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.
Lemborexant is indicated for the treatment of adult patients with insomnia characterized by difficulties with sleep onset and/or sleep maintenance.
PPD Phase 1 Clinic, Las Vegas, Nevada, United States
Virginia Commonwealth University, Richmond, Virginia, United States
Sleep & Stress Clinic, Shinagawa, Tokyo, Japan
Kuwamizu Hospital, Kumamoto, Japan
YOU ARIYOSHI Sleep Clinic, Kitakyushu, Fukuoka, Japan
Pacific Research Network, San Diego, California, United States
St. Francis Medical Institute, Clearwater, Florida, United States
NeuroTrials Research Inc., Atlanta, Georgia, United States
Eisai trial site 1, Nagoya, Japan
Eisai trial site 3, Tokyo, Japan
Eisai trial site 2, Osaka, Japan
Xuhui Central Hospital, Shanghai, China
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
Syneos Health, Toronto, Ontario, Canada
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
Worldwide Clinical Trials, San Antonio, Texas, United States
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