- |||||||||| Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere, Belsomra (suvorexant) / Merck (MSD)
Review, Journal: Dual orexin receptor antagonists for delirium: A scoping review and feasibility trial of daridorexant. (Pubmed Central) - May 16, 2025 The evidence in support of DORAs for delirium calls for adequately powered efficacy trials. We also emphasize the importance of considering the pharmacokinetics of DORAs for delirium to maximize potential benefit and minimize the risk of next-morning sedation.
- |||||||||| Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere, Dayvigo (lemborexant) / Eisai, Belsomra (suvorexant) / Merck (MSD)
Journal: Quantification of daridorexant, lemborexant and suvorexant in whole blood using liquid chromatography-tandem mass spectrometry. (Pubmed Central) - Apr 27, 2025 A proof-of-concept study using authentic blood samples containing suvorexant, compared to previously reported concentrations, showed no consistent decrease over time, highlighting the need for further studies to determine optimal storage conditions for long-term stability. Although further studies are needed with authentic samples containing the more novel DORAs lemborexant or daridorexant, this validated method supports broader adoption in forensic toxicology, enhancing the detection and monitoring of these emerging sedative-hypnotics in forensic investigations.
- |||||||||| Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere
Trial completion: Daridorexant to Prevent Delirium After Heart Surgery (clinicaltrials.gov) - Mar 10, 2025 P2, N=11, Completed, Recruiting --> Enrolling by invitation | Trial completion date: Dec 2024 --> Oct 2025 Enrolling by invitation --> Completed
- |||||||||| Cobenfy (xanomeline/trospium) / BMS, Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere
Review, Journal: Psychiatric drug development on the verge of its Rubicon (Pubmed Central) - Mar 7, 2025 Altogether, psychiatric drug development is currently undergoing something of a renaissance, but relevant stakeholders seem unable to address the shortcomings and pitfalls of the current approach, risking psychiatric drug development to fall even further behind. Improving drug development in psychiatry is only possible if clinicians, researchers, drug developers and regulators join forces in a concerted effort to address these issues.
- |||||||||| eszopiclone / Generic mfg., Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere, zaleplon / Generic mfg.
Clinical guideline, Review, Journal: Clinical practice guidelines for switching or deprescribing hypnotic medications for chronic insomnia: Results of European neuropsychopharmacology and sleep expert's consensus group. (Pubmed Central) - Mar 2, 2025 Improving drug development in psychiatry is only possible if clinicians, researchers, drug developers and regulators join forces in a concerted effort to address these issues. Discontinuation of Hypnotic Benzodiazepines and Z-drugs should be gradual, with dose reductions of 10-25
- |||||||||| Ereska (ketamine intranasal) / Seelos Therap, Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere, Viibryd (vilazodone) / AbbVie
Enrollment change: Department of Defense PTSD Adaptive Platform Trial - Master Protocol (clinicaltrials.gov) - Feb 11, 2025 P2, N=800, Recruiting, This review indicates the link between sleep disorders and MCI, DORAs are an appropriate medication category for treating insomnia, and sleep deprivation links AD and PD. N=600 --> 800
- |||||||||| Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere
Review, Journal: What place for daridorexant? (Pubmed Central) - Nov 29, 2024 NCT05702177. No abstract available
- |||||||||| Review, Journal: Proline Analogues in Drug Design: Current Trends and Future Prospects. (Pubmed Central) - Nov 28, 2024
Additionally, we discuss several intriguing cases where nonproline residues were replaced with proline analogues as a strategy to eliminate unwanted hydrogen bond donor sites. In conclusion, we present some suggestions for the future exploration of this promising class of molecular entities in drug discovery.
- |||||||||| Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere, Dayvigo (lemborexant) / Eisai, Belsomra (suvorexant) / Merck (MSD)
Journal: Orexin Receptor Antagonists for the Prevention and Treatment of Alzheimer's Disease and Associated Sleep Disorders. (Pubmed Central) - Nov 28, 2024 Conversely, research on selective orexin receptor antagonists in AD is currently limited. Further investigation is needed to explore orexin antagonism not only as a symptomatic treatment for sleep disturbances, but also for its broader implications in modifying AD neurodegeneration, emphasizing mechanisms of action and long-term outcomes.
- |||||||||| Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere
Enrollment open: Daridorexant to Prevent Delirium After Heart Surgery (clinicaltrials.gov) - Nov 13, 2024 P2, N=12, Enrolling by invitation, Daridorexant reduced EEG features associated with hyperarousal as indicated by reduced wake-to-wake transition probabilities and enhanced spectral features associated with drowsiness and sleep during wake and N1. Not yet recruiting --> Enrolling by invitation
- |||||||||| Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere
Trial completion, Trial completion date, Trial primary completion date: A Study of Daridorexant in Chinese Patients With Insomnia Disorder (clinicaltrials.gov) - Oct 30, 2024 P3, N=206, Completed, Not yet recruiting --> Enrolling by invitation Recruiting --> Completed | Trial completion date: Dec 2025 --> May 2024 | Trial primary completion date: Dec 2025 --> Apr 2024
- |||||||||| Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere
Journal: Long-term safety and efficacy of daridorexant in Japanese patients with insomnia disorder. (Pubmed Central) - Sep 10, 2024 Not yet recruiting --> Recruiting Up to 52-weeks, daridorexant was well tolerated with sustained improvement in sleep onset, sleep maintenance and daytime functioning, supporting its long-term use in Japanese patients with insomnia disorder.
- |||||||||| Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere
Clinical, P3 data, Journal: Daridorexant in Japanese patients with insomnia disorder: A phase 3, randomized, double-blind, placebo-controlled study. (Pubmed Central) - Sep 10, 2024 Up to 52-weeks, daridorexant was well tolerated with sustained improvement in sleep onset, sleep maintenance and daytime functioning, supporting its long-term use in Japanese patients with insomnia disorder. In Japanese patients with insomnia disorder, daridorexant (25 and 50
- |||||||||| Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere, Dayvigo (lemborexant) / Eisai, Belsomra (suvorexant) / Merck (MSD)
Journal, Adverse events, Real-world evidence, Real-world: Data mining and safety analysis of dual orexin receptor antagonists (DORAs): a real-world pharmacovigilance study based on the FAERS database. (Pubmed Central) - Aug 21, 2024 Additionally, some PTs occurred that were not included in drug instructions, such as "hangover" and "hypnagogic hallucination." In this study, four algorithms (ROR, PRR, BCPNN, and MGPS) were used to mine the safety signals of DORAs. We identified some potential ADE signals that can promote the rational use of DORAs and improve their safety.
- |||||||||| Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere
Journal, Adverse events: Clinical safety of daridorexant in insomnia treatment: Analysis of FDA adverse event reports. (Pubmed Central) - Aug 10, 2024 Although some new potential AEs have been identified, these findings need further verification in broader datasets and long-term studies due to limitations in data sources and analysis methods. Future research should comprehensively assess the safety and effectiveness of daridorexant, providing more accurate guidance for medical professionals in the treatment of insomnia.
- |||||||||| Quviviq (daridorexant) / Idorsia, Syneos Health, Nxera Pharma, Simcere, Dayvigo (lemborexant) / Eisai, Belsomra (suvorexant) / Merck (MSD)
Retrospective data, Review, Journal: Association between the use of orexin receptor antagonists and falls or fractures: A meta-analysis. (Pubmed Central) - Jul 28, 2024 Future research should comprehensively assess the safety and effectiveness of daridorexant, providing more accurate guidance for medical professionals in the treatment of insomnia. Similarly, analysis of the included case-control studies revealed no significant increase in the risk of fractures associated with the use of orexin receptor antagonists (pooled adjusted OR
- |||||||||| Quviviq (daridorexant) / Idorsia, Mochida, Syneos Health, Sosei, Simcere, Dayvigo (lemborexant) / Eisai, Belsomra (suvorexant) / Merck (MSD)
Journal: Bioactive compounds from Ocimum tenuiflorum and Poria cocos: A novel natural Compound for insomnia treatment based on A computational approach. (Pubmed Central) - May 13, 2024 Furthermore, upon evaluating both compounds' drug-likeness, pharmacokinetics, and toxicity profiles, it was discerned that they displayed considerable drug-like properties and favorable pharmacokinetics, along with diminished toxicity. The research provides a solid foundation for further exploring and validating these compounds as potential anti-insomnia therapeutics.
- |||||||||| Quviviq (daridorexant) / Idorsia, Mochida, Syneos Health, Sosei, Simcere
New trial, Claims database: Database Study to Provide Information on Pregnancy and Infant Outcomes Among Women Exposed to QUVIVIQ (Daridorexant) (clinicaltrials.gov) - May 1, 2024 P=N/A, N=2095, Active, not recruiting,
- |||||||||| Quviviq (daridorexant) / Idorsia, Mochida, Syneos Health, Sosei, Simcere
Enrollment open, Trial completion date, Trial initiation date, Trial primary completion date: DARIDOR-ALZ: Daridorexant to Treat Insomnia in Patients With Mild Cognitive Impairment and Mild to Moderate Alzheimer Disease (clinicaltrials.gov) - Apr 11, 2024 P4, N=62, Recruiting, Daridorexant 50 mg did not induce CYP3A4 activity or inhibit CYP2C9 activity. Not yet recruiting --> Recruiting | Trial completion date: Jul 2026 --> Mar 2027 | Initiation date: Jul 2023 --> Mar 2024 | Trial primary completion date: Sep 2025 --> May 2026
- |||||||||| Quviviq (daridorexant) / Idorsia, Mochida, Syneos Health, Sosei, Simcere
Journal: Pharmacotherapies for insomnia (Pubmed Central) - Apr 2, 2024 Finally, a new class of hypnotics, "the orexin antagonists" has its first representative on the French market: daridorexant. The place of these molecules in the therapeutic strategy for chronic insomnia needs to be clarified.
- |||||||||| Quviviq (daridorexant) / Idorsia, Mochida, Syneos Health, Sosei, Simcere
Journal: Safety of Dual Orexin Receptor Antagonist Daridorexant: A Disproportionality Analysis of Publicly Available FAERS Data. (Pubmed Central) - Mar 28, 2024 A total of 845 dari-related reports were selected; nightmares (n = 146; dari vs. RG1: ROR = 113.74; 95%CI [95.13, 136]; dari vs. RG2: ROR = 2.35; 95 CI% [1.93, 2.85]), depression (n = 22; dari vs. RG1: 2.13; [1.39, 3.25]; dari vs. RG2: ROR = 2.31; 95 CI% [1.45, 3.67]), and hangover (n = 20; dari vs. RG1: ROR = 127.92; 95 CI% [81.98, 199.62]; and dari vs. RG2: 3.38; [2.04, 5.61]) were considered as safety signals. These data provide valuable insights into the real-world safety profile of daridorexant, supporting the existence of safety signals related to nightmares, depression, and hangovers.
- |||||||||| Quviviq (daridorexant) / Idorsia, Mochida, Syneos Health, Sosei, Simcere
Enrollment closed: A Post Approval Study to Investigate the Efficacy of Daridorexant in Subjects With Insomnia and Comorbid Nocturia (clinicaltrials.gov) - Feb 20, 2024 P4, N=60, Active, not recruiting, However, these results are preliminary and further studies with different ORAs at different doses and with different samples are needed. Recruiting --> Active, not recruiting
- |||||||||| Quviviq (daridorexant) / Idorsia, Mochida, Syneos Health, Sosei, Dayvigo (lemborexant) / Eisai, Belsomra (suvorexant) / Merck (MSD)
Review, Journal: The orexin story and orexin receptor antagonists for the treatment of insomnia. (Pubmed Central) - Nov 30, 2023 Safety studies did not show exacerbation of existing respiratory problems, but more real-world safety and pharmacovigilance experience is needed. This review provides an overview of the orexin history, the mechanism of action, the relation to insomnia, and key features of available drugs mediating orexin signalling.
- |||||||||| Belsomra (suvorexant) / Merck (MSD)
Preclinical, Journal: Failure of the dual orexin receptor antagonist suvorexant to engender drug discrimination in rats. (Pubmed Central) - Nov 20, 2023 For development of the dual orexin receptor antagonist (DORA) daridorexant, the FDA recommended conducting a rat drug discrimination paradigm against the approved, schedule IV, DORA suvorexant. Surprisingly, at suvorexant plasma levels up to three-fold the maximum concentration at the highest approved human dose, rats did not learn to discriminate the suvorexant stimulus from vehicle.
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