSG was used to measure the time to wake after initial sleep onset (WASO) over the first 6 hours on Night 13. Negative changes in WASO indicate improvement.

    4. Change From Baseline in Total Sleep Time (TST) as Measured by PSG Over 6 Hours on Nights 1 and 13 [Baseline, Over 6 hours on Nights 1 and 13]

      TST is defined as the total sleep time in minutes. The total sleep time is the total amount of sleep time scored during the total recording time. Positive changes in TST indicate improvement.

    5. Change From Baseline in Total Sleep Time (TST) as Measured by PSG Over 8 Hours on Nights 1 and 13 [Baseline, Over 8 hours on Nights 1 and 13]

      TST is defined as the total sleep time in minutes. The total sleep time is the total amount of sleep time scored during the total recording time. Positive changes in TST indicate improvement.

    6. Change From Baseline in Sleep Efficiency (SE) Measured by PSG on Nights 1 and 13 [Baseline, Nights 1 and 13]

      Sleep efficiency was measured as the total sleep time divided by the total time in bed (that is, the number of hours from the beginning of the Polysomnography recording to the end of the recording) (in percentage). Positive changes in SE indicate improvement.

    7. Change From Baseline in Wake After Sleep Onset (WASO) Measured Hourly on Days 1 and 13 From Hour 1 to Hour 8 [Baseline, Days 1 and 13 (Hours 1 to 8)]

      Polysomnography was used to measure the time to wake after initial sleep onset measured hourly on Day 1 and 13 from Hour 1 to Hour 8. WASO is measured during overnight sleep laboratory (PSG) assessment and defined as the duration of wakefulness from the onset of persistent sleep (that is, 10 consecutive minutes of sleep) over 8 hours of PSG assessment. Negative changes in WASO indicate improvement.

    8. Change From Baseline in Number of Night-time Awakenings (nNAW) Over 6 Hours on Day 1 and 13 [Baseline, Over 6 hours on Day 1 and 13]

      PSG was used to measure the number of night-time awakenings over the first 6 hours after initial sleep onset. Negative changes in nNAW indicate improvement.

    9. Change From Baseline in Wake During Total Sleep Period on Day 1 and 13 [Baseline, Day 1 and 13]

      PSG was used to measure wake time during the total recording period. Negative changes in wake during total sleep period indicate improvement.

    10. Change From Baseline in Wake After Final Awakening on Day 1 and 13 [Baseline, Day 1 and 13]

      PSG was used to measure the time awake after final awakening to the end of the PSG period. Negative changes in wake after final awakening indicate improvement.

    11. Change From Baseline in Number of Night-time Awakenings Per Hour (nNAW/hr) on Day 1 and 13 [Baseline, Day 1 and 13]

      PSG was used to measure number of night time awakenings per hour. Negative changes in nNAW/hr indicate improvement.

    12. Change From Baseline in Time to First Awakening After Sleep on Day 1 and 13 [Baseline, Day 1 and 13]

      PSG was used to measure the time to first awakening after sleep onset. Positive changes in time to first awakening after sleep indicate improvement.

    13. Change From Baseline in Rapid Eye Movement (REM) Duration on Day 1 and 13 [Baseline, Day 1 and 13]

      PSG was used to measure REM duration (time to first REM period from sleep onset).

    14. Change From Baseline in Rapid Eye Movement (REM) Latency on Day 1 and 13 [Baseline, Day 1 and 13]

      PSG was used to measure the REM latency. REM latency was defined as the time to first REM from sleep onset to reaching the first epoch of REM sleep.

    15. Percentage of Participants With Sleep-Onset Rapid Eye Movement on Day 1 and 13 [Day 1 and 13]

      PSG was used to measure the sleep-onset REM in participants. REM sleep periods within 15 minutes from sleep onset were measured.

    16. Change From Baseline in Number of Sleep Cycles on Day 1 and 13 [Baseline, Day 1 and 13]

      PSG was used to measure the number of sleep cycles.

    17. Change From Baseline in Total Time Spent in Non-Rapid Eye Movement Sleep on Day 1 and 13 [Baseline, Day 1 and 13]

      PSG was used to measure total time spent in non-rapid eye movement sleep stages N1, N2 and N3. Total time spent was sum of N1, N2 and N3. Positive changes in NREM duration indicate improvement.

    18. Change From Baseline in Subjective Sleep Parameters Using Consensus Sleep Diary - Morning Administration (CSD-M) on Days 2 and 14: Self-Reported Sleep-Onset Latency (sSOL), Subjective Wake After Sleep Onset (sWASO), Subjective Total Sleep Time (sTST) [Baseline, Days 2 and 14]

      CSD-M is a standardized participant diary based on expert consensus and qualitative participant input to retrieve patient reported subjective sleep parameters related to prior night's sleep. CSD-M parameters analyzed includes: sSOL, sTST, sWASO. Negative change in sSOL, sWASO indicate improvement. Positive change in sTST indicates improvement.

    19. Change From Baseline in Subjective Sleep Parameters Using Consensus Sleep Diary - Morning Administration (CSD-M) on Days 2 and 14: Subjective Refreshed Feeling on Waking (sFRESH) and Subjective Quality of Sleep (sQUAL) [Baseline, Days 2 and 14]

      The CSD-M is a standardized participant diary based on expert consensus and qualitative participant input to retrieve patient reported subjective sleep parameters related to the prior night's sleep. Sleep quality and how well rested participants felt at awaking are rated on a 5-point Likert scale ranging from 1 (very poor) to 5 (very good). Higher ratings indicate better sleep quality (sQUAL) and more refreshing/restorative quality of sleep (sFRESH). CSD-M parameters analyzed includes: sFRESH and sQUAL. Positive change in sFRESH and sQUAL indicates improvement.

    20. Change From Baseline in Subjective Sleep Parameters Using Consensus Sleep Diary - Morning Administration (CSD-M) on Days 2 and 14: Number of Nighttime Awakenings (s-nNAW) [Baseline, Days 2 and 14]

      CSD-M is a standardized participant diary based on expert consensus and qualitative participant input to retrieve patient reported subjective sleep parameters related to the prior night's sleep. CSD-M parameters analyzed include: s-nNAW. Negative change in s-nNAW indicate improvement.

    21. Change From Baseline in Sleep Disturbance as Measured by Patient Reported Outcome Measurement Information System - Sleep Disturbance (PROMIS-SD) Total Score on Days 8 and 14 [Baseline, Days 8 and 14]

      PROMIS Sleep Disturbance (PROMIS-SD) Short Form subscale consists of a static 8-item questionnaire. Using a recall period of the past 7 days, it assesses the concepts of sleep initiation (2 items), quality of sleep (3 items), early morning feelings (2 items) and worrying about sleep (1 item). Each question has 5 response options ranging in value from 1 to 5. To find the total raw score for a short form with all questions answered, sum the values of the response to each question and a total score ranges from 8 to 40. Lower scores indicate less sleep disturbance. Negative changes in scores indicate improvement.

    22. Change From Baseline in Impairment as Measured by Patient Reported Outcome Measurement Information System - Sleep Related Impairment (PROMIS-SRI) Total Score on Days 8 and 14 [Baseline, Days 8 and 14]

      PROMIS-Sleep Related Impairment (PROMIS-SRI) scale consists of 8 items to evaluate daytime consequences of functioning 5-point Likert scale ranging from 1 to 5. PROMIS-SRI measures self-reported perceptions of alertness, sleepiness, and tiredness during usual waking hours, and perceived functional impairments during wakefulness associated with sleep problems or impaired alertness. Each question has five response options ranging in value from 1 to 5. To find total raw score (which range from 8 to 40) with all questions answered, sum values of response to each question. Higher score indicates greater sleep impairment.

    23. Change From Baseline in Participant's Assessment of Insomnia Severity Using the Patient Global Impression - Severity (PGI-S) Scale Score on Day 14 [Baseline and Day 14]

      The PGI-S is a self-reported scale to measure severity of illness using a 6-point scale ranging from 1 to 6, (1=no insomnia, 2=very mild, 3=mild, 4=moderate, 5=severe, 6=very severe). Considering all aspects of insomnia, participants rated their severity on the PGI-S scale. Negative changes in scores indicate improvement.

    24. Participant's Assessment of Improvement in Insomnia Using the Patient Global Impression - Improvement (PGI-I) Scale Score on Day 14 [Baseline and Day 14]

      PGI-I is a self-reported scale to measure improvement in illness using a 7-point scale ranging from 1 to 7, (1=very much improved, 2=much improved, 3=improved [just enough to make a difference], 4=no change, 5=worse [just enough to make a difference], 6=much worse, 7=very much worse). Negative changes in scores indicate improvement.

    25. Percentage of Participants Who Achieved Response Based on Insomnia Severity Index (ISI) Total Score on Day 14 - Observed Case [Day 14]

      Percentage of participants who achieved at least 50% reduction from baseline in ISI total score (responders) were reported. It is a 7-item questionnaire assessing nature, severity, impact of insomnia. Dimensions evaluated: severity of sleep onset, sleep maintenance, early morning awakening problems; sleep dissatisfaction; interference of sleep problem with daytime functioning; noticeability of sleep problems; distress caused by sleep difficulties. 5-point Likert scale (0-4) was used to rate each item, Scores are summed for a total score which ranges from 0-28. Negative changes in scores indicate improvement. ISI total score is the sum of all item scores. Total score interpreted insomnia as follows: absence (0-7); sub-threshold (8-14); moderate (15-21); severe (22-28).

    26. Percentage of Participants Who Achieved Remission Based on Insomnia Severity Index (ISI) Total Score on Day 14 - Observed Case [Day 14]

      Percentage of participants with remission of insomnia symptom defined as, total score of <= 10 on ISI scale. ISI is 7-item questionnaire assessing nature, severity, impact of insomnia. Dimensions evaluated are: severity of sleep onset, sleep maintenance, early morning awakening problems; sleep dissatisfaction; interference of sleep problem with daytime functioning; noticeability of sleep problems by others; distress caused by sleep difficulties. 5-point Likert scale (0-4) is used to rate each item. ISI total score is the sum of all item scores. ISI total score is the sum of all item scores. Scores are summed for a total score which ranges from 0-28 and interpreted as follows: absence of insomnia (0-7); sub-threshold insomnia (8-14); moderate insomnia (15-21); severe insomnia (22-28).

    27. Change From Baseline in Clinician's Assessment of Insomnia Severity Using the Clinical Global Impression - Severity (CGI-S) Score on Day 14 [Baseline and Day 14]

      The CGI-S is a 7-point scale to measure severity of illness (1=normal [not at all ill], 2=borderline ill, 3=mildly ill, 4=moderately ill, 5=markedly ill, 6=severely ill, 7=among the most extremely ill participants). Higher score indicates more severity. Negative changes in scores indicate improvement.

    28. Change From Baseline in Clinician's Assessment of Insomnia Improvement Using Clinical Global Impression-Improvement (CGI-I) Score on Day 14 [Baseline and Day 14]

      The CGI-I is a 7-point scale to measure improvement in illness using a 7-point scale ranging from 1 to 7 (1=very much improved, 2=much improved, 3=minimally improved, 4=no change from baseline, 5=minimally worse, 6=much worse, 7=very much worse). Higher score indicates more severity. Negative changes in scores indicate improvement.

    29. Number of Participants With Treatment-Emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability [Up to Day 17]

      An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. Treatment-emergent adverse events are adverse events with an onset date occurring at or after the initial administration of study drug through the Day 17 telephone contact date, or the day of last dose plus 3 days for participants without the Day 17 telephone contact date.

    30. Number of Participants With Treatment-Emergent Serious Adverse Events and Events of Special Interest [Up to Day 17]

      Treatment-emergent serious adverse events are serious adverse events with an onset date occurring at or after the initial administration of study drug through the Day 17 telephone contact date, or the day of last dose plus 3 days for participants without the Day 17 telephone contact date. Events of special interest included: Cataplexy; Sleep paralysis; Complex sleep-related behaviors such as confusional arousals, somnambulism (sleep walking), sleep terrors, bruxism (teeth grinding), sleep sex, sleep related eating disorder, sleep behavior disorder, and catathrenia (REM-associated end-inspiratory apnea/breath holding); Abnormal dreams; Falls.

    31. Number of Participants With Clinically Significant Vital Signs and Physical Abnormalities [Up to Day 15]

      Clinically significant vital signs (pulse, supine and standing blood pressure (systolic and diastolic), and oral, temperature) and physical abnormalities (body weight) were reported. Abnormally low parameters included pulse (bpm)- decrease value from baseline greater than or equal to (>=) 15 to <=50; Systolic BP (mmHg [Millimeter of mercury])- decrease value from baseline >=20 to <=90; Diastolic BP- decrease value from baseline >=15 to <=50; weight (Kilogram[Kg])- decrease from baseline >=7%; Body temperature (Celsius [C])- <35.5. Abnormally high parameters included pulse- increase value from baseline >=15 to >=100; Systolic BP(mmHg)- increase from baseline of >=20 to >=180; Diastolic BP- increase value from baseline >=15 to >=105; weight(Kg)- increase from baseline of >=7%; body temperature (C)- >37.5.

    32. Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities [Up to Day 14]

      Twelve-lead ECGs were recorded in a supine position and different ECG intervals (Respiratory rate [RR], PR, time for ventricular depolarization [QRS], and total time from ventricular depolarization to complete repolarization [QT]) and heart rate was measured. This included heart rate:<=50 beats per minute (bpm) and >=100 bpm; PR interval <=120 millisecond (msec) and >=200 msec; QRS interval: <=60 msec and >=120 msec; QT interval:<=200 msec and >=500 msec.

    33. Number of Participants With Clinically Significant Laboratory Abnormalities [Up to Day 15]

      Number of participants with clinically significant laboratory abnormalities were reported. Blood samples for serum chemistry (albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, bicarbonate, calcium, chloride, creatine Kinase, gamma glutamyl transferase, lactate dehydrogenase, phosphate, potassium, sodium), and urinalysis (bilirubin, protein) were collected for clinical laboratory testing.

    34. Number of Participants With Suicidal Ideation and Behavior as Determined by Columbia Suicide Severity Rating Scale (C-SSRS) Score [Day 14]

      C-SSRS is a questionnaire designed to solicit occurrence, severity, frequency of suicidal ideation/behaviors using following scores: Suicidal Ideation-1:Wish to be Dead; 2:Non-specific Active Suicidal Thoughts; 3:Active Suicidal Ideation with Any Methods without Intent to Act; 4:Active Suicidal Ideation with Some Intent to Act; 5:Active Suicidal Ideation with Specific Plan/Intent; Suicidal Behavior-6:Preparatory Acts; 7:Aborted Attempt; 8:Interrupted Attempt; 9:Actual Attempt; 10:Completed Suicide. If no events qualify for score of 1-10, score 0 indicate "no event that can be assessed on basis of C-SSRS". Higher scores= greater severity.

    35. Change From Baseline in Karolinska Sleepiness Scale (KSS) Total Score on Days 2 and 14 [Baseline, Days 2 and 14]

      The KSS is a patient reported assessment of level of drowsiness at the time of scale administration. This scale is focused mainly on the propensity to fall asleep and has a high validity in measuring sleepiness. It consists of a single item assessed on 9-point Likert scale with response options from: 1=very alert to 9=very sleepy (fighting sleep). Negative changes indicate improvement.

    36. Postural Stability Measured by Ataxiameter [Day 14 (morning)]

      The body sway meter allows measurement of body movements in a single plane, providing a measure of postural stability. Body sway was measured using an ataxiameter. Participants were instructed to wear a pair of thin socks for each session. Before starting a measurement, participants were asked to stand still and comfortable, with their feet approximately 10 centimeters (cm) apart and their hands in a relaxed position alongside the body and eyes closed. The total period of body sway measurement was 2 minutes.

    37. Change From Baseline in Power of Attention as Measured by a Computerized Battery of Cognitive Tests on Day 14 (Morning) [Baseline and Day 14 (Morning)]

      Power of Attention is a combination of the speed scores from the three tests of attention, and is established to reflect the ability to focus attention and to process information. Power of Attention was calculated from the sum of the reaction time measured from the attentional tasks (Simple Reaction Time, Choice Reaction Time and Digit Vigilance Speed). Score ranges from 450 milliseconds - 61500 milliseconds. A low score reflects a fast reaction time and a high intensity of concentration.

    38. Change From Baseline in Continuity of Attention as Measured by a Computerized Battery of Cognitive Tests on Day 14 (Morning) [Baseline and Day 14 (Morning)]

      Continuity of attention is a measure of sustained attention, combining (summed) accuracy and error measures from the choice reaction time and digit vigilance tasks. The number of correct responses (out of 50) for choice reaction time was added to the total number of targets correctly identified (out of 45) digit vigilance minus the number of false alarms (total score of -45 to 95). A high score reflects someone able to keep his/her mind on a single task for a prolonged period. A negative change from baseline reflects impairment compared to baseline.

    39. Change From Baseline in Quality of Working Memory as Measured by a Computerized Battery of Cognitive Tests on Day 14 (Morning) [Baseline and Day 14 (Morning)]

      Quality of working memory is a combination of the scores from Spatial Working Memory and Numeric Working Memory tasks, and is established to reflect the ability to temporarily hold numeric and spatial information in memory. Sum of Spatial and Numeric Working Memory sensitivity indices (SI) (accuracy) was used to calculate the quality of working memory. The quality of working memory score was calculated from formulae that combined the accuracy scores for the original as well as the new (distractor) stimuli. The range for both the numeric working memory and spatial working memory tasks SI are -1 to 1. Smaller scores reflect poorer ability (poorer quality of working memory),larger scores reflect better ability (better quality of working memory). Total score is the sum of Spatial Working Memory and Numeric Working Memory (ranges from -2 to 2). Smaller scores reflect poorer ability (poorer quality of working memory), larger scores reflect better ability (better quality of working memory.

    40. Change From Baseline in Quality of Episodic Secondary Memory as Measured by a Computerized Battery of Cognitive Tests on Day 14 (Morning) [Baseline and Day 14 (Morning)]

      Quality of episodic secondary memory is calculated from the sum of 4 tests: Immediate and delayed word recall, and word and picture recognition, and ranges from -200 to 400. A high score reflects a good ability to store, hold and retrieve information of an episodic nature (that is an event or a name) and a negative change from baseline reflects impairment compared to baseline.

    41. Change From Baseline in Speed of Memory as Measured by a Computerized Battery of Cognitive Tests on Day 14 (Morning) [Baseline and Day 14 (Morning)]

      The sum of the speed measures from the two working memory tasks (Spatial and Numeric) and the two recognition tasks (Word and Picture). Speed of Memory combines reaction times from Spatial Working Memory (range:150 to 30000 millisecond [ms]), Numeric Working Memory (150 to 30000 ms), Word Recognition (250 to 30000 ms) and Picture recognition (250 to 30000 ms) tasks. The total reaction time (sum of above 4 reaction times) measures memory retrieval speed which ranges from 800 to 120000 ms. Slower reaction time reflect poorer ability and faster reaction time reflect better ability.

    42. Change in Subjective Sleep Parameters From Day 14 as Compared to Day 17 as Measured by the Consensus Sleep Diary-Morning Administration (CSD-M):Self-Reported Sleep-Onset Latency (sSOL), Subjective Wake After Sleep Onset (sWASO) and sTST [Day 14 to Day 17]

      CSD-M is a standardized participant diary based on expert consensus and qualitative participant input to retrieve patient reported subjective sleep parameters related to prior night's sleep. Negative change in sSOL, sWASO indicate improvement and positive change in Subjective Total Sleep Time (sTST) indicates improvement.

    43. Change in Subjective Sleep Parameters From Day 14 as Compared to Day 17 Using Consensus Sleep Diary-Morning Administration: Subjective Refreshed Feeling on Waking (sFRESH) and Subjective Quality of Sleep (sQUAL) [Day 14 to Day 17]

      CSD-M is a standardized subject diary based on expert consensus and qualitative subject input to retrieve patient reported subjective sleep parameters related to the prior night's sleep. Sleep quality (sQUAL) and how well rested subjects felt at awaking are rated on a 5-point Likert scale ranging from 1 (very poor) to 5 (very good). Higher ratings indicate better sleep quality and more refreshing/restorative quality of sleep (sFRESH). CSD-M parameters analyzed includes: sFRESH and sQUAL. Positive change in sFRESH and sQUAL indicates improvement.

    44. Change in Subjective Sleep Parameters From Day 14 as Compared to Day 17 Using Consensus Sleep Diary-Morning Administration (CSD-M): Number of Nighttime Awakenings (s-nNAW) [Day 14 to Day 17]

      CSD-M is a standardized participant diary based on expert consensus and qualitative participant input to retrieve patient reported subjective sleep parameters related to the prior night's sleep. Higher ratings indicate better sleep quality and more refreshing/restorative quality of sleep. CSD-M parameters analyzed includes: s-nNAW. Negative change in s-nNAW indicate improvement.

    45. Number of Participants With Withdrawal Symptoms of JNJ-42847922 as Measured by Physician Withdrawal Checklist (PWC) From Day 14 to Day 17 [Day 14 to Day 17]

      PWC-20 is a reliable, sensitive instrument having 20-items used to assess potential withdrawal symptoms following cessation of treatment. Items are as follows: Loss of Appetite, Nausea-Vomiting, Diarrhea, Anxiety-Nervousness, Irritability, Dysphoric Mood-Depression, Insomnia, Fatigue, Poor Coordination, Restlessness, Diaphoresis, Tremor, Dizziness, Headaches, Stiffness, Weakness, Increased Acuity Sound Smell Touch (IASST), Paresthesias, Remember, Derealization. Each item score ranges from 0 (not present)-3 (severe), where higher scores = more affected condition. Total score ranges from 0-60, where higher score indicates more affected condition. PWC-20 score was imputed as follows: sum of the non-missing items * (total number of items) / (number of items non-missing).

    46. Benzodiazepine Withdrawal Symptom Questionnaire (BWSQ) Total Score for Self-Assessment of Withdrawal Symptoms on Day 17 [Day 17]

      The BWSQ is a 20 symptom self-reported questionnaire to investigate withdrawal symptoms. Total score is the sum of item scores. Total scores can range from 0-40 with higher scores indicating greater severity of symptoms. Participants rated the degree to which they were experiencing each symptom as either "0=No," "1=Yes-moderate" or "2=Yes-severe". The questionnaire had been shown to be reliable and to have acceptable construct validity in assessing withdrawal symptoms.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 85 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Participant must be a man or women of non-childbearing potential (WONCBP), 18 to 85 years of age, inclusive, on the day of signing informed consent. A WONCBP is defined as: a).Postmenopausal: A postmenopausal state is defined as no menses for 12 months without an alternative medical cause. b). Permanently sterile: Permanent sterilization methods include hysterectomy, bilateral salpingectomy, bilateral tubal occlusion/ligation procedures, and bilateral oophorectomy. c). If reproductive status is questionable, additional evaluation should be considered

    • Participant must meet Diagnostic and Statistical Manual of Mental Disorders (5th edition) (DSM-5) criteria for insomnia disorder

    • Participant must have an Insomnia Severity Index (ISI) total score greater than or equal to (>=) 15 at screening

    • Participant must have an self-reported sleep onset latency (sSOL) >=45 minutes and a subjective wake after sleep onset (sWASO) >= 60 minutes on at least 3 nights over any 7-day period during Part 1 of screening, using the Consensus Sleep Diary - Morning Administration (CSD-M), prior to screening polysomnography (PSG) assessments

    • Participant must demonstrate a 2-night mean latency to persistent sleep (LPS) of >= 25 minutes (with neither night less than [<] 20 minutes), a 2 night mean wake after sleep onset (WASO) >= 30 minutes, and a 2 night mean total sleep time (TST) less than or equal to (=<) 6.5 hours, with neither night greater than (>) 7 hours

    • Participant must be otherwise healthy or present with stable, well-controlled, chronic conditions on the basis of physical examination, medical history, vital signs, 12-lead electrocardiogram (ECG), and clinical laboratory tests performed at screening

    Exclusion Criteria:
    • Has history of or current clinically significant and/or unstable liver (moderate or severe hepatic impairment [Child-Pugh Score {>=} 7]) or renal insufficiency (severe renal impairment [estimated creatinine clearance below 30 mL/min]; serum creatinine >2 [milligram per deciliter] mg/dL); significant and/or unstable cardiac, vascular, pulmonary (example, acute or severe respiratory failure), gastrointestinal, endocrine, neurologic (example, myasthenia gravis, narcolepsy), hematologic, rheumatologic, immunologic, or metabolic disturbances. Organic brain disease, epilepsy, dementia, narcolepsy, narrow angle glaucoma and known or suspected mental retardation are exclusionary. Any clinically relevant medical condition that is likely to result in deterioration of the participant's condition or affect the participant's safety during the study (eg, medically frail participant with history of hospitalization due to fractures) or could potentially alter the absorption, metabolism, or excretion of the study drug is exclusionary

    • Has uncontrolled hypertension (supine systolic blood pressure >150 millimeter of mercury (mm Hg) in adult participants or >160 mm Hg in elderly participants or supine diastolic blood pressure >90 mm Hg, despite diet, exercise, or a stable dose of allowed antihypertensive therapy) at screening or Day 1. (A participant with hypertension may be included if the participant's hypertension has been controlled for at least 3 months prior to screening, and the dosage of any antihypertensive medication has been stable for the past 3 months)

    • Has clinically significant abnormal values for hematology, clinical chemistry, or urinalysis at screening. Participants with non-insulin dependent diabetes mellitus who are adequately controlled (hemoglobin A1c [HbA1c] =< 8 percent [%]) may be eligible to participate if otherwise medically healthy. It is expected that laboratory values will generally be within the normal range, though minor deviations, which are not considered to be of clinical significance to both the investigator and the sponsor's Safety Physician, are acceptable

    • Has clinically significant ECG abnormalities at screening or Day 1 prior to randomization defined as:

    1. QT interval corrected according to Fridericia's formula: >= 450 millisecond (msec) (males); >= 470 msec (females).

    2. Evidence of 2nd and 3rd degree atrioventricular block, or 1st degree atrioventricular block with PR interval >210 msec, left bundle branch block.

    3. Features of new ischemia.

    4. Other clinically important arrhythmia

    • Has significant hypersomnia not related to night time insomnia (based on clinical judgment of the investigator)

    • Regularly naps more than 3 times per week

    • Has a current diagnosis or recent history of psychotic disorder, major depressive disorder (MDD), bipolar disorder, or posttraumatic stress disorder, or other psychiatric condition that, in the investigator's opinion, would interfere with the participant's ability to participate in the trial

    • Has a current or recent history of serious suicidal ideation within the past 6 months, corresponding to a positive response on item 4 (active suicidal ideation with some intent to act, without specific plan) or item 5 (active suicidal ideation with specific plan and intent) for ideation on the Columbia Suicide Severity Rating Scale (C-SSRS), or a history of suicidal behavior within the past year, as validated by the C-SSRS at screening or Day 1. Participants with a prior suicide attempt of any sort, or prior serious suicidal ideation/plan within the past 6 months, should be carefully screened for current suicidal ideation and only participants with non-serious items (1-3 of the suicidal ideation section of the C-SSRS) may be included at the discretion of the investigator

    • Has insomnia related to restless leg syndrome (RLS) (defined as periodic leg movement [PLM]-arousal index of >=10 PLM-related electroencephalograph (EEG) arousals per hour of sleep for adult participants or >15 for elderly participants), sleep breathing disorder (defined as an apnea hypopnea index >=10 cumulative apneas and hypopneas per hour of EEG sleep for adult participants or >15 for elderly participants), or parasomnias. These disorders will be ruled out by the first PSG recording during Part 2 of screening

    • Has known allergies, hypersensitivity, intolerance, lack of response, or any contraindication to JNJ-42847922 or zolpidem or their excipients

    • Plans to father a child while enrolled in this study or within 3 months after the last dose of study drug; and/or, Is pregnant, or breastfeeding, while enrolled in this study or within 1 month after the last dose of study drug

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Preferred Research Partners Little Rock Arkansas United States 72211
    2 Woodland Research Northwest Rogers Arkansas United States 72758
    3 California Research Trials DBA Orange Country Research Institute Anaheim California United States 92801
    4 Excell Research Inc Oceanside California United States 92056
    5 Artemis Institute for Clinical Research San Diego California United States 92103
    6 Empire Clinical Research, LLC Upland California United States 91786
    7 St. Francis Medical Institute Clearwater Florida United States 33765-2103
    8 Avail Clinical Research, LLC DeLand Florida United States 32720
    9 Sarkis Clinical Trials Lake City Florida United States 32025
    10 Innovative Clinical Research, Inc. Lauderhill Florida United States 33319
    11 Suncoast Research Group Miami Florida United States 33135
    12 Renstar Medical Research Ocala Florida United States 34471
    13 Palm Beach Research Center West Palm Beach Florida United States 33409
    14 Atlanta Center for Medical Research Atlanta Georgia United States 30331
    15 NeuroTrials Research, Inc. Atlanta Georgia United States 30342
    16 Chicago Research Center Chicago Illinois United States 60634
    17 Centennial Medical Group Elkridge Maryland United States 21075
    18 Clinical Research Center of Nevada Las Vegas Nevada United States 89104
    19 Gastonia Medical Specialty Clinic Gastonia North Carolina United States 28054
    20 Clinical Research of Lake Norman Mooresville North Carolina United States 28117
    21 CTI Clinical Trial and Consulting Services Cincinnati Ohio United States 45242
    22 Lynn Health Science Institute Oklahoma City Oklahoma United States 73112
    23 Clinical Research of Charleston Mount Pleasant South Carolina United States 29464
    24 FutureSearch Trials of Neurology, LP Austin Texas United States 78731
    25 Anima Alken Belgium 3570
    26 Cliniques Universitaires Saint-Luc Bruxelles Belgium 1200
    27 Universitair Ziekenhuis Gent Gent Belgium 9000
    28 UZ Leuven Gasthuisberg Leuven Belgium 3000
    29 Universiteit Antwerpen Wilrijk Belgium 2610
    30 CHU de Grenoble - Hôpital Albert Michallon Isere France 38043
    31 Hopital de La Croix Rousse Lyon Cedex 4 France 69004
    32 Hôpital Hôtel Dieu - Paris Paris France 75181
    33 Centre Hospitalier Specialisé de Rouffach Rouffach France 68250
    34 Advanced Sleep Research GmbH Berlin Germany 10117
    35 Emovis GmbH Berlin Germany 10629
    36 Synexus Clinical Research GmbH Frankfurt Germany 60313
    37 CTC North GmbH & Co. KG Hamburg Germany 20251
    38 Synexus Clinical Research GmbH Sachsen Germany 04103
    39 Somni Bene GmbH Schwerin Germany 19053
    40 Klinische Forschung Schwerin GmbH Schwerin Germany 19055
    41 SOUSEIKAI PS Clinic Fukuoka-shi Japan 812-0025
    42 You Ariyoshi Sleep Clinic Kitakyushu-shi Japan 802-0084
    43 Takedakai Kochi Kagamigawa Hospital Kochi-shi Japan 780-8037
    44 Kurume University Hospital Kurume-shi Japan 830-0011
    45 National Hospital Organization Nagoya Medical Center Nagoya-shi Japan 460-0001
    46 Gokeikai Osaka Kaisei Hospital Osaka-shi Japan 532-0003
    47 Wellness Boyodai Hospital Otaru-shi Japan 047-0155
    48 Suimin Sogo Care Clinic Yoyogi Shibuya-ku Japan 151-0053
    49 Shinjuku Research Park Clinic Shinjuku-ku Japan 169-0073
    50 Sekino Hospital Toshima-ku Japan 171-0014
    51 Mie University Hospital Tsu-shi Japan 514-8507
    52 Kaiseikai Kita Shin Yokohama Internal Medicine Clinic Yokohama-shi Japan 223-0059
    53 Centrum Badań Klinicznych PI-House sp. z o.o. Gdansk Poland 80-546
    54 NZOZ Wielospecjalistyczna Poradnia Lekarska 'Synapsis' Katowice Poland 40-123
    55 Osrodek Badan Klinicznych CROMED Poznan Poland 60-782
    56 EMC Instytut Medyczny SA Wroclaw Poland 50-220

    Sponsors and Collaborators

    • Janssen Research & Development, LLC

    Investigators

    • Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Janssen Research & Development, LLC
    ClinicalTrials.gov Identifier:
    NCT03375203
    Other Study ID Numbers:
    • CR108427
    • 42847922ISM2005
    • 2017-000980-33
    First Posted:
    Dec 15, 2017
    Last Update Posted:
    May 23, 2022
    Last Verified:
    May 1, 2022
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail Total of 365 participants were randomized and 364 participants were treated. 1 participant was randomized in error, never received any study drug and was excluded from the analyses. Among 364 treated participants,1 participant randomized to JNJ-42847922 10 mg group, received 5 mg of JNJ-42847922 and was summarized under 5 mg group for safety analyses, and under 10 mg dose group for all other analyses.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Period Title: Overall Study
    STARTED 75 72 74 71 73
    COMPLETED 69 68 72 69 69
    NOT COMPLETED 6 4 2 2 4

    Baseline Characteristics

    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem Total
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Total of all reporting groups
    Overall Participants 75 71 74 71 73 364
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    58.6
    (11.49)
    56.9
    (13.85)
    57.6
    (12.9)
    57.6
    (11.88)
    58.5
    (12.03)
    57.8
    (12.4)
    Age, Customized (Count of Participants)
    Children (2-11 years)
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Adolescents (12-17 years)
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Adults (18-64 years)
    50
    66.7%
    45
    63.4%
    48
    64.9%
    47
    66.2%
    48
    65.8%
    238
    65.4%
    From 65 to 84 years
    25
    33.3%
    26
    36.6%
    26
    35.1%
    24
    33.8%
    25
    34.2%
    126
    34.6%
    85 years and over
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Sex: Female, Male (Count of Participants)
    Female
    45
    60%
    48
    67.6%
    51
    68.9%
    50
    70.4%
    52
    71.2%
    246
    67.6%
    Male
    30
    40%
    23
    32.4%
    23
    31.1%
    21
    29.6%
    21
    28.8%
    118
    32.4%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    13
    17.3%
    13
    18.3%
    10
    13.5%
    7
    9.9%
    10
    13.7%
    53
    14.6%
    Not Hispanic or Latino
    62
    82.7%
    58
    81.7%
    63
    85.1%
    64
    90.1%
    63
    86.3%
    310
    85.2%
    Unknown or Not Reported
    0
    0%
    0
    0%
    1
    1.4%
    0
    0%
    0
    0%
    1
    0.3%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    1
    1.3%
    1
    1.4%
    0
    0%
    0
    0%
    1
    1.4%
    3
    0.8%
    Asian
    8
    10.7%
    5
    7%
    7
    9.5%
    4
    5.6%
    6
    8.2%
    30
    8.2%
    Native Hawaiian or Other Pacific Islander
    1
    1.3%
    0
    0%
    0
    0%
    3
    4.2%
    0
    0%
    4
    1.1%
    Black or African American
    11
    14.7%
    15
    21.1%
    20
    27%
    18
    25.4%
    9
    12.3%
    73
    20.1%
    White
    54
    72%
    49
    69%
    46
    62.2%
    45
    63.4%
    57
    78.1%
    251
    69%
    More than one race
    0
    0%
    0
    0%
    1
    1.4%
    0
    0%
    0
    0%
    1
    0.3%
    Unknown or Not Reported
    0
    0%
    1
    1.4%
    0
    0%
    1
    1.4%
    0
    0%
    2
    0.5%

    Outcome Measures

    1. Primary Outcome
    Title Change From Baseline in Latency to Persistent Sleep (LPS) as Measured by Polysomnography (PSG) on Night 1
    Description Change in LPS was measured on Night 1 by PSG. LPS is the time in minutes from 'lights out' that marks the starting of total recording time to the first epoch recorded as sleep. The LPS change from baseline on Night 1 was calculated as (LPS at Night 1 minus Baseline LPS). Negative changes in LPS indicated improvement.
    Time Frame Baseline and Night 1

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 75 71 73 71 73
    Mean (Standard Deviation) [Minutes]
    -15.24
    (78.547)
    -29.92
    (49.049)
    -49.49
    (53.216)
    -47.69
    (48.423)
    -40.74
    (54.395)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, JNJ-42847922 5 mg
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value = 0.346
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Back-transformed Least Square Mean Ratio
    Estimated Value 0.88
    Confidence Interval (2-Sided) 90%
    0.70 to 1.10
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, JNJ-42847922 10 mg
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value = 0.001
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Back-transformed Least Square Mean Ratio
    Estimated Value 0.64
    Confidence Interval (2-Sided) 90%
    0.51 to 0.81
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Placebo, JNJ-42847922 20 mg
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Back-transformed Least Square Mean Ratio
    Estimated Value 0.51
    Confidence Interval (2-Sided) 90%
    0.41 to 0.64
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Placebo, JNJ-42847922 5 mg, JNJ-42847922 10 mg, JNJ-42847922 20 mg
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value 0.000
    Comments
    Method MCP-mod
    Comments
    2. Secondary Outcome
    Title Change From Baseline in Wake After Sleep Onset (WASO) Over the First 6 Hours as Measured by PSG on Night 1
    Description PSG was used to measure the time to wake after initial sleep onset (WASO) over the first 6 hours on Night 1. Negative changes in WASO indicate improvement.
    Time Frame Baseline and over first 6 hours on Night 1

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 74 71 73 71 73
    Mean (Standard Deviation) [Minutes]
    -15.05
    (57.485)
    -22.70
    (45.904)
    -42.57
    (40.011)
    -44.69
    (42.823)
    -29.04
    (46.779)
    3. Secondary Outcome
    Title Change From Baseline in LPS as Measured by PSG on Night 13
    Description LPS was measured on Night 13 by PSG. LPS is the time in minutes from 'lights out' that marks the starting of total recording time to the first epoch recorded as sleep. Negative changes in LPS indicate improvement.
    Time Frame Baseline and Night 13

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 69 69 73 69 69
    Mean (Standard Deviation) [Minutes]
    -23.74
    (61.790)
    -27.12
    (54.726)
    -53.99
    (60.292)
    -41.19
    (59.713)
    -30.94
    (60.236)
    4. Secondary Outcome
    Title Change From Baseline in WASO Over the First 6 Hours as Measured by PSG on Night 13
    Description PSG was used to measure the time to wake after initial sleep onset (WASO) over the first 6 hours on Night 13. Negative changes in WASO indicate improvement.
    Time Frame Baseline and over first 6 hours on Night 13

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 68 69 73 68 69
    Mean (Standard Deviation) [Minutes]
    -17.80
    (52.369)
    -14.63
    (57.207)
    -30.74
    (52.835)
    -38.40
    (53.661)
    -20.22
    (46.465)
    5. Secondary Outcome
    Title Change From Baseline in Total Sleep Time (TST) as Measured by PSG Over 6 Hours on Nights 1 and 13
    Description TST is defined as the total sleep time in minutes. The total sleep time is the total amount of sleep time scored during the total recording time. Positive changes in TST indicate improvement.
    Time Frame Baseline, Over 6 hours on Nights 1 and 13

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 75 71 73 71 73
    Night 1
    25.50
    (72.146)
    43.26
    (50.771)
    76.47
    (50.711)
    80.49
    (56.216)
    53.70
    (57.688)
    Night 13
    33.16
    (71.488)
    39.80
    (66.556)
    66.03
    (62.995)
    67.66
    (66.254)
    35.84
    (64.950)
    6. Secondary Outcome
    Title Change From Baseline in Total Sleep Time (TST) as Measured by PSG Over 8 Hours on Nights 1 and 13
    Description TST is defined as the total sleep time in minutes. The total sleep time is the total amount of sleep time scored during the total recording time. Positive changes in TST indicate improvement.
    Time Frame Baseline, Over 8 hours on Nights 1 and 13

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 75 71 73 71 73
    Night 1
    37.03
    (86.539)
    47.85
    (64.499)
    81.20
    (60.607)
    81.07
    (71.581)
    63.88
    (59.115)
    Night 13
    38.45
    (83.177)
    45.72
    (72.640)
    64.84
    (77.358)
    64.27
    (82.377)
    39.26
    (77.773)
    7. Secondary Outcome
    Title Change From Baseline in Sleep Efficiency (SE) Measured by PSG on Nights 1 and 13
    Description Sleep efficiency was measured as the total sleep time divided by the total time in bed (that is, the number of hours from the beginning of the Polysomnography recording to the end of the recording) (in percentage). Positive changes in SE indicate improvement.
    Time Frame Baseline, Nights 1 and 13

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 75 71 73 71 73
    Night 1
    7.74
    (18.031)
    10.18
    (12.818)
    16.92
    (12.626)
    16.86
    (14.963)
    13.29
    (12.317)
    Night 13
    7.99
    (17.322)
    9.51
    (15.154)
    13.67
    (16.037)
    13.56
    (17.199)
    8.27
    (16.323)
    8. Secondary Outcome
    Title Change From Baseline in Wake After Sleep Onset (WASO) Measured Hourly on Days 1 and 13 From Hour 1 to Hour 8
    Description Polysomnography was used to measure the time to wake after initial sleep onset measured hourly on Day 1 and 13 from Hour 1 to Hour 8. WASO is measured during overnight sleep laboratory (PSG) assessment and defined as the duration of wakefulness from the onset of persistent sleep (that is, 10 consecutive minutes of sleep) over 8 hours of PSG assessment. Negative changes in WASO indicate improvement.
    Time Frame Baseline, Days 1 and 13 (Hours 1 to 8)

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 74 71 73 71 73
    WASO (hour 1): Day 1
    -3.40
    (13.074)
    -3.55
    (10.510)
    -3.44
    (12.969)
    -6.37
    (14.213)
    -5.40
    (12.086)
    WASO (hour 1): Day 13
    0.43
    (12.083)
    -4.78
    (8.824)
    -7.05
    (14.569)
    -7.47
    (13.004)
    -4.90
    (11.821)
    WASO (hour 2): Day 1
    1.06
    (18.481)
    -5.72
    (11.817)
    -9.62
    (16.721)
    -10.82
    (13.658)
    -7.68
    (14.812)
    WASO (hour 2):Day 13
    1.11
    (18.504)
    -4.12
    (14.596)
    -9.04
    (17.034)
    -9.64
    (14.963)
    -4.37
    (16.883)
    WASO (hour 3): Day 1
    -5.57
    (18.316)
    -3.91
    (12.037)
    -11.05
    (13.272)
    -9.64
    (13.055)
    -9.62
    (14.141)
    WASO (hour 3): Day 13
    -5.70
    (17.681)
    -0.31
    (18.562)
    -8.10
    (12.446)
    -6.99
    (15.331)
    -5.12
    (18.140)
    WASO (hour 4): Day 1
    -5.33
    (17.109)
    -4.73
    (13.193)
    -9.67
    (14.495)
    -9.74
    (14.727)
    -6.23
    (16.471)
    WASO (hour 4): Day 13
    -5.49
    (18.185)
    -3.47
    (16.754)
    -9.57
    (14.483)
    -6.21
    (14.140)
    -7.00
    (15.727)
    WASO (hour 5): Day 1
    -3.36
    (22.284)
    -6.16
    (15.820)
    -7.53
    (14.371)
    -7.44
    (15.834)
    -4.34
    (16.150)
    WASO (hour 5): Day 13
    -4.96
    (22.597)
    -4.06
    (20.776)
    -5.34
    (20.232)
    -7.97
    (17.016)
    -5.03
    (16.306)
    WASO (hour 6): Day 1
    -1.06
    (17.258)
    -4.46
    (22.383)
    -5.44
    (17.510)
    -7.78
    (18.348)
    -1.46
    (19.965)
    WASO (hour 6): Day 13
    -4.69
    (19.658)
    -3.09
    (21.426)
    0.56
    (22.721)
    -7.37
    (20.872)
    0.84
    (20.768)
    WASO (hour 7): Day 1
    -5.01
    (22.247)
    -5.71
    (19.784)
    -3.84
    (16.756)
    -1.61
    (19.349)
    -6.15
    (13.756)
    WASO (hour 7): Day 13
    -3.57
    (21.828)
    -4.92
    (18.271)
    -1.50
    (21.145)
    1.16
    (23.642)
    -0.75
    (18.096)
    WASO (hour 8): Day 1
    -7.52
    (23.369)
    0.66
    (21.311)
    -0.65
    (22.278)
    1.25
    (22.046)
    -3.95
    (20.149)
    WASO (hour 8): Day 13
    -1.73
    (24.898)
    -0.63
    (20.118)
    1.88
    (23.845)
    1.24
    (20.858)
    -3.22
    (22.343)
    9. Secondary Outcome
    Title Change From Baseline in Number of Night-time Awakenings (nNAW) Over 6 Hours on Day 1 and 13
    Description PSG was used to measure the number of night-time awakenings over the first 6 hours after initial sleep onset. Negative changes in nNAW indicate improvement.
    Time Frame Baseline, Over 6 hours on Day 1 and 13

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 74 71 73 71 73
    Day 1
    -2.08
    (6.412)
    -0.87
    (7.224)
    0.14
    (7.385)
    -0.94
    (9.102)
    -1.14
    (8.727)
    Day 13
    -2.02
    (6.928)
    0.93
    (7.769)
    -0.40
    (8.352)
    -2.13
    (7.542)
    -0.57
    (7.803)
    10. Secondary Outcome
    Title Change From Baseline in Wake During Total Sleep Period on Day 1 and 13
    Description PSG was used to measure wake time during the total recording period. Negative changes in wake during total sleep period indicate improvement.
    Time Frame Baseline, Day 1 and 13

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 74 71 73 71 73
    Day 1
    -13.79
    (63.082)
    -27.47
    (58.188)
    -49.64
    (47.106)
    -52.25
    (40.828)
    -32.36
    (53.737)
    Day 13
    -18.83
    (59.005)
    -19.79
    (60.626)
    -42.57
    (53.867)
    -41.95
    (64.846)
    -20.58
    (56.799)
    11. Secondary Outcome
    Title Change From Baseline in Wake After Final Awakening on Day 1 and 13
    Description PSG was used to measure the time awake after final awakening to the end of the PSG period. Negative changes in wake after final awakening indicate improvement.
    Time Frame Baseline, Day 1 and 13

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 74 71 73 71 73
    Day 1
    -13.63
    (50.958)
    -0.28
    (29.552)
    2.80
    (38.492)
    7.21
    (45.189)
    -5.40
    (29.473)
    Day 13
    -5.32
    (55.112)
    -0.39
    (31.519)
    12.42
    (62.515)
    5.62
    (48.641)
    -2.17
    (29.376)
    12. Secondary Outcome
    Title Change From Baseline in Number of Night-time Awakenings Per Hour (nNAW/hr) on Day 1 and 13
    Description PSG was used to measure number of night time awakenings per hour. Negative changes in nNAW/hr indicate improvement.
    Time Frame Baseline, Day 1 and 13

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 74 71 73 71 73
    Day 1
    -0.35
    (1.069)
    -0.14
    (1.204)
    0.02
    (1.231)
    -0.16
    (1.517)
    -0.19
    (1.455)
    Day 13
    -0.34
    (1.155)
    0.16
    (1.295)
    -0.07
    (1.392)
    -0.36
    (1.257)
    -0.10
    (1.300)
    13. Secondary Outcome
    Title Change From Baseline in Time to First Awakening After Sleep on Day 1 and 13
    Description PSG was used to measure the time to first awakening after sleep onset. Positive changes in time to first awakening after sleep indicate improvement.
    Time Frame Baseline, Day 1 and 13

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 74 71 73 70 73
    Day 1
    12.05
    (57.535)
    10.71
    (61.015)
    23.11
    (73.749)
    53.90
    (92.802)
    35.63
    (74.617)
    Day 13
    11.08
    (45.714)
    32.13
    (70.549)
    33.12
    (71.826)
    48.92
    (88.909)
    27.55
    (75.080)
    14. Secondary Outcome
    Title Change From Baseline in Rapid Eye Movement (REM) Duration on Day 1 and 13
    Description PSG was used to measure REM duration (time to first REM period from sleep onset).
    Time Frame Baseline, Day 1 and 13

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 74 71 73 71 73
    Day 1
    10.32
    (24.366)
    10.23
    (28.891)
    25.12
    (29.495)
    23.79
    (31.175)
    5.41
    (22.381)
    Day 13
    5.70
    (29.875)
    6.40
    (25.188)
    17.42
    (28.699)
    12.91
    (32.051)
    5.97
    (28.811)
    15. Secondary Outcome
    Title Change From Baseline in Rapid Eye Movement (REM) Latency on Day 1 and 13
    Description PSG was used to measure the REM latency. REM latency was defined as the time to first REM from sleep onset to reaching the first epoch of REM sleep.
    Time Frame Baseline, Day 1 and 13

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 73 70 73 70 72
    Day 1
    -26.60
    (82.487)
    -38.06
    (79.396)
    -85.61
    (84.380)
    -88.36
    (76.551)
    -42.73
    (67.024)
    Day 13
    -26.41
    (87.903)
    -32.11
    (86.623)
    -83.89
    (83.313)
    -73.40
    (81.747)
    -31.59
    (64.953)
    16. Secondary Outcome
    Title Percentage of Participants With Sleep-Onset Rapid Eye Movement on Day 1 and 13
    Description PSG was used to measure the sleep-onset REM in participants. REM sleep periods within 15 minutes from sleep onset were measured.
    Time Frame Day 1 and 13

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 75 71 73 71 73
    Day 1
    1.3
    1.7%
    4.2
    5.9%
    9.6
    13%
    14.1
    19.9%
    0
    0%
    Day 13
    1.4
    1.9%
    2.9
    4.1%
    4.1
    5.5%
    8.7
    12.3%
    2.9
    4%
    17. Secondary Outcome
    Title Change From Baseline in Number of Sleep Cycles on Day 1 and 13
    Description PSG was used to measure the number of sleep cycles.
    Time Frame Baseline, Day 1 and 13

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 75 71 73 71 73
    Day 1
    0.43
    (1.138)
    0.40
    (1.006)
    0.97
    (1.049)
    0.75
    (1.155)
    0.62
    (0.941)
    Day 13
    0.20
    (1.222)
    0.41
    (1.062)
    0.77
    (1.182)
    0.45
    (1.219)
    0.32
    (0.955)
    18. Secondary Outcome
    Title Change From Baseline in Total Time Spent in Non-Rapid Eye Movement Sleep on Day 1 and 13
    Description PSG was used to measure total time spent in non-rapid eye movement sleep stages N1, N2 and N3. Total time spent was sum of N1, N2 and N3. Positive changes in NREM duration indicate improvement.
    Time Frame Baseline, Day 1 and 13

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 75 71 73 71 73
    Day 1
    27.87
    (68.202)
    37.62
    (49.817)
    56.08
    (45.218)
    57.29
    (54.245)
    58.47
    (52.803)
    Day 13
    32.74
    (61.726)
    39.33
    (61.524)
    47.41
    (59.791)
    51.37
    (59.310)
    33.28
    (62.466)
    19. Secondary Outcome
    Title Change From Baseline in Subjective Sleep Parameters Using Consensus Sleep Diary - Morning Administration (CSD-M) on Days 2 and 14: Self-Reported Sleep-Onset Latency (sSOL), Subjective Wake After Sleep Onset (sWASO), Subjective Total Sleep Time (sTST)
    Description CSD-M is a standardized participant diary based on expert consensus and qualitative participant input to retrieve patient reported subjective sleep parameters related to prior night's sleep. CSD-M parameters analyzed includes: sSOL, sTST, sWASO. Negative change in sSOL, sWASO indicate improvement. Positive change in sTST indicates improvement.
    Time Frame Baseline, Days 2 and 14

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure and 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 71 66 68 69 68
    sSOL: Day 2
    15.20
    (61.761)
    -3.99
    (46.858)
    -16.49
    (42.699)
    -27.60
    (34.456)
    -24.98
    (30.395)
    sSOL: Day 14
    10.92
    (68.201)
    -8.81
    (45.936)
    -31.33
    (36.888)
    -33.93
    (37.274)
    -14.53
    (53.705)
    sWASO: Day 2
    0.81
    (75.475)
    -5.47
    (61.067)
    -18.54
    (51.301)
    -13.28
    (48.225)
    -15.99
    (84.549)
    sWASO : Day 14
    -5.60
    (55.955)
    -18.25
    (56.719)
    -25.20
    (58.872)
    -20.16
    (65.568)
    -17.56
    (51.007)
    sTST: Day 2
    -12.64
    (96.051)
    4.90
    (92.105)
    29.25
    (67.934)
    34.50
    (76.904)
    37.07
    (71.297)
    sTST: Day 14
    3.30
    (89.019)
    29.34
    (83.772)
    36.79
    (88.379)
    45.35
    (81.983)
    27.68
    (90.387)
    20. Secondary Outcome
    Title Change From Baseline in Subjective Sleep Parameters Using Consensus Sleep Diary - Morning Administration (CSD-M) on Days 2 and 14: Subjective Refreshed Feeling on Waking (sFRESH) and Subjective Quality of Sleep (sQUAL)
    Description The CSD-M is a standardized participant diary based on expert consensus and qualitative participant input to retrieve patient reported subjective sleep parameters related to the prior night's sleep. Sleep quality and how well rested participants felt at awaking are rated on a 5-point Likert scale ranging from 1 (very poor) to 5 (very good). Higher ratings indicate better sleep quality (sQUAL) and more refreshing/restorative quality of sleep (sFRESH). CSD-M parameters analyzed includes: sFRESH and sQUAL. Positive change in sFRESH and sQUAL indicates improvement.
    Time Frame Baseline, Days 2 and 14

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure and 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 71 66 68 69 68
    sFRESH: Day 2
    0.07
    (0.930)
    0.14
    (0.865)
    0.34
    (0.852)
    0.58
    (1.050)
    0.41
    (0.876)
    sFRESH: Day 14
    0.26
    (0.826)
    0.39
    (1.081)
    0.51
    (1.005)
    0.59
    (1.018)
    0.41
    (1.051)
    sQUAL: Day 2
    0.11
    (0.995)
    0.14
    (1.054)
    0.49
    (0.896)
    0.49
    (1.091)
    0.66
    (0.818)
    sQUAL: Day 14
    0.26
    (1.024)
    0.43
    (1.172)
    0.79
    (1.189)
    0.67
    (1.159)
    0.52
    (1.084)
    21. Secondary Outcome
    Title Change From Baseline in Subjective Sleep Parameters Using Consensus Sleep Diary - Morning Administration (CSD-M) on Days 2 and 14: Number of Nighttime Awakenings (s-nNAW)
    Description CSD-M is a standardized participant diary based on expert consensus and qualitative participant input to retrieve patient reported subjective sleep parameters related to the prior night's sleep. CSD-M parameters analyzed include: s-nNAW. Negative change in s-nNAW indicate improvement.
    Time Frame Baseline, Days 2 and 14

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 71 66 68 69 68
    Day 2
    0.64
    (2.197)
    0.21
    (1.465)
    0.49
    (1.465)
    0.27
    (1.418)
    0.38
    (6.076)
    Day 14
    0.10
    (1.234)
    0.04
    (1.580)
    0.05
    (1.320)
    -0.02
    (1.175)
    -0.22
    (1.376)
    22. Secondary Outcome
    Title Change From Baseline in Sleep Disturbance as Measured by Patient Reported Outcome Measurement Information System - Sleep Disturbance (PROMIS-SD) Total Score on Days 8 and 14
    Description PROMIS Sleep Disturbance (PROMIS-SD) Short Form subscale consists of a static 8-item questionnaire. Using a recall period of the past 7 days, it assesses the concepts of sleep initiation (2 items), quality of sleep (3 items), early morning feelings (2 items) and worrying about sleep (1 item). Each question has 5 response options ranging in value from 1 to 5. To find the total raw score for a short form with all questions answered, sum the values of the response to each question and a total score ranges from 8 to 40. Lower scores indicate less sleep disturbance. Negative changes in scores indicate improvement.
    Time Frame Baseline, Days 8 and 14

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 63 60 66 63 66
    Day 8
    -4.9
    (6.81)
    -9.0
    (7.13)
    -9.2
    (7.17)
    -9.6
    (8.16)
    -8.3
    (7.31)
    Day 14
    -5.7
    (7.75)
    -10.8
    (7.64)
    -10.3
    (7.39)
    -9.5
    (7.93)
    -10.1
    (8.06)
    23. Secondary Outcome
    Title Change From Baseline in Impairment as Measured by Patient Reported Outcome Measurement Information System - Sleep Related Impairment (PROMIS-SRI) Total Score on Days 8 and 14
    Description PROMIS-Sleep Related Impairment (PROMIS-SRI) scale consists of 8 items to evaluate daytime consequences of functioning 5-point Likert scale ranging from 1 to 5. PROMIS-SRI measures self-reported perceptions of alertness, sleepiness, and tiredness during usual waking hours, and perceived functional impairments during wakefulness associated with sleep problems or impaired alertness. Each question has five response options ranging in value from 1 to 5. To find total raw score (which range from 8 to 40) with all questions answered, sum values of response to each question. Higher score indicates greater sleep impairment.
    Time Frame Baseline, Days 8 and 14

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 61 59 63 62 65
    Day 8
    -4.0
    (6.56)
    -7.0
    (6.15)
    -5.5
    (6.55)
    -8.8
    (7.09)
    -4.9
    (6.98)
    Day 14
    -5.2
    (6.88)
    -9.1
    (6.53)
    -6.3
    (6.94)
    -7.8
    (6.98)
    -7.4
    (6.35)
    24. Secondary Outcome
    Title Change From Baseline in Participant's Assessment of Insomnia Severity Using the Patient Global Impression - Severity (PGI-S) Scale Score on Day 14
    Description The PGI-S is a self-reported scale to measure severity of illness using a 6-point scale ranging from 1 to 6, (1=no insomnia, 2=very mild, 3=mild, 4=moderate, 5=severe, 6=very severe). Considering all aspects of insomnia, participants rated their severity on the PGI-S scale. Negative changes in scores indicate improvement.
    Time Frame Baseline and Day 14

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 59 59 65 62 65
    Median (Full Range) [Unit on a Scale]
    0.00
    (-5.0)
    -1.00
    (-4.0)
    -1.00
    (-4.0)
    -1.00
    (-5.0)
    -1.00
    (-4.0)
    25. Secondary Outcome
    Title Participant's Assessment of Improvement in Insomnia Using the Patient Global Impression - Improvement (PGI-I) Scale Score on Day 14
    Description PGI-I is a self-reported scale to measure improvement in illness using a 7-point scale ranging from 1 to 7, (1=very much improved, 2=much improved, 3=improved [just enough to make a difference], 4=no change, 5=worse [just enough to make a difference], 6=much worse, 7=very much worse). Negative changes in scores indicate improvement.
    Time Frame Baseline and Day 14

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 60 62 69 65 67
    Median (Full Range) [Units on a Scale]
    3.00
    (0.0)
    2.00
    (0.0)
    2.00
    (0.0)
    2.00
    (0.0)
    2.00
    (0.0)
    26. Secondary Outcome
    Title Percentage of Participants Who Achieved Response Based on Insomnia Severity Index (ISI) Total Score on Day 14 - Observed Case
    Description Percentage of participants who achieved at least 50% reduction from baseline in ISI total score (responders) were reported. It is a 7-item questionnaire assessing nature, severity, impact of insomnia. Dimensions evaluated: severity of sleep onset, sleep maintenance, early morning awakening problems; sleep dissatisfaction; interference of sleep problem with daytime functioning; noticeability of sleep problems; distress caused by sleep difficulties. 5-point Likert scale (0-4) was used to rate each item, Scores are summed for a total score which ranges from 0-28. Negative changes in scores indicate improvement. ISI total score is the sum of all item scores. Total score interpreted insomnia as follows: absence (0-7); sub-threshold (8-14); moderate (15-21); severe (22-28).
    Time Frame Day 14

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number participants evaluable for this outcome measure. Participants with missing values at a given time point were excluded from frequency calculation for that time point.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 69 69 73 69 70
    Number [percentage of participants]
    23.2
    30.9%
    42.0
    59.2%
    31.5
    42.6%
    34.8
    49%
    42.9
    58.8%
    27. Secondary Outcome
    Title Percentage of Participants Who Achieved Remission Based on Insomnia Severity Index (ISI) Total Score on Day 14 - Observed Case
    Description Percentage of participants with remission of insomnia symptom defined as, total score of <= 10 on ISI scale. ISI is 7-item questionnaire assessing nature, severity, impact of insomnia. Dimensions evaluated are: severity of sleep onset, sleep maintenance, early morning awakening problems; sleep dissatisfaction; interference of sleep problem with daytime functioning; noticeability of sleep problems by others; distress caused by sleep difficulties. 5-point Likert scale (0-4) is used to rate each item. ISI total score is the sum of all item scores. ISI total score is the sum of all item scores. Scores are summed for a total score which ranges from 0-28 and interpreted as follows: absence of insomnia (0-7); sub-threshold insomnia (8-14); moderate insomnia (15-21); severe insomnia (22-28).
    Time Frame Day 14

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Participants with missing values at a given time point are excluded from the frequency calculation for that time point.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 69 69 73 69 70
    Number [percentage of participants]
    24.6
    32.8%
    43.5
    61.3%
    37.0
    50%
    39.1
    55.1%
    50.0
    68.5%
    28. Secondary Outcome
    Title Change From Baseline in Clinician's Assessment of Insomnia Severity Using the Clinical Global Impression - Severity (CGI-S) Score on Day 14
    Description The CGI-S is a 7-point scale to measure severity of illness (1=normal [not at all ill], 2=borderline ill, 3=mildly ill, 4=moderately ill, 5=markedly ill, 6=severely ill, 7=among the most extremely ill participants). Higher score indicates more severity. Negative changes in scores indicate improvement.
    Time Frame Baseline and Day 14

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 69 69 73 69 70
    Median (Full Range) [Units on a scale]
    0.0
    -1.0
    -1.0
    -1.0
    -1.0
    29. Secondary Outcome
    Title Change From Baseline in Clinician's Assessment of Insomnia Improvement Using Clinical Global Impression-Improvement (CGI-I) Score on Day 14
    Description The CGI-I is a 7-point scale to measure improvement in illness using a 7-point scale ranging from 1 to 7 (1=very much improved, 2=much improved, 3=minimally improved, 4=no change from baseline, 5=minimally worse, 6=much worse, 7=very much worse). Higher score indicates more severity. Negative changes in scores indicate improvement.
    Time Frame Baseline and Day 14

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 69 69 73 69 70
    Median (Full Range) [Units on a Scale]
    3.0
    3.0
    3.0
    3.0
    2.0
    30. Secondary Outcome
    Title Number of Participants With Treatment-Emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability
    Description An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. Treatment-emergent adverse events are adverse events with an onset date occurring at or after the initial administration of study drug through the Day 17 telephone contact date, or the day of last dose plus 3 days for participants without the Day 17 telephone contact date.
    Time Frame Up to Day 17

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set (SAS) included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. One participant who was randomized to JNJ-42847922 10 mg dose group received 5 mg of JNJ-42847922. This participant was summarized under the 5 mg dose group for safety analyses.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 75 72 73 71 73
    Count of Participants [Participants]
    37
    49.3%
    29
    40.8%
    23
    31.1%
    21
    29.6%
    31
    42.5%
    31. Secondary Outcome
    Title Number of Participants With Treatment-Emergent Serious Adverse Events and Events of Special Interest
    Description Treatment-emergent serious adverse events are serious adverse events with an onset date occurring at or after the initial administration of study drug through the Day 17 telephone contact date, or the day of last dose plus 3 days for participants without the Day 17 telephone contact date. Events of special interest included: Cataplexy; Sleep paralysis; Complex sleep-related behaviors such as confusional arousals, somnambulism (sleep walking), sleep terrors, bruxism (teeth grinding), sleep sex, sleep related eating disorder, sleep behavior disorder, and catathrenia (REM-associated end-inspiratory apnea/breath holding); Abnormal dreams; Falls.
    Time Frame Up to Day 17

    Outcome Measure Data

    Analysis Population Description
    SAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. One participant who was randomized to JNJ-42847922 10 mg dose group received 5 mg of JNJ-42847922. This participant was summarized under the 5 mg dose group for safety analyses.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14 Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 75 72 73 71 73
    Treatment-emergent Serious AE
    0
    0%
    0
    0%
    0
    0%
    1
    1.4%
    1
    1.4%
    Events of Special Interest
    2
    2.7%
    1
    1.4%
    2
    2.7%
    1
    1.4%
    4
    5.5%
    32. Secondary Outcome
    Title Number of Participants With Clinically Significant Vital Signs and Physical Abnormalities
    Description Clinically significant vital signs (pulse, supine and standing blood pressure (systolic and diastolic), and oral, temperature) and physical abnormalities (body weight) were reported. Abnormally low parameters included pulse (bpm)- decrease value from baseline greater than or equal to (>=) 15 to <=50; Systolic BP (mmHg [Millimeter of mercury])- decrease value from baseline >=20 to <=90; Diastolic BP- decrease value from baseline >=15 to <=50; weight (Kilogram[Kg])- decrease from baseline >=7%; Body temperature (Celsius [C])- <35.5. Abnormally high parameters included pulse- increase value from baseline >=15 to >=100; Systolic BP(mmHg)- increase from baseline of >=20 to >=180; Diastolic BP- increase value from baseline >=15 to >=105; weight(Kg)- increase from baseline of >=7%; body temperature (C)- >37.5.
    Time Frame Up to Day 15

    Outcome Measure Data

    Analysis Population Description
    SAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. One participant who was randomized to JNJ-42847922 10 mg dose group received 5 mg of JNJ-42847922. This participant was summarized under the 5 mg dose group for safety analyses. Here, 'n' (number analyzed) signifies number of participants who were evaluable for specified categories.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 75 72 73 71 73
    Supine Pulse Rate: Abnormally low
    2
    2.7%
    2
    2.8%
    2
    2.7%
    3
    4.2%
    0
    0%
    Supine Pulse Rate: Abnormally high
    1
    1.3%
    0
    0%
    0
    0%
    0
    0%
    1
    1.4%
    Standing Pulse Rate: Abnormally low
    1
    1.3%
    0
    0%
    0
    0%
    1
    1.4%
    1
    1.4%
    Standing Pulse Rate: Abnormally high
    8
    10.7%
    7
    9.9%
    3
    4.1%
    6
    8.5%
    11
    15.1%
    Supine Systolic BP: Abnormally low
    3
    4%
    0
    0%
    3
    4.1%
    2
    2.8%
    2
    2.7%
    Supine Systolic BP: Abnormally high
    1
    1.3%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Standing Systolic BP: Abnormally low
    2
    2.7%
    1
    1.4%
    1
    1.4%
    3
    4.2%
    5
    6.8%
    Standing Systolic BP: Abnormally high
    2
    2.7%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Supine Diastolic BP: Abnormally low
    2
    2.7%
    0
    0%
    0
    0%
    0
    0%
    4
    5.5%
    Supine Diastolic BP: Abnormally high
    0
    0%
    1
    1.4%
    0
    0%
    0
    0%
    1
    1.4%
    Standing Diastolic BP: Abnormally low
    0
    0%
    1
    1.4%
    0
    0%
    1
    1.4%
    0
    0%
    Standing Diastolic BP: Abnormally high
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    1.4%
    Temperature: Abnormally low
    2
    2.7%
    3
    4.2%
    0
    0%
    3
    4.2%
    2
    2.7%
    Temperature: Abnormally high
    1
    1.3%
    0
    0%
    0
    0%
    2
    2.8%
    1
    1.4%
    Weight: Abnormally low
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Weight: Abnormally high
    2
    2.7%
    0
    0%
    0
    0%
    1
    1.4%
    0
    0%
    33. Secondary Outcome
    Title Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities
    Description Twelve-lead ECGs were recorded in a supine position and different ECG intervals (Respiratory rate [RR], PR, time for ventricular depolarization [QRS], and total time from ventricular depolarization to complete repolarization [QT]) and heart rate was measured. This included heart rate:<=50 beats per minute (bpm) and >=100 bpm; PR interval <=120 millisecond (msec) and >=200 msec; QRS interval: <=60 msec and >=120 msec; QT interval:<=200 msec and >=500 msec.
    Time Frame Up to Day 14

    Outcome Measure Data

    Analysis Population Description
    SAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable for specified categories.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 74 70 71 68 71
    Heart rate: <=50 bpm
    10
    13.3%
    7
    9.9%
    5
    6.8%
    6
    8.5%
    6
    8.2%
    Heart rate:>=100 bpm
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    PR interval: <=120 msec
    0
    0%
    0
    0%
    0
    0%
    1
    1.4%
    0
    0%
    PR interval: >=200 msec
    4
    5.3%
    4
    5.6%
    4
    5.4%
    2
    2.8%
    7
    9.6%
    QRS interval: <=60 msec
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    QRS interval: >=120 msec
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    QT interval: <=200 msec
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    QT interval: >=500 msec
    1
    1.3%
    0
    0%
    0
    0%
    1
    1.4%
    0
    0%
    34. Secondary Outcome
    Title Number of Participants With Clinically Significant Laboratory Abnormalities
    Description Number of participants with clinically significant laboratory abnormalities were reported. Blood samples for serum chemistry (albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, bicarbonate, calcium, chloride, creatine Kinase, gamma glutamyl transferase, lactate dehydrogenase, phosphate, potassium, sodium), and urinalysis (bilirubin, protein) were collected for clinical laboratory testing.
    Time Frame Up to Day 15

    Outcome Measure Data

    Analysis Population Description
    Analysis population was SAS. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here,'n' (number analyzed) signifies number of participants who were evaluable for specified categories. 1 participant who was randomized to JNJ-42847922 10 mg dose group received 5 mg of JNJ-42847922.This participant was summarized under the 5 mg dose group for safety analyses.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 69 70 71 68 71
    Alanine Aminotransferase: Abnormally high
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Albumin: Abnormally low
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Albumin: Abnormally high
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Alkaline Phosphatase: Abnormally high
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Aspartate Aminotransferase: Abnormally high
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Bicarbonate: Abnormally low
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Bicarbonate: Abnormally high
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Bilirubin: Abnormally high
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Calcium: Abnormally low
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Calcium: Abnormally high
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Chloride: Abnormally low
    1
    1.3%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Chloride: Abnormally high
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Creatine Kinase: Abnormally high
    0
    0%
    1
    1.4%
    0
    0%
    0
    0%
    0
    0%
    Creatinine: Abnormally high
    0
    0%
    1
    1.4%
    0
    0%
    0
    0%
    0
    0%
    Direct Bilirubin: Abnormally high
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Gamma Glutamyl Transferase: Abnormally high
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Lactate Dehydrogenase: Abnormally high
    0
    0%
    0
    0%
    1
    1.4%
    0
    0%
    0
    0%
    Phosphate: Abnormally low
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Phosphate: Abnormally high
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Potassium: Abnormally low
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Potassium: Abnormally high
    0
    0%
    0
    0%
    3
    4.1%
    1
    1.4%
    2
    2.7%
    Protein: Abnormally low
    0
    0%
    1
    1.4%
    0
    0%
    0
    0%
    0
    0%
    Sodium: Abnormally low
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Sodium: Abnormally high
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    35. Secondary Outcome
    Title Number of Participants With Suicidal Ideation and Behavior as Determined by Columbia Suicide Severity Rating Scale (C-SSRS) Score
    Description C-SSRS is a questionnaire designed to solicit occurrence, severity, frequency of suicidal ideation/behaviors using following scores: Suicidal Ideation-1:Wish to be Dead; 2:Non-specific Active Suicidal Thoughts; 3:Active Suicidal Ideation with Any Methods without Intent to Act; 4:Active Suicidal Ideation with Some Intent to Act; 5:Active Suicidal Ideation with Specific Plan/Intent; Suicidal Behavior-6:Preparatory Acts; 7:Aborted Attempt; 8:Interrupted Attempt; 9:Actual Attempt; 10:Completed Suicide. If no events qualify for score of 1-10, score 0 indicate "no event that can be assessed on basis of C-SSRS". Higher scores= greater severity.
    Time Frame Day 14

    Outcome Measure Data

    Analysis Population Description
    SAS included all participants who were randomly assigned to drug and received at least 1 dose of drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. 1 participant who was randomized to JNJ-42847922 10 mg dose group received 5 mg of JNJ-42847922 and was summarized under 5 mg dose group for safety analyses.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 69 70 72 69 70
    Score 0: No Event
    69
    92%
    70
    98.6%
    72
    97.3%
    69
    97.2%
    70
    95.9%
    Score 1: Wish to be Dead
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Score 2: Non-Specific Active Suicidal Thoughts
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Score 3: Suicidal Ideation Without Plan and Intent
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Score 4: Suicidal Ideation Intent to Act Without Plan
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Score 5: Suicidal Ideation With Plan and Intent
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Score 6: Preparatory Acts or Behavior
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Score 7: Aborted Attempt
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Score 8: Interrupted Attempt
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Score 9: Actual Attempt
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Score 10: Completed Suicide
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    36. Secondary Outcome
    Title Change From Baseline in Karolinska Sleepiness Scale (KSS) Total Score on Days 2 and 14
    Description The KSS is a patient reported assessment of level of drowsiness at the time of scale administration. This scale is focused mainly on the propensity to fall asleep and has a high validity in measuring sleepiness. It consists of a single item assessed on 9-point Likert scale with response options from: 1=very alert to 9=very sleepy (fighting sleep). Negative changes indicate improvement.
    Time Frame Baseline, Days 2 and 14

    Outcome Measure Data

    Analysis Population Description
    Analysis population was SAS. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable at specified time points. One participant who was randomized to JNJ-42847922 10 mg dose group received 5 mg of JNJ-42847922. This participant was summarized under the 5 mg dose group for safety analyses.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14 Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 66 62 65 59 67
    Day 2
    0.3
    (1.75)
    -0.4
    (1.86)
    -0.2
    (1.42)
    -0.5
    (1.86)
    -0.4
    (1.68)
    Day 14
    0.1
    (1.82)
    -0.8
    (2.15)
    -0.6
    (1.72)
    -0.7
    (1.90)
    -0.7
    (2.01)
    37. Secondary Outcome
    Title Postural Stability Measured by Ataxiameter
    Description The body sway meter allows measurement of body movements in a single plane, providing a measure of postural stability. Body sway was measured using an ataxiameter. Participants were instructed to wear a pair of thin socks for each session. Before starting a measurement, participants were asked to stand still and comfortable, with their feet approximately 10 centimeters (cm) apart and their hands in a relaxed position alongside the body and eyes closed. The total period of body sway measurement was 2 minutes.
    Time Frame Day 14 (morning)

    Outcome Measure Data

    Analysis Population Description
    SAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. One participant who was randomized to JNJ-42847922 10mg dose group received 5 mg of JNJ-42847922. This participant was summarized under the 5 mg dose group for safety analyses.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 66 66 69 67 69
    Mean (Standard Deviation) [1/3 Degree Angle of Arc]
    -0.06
    (17.15)
    3.14
    (16.14)
    -0.87
    (15.62)
    -0.25
    (14.71)
    1.65
    (14.11)
    38. Secondary Outcome
    Title Change From Baseline in Power of Attention as Measured by a Computerized Battery of Cognitive Tests on Day 14 (Morning)
    Description Power of Attention is a combination of the speed scores from the three tests of attention, and is established to reflect the ability to focus attention and to process information. Power of Attention was calculated from the sum of the reaction time measured from the attentional tasks (Simple Reaction Time, Choice Reaction Time and Digit Vigilance Speed). Score ranges from 450 milliseconds - 61500 milliseconds. A low score reflects a fast reaction time and a high intensity of concentration.
    Time Frame Baseline and Day 14 (Morning)

    Outcome Measure Data

    Analysis Population Description
    SAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. One participant who was randomized to JNJ-42847922 10 mg dose group received 5 mg of JNJ-42847922. This participant was summarized under the 5 mg dose group for safety analyses.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 67 66 68 67 69
    Mean (Standard Deviation) [milliseconds (ms)]
    35.88
    (125.43)
    48.59
    (137.75)
    67.09
    (257.67)
    37.07
    (124.23)
    35.38
    (189.99)
    39. Secondary Outcome
    Title Change From Baseline in Continuity of Attention as Measured by a Computerized Battery of Cognitive Tests on Day 14 (Morning)
    Description Continuity of attention is a measure of sustained attention, combining (summed) accuracy and error measures from the choice reaction time and digit vigilance tasks. The number of correct responses (out of 50) for choice reaction time was added to the total number of targets correctly identified (out of 45) digit vigilance minus the number of false alarms (total score of -45 to 95). A high score reflects someone able to keep his/her mind on a single task for a prolonged period. A negative change from baseline reflects impairment compared to baseline.
    Time Frame Baseline and Day 14 (Morning)

    Outcome Measure Data

    Analysis Population Description
    SAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this endpoint. One participant who was randomized to JNJ-42847922 10 mg dose group received 5 mg of JNJ-42847922. This participant was summarized under the 5 mg dose group for safety analyses.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 67 66 68 67 69
    Mean (Standard Deviation) [units on a scale]
    0.36
    (5.31)
    -0.20
    (3.16)
    -1.37
    (6.35)
    0.10
    (5.05)
    -0.39
    (5.14)
    40. Secondary Outcome
    Title Change From Baseline in Quality of Working Memory as Measured by a Computerized Battery of Cognitive Tests on Day 14 (Morning)
    Description Quality of working memory is a combination of the scores from Spatial Working Memory and Numeric Working Memory tasks, and is established to reflect the ability to temporarily hold numeric and spatial information in memory. Sum of Spatial and Numeric Working Memory sensitivity indices (SI) (accuracy) was used to calculate the quality of working memory. The quality of working memory score was calculated from formulae that combined the accuracy scores for the original as well as the new (distractor) stimuli. The range for both the numeric working memory and spatial working memory tasks SI are -1 to 1. Smaller scores reflect poorer ability (poorer quality of working memory),larger scores reflect better ability (better quality of working memory). Total score is the sum of Spatial Working Memory and Numeric Working Memory (ranges from -2 to 2). Smaller scores reflect poorer ability (poorer quality of working memory), larger scores reflect better ability (better quality of working memory.
    Time Frame Baseline and Day 14 (Morning)

    Outcome Measure Data

    Analysis Population Description
    SAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. One participant who was randomized to JNJ-42847922 10 mg dose group received 5 mg of JNJ-42847922. This participant was summarized under the 5 mg dose group for safety analyses.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 67 65 68 67 69
    Mean (Standard Deviation) [Units on scale]
    0.00
    (0.35)
    -0.03
    (0.28)
    -0.02
    (0.41)
    -0.04
    (0.29)
    0.05
    (0.28)
    41. Secondary Outcome
    Title Change From Baseline in Quality of Episodic Secondary Memory as Measured by a Computerized Battery of Cognitive Tests on Day 14 (Morning)
    Description Quality of episodic secondary memory is calculated from the sum of 4 tests: Immediate and delayed word recall, and word and picture recognition, and ranges from -200 to 400. A high score reflects a good ability to store, hold and retrieve information of an episodic nature (that is an event or a name) and a negative change from baseline reflects impairment compared to baseline.
    Time Frame Baseline and Day 14 (Morning)

    Outcome Measure Data

    Analysis Population Description
    SAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. One participant who was randomized to JNJ-42847922 10 mg dose group received 5 mg of JNJ-42847922. This participant is summarized under the 5 mg dose group. Here, 'N' (number of participants analyzed) signifies those participants who were evaluable for this outcome measure.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 66 65 68 66 67
    Mean (Standard Deviation) [units on scale]
    -22.84
    (53.73)
    -23.15
    (46.02)
    -33.58
    (48.82)
    -25.45
    (56.37)
    -37.96
    (55.94)
    42. Secondary Outcome
    Title Change From Baseline in Speed of Memory as Measured by a Computerized Battery of Cognitive Tests on Day 14 (Morning)
    Description The sum of the speed measures from the two working memory tasks (Spatial and Numeric) and the two recognition tasks (Word and Picture). Speed of Memory combines reaction times from Spatial Working Memory (range:150 to 30000 millisecond [ms]), Numeric Working Memory (150 to 30000 ms), Word Recognition (250 to 30000 ms) and Picture recognition (250 to 30000 ms) tasks. The total reaction time (sum of above 4 reaction times) measures memory retrieval speed which ranges from 800 to 120000 ms. Slower reaction time reflect poorer ability and faster reaction time reflect better ability.
    Time Frame Baseline and Day 14 (Morning)

    Outcome Measure Data

    Analysis Population Description
    SAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. One participant who was randomized to JNJ-42847922 10 mg dose group received 5 mg of JNJ-42847922. This participant was summarized under the 5 mg dose group for safety analyses. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 67 65 68 67 69
    Mean (Standard Deviation) [millisecond]
    -104.75
    (787.74)
    258.38
    (719.56)
    7.57
    (806.27)
    -65.67
    (761.77)
    -83.70
    (1060.38)
    43. Secondary Outcome
    Title Change in Subjective Sleep Parameters From Day 14 as Compared to Day 17 as Measured by the Consensus Sleep Diary-Morning Administration (CSD-M):Self-Reported Sleep-Onset Latency (sSOL), Subjective Wake After Sleep Onset (sWASO) and sTST
    Description CSD-M is a standardized participant diary based on expert consensus and qualitative participant input to retrieve patient reported subjective sleep parameters related to prior night's sleep. Negative change in sSOL, sWASO indicate improvement and positive change in Subjective Total Sleep Time (sTST) indicates improvement.
    Time Frame Day 14 to Day 17

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) signifies number of participants who were evaluable for specified categories.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 63 58 57 56 58
    sSOL
    -20.56
    (74.145)
    -4.83
    (43.769)
    9.67
    (29.798)
    15.55
    (32.327)
    9.57
    (72.253)
    sWASO
    -12.39
    (57.711)
    -0.76
    (66.663)
    -2.13
    (41.505)
    -10.80
    (63.672)
    3.76
    (58.805)
    sTST
    30.95
    (101.367)
    13.07
    (102.093)
    6.96
    (96.664)
    19.71
    (66.447)
    -7.95
    (102.183)
    44. Secondary Outcome
    Title Change in Subjective Sleep Parameters From Day 14 as Compared to Day 17 Using Consensus Sleep Diary-Morning Administration: Subjective Refreshed Feeling on Waking (sFRESH) and Subjective Quality of Sleep (sQUAL)
    Description CSD-M is a standardized subject diary based on expert consensus and qualitative subject input to retrieve patient reported subjective sleep parameters related to the prior night's sleep. Sleep quality (sQUAL) and how well rested subjects felt at awaking are rated on a 5-point Likert scale ranging from 1 (very poor) to 5 (very good). Higher ratings indicate better sleep quality and more refreshing/restorative quality of sleep (sFRESH). CSD-M parameters analyzed includes: sFRESH and sQUAL. Positive change in sFRESH and sQUAL indicates improvement.
    Time Frame Day 14 to Day 17

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 63 58 57 56 58
    sFRESH
    0.13
    (1.085)
    0.17
    (1.011)
    0.04
    (1.017)
    0.11
    (1.073)
    -0.03
    (0.898)
    sQUAL
    0.19
    (1.242)
    0.24
    (1.129)
    -0.07
    (1.083)
    0.02
    (1.120)
    -0.12
    (1.010)
    45. Secondary Outcome
    Title Change in Subjective Sleep Parameters From Day 14 as Compared to Day 17 Using Consensus Sleep Diary-Morning Administration (CSD-M): Number of Nighttime Awakenings (s-nNAW)
    Description CSD-M is a standardized participant diary based on expert consensus and qualitative participant input to retrieve patient reported subjective sleep parameters related to the prior night's sleep. Higher ratings indicate better sleep quality and more refreshing/restorative quality of sleep. CSD-M parameters analyzed includes: s-nNAW. Negative change in s-nNAW indicate improvement.
    Time Frame Day 14 to Day 17

    Outcome Measure Data

    Analysis Population Description
    FAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 63 58 57 56 58
    Mean (Standard Deviation) [awakenings]
    0.16
    (3.525)
    -0.59
    (2.009)
    -0.35
    (1.217)
    -0.36
    (1.052)
    -0.34
    (1.396)
    46. Secondary Outcome
    Title Number of Participants With Withdrawal Symptoms of JNJ-42847922 as Measured by Physician Withdrawal Checklist (PWC) From Day 14 to Day 17
    Description PWC-20 is a reliable, sensitive instrument having 20-items used to assess potential withdrawal symptoms following cessation of treatment. Items are as follows: Loss of Appetite, Nausea-Vomiting, Diarrhea, Anxiety-Nervousness, Irritability, Dysphoric Mood-Depression, Insomnia, Fatigue, Poor Coordination, Restlessness, Diaphoresis, Tremor, Dizziness, Headaches, Stiffness, Weakness, Increased Acuity Sound Smell Touch (IASST), Paresthesias, Remember, Derealization. Each item score ranges from 0 (not present)-3 (severe), where higher scores = more affected condition. Total score ranges from 0-60, where higher score indicates more affected condition. PWC-20 score was imputed as follows: sum of the non-missing items * (total number of items) / (number of items non-missing).
    Time Frame Day 14 to Day 17

    Outcome Measure Data

    Analysis Population Description
    SAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participants analyzed) signifies number of participants evaluable for this outcome measure. 1 participant who was randomized to JNJ-42847922 10 mg dose group received 5 mg of JNJ-42847922 and was summarized under 5 mg dose group for safety analyses.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 69 69 70 68 69
    Loss of Appetite: No Symptoms
    65
    86.7%
    69
    97.2%
    65
    87.8%
    68
    95.8%
    66
    90.4%
    Loss of Appetite: Improved Symptoms
    0
    0%
    0
    0%
    4
    5.4%
    0
    0%
    1
    1.4%
    Loss of Appetite: Symptoms Present and Unchanged
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Loss of Appetite: New or Worsened Symptoms
    4
    5.3%
    0
    0%
    1
    1.4%
    0
    0%
    2
    2.7%
    Nausea-Vomiting: No Symptoms
    67
    89.3%
    67
    94.4%
    66
    89.2%
    67
    94.4%
    63
    86.3%
    Nausea-Vomiting: Improved Symptoms
    0
    0%
    1
    1.4%
    3
    4.1%
    0
    0%
    5
    6.8%
    Nausea-Vomiting: Symptoms Present and Unchanged
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    1.4%
    Nausea-Vomiting: New or Worsened Symptoms
    2
    2.7%
    1
    1.4%
    1
    1.4%
    1
    1.4%
    0
    0%
    Diarrhea: No Symptoms
    65
    86.7%
    69
    97.2%
    67
    90.5%
    67
    94.4%
    63
    86.3%
    Diarrhea: Improved Symptoms
    2
    2.7%
    0
    0%
    1
    1.4%
    1
    1.4%
    4
    5.5%
    Diarrhea: Symptoms Present and Unchanged
    0
    0%
    0
    0%
    1
    1.4%
    0
    0%
    0
    0%
    Diarrhea: New or Worsened Symptoms
    2
    2.7%
    0
    0%
    1
    1.4%
    0
    0%
    2
    2.7%
    Anxiety-Nervousness: No Symptoms
    64
    85.3%
    68
    95.8%
    64
    86.5%
    62
    87.3%
    62
    84.9%
    Anxiety-Nervousness:Improved Symptoms
    2
    2.7%
    1
    1.4%
    3
    4.1%
    3
    4.2%
    5
    6.8%
    Anxiety-Nervousness:Symptoms Present and Unchanged
    2
    2.7%
    0
    0%
    1
    1.4%
    2
    2.8%
    0
    0%
    Anxiety-Nervousness: New or Worsened Symptoms
    1
    1.3%
    0
    0%
    2
    2.7%
    1
    1.4%
    2
    2.7%
    Irritability: No Symptoms
    58
    77.3%
    58
    81.7%
    59
    79.7%
    60
    84.5%
    58
    79.5%
    Irritability:Improved Symptoms
    6
    8%
    9
    12.7%
    5
    6.8%
    4
    5.6%
    9
    12.3%
    Irritability:Symptoms Present and Unchanged
    3
    4%
    1
    1.4%
    3
    4.1%
    3
    4.2%
    0
    0%
    Irritability:New or Worsened Symptoms
    2
    2.7%
    1
    1.4%
    3
    4.1%
    1
    1.4%
    2
    2.7%
    Dysphoric Mood: No Symptoms
    66
    88%
    66
    93%
    68
    91.9%
    65
    91.5%
    66
    90.4%
    Dysphoric Mood: Improved Symptoms
    0
    0%
    3
    4.2%
    1
    1.4%
    1
    1.4%
    1
    1.4%
    Dysphoric Mood: Symptoms Present and Unchanged
    2
    2.7%
    0
    0%
    1
    1.4%
    1
    1.4%
    0
    0%
    Dysphoric Mood: New or Worsened Symptoms
    1
    1.3%
    0
    0%
    0
    0%
    1
    1.4%
    2
    2.7%
    Insomnia: No Symptoms
    12
    16%
    14
    19.7%
    11
    14.9%
    17
    23.9%
    16
    21.9%
    Insomnia: Improved Symptoms
    19
    25.3%
    15
    21.1%
    13
    17.6%
    11
    15.5%
    15
    20.5%
    Insomnia: Symptoms Present and Unchanged
    27
    36%
    28
    39.4%
    32
    43.2%
    28
    39.4%
    21
    28.8%
    Insomnia: New or Worsened Symptoms
    11
    14.7%
    12
    16.9%
    14
    18.9%
    12
    16.9%
    17
    23.3%
    Fatigue: No Symptoms
    30
    40%
    43
    60.6%
    41
    55.4%
    45
    63.4%
    44
    60.3%
    Fatigue: Improved Symptoms
    21
    28%
    15
    21.1%
    19
    25.7%
    8
    11.3%
    14
    19.2%
    Fatigue: Symptoms Present and Unchanged
    5
    6.7%
    7
    9.9%
    8
    10.8%
    9
    12.7%
    5
    6.8%
    Fatigue: New or Worsened Symptoms
    13
    17.3%
    4
    5.6%
    2
    2.7%
    6
    8.5%
    6
    8.2%
    Poor Coordination: No Symptoms
    61
    81.3%
    65
    91.5%
    63
    85.1%
    61
    85.9%
    61
    83.6%
    Poor Coordination: Improved Symptoms
    6
    8%
    3
    4.2%
    7
    9.5%
    5
    7%
    5
    6.8%
    Poor Coordination: Symptoms Present and Unchanged
    1
    1.3%
    1
    1.4%
    0
    0%
    1
    1.4%
    1
    1.4%
    Poor Coordination: New/Worsened Symptoms
    1
    1.3%
    0
    0%
    0
    0%
    1
    1.4%
    2
    2.7%
    Restlessness:No Symptoms
    55
    73.3%
    59
    83.1%
    59
    79.7%
    60
    84.5%
    60
    82.2%
    Restlessness:Improved Symptoms
    9
    12%
    6
    8.5%
    9
    12.2%
    5
    7%
    7
    9.6%
    Restlessness:Symptoms Present and Unchanged
    3
    4%
    2
    2.8%
    1
    1.4%
    1
    1.4%
    1
    1.4%
    Restlessness:New or Worsened Symptoms
    2
    2.7%
    2
    2.8%
    1
    1.4%
    2
    2.8%
    1
    1.4%
    Diaphoresis:No Symptoms
    64
    85.3%
    68
    95.8%
    65
    87.8%
    65
    91.5%
    64
    87.7%
    Diaphoresis:Improved Symptoms
    3
    4%
    1
    1.4%
    2
    2.7%
    2
    2.8%
    2
    2.7%
    Diaphoresis:Symptoms Present and Unchanged
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    1.4%
    Diaphoresis:New or Worsened Symptoms
    2
    2.7%
    0
    0%
    3
    4.1%
    1
    1.4%
    2
    2.7%
    Tremor: No Symptoms
    66
    88%
    68
    95.8%
    69
    93.2%
    68
    95.8%
    67
    91.8%
    Tremor: Improved Symptoms
    2
    2.7%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Tremor: Symptoms Present and Unchanged
    0
    0%
    1
    1.4%
    0
    0%
    0
    0%
    0
    0%
    Tremor: New or Worsened Symptoms
    1
    1.3%
    0
    0%
    1
    1.4%
    0
    0%
    2
    2.7%
    Dizziness:No Symptoms
    63
    84%
    69
    97.2%
    66
    89.2%
    64
    90.1%
    60
    82.2%
    Dizziness: Improved Symptoms
    3
    4%
    0
    0%
    2
    2.7%
    3
    4.2%
    7
    9.6%
    Dizziness: Symptoms Present and Unchanged
    1
    1.3%
    0
    0%
    1
    1.4%
    1
    1.4%
    1
    1.4%
    Dizziness:New or Worsened Symptoms
    2
    2.7%
    0
    0%
    1
    1.4%
    0
    0%
    1
    1.4%
    Headaches:No Symptoms
    56
    74.7%
    51
    71.8%
    61
    82.4%
    60
    84.5%
    56
    76.7%
    Headaches:Improved Symptoms
    9
    12%
    12
    16.9%
    4
    5.4%
    7
    9.9%
    3
    4.1%
    Headaches:Symptoms Present and Unchanged
    2
    2.7%
    5
    7%
    3
    4.1%
    0
    0%
    3
    4.1%
    Headaches:New or Worsened Symptoms
    2
    2.7%
    1
    1.4%
    2
    2.7%
    1
    1.4%
    7
    9.6%
    Stiffness:No Symptoms
    59
    78.7%
    62
    87.3%
    64
    86.5%
    63
    88.7%
    59
    80.8%
    Stiffness:Improved Symptoms
    8
    10.7%
    2
    2.8%
    2
    2.7%
    3
    4.2%
    3
    4.1%
    Stiffness:Symptoms Present and Unchanged
    1
    1.3%
    2
    2.8%
    2
    2.7%
    0
    0%
    1
    1.4%
    Stiffness:New or Worsened Symptoms
    1
    1.3%
    3
    4.2%
    2
    2.7%
    2
    2.8%
    6
    8.2%
    Weakness:No Symptoms
    61
    81.3%
    69
    97.2%
    65
    87.8%
    65
    91.5%
    65
    89%
    Weakness:Improved Symptoms
    3
    4%
    0
    0%
    3
    4.1%
    3
    4.2%
    2
    2.7%
    Weakness:Symptoms Present and Unchanged
    3
    4%
    0
    0%
    1
    1.4%
    0
    0%
    0
    0%
    Weakness:New or Worsened Symptoms
    2
    2.7%
    0
    0%
    1
    1.4%
    0
    0%
    2
    2.7%
    IASST: No Symptoms
    64
    85.3%
    66
    93%
    66
    89.2%
    63
    88.7%
    62
    84.9%
    IASST: Improved Symptoms
    1
    1.3%
    1
    1.4%
    1
    1.4%
    3
    4.2%
    2
    2.7%
    IASST: Symptoms Present and Unchanged
    2
    2.7%
    1
    1.4%
    0
    0%
    0
    0%
    1
    1.4%
    IASST: New or Worsened Symptoms
    2
    2.7%
    1
    1.4%
    3
    4.1%
    2
    2.8%
    4
    5.5%
    Paresthesias:No Symptoms
    62
    82.7%
    68
    95.8%
    66
    89.2%
    68
    95.8%
    68
    93.2%
    Paresthesias:Improved Symptoms
    4
    5.3%
    0
    0%
    2
    2.7%
    0
    0%
    0
    0%
    Paresthesias:Symptoms Present and Unchanged
    1
    1.3%
    1
    1.4%
    0
    0%
    0
    0%
    0
    0%
    Paresthesias:New or Worsened Symptoms
    2
    2.7%
    0
    0%
    2
    2.7%
    0
    0%
    1
    1.4%
    Remember:No Symptoms
    50
    66.7%
    60
    84.5%
    56
    75.7%
    56
    78.9%
    53
    72.6%
    Remember:Improved Symptoms
    9
    12%
    7
    9.9%
    9
    12.2%
    8
    11.3%
    6
    8.2%
    Remember:Symptoms Present and Unchanged
    5
    6.7%
    1
    1.4%
    4
    5.4%
    1
    1.4%
    5
    6.8%
    Remember:New or Worsened Symptoms
    5
    6.7%
    1
    1.4%
    1
    1.4%
    3
    4.2%
    5
    6.8%
    Derealization:No Symptoms
    64
    85.3%
    68
    95.8%
    68
    91.9%
    67
    94.4%
    68
    93.2%
    Derealization:Improved Symptoms
    4
    5.3%
    1
    1.4%
    1
    1.4%
    1
    1.4%
    1
    1.4%
    Derealization:Symptoms Present and Unchanged
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Derealization:New or Worsened Symptoms
    1
    1.3%
    0
    0%
    1
    1.4%
    0
    0%
    0
    0%
    47. Secondary Outcome
    Title Benzodiazepine Withdrawal Symptom Questionnaire (BWSQ) Total Score for Self-Assessment of Withdrawal Symptoms on Day 17
    Description The BWSQ is a 20 symptom self-reported questionnaire to investigate withdrawal symptoms. Total score is the sum of item scores. Total scores can range from 0-40 with higher scores indicating greater severity of symptoms. Participants rated the degree to which they were experiencing each symptom as either "0=No," "1=Yes-moderate" or "2=Yes-severe". The questionnaire had been shown to be reliable and to have acceptable construct validity in assessing withdrawal symptoms.
    Time Frame Day 17

    Outcome Measure Data

    Analysis Population Description
    SAS included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. Here, N (number of participant analyzed) signifies number of participants evaluable for this outcome measure. One participant who was randomized to JNJ-42847922 10 mg dose group received 5 mg of JNJ-42847922. This participant was summarized under the 5 mg dose group for safety analyses.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    Measure Participants 58 54 56 51 55
    Mean (Standard Deviation) [Units on a Scale]
    1.5
    (2.58)
    1.2
    (1.90)
    2.0
    (3.44)
    1.5
    (2.93)
    2.0
    (3.10)

    Adverse Events

    Time Frame Up to Day 17
    Adverse Event Reporting Description Safety analysis set included all participants who were randomly assigned to study drug and received at least 1 dose of study drug. One participant who was randomized to JNJ-42847922 10 mg dose group received 5 mg of JNJ-42847922. This participant was summarized under the 5 mg dose group for safety analyses.
    Arm/Group Title Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Arm/Group Description Participants received matching placebo as 2 oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 5 milligrams (mg) dose as two 2.5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 10 mg as one 10 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received JNJ-42847922 20 mg as one 20 mg oral capsule and one placebo capsule for 14 consecutive nights from Day 1 to Day 14. Participants received Zolpidem 5 mg as one 5 mg capsule plus one placebo capsule or 10 mg Zolpidem as two 5 mg oral capsules for 14 consecutive nights from Day 1 to Day 14.
    All Cause Mortality
    Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/75 (0%) 0/72 (0%) 0/73 (0%) 0/71 (0%) 0/73 (0%)
    Serious Adverse Events
    Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/75 (0%) 0/72 (0%) 0/73 (0%) 1/71 (1.4%) 1/73 (1.4%)
    Nervous system disorders
    Cerebral Haemorrhage 0/75 (0%) 0 0/72 (0%) 0 0/73 (0%) 0 1/71 (1.4%) 1 0/73 (0%) 0
    Cognitive Disorder 0/75 (0%) 0 0/72 (0%) 0 0/73 (0%) 0 0/71 (0%) 0 1/73 (1.4%) 1
    Other (Not Including Serious) Adverse Events
    Placebo JNJ-42847922 5 mg JNJ-42847922 10 mg JNJ-42847922 20 mg Zolpidem
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 22/75 (29.3%) 16/72 (22.2%) 10/73 (13.7%) 13/71 (18.3%) 21/73 (28.8%)
    Gastrointestinal disorders
    Diarrhoea 3/75 (4%) 4 0/72 (0%) 0 0/73 (0%) 0 1/71 (1.4%) 1 4/73 (5.5%) 4
    Nausea 2/75 (2.7%) 2 1/72 (1.4%) 1 2/73 (2.7%) 2 0/71 (0%) 0 5/73 (6.8%) 5
    General disorders
    Fatigue 8/75 (10.7%) 8 4/72 (5.6%) 4 3/73 (4.1%) 3 2/71 (2.8%) 2 2/73 (2.7%) 2
    Infections and infestations
    Nasopharyngitis 1/75 (1.3%) 1 4/72 (5.6%) 4 1/73 (1.4%) 1 0/71 (0%) 0 1/73 (1.4%) 1
    Urinary Tract Infection 4/75 (5.3%) 4 0/72 (0%) 0 1/73 (1.4%) 1 1/71 (1.4%) 1 0/73 (0%) 0
    Musculoskeletal and connective tissue disorders
    Myalgia 3/75 (4%) 4 1/72 (1.4%) 1 1/73 (1.4%) 1 0/71 (0%) 0 4/73 (5.5%) 4
    Nervous system disorders
    Disturbance in Attention 4/75 (5.3%) 4 2/72 (2.8%) 2 1/73 (1.4%) 1 1/71 (1.4%) 1 4/73 (5.5%) 4
    Dizziness 1/75 (1.3%) 1 0/72 (0%) 0 0/73 (0%) 0 0/71 (0%) 0 5/73 (6.8%) 7
    Headache 8/75 (10.7%) 8 7/72 (9.7%) 8 4/73 (5.5%) 6 6/71 (8.5%) 8 8/73 (11%) 10
    Somnolence 1/75 (1.3%) 1 1/72 (1.4%) 1 0/73 (0%) 0 4/71 (5.6%) 4 4/73 (5.5%) 5
    Psychiatric disorders
    Restlessness 4/75 (5.3%) 4 0/72 (0%) 0 2/73 (2.7%) 2 2/71 (2.8%) 2 1/73 (1.4%) 1

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    If an investigator wishes to publish information from the study, a copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation.

    Results Point of Contact

    Name/Title Senior Director Clinical Development
    Organization Janssen Research & Development, LLC
    Phone 844-434-4210
    Email ClinicalTrialDisclosure@its.jnj.com
    Responsible Party:
    Janssen Research & Development, LLC
    ClinicalTrials.gov Identifier:
    NCT03375203
    Other Study ID Numbers:
    • CR108427
    • 42847922ISM2005
    • 2017-000980-33
    First Posted:
    Dec 15, 2017
    Last Update Posted:
    May 23, 2022
    Last Verified:
    May 1, 2022