100 Participants Needed

Lemborexant for Insomnia

JR
Overseen ByJoyce Ruddley, RN
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Virginia Commonwealth University
Must be taking: Buprenorphine
Prior Safety DataThis treatment has passed at least one previous human trial

Trial Summary

What is the purpose of this trial?

The goal of this clinical trial is to learn about how certain medications used to treat insomnia (e.g., Lemborexant) impact sleep, mood, and behavior in men and women with Opioid Use Disorder who are taking prescribed buprenorphine. The main questions it aims to answer are:1. What is the effect of the study drug (lemborexant) on sleep outcomes?2. What is the effect of the study drug (lemborexant) on impulsive behavior (as measured by computer test performance)?3. What is the effect of the study drug (lemborexant) on mood and other behavior?Researchers will compare lemborexant to placebo (e.g., sugar pill) to see if participants assigned to 8 weeks of treatment with lemborexant have greater improvements on the measures listed above.Participants will take the study medication (or placebo) each night for 8 weeks and be asked to come for a total of 23 study visits. Most of these visits will be very short (15-30 minutes). The longer visits will include the screening visit (about 2-3 hrs), baseline visit (about 2.5 hrs), and the post-medication visit (about 2 hrs). Study visits will include things like taking surveys about sleep, drug use, and mood, completing urine drug testing, checking vital signs (e.g., blood pressure), and completing interviews with the study staff. Participants will also be asked to provide two blood samples (one during screening and one after taking the medication). For three two-week periods, participants will be asked to wear a watch to track sleep at home, and to keep a log of sleep and wake times.

Research Team

CE

Caitlin E Martin, MD

Principal Investigator

Virginia Commonwealth University Institute for Drug and Alcohol Studies

Eligibility Criteria

This trial is for men and women with Opioid Use Disorder who are currently on prescribed buprenorphine. Participants should be interested in how insomnia treatment might affect their sleep, mood, and behavior. Specific eligibility criteria details were not provided.

Inclusion Criteria

Screening urine toxicology negative for non-prescribed substances (except cannabinoids) with a negative breath (or oral fluid) alcohol screen
I have been diagnosed with chronic insomnia.
Meet current DSM-5 criteria for opioid use disorder (OUD) with at least moderate severity
See 7 more

Exclusion Criteria

A positive screen for sleep apnea by specified criteria
I have been diagnosed with a sleep disorder like sleep apnea, narcolepsy, sleepwalking, or sleep paralysis.
I am currently being treated for insomnia.
See 13 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-3 hours
1 visit (in-person)

Baseline

Baseline assessments including surveys, interviews, and initial measurements

2.5 hours
1 visit (in-person)

Treatment

Participants receive lemborexant or placebo nightly for 8 weeks with regular assessments

8 weeks
23 visits (mostly short, 15-30 minutes)

Post-medication

Final assessments after completion of medication period

2 hours
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Treatment Details

Interventions

  • Lemborexant
Trial Overview The study tests if Lemborexant improves sleep, reduces impulsive behavior, and betters mood compared to a placebo over an 8-week period. It involves taking the medication nightly and attending multiple short visits with some longer ones for assessments.
Participant Groups
2Treatment groups
Experimental Treatment
Placebo Group
Group I: LemborexantExperimental Treatment1 Intervention
Lemborexant (trade name Dayvigo), 10mg capsules, administered orally
Group II: PlaceboPlacebo Group1 Intervention
Subjects who are randomized to placebo will receive identical capsules to the test product, administered orally.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Virginia Commonwealth University

Lead Sponsor

Trials
732
Recruited
22,900,000+

National Institute on Drug Abuse (NIDA)

Collaborator

Trials
2,658
Recruited
3,409,000+
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