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

Related trials

Other published trials that may interest you.