- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06231641
The Effects of Lemborexant on the Ability to Sleep During Daytime
The Effects of Lemborexant on the Ability to Sleep During Daytime: A Feasibility Study to Evaluate the Potential of Lemborexant to Treat Shift Work Disorder
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Alex Desautels, M.D., Ph.D.
- Phone Number: 514-338-2692
- Email: alex.desautels@umontreal.ca
Study Contact Backup
- Name: Veronique Daneault, M.Sc, Ph.D.
- Phone Number: 438-224-2474
- Email: veronique.daneault.cnmtl@ssss.gouv.qc.ca
Study Locations
-
-
Quebec
-
Montréal, Quebec, Canada, H4J 1C5
- Recruiting
- CIUSSS du Nord de l'ile de Montreal (CIUSSS-NIM) - Hôpital du Sacré-Cœur de Montréal (HSCM)
-
Contact:
- Alex Desautels, M.D., Ph.D.
- Phone Number: 514-338-2692
- Email: alex.desautels@umontreal.ca
-
Contact:
- Véronique Daneault, M.Sc., Ph.D.
- Phone Number: 438-224-2474
- Email: veronique.daneault.cnmtl@ssss.gouv.qc.ca
-
Principal Investigator:
- Alex Desautels, M.D., Ph.D.
-
Sub-Investigator:
- Julie Carrier, Ph.D.
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Participants must fulfill all of the following inclusion criteria to be eligible for inclusion in this study:
- Men or women aged between 30 and 60 years, inclusive
- Be willing and able to give informed consent for study participation
- Participants must not have done shiftwork in the past year
- Normal vital signs values are: oral body temperature between 36.1 and 37.5 ºC (95 and 99.5 °F), supine SBP between 90 and 140 mmHg inclusive; supine DBP between 55 and 90 mmHg inclusive; heart rate between 50 and 100 bpm inclusive.
- Be willing to comply with all study requirements and procedures for the duration of the study, including refraining from consuming alcohol 48 hours prior to each experimental visit and grapefruit products (juice or fruit itself), Seville orange, lime, pomelo, carambola and pomegranate during all the duration of the study (from Visit 1 to Visit 4).
Women who:
- Are postmenopausal, with amenorrhea for at least 1 year before the screening visit, OR
- Are surgically sterile, OR
- If of childbearing potential agree to practice effective double barrier methods of contraception, from the time of the signing of informed consent through the last dose of study drug and for 30 days after dosing stops (1 ovulatory cycle), or agree to completely abstain from intercourse.
Men with women partners of childbearing potential are also expected to practice effective barrier methods of contraception from the time of signing informed consent through the last dose of study drug and for 30 days after dosing stops.
- Self-reported bedtime was between 9 pm and midnight on 4-7 nights per week.
Exclusion Criteria:
Participants must not meet any of the following exclusion criteria:
- Body mass index > 32 as calculated from the participant's height (m) and weight (kg); weight (kg)/square height (m²)
- Presence of a sleep disorder, such as a diagnosis of insomnia, narcolepsy, sleep paralysis, active somnambulism (history of childhood somnambulism is accepted), hypnagogic/ hypnopompic hallucinations, and REM behavior disorder, will be excluded based on the clinical interview. For sleep apnea syndrome, an apnea-hypopnea index > 15 per hour of sleep on the first screening night will be used as an exclusion criterion. For periodic limb movement disorder, an index of periodic limb movements during sleep associated with an arousal > 15 per hour of sleep on the first screening night will be used as an exclusion criterion.
- History of epilepsy
- Any previous serious head injury or stroke
- Any evidence of psychiatric disorder (including Beck Depression Inventory [BDI] ≥ 20 at screening, or a score of 3 on item related to suicidal ideas)
- Evidence of any clinically significant, or unstable, acute or chronically progressive medical or surgical disorder (including planned medical procedures that may impact sleep), or any condition that may interfere with the absorption, metabolism, distribution, or excretion of the study drug, or may affect the participant's safety
- Clinically significant and abnormal electrocardiogram (ECG; including QTc ≥ 450 ms for males, 460 ms for females) or a history of cardiovascular disease including poorly controlled hypertension, ischemic heart disease, arrhythmia, or severe heart failure
- Severe hepatic impairment
- Positive qualitative urine drug screen (opiates, cocaine, amphetamine, cannabinoids, barbiturates, phencyclidine, benzodiazepines, methadone, propoxyphene) and alcohol test (breathalyzer), at screening and before each experimental visit
- Current use of medications that are moderate or strong CYP3A4 inhibitors or inducers or CYP2B6 substrates (Appendix 1)
- Use of any substance with psychotropic effects or properties known to affect sleep/wake, including hypnotics, neuroleptics, opioid derivatives, antihistamines, stimulants, antidepressants, within one week or five half-lives (whichever is longer) prior to PSG screening
- Use of any over-the-counter sleep medications including tryptophan, valerian root (Valeriana officinalis), kava (Piper methysticum Forst), melatonin, St John's Wort (Hypericum perforatum), Alluna (herbal sleep supplement with valerian root), and hemp within one week or five half-lives (whichever is longer) prior to screening
- Consumption of xanthine-containing beverages (i.e., tea, coffee, or cola) of more than 5 cups or glasses per day
- Participation in any other trial within 30 days before the screening visit
- Any travel across more than one time zone in the month prior to screening at any time during the study
- Other exclusion criteria based on adverse events (AE) or serious adverse events (SAE) reported in the Investigator Brochure
- Women who are pregnant, during the study or within one month after the study, or are breastfeeding
- Individuals may be excluded from participating in the study based on the clinician's judgement.
- Participants with lactose or galactose intolerance (galactosemia or glucose-galactose malabsorption)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Active treatment condition
Lemborexant at a 5mg dose is delivered in a film-coated tablet
|
Lemborexant 5 mg will be taken orally once per day just prior to initiating laboratory-supervised daytime sleep episodes, for three consecutive days, within a few minutes before going to bed, with at least seven hours remaining before the planned time of awakening.
|
Placebo Comparator: Placebo condition
Placebo is delivered in a film-coated tablet
|
Matching placebo will be taken orally once per day just prior to initiating laboratory-supervised daytime sleep episodes, for three consecutive days, within a few minutes before going to bed, with at least seven hours remaining before the planned time of awakening.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Total sleep duration (objective measure)
Time Frame: during the intervention
|
Assess the efficacy of lemborexant compared to placebo on PSG measured total sleep time (TST) during daytime recovery sleep using the mean data of the second and third daytime sleep episodes in each condition.
|
during the intervention
|
Wake after sleep onset (objective measure)
Time Frame: during the intervention
|
Assess the efficacy of lemborexant compared to placebo on polysomnographically (PSG) measured wake after sleep onset (WASO) during daytime recovery sleep using the mean data of the second and third daytime sleep episodes in each condition
|
during the intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Total sleep duration (subjective measure)
Time Frame: during the intervention
|
Evaluate the participant-reported daytime recovery sleep quality, measured as subjective TST (sTST), under lemborexant in comparison to placebo using the mean data of the second and third daytime sleep episodes in each condition
|
during the intervention
|
Wake after sleep onset (subjective measure)
Time Frame: during the intervention
|
Evaluate the participant-reported daytime recovery sleep quality, measured as subjective WASO (sWASO), under lemborexant in comparison to placebo using the mean data of the second and third daytime sleep episodes in each condition.
|
during the intervention
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Mental Disorders
- Nervous System Diseases
- Dyssomnias
- Neurologic Manifestations
- Occupational Diseases
- Chronobiology Disorders
- Sleep Wake Disorders
- Sleep Disorders, Circadian Rhythm
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Hypnotics and Sedatives
- Sleep Aids, Pharmaceutical
- Orexin Receptor Antagonists
- Lemborexant
Other Study ID Numbers
- DVG-IIS-M001-1008
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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