Evidence map›Paper›PMID 30923834›Full record

ArticleSleep2019

Preclinical in vivo characterization of lemborexant (E2006), a novel dual orexin receptor antagonist for sleep/wake regulation.

Carsten Theodor Beuckmann, Takashi Ueno, Makoto Nakagawa, Michiyuki Suzuki, Shigeru Akasofu

Open access · bronzeAbstract read
In one paragraph

Article in Sleep, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
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  3. REST-a deep learning tool for automated mouse sleep stage classification.Sleep advances : a journal of the Sleep Research Society · 2026
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  11. FDA-Approved Fluorinated Heterocyclic Drugs from 2016 to 2022.International journal of molecular sciences · 2023
    Review
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  15. Observational
  16. Review
  17. Article
  18. Hypocretin/Orexin Receptor Pharmacology and Sleep Phases.Frontiers of neurology and neuroscience · 2021
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Carsten Theodor BeuckmannNeurology Business Group, Discovery, Eisai Co., Ltd., Tsukuba, Japan.
Takashi UenoDrug Metabolism and Pharmacokinetics, Eisai Co., Ltd., Tsukuba, Japan.
Makoto NakagawaNeurology Business Group, Discovery, Eisai Co., Ltd., Tsukuba, Japan.
Michiyuki SuzukiPharmaceutical Regulatory Affairs Department, Marketing Authorization Group, EA Pharma Co., Ltd., Tokyo, Japan.
Shigeru AkasofuNeurology Business Group, Discovery, Eisai Co., Ltd., Tsukuba, Japan.
Eisai (Japan) · JPEA Pharma (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesTo present results from in vivo studies underlying the preclinical development of lemborexant (E2006), a novel dual orexin (hypocretin) receptor antagonist for sleep/wake regulation.

methodsRodent (wild-type rats and wild-type and orexin neuron-deficient [orexin/ataxin-3 Tg/+] mice) studies were performed to evaluate the effects of single-dose oral lemborexant (1-300 mg/kg) on orexin-induced increases in plasma adrenocorticotropic hormone (ACTH), locomotor activity, vigilance state measures (wakefulness, nonrapid eye movement [non-REM] sleep, rapid eye movement [REM] sleep), ethanol-induced anesthesia, and motor coordination, and the effects of multiple-dose oral lemborexant (30 mg/kg) on vigilance state measures. Active comparators were almorexant and zolpidem. Pharmacokinetics were assessed after single-dose lemborexant in mice and rats.

resultsLemborexant prevented the orexin-promoted increase in ACTH in rats, therefore demonstrating inhibition of the orexin signaling pathway. Furthermore, lemborexant promoted sleep in wild-type mice and rats. Lemborexant promoted REM and non-REM sleep at an equal rate (there was no change in the REM sleep ratio). In contrast, zolpidem reduced REM sleep. The sleep-promoting effect of lemborexant was mediated via the orexin-peptide signaling pathway as demonstrated by a lack of sleep promotion in orexin neuron-deficient mice. Chronic dosing was not associated with a change in effect size or sleep architecture immediately postdosing. Lemborexant did not increase the sedative effects of ethanol or impair motor coordination, showing good safety margin in animals. Pharmacokinetic/pharmacodynamic data for mice and rats were well aligned.

conclusionsThese findings supported further clinical evaluation (ongoing at this time) of lemborexant as a potential candidate for treating insomnia and other sleep disorders.

Indexed as

AcetamidesAdrenocorticotropic HormoneAnimalsFemaleHypnotics and SedativesIsoquinolinesMaleMiceMice, Inbred C57BLOrexin Receptor AntagonistsOrexin ReceptorsPyridinesPyrimidinesRatsRats, Sprague-DawleySleep Initiation and Maintenance DisordersAcetamidesAdrenocorticotropic HormonealmorexantHypnotics and SedativesIsoquinolineslemborexantOrexin Receptor AntagonistsOrexin ReceptorsPyridinesPyrimidinesZolpidemantagonistdual orexin receptor antagonistE2006insomniain vivolemborexantmouseorexinratsleep

Identifiers

PMID30923834
PMCPMC6559177
OpenAlexW2926598623

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.