InsomniaPhase 3SUNRISE 1NCT02783729
Study of the Efficacy and Safety of Lemborexant in Subjects 55 Years and Older With Insomnia Disorder (SUNRISE 1)
A Phase 3 study testing Lemborexant and Zolpidem tartrate in people with Insomnia, run by Eisai Inc. at 102 sites in 7 countries.
Trial summary
This study will be conducted to demonstrate, using polysomnography, that lemborexant 10 milligrams (mg) and 5 mg is superior to placebo on objective sleep onset as assessed by latency to persistent to sleep (LPS) after the last 2 nights of 1 month of treatment in participants 55 years and older with insomnia disorder. Read more about this study
- Who is it for?
- Ages 55 years and older
- Conditions the study is for
- Insomnia
- What is being tested?
- Lemborexant and Zolpidem tartrate
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,006 participants
- Where
- 102 sitesin 7 countries
- Study dates
- 31 May 2016to 30 Jan 2018
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 55 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male age 65 years or older or female age 55 years or older at the time of informed consent
- Meets the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria for Insomnia Disorder, as follows:
- Complains of dissatisfaction with nighttime sleep, in the form of difficulty staying asleep and/or awakening earlier in the morning than desired despite adequate opportunity for sleep (Note that if the complaint is limited to difficulty initiating sleep, the participant is not eligible)
- Frequency of complaint ≥ 3 times per week
- Duration of complaint ≥ 3 months
- Associated with complaint of daytime impairment
Show all 17Show fewer
- History of subjective wake after sleep onset (sWASO) typically ≥ 60 minutes on at least 3 nights per week in the previous 4 weeks
- Reports regular time spent in bed, either sleeping or trying to sleep, between 7 and 9 hours
- Reports habitual bedtime, defined as the time the participant attempts to sleep, between 21:00 and 24:00 and habitual waketime between 05:00 and 09:00
- Insomnia Severity Index (ISI) score ≥ 13
- Confirmation of current insomnia symptoms as determined from responses on the Sleep Diary before the second screening visit
- Confirmation of regular bedtime and waketime as determined from responses on the Sleep Diary
- Confirmation of sufficient duration of time spent in bed, as determined from responses on the Sleep Diary
- Objective (polysomnography [PSG]) evidence of insomnia as follows:
- Wake after sleep onset (WASO) average ≥ 60 minutes on the 2 consecutive PSGs, with neither night < 45 minutes
- Willing and able to comply with all aspects of the protocol, including staying in bed for at least 7 hours each night
- Willing not to start a behavioral or other treatment program for the treatment of insomnia during the participant's participation in the study
Who cannot join
- A current diagnosis of sleep-related breathing disorder including obstructive sleep apnea (with or without continuous positive airway pressure [CPAP] treatment), periodic limb movement disorder, restless legs syndrome, circadian rhythm sleep disorder, or narcolepsy, or an exclusionary score on screening instruments to rule out individuals with symptoms of certain sleep disorders other than insomnia as follows:
- STOPBang score ≥5
- International Restless Legs Scale score ≥16
- Epworth Sleepiness Scale score >15 (scores of 11 to 15 require excessive daytime sleepiness to be recorded in participant's Medical History)
- Reports symptoms potentially related to narcolepsy, that in the clinical opinion of the investigator indicates the need for referral for a diagnostic evaluation for the presence of narcolepsy
- On the Munich Parasomnia Scale (MUPS), endorsed the item that corresponds to a history of sleep-eating or reports a history of sleep-related violent behavior, sleep-driving, or symptoms of another parasomnia that in the investigator's opinion make the participant unsuitable for the study
Show all 31Show fewer
- Apnea-Hypopnea Index > 15 or Periodic Limb Movement with Arousal Index >15 as measured on the PSG at the second screening visit
- Beck Depression Inventory - II (BDI-II) score >19 at Screening
- Beck Anxiety Index (BAI) score >15 at Screening
- Habitually naps during the day more than 3 times per week
- Is a female of childbearing potential Note: All females will be considered to be of childbearing potential unless they are postmenopausal (defined as amenorrheic for at least 12 consecutive months, and are postmenopausal without other known or suspected cause), or have been sterilized surgically (i.e., bilateral tubal ligation, total hysterectomy, or bilateral oophorectomy, all with surgery at least 1 month before dosing).
- Excessive caffeine use that in the opinion of the investigator contributes to the participant's insomnia, or habitually consumes caffeine-containing beverages after 18:00 and is unwilling to forego caffeine after 18:00 for the duration of his/her participation in the study.
- History of drug or alcohol dependency or abuse within approximately the previous 2 years
- Reports habitually consuming more than 14 drinks containing alcohol per week (females) or more than 21 drinks containing alcohol per week (males), or unwilling to limit alcohol intake to no more than 2 drinks per day or forego having alcohol within the 3 hours before bedtime for the duration of his/her participation in the study
- Known to be positive for human immunodeficiency virus
- Active viral hepatitis (B or C) as demonstrated by positive serology at Screening
- A prolonged QT/QTcF interval (QTcF >450 milliseconds [ms]) as demonstrated by a repeated electrocardiogram (ECG) at Screening (repeated only if initial ECG indicates a QTcF interval >450 ms)
- Current evidence of clinically significant disease (e.g., cardiac; respiratory including chronic obstructive pulmonary disease, acute and/or severe respiratory depression; gastrointestinal; severe hepatic impairment; renal including severe renal impairment; neurological including myasthenia gravis; psychiatric disease; or malignancy within the past 5 years other than adequately treated basal cell carcinoma) or chronic pain that in the opinion of the investigator(s) could affect the participant's safety or interfere with the study assessments, including the ability to perform tasks on the cognitive performance assessment battery (PAB). Participants for whom a sedating drug would be contraindicated for safety reasons because of the participant's occupation or activities are also excluded.
- Comorbid nocturia resulting in frequent need to get out of bed to use the bathroom during the night
- Any history of a medical or psychiatric condition that in the opinion of the investigator(s) could affect the participant's safety or interfere with the study assessment, including the ability to perform the PAB.
- Any suicidal ideation with intent with or without a plan, at the time of or within 6 months before the electronic Columbia-Suicide Severity Rating Scale (eC-SSRS) administration during the Prerandomization Phase (i.e., answering "Yes" to questions 4 or 5 on the Suicidal Ideation section of the eC-SSRS)
- Any suicidal behavior in the past 10 years (per the Suicidal Behavior section of the eC-SSRS)
- Scheduled for surgery during the study
- Used any prohibited prescription or over-the-counter concomitant medications within 1 week or 5 half lives, whichever is longer, before the first dose of study medication (Run-in Period).
- Used any modality of treatment for insomnia, including cognitive behavioral therapy or marijuana within 1 week or 5 half-lives, whichever is longer, before the first dose of study medication (Run-in Period)
- Failed treatment with suvorexant (Belsomra®) (efficacy and/or safety) following treatment with an appropriate dose and of adequate duration in the opinion of the investigator
- Transmeridian travel across more than 3 time zones in the 2 weeks before Screening, or between Screening and Baseline, or plans to travel across more than 3 time zones during the study
- A positive drug test at Screening, Run-In, or Baseline, or unwilling to refrain from use of recreational drugs during the study
- Hypersensitivity to lemborexant or zolpidem or to their excipients
- Currently enrolled in another clinical trial or used any investigational drug or device within 30 days or 5× the half-life, whichever is longer preceding informed consent
- Previously participated in any clinical trial of lemborexant
Trial locations and contacts
102 sites in 7 countries.
102 sites in 7 countries
United States60 sites
University of Michigan
Ann Arbor, Michigan, 48109
NeuroTrials Research Inc.
Atlanta, Georgia, 30342
Hassman Research Institute
Berlin, New Jersey, 08009
PAB Clinical Research
Brandon, Florida, 33511
Study site
Carlsbad, California, 92011
Medical University of South Carolina - PPDS
Charleston, South Carolina, 29425
Helene A Emsellem MD PC
Chevy Chase, Maryland, 20815
Northwestern University
Chicago, Illinois, 60611
Chicago Research Center Inc
Chicago, Illinois, 60634
Study site
Cincinnati, Ohio, 45212
Intrepid Research
Cincinnati, Ohio, 45245
CTI Clinical Research Center
Cincinnati, Ohio, 45255
Saint Francis Sleep Allergy and Lung Institute
Clearwater, Florida, 33765
Sleepmed of South Carolina
Columbia, South Carolina, 29201
Ohio Sleep Medicine Institute
Dublin, Ohio, 43017
CLINiLABS, Inc.
Eatontown, New Jersey, 07724
Fleming Island Center For Clinical Research
Fleming Island, Florida, 32003
Southern California Research
Fountain Valley, California, 92708
Sarkis Clinical Trials
Gainesville, Florida, 32607
Winthrop University Hospital
Garden City, New York, 11530
Sleep Disorders Center of the Mid-Atlantic
Glen Burnie, Maryland, 21061
PACT
Glendale, Arizona, 85306
MD Clinical
Hallandale, Florida, 33009
QPS MRA
Hollywood, Florida, 33024
Pioneer Research Solutions
Houston, Texas, 77099
Jasper Summit Research LLC
Jasper, Alabama, 35501
Clinical Research Center of Nevada
Las Vegas, Nevada, 89104
Preferred Research Partners
Little Rock, Arkansas, 72211
Quest Pharmaceutical Services-Miami Research Associates, LLC (QPS MRA)
Miami, Florida, 33143
Cleveland Sleep Research Center
Middleburg Heights, Ohio, 44130
Clinical Research Unit
New York, New York, 10019
Neurocare Inc
Newton, Massachusetts, 02459
Henry Ford Hospital
Novi, Michigan, 48377
Research Centers of America
Oakland Park, Florida
Pacific Sleep Medicine Services
Oceanside, California, 92054
Research Center of Southern California
Oceanside, California, 92056
Lynn Health Science Institute
Oklahoma City, Oklahoma, 73112
Orange County Neuropsychiatric Research Center, LLC
Orange, California, 92868
SDS Clinical Trials, Inc.
Orange, California, 92868
Compass Research LLC
Orlando, Florida, 32806
NeuroMedical Research Institute
Panama City, Florida, 32405
University of Pennsylvania
Philadelphia, Pennsylvania, 19104-3309
Wake Research Associates, LLC
Raleigh, North Carolina, 27612
University of Rochester
Rochester, New York, 14642
Artemis Institute For Clinical Research LLC
San Diego, California, 92103
Pacific Research Network Inc
San Diego, California, 92103
Artemis Institute For Clinical Research
San Marcos, California, 92078
Santa Monica Clinical Trials
Santa Monica, California, 90404
Study site
Seattle, Washington, 98101
Swedish Medical Center
Seattle, Washington, 98122
St. Louis Clinical Trials
St Louis, Missouri, 63141
Clayton Sleep Institute
St Louis, Missouri, 63143
Clinical Research Group of St Petersburg Inc
St. Petersburg, Florida, 33707
Richmond Behavioral Associates
Staten Island, New York, 10312
Clinical Neurophysiology Services
Sterling Heights, Michigan, 48314
SleepCare Research Institute Inc
Stockbridge, Georgia, 30281
Empire Clinical Research
Upland, California, 91786
Sleep Disorders Center of the Mid-Atlantic
Vienna, Virginia, 22182
Sleep Medicine Centers of Western New York
West Seneca, New York, 14224
Wilmington Health Associates
Wilmington, North Carolina, 28401
Spain10 sites
Hospital San Rafael
A Coruña
Hospital Clinic de Barcelona
Badalona
Study site
Barcelona, 08025
Clinica del Son Estivill
Barcelona
Hospital de La Santa Creu i Sant Pau
Barcelona
Hospital Universitario Fundacion Jimenez Diaz
Madrid
Hospital Universitario La Paz
Madrid
Instituto de Investigaciones del Sueño
Madrid
Clinica Universidad de Navarra
Pamplona, Navarre
Hospital Universitario Araba - Txagorritxu
Vitoria-Gasteiz
Canada8 sites
Sleep and Fatigue Institute
Calgary, Alberta
Medical Arts Health Research Group
Kelowna, British Columbia
Study site
Markham, Ontario, L3R 1A3
Somni Research Inc.
Markham, Ontario
Tri Hospital Sleep West
Mississauga, Ontario
Sleep Wake Disorders Clinic
Scarborough Village, Ontario
Study site
Toronto, Ontario, M4P 1P2
Toronto Sleep Institute
Toronto, Ontario
Germany8 sites
Advanced Sleep Research GmbH
Berlin
Emovis GmbH
Berlin
Studienzentrum Wilhelmshöhe
Kassel
Universitätsklinikum Schleswig-Holstein
Lübeck, Schleswig-Holstein
Zentralinstitut für Seelische Gesundheit
Mannheim, Baden-Wurttemberg
Klinikum rechts der Isar der Technischen Universität München
München
Universitätsklinikum Münster
Münster
Somni Bene Institut für Medizinische Forschung und Schlafmedizin Schwerin GmbH
Schwerin
Italy7 sites
Ospedale Bellaria
Bologna, Emilia-Romagna
Ospedale San Raffaele S.r.l. - PPDS
Milan, Lombardy
Azienda Ospedaliero Universitaria di Parma
Parma
ASST di Pavia - Fondazione Istituto Neurologico Mondino IRCCS
Pavia
Azienda Ospedaliero Universitaria Pisana
Pisa
Fondazione PTV Policlinico Tor Vergata
Roma
Azienda Ospedaliera Città della Salute e della Scienza di Torino
Torino
France5 sites
Centre Hospitalier Universitaire de Bordeaux, Hopital Pellegrin
Bordeaux
Hopital Gabriel Montpied
Clermont-Ferrand
CHU Dijon Bourgogne
Dijon
Hôtel Dieu de Paris Hospital
Paris
Hopital Civil
Strasbourg
United Kingdom4 sites
Papworth Hospital
Cambridge, Cambridge Shire
University of Surrey
Guildford, Surrey
Guys Hospital
London
Royal Stoke University Hospital
Stoke-on-Trent
About this study
Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Active Comparator, Parallel-Group Study of the Efficacy and Safety of Lemborexant in Subjects 55 Years and Older With Insomnia Disorder (SUNRISE 1)
This study will be conducted to demonstrate, using polysomnography, that lemborexant 10 milligrams (mg) and 5 mg is superior to placebo on objective sleep onset as assessed by latency to persistent to sleep (LPS) after the last 2 nights of 1 month of treatment in participants 55 years and older with insomnia disorder.
Read the detailed description
The study is a multicenter, randomized, double-blind, placebo-controlled, active comparator, parallel-group study of 2 dose levels of lemborexant for 30 nights in approximately 950 participants, 55 years or older with insomnia disorder. Participants will be males 65 years or older or females 55 years or older. Approximately 60% of the participants will be age 65 years or older. The study will have 2 phases: The Prerandomization Phase and the Randomization Phase. Including both phases, the study will last for a minimum of 65 and a maximum of 81 days per participant.
- Conditions
- Insomnia
- Being tested
- Lemborexant, Lemborexant-matched placebo, Zolpidem tartrate, Zolpidem-matched placebo
- Keywords
- E2006, Lemborexant, zolpidem tartrate, Ambien CR, Insomnia
- Medical subject headings
- Sleep Initiation and Maintenance Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LemborexantDrug
Also called E2006
Lemborexant 5 mg will be administered orally in tablet form at home each night, immediately before the time the participant intends to try to sleep.
LemborexantDrug
Also called E2006
Lemborexant 10 mg will be administered orally in tablet form at home each night, immediately before the time the participant intends to try to sleep.
Lemborexant-matched placeboDrug
Lemborexant-matched placebo be administered orally in tablet form at home each night, immediately before the time the participant intends to try to sleep.
Zolpidem tartrateDrug
Also called Ambien CR
Zolpidem tartrate extended release 6.25 mg will be administered orally in tablet form at home each night, immediately before the time the participant intends to try to sleep.
Zolpidem-matched placeboDrug
Zolpidem-matched placebo will be administered orally in tablet form at home each night, immediately before the time the participant intends to try to sleep.
| Study group | Role | What they receive |
|---|---|---|
| Lemborexant 5 milligrams (mg) | Experimental | Participants will receive one lemborexant 5 mg tablet and one zolpidem-matched placebo tablet each night Receives: Drug: Lemborexant; Drug: Zolpidem-matched placebo |
| Lemborexant 10 mg | Experimental | Participants will receive one lemborexant 10 mg tablet and one zolpidem-matched placebo tablet each night Receives: Drug: Lemborexant; Drug: Zolpidem-matched placebo |
| Zolpidem tartrate | Active comparator | Participants will receive one zolpidem 6.25 mg tablet and one lemborexant-matched placebo tablet each night Receives: Drug: Lemborexant-matched placebo; Drug: Zolpidem tartrate |
| Placebo | Placebo comparator | Participants will receive one zolpidem-matched placebo tablet and one lemborexant-matched placebo tablet each night Receives: Drug: Lemborexant-matched placebo; Drug: Zolpidem-matched placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Mean Latency to Persistent Sleep (LPS) of Lemborexant 10 mg and Lemborexant 5 mg Compared to Placebo on Days 29/30
LPS is defined as the time in minutes from lights off to the first epoch of 20 consecutive epochs of non- wakefulness as measured by PSG. Change from baseline to average LPS on Day 29 and 30 was reported.
Measured: Baseline, Days 29/30
Secondary outcomes (3)
Change From Baseline in Mean Sleep Efficiency (SE) of Lemborexant 10 mg and Lemborexant 5 mg Compared to Placebo on Days 29/30
SE is defined as percentage of time spent in bed asleep, calculated as total sleep time (TST) divided by interval from lights off until lights on as measured by PSG, multiplied by 100. Change from baseline to average SE on Day 29 and 30 was reported.
Measured: Baseline, Days 29/30
Change From Baseline in Mean Wake After Sleep Onset (WASO) of Lemborexant 10 mg and Lemborexant 5 mg Compared to Placebo on Days 29/30
WASO is defined as minutes of wake from the onset of persistent sleep until lights on as measured by PSG. Change from baseline to average WASO on Days 29 and 30 was reported.
Measured: Baseline, Days 29/30
Change From Baseline in WASO in the Second Half of the Night (WASO2H) of Lemborexant 10 mg and Lemborexant 5 mg Compared to Zolpidem ER on Days 29/30
WASO2H is defined as time in minutes of wake during the interval from 240 minutes after lights off until lights on as measured by PSG. Change from baseline to average WASO2H on Days 29 and 30 was reported.
Measured: Baseline, Days 29/30
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 May 2016 (estimated)
- Study start31 May 2016
- Primary completion30 Jan 2018
- Study completion30 Jan 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for InsomniaStudies of the same condition, open and under way.
- More trials run by Eisai Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 1,006 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eisai Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02783729
- Sponsor's protocol ID
- E2006-G000-304
- Other IDs
- 2015-004347-39, 2015
- Acronym
- SUNRISE 1
- Status last verified
- Mar 2018
- First submitted
- 24 May 2016
- Last updated
- 12 Nov 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
Publications
Suzuki M, Yoshiike T, Khullar A, Kogo Y, Inabe K, Koebis M, Moline M, Cheng JY, Kumar D, Pinner K, Kuriyama K. Effects of lemborexant on sleep quality and its association with morning alertness: Post hoc analysis of two phase 3 trials. Sleep Med X. 2026 Mar 5;11:100183. doi: 10.1016/j.sleepx.2026.100183. eCollection 2026 Dec.
PubMed 41938624Kushida CA, Zammit GK, Cheng JY, Kumar D, Moline M. Effect of lemborexant on sleep architecture in participants with insomnia disorder and mild obstructive sleep apnea. Sleep Med. 2025 Mar;127:170-177. doi: 10.1016/j.sleep.2024.12.023. Epub 2024 Dec 17.
PubMed 39879708Gotfried MH, Auerbach SH, Dang-Vu TT, Mishima K, Kumar D, Moline M, Malhotra M. Efficacy and safety of insomnia treatment with lemborexant in older adults: analyses from three clinical trials. Drugs Aging. 2024 Sep;41(9):741-752. doi: 10.1007/s40266-024-01135-8. Epub 2024 Aug 9.
PubMed 39120786Citrome L, Juday TR, Lundwall C. Lemborexant and Daridorexant for the Treatment of Insomnia: An Indirect Comparison Using Number Needed to Treat, Number Needed to Harm, and Likelihood to Be Helped or Harmed. J Clin Psychiatry. 2023 Oct 2;84(6):23m14851. doi: 10.4088/JCP.23m14851.
PubMed 37796657Inoue Y, Nishida M, Kubota N, Koebis M, Taninaga T, Muramoto K, Ishikawa K, Moline M. Comparison of the treatment effectiveness between lemborexant and zolpidem tartrate extended-release for insomnia disorder subtypes defined based on polysomnographic findings. J Clin Sleep Med. 2023 Mar 1;19(3):519-528. doi: 10.5664/jcsm.10378.
PubMed 36472134Chepke C, Jain R, Rosenberg R, Moline M, Yardley J, Pinner K, Kumar D, Perdomo C, Filippov G, Atkins N, Malhotra M. Improvement in fatigue and sleep measures with the dual orexin receptor antagonist lemborexant in adults with insomnia disorder. Postgrad Med. 2022 Apr;134(3):316-325. doi: 10.1080/00325481.2022.2049553. Epub 2022 Mar 20.
PubMed 35254948Citrome L, Juday T, Frech F, Atkins N Jr. Lemborexant for the Treatment of Insomnia: Direct and Indirect Comparisons With Other Hypnotics Using Number Needed to Treat, Number Needed to Harm, and Likelihood to Be Helped or Harmed. J Clin Psychiatry. 2021 Jun 1;82:20m13795. doi: 10.4088/JCP.20m13795.
PubMed 34077032Moline M, Zammit G, Cheng JY, Perdomo C, Kumar D, Mayleben D. Comparison of the effect of lemborexant with placebo and zolpidem tartrate extended release on sleep architecture in older adults with insomnia disorder. J Clin Sleep Med. 2021 Jun 1;17(6):1167-1174. doi: 10.5664/jcsm.9150.
PubMed 33590823Rosenberg R, Murphy P, Zammit G, Mayleben D, Kumar D, Dhadda S, Filippov G, LoPresti A, Moline M. Comparison of Lemborexant With Placebo and Zolpidem Tartrate Extended Release for the Treatment of Older Adults With Insomnia Disorder: A Phase 3 Randomized Clinical Trial. JAMA Netw Open. 2019 Dec 2;2(12):e1918254. doi: 10.1001/jamanetworkopen.2019.18254.
PubMed 31880796
Study at a glance
From the registry record, last updated by the sponsor on 12 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Active Comparator, Parallel-Group Study of the Efficacy and Safety of Lemborexant in Subjects 55 Years and Older With Insomnia Disorder (SUNRISE 1)
- ClinicalTrials.gov ID
- NCT02783729
- Acronym / sponsor ID
- SUNRISE 1 / E2006-G000-304
- Conditions
- Insomnia
- Keywords
- E2006, Lemborexant, zolpidem tartrate, Ambien CR, Insomnia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,006 participants (actual)
- Lead sponsor
- Eisai Inc.Industry (pharma, biotech, devices)
- Study start
- 31 May 2016 (actual)
- Primary completion
- 30 Jan 2018 (actual)
- Study completion
- 30 Jan 2018 (actual)
- First posted
- 26 May 2016 (estimated)
- Results
- Posted 11 Feb 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will be conducted to demonstrate, using polysomnography, that lemborexant 10 milligrams (mg) and 5 mg is superior to placebo on objective sleep onset as assessed by latency to persistent to sleep (LPS) after the last 2 nights of 1 month of treatment in participants 55 years and older with insomnia disorder.
Detailed description
The study is a multicenter, randomized, double-blind, placebo-controlled, active comparator, parallel-group study of 2 dose levels of lemborexant for 30 nights in approximately 950 participants, 55 years or older with insomnia disorder. Participants will be males 65 years or older or females 55 years or older. Approximately 60% of the participants will be age 65 years or older. The study will have 2 phases: The Prerandomization Phase and the Randomization Phase. Including both phases, the study will last for a minimum of 65 and a maximum of 81 days per participant.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Lemborexant 5 milligrams (mg) | Experimental | Drug: Lemborexant, Drug: Zolpidem-matched placeboParticipants will receive one lemborexant 5 mg tablet and one zolpidem-matched placebo tablet each night |
| Lemborexant 10 mg | Experimental | Drug: Lemborexant, Drug: Zolpidem-matched placeboParticipants will receive one lemborexant 10 mg tablet and one zolpidem-matched placebo tablet each night |
| Zolpidem tartrate | Active comparator | Drug: Lemborexant-matched placebo, Drug: Zolpidem tartrateParticipants will receive one zolpidem 6.25 mg tablet and one lemborexant-matched placebo tablet each night |
| Placebo | Placebo comparator | Drug: Lemborexant-matched placebo, Drug: Zolpidem-matched placeboParticipants will receive one zolpidem-matched placebo tablet and one lemborexant-matched placebo tablet each night |
Who may qualify
- Ages
- 55 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- Male age 65 years or older or female age 55 years or older at the time of informed consent
- Meets the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria for Insomnia Disorder, as follows:
- History of subjective wake after sleep onset (sWASO) typically ≥ 60 minutes on at least 3 nights per week in the previous 4 weeks
- Reports regular time spent in bed, either sleeping or trying to sleep, between 7 and 9 hours
- Reports habitual bedtime, defined as the time the participant attempts to sleep, between 21:00 and 24:00 and habitual waketime between 05:00 and 09:00
Key exclusion criteria (31 listed)
- A current diagnosis of sleep-related breathing disorder including obstructive sleep apnea (with or without continuous positive airway pressure [CPAP] treatment), periodic limb movement disorder, restless legs syndrome, circadian rhythm sleep disorder, or narcolepsy, or an exclusionary score on screening instruments to rule out individuals with symptoms of certain sleep disorders other than insomnia as follows:
- Reports symptoms potentially related to narcolepsy, that in the clinical opinion of the investigator indicates the need for referral for a diagnostic evaluation for the presence of narcolepsy
- On the Munich Parasomnia Scale (MUPS), endorsed the item that corresponds to a history of sleep-eating or reports a history of sleep-related violent behavior, sleep-driving, or symptoms of another parasomnia that in the investigator's opinion make the participant unsuitable for the study
- Apnea-Hypopnea Index > 15 or Periodic Limb Movement with Arousal Index >15 as measured on the PSG at the second screening visit
- Beck Depression Inventory - II (BDI-II) score >19 at Screening
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LemborexantAlso: E2006Lemborexant 5 mg will be administered orally in tablet form at home each night, immediately before the time the participant intends to try to sleep. | Drug | Lemborexant 5 milligrams (mg) |
| LemborexantAlso: E2006Lemborexant 10 mg will be administered orally in tablet form at home each night, immediately before the time the participant intends to try to sleep. | Drug | Lemborexant 10 mg |
| Lemborexant-matched placeboLemborexant-matched placebo be administered orally in tablet form at home each night, immediately before the time the participant intends to try to sleep. | Drug | Placebo, Zolpidem tartrate |
| Zolpidem tartrateAlso: Ambien CRZolpidem tartrate extended release 6.25 mg will be administered orally in tablet form at home each night, immediately before the time the participant intends to try to sleep. | Drug | Zolpidem tartrate |
| Zolpidem-matched placeboZolpidem-matched placebo will be administered orally in tablet form at home each night, immediately before the time the participant intends to try to sleep. | Drug | Lemborexant 10 mg, Lemborexant 5 milligrams (mg), Placebo |
Primary outcome
Change From Baseline in Mean Latency to Persistent Sleep (LPS) of Lemborexant 10 mg and Lemborexant 5 mg Compared to Placebo on Days 29/30
Time frame: Baseline, Days 29/30
LPS is defined as the time in minutes from lights off to the first epoch of 20 consecutive epochs of non- wakefulness as measured by PSG. Change from baseline to average LPS on Day 29 and 30 was reported.
3 secondary outcomes
Change From Baseline in Mean Sleep Efficiency (SE) of Lemborexant 10 mg and Lemborexant 5 mg Compared to Placebo on Days 29/30
Time frame: Baseline, Days 29/30
Change From Baseline in Mean Wake After Sleep Onset (WASO) of Lemborexant 10 mg and Lemborexant 5 mg Compared to Placebo on Days 29/30
Time frame: Baseline, Days 29/30
Change From Baseline in WASO in the Second Half of the Night (WASO2H) of Lemborexant 10 mg and Lemborexant 5 mg Compared to Zolpidem ER on Days 29/30
Time frame: Baseline, Days 29/30
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Nov 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41938624Suzuki M, Yoshiike T, Khullar A, Kogo Y, Inabe K, Koebis M, Moline M, Cheng JY, Kumar D, Pinner K, Kuriyama K. Effects of lemborexant on sleep quality and its association with morning alertness: Post hoc analysis of two phase 3 trials. Sleep Med X. 2026 Mar 5;11:100183. doi: 10.1016/j.sleepx.2026.100183. eCollection 2026 Dec.
- Derived from this study: PubMed 39879708Kushida CA, Zammit GK, Cheng JY, Kumar D, Moline M. Effect of lemborexant on sleep architecture in participants with insomnia disorder and mild obstructive sleep apnea. Sleep Med. 2025 Mar;127:170-177. doi: 10.1016/j.sleep.2024.12.023. Epub 2024 Dec 17.
- Derived from this study: PubMed 39120786Gotfried MH, Auerbach SH, Dang-Vu TT, Mishima K, Kumar D, Moline M, Malhotra M. Efficacy and safety of insomnia treatment with lemborexant in older adults: analyses from three clinical trials. Drugs Aging. 2024 Sep;41(9):741-752. doi: 10.1007/s40266-024-01135-8. Epub 2024 Aug 9.
- Derived from this study: PubMed 37796657Citrome L, Juday TR, Lundwall C. Lemborexant and Daridorexant for the Treatment of Insomnia: An Indirect Comparison Using Number Needed to Treat, Number Needed to Harm, and Likelihood to Be Helped or Harmed. J Clin Psychiatry. 2023 Oct 2;84(6):23m14851. doi: 10.4088/JCP.23m14851.
- Derived from this study: PubMed 36472134Inoue Y, Nishida M, Kubota N, Koebis M, Taninaga T, Muramoto K, Ishikawa K, Moline M. Comparison of the treatment effectiveness between lemborexant and zolpidem tartrate extended-release for insomnia disorder subtypes defined based on polysomnographic findings. J Clin Sleep Med. 2023 Mar 1;19(3):519-528. doi: 10.5664/jcsm.10378.
- Derived from this study: PubMed 35254948Chepke C, Jain R, Rosenberg R, Moline M, Yardley J, Pinner K, Kumar D, Perdomo C, Filippov G, Atkins N, Malhotra M. Improvement in fatigue and sleep measures with the dual orexin receptor antagonist lemborexant in adults with insomnia disorder. Postgrad Med. 2022 Apr;134(3):316-325. doi: 10.1080/00325481.2022.2049553. Epub 2022 Mar 20.
- Derived from this study: PubMed 34077032Citrome L, Juday T, Frech F, Atkins N Jr. Lemborexant for the Treatment of Insomnia: Direct and Indirect Comparisons With Other Hypnotics Using Number Needed to Treat, Number Needed to Harm, and Likelihood to Be Helped or Harmed. J Clin Psychiatry. 2021 Jun 1;82:20m13795. doi: 10.4088/JCP.20m13795.
- Derived from this study: PubMed 33590823Moline M, Zammit G, Cheng JY, Perdomo C, Kumar D, Mayleben D. Comparison of the effect of lemborexant with placebo and zolpidem tartrate extended release on sleep architecture in older adults with insomnia disorder. J Clin Sleep Med. 2021 Jun 1;17(6):1167-1174. doi: 10.5664/jcsm.9150.
- Derived from this study: PubMed 31880796Rosenberg R, Murphy P, Zammit G, Mayleben D, Kumar D, Dhadda S, Filippov G, LoPresti A, Moline M. Comparison of Lemborexant With Placebo and Zolpidem Tartrate Extended Release for the Treatment of Older Adults With Insomnia Disorder: A Phase 3 Randomized Clinical Trial. JAMA Netw Open. 2019 Dec 2;2(12):e1918254. doi: 10.1001/jamanetworkopen.2019.18254.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
102 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Lemborexant and Zolpidem tartrate in people with Insomnia, run by Eisai Inc. at 102 sites in 7 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 17 inclusion and 31 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 102 sites in United States, Spain, Canada, Germany, Italy and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 11 Feb 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in Mean Latency to Persistent Sleep (LPS) of Lemborexant 10 mg and Lemborexant 5 mg Compared to Placebo on Days 29/30 (time frame: Baseline, Days 29/30). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02783729, which also lists 9 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Nov 2024.