Study of Lemborexant Effects on Sleep, Mood, and Behavior in Adults with Opioid Use Disorder Taking Buprenorphine
Led by Virginia Commonwealth University · Updated on 2026-07-09
100
Participants Needed
1
Research Sites
N/A
Total Duration
AI-Summary
What this Trial Is About
Researchers are studying how certain medications used to treat insomnia, including lemborexant, affect sleep, mood, and behavior in adults with Opioid Use Disorder who are taking prescribed buprenorphine. The study aims to understand the effects of lemborexant compared to a placebo over an 8-week treatment period, focusing on sleep quality, impulsive behavior, and mood changes.
Participants will be randomly assigned to receive either lemborexant 10 mg capsules or matching placebo capsules, taken orally once daily about 5 to 30 minutes before bedtime for 8 weeks. The study includes a total of 23 visits with various assessments, including urine drug tests, vital signs, interviews, and sleep monitoring using a wearable watch and sleep logs during three separate two-week periods.
During the study, participants will complete surveys on sleep, drug use, and mood, provide blood samples at screening and post-medication, and undergo regular evaluations. Researchers will measure changes in insomnia and impulsivity from baseline through the end of treatment, along with other sleep metrics and emotional health questionnaires. Safety and adherence will be closely monitored throughout the trial, which lasts for the entire 8-week treatment period plus screening and follow-up visits.
CONDITIONS
Brief Title
Effects of Lemborexant on Insomnia and Its Relationship to Mood and Behavior on Opioid Use Disorder Subjects
Research Team
J
Joyce Ruddley, RN
T
Tiffany Pignatello, NP
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This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
Factors
Lemborexant 10 mg nightly
Placebo nightly
What it is
Investigational dual orexin receptor antagonist (lemborexant) taken nightly for 8 weeks.
Identical-appearing placebo capsule taken nightly for 8 weeks.
Role in the trial
Active experimental treatment being tested for insomnia in OUD patients on buprenorphine.
Control comparator to evaluate effect relative to no active drug.
Primary use
Studied as treatment for insomnia symptoms in adults with opioid use disorder.
Used as inactive comparator to assess sleep and related neurobehavioral outcomes.
How it is given
One capsule nightly, approximately 5–30 minutes before bedtime over an 8‑week intervention phase.
One matching placebo capsule nightly, approximately 5–30 minutes before bedtime over an 8‑week period.
Evidence status
Investigational use; efficacy in this population is not yet established.
No therapeutic effect expected; serves as control.
Important limitations
Results may not generalize beyond adults with OUD stabilized on buprenorphine or beyond 8 weeks.
Control does not reflect standard insomnia treatments, limiting direct clinical applicability.
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
Be 18 years of age or older
Meet current DSM-5 criteria for opioid use disorder with at least moderate severity
Receiving outpatient treatment for opioid use disorder with sublingual or extended-release buprenorphine
Stable on current buprenorphine dose for at least 4 weeks with no planned dose changes for 3 months
Positive urine test for buprenorphine and appropriate norbuprenorphine level
Negative urine test for non-prescribed substances (except cannabinoids) and negative breath or oral fluid alcohol screen
Screen positive for chronic insomnia on the Insomnia Symptom Questionnaire
Insomnia Severity Index score of 13 or higher at screening and baseline
No medical or psychiatric condition that would prevent safe participation
Understand study procedures and provide written informed consent in English
Have access to a computer or smartphone with internet or cell service for virtual surveys and monitoring
You will not qualify if you...
Current diagnosis of sleep-related breathing disorders such as sleep apnea, narcolepsy, somnambulism, or sleep paralysis
Positive screen for sleep apnea by specific tests or oxygen desaturation criteria
Currently receiving behavioral or pharmacologic treatment for insomnia
Taking medications for sleep conditions or unable to stop over-the-counter sleep aids
Taking benzodiazepines or other CNS active medications that increase risk
Active alcohol or drug use disorder with non-prescribed substance use in last 3 months (except nicotine)
Cannabis use more than 3 days per week
Uncontrolled serious psychiatric disorders like Bipolar I, ADHD, Schizophrenia, or major depressive disorder with psychotic features
Uncontrolled neurological, cardiovascular, or pulmonary conditions
Abnormal baseline ECG with significant conduction issues or QTc over 450ms
Significant suicidal or homicidal thoughts or recent suicide attempt
Certain abnormal lab results (liver enzymes or creatinine elevated)
Pregnant or breastfeeding, or unwilling to use effective contraception if of childbearing potential
Taking drugs or supplements that strongly affect CYP3A4 enzyme
Previous adverse reaction to lemborexant or similar drugs
Currently incarcerated or pending incarceration
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
One longer screening visit lasting about 2-3 hours plus additional shorter visits
Treatment
Duration - 8 weeks
Participants take either lemborexant or placebo capsules once daily before bedtime for 8 weeks. They will complete surveys, urine drug tests, vital sign checks, interviews, and wear a sleep tracking watch at home during specific periods.
23 visits, mostly short (15-30 minutes), including longer baseline and post-medication visits
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
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Published Research Related To This Trial
Neurofunctional phenotyping to investigate the role of the orexin system at the intersection of opioid use disorder and insomnia: a protocol for a randomised, placebo-controlled clinical trial of lemborexant in patients with insomnia receiving buprenorphine.