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Recruiting Phase 4 NCT05924425

NCT05924425 Daridorexant to Treat Insomnia in Patients With Mild Cognitive Impairment and Mild to Moderate Alzheimer Disease

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Clinical Trial Summary
NCT ID NCT05924425
Status Recruiting
Phase Phase 4
Sponsor University Hospital, Montpellier
Condition Alzheimer Disease
Study Type INTERVENTIONAL
Enrollment 62 participants
Start Date 2024-03-13
Primary Completion 2027-05-13

Trial Parameters

Condition Alzheimer Disease
Sponsor University Hospital, Montpellier
Study Type INTERVENTIONAL
Phase Phase 4
Enrollment 62
Sex ALL
Min Age 60 Years
Max Age 85 Years
Start Date 2024-03-13
Completion 2027-05-13
Interventions
Daridorexant 50 mgPlaceboPolysomnography

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Brief Summary

DARIDOR-ALZ is a phase IV clinical trial designed to evaluate both the efficacy and safety of daridorexant, a selective dual orexin receptor antagonist that blocks the actions of the orexin neuropeptides at both orexin-1 and orexin-2 receptors, in selected populations of MCI and mild-to-moderate AD patients with insomnia complaints.

Eligibility Criteria

Inclusion criteria : * Age \[60-85\] years old * Outpatients * Pre-screening: * Complaints of dissatisfaction with sleep quantity or quality, despite adequate opportunity for sleep, at least 3 nights per week and for at least 3 months, and * Total sleep time causes clinically significant distress or impairment in daytime functioning, and * Total sleep time estimated by interview was below 6 hours, on at least 3 nights per week and for at least 1 month before screening * Baseline PSG (at randomization) assessed TST \< 6 hours and WASO \> 1 hour * Diagnosis of MCI and AD patients at an early stage according to the NIA diagnosis criteria (core clinical criteria for MCI, positive biomarker for CSF Aβ42 and neuronal injury (hippocampal and/or temporal atrophy by MRI)) * MMSE from 12 to 26 * Clinical Dementia Rating CDR from 0.5 to 2 * Possible of CNS drugs if stable dose for at least 3 months: anticholinesterase drugs (rivastigmine, donepezil, galantamine) or memantine * For a male subject

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