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Trial ยท NCT03471871

Study to Evaluate the Respiratory Safety of Lemborexant in Adult and Elderly Healthy Subjects and Adult and Elderly Subjects With Mild Obstructive Sleep Apnea

NCT03471871, Phase 1, Completed, Eisai Inc.; results first posted 2020-01-18

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study to Evaluate the Respiratory Safety of Lemborexant in Adult and Elderly Healthy Subjects and Adult and Elderly Subjects With Mild Obstructive Sleep Apnea. Trials, record NCT03471871. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03471871

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Trial

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

Title
Study to Evaluate the Respiratory Safety of Lemborexant in Adult and Elderly Healthy Subjects and Adult and Elderly Subjects With Mild Obstructive Sleep Apnea
NCT number
NCT03471871
Status
Completed
Phases
Phase 1
Enrollment
146 participants, actual
Lead sponsor
Eisai Inc.
Conditions
Obstructive Sleep Apnea, Healthy Subjects
Interventions
Placebo, Lemborexant 10 mg, Lemborexant 25 mg, Placebo, Lemborexant 10 mg
First posted
2018-03-21
Last updated
2020-02-17
Results first posted
2020-01-18

Source ClinicalTrials.gov

Registered outcomes9

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

ListOutcomeTime frameDescription
PrimaryHV Cohort: Peripheral Oxygen Saturation (SpO2) During Total Sleep Time (TST) on Day 1 of TreatmentDay 1
SpO2 is an estimate of the amount of oxygen in the blood. It is the percentage of hemoglobin containing oxygen compared to the total amount of hemoglobin in the blood (that is, oxygenated hemoglobin versus oxygenated and non-oxygenated hemoglobin). SpO2 was monitored by noninvasive method known as transmissive pulse oximetry. TST was defined as the total time asleep in minutes using polysomnography (PSG).
PrimaryOSA Cohort: Apnea-Hypopnea Index (AHI) on Day 8 of TreatmentDay 8
The AHI is the number of apneas and hypopneas per hour of sleep. AHI less than 5 is considered normal. An AHI from 5 to 14 denotes mild sleep apnea, 15 to 30 is moderate, while a greater than 30 AHI is considered severe.
SecondaryHV Cohort: AHI on Day 1 of TreatmentDay 1
The AHI is the number of apneas and hypopneas per hour of sleep. AHI less than 5 is considered normal. An AHI from 5 to 14 denotes mild sleep apnea, 15 to 30 is moderate, while a greater than 30 AHI is considered severe.
SecondaryOSA Cohort: AHI on Day 1 of TreatmentDay 1
The AHI is the number of apneas and hypopneas per hour of sleep. AHI less than 5 is considered normal. An AHI from 5 to 14 denotes mild sleep apnea, 15 to 30 is moderate, while a greater than 30 AHI is considered severe.
SecondaryHV Cohort: Percentage of TST During Which SpO2 Was Less Than (<) 90 Percent (%), 85 % and 80 % on Day 1 of TreatmentDay 1
TST was defined as the total time asleep in minutes using PSG. SpO2 is an estimate of the amount of oxygen in the blood. It is the percentage of hemoglobin containing oxygen compared to the total amount of hemoglobin in the blood (that is, oxygenated hemoglobin versus oxygenated and non-oxygenated hemoglobin). SpO2 was monitored by noninvasive method known as transmissive pulse oximetry.
SecondaryHV Cohort: Percentage of Participants With at Least One Incident of SpO2 <90% for at Least 30 Seconds During TST on Day 1 of TreatmentDay 1
SpO2 is an estimate of the amount of oxygen in the blood. It is the percentage of hemoglobin containing oxygen compared to the total amount of hemoglobin in the blood (that is, oxygenated hemoglobin versus oxygenated and non-oxygenated hemoglobin). SpO2 was monitored by noninvasive method known as transmissive pulse oximetry. TST was defined as the total time asleep in minutes using PSG.
SecondaryOSA Cohort: SpO2 During TST on Day 1 and Day 8 of TreatmentDay 1 and Day 8
SpO2 is an estimate of the amount of oxygen in the blood. It is the percentage of hemoglobin containing oxygen compared to the total amount of hemoglobin in the blood (that is, oxygenated hemoglobin versus oxygenated and non-oxygenated hemoglobin). SpO2 was monitored by noninvasive method known as transmissive pulse oximetry. TST was defined as the total time asleep in minutes using PSG.
SecondaryOSA Cohort: Percentage of TST During Which the SpO2 is <90%, 85% and 80 % on Day 1 and Day 8 of TreatmentDay 1 and Day 8
TST was defined as the total time asleep in minutes using PSG. SpO2 is an estimate of the amount of oxygen in the blood. It is the percentage of hemoglobin containing oxygen compared to the total amount of hemoglobin in the blood (that is, oxygenated hemoglobin versus oxygenated and non-oxygenated hemoglobin). SpO2 was monitored by noninvasive method known as transmissive pulse oximetry.
SecondaryOSA Cohort: Percentage of Participants With at Least One Incident of SpO2 <90% for at Least 30 Seconds During TST on Day 1 and Day 8 of TreatmentDay 1 and Day 8
SpO2 is an estimate of the amount of oxygen in the blood. It is the percentage of hemoglobin containing oxygen compared to the total amount of hemoglobin in the blood (that is, oxygenated hemoglobin versus oxygenated and non-oxygenated hemoglobin). SpO2 was monitored by noninvasive method known as transmissive pulse oximetry. TST was defined as the total time asleep in minutes using PSG.

Outcomes9

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYHV Cohort: Peripheral Oxygen Saturation (SpO2) During Total Sleep Time (TST) on Day 1 of TreatmentDay 1
Pharmacodynamic (PD) analysis set included group of participants who received at least 1 dose of study drug in each treatment periods and who had sufficient PD data to derive at least 1 primary PD parameter.
percentage of oxygen saturationMEAN
PRIMARYOSA Cohort: Apnea-Hypopnea Index (AHI) on Day 8 of TreatmentDay 8
PD analysis set included group of participants who received at least 1 dose of study drug in each treatment periods and who had sufficient PD data to derive at least 1 primary PD parameter. Here, overall number of participants analyzed signifies participants who were evaluable for this outcome measure.
events (apnea plus hyponea) per hourMEAN
SECONDARYHV Cohort: AHI on Day 1 of TreatmentDay 1PD analysis set included group of participants who received at least 1 dose of study drug in each treatment periods and who had sufficient PD data to derive at least 1 primary PD parameter.events (apnea plus hyponea) per hourMEAN
SECONDARYOSA Cohort: AHI on Day 1 of TreatmentDay 1
PD analysis set included group of participants who received at least 1 dose of study drug in each treatment periods and who had sufficient PD data to derive at least 1 primary PD parameter. Here, overall number of participants analyzed signifies participants who were evaluable for this outcome measure.
events (apnea plus hyponea) per hourMEAN
SECONDARYHV Cohort: Percentage of TST During Which SpO2 Was Less Than (<) 90 Percent (%), 85 % and 80 % on Day 1 of TreatmentDay 1PD analysis set included group of participants who received at least 1 dose of study drug in each treatment periods and who had sufficient PD data to derive at least 1 primary PD parameter.percentage of TSTMEAN
SECONDARYHV Cohort: Percentage of Participants With at Least One Incident of SpO2 <90% for at Least 30 Seconds During TST on Day 1 of TreatmentDay 1PD analysis set included group of participants who received at least 1 dose of study drug in each treatment periods and who had sufficient PD data to derive at least 1 primary PD parameter.percentage of participantNUMBER
SECONDARYOSA Cohort: SpO2 During TST on Day 1 and Day 8 of TreatmentDay 1 and Day 8
PD analysis set included group of participants who received at least 1 dose of study drug in each treatment periods and who had sufficient PD data to derive at least 1 primary PD parameter. Here, 'number analyzed' signifies participants who were evaluable for analysis at the specified timepoints.
percentage of oxygen saturationMEAN
SECONDARYOSA Cohort: Percentage of TST During Which the SpO2 is <90%, 85% and 80 % on Day 1 and Day 8 of TreatmentDay 1 and Day 8
PD analysis set included group of participants who received at least 1 dose of study drug in each treatment periods and who had sufficient PD data to derive at least 1 primary PD parameter. Here, 'number analyzed' signifies participants who were evaluable for analysis at the specified timepoints.
percentage of TSTMEAN
SECONDARYOSA Cohort: Percentage of Participants With at Least One Incident of SpO2 <90% for at Least 30 Seconds During TST on Day 1 and Day 8 of TreatmentDay 1 and Day 8PD analysis set included group of participants who received at least 1 dose of study drug in each treatment periods and who had sufficient PD data to derive at least 1 primary PD parameter.percentage of participantNUMBER

Results by group42

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

OutcomeGroupCategoryValueSpreadUnits
HV Cohort: Peripheral Oxygen Saturation (SpO2) During Total Sleep Time (TST) on Day 1 of TreatmentHV Cohort: Placebo95.34Standard Deviation 0.900percentage of oxygen saturation
HV Cohort: Peripheral Oxygen Saturation (SpO2) During Total Sleep Time (TST) on Day 1 of TreatmentHV Cohort: Lemborexant 10 mg95.00Standard Deviation 1.283percentage of oxygen saturation
HV Cohort: Peripheral Oxygen Saturation (SpO2) During Total Sleep Time (TST) on Day 1 of TreatmentHV Cohort: Lemborexant 25 mg95.07Standard Deviation 1.311percentage of oxygen saturation
OSA Cohort: Apnea-Hypopnea Index (AHI) on Day 8 of TreatmentOSA Cohort: Placebo10.03Standard Deviation 6.799events (apnea plus hyponea) per hour
OSA Cohort: Apnea-Hypopnea Index (AHI) on Day 8 of TreatmentOSA Cohort: Lemborexant 10 mg9.99Standard Deviation 5.878events (apnea plus hyponea) per hour
HV Cohort: AHI on Day 1 of TreatmentHV Cohort: Placebo4.69Standard Deviation 8.183events (apnea plus hyponea) per hour
HV Cohort: AHI on Day 1 of TreatmentHV Cohort: Lemborexant 10 mg5.29Standard Deviation 10.484events (apnea plus hyponea) per hour
HV Cohort: AHI on Day 1 of TreatmentHV Cohort: Lemborexant 25 mg3.55Standard Deviation 6.585events (apnea plus hyponea) per hour
OSA Cohort: AHI on Day 1 of TreatmentOSA Cohort: Placebo10.24Standard Deviation 7.094events (apnea plus hyponea) per hour
OSA Cohort: AHI on Day 1 of TreatmentOSA Cohort: Lemborexant 10 mg10.29Standard Deviation 6.681events (apnea plus hyponea) per hour

Participant flow95

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

PeriodMilestoneGroupParticipantsUnits counted
Treatment Period 1(HV:1 Day, OSA:8 Days)STARTEDHV Cohort,Sequence A:Placebo,Lemborexant 10mg,Lemborexant 25mg6
Treatment Period 1(HV:1 Day, OSA:8 Days)STARTEDHV Cohort,Sequence B:Lemborexant 10mg,Lemborexant 25mg,Placebo5
Treatment Period 1(HV:1 Day, OSA:8 Days)STARTEDHV Cohort,Sequence C:Lemborexant 25mg,Placebo,Lemborexant 10mg6
Treatment Period 1(HV:1 Day, OSA:8 Days)STARTEDOSA Cohort, Sequence D: Placebo, Lemborexant 10mg19
Treatment Period 1(HV:1 Day, OSA:8 Days)STARTEDOSA Cohort, Sequence E: Lemborexant 10mg, Placebo20
Treatment Period 1(HV:1 Day, OSA:8 Days)TreatedHV Cohort,Sequence A:Placebo,Lemborexant 10mg,Lemborexant 25mg6
Treatment Period 1(HV:1 Day, OSA:8 Days)TreatedHV Cohort,Sequence B:Lemborexant 10mg,Lemborexant 25mg,Placebo5
Treatment Period 1(HV:1 Day, OSA:8 Days)TreatedHV Cohort,Sequence C:Lemborexant 25mg,Placebo,Lemborexant 10mg6
Treatment Period 1(HV:1 Day, OSA:8 Days)TreatedOSA Cohort, Sequence D: Placebo, Lemborexant 10mg18
Treatment Period 1(HV:1 Day, OSA:8 Days)TreatedOSA Cohort, Sequence E: Lemborexant 10mg, Placebo20

Adverse events80

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherPhotopsiaEye disordersHV Cohort: Placebo016
otherPhotopsiaEye disordersHV Cohort: Lemborexant 10 mg016
otherPhotopsiaEye disordersHV Cohort: Lemborexant 25 mg117
otherPhotopsiaEye disordersOSA Cohort: Placebo038
otherPhotopsiaEye disordersOSA Cohort: Lemborexant 10 mg038
otherSeasonal allergyImmune system disordersHV Cohort: Placebo016
otherSeasonal allergyImmune system disordersHV Cohort: Lemborexant 10 mg016
otherSeasonal allergyImmune system disordersHV Cohort: Lemborexant 25 mg117
otherSeasonal allergyImmune system disordersOSA Cohort: Placebo038
otherSeasonal allergyImmune system disordersOSA Cohort: Lemborexant 10 mg038

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityHV Cohort: Placebo016
Total, all-cause mortalityHV Cohort: Lemborexant 10 mg016
Total, all-cause mortalityHV Cohort: Lemborexant 25 mg017
Total, all-cause mortalityOSA Cohort: Placebo038
Total, all-cause mortalityOSA Cohort: Lemborexant 10 mg038
Total, other adverse eventsHV Cohort: Placebo116
Total, other adverse eventsHV Cohort: Lemborexant 10 mg116
Total, other adverse eventsHV Cohort: Lemborexant 25 mg417
Total, other adverse eventsOSA Cohort: Placebo538
Total, other adverse eventsOSA Cohort: Lemborexant 10 mg638

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
40848323DERIVED

Source PubMed

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.

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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/NCT03471871

GET https://conductscience.org/api/trials/v1/NCT03471871/results?page=2