Could a common sleep drug ease sleep apnea? small trial hints at possibility
NCT ID NCT05763329
First seen Jun 24, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This small study tested whether the sleep medication lemborexant (Dayvigo) can help people with moderate-to-severe obstructive sleep apnea (OSA) who have a low arousal threshold—meaning they wake up easily during sleep. Ten untreated adults each took the drug or a placebo on two separate nights in a sleep lab. Researchers measured breathing pauses, oxygen levels, and sleep quality to see if lemborexant could improve sleep without making apnea worse.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Lemborexant (Dayvigo) 5 mg oral tablet
- What this could lead to
- If it works, this could point toward a new way to treat sleep apnea by helping people stay asleep without worsening breathing pauses.
- What could go wrong
- This is a very small, early-phase trial with only 10 people, so results may not apply widely. The drug could also cause daytime sleepiness or other side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
-
10 people
The number who actually took part.
- Started
-
Feb 2023
- Finished
-
Jun 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 65 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Untreated OSA patient 18 - 65 years of age(49) * AHI ≥15 events/h of sleep (moderate to severe)(23, 49) * Low arousal threshold was defined using previously recommended criteria which allocated a score of 1 to each criterion that was satisfied: (apnea-hypopnea index, \<30 events per hour) + (nadir oxygen saturation as measured by pulse oximetry \>82.5%) + (fraction of hypopneas \>58.3%). A score of 2 or above defined a low arousal threshold(50) (low arousal threshold defined as esophageal pressure values are 0 to -15 cmH2O)(27) Exclusion Criteria: * Previous allergy or adverse effects with Lemborexant or other sedatives - Taking any medication that affects sleep or other variable measured in this study - Pregnant or nursing mothers - Respiratory disorders other than OSA - Comorbid disease of poor controlled or resistant hypertension, uncontrolled cardiovascular or cerebrovascular disease * Using CPAP or other dental devices * Unable to tolerate equipment in this study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Chulalongkorn University
Pathum Wan, Bangkok, 10330, Thailand
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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