Clinical trial • Phase IV • Neurology
DARIDOREXANT for Chronic insomnia disorder
Phase IV trial of DARIDOREXANT for Chronic insomnia disorder. open-label, none/not specified-controlled. 25 participants.
Overview
- Trial Therapeutic Area
- Neurology
- Trial Disease
- Chronic insomnia disorder
- Trial Stage
- Phase IV
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 30-10-2024
- First CTIS Authorization Date
- 04-03-2025
Trial design
open-label, none/not specified-controlled Phase IV trial across 1 site in Italy.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 25
- Trial Duration For Participant
- 183
Eligibility
Recruits 25 No vulnerable populations selected. Participants must be able and willing to give written informed consent; study includes adults (aged ≥18 and <65). No assent procedures or paediatric consent described..
- Pregnancy Exclusion
- Pregnancy or planned pregnancy
- Vulnerable Population
- No vulnerable populations selected. Participants must be able and willing to give written informed consent; study includes adults (aged ≥18 and <65). No assent procedures or paediatric consent described.
Inclusion criteria
- {"criterion_text":"- 1.\tMale and female patients aged ≥18 years old and < 65 years old with a diagnosis of chronic insomnia disorder according to the ICSD-3;\n- 2.\tStarting daridorexant 50 mg daily according to the regulatory approved indication;\n- 3.\tPatients who are able and willing to give written informed consent, willing and able to understand the purpose of the study, including possible risks and side effects, and willing and able to comply with the study requirements."}
Exclusion criteria
- {"criterion_text":"- 1.\tConcomitant sleep disorders\n- 2.\tMajor psychiatric disorders\n- 3.\tPatients contraindicated for daridorexant use (according to SmPC)\n- 4.\tDose adjustment of daridorexant or prescription to 25 mg/day\n- 5.\tPregnancy or planned pregnancy\n- 6.\tHistory of suicide ideations and/or attempts\n- 7.\tHistory of epilepsy\n- 8.\tPrevious cerebrovascular diseases\n- 9.\tHeavy smoking\n- 10.\tShift-work\n- 11.\tUse of drugs affecting cognition\n- 12.\tBody Mass Index >35"}
Endpoints
Primary endpoints
- {"endpoint_text":"- 1.\tChange in insomnia severity index (ISI) total score at 3- and 6-month follow-up visits;","definition_or_measurement_approach":"Change in ISI total score measured at 3- and 6-month follow-up visits (patient-reported insomnia severity index)."}
- {"endpoint_text":"- 2.\tChange in subjective total sleep time (sTST) measured by sleep diary in the 7 days before the visit planned at 3- and 6-month follow-up;","definition_or_measurement_approach":"Change in subjective total sleep time (sTST) measured by patient sleep diary during the 7 days before the 3- and 6-month visits."}
Secondary endpoints
- {"endpoint_text":"- Change in cogn perf (attention and memory) measured by neuropsychological tests at the 3and 6monthFUvisits;","definition_or_measurement_approach":"Cognitive performance in attention and memory domains measured by neuropsychological tests at 3- and 6-month follow-up visits."}
- {"endpoint_text":"- Change in PSQI total and sub-items scores at 3and 6monthFUvisits;","definition_or_measurement_approach":"Pittsburgh Sleep Quality Index (PSQI) total score and sub-item scores assessed at 3- and 6-month visits."}
- {"endpoint_text":"- Change in ESS scores at 3and 6monthFUvisits;","definition_or_measurement_approach":"Epworth Sleepiness Scale (ESS) scores assessed at 3- and 6-month visits."}
- {"endpoint_text":"- Change in MEQ scores at 3and 6monthFUvisits;","definition_or_measurement_approach":"Morningness-Eveningness Questionnaire (MEQ) scores assessed at 3- and 6-month visits."}
- {"endpoint_text":"- Change in Beck Depression Inventory-II total score at 3and 6monthFUvisits;","definition_or_measurement_approach":"Beck Depression Inventory-II total score assessed at 3- and 6-month visits to monitor depressive symptoms."}
- {"endpoint_text":"- Change in the mental and physical component of the SF-12 at 3and 6monthFUvisits.","definition_or_measurement_approach":"SF-12 health survey mental and physical component scores assessed at 3- and 6-month visits."}
Recruitment
- Planned Sample Size
- 25
- Recruitment Window Months
- 14
- Consent Approach
- Written informed consent required: participants must be able and willing to give written informed consent. Subject information and informed consent form documents are provided (ICF and privacy forms listed). Study includes adults only (≥18 years); no assent procedures described; no languages explicitly stated in the available records.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 25
Italy
- Earliest CTIS Part Ii Submission Date
- 16-11-2024
- Latest Decision Or Authorization Date
- 04-05-2025
- Processing Time Days
- 169
- Number Of Sites
- 1
- Number Of Participants
- 25
Sites
- Site Name
- Azienda Ospedaliera Policlinico Universitario Tor Vergata
- Department Name
- Neurologia
- Principal Investigator Name
- Claudio Liguori
- Principal Investigator Email
- DOTT.CLAUDIOLIGUORI@YAHOO.IT
- Contact Person Name
- Claudio Liguori
- Contact Person Email
- DOTT.CLAUDIOLIGUORI@YAHOO.IT
- Number Of Participants
- 25
Sponsor
Primary sponsor
- Full Name
- Universita' Degli Studi Di Roma Tor Vergata
- Organisation Type
- Educational Institution
- Country Of Registered Address
- Italy
Investigational products
- Investigational Product Name
- QUVIVIQ 50 mg film-coated tablets
- Active Substance
- DARIDOREXANT
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- ORAL USE
- Authorisation Status
- Authorised (marketing authorisation EU/1/22/1638/003)
- Starting Dose
- 50 mg
- Dose Levels
- 50 mg
- Frequency
- Once daily (50 mg/day)
- Maximum Dose
- 50 mg
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