Evidence map›Paper›PMID 31283862›Full record

Trial reportNeuropsychopharmacology reports2019

Suvorexant for insomnia in patients with psychiatric disorder: A 1-week, open-label study.

Taro Kishi, Kenji Sakuma, Makoto Okuya, Kohei Ninomiya, Kazuto Oya, Momoko Kubo, Yuki Matsui, Ikuo Nomura, Yuji Okuyama, Shinji Matsunaga and 1 more

Abstract readClinical Trial
In one paragraph

Trial report in Neuropsychopharmacology reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Orexin Receptor Antagonists and Insomnia.Current psychiatry reports · 2022
    Review
  9. 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

11 authors.

Taro KishiDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.ORCID 0000-0002-9237-2236
Kenji SakumaDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Makoto OkuyaDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Kohei NinomiyaDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Kazuto OyaDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Momoko KuboDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Yuki MatsuiDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Ikuo NomuraDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Yuji OkuyamaDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Shinji MatsunagaDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Nakao IwataDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThere have been no previous reports on the efficacy and safety of suvorexant for insomnia in people with psychiatric disorders.

methodsThis one-week, prospective, single-arm, clinical trial of fixed dose of suvorexant (20 mg if ages 18-64 or 15 mg if age ≥ 65 years) for insomnia included 57 patients with psychiatric disorders who had experienced any of the following insomnia symptoms for four or more nights during the week prior to the start of the study: total sleep time (TST) <6 hours, time to sleep onset (TSO) ≥30 minutes, or two or more episodes of wake after sleep onset.

resultsThe mean age of the patients was 49.4 ± 17.3 years; 54.4% were women, 49.1% had a major depressive disorder, and 77.2% completed the trial. Compared with the baseline scores (the mean scores for the two days before the start of the study), taking suvorexant was associated with significant improvements in TST, TSO, wake time after sleep onset, and the patients' sleep satisfaction level at week 1. Adverse events included at least one adverse event (43.9%), sleepiness (28.8%), fatigue (11.5%), nightmares (5.8%), headache (3.8%), dizziness (3.8%), and vomiting (1.9%).

conclusionSuvorexant was beneficial for the treatment of insomnia in people with psychiatric disorders. However, this study was of short duration and included only a relatively small number of patients. A larger, long-term study is needed to investigate the efficacy and safety of suvorexant for insomnia in people with psychiatric disorders.

Indexed as

AdultAgedAzepinesFemaleHumansMaleMental DisordersMiddle AgedSleep Aids, PharmaceuticalSleep Initiation and Maintenance DisordersTriazolesAzepinesSleep Aids, PharmaceuticalsuvorexantTriazolesefficacyinsomniapsychiatric disordersafetysuvorexant

Identifiers

PMID31283862
PMCPMC7292311

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Registered trials

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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.