Idorsia NDA for Insomnia Drug
FDA has accepted for review an Idorsia NDA for its investigational dual orexin receptor antagonist, daridorexant, for treating adult patients with insomnia. The submission includes data from the company’s Phase 3 registration program, which the company says showed that daridorexant demonstrated statistically significant and clinically meaningful improvements in sleep during the night and, for the first time for an insomnia treatment, in daytime functioning, which were sustained over time.
The company says adverse reactions reported with a frequency greater than 2% in daridorexant-treated patients were headache, somnolence, fatigue, dizziness, and nausea. Patients reported no next-morning sleepiness compared to placebo as assessed by the morning visual analog scale, Idorsa says. “These results make daridorexant the first sleep medication to demonstrate an improvement in sleep and daytime functioning, as measured by a newly developed and validated instrument, while keeping a favorable safety profile in adult and elderly patients,” it says.
Daridorexant is a dual orexin receptor antagonist that is designed to reduce overactive wakefulness associated with insomnia by blocking the activity of orexin. Idorsia says its research team designed the drug to have a rapid onset of effect and a duration of action sufficient to cover the night but short enough to avoid any negative next-morning residual activity.