Drugs / Daridorexant
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Daridorexant

Small molecule targets CYP3A4, HCRTR1, HCRTR2 via inhibition

Developed for
insomnia · obstructive sleep apnea syndrome · Alzheimer disease · delirium · post-traumatic stress disorder · alcohol dependence · alcohol-related disorders · chronic obstructive pulmonary disease
+3 more · hepatic encephalopathy · major depressive disorder · sleep disorder
Investigated by
Idorsia Pharmaceuticals Ltd. · Berry Consultants · Cambridge Cognition Ltd · Citeline · Global Coalition for Adaptive Research · Jiangsu Simcere Pharmaceutical Co., Ltd.
+21 more · PPD Development, LP · U.S. Army Medical Research and Development Command · University of Rochester · Bellvitge Biomedical Research Institute · Centre Médical les Jasmins "Poumon et Sommeil" · Douglas Mental Health University Institute · Hospital Universitari de Bellvitge · Hôpital Européen Marseille · Hôpital de la Pitié Salpêtrière - AP-HP · Johns Hopkins University · National Institutes of Health (NIH) · Nxera Pharma Korea Co., Ltd. · Polyclinique Saint-Laurent - Hospitalité Saint-Thomas de Villeneuve · Sterling McPherson · University Hospital, Grenoble · University Hospital, Montpellier · University of Kentucky · University of Mississippi Medical Center · University of Oxford · Wang Fengmei · Weston Family Foundation

Regulatory milestones approvals, filings & regulatory actions · 9 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed insomnia 6 milestones
Filed Japan (PMDA) — insomnia 2023-10-31

“Sosei Heptares Announces Submission of New Drug Application in Japan for Daridorexant (ACT-541468), a Dual Orexin Receptor Antagonist for the Treatment of Insomnia” nxera.life ↗

“has submitted a New Drug Application (“NDA”) to the Japanese Pharmaceuticals and Medical Devices Agency (“PMDA”) for the approval of daridorexant” nxera.life ↗

“for insomnia patients in Japan, and a new drug application was submitted in Japan in October 2023.” shionogi.com ↗

Filed UK (MHRA) — insomnia 2022-05-03

“a separate application for the use of daridorexant for the same indication has been submitted to the Medicines and Healthcare products Regulatory Agency (MHRA)” idorsia.com ↗

Filed Other — insomnia 2021-04-20

“Idorsia has also submitted marketing authorization applications (MAA) to the European Medicines Agency and Swissmedic for daridorexant for the same indication.” idorsia.com ↗

“Daridorexant MAA submitted to Switzerland’s health authority, Swissmedic, in April 2021” idorsia.com ↗

Filed EU (EMA) — insomnia 2021-03-02

“Idorsia has also submitted marketing authorization applications (MAA) to the European Medicines Agency and Swissmedic for daridorexant for the same indication.” idorsia.com ↗

“today announced the submission of a marketing authorisation application (MAA) to the European Medicines Agency (EMA) for daridorexant” idorsia.com ↗

“Daridorexant marketing authorisation application (MAA) submitted to the European Medicines Agency (EMA) in March 2021” idorsia.com ↗

“The NDA was submitted to the US FDA on January 8, 2021 and the MAA to the European Union EMA on March 2, 2021.” idorsia.com ↗

Filed US (FDA) — insomnia 2021-01-08

“Daridorexant new drug application (NDA) submitted to the US FDA in January 2021 and has been accepted for review” idorsia.com ↗

“Daridorexant new drug application (NDA) submitted to the US Food & Drug Administration (FDA) on January 8, 2021” idorsia.com ↗

“A New Drug Application (NDA) for daridorexant was submitted to the US FDA on January 8, 2021,” idorsia.com ↗

“A New Drug Application (NDA) for daridorexant was submitted to the US FDA on January 8, 2021” idorsia.com ↗

“A New Drug Application (NDA) for daridorexant was submitted to the US FDA on January 8, 2021” idorsia.com ↗

Filed China (NMPA) — insomnia —

“an NDA for Mainland China was submitted in June 2024.” idorsia.com ↗

Approved Indication not stated 3 milestones
Label expansion US (FDA) QUVIVIQ — 2024-09-30 fda.gov ↗
Approved EU (EMA) Quviviq — 2022-04-29 europa.eu ↗
Approved US (FDA) QUVIVIQ — 2022-01-07 fda.gov ↗

Trials 46

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 124 trials · 2 met primary
Phase 1 NCT06326723 Sep → Dec 2023 — Jiangsu Simcere Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 1 NCT05877222 Jun → Aug 2023 — Idorsia Pharmaceuticals Ltd. Completed No outcome recorded
Phase 1 NCT05632393 Jan → Apr 2023 — Idorsia Pharmaceuticals Ltd. Completed No outcome recorded
Phase 1 NCT05702177 Jan → Apr 2023 — Idorsia Pharmaceuticals Ltd. Completed No outcome recorded
Phase 1 NCT05480475 Sep 2022 — Idorsia Pharmaceuticals Ltd. Completed No outcome recorded
Phase 1 NCT05480488 Aug → Sep 2022 — Idorsia Pharmaceuticals Ltd. Completed No outcome recorded
Phase 1 NCT05458193 Aug 2022 → Feb 2023 obstructive sleep apnea syndrome Idorsia Pharmaceuticals Ltd. Completed Met primary
Phase 1 NCT04390334 May → Jun 2020 — Idorsia Pharmaceuticals Ltd. Completed No outcome recorded
Phase 1 NCT04250506 Feb → Jul 2020 — Idorsia Pharmaceuticals Ltd. Completed Met primary
Phase 1 NCT04024332 Sep 2019 → Aug 2020 impaired renal function disease Idorsia Pharmaceuticals Ltd. Completed No outcome recorded
Phase 210 trials · 2 met primary
Phase 2 NCT07532252 Jan 2027 → Aug 2030 expected alcohol-related disorders Johns Hopkins University Not yet recruiting No outcome recorded
Phase 2 NCT07701928 Sep 2026 → Dec 2030 expected alcohol dependence, insomnia Sterling McPherson Not yet recruiting No outcome recorded
Phase 2 NCT07217912 Oct 2025 → Nov 2027 expected delirium University of Rochester Recruiting No outcome recorded
Phase 2 NCT07213349 Oct 2025 → Dec 2028 expected Alzheimer disease Douglas Mental Health University Institute Recruiting No outcome recorded
Phase 2 NCT06630390 Nov 2024 → Feb 2025 delirium University of Rochester Completed No outcome recorded
Phase 2 NCT05422612 Nov 2023 → Jul 2028 post-traumatic stress disorder Global Coalition for Adaptive Research Suspended No outcome recorded
Phase 2 NCT05948540 Nov 2023 → Apr 2028 post-traumatic stress disorder Global Coalition for Adaptive Research Suspended No outcome recorded
Phase 2 NCT05423717 Sep 2022 → Jan 2026 insomnia Idorsia Pharmaceuticals Ltd. Completed No outcome recorded
Phase 2 NCT02841709 Nov 2016 → May 2017 insomnia Idorsia Pharmaceuticals Ltd. Completed Met primary
Phase 2 NCT02839200 Oct 2016 → Apr 2017 insomnia Idorsia Pharmaceuticals Ltd. Completed Met primary
Phase 36 trials · 2 met primary
Phase 3 NCT07843329 Sep 2026 → Nov 2027 expected insomnia Idorsia Pharmaceuticals Ltd. Not yet recruiting No outcome recorded
Phase 3 NCT07028697 Dec 2024 → Sep 2025 insomnia Nxera Pharma Korea Co., Ltd. Completed No outcome recorded
Phase 3 NCT06010693 Aug 2023 → Apr 2024 insomnia Jiangsu Simcere Pharmaceutical Co., Ltd. Completed Met primary
Phase 3 NCT03679884 Oct 2018 → Feb 2021 insomnia Idorsia Pharmaceuticals Ltd. Completed No outcome recorded
Phase 3 NCT03545191 Jun 2018 → Jan 2020 insomnia Idorsia Pharmaceuticals Ltd. Completed Met primary
Phase 3 NCT03575104 May 2018 → Apr 2020 insomnia Idorsia Pharmaceuticals Ltd. Completed Mixed
Phase 45 trials · 1 met primary
Phase 4 NCT07830303 Sep 2026 → Feb 2029 expected cirrhosis of liver, hepatic encephalopathy, sleep disorder Wang Fengmei Not yet recruiting No outcome recorded
Phase 4 NCT07555743 Apr 2026 → Apr 2027 expected insomnia, major depressive disorder Bellvitge Biomedical Research Institute Not yet recruiting No outcome recorded
Phase 4 NCT07267559 Oct 2025 → Sep 2026 overdue cognitive disorder University of Oxford Recruiting No outcome recorded
Phase 4 NCT05924425 Mar 2024 → May 2027 expected Alzheimer disease, insomnia University Hospital, Montpellier Recruiting No outcome recorded
Phase 4 NCT05597020 Feb 2023 → Apr 2024 insomnia Idorsia Pharmaceuticals Ltd. Completed Met primary
Phase not applicable1 trial
— NCT07743931 Sep 2026 → Sep 2028 expected insomnia, obstructive sleep apnea syndrome University Hospital, Grenoble Recruiting No outcome recorded
Comparator or background therapy2 trials
Phase 4 NCT07136415 Comparator Feb 2026 → Feb 2031 expected insomnia Brigham and Women's Hospital Recruiting No outcome recorded
Phase 4 NCT07328594 Comparator Feb 2026 → Mar 2027 expected insomnia, nicotine dependence Legacy Health System Not yet recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 47

DateIssuerRelease
2026-08-11 Idorsia Pharmaceuticals Ltd. Regulatory Idorsia acknowledges the DEA proposal to reclassify dual orexin receptor antagonists to the lowest schedule – Schedule V idorsia.com ↗
Idorsia Ltd (SIX: IDIA) announces that the US Drug Enforcement Administration (DEA) will publish a proposed rule to reclassify dual orexin receptor antagonists (DORAs) from Schedule IV to Schedule V under the Controlled Substances Act (CSA).
2026-04-28 Idorsia Pharmaceuticals Ltd. Results Idorsia reports strong Q1 2026 performance with 74% QUVIVIQ sales growth year-on-year idorsia.com ↗
Outstanding Phase 2 results in children: statistically significant dose-dependent response on total sleep time with clinically meaningful improvements across multiple sleep measures in children with insomnia disorder, with especially pronounced efficacy in those with co-morbid neurodevelopmental disorders.
2026-04-14 Nxera Pharma UK Limited Regulatory Nxera Pharma’s QUVIVIQ (daridorexant) 25mg and 50mg Receives Approval in Taiwan for the Treatment of Insomnia nxera.life ↗
2026-04-14 Nxera Pharma UK Limited Regulatory Other nxera.life ↗
2026-03-30 Idorsia Pharmaceuticals Ltd. Results Idorsia’s daridorexant delivers outstanding results in a Phase 2 study in children with insomnia disorder idorsia.com ↗
Phase 2 results show a statistically significant dose-dependent response on total sleep time with clinically meaningful improvements across multiple sleep measures in children with insomnia disorder, with especially pronounced efficacy in those with co-morbid neurodevelopmental disorders
2026-03-04 Nxera Pharma UK Limited Regulatory Nxera Pharma Submits Marketing Authorization Application for Daridorexant in South Korea nxera.life ↗
Nxera Pharma Submits Marketing Authorization Application for Daridorexant in South Korea
2026-03-04 Nxera Pharma UK Limited Regulatory Other nxera.life ↗
2026-01-19 Nxera Pharma UK Limited Results Nxera Pharma Reports Positive Results From Phase 3 Trial of Daridorexant in South Korea nxera.life ↗
Nxera Pharma Co., Ltd. (“Nxera” or “the Company”; TSE 4565) announces that positive top-line results were obtained from a Phase 3 study conducted in South Korea evaluating daridorexant 50 mg in adult and elderly patients with insomnia.
2026-01-19 Nxera Pharma UK Limited Results Other nxera.life ↗
本試験結果は、主要評価項目および副次評価項目のいずれの項目も達成しました。
2026-01-05 Idorsia Pharmaceuticals Ltd. Results Idorsia’s daridorexant in women during menopausal transition age with insomnia idorsia.com ↗
New analysis of a Phase 3 study of daridorexant shows that 50 mg improved both sleep and daytime functioning compared to placebo in women during menopausal transition age
2025-11-17 Jiangsu Simcere Pharmaceutical Co., Ltd. Regulatory Simcere to Start Producing Swiss Insomnia Drug in China, Building Manufacturing Capabilities for Global Supply simcere.com ↗
We have already submitted our application to the NMPA for locally manufacturing the drug in Hainan,
2025-10-31 Nxera Pharma UK Limited Regulatory Nxera Pharma Receives a Manufacturing Approval Partial Amendment Regarding the Addition of a Manufacturing Site in Asia for QUVIVIQ® 25 and 50 mg nxera.life ↗

All press releases naming this drug 87 releases

DateIssuerRelease

Evidence & citations 16 cited values

Every value below carries the sentence it was read from. 51 sources stand behind the page.

FieldValueCited text
Known as Daridorexant “Daridorexant (ACT-541468) is a potent dual orexin receptor antagonist under development for the treatment of sleep disorders.” PMID 33205362 ↗ Nov 2020
32

“Daridorexant is a dual orexin receptor antagonist in clinical development for insomnia.” PMID 34002356 ↗ May 2021

NCT05597020 ↗

NCT05924425 ↗

NCT04250506 ↗

NCT05423717 ↗

NCT07213349 ↗

NCT03545191 ↗

NCT05632393 ↗

NCT05948540 ↗

NCT06630390 ↗

Show 22 more sources

Known as ACT-541468 “The main purpose of this study is to assess efficacy and safety of ACT-541468 (daridorexant) in adult and elderly subjects with insomnia disorder.” NCT03575104 ↗
19

“Daridorexant (ACT-541468) is a potent dual orexin receptor antagonist under development for the treatment of sleep disorders.” PMID 33205362 ↗ Nov 2020

“Study to Assess the Efficacy and Safety of ACT-541468 (Daridorexant) in Adult and Elderly Subjects With Insomnia Disorder” NCT03545191 ↗

“Daridorexant (ACT-541468) administered as film-coated tablets for oral use.” NCT04250506 ↗

“a single dose of 50 mg ACT-541468 (Treatment A) on Day 1” NCT03907215 ↗

NCT03892902 ↗

NCT04024332 ↗

NCT03646864 ↗

NCT03907215 ↗

NCT03017495 ↗

NCT03657355 ↗

Show 9 more sources

Known as ACT-541468 HYDROCHLORIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL4297590 ↗
Known as ACT-541468A ChEMBL registry synonym — accepted as the source's own label CHEMBL4297590 ↗
Known as DARIDOREXANT HYDROCHLORIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL4297590 ↗
Known as DEA NO. 2410 ChEMBL registry synonym — accepted as the source's own label CHEMBL4297590 ↗
Known as DTX “sleep medication, daridorexant (DTX), can help decrease drinking in people who have alcohol use disorder (AUD) and insomnia.” NCT07701928 ↗
Known as Nemorexant ChEMBL registry synonym — accepted as the source's own label CHEMBL4297590 ↗
Known as Nemorexant hydrochloride ChEMBL registry synonym — accepted as the source's own label CHEMBL4297590 ↗
Known as Quviviq “Daridorexant (brand name Quviviq) is FDA-approved for the treatment of insomnia in adults.” NCT07267559 ↗
Action Inhibit “Daridorexant, a dual orexin receptor antagonist, is approved for the treatment of insomnia disorder in adults.” PMID 40660750 ↗ Jul 2025
2

“Orexin receptor 2 antagonist” CHEMBL4297590 ↗

“Orexin receptor 1 antagonist” CHEMBL4297590 ↗

Modality Small molecule — CHEMBL4297590 ↗
Route Oral “Oral capsule (25 mg) as single dose” NCT02526888 ↗
Target CYP3A4 “Daridorexant at 50 mg is classified as a weak CYP3A4 inhibitor after single- and multiple-dose administration once daily at steady state.” PMID 38472696 ↗ Mar 2024
Target HCRTR1 “Orexin receptor 1 antagonist” CHEMBL4297590 ↗
Target HCRTR2 “Orexin receptor 2 antagonist” CHEMBL4297590 ↗