QUVIVIQ™ (daridorexant), a dual orexin receptor antagonist, achieved positive Phase 3 results in Japanese insomnia patients in 2022. Approved in the US, Europe, and Canada, it received Japanese manufacturing and marketing approval in 2024. Insomnia, defined by persistent sleep difficulty impacting daytime functioning, affects 20% of Japanese adults. Treatments aim to improve sleep quality and daytime functioning. Shionogi focuses on healthcare solutions, while Nxera Pharma develops new medicines for unmet needs.