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Trial ยท NCT03001557

Study of Lemborexant for Irregular Sleep-Wake Rhythm Disorder and Mild to Moderate Alzheimer's Disease Dementia

NCT03001557, Phase 2, Completed, Eisai Inc.; results first posted 2020-01-14

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Lemborexant for Irregular Sleep-Wake Rhythm Disorder and Mild to Moderate Alzheimer's Disease Dementia. Trials, record NCT03001557. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03001557

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Lemborexant for Irregular Sleep-Wake Rhythm Disorder and Mild to Moderate Alzheimer's Disease Dementia
NCT number
NCT03001557
Status
Completed
Phases
Phase 2
Enrollment
63 participants, actual
Lead sponsor
Eisai Inc.
Conditions
Irregular Sleep-Wake Rhythm Disorder
Interventions
Lemborexant 2.5 mg, Lemborexant 5 mg, Lemborexant 10 mg, Lemborexant 15 mg, Lemborexant-matched placebo
First posted
2016-12-23
Last updated
2021-05-17
Other registries' IDs
eudract:2017-003306-40
Results first posted
2020-01-14

Source ClinicalTrials.gov

Registered outcomes53

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryCore Phase: Change From Baseline in Mean Actigraphy Sleep Efficiency (aSE) With Lemborexant Compared to Placebo During Week 1 of TreatmentBaseline, Week 1
aSE was defined as the percentage of time spent in bed nocturnal sleeping, as measured by actigraphy. Sleep efficiency was calculated as the total duration of sleep epochs during the predefined 8-hour nocturnal sleep period divided by 8 hours and multiplied by 100. Higher values were better. Actigraphy was performed with an accelerometer that was worn on the wrist like a watch. It was programmed to monitor degree and intensity of movements while the device was being worn. Change from baseline to average first 7 nights of treatment was reported.
PrimaryCore Phase: Change From Baseline in Mean aSE With Lemborexant Compared to Placebo During Week 2 of TreatmentBaseline, Week 2
aSE was defined as the percentage of time spent in bed nocturnal sleeping, as measured by actigraphy. Sleep efficiency was calculated as the total duration of sleep epochs during the predefined 8-hour nocturnal sleep period divided by 8 hours and multiplied by 100. Higher values were better. Actigraphy was performed with an accelerometer that was worn on the wrist like a watch. It was programmed to monitor degree and intensity of movements while the device was being worn. Change from baseline to average second 7 nights of treatment was reported.
PrimaryCore Phase: Change From Baseline in Mean aSE With Lemborexant Compared to Placebo During Week 3 of TreatmentBaseline, Week 3
aSE was defined as the percentage of time spent in bed nocturnal sleeping, as measured by actigraphy. Sleep efficiency was calculated as the total duration of sleep epochs during the predefined 8-hour nocturnal sleep period divided by 8 hours and multiplied by 100. Higher values were better. Actigraphy was performed with an accelerometer that was worn on the wrist like a watch. It was programmed to monitor degree and intensity of movements while the device was being worn. Change from baseline to average third 7 nights of treatment was reported.
PrimaryCore Phase: Change From Baseline in Mean aSE With Lemborexant Compared to Placebo During Week 4 of TreatmentBaseline, Week 4
aSE was defined as the percentage of time spent in bed nocturnal sleeping, as measured by actigraphy. Sleep efficiency was calculated as the total duration of sleep epochs during the predefined 8-hour nocturnal sleep period divided by 8 hours and multiplied by 100. Higher values were better. Actigraphy was performed with an accelerometer that was worn on the wrist like a watch. It was programmed to monitor degree and intensity of movements while the device was being worn. Change from baseline to average last 7 nights of treatment was reported.
PrimaryCore Phase: Change From Baseline in Mean Sleep Fragmentation Index (SFI) During Week 1 of TreatmentBaseline, Week 1
The SFI was defined as the sum of a movement index (MI) and a fragmentation index (FI) during the logged sleep period. The MI was equal to the epochs of wake per time in bed (TBI) multiplied by 100. The FI was equal to the number of less than or equal to (\<=) 1-minute periods of immobility/total number of periods of immobility of all durations during the defined nocturnal sleep period multiplied by 100. Value ranges from 0-100 percent (%) (lower values were better). SFI was determined by Actigraphy. Actigraphy was performed with an accelerometer that was worn on the wrist like a watch. It was programmed to monitor degree and intensity of movements while the device was being worn. Change from baseline to average first 7 nights of treatment was reported.
PrimaryCore Phase: Change From Baseline in Mean SFI During Week 2 of TreatmentBaseline, Week 2
The SFI was defined as the sum of a MI and a FI during the logged sleep period. The MI was equal to the epochs of wake per TBI multiplied by 100. The FI was equal to the number \<=1-minute periods of immobility/total number of periods of immobility of all durations during the defined nocturnal sleep period multiplied by 100. Value ranges from 0-100% (lower values were better). SFI was determined by Actigraphy. Actigraphy was performed with an accelerometer that was worn on the wrist like a watch. It was programmed to monitor degree and intensity of movements while the device was being worn. Change from baseline to average second 7 nights of treatment was reported.
PrimaryCore Phase: Change From Baseline in Mean SFI During Week 3 of TreatmentBaseline, Week 3
The SFI was defined as the sum of a MI and a FI during the logged sleep period. The MI was equal to the epochs of wake per TBI multiplied by 100. The FI was equal to the number \<=1-minute periods of immobility/total number of periods of immobility of all durations during the defined nocturnal sleep period multiplied by 100. Value ranges from 0-100% (lower values were better). SFI was determined by Actigraphy. Actigraphy was performed with an accelerometer that was worn on the wrist like a watch. It was programmed to monitor degree and intensity of movements while the device was being worn. Change from baseline to average third 7 nights of treatment was reported.
PrimaryCore Phase: Change From Baseline in Mean SFI During Week 4 of TreatmentBaseline, Week 4
The SFI was defined as the sum of a MI and a FI during the logged sleep period. The MI was equal to the epochs of wake per TBI multiplied by 100. The FI was equal to the number \<=1-minute periods of immobility/total number of periods of immobility of all durations during the defined nocturnal sleep period multiplied by 100. Value ranges from 0-100% (lower values were better). SFI was determined by Actigraphy. Actigraphy was performed with an accelerometer that was worn on the wrist like a watch. It was programmed to monitor degree and intensity of movements while the device was being worn. Change from baseline to average last 7 nights of treatment was reported.
PrimaryCore Phase: Change From Baseline in the Mean Duration of Wake Bouts (aMeanDurWB) During Week 1 of TreatmentBaseline, Week 1
aMeanDurWB was defined as an average duration of all wake bouts that occurred during the defined nocturnal predefined sleep period. The wake bout was defined as continuous wake of 10 minutes or longer. Lower values were better. aMeanDurWB was determined by Actigraphy. Actigraphy was performed with an accelerometer that was worn on the wrist like a watch. It was programmed to monitor degree and intensity of movements while the device was being worn. Change from baseline to average first 7 nights of treatment was reported.
PrimaryCore Phase: Change From Baseline in the aMeanDurWB During Week 2 of TreatmentBaseline, Week 2
aMeanDurWB was defined as an average duration of all wake bouts that occurred during the defined nocturnal predefined sleep period. The wake bout was defined as continuous wake of 10 minutes or longer. Lower values were better. aMeanDurWB was determined by Actigraphy. Actigraphy was performed with an accelerometer that was worn on the wrist like a watch. It was programmed to monitor degree and intensity of movements while the device was being worn. Change from baseline to average second 7 nights of treatment was reported.

Outcomes53

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYCore Phase: Change From Baseline in Mean Actigraphy Sleep Efficiency (aSE) With Lemborexant Compared to Placebo During Week 1 of TreatmentBaseline, Week 1
The full analysis set (FAS) included group of randomized participants who received at least 1 dose of randomized study drug and had at least 1 postdose efficacy measurement. Participants who were evaluable for this measure at given time point were included for the assessment.
percentage of sleep timeMEAN
PRIMARYCore Phase: Change From Baseline in Mean aSE With Lemborexant Compared to Placebo During Week 2 of TreatmentBaseline, Week 2
The FAS included group of randomized participants who received at least 1 dose of randomized study drug and had at least 1 postdose efficacy measurement. Participants who were evaluable for this measure at given time point were included for the assessment.
percentage of sleep timeMEAN
PRIMARYCore Phase: Change From Baseline in Mean aSE With Lemborexant Compared to Placebo During Week 3 of TreatmentBaseline, Week 3
The FAS included group of randomized participants who received at least 1 dose of randomized study drug and had at least 1 postdose efficacy measurement. Participants who were evaluable for this measure at given time point were included for the assessment.
percentage of sleep timeMEAN
PRIMARYCore Phase: Change From Baseline in Mean aSE With Lemborexant Compared to Placebo During Week 4 of TreatmentBaseline, Week 4
The FAS included group of randomized participants who received at least 1 dose of randomized study drug and had at least 1 postdose efficacy measurement. Participants who were evaluable for this measure at given time point were included for the assessment.
percentage of sleep timeMEAN
PRIMARYCore Phase: Change From Baseline in Mean Sleep Fragmentation Index (SFI) During Week 1 of TreatmentBaseline, Week 1
The FAS included group of randomized participants who received at least 1 dose of randomized study drug and had at least 1 postdose efficacy measurement. Participants who were evaluable for this measure at given time point were included for the assessment.
percentage of immobile boutsMEAN
PRIMARYCore Phase: Change From Baseline in Mean SFI During Week 2 of TreatmentBaseline, Week 2
The FAS included group of randomized participants who received at least 1 dose of randomized study drug and had at least 1 postdose efficacy measurement. Participants who were evaluable for this measure at given time point were included for the assessment.
percentage of immobile boutsMEAN
PRIMARYCore Phase: Change From Baseline in Mean SFI During Week 3 of TreatmentBaseline, Week 3
The FAS included group of randomized participants who received at least 1 dose of randomized study drug and had at least 1 postdose efficacy measurement. Participants who were evaluable for this measure at given time point were included for the assessment.
percentage of immobile boutsMEAN
PRIMARYCore Phase: Change From Baseline in Mean SFI During Week 4 of TreatmentBaseline, Week 4
The FAS included group of randomized participants who received at least 1 dose of randomized study drug and had at least 1 postdose efficacy measurement. Participants who were evaluable for this measure at given time point were included for the assessment.
percentage of immobile boutsMEAN
PRIMARYCore Phase: Change From Baseline in the Mean Duration of Wake Bouts (aMeanDurWB) During Week 1 of TreatmentBaseline, Week 1
The FAS included group of randomized participants who received at least 1 dose of randomized study drug and had at least 1 postdose efficacy measurement. Participants who were evaluable for this measure at given time point were included for the assessment.
minutesMEAN
PRIMARYCore Phase: Change From Baseline in the aMeanDurWB During Week 2 of TreatmentBaseline, Week 2
The FAS included group of randomized participants who received at least 1 dose of randomized study drug and had at least 1 postdose efficacy measurement. Participants who were evaluable for this measure at given time point were included for the assessment.
minutesMEAN

Results by group574

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Core Phase: Change From Baseline in Mean Actigraphy Sleep Efficiency (aSE) With Lemborexant Compared to Placebo During Week 1 of TreatmentCore Phase: Lemborexant-matched PlaceboBaseline76.34Standard Deviation 6.559percentage of sleep time
Core Phase: Change From Baseline in Mean Actigraphy Sleep Efficiency (aSE) With Lemborexant Compared to Placebo During Week 1 of TreatmentCore Phase: Lemborexant 2.5 mgBaseline77.64Standard Deviation 7.883percentage of sleep time
Core Phase: Change From Baseline in Mean Actigraphy Sleep Efficiency (aSE) With Lemborexant Compared to Placebo During Week 1 of TreatmentCore Phase: Lemborexant 5 mgBaseline78.45Standard Deviation 6.844percentage of sleep time
Core Phase: Change From Baseline in Mean Actigraphy Sleep Efficiency (aSE) With Lemborexant Compared to Placebo During Week 1 of TreatmentCore Phase: Lemborexant 10 mgBaseline76.38Standard Deviation 8.037percentage of sleep time
Core Phase: Change From Baseline in Mean Actigraphy Sleep Efficiency (aSE) With Lemborexant Compared to Placebo During Week 1 of TreatmentCore Phase: Lemborexant 15 mgBaseline77.35Standard Deviation 8.624percentage of sleep time
Core Phase: Change From Baseline in Mean Actigraphy Sleep Efficiency (aSE) With Lemborexant Compared to Placebo During Week 1 of TreatmentCore Phase: Lemborexant-matched PlaceboChange at Week 10.14Standard Deviation 5.766percentage of sleep time
Core Phase: Change From Baseline in Mean Actigraphy Sleep Efficiency (aSE) With Lemborexant Compared to Placebo During Week 1 of TreatmentCore Phase: Lemborexant 2.5 mgChange at Week 12.43Standard Deviation 3.910percentage of sleep time
Core Phase: Change From Baseline in Mean Actigraphy Sleep Efficiency (aSE) With Lemborexant Compared to Placebo During Week 1 of TreatmentCore Phase: Lemborexant 5 mgChange at Week 13.87Standard Deviation 4.646percentage of sleep time
Core Phase: Change From Baseline in Mean Actigraphy Sleep Efficiency (aSE) With Lemborexant Compared to Placebo During Week 1 of TreatmentCore Phase: Lemborexant 10 mgChange at Week 1-0.17Standard Deviation 5.861percentage of sleep time
Core Phase: Change From Baseline in Mean Actigraphy Sleep Efficiency (aSE) With Lemborexant Compared to Placebo During Week 1 of TreatmentCore Phase: Lemborexant 15 mgChange at Week 10.05Standard Deviation 4.475percentage of sleep time

Participant flow56

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Core PhaseSTARTEDCore Phase: Lemborexant-matched Placebo12
Core PhaseSTARTEDCore Phase: Lemborexant 2.5 mg12
Core PhaseSTARTEDCore Phase: Lemborexant 5 mg14
Core PhaseSTARTEDCore Phase: Lemborexant 10 mg13
Core PhaseSTARTEDCore Phase: Lemborexant 15 mg12
Core PhaseSTARTEDExtension Phase: Lemborexant 5 mg0
Core PhaseSTARTEDExtension Phase: Lemborexant 10 mg0
Core PhaseSTARTEDExtension Phase: Lemborexant 15 mg0
Core PhaseTreatedCore Phase: Lemborexant-matched Placebo12
Core PhaseTreatedCore Phase: Lemborexant 2.5 mg12

Adverse events424

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAtrioventricular block first degreeCardiac disordersCore Phase: Lemborexant-matched Placebo0120
otherAtrioventricular block first degreeCardiac disordersCore Phase: Lemborexant 2.5 mg0120
otherAtrioventricular block first degreeCardiac disordersCore Phase: Lemborexant 5 mg1131
otherAtrioventricular block first degreeCardiac disordersCore Phase: Lemborexant 10 mg0130
otherAtrioventricular block first degreeCardiac disordersCore Phase: Lemborexant 15 mg0120
otherAtrioventricular block first degreeCardiac disordersExtension Phase: Lemborexant 5 mg050
otherAtrioventricular block first degreeCardiac disordersExtension Phase: Lemborexant 10 mg1141
otherAtrioventricular block first degreeCardiac disordersExtension Phase: Lemborexant 15 mg060
otherBradycardiaCardiac disordersCore Phase: Lemborexant-matched Placebo0120
otherBradycardiaCardiac disordersCore Phase: Lemborexant 2.5 mg0120

Adverse event totals24

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCore Phase: Lemborexant-matched Placebo012
Total, all-cause mortalityCore Phase: Lemborexant 2.5 mg012
Total, all-cause mortalityCore Phase: Lemborexant 5 mg013
Total, all-cause mortalityCore Phase: Lemborexant 10 mg013
Total, all-cause mortalityCore Phase: Lemborexant 15 mg012
Total, all-cause mortalityExtension Phase: Lemborexant 5 mg05
Total, all-cause mortalityExtension Phase: Lemborexant 10 mg014
Total, all-cause mortalityExtension Phase: Lemborexant 15 mg06
Total, other adverse eventsCore Phase: Lemborexant-matched Placebo412
Total, other adverse eventsCore Phase: Lemborexant 2.5 mg312

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03001557

GET https://conductscience.org/api/trials/v1/NCT03001557/registered?page=2