首页|达利雷生:一种新型双重食欲素受体拮抗剂治疗成人失眠的临床优势

达利雷生:一种新型双重食欲素受体拮抗剂治疗成人失眠的临床优势

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达利雷生(Daridorexant)是一种新型双重食欲素受体拮抗剂(DORA),用于治疗成人慢性失眠障碍.与传统的苯二氮 类和非苯二氮 类助眠药相比,该药展现出一系列独特的临床优势,可显著改善入睡潜伏期,延长睡眠总时长,减轻夜间苏醒,并维持正常睡眠波段结构,且安全性高,药物依赖和滥用风险低,不会引起反弹性失眠,亦可明显改善日间功能,包括提高警觉性、注意力和记忆力.欧盟已批准达利雷生用于治疗成人慢性失眠,这是首个同时被批准具有改善日间功能的DORA药物;美国FDA也已批准其用于治疗成人失眠.本文基于达利雷生的非临床和临床研究数据,全面回顾其独特的药理作用及作为新型失眠治疗药物的临床优势,为其在失眠治疗领域的应用提供参考.
Daridorexant:A Novel Dual Orexin Receptor Antagonist for Clinical Advantages of Treating Adult Insomnia
Daridorexant is a novel dual orexin receptor antagonist(DORA)for the treatment of chronic insomnia disorder in adults.Daridorexant demonstrates a unique set of clinical advantages over traditional benzodiazepine and non-benzodiazepine sleep aids.Daridorexant can significantly improve sleep latency,prolong total sleep duration,reduce nocturnal awakenings and maintain normal sleep band structure.At the same time,it is safe,has low risk of drug dependence and abuse,and does not cause rebound insomnia.In addition,daridorexant significantly improves daytime functioning,including alertness,attention and memory.Daridorexant has been approved in the European Union for the treatment of chronic insomnia in adults,and is the first DORA drug to be approved also for improving daytime function.It has also been approved by the U.S.FDA for the treatment of insomnia in adults.Based on the data from non-clinical and clinical studies of daridorexant,this article comprehensively reviews its unique pharmacological effects and clinical advantages as a novel treatment for adult insomnia,and provides a reference for its application in the field of insomnia treatment.

DaridorexantDual orexin receptor antagonistsInsomnia disorder

蔡艺娴、潘集阳

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暨南大学附属第一医院 睡眠医学中心,广州 510000

达利雷生 双重食欲素受体拮抗剂 失眠障碍

2024

药学与临床研究
江苏省药学会

药学与临床研究

CSTPCD
影响因子:0.95
ISSN:1673-7806
年,卷(期):2024.32(1)
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