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A Study to Evaluate the Efficacy and Safety of Daridorexant in Participants With Insomnia Disorder

A Randomized, Double-blind, Multi-center, Placebo-controlled, Parallel, Phase III Study to Evaluate the Efficacy and Safety of ACT-541468 (Daridorexant) in Adult and Elderly Subjects With Insomnia Disorder

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07028697
Enrollment
164
Registered
2025-06-19
Start date
2024-12-04
Completion date
2025-10-21
Last updated
2026-01-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Insomnia Disorder

Brief summary

The purpose of this phase 3 study is to evaluate the efficacy and safety of Daridorexant compared to in participants with insomnia disorder.

Interventions

Daridorexant will be taken orally, once daily in the evening as indicated by investigator.

DRUGPlacebo

Placebo will be taken orally, once daily in the evening as indicated by investigator.

Sponsors

Nxera Pharma Korea Co., Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Signed informed consent prior to any study-mandated procedure; * Male or female aged ≥ 19 years; * Insomnia disorder according to DSM-5 criteria; * The predominant complaint is dissatisfaction with sleep quantity or quality, associated with one (or more) of the following symptoms: * Difficulty initiating sleep. * Difficulty maintaining sleep (characterized by frequent awakenings or problems returning to sleep after awakenings). * Early-morning awakening with inability to return to sleep. * Insomnia Severity Index score ≥ 15; * Insufficient sleep quantity as collected subjectively in the sleep diary A. ≥ 30 min to fall asleep, and B. Wake time during sleep ≥ 30 min, and C. Subjective Total Sleep Time (sTST) ≤ 6.5 h

Exclusion criteria

* Body mass index (BMI) ≥ 40.0 kg/m2 * Documented medical history and/or comorbidity of sleep-related breathing disorder * History of and/or concurrent sleep apnea or suspected sleep apnea * Korean-Mini Mental State Examination-2 (K-MMSE-2) score \< 25 in subjects ≥ 50 years; * For female subjects: pregnant, lactating or childbearing potential who do not consent to true abstinence or use an effective method of contraception for required period * Initiation of the cognitive behavior therapy (CBT) for treatment of insomnia disorder within 4 weeks prior to the Screening visit (Visit 1) or planned CBT during the study * A history of moderate to severe hepatic impairment (eg, Child-Pugh Class B or C) * Positive urine drug test or presence of alcohol in exhaled breath as detected by breathalyzer test.

Design outcomes

Primary

MeasureTime frameDescription
Subjective total sleep time(sTST)Week 4Change from baseline to week 4 in subjective total sleep time (sTST) measured by eDairy

Secondary

MeasureTime frameDescription
Subjective latency to sleep onset (sLSO)Week 4Change from baseline to week 4 in subjective latency to sleep onset (sLSO) measured by eDairy
Subjective wake after sleep onset (WASO)Week 4Change from baseline to week 4 in subjective wake after sleep onset (WASO) measured by eDairy

Countries

South Korea

Contacts

STUDY_DIRECTORClinical Development, Nxera Pharma Korea Co., Ltd.

Nxera Pharma Korea Co., Ltd.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026