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Lemborexant 20 mg for Alzheimer's Disease

Phase 2
Recruiting
Led By Brendan Lucey, MD
Research Sponsored by Washington University School of Medicine
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Participants must be age ≥ 65 years and able to sign informed consent
Be older than 65 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 6 months
Awards & highlights

Study Summary

This trial aims to investigate whether the sleep aid, lemborexant, can reduce the levels of harmful proteins (amyloid-beta and tau) in the fluid surrounding the brain, which are linked

Who is the study for?
This trial is for individuals aged 65 or older with early-stage Alzheimer's disease (Global Clinical Dementia Rating of 0) who can consent to study procedures. They must not have sleep disorders, severe liver or kidney issues, untreated sleep apnea, a high risk of stroke, recent substance abuse, or be on certain medications that interact with lemborexant.Check my eligibility
What is being tested?
The trial tests if lemborexant, a sleep aid at doses of either 10 mg or 20 mg, affects the levels of amyloid-beta and tau proteins in cerebrospinal fluid compared to a placebo. These proteins are associated with the development of Alzheimer's disease.See study design
What are the potential side effects?
Lemborexant may cause side effects like drowsiness during daytime, headaches, abnormal dreams or nightmares; it might also lead to falls due to sudden muscle weakness.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am 65 years or older and can give my consent.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~6 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and 6 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Changes CSF pT181/T181 ratio of lemborexant 10 and 20 mg compared to Placebo
Secondary outcome measures
Measure changes of CSF amyloid beta isoforms (Aβ38, Aβ40, Aβ42)
Measure changes of blood plasma p-tau/tau forms (T181, pT181, S202, pS202, pS202/S202, T217, pT217, pT217/T217).
Measure changes of cerebrospinal fluid p-tau/tau forms (T181, pT181, S202, pS202, pS202/S202, T217, pT217, pT217/T217).
+3 more
Other outcome measures
Measure changes of blood plasma NfL (exploratory)
Measure changes of cerebrospinal NPTX2 (exploratory)
Measure changes of cerebrospinal NfL (exploratory)
+1 more

Trial Design

3Treatment groups
Experimental Treatment
Placebo Group
Group I: Lemborexant 20 mgExperimental Treatment1 Intervention
Lemborexant is a capsule, taken by mouth once a night, approximately 30 minutes prior to bed for 6 months.
Group II: Lemborexant 10 mgExperimental Treatment1 Intervention
Lemborexant is a capsule, taken by mouth once a night, approximately 30 minutes prior to bed for 6 months.
Group III: PlaceboPlacebo Group1 Intervention
Placebo is in capsule form and contains an inactive substance. It is taken by mouth once a night, approximately 30 minutes prior to bed for 6 months.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Lemborexant 10 mg
2014
Completed Phase 3
~400

Find a Location

Who is running the clinical trial?

Washington University School of MedicineLead Sponsor
1,937 Previous Clinical Trials
2,299,501 Total Patients Enrolled
Brendan Lucey, MDPrincipal InvestigatorWashington University School of Medicine
4 Previous Clinical Trials
284 Total Patients Enrolled

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is the overall participant count in this clinical study?

"Indeed, the details on clinicaltrials.gov highlight that this particular research study is actively seeking eligible individuals. The trial was initially disclosed on March 1st, 2024 and last amended on February 15th, 2024. A total of 201 participants are sought from a single designated site."

Answered by AI

Is the enrollment process currently ongoing for individuals interested in participating in this trial?

"Indeed, the details on clinicaltrials.gov highlight that this investigation is currently in search of suitable participants. The trial was initially uploaded on March 1st, 2024 and underwent its most recent revision on February 15th, 2024. This study aims to enroll a total of 201 subjects at one designated site."

Answered by AI

Is there a high risk associated with consuming 10 mg of Lemborexant by individuals?

"Scoring a 2 on the safety scale, Lemborexant 10 mg is being evaluated in a Phase 2 trial with existing safety data but lacking efficacy evidence."

Answered by AI
~134 spots leftby Mar 2029