Evidence map›Paper›PMID 41554554›Full record

Trial reportBritish journal of clinical pharmacology2026

Hypnotic doses of fazamorexant induced less impairment on balance and cognition than zolpidem in healthy younger and elderly individuals.

Chen Xia, Huang Xingxing, Jin Lu, Wang Ruwei

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in British journal of clinical pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Trial
  2. 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

4 authors.

Chen XiaPhase I Unit, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100050, China.
Huang XingxingYangtze River Pharmaceutical Group Co, Ltd., Taizhou, 225300, Jiangsu Province, China.
Jin LuYangtze River Pharmaceutical Group Co, Ltd., Taizhou, 225300, Jiangsu Province, China.
Wang RuweiYangtze River Pharmaceutical Group Co, Ltd., Taizhou, 225300, Jiangsu Province, China.

Funding

Yangtze River Pharmaceutical Group Co, Ltd.
6 · The paper itself

Abstract

aimsFazamorexant is a dual orexin receptor antagonist being developed for the treatment of insomnia. This study aims to determine the dose-exposure-response relationship of single-dose fazamorexant vs. zolpidem in young adult and elderly healthy Chinese volunteers.

methodsThis single-centre, randomized, double-blind, double-dummy, placebo- and active-controlled, 4-period crossover study administered fazamorexant (40 mg/80 mg to young adults; 20 mg/40 mg to the elderly) and zolpidem (10 mg). Pharmacokinetics, pharmacodynamics (primary endpoint: SPV) and safety were assessed.

resultsFollowing a single 40 mg oral dose of fazamorexant in elderly and young adults, the geometric least‑squares mean (GLSM) values for C

conclusionsClinically hypnotic doses of fazamorexant induced less balance, judgement and memory impairment in healthy adults and elderly volunteers compared to the comprehensive suppression of zolpidem on the neurological system. These preliminary results suggest that fazamorexant is a potentially safer drug for insomnia. No age-related pharmacokinetic difference was identified with fazamorexant.

Indexed as

CognitionHypnotics and SedativesOrexin Receptor AntagonistsPostural BalanceZolpidemAdultAgedAge FactorsArea Under CurveCross-Over StudiesDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansMaleMiddle AgedHypnotics and SedativesOrexin Receptor AntagonistsZolpidemFazamorexantinsomniapharmacodynamicspharmacokineticszolpidem

Identifiers

PMID41554554
PMCPMC13122287

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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.