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Study of the Efficacy and Safety of Lemborexant in Subjects 55 Years and Older With Insomnia Disorder (SUNRISE 1)

Phase 3
Completed
Conditions
Insomnia
Interventions
Drug: Lemborexant-matched placebo
Drug: Zolpidem-matched placebo
Registration Number
NCT02783729
Lead Sponsor
Eisai Inc.
Brief Summary

This study will be conducted to demonstrate, using polysomnography, that lemborexant 10 milligrams (mg) and 5 mg is superior to placebo on objective sleep onset as assessed by latency to persistent to sleep (LPS) after the last 2 nights of 1 month of treatment in participants 55 years and older with insomnia disorder.

Detailed Description

The study is a multicenter, randomized, double-blind, placebo-controlled, active comparator, parallel-group study of 2 dose levels of lemborexant for 30 nights in approximately 950 participants, 55 years or older with insomnia disorder. Participants will be males 65 years or older or females 55 years or older. Approximately 60% of the participants will be age 65 years or older. The study will have 2 phases: The Prerandomization Phase and the Randomization Phase. Including both phases, the study will last for a minimum of 65 and a maximum of 81 days per participant.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1006
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Lemborexant 10 mgZolpidem-matched placeboParticipants will receive one lemborexant 10 mg tablet and one zolpidem-matched placebo tablet each night
Lemborexant 5 milligrams (mg)Zolpidem-matched placeboParticipants will receive one lemborexant 5 mg tablet and one zolpidem-matched placebo tablet each night
Zolpidem tartrateZolpidem tartrateParticipants will receive one zolpidem 6.25 mg tablet and one lemborexant-matched placebo tablet each night
PlaceboZolpidem-matched placeboParticipants will receive one zolpidem-matched placebo tablet and one lemborexant-matched placebo tablet each night
Lemborexant 10 mgLemborexantParticipants will receive one lemborexant 10 mg tablet and one zolpidem-matched placebo tablet each night
Lemborexant 5 milligrams (mg)LemborexantParticipants will receive one lemborexant 5 mg tablet and one zolpidem-matched placebo tablet each night
Zolpidem tartrateLemborexant-matched placeboParticipants will receive one zolpidem 6.25 mg tablet and one lemborexant-matched placebo tablet each night
PlaceboLemborexant-matched placeboParticipants will receive one zolpidem-matched placebo tablet and one lemborexant-matched placebo tablet each night
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Mean Latency to Persistent Sleep (LPS) of Lemborexant 10 mg and Lemborexant 5 mg Compared to Placebo on Days 29/30Baseline, Days 29/30

LPS is defined as the time in minutes from lights off to the first epoch of 20 consecutive epochs of non- wakefulness as measured by PSG. Change from baseline to average LPS on Day 29 and 30 was reported.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Mean Sleep Efficiency (SE) of Lemborexant 10 mg and Lemborexant 5 mg Compared to Placebo on Days 29/30Baseline, Days 29/30

SE is defined as percentage of time spent in bed asleep, calculated as total sleep time (TST) divided by interval from lights off until lights on as measured by PSG, multiplied by 100. Change from baseline to average SE on Day 29 and 30 was reported.

Change From Baseline in Mean Wake After Sleep Onset (WASO) of Lemborexant 10 mg and Lemborexant 5 mg Compared to Placebo on Days 29/30Baseline, Days 29/30

WASO is defined as minutes of wake from the onset of persistent sleep until lights on as measured by PSG. Change from baseline to average WASO on Days 29 and 30 was reported.

Change From Baseline in WASO in the Second Half of the Night (WASO2H) of Lemborexant 10 mg and Lemborexant 5 mg Compared to Zolpidem ER on Days 29/30Baseline, Days 29/30

WASO2H is defined as time in minutes of wake during the interval from 240 minutes after lights off until lights on as measured by PSG. Change from baseline to average WASO2H on Days 29 and 30 was reported.

Trial Locations

Locations (95)

Saint Francis Sleep Allergy and Lung Institute

🇺🇸

Clearwater, Florida, United States

Toronto Sleep Institute

🇨🇦

Toronto, Ontario, Canada

University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

Clinical Neurophysiology Services

🇺🇸

Sterling Heights, Michigan, United States

Wake Research Associates, LLC

🇺🇸

Raleigh, North Carolina, United States

Somni Research Inc.

🇨🇦

Markham, Ontario, Canada

Northwestern University

🇺🇸

Chicago, Illinois, United States

Chicago Research Center Inc

🇺🇸

Chicago, Illinois, United States

NeuroTrials Research Inc.

🇺🇸

Atlanta, Georgia, United States

PACT

🇺🇸

Glendale, Arizona, United States

Clinical Research Unit

🇺🇸

New York, New York, United States

Research Center of Southern California

🇺🇸

Oceanside, California, United States

CLINiLABS, Inc.

🇺🇸

Eatontown, New Jersey, United States

Clayton Sleep Institute

🇺🇸

Saint Louis, Missouri, United States

Clinical Research Group of St Petersburg Inc

🇺🇸

Saint Petersburg, Florida, United States

Southern California Research

🇺🇸

Fountain Valley, California, United States

Santa Monica Clinical Trials

🇺🇸

Santa Monica, California, United States

Preferred Research Partners

🇺🇸

Little Rock, Arkansas, United States

SDS Clinical Trials, Inc.

🇺🇸

Orange, California, United States

Fleming Island Center For Clinical Research

🇺🇸

Fleming Island, Florida, United States

Sleep Disorders Center of the Mid-Atlantic

🇺🇸

Vienna, Virginia, United States

Henry Ford Hospital

🇺🇸

Novi, Michigan, United States

Jasper Summit Research LLC

🇺🇸

Jasper, Alabama, United States

Pacific Sleep Medicine Services

🇺🇸

Oceanside, California, United States

Orange County Neuropsychiatric Research Center, LLC

🇺🇸

Orange, California, United States

PAB Clinical Research

🇺🇸

Brandon, Florida, United States

MD Clinical

🇺🇸

Hallandale Beach, Florida, United States

SleepCare Research Institute Inc

🇺🇸

Stockbridge, Georgia, United States

Helene A Emsellem MD PC

🇺🇸

Chevy Chase, Maryland, United States

Universitätsklinikum Münster

🇩🇪

Münster, Germany

Hassman Research Institute

🇺🇸

Berlin, New Jersey, United States

Artemis Institute For Clinical Research

🇺🇸

San Marcos, California, United States

Ospedale Bellaria

🇮🇹

Bologna, Emilia-Romagna, Italy

CHU Dijon Bourgogne

🇫🇷

Dijon Cedex, France

Ohio Sleep Medicine Institute

🇺🇸

Dublin, Ohio, United States

Advanced Sleep Research GmbH

🇩🇪

Berlin, Germany

Emovis GmbH

🇩🇪

Berlin, Germany

Guys Hospital

🇬🇧

London, United Kingdom

Ospedale San Raffaele S.r.l. - PPDS

🇮🇹

Milan, Lombardia, Italy

Azienda Ospedaliero Universitaria Pisana

🇮🇹

Pisa, Italy

Azienda Ospedaliera Città della Salute e della Scienza di Torino

🇮🇹

Torino, Italy

Sleepmed of South Carolina

🇺🇸

Columbia, South Carolina, United States

Hopital Gabriel Montpied

🇫🇷

Clermont-ferrand, France

Hospital Universitario Araba - Txagorritxu

🇪🇸

Vitória, Spain

St. Louis Clinical Trials

🇺🇸

Saint Louis, Missouri, United States

Clinica del Son Estivill

🇪🇸

Barcelona, Spain

Somni Bene Institut für Medizinische Forschung und Schlafmedizin Schwerin GmbH

🇩🇪

Schwerin, Germany

Sleep Medicine Centers of Western New York

🇺🇸

West Seneca, New York, United States

Tri Hospital Sleep West

🇨🇦

Mississauga, Ontario, Canada

Azienda Ospedaliero Universitaria di Parma

🇮🇹

Parma, Italy

ASST di Pavia - Fondazione Istituto Neurologico Mondino IRCCS

🇮🇹

Pavia, Italy

Studienzentrum Wilhelmshöhe

🇩🇪

Kassel, Germany

University of Rochester

🇺🇸

Rochester, New York, United States

Medical Arts Health Research Group

🇨🇦

Kelowna, British Columbia, Canada

Klinikum rechts der Isar der Technischen Universität München

🇩🇪

München, Germany

Cleveland Sleep Research Center

🇺🇸

Middleburg Heights, Ohio, United States

Richmond Behavioral Associates

🇺🇸

Staten Island, New York, United States

Hôtel Dieu de Paris Hospital

🇫🇷

Paris, France

Hospital Universitario Fundacion Jimenez Diaz

🇪🇸

Madrid, Spain

Zentralinstitut für Seelische Gesundheit

🇩🇪

Mannheim, Baden-Württemberg, Germany

Instituto de Investigaciones del Sueño

🇪🇸

Madrid, Spain

Royal Stoke University Hospital

🇬🇧

Stoke on Trent, United Kingdom

Hospital San Rafael

🇪🇸

La Coruña, Spain

Papworth Hospital

🇬🇧

Cambridge, Cambridge Shire, United Kingdom

Hospital Universitario La Paz

🇪🇸

Madrid, Spain

Hospital de La Santa Creu i Sant Pau

🇪🇸

Barcelona, Spain

Clinica Universidad de Navarra

🇪🇸

Pamplona, Navarra, Spain

Universitätsklinikum Schleswig-Holstein

🇩🇪

Lübeck, Schleswig-Holstein, Germany

Fondazione PTV Policlinico Tor Vergata

🇮🇹

Roma, Italy

Centre Hospitalier Universitaire de Bordeaux, Hopital Pellegrin

🇫🇷

Bordeaux, France

Artemis Institute For Clinical Research LLC

🇺🇸

San Diego, California, United States

Pacific Research Network Inc

🇺🇸

San Diego, California, United States

Quest Pharmaceutical Services-Miami Research Associates, LLC (QPS MRA)

🇺🇸

Miami, Florida, United States

Intrepid Research

🇺🇸

Cincinnati, Ohio, United States

Lynn Health Science Institute

🇺🇸

Oklahoma City, Oklahoma, United States

Clinical Research Center of Nevada

🇺🇸

Las Vegas, Nevada, United States

CTI Clinical Research Center

🇺🇸

Cincinnati, Ohio, United States

Pioneer Research Solutions

🇺🇸

Houston, Texas, United States

Swedish Medical Center

🇺🇸

Seattle, Washington, United States

Empire Clinical Research

🇺🇸

Upland, California, United States

QPS MRA

🇺🇸

Hollywood, Florida, United States

Hospital Clinic de Barcelona

🇪🇸

Badalona, Spain

Hopital Civil

🇫🇷

Strasbourg, France

Sarkis Clinical Trials

🇺🇸

Gainesville, Florida, United States

Research Centers of America

🇺🇸

Oakland Park, Florida, United States

NeuroMedical Research Institute

🇺🇸

Panama City, Florida, United States

Compass Research LLC

🇺🇸

Orlando, Florida, United States

University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

Medical University of South Carolina - PPDS

🇺🇸

Charleston, South Carolina, United States

Sleep and Fatigue Institute

🇨🇦

Calgary, Alberta, Canada

Sleep Wake Disorders Clinic

🇨🇦

Scarborough, Ontario, Canada

Neurocare Inc

🇺🇸

Newton, Massachusetts, United States

Winthrop University Hospital

🇺🇸

Garden City, New York, United States

Wilmington Health Associates

🇺🇸

Wilmington, North Carolina, United States

University of Surrey

🇬🇧

Guildford, Surrey, United Kingdom

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