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CompletedPhase 3

A Study to Evaluate the Efficacy and Safety of Daridorexant in Participants With Insomnia Disorder

Key facts

Who runs it
Nxera Pharma Korea Co., Ltd.
Where
South Korea17 sites in 1 countryChoose a country to see its sites
Trial code
Status
Completed
Phase
Phase 3
People taking part
164 people enrolled
Started
4 Dec 2024
Ended
21 Oct 2025
Type of study
Interventional, 2 groupsOne group gets a placebo (a dummy treatment), for comparison.
Treatments tested
  • Daridorexant
  • Placebo
Record updated
21 January 2026

Who can take part

Age
19 years and older
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 17 criteriaShow less

Who can take part

  • Signed informed consent prior to any study-mandated procedure
  • Male or female aged ≥ 19 years
  • Insomnia disorder according to DSM-5 criteria
  • The predominant complaint is dissatisfaction with sleep quantity or quality, associated with one (or more) of the following symptoms:
  • Difficulty initiating sleep
  • Difficulty maintaining sleep (characterized by frequent awakenings or problems returning to sleep after awakenings)
  • Early-morning awakening with inability to return to sleep
  • Insomnia Severity Index score ≥ 15
  • Insufficient sleep quantity as collected subjectively in the sleep diary A. ≥ 30 min to fall asleep, and B. Wake time during sleep ≥ 30 min, and C. Subjective Total Sleep Time (sTST) ≤ 6.5 h

Who cannot take part

  • History of and/or concurrent sleep apnea or suspected sleep apnea
  • Initiation of the cognitive behavior therapy (CBT) for treatment of insomnia disorder within 4 weeks prior to the Screening visit (Visit 1) or planned CBT during the study
  • Positive urine drug test or presence of alcohol in exhaled breath as detected by breathalyzer test
  • Documented medical history and/or comorbidity of sleep-related breathing disorder
  • A history of moderate to severe hepatic impairment (eg, Child-Pugh Class B or C)
  • Korean-Mini Mental State Examination-2 (K-MMSE-2) score < 25 in subjects ≥ 50 years
  • Body mass index (BMI) ≥ 40.0 kg/m2
  • For female subjects: pregnant, lactating or childbearing potential who do not consent to true abstinence or use an effective method of contraception for required period

This trial has no sites in United States.

It has sites in one country. Choose a country to see its sites.

About the trial

What the trial wants to find out

The purpose of this phase 3 study is to evaluate the efficacy and safety of Daridorexant compared to in participants with insomnia disorder.

The 2 groups in the trial

  • DaridorexantTreatment being tested
  • PlaceboPlacebo, for comparison

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
A Randomized, Double-blind, Multi-center, Placebo-controlled, Parallel, Phase III Study to Evaluate the Efficacy and Safety of ACT-541468 (Daridorexant) in Adult and Elderly Subjects With Insomnia Disorder
Record updated
21 January 2026