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Orexin Antagonist

Suvorexant for Opioid Use Disorder

Phase 2
Waitlist Available
Led By Mark K Greenwald, PhD
Research Sponsored by Wayne State University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Males and non-pregnant females who agree to medically accepted birth control for the duration of the study
Age 18-70 years old
Must not have
Medications including anxiolytics, hypnotics (both prescription and OTC), sedating antidepressants, anticonvulsants, sedating H1 antihistamines (non-sedating second generation H4 antihistamines are allowed), systemic steroids, respiratory stimulants and decongestants, prescription and OTC stimulants, prescription and OTC diet aids, herbal preparations, and narcotic analgesics. All medications and doses will be documented
Chronic illnesses: renal failure, liver disease, seizures, and dementing illnesses
Timeline
Screening 3 weeks
Treatment Varies
Follow Up sleep efficiency is measured on the evening of the first medication dose
Awards & highlights
All Individual Drugs Already Approved
Approved for 5 Other Conditions

Summary

This trial will study the effects of suvorexant on sleep efficiency and opioid abstinence in 180 participants with opioid use disorder.

Who is the study for?
This trial is for adults aged 18-70 with opioid use disorder who have completed detox. They must not be pregnant and agree to birth control. Excluded are those with chronic illnesses, unstable conditions, certain psychiatric diseases, or using disallowed medications.
What is being tested?
The study tests if suvorexant improves sleep efficiency and helps patients abstain from opioids in outpatient settings. It also examines if better sleep contributes to staying off opioids. Participants will either receive suvorexant or a placebo.
What are the potential side effects?
While the side effects of suvorexant aren't detailed here, common ones may include drowsiness, headache, dizziness, dry mouth and potential next-day impairment.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I agree to use birth control during the study.
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I am between 18 and 70 years old.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I am not taking any medications that cause drowsiness or stimulate my system.
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I do not have chronic kidney failure, liver disease, seizures, or dementia.
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I have sleep issues like sleep apnea or restless legs that disturb my sleep.
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I do not have psychosis, bipolar disorder, or PTSD.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~sleep efficiency is measured on the evening of the first medication dose
This trial's timeline: 3 weeks for screening, Varies for treatment, and sleep efficiency is measured on the evening of the first medication dose for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Opioid abstinence
Sleep efficiency
Secondary study objectives
Actigraphic assessment of sleep
Clinical Global Impression (CGI)
Daily sleep questionnaire
+6 more

Awards & Highlights

All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
Approved for 5 Other Conditions
This treatment demonstrated efficacy for 5 other conditions.

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: Suvorexant 20mgExperimental Treatment1 Intervention
Suvorexant 20mg tablet
Group II: Suvorexant placeboPlacebo Group1 Intervention
Placebo (inert) tablet
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Suvorexant
FDA approved

Find a Location

Who is running the clinical trial?

Ascension Brighton Center for RecoveryUNKNOWN
Wayne State UniversityLead Sponsor
315 Previous Clinical Trials
110,900 Total Patients Enrolled
Henry Ford Health SystemOTHER
311 Previous Clinical Trials
2,176,356 Total Patients Enrolled
Mark K Greenwald, PhDPrincipal InvestigatorWayne State University
5 Previous Clinical Trials
164 Total Patients Enrolled

Media Library

Suvorexant (Orexin Antagonist) Clinical Trial Eligibility Overview. Trial Name: NCT04262193 — Phase 2
Opioid Use Disorder Research Study Groups: Suvorexant placebo, Suvorexant 20mg
Opioid Use Disorder Clinical Trial 2023: Suvorexant Highlights & Side Effects. Trial Name: NCT04262193 — Phase 2
Suvorexant (Orexin Antagonist) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04262193 — Phase 2
Opioid Use Disorder Patient Testimony for trial: Trial Name: NCT04262193 — Phase 2
~8 spots leftby Jan 2026