TS-142
/ Taisho
- LARVOL DELTA
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September 26, 2025
Efficacy and safety of vornorexant in Japanese patients with insomnia: a randomized, placebo-controlled phase 3 pivotal study.
(PubMed, Sleep)
- "Treatment with 5 and 10 mg of vornorexant significantly improved sleep onset latency and sleep efficiency compared with placebo without relevant safety concerns."
Journal • P3 data • Cataplexy • CNS Disorders • Excessive Daytime Sleepiness • Insomnia • Sleep Disorder
June 27, 2025
Preclinical pharmacological profiles of vornorexant, a novel potent dual orexin receptor antagonist.
(PubMed, J Pharmacol Exp Ther)
- "Here, we report the pharmacological profiles of [(2S)-2-{[3-(5-Fluoropyridin-2-yl)-1H-pyrazol-1-yl]methyl}-1,3-oxazinan-3-yl][5-methyl-2-(2H-1,2,3-triazol-2-yl)phenyl]methanone (vornorexant), also known as ORN0829...Moreover, vornorexant promoted sleep even after switching treatment from zolpidem or when administered in combination with zolpidem in rats. These results suggest that vornorexant possesses properties that are desirable for insomnia drugs."
Journal • Preclinical • CNS Disorders • Insomnia • Sleep Disorder
March 17, 2024
Preclinical metabolism and the disposition of vornorexant/TS-142, a novel dual orexin 1/2 receptor antagonist for the treatment of insomnia.
(PubMed, Pharmacol Res Perspect)
- "These findings demonstrate that vornorexant is absorbed immediately after administration, and vornorexant and its metabolites are rapidly and completely eliminated in rats and dogs. Thus, vornorexant may have favorable pharmacokinetic profiles as a hypnotic drug to provide rapid onset of action and minimal next-day residual effects in humans."
Journal • Preclinical • CNS Disorders • Insomnia • Sleep Disorder
March 19, 2024
Long-Term Study of TS-142 in Patients With Insomnia
(clinicaltrials.gov)
- P3 | N=401 | Completed | Sponsor: Taisho Pharmaceutical Co., Ltd. | Active, not recruiting ➔ Completed
Trial completion • CNS Disorders • Insomnia • Sleep Disorder
December 19, 2023
Phase III Study of TS-142 in Patients With Insomnia
(clinicaltrials.gov)
- P3 | N=1155 | Completed | Sponsor: Taisho Pharmaceutical Co., Ltd. | Recruiting ➔ Completed | N=540 ➔ 1155
Enrollment change • Trial completion • CNS Disorders • Insomnia • Sleep Disorder
December 11, 2023
A Pharmacokinetic Study of TS-142 in Patients With Hepatic Impairment
(clinicaltrials.gov)
- P1 | N=84 | Completed | Sponsor: Taisho Pharmaceutical Co., Ltd. | Recruiting ➔ Completed | N=24 ➔ 84
Enrollment change • Trial completion • Hepatology
September 05, 2023
A Study to Investigate the Next-day Residual Effects of TS-142 in Healthy Elderly Subjects
(clinicaltrials.gov)
- P1 | N=43 | Completed | Sponsor: Taisho Pharmaceutical Co., Ltd. | Recruiting ➔ Completed | N=16 ➔ 43
Enrollment change • Trial completion
August 11, 2023
Pharmacokinetics, pharmacodynamics, and safety profile of the dual orexin receptor antagonist vornorexant/TS-142 in healthy Japanese participants following single/multiple dosing: randomized, double-blind, placebo-controlled phase-1 studies.
(PubMed, Basic Clin Pharmacol Toxicol)
- "Exposure in elderly individuals was generally comparable to that in non-elderly individuals. Altogether, vornorexant may have a favorable profile for insomnia treatment, including rapid onset of action and minimal next-day residual effects."
Clinical • Journal • P1 data • PK/PD data • CNS Disorders • Insomnia • Sleep Disorder
July 20, 2023
Long-Term Study of TS-142 in Patients With Insomnia
(clinicaltrials.gov)
- P3 | N=401 | Active, not recruiting | Sponsor: Taisho Pharmaceutical Co., Ltd. | Recruiting ➔ Active, not recruiting | N=300 ➔ 401
Enrollment change • Enrollment closed • CNS Disorders • Insomnia • Sleep Disorder
May 19, 2023
A Study to Investigate the Next-day Residual Effects of TS-142 in Healthy Elderly Subjects
(clinicaltrials.gov)
- P1 | N=16 | Recruiting | Sponsor: Taisho Pharmaceutical Co., Ltd. | Not yet recruiting ➔ Recruiting
Enrollment open
April 19, 2023
A Study to Investigate the Next-day Residual Effects of TS-142 in Healthy Elderly Subjects
(clinicaltrials.gov)
- P1 | N=16 | Not yet recruiting | Sponsor: Taisho Pharmaceutical Co., Ltd.
New P1 trial
April 07, 2023
A Food Effect Study of TS-142 in Healthy Subjects
(clinicaltrials.gov)
- P1 | N=12 | Completed | Sponsor: Taisho Pharmaceutical Co., Ltd. | Recruiting ➔ Completed
Trial completion
February 28, 2023
A Food Effect Study of TS-142 in Healthy Subjects
(clinicaltrials.gov)
- P1 | N=12 | Recruiting | Sponsor: Taisho Pharmaceutical Co., Ltd. | Not yet recruiting ➔ Recruiting
Enrollment open
February 01, 2023
A Food Effect Study of TS-142 in Healthy Subjects
(clinicaltrials.gov)
- P1 | N=12 | Not yet recruiting | Sponsor: Taisho Pharmaceutical Co., Ltd.
New P1 trial
December 28, 2022
A Pharmacokinetic Study of TS-142 in Patients With Hepatic Impairment
(clinicaltrials.gov)
- P1 | N=24 | Recruiting | Sponsor: Taisho Pharmaceutical Co., Ltd. | Not yet recruiting ➔ Recruiting
Enrollment open • Hepatology
November 22, 2022
A Pharmacokinetic Study of TS-142 in Patients With Hepatic Impairment
(clinicaltrials.gov)
- P1 | N=24 | Not yet recruiting | Sponsor: Taisho Pharmaceutical Co., Ltd.
New P1 trial • Hepatology
October 17, 2022
Long-Term Study of TS-142 in Patients With Insomnia
(clinicaltrials.gov)
- P3 | N=300 | Recruiting | Sponsor: Taisho Pharmaceutical Co., Ltd. | Not yet recruiting ➔ Recruiting
Enrollment open • CNS Disorders • Insomnia • Sleep Disorder
September 09, 2022
Phase III Study of TS-142 in Patients With Insomnia
(clinicaltrials.gov)
- P3 | N=540 | Recruiting | Sponsor: Taisho Pharmaceutical Co., Ltd. | Not yet recruiting ➔ Recruiting
Enrollment open • CNS Disorders • Insomnia • Sleep Disorder
July 18, 2022
Long-Term Study of TS-142 in Patients With Insomnia
(clinicaltrials.gov)
- P3 | N=300 | Not yet recruiting | Sponsor: Taisho Pharmaceutical Co., Ltd.
New P3 trial • CNS Disorders • Insomnia • Sleep Disorder
July 12, 2022
Phase III Study of TS-142 in Patients With Insomnia
(clinicaltrials.gov)
- P3 | N=540 | Not yet recruiting | Sponsor: Taisho Pharmaceutical Co., Ltd.
New P3 trial • CNS Disorders • Insomnia • Sleep Disorder
March 18, 2022
Effects of TS-142, a novel dual orexin receptor antagonist, on sleep in patients with insomnia: a randomized, double-blind, placebo-controlled phase 2 study.
(PubMed, Psychopharmacology (Berl))
- P2 | "Single-dose TS-142 was well tolerated and had clinically relevant effects on objective and subjective sleep parameters in patients with insomnia."
Clinical • Journal • P2 data • CNS Disorders • Insomnia • Sleep Disorder
January 13, 2022
A Study to Evaluate Next Day Effects of TS-142 on Driving Performance in Healthy Subjects
(clinicaltrials.gov)
- P1; N=61; Completed; Sponsor: Taisho Pharmaceutical Co., Ltd.; Recruiting ➔ Completed
Clinical • Trial completion
December 15, 2021
Late Phase II Study of TS-142 in Patients With Insomnia
(clinicaltrials.gov)
- P2; N=179; Completed; Sponsor: Taisho Pharmaceutical Co., Ltd.; Recruiting ➔ Completed
Clinical • Trial completion • CNS Disorders • Insomnia • Sleep Disorder
November 23, 2021
A Clinical Pharmacology Study of TS-142 in Patients With Obstructive Sleep Apnea Hypopnea.
(clinicaltrials.gov)
- P1; N=46; Completed; Sponsor: Taisho Pharmaceutical Co., Ltd.; Recruiting ➔ Completed
Clinical • Trial completion • Obstructive Sleep Apnea • Respiratory Diseases • Sleep Disorder
October 13, 2021
A QT/QTc Evaluation Study of TS-142 in Healthy Adult Subjects
(clinicaltrials.gov)
- P1; N=59; Completed; Sponsor: Taisho Pharmaceutical Co., Ltd.; Recruiting ➔ Completed
Clinical • Trial completion
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