NCT07213349 · Phase 2 · RECRUITING

Daridorexant for Alzheimer Disease Prevention

This trial tests whether daridorexant, an existing sleep medication, helps the brain clear proteins linked to Alzheimer's, compared with a placebo. It enrolls people without dementia, whether or not they have sleep problems. It is a Phase 2 trial, meaning researchers are testing whether it works and is safe, not yet proven or approved for this purpose.

Eligibility criteria

Inclusion Criteria:
* Without dementia as determined by: MoCA >21 or MMSE > 24 or Clinical Dementia Rating \<1
* Minimum of 6 years of formal education
* Stable psychoactive medication for 1 month prior to screening with no intention to change dose during treatment period
* Capacity to provide written consent in English or French
Exclusion Criteria:
* Clinical diagnosis of major neurocognitive disorder
* Unstable psychiatric condition:
* Clinically significant active suicidal ideations
* Unstable medical condition in the opinion of the investigator.
* Known or suspected history of drug or alcohol dependence or abuse within one year of the screening visit
* Currently taking a DORA
* Allergy or significant adverse reaction to DORA
* Use of benzodiazepines or z-drugs > 2 times per week in the last month.
* Use of major and moderate CYP3A4 inducers and inhibitors
* Use of strong central nervous system depressants, opioids, strong analgesics, antipsychotics, sedative antidepressants.
* Active use of cholinesterase inhibitors or memantine
* Women who are breast feeding or pregnant
* Severe obstructive sleep apnea (OSA)*
* Clinically significant non-treated rapid eye movement (REM) sleep behavior disorder, restless leg syndrome or parasomnia;
* Diagnosis of narcolepsy

The sponsor's own eligibility wording, lightly reformatted. The study team makes the final eligibility decision — worth discussing with your doctor.

Eligibility criteria as of 2025-12-19

View full record on ClinicalTrials.gov

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