Daridorexant for the Treatment of Insomnia Disorder:

Exploring the Results From a Pair of Pivotal Phase 3 Trials

and Their Long-term Extension Study

Background

  • Insomnia is characterized by difficulty initiating or maintaining sleep and is associated with distress or impairment in daytime functioning1
  • There is limited clinical evidence of drugs for insomnia improving daytime impairment2
  • Additionally, subjects valued improving daytime functioning as the most important attribute in a sleep aid3
  • Daridorexant is a dual orexin receptor antagonist designed to improve sleep onset and sleep maintenance without any residual effects that might impair daytime functioning2
  • Two placebo-controlled phase 3 trials were conducted to assess the safety and efficacy of daridorexant in subjects with insomnia (NCT03545191 and NCT03575104)2
  • A 40-week extension study (NCT03679884) of the two pivotal trials was also conducted4

Methods

Two clinical trials of identical design, except for dose of daridorexant, were conducted

Tap the icon to learn more

Results

Tap the icon to learn more

Primary Endpoints

Secondary Endpoints

Summary

Daridorexant 50 mg and 25 mg improved nighttime symptoms of insomnia, including time to fall asleep and sleep maintenance2

Daridorexant 50 mg reduced subjective daytime sleepiness2

Daridorexant improved sleep without excess residual effects, including next-morning sleepiness2

Daridorexant 50 mg was well tolerated, and improvements in sleep and daytime functioning were sustained for up to 12 monthsa,2,4

aEfficacy results from the extension study were exploratory, results are descriptive only, and no conclusions regarding efficacy can be made.

1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th edn. Arlington, VA: American Psychiatric Association, 2013.

2. Mignot E et al. Lancet Neurol. 2022;21:125-139.

3. Heidenreich S, et al. Poster presented at: 16th Biennial World Sleep Congress; March 11-16, 2022; Rome, Italy.

4. Kunz D, et al. CNS Drugs. 2022;10.1007/s40263-022-00980-8.

©2023 Idorsia Pharmaceuticals, Ltd.

MED-US-DA-2200071 01/23