Trial Outcomes & Findings for Study to Assess the Efficacy and Safety of ACT-541468 (Daridorexant) in Adult and Elderly Subjects With Insomnia Disorder (NCT NCT03545191)

NCT ID: NCT03545191

Last Updated: 2022-03-25

Results Overview

"Wake After Sleep Onset" is the time spent awake after onset of persistent sleep until lights on, as determined by polysomnography.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

930 participants

Primary outcome timeframe

From baseline to Month 1 (i.e. for up to 1 month)

Results posted on

2022-03-25

Participant Flow

Participant milestones

Participant milestones
Measure
Daridorexant 25 mg
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
Matching placebo was administered as tablets, orally, once daily in the evening.
Overall Study
STARTED
310
310
310
Overall Study
COMPLETED
288
285
280
Overall Study
NOT COMPLETED
22
25
30

Reasons for withdrawal

Reasons for withdrawal
Measure
Daridorexant 25 mg
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
Matching placebo was administered as tablets, orally, once daily in the evening.
Overall Study
Death
1
0
0
Overall Study
Adverse Event
4
2
7
Overall Study
Other reasons
3
11
8
Overall Study
Withdrawal by Subject
13
10
12
Overall Study
Lost to Follow-up
1
2
3

Baseline Characteristics

Study to Assess the Efficacy and Safety of ACT-541468 (Daridorexant) in Adult and Elderly Subjects With Insomnia Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Daridorexant 25 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
n=310 Participants
Matching placebo was administered as tablets, orally, once daily in the evening.
Total
n=930 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
189 Participants
n=5 Participants
189 Participants
n=7 Participants
188 Participants
n=5 Participants
566 Participants
n=4 Participants
Age, Categorical
>=65 years
121 Participants
n=5 Participants
121 Participants
n=7 Participants
122 Participants
n=5 Participants
364 Participants
n=4 Participants
Age, Continuous
55.8 years
STANDARD_DEVIATION 15.3 • n=5 Participants
55.5 years
STANDARD_DEVIATION 15.3 • n=7 Participants
55.1 years
STANDARD_DEVIATION 15.4 • n=5 Participants
55.4 years
STANDARD_DEVIATION 15.3 • n=4 Participants
Sex: Female, Male
Female
215 Participants
n=5 Participants
199 Participants
n=7 Participants
210 Participants
n=5 Participants
624 Participants
n=4 Participants
Sex: Female, Male
Male
95 Participants
n=5 Participants
111 Participants
n=7 Participants
100 Participants
n=5 Participants
306 Participants
n=4 Participants
Race/Ethnicity, Customized
Hispanic or Latino
51 Participants
n=5 Participants
44 Participants
n=7 Participants
51 Participants
n=5 Participants
146 Participants
n=4 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
259 Participants
n=5 Participants
265 Participants
n=7 Participants
259 Participants
n=5 Participants
783 Participants
n=4 Participants
Race/Ethnicity, Customized
Unknown
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race/Ethnicity, Customized
Black or African American
19 Participants
n=5 Participants
30 Participants
n=7 Participants
28 Participants
n=5 Participants
77 Participants
n=4 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race/Ethnicity, Customized
Native Hawaiian or other Pacific Islander
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race/Ethnicity, Customized
Asian
3 Participants
n=5 Participants
4 Participants
n=7 Participants
2 Participants
n=5 Participants
9 Participants
n=4 Participants
Race/Ethnicity, Customized
White
287 Participants
n=5 Participants
274 Participants
n=7 Participants
278 Participants
n=5 Participants
839 Participants
n=4 Participants
Race/Ethnicity, Customized
Other
0 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants

PRIMARY outcome

Timeframe: From baseline to Month 1 (i.e. for up to 1 month)

"Wake After Sleep Onset" is the time spent awake after onset of persistent sleep until lights on, as determined by polysomnography.

Outcome measures

Outcome measures
Measure
Daridorexant 25 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
n=310 Participants
Matching placebo was administered as tablets, orally, once daily in the evening.
Change From Baseline to Month 1 in Wake After Sleep Onset (WASO) (Sleep Maintenance)
-18.40 minutes
Interval -22.126 to -14.674
-28.98 minutes
Interval -32.668 to -25.299
-6.20 minutes
Interval -9.928 to -2.475

PRIMARY outcome

Timeframe: From baseline to Month 3 (i.e. for up to 3 months)

"Wake After Sleep Onset" is the time spent awake after onset of persistent sleep until lights on, as determined by polysomnography.

Outcome measures

Outcome measures
Measure
Daridorexant 25 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
n=310 Participants
Matching placebo was administered as tablets, orally, once daily in the evening.
Change From Baseline to Month 3 in Wake After Sleep Onset (WASO)
-22.97 minutes
Interval -26.955 to -18.988
-29.41 minutes
Interval -33.399 to -25.427
-11.11 minutes
Interval -15.131 to -7.088

PRIMARY outcome

Timeframe: From baseline to Month 1 (i.e. for up to 1 month)

"Latency to Persistent Sleep" is the time from start of recording to the beginning of the first continuous 20 epochs (i.e., 10 minutes) scored as non-awake, i.e., epochs scored as either sleep stage 1 (S1), sleep stage 2 (S2), sleep stage 3 (slow wave sleep) or REM, as determined by polysomnography.

Outcome measures

Outcome measures
Measure
Daridorexant 25 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
n=310 Participants
Matching placebo was administered as tablets, orally, once daily in the evening.
Change From Baseline to Month 1 in Latency to Persistent Sleep (LPS) (Sleep Onset)
-28.17 minutes
Interval -31.509 to -24.827
-31.20 minutes
Interval -34.506 to -27.896
-19.85 minutes
Interval -23.177 to -16.515

PRIMARY outcome

Timeframe: From baseline to Month 3 (i.e. for up to 3 months)

"Latency to Persistent Sleep" is the time from start of recording to the beginning of the first continuous 20 epochs (i.e., 10 minutes) scored as non-awake, i.e., epochs scored as either sleep stage 1 (S1), sleep stage 2 (S2), sleep stage 3 (slow wave sleep) or REM, as determined by polysomnography.

Outcome measures

Outcome measures
Measure
Daridorexant 25 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
n=310 Participants
Matching placebo was administered as tablets, orally, once daily in the evening.
Change From Baseline to Month 3 in Latency to Persistent Sleep (LPS)
-30.73 minutes
Interval -34.037 to -27.417
-34.80 minutes
Interval -38.118 to -31.49
-23.13 minutes
Interval -26.464 to -19.803

SECONDARY outcome

Timeframe: From baseline to Month 1 (i.e. for up to 1 month)

"Subjective Total Sleep Time" is the total sleep time reported by the participant in the sleep diary questionnaire. A positive change from baseline indicates an increase in the subjective Total Sleep Time. A negative change from baseline indicates a decrease in subjective Total Sleep Time.

Outcome measures

Outcome measures
Measure
Daridorexant 25 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
n=310 Participants
Matching placebo was administered as tablets, orally, once daily in the evening.
Change From Baseline to Month 1 in the Subjective Total Sleep Time (sTST)
34.18 minutes
Interval 28.718 to 39.645
43.62 minutes
Interval 38.173 to 49.063
21.56 minutes
Interval 16.101 to 27.022

SECONDARY outcome

Timeframe: From baseline to Month 3 (i.e. for up to 3 months)

"Subjective Total Sleep Time" is the total sleep time reported by the participant in the sleep diary questionnaire. A positive change from baseline indicates an increase in the subjective Total Sleep Time. A negative change from baseline indicates a decrease in subjective Total Sleep Time.

Outcome measures

Outcome measures
Measure
Daridorexant 25 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
n=310 Participants
Matching placebo was administered as tablets, orally, once daily in the evening.
Change From Baseline to Month 3 in the Subjective Total Sleep Time (sTST)
47.83 minutes
Interval 41.333 to 54.328
57.67 minutes
Interval 51.171 to 64.168
37.90 minutes
Interval 31.393 to 44.404

SECONDARY outcome

Timeframe: From baseline to Month 1 (i.e. for up to 1 month)

The Insomnia Daytime Symptoms and Impacts Questionnaire (IDSIQ) is a validated patient reported outcome instrument comprising 14 items (each using a numeric rating scale from 0 to 10) grouped into three domains (i.e., sleepiness, mood, and alert/cognition) reflecting daytime impairment of insomnia. The IDSIQ sleepiness domain has 4 items, and the domain score ranges from 0 to a maximum of 40, where a higher score indicates a greater burden. A negative change from baseline indicates an improvement and a positive change from baseline indicates a worsening.

Outcome measures

Outcome measures
Measure
Daridorexant 25 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
n=310 Participants
Matching placebo was administered as tablets, orally, once daily in the evening.
Change From Baseline to Month 1 in Insomnia Daytime Symptoms and Impacts Questionnaire (IDSIQ) Sleepiness Domain Score
-2.77 Scores on a scale
Interval -3.316 to -2.225
-3.77 Scores on a scale
Interval -4.309 to -3.224
-2.02 Scores on a scale
Interval -2.566 to -1.476

SECONDARY outcome

Timeframe: From baseline to Month 3 (i.e. for up to 3 months)

The Insomnia Daytime Symptoms and Impacts Questionnaire (IDSIQ) is a validated patient reported outcome instrument comprising 14 items (each using a numeric rating scale from 0 to 10) grouped into three domains (i.e., sleepiness, mood, and alert/cognition) reflecting daytime impairment of insomnia. The IDSIQ sleepiness domain has 4 items, and the domain score ranges from 0 to a maximum of 40, where a higher score indicates a greater burden. A negative change from baseline indicates an improvement and a positive change from baseline indicates a worsening.

Outcome measures

Outcome measures
Measure
Daridorexant 25 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
n=310 Participants
Matching placebo was administered as tablets, orally, once daily in the evening.
Change From Baseline to Month 3 in IDSIQ Sleepiness Domain Score
-4.78 Scores on a scale
Interval -5.491 to -4.067
-5.70 Scores on a scale
Interval -6.405 to -4.987
-3.79 Scores on a scale
Interval -4.503 to -3.08

POST_HOC outcome

Timeframe: From baseline to Month 1 (i.e. for up to 1 month)

Post-hoc analyses were performed using log-transformed LPS data, as the LPS values at baseline more closely resembled a log-normal distribution (skewed to the right) than a normal distribution.

Outcome measures

Outcome measures
Measure
Daridorexant 25 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
n=310 Participants
Matching placebo was administered as tablets, orally, once daily in the evening.
Change From Baseline to Month 1 in Log-transformed LPS (LSGM Ratio to Baseline)
0.49 minutes
Interval 0.45 to 0.54
0.45 minutes
Interval 0.41 to 0.49
0.62 minutes
Interval 0.57 to 0.67

POST_HOC outcome

Timeframe: From baseline to Month 3 (i.e. for up to 3 month)

Post-hoc analyses were performed using log-transformed LPS data, as the LPS values at baseline more closely resembled a log-normal distribution (skewed to the right) than a normal distribution.

Outcome measures

Outcome measures
Measure
Daridorexant 25 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
n=310 Participants
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
n=310 Participants
Matching placebo was administered as tablets, orally, once daily in the evening.
Change From Baseline to Month 3 in Log-transformed LPS (LSGM Ratio to Baseline)
0.43 minutes
Interval 0.4 to 0.48
0.41 minutes
Interval 0.37 to 0.45
0.56 minutes
Interval 0.51 to 0.61

Adverse Events

Daridorexant 25 mg

Serious events: 2 serious events
Other events: 44 other events
Deaths: 1 deaths

Daridorexant 50 mg

Serious events: 3 serious events
Other events: 41 other events
Deaths: 0 deaths

Placebo

Serious events: 7 serious events
Other events: 35 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Daridorexant 25 mg
n=310 participants at risk
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
n=308 participants at risk
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
n=309 participants at risk
Matching placebo was administered as tablets, orally, once daily in the evening.
Injury, poisoning and procedural complications
Post procedural haemorrhage
0.00%
0/310 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.32%
1/308 • Number of events 1 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.00%
0/309 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
Injury, poisoning and procedural complications
Ankle fracture
0.00%
0/310 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.00%
0/308 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.32%
1/309 • Number of events 1 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
Investigations
Haemoglobin decreased
0.00%
0/310 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.32%
1/308 • Number of events 1 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.00%
0/309 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma of colon
0.00%
0/310 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.32%
1/308 • Number of events 1 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.00%
0/309 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
Cardiac disorders
Cardiac arrest
0.32%
1/310 • Number of events 1 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.00%
0/308 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.00%
0/309 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
Nervous system disorders
Syncope
0.00%
0/310 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.32%
1/308 • Number of events 1 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.65%
2/309 • Number of events 2 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
General disorders
Influenza like illness
0.32%
1/310 • Number of events 1 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.00%
0/308 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.00%
0/309 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
Psychiatric disorders
Depression
0.00%
0/310 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.00%
0/308 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.65%
2/309 • Number of events 2 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
Psychiatric disorders
Panic attack
0.00%
0/310 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.00%
0/308 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.32%
1/309 • Number of events 1 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
Renal and urinary disorders
Renal colic
0.00%
0/310 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.32%
1/308 • Number of events 1 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.00%
0/309 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
Infections and infestations
Anal abscess
0.00%
0/310 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.00%
0/308 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.32%
1/309 • Number of events 1 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
Infections and infestations
Herpes zoster
0.00%
0/310 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.00%
0/308 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
0.32%
1/309 • Number of events 1 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.

Other adverse events

Other adverse events
Measure
Daridorexant 25 mg
n=310 participants at risk
Daridorexant was administered as tablets, orally, once daily in the evening.
Daridorexant 50 mg
n=308 participants at risk
Daridorexant was administered as tablets, orally, once daily in the evening.
Placebo
n=309 participants at risk
Matching placebo was administered as tablets, orally, once daily in the evening.
Nervous system disorders
Headache
5.5%
17/310 • Number of events 24 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
6.5%
20/308 • Number of events 27 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
3.9%
12/309 • Number of events 18 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
Infections and infestations
Nasopharyngitis
9.0%
28/310 • Number of events 28 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
7.8%
24/308 • Number of events 26 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.
7.8%
24/309 • Number of events 29 • Treatment-emergent AEs were AEs that started or worsened on or after the DB study treatment start date up to the earlier of 30 days after DB study treatment end date or the date of enrollment in the ID-078A303 extension study. The planned duration of DB treatment was 84 days ± 2 days, i.e., 12 weeks ± 2 days.
The number of subjects affected is the number of subjects with at least one event.

Additional Information

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