About this trial
Shift Work Sleep Disorder (SWSD) are caused by working shifts with a wake-up schedule and sleeping in a way that is different from the natural way of sleeping and avoiding sleep usually results in deviations. of the biological clock (Biological clock), which is an important cause of sleep problems including insomnia, excessive sleepiness or daytime sleepiness these problems was associated cadiovascular events, decrease quality of life and long term working. At the present there are limited information regarding the effectiveness of medications used to promote sleep in shift workers. Lemborexant is specific in binding to orexin type 2, which has a direct effect on sleep. and there are limited biomarkers monitoring from the use of lemborexant including still not found. Which studies have followed depressive symptoms, anxiety symptoms and cognition from a group of people with insomnia, the aim of study to assessment effectiveness of lemborexant on sleep efficiency, quality of life, symptoms of depression, cognition, BDNF, CRP, IL-6 and TNF-alpha levels. of volunteers working on rotating shifts.
Eligibility criteria
Qualifiers
Age 20-60 years
Rotating shift workers at least 3 months and continue rotating shift until end of study
Participants who have sleep problem especially total sleep time lower than 6 hours and/or unable to sleep effectively according to the ICSD-3 at least 1 criteria
Participants who have sleepy while working and have Epworth sleepiness scale in shift grater than or equal to 10 points
Disqualifiers
Receiving drug interaction esp. drugs induced CYP3A4 (moderate to severe) or drugs inhibited CYP3A4 (moderate to severe)
Untreatment mental health disease or in process medication adjustment
Hepatic function in Chid-Pugh C
Pregnancy
Trial design
Treatments tested in this trial
- Lemborexant
- Placebo
Treatment groups
Sponsors and collaborators
Phramongkutklao College of Medicine and Hospital
Lead sponsor
Silpakorn University
Collaborator