MedPath

Lemborexant

Generic Name
Lemborexant
Brand Names
Dayvigo
Drug Type
Small Molecule
Chemical Formula
C22H20F2N4O2
CAS Number
1369764-02-2
Unique Ingredient Identifier
0K5743G68X
Background

Lemborexant is a novel dual orexin receptor antagonist used in the treatment of insomnia characterized by difficulties with sleep onset and/or sleep maintenance. Recent research in the field of sleep disorders has revealed that insomnia is likely driven not by the inability of the brain to "switch on" sleep-related circuits, but rather an inability to "switch-off" wake-promoting circuits. Whereas historically popular pharmacologic treatments for insomnia (e.g. zopiclone, zolpidem, benzodiazepines) focus on enhancing sleep drive via modulation of GABA and melatonin receptors, lemborexant and other orexin antagonists (e.g. suvorexant) act to counteract inappropriate wakefulness. This novel mechanism of action offers potential advantages over classic hypnotic agents, including a more favorable adverse effect profile and potentially greater efficacy, and may signal the beginning of a new wave of treatment options for patients suffering from insomnia.

Indication

Lemborexant is indicated for the treatment of adult patients with insomnia characterized by difficulties with sleep onset and/or sleep maintenance.

Associated Conditions
Insomnia

A Study to Evaluate Lemborexant in Milk of Healthy Lactating Women

Phase 1
Completed
Conditions
Healthy Volunteers
Interventions
First Posted Date
2021-05-18
Last Posted Date
2021-09-05
Lead Sponsor
Eisai Inc.
Target Recruit Count
8
Registration Number
NCT04890561
Locations
🇺🇸

PPD Phase 1 Clinic, Las Vegas, Nevada, United States

Drug-drug Interaction Study of Lemborexant as an Adjunctive Treatment for Buprenorphine/Naloxone for Opioid Use Disorder

Phase 1
Completed
Conditions
Drug Interaction
Analgesics
Opioid Use Disorder
Interventions
Drug: Placebo
Drug: Buprenorphine-naloxone
First Posted Date
2021-03-26
Last Posted Date
2024-11-13
Lead Sponsor
Virginia Commonwealth University
Target Recruit Count
18
Registration Number
NCT04818086
Locations
🇺🇸

Virginia Commonwealth University, Richmond, Virginia, United States

An Open-label, Multicenter Study to Evaluate the Efficacy and Safety of Transitioning to Lemborexant in Japanese Subjects With Insomnia

First Posted Date
2021-02-08
Last Posted Date
2023-03-15
Lead Sponsor
Kurume University
Target Recruit Count
97
Registration Number
NCT04742699
Locations
🇯🇵

Sleep & Stress Clinic, Shinagawa, Tokyo, Japan

🇯🇵

Kuwamizu Hospital, Kumamoto, Japan

🇯🇵

YOU ARIYOSHI Sleep Clinic, Kitakyushu, Fukuoka, Japan

and more 6 locations

A Study to Evaluate the Respiratory Safety of Lemborexant in Adult and Elderly Participants With Moderate to Severe Obstructive Sleep Apnea, and in Adult and Elderly Participants With Moderate to Severe Chronic Obstructive Pulmonary Disease

Phase 1
Completed
Conditions
Sleep Apnea, Obstructive
Respiration Disorders
Pulmonary Disease, Chronic Obstructive
Interventions
First Posted Date
2020-11-30
Last Posted Date
2023-10-10
Lead Sponsor
Eisai Inc.
Target Recruit Count
63
Registration Number
NCT04647383
Locations
🇺🇸

Pacific Research Network, San Diego, California, United States

🇺🇸

St. Francis Medical Institute, Clearwater, Florida, United States

🇺🇸

NeuroTrials Research Inc., Atlanta, Georgia, United States

and more 8 locations

A Study to Evaluate the Safety of DAYVIGO (Lemborexant) Tablets in Participants With Insomnia.

Completed
Conditions
Sleep Initiation and Maintenance Disorders
Interventions
First Posted Date
2020-10-05
Last Posted Date
2022-04-05
Lead Sponsor
Eisai Co., Ltd.
Target Recruit Count
550
Registration Number
NCT04573556
Locations
🇯🇵

Eisai trial site 1, Nagoya, Japan

🇯🇵

Eisai trial site 3, Tokyo, Japan

🇯🇵

Eisai trial site 2, Osaka, Japan

A Single and Multiple Dose Study of Lemborexant in Healthy Chinese Participants

Phase 1
Completed
Conditions
Healthy Volunteer
Interventions
First Posted Date
2020-09-21
Last Posted Date
2021-07-19
Lead Sponsor
Eisai Co., Ltd.
Target Recruit Count
26
Registration Number
NCT04555733
Locations
🇨🇳

Xuhui Central Hospital, Shanghai, China

A Study of Lemborexant in Chinese Participants With Insomnia Disorder

Phase 3
Completed
Conditions
Sleep Initiation and Maintenance Disorders
Interventions
Drug: Placebo
First Posted Date
2020-09-16
Last Posted Date
2024-12-20
Lead Sponsor
Eisai Co., Ltd.
Target Recruit Count
194
Registration Number
NCT04549168
Locations
🇨🇳

Beijing Tiantan Hosptial, Capital Medical University, Beijing, Beijing, China

🇨🇳

The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China

🇨🇳

Guangdong Provincial People's Hospital, Guangzhou, Guangdong, China

and more 20 locations

Study of Lemborexant-Alcohol Interaction in Healthy Subjects

Phase 1
Completed
Conditions
Healthy Subjects
Interventions
First Posted Date
2018-03-30
Last Posted Date
2018-10-17
Lead Sponsor
Eisai Inc.
Target Recruit Count
24
Registration Number
NCT03483636
Locations
🇨🇦

Syneos Health, Toronto, Ontario, Canada

Study to Evaluate the Respiratory Safety of Lemborexant in Adult and Elderly Healthy Subjects and Adult and Elderly Subjects With Mild Obstructive Sleep Apnea

Phase 1
Completed
Conditions
Obstructive Sleep Apnea
Healthy Subjects
Interventions
First Posted Date
2018-03-21
Last Posted Date
2020-02-17
Lead Sponsor
Eisai Inc.
Target Recruit Count
146
Registration Number
NCT03471871
Locations
🇺🇸

The Center for Sleep & Wake Disorders, Chevy Chase, Maryland, United States

🇺🇸

PACT, Glendale, Arizona, United States

🇺🇸

Clinilabs Drug Development, New York, New York, United States

and more 8 locations

Study to Assess the Pharmacokinetic Drug-Drug Interactions of Lemborexant When Coadministered With an Oral Contraceptive, Famotidine, or Fluconazole in Healthy Subjects

Phase 1
Completed
Conditions
Healthy Subjects
Interventions
First Posted Date
2018-03-01
Last Posted Date
2018-09-06
Lead Sponsor
Eisai Inc.
Target Recruit Count
50
Registration Number
NCT03451110
Locations
🇺🇸

Worldwide Clinical Trials, San Antonio, Texas, United States

© Copyright 2025. All Rights Reserved by MedPath