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. Author manuscript; available in PMC: 2021 Oct 19.
Published in final edited form as: Nat Rev Drug Discov. 2021 Feb 15;20(4):287–307. doi: 10.1038/s41573-020-00109-w

Table 1 |.

Examples of current clinical trials involving drug molecules

Drug Status Diseases Clinical trial identifier Disease indications Parameters
Melatonin signalling
Melatonin Phase III Obesity; prediabetic state NCT02681887 Night-shift work, blindness, myocardial syndrome, migraine, metabolic syndrome, ICU sleep disruption, dialysis, epilepsy, nocturnal enuresis, DSPS, non-24-hour sleep–wake disorder, jet lag, Smith–Magenis syndrome Metabolic parameters, sleep, mood, insulin and β-cell function, blood coagulation, migraine attack frequency, seizure, incontinence
Phase II Migraine NCT00849511
Phase III Sleep problems; haemodialysis NCT00388661
Phase II Epilepsy NCT00965575
Tasimelteon Phase II Smith–Magenis Syndrome NCT02231008
Phase III Circadian rhythm alterations NCT02231008
Phase III Non-24-hour sleep–wake disorder NCT01430754
Phase II Jet lag disorder NCT03291041
Ramelteon Phase II Sleep disorders; circadian rhythm NCT00593736
Orexin signalling
Modafinil Phase IV Bipolar disorder NCT01965925 Bipolar disorder, long-term shiftwork, sleep disorder, Alzheimer disease Sleep, circadian rhythms
Armodafinil (CEP 10953) Phase III Excessive sleepiness; shiftwork sleep disorder NCT00080288
Lemborexant Phase II Irregular sleep–wake rhythm disorder NCT03001557
Suvorexant Phase IV Shiftwork sleep disorder NCT02491788
Combined or other signalling
Vitamin B12 Not applicable Sleep disorders; circadian rhythm NCT00120484 Night owl or DSPS Sleep and circadian rhythm
Methylselenocysteine Not applicable Breast cancer; prostate cancer NCT01611038 Night-shift work Circadian rhythm and oestrogen receptor B levels
Melatonin and meal timing Not applicable Obesity; cardiometabolic diseases NCT03490864 Obesity, chronic insomnia, DSPS Sleep, circadian rhythm
Melatonin and light therapy Phase IV DSPS NCT00834886
Ramelteon and multicomponent behavioural therapy Phase IV Insomnia NCT01180855

DSPS, delayed sleep phase syndrome; ICU, intensive care unit.