Evidence map›Paper›PMID 41942161›Full record

ArticleBMJ open2026

Daridorexant in children and adolescents with insomnia disorder: study protocol for a multicentre randomised controlled trial.

Preciosa Coloma, Daniel Coury, Sophie Wernette, Vicki Beevers, Cécile Dubois, Tobias Di Marco, Ozan Taylan Dursun, Oliviero Bruni

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05423717 (Multi-center, Double-blind, Randomized, Placebo-controlled, Parallel-group, Polysomnography, Dose-finding Study Assessing the Efficacy, Safety, and Pharmacokinetics of Multiple-dose Oral Administration of Daridorexant in Pediatric Subjects Aged 10 to < 18 Years With Insomnia Disorder), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05423717 phase2completednot on this map

Multi-center, Double-blind, Randomized, Placebo-controlled, Parallel-group, Polysomnography, Dose-finding Study Assessing the Efficacy, Safety, and Pharmacokinetics of Multiple-dose Oral Administration of Daridorexant in Pediatric Subjects Aged 10 to < 18 Years With Insomnia Disorder

TypeinterventionalSponsorIdorsia Pharmaceuticals Ltd.Ran2022 to 2026Enrolled166ConditionsInsomniaArmsDaridorexant 10 mg, Daridorexant 25 mg, Daridorexant 50 mg, Placebo
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Preciosa ColomaGlobal Clinical Development, Idorsia Pharmaceuticals Ltd, Allschwil, Switzerland drugdiva@gmail.com tobias.dimarco@outlook.com.ORCID http://orcid.org/0009-0002-8996-1811
Daniel CouryDevelopmental & Behavioral Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, USA.
Sophie WernetteGlobal Clinical Development, Idorsia Pharmaceuticals Ltd, Allschwil, Switzerland.
Vicki BeeversThe Sleep Charity, Doncaster, UK.
Cécile DuboisGlobal Clinical Development, Idorsia Pharmaceuticals Ltd, Allschwil, Switzerland.
Tobias Di MarcoGlobal Clinical Development, Idorsia Pharmaceuticals Ltd, Allschwil, Switzerland drugdiva@gmail.com tobias.dimarco@outlook.com.
Ozan Taylan DursunGlobal Clinical Development, Idorsia Pharmaceuticals Ltd, Allschwil, Switzerland.
Oliviero BruniDepartment of Developmental and Social Psychology, Sapienza University, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInsomnia disorder imposes a significant burden on children and adolescents; however, treatment options are limited. This paper describes the first controlled study to investigate the efficacy and safety of daridorexant, a dual orexin receptor antagonist, in children and adolescents with or without comorbid neurodevelopmental disorders, allowing its evaluation in a broad paediatric population. METHODS AND ANALYSIS: This multicentre, double-blind, randomised, placebo-controlled, parallel-group, dose-finding Phase 2 trial includes male and female participants aged ≥10 to <18 years meeting the diagnosis of insomnia disorder as per Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) or International Classification of Sleep Disorders, Third Edition (ICSD-3) criteria. The study population is stratified into three groups: those with a known diagnosis of autism spectrum disorder (ASD) or attention-deficit hyperactivity disorder (ADHD); those without a diagnosis of ASD/ADHD but who meet the definition of 'subthreshold ASD' or 'subthreshold ADHD'; those with neither diagnosed ASD/ADHD nor 'subthreshold' ASD/ADHD. Study participants are randomised 1:1:1:1 to daridorexant 10 mg, 25 mg, 50 mg or placebo for at least 14 days. The change from baseline to Day 1 in total sleep time, measured by polysomnography, is the primary endpoint used to characterise the dose-response relationship of daridorexant in paediatric subjects with insomnia disorder. The study also assesses the safety, tolerability, pharmacokinetics, palatability and acceptability of daridorexant. ETHICS AND DISSEMINATION: This study has been approved by the respective health authorities and institutional review boards/independent ethics committees for each participating site and country and is conducted in accordance with the Declaration of Helsinki. Ethics approval has been obtained for each participating country/site. Regardless of the outcomes, the results will be published in an international peer-reviewed scientific journal. TRIAL REGISTRATION NUMBER: NCT05423717.

Indexed as

Orexin Receptor AntagonistsPyrrolidinesSleep Initiation and Maintenance DisordersAdolescentAttention Deficit Disorder with HyperactivityChildClinical Trials, Phase II as TopicDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansImidazolesMaleMulticenter Studies as TopicRandomized Controlled Trials as TopicTreatment OutcomedaridorexantImidazolesOrexin Receptor AntagonistsPyrrolidinesAdolescentAttention Deficit Disorder with HyperactivityChildClinical ProtocolsInsomniaSLEEP MEDICINE

Identifiers

PMID41942161
PMCPMC13055338

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Registered trials

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.