Drugs / Lemborexant
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Lemborexant

also known as E2006 · LEM · Dayvigo

Small molecule targets HCRTR1, HCRTR2 via inhibition

Developed for
insomnia · obstructive sleep apnea syndrome · delirium · Alzheimer disease · sleep disorder · sleep disorder, initiating and maintaining sleep · cannabis dependence · circadian rhythm sleep disorder, irregular sleep wake type
+9 more · circadian rhythm sleep disorder, shift work type · cirrhosis of liver · movement disorder · nocturnal enuresis · Parkinson disease · substance-related disorder · alcohol-related disorders · circadian rhythm sleep disorder, delayed sleep phase type · epilepsy
Investigated by
Eisai Inc. · Purdue Pharma LP · Beijing Tiantan Hospital · Chulalongkorn University · Toronto Metropolitan University · Brendan Lucey
+28 more · Centre for Addiction and Mental Health · Eisai Inc. · Flinders University · Indonesia University · Kurume University · Laval University · Mahidol University · Mebix Inc · Nanjing University · National Institute on Aging (NIA) · National Institute on Drug Abuse (NIDA) · National Institutes of Health (NIH) · Nova Scotia Health Authority · Phramongkutklao College of Medicine and Hospital · Providence Health Care, British Columbia · Silpakorn University · St. Paul's Hospital, Vancouver (Providence Health Care) · The Royal Ottawa Mental Health Centre · Unity Health Toronto · University of Alberta · University of British Columbia · University of Calgary · University of California, San Francisco · University of Minnesota · University of Toronto · Virginia Commonwealth University · Woolcock Institute of Medical Research · YangPan

Regulatory milestones approvals, filings & regulatory actions · 7 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed insomnia 5 milestones
Filed EU (EMA) — insomnia 2026-07-16

“the European Medicines Agency (EMA) has accepted for evaluation a marketing authorization application (MAA) for its in-house-discovered and developed orexin receptor antagonist...” eisai.com ↗

Filed UK (MHRA) — insomnia 2026-07-02

“MHRA) has accepted for evaluation a marketing authorization application (MAA) for its in-house-discovered and developed orexin receptor antagonist lemborexant” eisai.com ↗

Filed Other DAYVIGO insomnia 2020-07-08

“the new drug application for approval of its in-house-discovered and developed orexin receptor antagonist DAYVIGO ® (generic name: lemborexant) for the treatment of adults with...” eisai.com ↗

Filed Japan (PMDA) — insomnia 2019-03-07

“application has been submitted in Japan for lemborexant, an investigational agent for sleep-wake regulation, seeking approval for use in the treatment of insomnia disorder.” eisai.com ↗

“submitted new drug applications seeking approval of lemborexant for use in the treatment of insomnia disorder in the United States (December 2018), Japan (March 2019)” eisai.com ↗

“Applications seeking approval of lemborexant for use in the treatment of insomnia disorder were submitted in the United States and Japan, respectively.” eisai.com ↗

“For Japan, a marketing authorization application for lemborexant for use in the treatment of insomnia disorder has been submitted” eisai.com ↗

Filed US (FDA) — insomnia 2018-12-27

“submitted new drug applications seeking approval of lemborexant for use in the treatment of insomnia disorder in the United States (December 2018), Japan (March 2019)” eisai.com ↗

“Applications seeking approval of lemborexant for use in the treatment of insomnia disorder were submitted in the United States and Japan, respectively.” eisai.com ↗

“New Drug Application for lemborexant for the treatment of insomnia, filed with the U.S. Food and Drug Administration, on December 27, 2018.” eisai.com ↗

“new drug applications seeking approval of lemborexant for use in the treatment of insomnia disorder were submitted in the United States” eisai.com ↗

“today announced that a new drug application has been submitted to the U.S. Food and Drug Administration (FDA) for lemborexant” eisai.com ↗

Approved Indication not stated 2 milestones
Label expansion US (FDA) DAYVIGO — 2023-04-20 fda.gov ↗
Approved US (FDA) DAYVIGO — 2019-12-20 fda.gov ↗

Trials 46

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 119 trials · 1 met primary · 1 missed
Phase 1 NCT04890561 May → Aug 2021 — Eisai Inc. Completed No outcome recorded
Phase 1 NCT04647383 Jan 2021 → Feb 2022 chronic obstructive pulmonary disease, obstructive sleep apnea syndrome Eisai Inc. Completed No outcome recorded
Phase 1 NCT04555733 Oct 2020 → Jan 2021 — Eisai Inc. Completed No outcome recorded
Phase 1 NCT03483636 Mar → Sep 2018 — Eisai Inc. Completed No outcome recorded
Phase 1 NCT03471871 Feb → Aug 2018 obstructive sleep apnea syndrome Eisai Inc. Completed No outcome recorded
Phase 1 NCT03443063 Feb → Aug 2018 impaired renal function disease Eisai Inc. Completed No outcome recorded
Phase 1 NCT03451110 Feb → Mar 2018 — Eisai Inc. Completed No outcome recorded
Phase 1 NCT03440424 Jan → Apr 2018 — Eisai Inc. Completed No outcome recorded
Phase 1 NCT03158025 Apr 2017 → Jul 2018 insomnia Eisai Inc. Completed No outcome recorded
Phase 1 NCT03008447 Nov 2016 → Jan 2018 — Eisai Inc. Completed Met primary
Phase 1/23 trials
Phase 1/2 NCT07802990 Nov 2026 → Nov 2028 expected cannabis dependence University of Calgary Not yet recruiting No outcome recorded
Phase 1/2 NCT07683442 Sep 2026 → Jun 2028 expected obstructive sleep apnea syndrome Chulalongkorn University Not yet recruiting No outcome recorded
Phase 1/2 NCT05763329 Feb 2023 → Feb 2025 obstructive sleep apnea syndrome Chulalongkorn University Completed No outcome recorded
Phase 213 trials · 1 met primary · 1 missed
Phase 2 NCT07811401 Oct 2026 → Dec 2027 expected sleep disorder Beijing Tiantan Hospital Not yet recruiting No outcome recorded
Phase 2 NCT07695285 Sep 2026 → Sep 2029 expected delirium Beijing Tiantan Hospital Not yet recruiting No outcome recorded
Phase 2 NCT06928766 Oct 2025 → May 2027 expected obstructive sleep apnea syndrome Flinders University Recruiting No outcome recorded
Phase 2 NCT06981195 May 2025 → Jul 2029 expected insomnia, substance-related disorder Virginia Commonwealth University Recruiting No outcome recorded
Phase 2 NCT06823752 May 2025 → Dec 2027 expected insomnia Woolcock Institute of Medical Research Recruiting No outcome recorded
Phase 2 NCT06648681 May 2025 → Apr 2027 expected delirium University of British Columbia Not yet recruiting No outcome recorded
Phase 2 NCT07480096 Oct 2024 → Oct 2025 cirrhosis of liver, hepatic encephalopathy, insomnia Indonesia University Completed No outcome recorded
Phase 2 NCT06843187 Sep 2024 → Dec 2027 expected insomnia, major depressive disorder Unity Health Toronto Recruiting No outcome recorded
Phase 2 NCT06274528 Mar 2024 → Mar 2030 expected Alzheimer disease University of Minnesota Recruiting No outcome recorded
Phase 2 NCT05728736 Mar → Sep 2023 Alzheimer disease Brendan Lucey Withdrawn No outcome recorded Stop: Enrollment
Phase 34 trials · 2 met primary
Phase 3 NCT06496282 Aug 2024 → May 2026 overdue — Phramongkutklao College of Medicine and Hospital Recruiting No outcome recorded
Phase 3 NCT04549168 Nov 2020 → Mar 2023 sleep disorder, initiating and maintaining sleep Eisai Inc. Completed No outcome recorded
Phase 3 NCT02952820 Nov 2016 → Jan 2019 insomnia Eisai Inc. Completed Met primary
Phase 3 NCT02783729 May 2016 → Jan 2018 insomnia Eisai Inc. Completed Met primary
Phase 46 trials · 1 missed
Phase 4 NCT07840638 Oct 2026 → Nov 2029 expected nocturnal enuresis University of Alberta Not yet recruiting No outcome recorded
Phase 4 NCT07407400 Sep 2026 → Dec 2027 expected delirium, sleep disorder Mahidol University Recruiting No outcome recorded
Phase 4 NCT07384429 Aug → Dec 2026 expected Parkinson disease, insomnia, movement disorder YangPan Not yet recruiting No outcome recorded
Phase 4 NCT06093126 Dec 2023 → Dec 2028 expected frontotemporal dementia, insomnia Nova Scotia Health Authority Recruiting No outcome recorded
Phase 4 NCT05344443 Mar 2022 → Nov 2024 circadian rhythm sleep disorder, shift work type University of California, San Francisco Completed Missed primary
Phase 4 NCT04742699 Mar 2021 → Jun 2022 insomnia Kurume University Completed No outcome recorded
Phase not applicable1 trial
— NCT06779149 Apr 2025 → Feb 2027 expected insomnia Laval University Recruiting No outcome recorded
Comparator or background therapy6 trials
Phase 1/2 NCT04818086 Comparator May 2021 → Apr 2023 substance-related disorder Virginia Commonwealth University Completed No outcome recorded
Phase 2 NCT06231641 Comparator Jan 2024 → Mar 2026 circadian rhythm sleep disorder, shift work type Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal Terminated No outcome recorded Stop: Enrollment
Phase 3 NCT06262594 Comparator Oct 2024 → Apr 2026 overdue epilepsy University of Manitoba Recruiting No outcome recorded
Phase 3 NCT05458609 Comparator Feb 2023 → Jan 2024 alcohol-related disorders Baylor College of Medicine Completed No outcome recorded
Phase 4 NCT06874855 Comparator Mar 2023 → May 2027 expected circadian rhythm sleep disorder, delayed sleep phase type University of California, San Francisco Recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 18

DateIssuerRelease
2026-07-16 Eisai Inc. Regulatory Marketing Authorization Application for In-house Developed Insomnia Drug Lemborexant Accepted for Evaluation by European Medicines Agency (EMA) eisai.com ↗
Eisai Co., Ltd. announced today that the European Medicines Agency (EMA) has accepted for evaluation a marketing authorization application (MAA) for its in-house-discovered and developed orexin receptor antagonist lemborexant (generic name) for the treatment of adult patients with chronic insomnia.
2026-07-02 Eisai Inc. Regulatory Marketing Authorization Application for In-house Developed Insomnia Drug Lemborexant Accepted for Evaluation by the United Kingdom’s Medicines and Healthcare Products Regulatory Agency (MHRA) eisai.com ↗
Eisai Co., Ltd. (Headquarters: Tokyo, CEO: Haruo Naito, “Eisai”) announced today that the United Kingdom’s (U.K.) Medicines and Healthcare products Regulatory Agency (MHRA) has accepted for evaluation a marketing authorization application (MAA) for its in-house-discovered and developed orexin receptor antagonist lemborexant for the treatment of adult patients with insomnia, characterised by symptoms present for at least 3 months with considerable impact on daytime functioning.
2025-05-27 Eisai Inc. Regulatory New Drug Approval for In-House Developed Anti-Insomnia Drug DAYVIGO® (Lemborexant) in China eisai.com ↗
Eisai Co., Ltd. (Headquarters: Tokyo, CEO: Haruo Naito, “Eisai”) announced today that the in-house-discovered and developed orexin receptor antagonist DAYVIGO ® (brand name in China: “达卫可 ® “ generic name: lemborexant) has been approved in China for the treatment of adults with insomnia, characterized by difficulties with sleep onset and/or sleep maintenance.
2021-03-02 Eisai Inc. Regulatory NEW DRUG APPROVAL FOR IN-HOUSE DEVELOPED ANTI-INSOMNIA DRUG DAYVIGO® (LEMBOREXANT) IN HONG KONG FIRST DRUG APPROVAL FOR DAYVIGO IN ASIA OUTSIDE OF JAPAN eisai.com ↗
This approval is the first approval for DAYVIGO in Asia outside of Japan.
2020-07-08 Eisai Inc. Regulatory NEW DRUG APPLICATION FOR IN-HOUSE DEVELOPED NEW ANTI-INSOMNIA DRUG DAYVIGO® ACCEPTED IN HONG KONG FIRST NEW DRUG APPLICATION FOR DAYVIGO IN ASIA OUTSIDE JAPAN eisai.com ↗
DAYVIGO ® (generic name: lemborexant) for the treatment of adults with insomnia, characterized by difficulties with sleep onset and/or sleep maintenance, has been accepted by the Hong Kong Department of Health.
2020-01-23 Eisai Inc. Regulatory DAYVIGO™ (LEMBOREXANT) APPROVED FOR TREATMENT OF INSOMNIA IN JAPAN NON-SEDATIVE OREXIN RECEPTOR ANTAGONIST DEMONSTRATES EFFECTIVENESS FOR BOTH SLEEP ONSET AND SLEEP MAINTENANCE eisai.com ↗
Eisai Co., Ltd. (Headquarters: Tokyo, CEO: Haruo Naito, “Eisai”) announced today that it has obtained the manufacturing and marketing approval in Japan for its in-house discovered orexin receptor antagonist DAYVIGO TM (2.5mg, 5mg, and 10mg tablets, lemborexant) for treatment of insomnia.
2019-12-23 Eisai Inc. Regulatory U.S. FDA APPROVES EISAI’S DAYVIGO™ (LEMBOREXANT) FOR TREATMENT OF INSOMNIA IN ADULT PATIENTS OREXIN RECEPTOR ANTAGONIST PROVEN EFFECTIVE FOR BOTH SLEEP ONSET AND SLEEP MAINTENANCE IN CLINICAL DEVELOPMENT PROGRAM OF MORE THAN 2,000 PATIENTS eisai.com ↗
Eisai Co., Ltd. (Headquarters: Tokyo, CEO: Haruo Naito, “Eisai”) today announced that the U.S. Food and Drug Administration (FDA) approved the new drug application for its in-house discovered and developed orexin receptor antagonist DAYVIGO TM (lemborexant).
2019-03-12 Eisai Inc. Regulatory Eisai and Imbrium Therapeutics Announce U.S. FDA Filing Acceptance of New Drug Application for Lemborexant for the Treatment of Insomnia eisai.com ↗
2019-03-07 Eisai Inc. Regulatory MARKETING AUTHORIZATION APPLICATION FOR POTENTIAL INSOMNIA DISORDER TREATMENT LEMBOREXANT SUBMITTED IN JAPAN eisai.com ↗
Eisai Co., Ltd. (Headquarters: Tokyo, CEO: Haruo Naito, “Eisai”) announced today that a marketing authorization application has been submitted in Japan for lemborexant, an investigational agent for sleep-wake regulation, seeking approval for use in the treatment of insomnia disorder.
2019-02-04 Eisai Inc. Results Eisai and Purdue Pharma Present Efficacy and Safety Data from Second Pivotal Phase 3 Study at the Sleep Research Society’s Conference: Advances in Sleep and Circadian Science Six-month data show significant improvements in patient-reported measures of sleep onset and sleep maintenance for investigational agent lemborexant eisai.com ↗
2019-01-15 Eisai Inc. Regulatory New Drug Application for Insomnia Disorder Treatment Lemborexant Submitted in the United States eisai.com ↗
Eisai Co., Ltd. (CEO: Haruo Naito, “Eisai”) and Purdue Pharma L.P. (President and CEO: Craig Landau, MD, “Purdue Pharma”) today announced that a new drug application has been submitted to the U.S. Food and Drug Administration (FDA) for lemborexant, an investigational agent for sleep-wake regulation, seeking approval for the treatment of insomnia, a sleep-wake disorder.
2018-10-26 Eisai Inc. Results EISAI PRESENTS NEW DATA ON LEMBOREXANT FOR TREATMENT OF IRREGULAR SLEEP-WAKE RHYTHM DISORDER IN PATIENTS WITH ALZHEIMER’S DISEASE AT THE 11TH CLINICAL TRIALS IN ALZHEIMER’S DISEASE CONFERENCE eisai.com ↗
The data were presented at the 11th Clinical Trials in Alzheimer’s Disease (CTAD) Conference in Barcelona, Spain.

All press releases naming this drug 35 releases

DateIssuerRelease

Evidence & citations 9 cited values

Every value below carries the sentence it was read from. 58 sources stand behind the page.

FieldValueCited text
Known as Lemborexant “the dual orexin-receptor antagonist lemborexant (LEM) in older adults” PMID 39120786 ↗ Aug 2024
43

NCT06823752 ↗

NCT04890561 ↗

NCT05594589 ↗

NCT06274528 ↗

NCT06648681 ↗

NCT02350309 ↗

NCT04555733 ↗

NCT06981195 ↗

NCT05728736 ↗

NCT04647383 ↗

Show 33 more sources

Known as Dayvigo “Lemborexant (Dayvigo) is a Dual Orexin Receptor Antagonist approved by Health Canada for the treatment of adult with insomnia, characterized by difficulties with sleep onset...” NCT06779149 ↗
4

“Lemborexant (trade name Dayvigo), 10mg capsules, administered orally” NCT06981195 ↗

“Lemborexant 5 MG Oral Tablet [Dayvigo] Day 1” NCT05763329 ↗

“Lemborexant 5 MG [Dayvigo] Period 1” NCT07683442 ↗

“Lemborexant 5 MG [Dayvigo]” NCT06231641 ↗

Known as E2006 “Lemborexant (E2006)” NCT03440424 ↗
8

NCT02046213 ↗

NCT02089412 ↗

NCT01673451 ↗

NCT01463098 ↗

NCT02085967 ↗

NCT01995838 ↗

NCT02039089 ↗

NCT01673880 ↗

Known as LEM “As part of a human abuse potential (HAP) study of lemborexant (LEM), the effects of therapeutic (LEM 10 mg), and supratherapeutic doses of LEM 20 mg and LEM 30 mg on cognition...” PMID 35748777 ↗ Jun 2022
6

“OBJECTIVE: To evaluate effects of lemborexant (LEM), a dual orexin receptor antagonist, on next-morning sleep propensity assessed by a modified Multiple Sleep Latency Test...” PMID 37193566 ↗ Jul 2021

“This study evaluated the efficacy and safety of lemborexant (LEM), a dual orexin-receptor antagonist, in participants with insomnia disorder in China.” PMID 41442783 ↗ Dec 2025

“lemborexant (LEM) 10 mg (LEM10), a competitive dual orexin-receptor antagonist” PMID 40848323 ↗ Aug 2025

“the dual orexin-receptor antagonist lemborexant (LEM) in older adults.” PMID 39120786 ↗ Aug 2024

“lemborexant (LEM), a dual orexin receptor antagonist” PMID 39823487 ↗ Jan 2025

“Lemborexant (LEM) 5 mg (Z-Drug-mono cohort)” NCT04742699 ↗

Action Inhibit “a dual orexin receptor antagonist” PMID 37193566 ↗ Jul 2021
2

“Orexin receptor 2 antagonist” CHEMBL3545367 ↗

“Orexin receptor 1 antagonist” CHEMBL3545367 ↗

Modality Small molecule — CHEMBL3545367 ↗
Route Oral “single oral doses of E2006” NCT01463098 ↗
Target HCRTR1 “Orexin receptor 1 antagonist” CHEMBL3545367 ↗
Target HCRTR2 “Orexin receptor 2 antagonist” CHEMBL3545367 ↗