ClinicalTrials.gg
TerminatedNCT06498128Updated Oct 29, 2026

Registry to Collect Information on Pregnancy, Neonatal, and Infant Outcomes in Pregnant Women Exposed to QUVIVIQ®

An observational study in Insomnia, sponsored by Idorsia Pharmaceuticals Ltd.. Terminated at 1 site in United States. Open to female participants aged 15 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by Idorsia Pharmaceuticals Ltd. · Observational

Why this study was terminated
The study, in its current operational format, has been terminated. However, data collection will continue through the National Pregnancy Registry for Psychiatric Medications (NPRPM), which is conducted by Massachusetts General Hospital (NCT01246765)
Updated Oct 29, 2026Now TerminatedNo longer in 6 countries+4 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
3
Ages
15 Years to 50 Years
Sex
Female
01

Study summary

This study will investigate pregnancy, neonatal, and infant outcomes in women exposed to QUVIVIQ during pregnancy compared to women unexposed to QUVIVIQ during pregnancy.

02

Conditions studied

  • Insomnia

Keywords

  • Pregnancy
03

In context

Sleep Initiation and Maintenance Disorders

2,722 studies on the registry are indexed under Sleep Initiation and Maintenance Disorders; 726 are open to participants now.

This study's enrollment of 3 is below the median of 138 across 318 observational studies indexed under Sleep Initiation and Maintenance Disorders.

Browse Sleep Initiation and Maintenance Disorders studies →

Lead sponsor

Idorsia Pharmaceuticals Ltd. is the lead sponsor of 103 studies on the registry; 4 are open to participants now.

Of its 29 completed or terminated interventional studies of FDA-regulated products, 9 (31%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
15 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Women with insomnia disorder, monitored in a standard-of-care setting, and pregnant at time of enrollment (prospective pregnancies) will be assigned to a specific cohort according to the insomnia medication received. Women with insomnia disorder for whom the outcome of pregnancy is known prior to enrollment (retrospective pregnancies) will be analyzed in a separate case series.

Eligibility criteria

A) Eligibility criteria for prospective pregnancies:

Inclusion Criteria:

  1. Diagnosis of insomnia disorder prior to pregnancy.
  2. Pregnancy is ongoing and outcome of pregnancy (i.e., pregnancy loss or live birth) is not known.
  3. One of the following:

    1. Exposure to QUVIVIQ at any time during the current pregnancy or within 5 half-lives prior to conception.
    2. Exposure to other, non-orexin receptor antagonist medications for insomnia during pregnancy or within 5 half-lives of the respective insomnia medication prior to conception.
    3. No exposure to any insomnia medication during pregnancy and within 5 half-lives of any insomnia medication taken prior to conception.

Exclusion Criteria:

  • Exposure to any orexin receptor antagonist other than QUVIVIQ - including BELSOMRA® (suvorexant), DAYVIGO® (lemborexant), any orexin receptor antagonist newly approved during the study period, or any orexin receptor antagonist in pre-market clinical studies - during the current pregnancy or within 5 half-lives of the respective medication prior to conception.

B) Eligibility criteria for retrospective pregnancies:

Inclusion criteria:

  1. Diagnosis of insomnia disorder prior to pregnancy.
  2. Pregnancy has ended.
  3. Exposure to QUVIVIQ during pregnancy or within 5 half-lives prior to conception.

Exclusion criteria:

  • Exposure to any orexin receptor antagonist other than QUVIVIQ - including suvorexant, lemborexant, any orexin receptor antagonist newly approved during the study period, or any orexin receptor antagonist in pre-market clinical studies - during pregnancy or within 5 half-lives of the respective medication prior to conception.
05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
3 participants (actual)
Target follow-up
21 Months
Patient registry
Yes

Groups and cohorts

  • QUIVIQ (Cohort A)

    Women with insomnia exposed to QUVIVIQ during pregnancy or within 5 half-lives prior to conception.

    Drug: Daridorexant

  • Non-orexin receptor antagonist medications for insomnia (Cohort B1)

    Women exposed to other, non-orexin receptor antagonist medications for insomnia during pregnancy or within 5 half-lives of the respective insomnia medication prior to conception.

    Drug: Non-orexin receptor antagonist medications for insomnia

  • No insomnia medications (Cohort B2)

    Women who had no exposure to any insomnia medication during pregnancy and within 5 half-lives of any insomnia medication taken prior to conception.

    Other: No insomnia medication

Interventions

  • Dosing and treatment duration of QUVIVIQ as part of this observational study is at the discretion of the healthcare provider in accordance with local clinical practice and local labeling.

    Also known as: QUVIVIQ

  • DrugNon-orexin receptor antagonist medications for insomnia

    Dosing and treatment duration of non-orexin receptor antagonist medications for insomnia as part of this observational study is at the discretion of the healthcare provider in accordance with local clinical practice and local labeling.

  • OtherNo insomnia medication

    No insomnia medication was administered.

06

What researchers measure

Primary outcomes

  1. Major congenital malformations classified according to MACDP

    Congenital malformations will be classified according to the Metropolitan Atlanta Congenital Defects Program (MACDP) classification system. All potential major congenital malformations identified by the participant's or the infant's healthcare providers will be evaluated by a qualified, independent committee of at least 3 teratologists using all available medical records. Classification will be based upon the teratologists' adjudication, who will be blinded to participant exposure status.

    Time frame: Start of pregnancy up to 1 year of infant age

Secondary outcomes

  1. Pregnancy complications - number of participants with pre-eclampsia

    The presence of hypertension on 2 occasions at least 4 hours apart after 20 weeks gestation (in a woman with previously normal blood pressure) and proteinuria; or, in the absence of proteinuria, a new onset of hypertension accompanied by one of the following conditions: thrombocytopenia, renal insufficiency, impaired liver function, pulmonary edema, or cerebral or visual symptoms.

    Time frame: 20 weeks gestation until delivery/birth/labor

  2. Pregnancy complications - number of participants with pregnancy-induced hypertension

    High blood pressure associated with pregnancy, as diagnosed by the treating healthcare provider, i.e., elevated (systolic between 120-129 mmHg and diastolic less than 80 mmHg); Stage 1 hypertension (systolic between 130-139 mmHg or diastolic between 80-89 mmHg); or Stage 2 hypertension (systolic at least 140 mmHg or diastolic at least 90 mmHg).

    Time frame: 20 weeks gestation until delivery/birth/labor

  3. Pregnancy complications - number of participants with pre-term labor

    Regular contractions of the uterus resulting in changes in the cervix that start before 37 weeks of pregnancy.

    Time frame: Start of pregnancy up to 37 weeks gestation

  4. Pregnancy complications - number of participants with gestational diabetes

    Characterized by the development of carbohydrate intolerance with first onset or first recognition during pregnancy.

    Time frame: Start of pregnancy until delivery/birth/labor

  5. Pregnancy outcomes - number of participants with pregnancy outcome of elective or therapeutic pregnancy termination

    Any induced or voluntary fetal loss during pregnancy.

    Time frame: Start of pregnancy until delivery/birth/labor

  6. Pregnancy outcomes - number of participants with pregnancy outcome of spontaneous abortion

    Loss of a fetus due to natural causes at less than 20 weeks of gestation.

    Time frame: Start of pregnancy up to 20 weeks gestation

  7. Pregnancy outcomes - number of participants with pregnancy outcome of fetal death or stillbirth

    Death of a fetus at or after 20 weeks of gestation.

    Time frame: 20 weeks gestation up to birth

  8. Pregnancy outcomes - number of participants with pregnancy outcome of live birth

    Birth of a surviving neonate.

    Time frame: 37 weeks gestation up to 40 weeks gestation

  9. Pregnancy outcomes - number of participants with pregnancy outcome of pre-term birth

    Live birth prior to 37 weeks gestation: early preterm (\< 34 weeks), late preterm (34-36 weeks), and early term (37-38 weeks).

    Time frame: Less than 34 weeks gestation up to 37 weeks gestation

  10. Infant outcomes - number of infants with outcome of minor congenital malformations classified according to MACDP

    Congenital malformations will be classified according to the Metropolitan Atlanta Congenital Defects Program (MACDP) classification system. All potential minor congenital malformations will be evaluated by at least 3, qualified, independent teratologists using all available medical records. Classification will be based upon the teratologists' adjudication, who will be blinded to participant exposure status.

    Time frame: Start of pregnancy up to 1 year of infant age

  11. Infant outcomes - infants categorized according to size for gestational age

    All live births will be classified using the World Health Organization definition of birth weight, i.e., small (below the 10th percentile), appropriate (between the 10th and 90th percentile), or large (above the 90th percentile) for gestational age.

    Time frame: At birth of infant

  12. Infant outcomes - number of infants with outcome of low birth weight

    Birth weight of less than 2500 g; subclassified into very low birth weight (\< 1500 g) and moderately low birth weight (1500 g to 2499 g).

    Time frame: At birth of infant

  13. Infant outcomes - number of infants with outcome of infant death

    Death of a live-born infant within the first year of life; subclassified as neonatal deaths (≤ 28 days of life) and infant deaths (29 to 365 days of life).

    Time frame: Birth of infant up to 1 year of infant age

  14. Infant outcomes - number of infants with outcome of hospitalization for serious illness

    In-patient admissions for treatment of potentially life threatening illnesses among live-born infants within the first year of life.

    Time frame: Birth of infant up to 1 year of infant age

  15. Infant outcomes - postnatal growth and development - weight-for-length

    World Health Organization Growth Charts (suitable for use in the US and EEA from birth to 24 months) will be applied for this study, where infant growth measurements will be used to estimate gender-specific weight-for-length percentiles (weight in kilograms, length in centimeters).

    Time frame: Birth of infant up to 1 year of infant age

  16. Infant outcomes - postnatal growth and development - head circumference-for-age

    World Health Organization Growth Charts (suitable for use in the US and EEA from birth to 24 months) will be applied for this study, where infant growth measurements will be used to estimate gender-specific head circumference-for-age percentiles (head circumference in centimeters, age in months and years).

    Time frame: Birth of infant up to 1 year of infant age

  17. Infant outcomes - postnatal growth and development - length-for-age

    World Health Organization Growth Charts (suitable for use in the US and EEA from birth to 24 months) will be applied for this study, where infant growth measurements will be used to estimate gender-specific length-for-age percentiles (length in centimeters, age in months and years).

    Time frame: Birth of infant up to 1 year of infant age

  18. Infant outcomes - postnatal growth and development - weight-for-age

    World Health Organization Growth Charts (suitable for use in the US and EEA from birth to 24 months) will be applied for this study, where infant growth measurements will be used to estimate gender-specific weight-for-age percentiles (weight in kilograms, age in months and years).

    Time frame: Birth of infant up to 1 year of infant age

07

Study locations

1 site
  • IQVIA US Office
    Durham, North Carolina 27703, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Ran from Nov 2024 to primary completion in Sep 2026, 22 months.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 29, 2026: primary completion Mar 2033 → Sep 2026 and completion Mar 2033 → Sep 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Jun 17, 2024
First posted
Jul 12, 2024
StartActual
Nov 21, 2024
Primary completionActual
Sep 22, 2026was Mar 2033
CompletionActual
Sep 22, 2026was Mar 2033
Last update
Oct 29, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Recruiting→Terminated The study, in its current operational format, has been terminated. However, data collection will continue through the National Pregnancy Registry for Psychiatric Medications (NPRPM), which is conducted by Massachusetts General Hospital (NCT01246765)
changed Oct 29, 2026
Sites
6 sites removed; no longer in Canada, France, Germany, Italy, Spain and 1 more
All 6 countries

Canada, France, Germany, Italy, Spain, United Kingdom

Show 6 removed
  • Jodha Tishon · Toronto, Canada
  • Hôpital Gui de Chauliac · Montpellier, France
  • Charité - Universitätsmedizin Berlin · Berlin, Germany
  • Azienda Ospedaliera Universitaria Policlinico Tor Vergata · Rome, Italy
  • Hospital Txagorritxu · Vitoria-Gasteiz, Spain
  • University College London Hospitals · London, United Kingdom
Oct 29, 2026
Primary completion
Mar 2033→Sep 22, 2026 (actual)
Oct 29, 2026
Study completion
Mar 2033→Sep 22, 2026 (actual)
Oct 29, 2026
Enrollment
785 (estimated)→3 (actual)
Oct 29, 2026
Show all 1 update
  1. Oct 29, 2026
    Recruiting→Terminated
    Why stopped The study, in its current operational format, has been terminated. However, data collection will continue through the National Pregnancy Registry for Psychiatric Medications (NPRPM), which is conducted by Massachusetts General Hospital (NCT01246765)
    6 sites removed; no longer in Canada, France, Germany, Italy, Spain and 1 more
    All 6 countries

    Canada, France, Germany, Italy, Spain, United Kingdom

    Show 6 removed
    • Jodha Tishon · Toronto, Canada
    • Hôpital Gui de Chauliac · Montpellier, France
    • Charité - Universitätsmedizin Berlin · Berlin, Germany
    • Azienda Ospedaliera Universitaria Policlinico Tor Vergata · Rome, Italy
    • Hospital Txagorritxu · Vitoria-Gasteiz, Spain
    • University College London Hospitals · London, United Kingdom
    Primary completion Mar 2033→Sep 22, 2026 (now actual)
    Study completion Mar 2033→Sep 22, 2026 (now actual)
    Enrollment 785 (estimated)→3 (actual)
    + 2 other changes: verification date and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06498128
Collaborators
IQVIA Pty Ltd
Responsible party
Sponsor
First posted
Jul 12, 2024
Start date
Nov 21, 2024
Primary completion
Sep 22, 2026
Completion
Sep 22, 2026
Last update
Oct 29, 2026

Study contacts

Clinical Trials Study Director
study director · Idorsia Pharmaceuticals Ltd.

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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