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OpenTrials
Completed

NCT Number: NCT05597020

A Study to Find Out if Daridorexant is Safe and Efficacious in Patients With Insomnia and Comorbid Nocturia

A study to find out if daridorexant is safe and efficacious in patients with insomnia and comorbid nocturia

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Key information

Age range

55 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Praxisklinik am Franziskushospital - Urologisches Zentrum Euregio, Aachen, Germany

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Signed and dated informed consent form (ICF) prior to any study-mandated procedure.
  • Male or female subjects ≥ 55 years old at the time of signing the ICF.
  • Insomnia complaints for at least 3 months prior to Visit 1.
  • Insomnia Severity Index© (ISI©) score ≥ 13 at Visit 1.
  • Nocturia severity: on average ≥ 3 nocturnal voids per night reported by the subjects for at least 1 month prior to Visit 1.
  • Ability to communicate well with the investigator, to understand the study requirements and judged by the investigator to be alert and oriented to person, place, time, and situation.

Exclusion criteria

  • Woman of childbearing potential, pregnant or plans to become pregnant.
  • Planned travel across ≥ 3 time zones during study.
  • Life time history of suicidality assessed via Columbia Suicide Severity Rating Scale© (C-SSRS©).
  • Regular caffeine consumption after 4 pm.
  • Unable to refrain from smoking during the night.
  • Known and documented diagnosis of narcolepsy, periodic limb movement disorder, moderate to severe obstructive sleep apnea, restless legs syndrome, circadian rhythm sleep-wake disorder, or rapid eye movement (REM) sleep behavior disorder.
  • Known and documented diagnosis of Type 1 diabetes mellitus, uncontrolled Type 2 diabetes mellitus, central or nephrogenic diabetes insipidus, and primary/secondary polydipsia.
  • Known and documented nocturia linked to urinary tract infection, neoplasms of bladder, prostate or urethral cancer, bladder or urethral calculi, or neurogenic voiding dysfunction within the last 6 months prior to Visit 1.
  • Any known factor or disease that might interfere with treatment compliance, study conduct, or interpretation of the results, such as drug or alcohol dependence or psychiatric disease.

Treatment and study plan

Daridorexant

Drug

Daridorexant is available as oral film-coated tablets at a strength of 50 mg.

Placebo

Drug

Placebo matching daridorexant is provided as identical-looking oral tablets, formulated with the same inactive ingredients (excipients) as the active tablets.

Primary outcomes

  1. Change From Baseline to Week 4 in sTST

    Time frame: From baseline to Week 4 per treatment period.

    Subjective total sleep time (sTST) is the total sleep time reported by the subject in the sleep diary questionnaire. A positive change from baseline indicates an increase in sTST.

    Baseline is the mean value based on the subject's sleep diary entries for sTST on the 7 days preceding randomization.

    Week 4 is the mean value based on the subject's sleep diary entries for sTST on study days 23-29 of each treatment period, regardless of premature treatment discontinuations (treatment policy strategy).

Other outcomes

  1. Change From Baseline to Week 4 in Number of Nocturnal Voids Assessed Using a Voiding Diary

    Time frame: From baseline to Week 4 per treatment period.

    The number of nocturnal voids is the total of all nocturnal voids reported by the subject in the voiding diary.

    Baseline is the mean value based on subject's voiding diary entries for number of nocturnal voids across 3 nights during the screening period.

    Week 4 is the mean value based on subject's voiding diary entries for number of nocturnal voids across the 3 nights immediately preceding the Week 4 visit of each treatment period, regardless of premature treatment discontinuations (treatment policy strategy).

Sponsors and collaborators

Lead sponsor

Idorsia Pharmaceuticals Ltd.

Industry

Registry information

Official study title

A Multi-center, Double-blind, Randomized, Placebo-controlled, 2-way Cross-over Post Approval Study to Investigate the Efficacy of Daridorexant in Subjects With Insomnia and Comorbid Nocturia

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Oct 27, 2022
Registry last updated
Apr 18, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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