Efficacy and Safety of Suvorexant (MK-4305) for Reducing Incidence of Delirium in Japanese Participants at High Risk of Delirium (MK-4305-085)

NCT ID: NCT04571944

Last Updated: 2024-11-25

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

207 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-22

Study Completion Date

2022-12-23

Brief Summary

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The goal of this study is to evaluate the efficacy and safety of suvorexant (MK-4305) for reducing the incidence of delirium in Japanese participants who are at high risk of delirium. The primary hypothesis is that suvorexant reduces the proportion of participants with delirium compared with placebo as assessed by the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria.

Detailed Description

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Conditions

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Delirium

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Suvorexant

Participants will receive 15 mg of suvorexant orally once daily (QD) for 5 to 7 days.

Group Type EXPERIMENTAL

Suvorexant

Intervention Type DRUG

Suvorexant administered at a dose of 15 mg QD via oral tablet

Placebo

Participants will receive suvorexant-matching placebo orally QD for 5 to 7 days.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Suvorexant-matching placebo administered QD via oral tablet

Interventions

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Suvorexant

Suvorexant administered at a dose of 15 mg QD via oral tablet

Intervention Type DRUG

Placebo

Suvorexant-matching placebo administered QD via oral tablet

Intervention Type DRUG

Other Intervention Names

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MK-4305

Eligibility Criteria

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Inclusion Criteria

* Is hospitalized for (1) acute disease with severe disease state or decreased daily living function or (2) elective surgery requiring general anesthesia scheduled on the day after or 2 days after admission/Day 1
* Has (1) mild cognitive impairment or mild dementia and/or (2) a history of delirium in any prior hospitalization
* Requires hospitalization for 6 days for acute disease, with treatment starting on day of admission; or 7 days, with treatment starting the day after admission OR
* Requires hospitalization for 6 days for elective surgery scheduled on the day after admission; or for 7 days for elective surgery scheduled 2 days after admission
* Is able to take study medications orally

Exclusion Criteria

* Has moderate or severe dementia
* Has a history of epilepsy or Parkinson's disease
* Currently uses psychotropic agents or has a mental condition including schizophrenia, other mental disorders, bipolar disorder and major depression
* Has a history of drug or alcohol abuse in the 5 years prior to start of study or has alcoholic disease such as alcoholic liver disease or gastritis alcoholic
* Has a history of narcolepsy or cataplexy
* Has used hypnotics, antipsychotics, mood stabilizers, antidepressants, anxiolytics, psychostimulants, anticonvulsants or tiapride within 2 weeks prior to randomization
* Has delirium as assessed by DSM-5 or DRS-R-98 (total score ≥14.5) before the first dose of study medication
Minimum Eligible Age

65 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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Kohnodai Hospital, National Center for Global Health and Medicine ( Site 8522)

Ichikawa, Chiba, Japan

Site Status

Iizuka Hospital ( Site 8540)

Iizuka, Fukuoka, Japan

Site Status

Kokura Memorial Hospital ( Site 8537)

Kitakyushu, Fukuoka, Japan

Site Status

Maebashi Red Cross Hospital ( Site 8548)

Maebashi, Gunma, Japan

Site Status

Fukuyama City Hospital ( Site 8528)

Fukuyama, Hiroshima, Japan

Site Status

Tonan Hospital ( Site 8512)

Sapporo, Hokkaido, Japan

Site Status

Kansai Rosai Hospital ( Site 8550)

Amagasaki, Hyōgo, Japan

Site Status

Kanazawa Medical University Hospital ( Site 8514)

Kahoku-gun, Ishikawa-ken, Japan

Site Status

National Hospital Organization Kanazawa Medical Center ( Site 8554)

Kanazawa, Ishikawa-ken, Japan

Site Status

Kagawa University Hospital ( Site 8519)

Kita-gun, Kagawa-ken, Japan

Site Status

TAKAMATSU Red Cross Hospital ( Site 8547)

Takamatsu, Kagawa-ken, Japan

Site Status

Nippon Medical School Musashi Kosugi Hospital ( Site 8502)

Kawasaki, Kanagawa, Japan

Site Status

Showa University Northern Yokohama Hospital ( Site 8534)

Yokohama, Kanagawa, Japan

Site Status

Yokohama City University Medical Center ( Site 8516)

Yokohama, Kanagawa, Japan

Site Status

Saiseikai Yokohamashi Nanbu Hospital ( Site 8541)

Yokohama, Kanagawa, Japan

Site Status

Yokohama City University Hospital ( Site 8515)

Yokohama, Kanagawa, Japan

Site Status

National Hospital Organization Yokohama Medical Center ( Site 8531)

Yokohama, Kanagawa, Japan

Site Status

National Hospital Organization Maizuru Medical Center ( Site 8535)

Maizuru-shi, Kyoto, Japan

Site Status

Aizawa Hospital ( Site 8542)

Matsumoto, Nagano, Japan

Site Status

Matsushita Memorial Hospital ( Site 8556)

Moriguchi, Osaka, Japan

Site Status

Osaka University Hospital ( Site 8524)

Suita, Osaka, Japan

Site Status

Toyonaka Municipal Hospital ( Site 8521)

Toyonaka, Osaka, Japan

Site Status

Shimane Prefectural Central Hospital ( Site 8530)

Izumo, Shimane, Japan

Site Status

Kamitsuga General Hospital ( Site 8546)

Kanuma, Tochigi, Japan

Site Status

SANO KOSEI GENERAL HOSPITAL ( Site 8551)

Sano, Tochigi, Japan

Site Status

Jichi Medical University Hospital ( Site 8525)

Shimotsuke, Tochigi, Japan

Site Status

Yamaguchi University Hospital ( Site 8517)

Ube, Yamaguchi, Japan

Site Status

National Hospital Organization Kyushu Medical Center ( Site 8532)

Fukuoka, , Japan

Site Status

Gifu Municipal Hospital ( Site 8555)

Gifu, , Japan

Site Status

Hiroshima City Hiroshima Citizens Hospital ( Site 8505)

Hiroshima, , Japan

Site Status

National Hospital Organization Kumamoto Medical Center ( Site 8511)

Kumamoto, , Japan

Site Status

Japanese Red Cross Kyoto Daini Hospital ( Site 8533)

Kyoto, , Japan

Site Status

Kyoto Katsura Hospital ( Site 8539)

Kyoto, , Japan

Site Status

Miyazaki Prefectural Miyazaki Hospital ( Site 8543)

Miyazaki, , Japan

Site Status

Niigata City General Hospital ( Site 8544)

Niigata, , Japan

Site Status

Okayama Saiseikai General Hospital ( Site 8549)

Okayama, , Japan

Site Status

Okayama University Hospital ( Site 8510)

Okayama, , Japan

Site Status

Osaka City General Hospital ( Site 8518)

Osaka, , Japan

Site Status

National Hospital Organization Osaka National Hospital ( Site 8536)

Osaka, , Japan

Site Status

Japanese Red Cross Osaka Hospital ( Site 8523)

Osaka, , Japan

Site Status

Nippon Life Hospital ( Site 8552)

Osaka, , Japan

Site Status

Japan Community Health care Organization Osaka Hospital ( Site 8545)

Osaka, , Japan

Site Status

Osaka General Medical Center ( Site 8538)

Osaka, , Japan

Site Status

Saga-Ken Medical Centre Koseikan ( Site 8526)

Saga, , Japan

Site Status

Tokushima Prefectural Central Hospital ( Site 8509)

Tokushima, , Japan

Site Status

National Cancer Center Hospital ( Site 8520)

Tokyo, , Japan

Site Status

National Hospital Organization Tokyo Medical Center ( Site 8529)

Tokyo, , Japan

Site Status

Tokyo Women's Medical University Hospital ( Site 8527)

Tokyo, , Japan

Site Status

Juntendo University Nerima Hospital ( Site 8501)

Tokyo, , Japan

Site Status

Tokyo Medical and Dental University Hospital ( Site 8503)

Tokyo, , Japan

Site Status

Countries

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Japan

References

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Hatta K, Kishi Y, Wada K, Takeuchi T, Taira T, Uemura K, Ogawa A, Takahashi K, Sato A, Shirakawa M, Herring WJ, Arano I; Suvorexant 085 Study Group. Suvorexant for Reduction of Delirium in Older Adults After Hospitalization: A Randomized Clinical Trial. JAMA Netw Open. 2024 Aug 1;7(8):e2427691. doi: 10.1001/jamanetworkopen.2024.27691.

Reference Type RESULT
PMID: 39150711 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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http://www.merckclinicaltrials.com

Merck Clinical Trials Information

Other Identifiers

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MK-4305-085

Identifier Type: OTHER

Identifier Source: secondary_id

jRCT2031200149

Identifier Type: REGISTRY

Identifier Source: secondary_id

4305-085

Identifier Type: -

Identifier Source: org_study_id

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