Trial Outcomes & Findings for Lemborexant Shift Work Treatment Study (NCT NCT05344443)

NCT ID: NCT05344443

Last Updated: 2026-02-04

Results Overview

Daytime total sleep time in minutes per day following a night shift averaged over the two-week treatment/placebo period. Daytime total sleep time in minutes per day was recorded using the Consensus Sleep Diary, which participants completed daily.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

29 participants

Primary outcome timeframe

Two weeks of Treatment

Results posted on

2026-02-04

Participant Flow

Recruitment of participants began in March 2022 and ended in December 2024. Participants were recruited primarily through flyers, with targeted recruitment at local hospitals.

Study participants completed baseline assessments, including sociodemographic questionnaires, clinical labs, and sleep measures (diaries, actigraphy) prior to randomization.

Participant milestones

Participant milestones
Measure
Active Treatment
Participants randomized into this arm will receive Lemborexant (5-10mg).
Placebo Treatment
Participants randomized into this arm will receive a placebo medication which appears the same as the active treatment.
Overall Study
STARTED
15
14
Overall Study
COMPLETED
15
13
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

1 participant in the active treatment group did not provide their age.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Treatment
n=15 Participants
Participants randomized into this arm will receive Lemborexant (5-10mg).
Placebo Treatment
n=14 Participants
Participants randomized into this arm will receive a placebo medication which appears the same as the active treatment.
Total
n=29 Participants
Total of all reporting groups
Age, Continuous
37.8 Years
STANDARD_DEVIATION 9.3 • n=14 Participants • 1 participant in the active treatment group did not provide their age.
36.6 Years
STANDARD_DEVIATION 8.4 • n=14 Participants • 1 participant in the active treatment group did not provide their age.
37.2 Years
STANDARD_DEVIATION 8.7 • n=28 Participants • 1 participant in the active treatment group did not provide their age.
Sex: Female, Male
Female
15 Participants
n=15 Participants
13 Participants
n=14 Participants
28 Participants
n=29 Participants
Sex: Female, Male
Male
0 Participants
n=15 Participants
1 Participants
n=14 Participants
1 Participants
n=29 Participants
Race/Ethnicity, Customized
White/Caucasian
4 Participants
n=15 Participants
8 Participants
n=14 Participants
12 Participants
n=29 Participants
Race/Ethnicity, Customized
Black/African American
2 Participants
n=15 Participants
1 Participants
n=14 Participants
3 Participants
n=29 Participants
Race/Ethnicity, Customized
Asian
7 Participants
n=15 Participants
2 Participants
n=14 Participants
9 Participants
n=29 Participants
Race/Ethnicity, Customized
Hispanic/Latino
2 Participants
n=15 Participants
2 Participants
n=14 Participants
4 Participants
n=29 Participants
Race/Ethnicity, Customized
Multiracial
0 Participants
n=15 Participants
1 Participants
n=14 Participants
1 Participants
n=29 Participants
Region of Enrollment
United States
15 Participants
n=15 Participants
14 Participants
n=14 Participants
29 Participants
n=29 Participants
Diary-based daytime total sleep time
341.1 Minutes per day
STANDARD_DEVIATION 78.9 • n=13 Participants • Two participants in the active treatment and two participants in the placebo group were missing diary based total sleep time value at baseline.
332.9 Minutes per day
STANDARD_DEVIATION 66.2 • n=12 Participants • Two participants in the active treatment and two participants in the placebo group were missing diary based total sleep time value at baseline.
336.8 Minutes per day
STANDARD_DEVIATION 71.2 • n=25 Participants • Two participants in the active treatment and two participants in the placebo group were missing diary based total sleep time value at baseline.
Actigraphy-based daytime total sleep time
322.6 Minutes per day
STANDARD_DEVIATION 125.2 • n=9 Participants • Six participants in the active treatment and 5 participants in the placebo condition were missing usable actigraphy data at baseline.
286.4 Minutes per day
STANDARD_DEVIATION 59.8 • n=9 Participants • Six participants in the active treatment and 5 participants in the placebo condition were missing usable actigraphy data at baseline.
304.5 Minutes per day
STANDARD_DEVIATION 97.0 • n=18 Participants • Six participants in the active treatment and 5 participants in the placebo condition were missing usable actigraphy data at baseline.

PRIMARY outcome

Timeframe: Two weeks of Treatment

Population: Sleep diaries completed during daytime sleep attempts were the source of the treatment data. However, one participant (in the drug condition) failed to provide any useable diaries for daytime sleep attempts

Daytime total sleep time in minutes per day following a night shift averaged over the two-week treatment/placebo period. Daytime total sleep time in minutes per day was recorded using the Consensus Sleep Diary, which participants completed daily.

Outcome measures

Outcome measures
Measure
Active Treatment
n=14 Participants
Participants randomized into this arm will receive Lemborexant (5-10mg).
Placebo Treatment
n=14 Participants
Participants randomized into this arm will receive a placebo medication which appears the same as the active treatment.
Daytime Total Sleep Time in Minutes Per Day Collected From the Consensus Sleep Diary
362.7 Minutes per day
Standard Error 22.0
365.3 Minutes per day
Standard Error 22.4

SECONDARY outcome

Timeframe: Two weeks of treatment

Population: These analyses rely on wrist actigraphy data collected post-treatment. No actigraphy data were available in In 3 participants randomized to the placebo group and 1 participant in the drug condition.

Daytime total sleep time in minutes per day following a night shift averaged over the two-week treatment/placebo period. Daytime total sleep time in minutes per day was collected using daily actigraphy data from Actiwatches, which participants wore during the two week treatment period.

Outcome measures

Outcome measures
Measure
Active Treatment
n=14 Participants
Participants randomized into this arm will receive Lemborexant (5-10mg).
Placebo Treatment
n=11 Participants
Participants randomized into this arm will receive a placebo medication which appears the same as the active treatment.
Daytime Total Sleep Time in Minutes Per Day Measured by Actigraphy
318.4 Minutes per day
Standard Error 21.1
324.0 Minutes per day
Standard Error 29.2

Adverse Events

Active Treatment

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Placebo Treatment

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Active Treatment
n=15 participants at risk
Participants randomized into this arm will receive Lemborexant (5-10mg).
Placebo Treatment
n=14 participants at risk
Participants randomized into this arm will receive a placebo medication which appears the same as the active treatment.
General disorders
Sleep paralysis
13.3%
2/15 • Number of events 2 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
0.00%
0/14 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
General disorders
Twisted ankle
6.7%
1/15 • Number of events 1 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
0.00%
0/14 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
Respiratory, thoracic and mediastinal disorders
Respiratory Illness
6.7%
1/15 • Number of events 1 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
7.1%
1/14 • Number of events 1 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
Nervous system disorders
Migraine
6.7%
1/15 • Number of events 1 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
0.00%
0/14 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
Skin and subcutaneous tissue disorders
Skin rash
0.00%
0/15 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
7.1%
1/14 • Number of events 1 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
General disorders
Grogginess
26.7%
4/15 • Number of events 5 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
0.00%
0/14 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
General disorders
Vivid dreaming/nightmare
20.0%
3/15 • Number of events 3 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
0.00%
0/14 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
General disorders
Fragmented sleep
20.0%
3/15 • Number of events 4 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
0.00%
0/14 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
General disorders
Irritability
0.00%
0/15 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.
7.1%
1/14 • Number of events 1 • Events were collected beginning at randomization until the end of follow-up, up to 5 weeks.
Adverse events were assessed by an open-ended question by the PI. Details on the event, the duration, and the likelihood of whether the event was related to study medication was obtained.

Additional Information

Aric A. Prather, PhD

University of California, San Francisco

Phone: 4154767758

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place