NCT07677384

Brief Summary

The primary purpose of this open-label phase Ⅲ study is to evaluate the safety of HS-10506 on the incidence and severity of adverse events (AE), serious adverse events (SAE), adverse events of special interest (AESI) in Chinese adult participants with insomnia disorder.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
600

participants targeted

Target at P75+ for phase_3

Timeline
35mo left

Started Jun 2026

Typical duration for phase_3

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress5%
Jun 2026Jun 2029

First Submitted

Initial submission to the registry

June 8, 2026

Completed
4 days until next milestone

Study Start

First participant enrolled

June 12, 2026

Completed
18 days until next milestone

First Posted

Study publicly available on registry

June 30, 2026

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2029

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2029

Last Updated

June 30, 2026

Status Verified

May 1, 2026

Enrollment Period

3.1 years

First QC Date

June 8, 2026

Last Update Submit

June 24, 2026

Conditions

Keywords

Clinical trialinsomnia disorderopen-labellong-termphase 3

Outcome Measures

Primary Outcomes (3)

  • Incidence and severity of adverse events (AE)

    An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.

    From date of signing the informed consent until the date of the end-of-study visit or early withdrawal, assessed up to 13 months

  • Incidence and severity of serious adverse events (SAE)

    An SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening experience, is a congenital anomaly/birth defect and may jeopardize participants and/or may require medical or surgical intervention to prevent one of the outcomes listed above.

    From date of signing the informed consent until the date of the end-of-study visit or early withdrawal, assessed up to 13 months

  • Incidence and severity of adverse events of special interest (AESI)

    An AESI (serious or non-serious) is any medical event specific to the investigational product or clinical trial.

    From date of signing the informed consent until the date of the end-of-study visit or early withdrawal, assessed up to 13 months

Secondary Outcomes (11)

  • Number of Participants With Clinically Significant Change in hematology

    Baseline, Week 12, Week 24, Week 36, Week 48

  • Number of Participants With Clinically Significant Change in clinical chemistry

    Baseline, Week 12, Week 24, Week 36, Week 48

  • Number of Participants With Clinically Significant Change in urinalysis

    Baseline, Week 12, Week 24, Week 36, Week 48

  • Withdrawal symptoms by Physician Withdrawal Checklist (PWC-20)

    The day after the last administration and at least 7 days after discontinuation of the medication

  • Rebound insomnia by subjective sleep onset latency (sSOL) during the follow-up period

    Baseline, Follow-up Period (7-9 days)

  • +6 more secondary outcomes

Study Arms (1)

HS-10506

EXPERIMENTAL

Participants will receive HS-10506 tablets, orally, once nightly for 4/24/36/48 consecutive weeks.

Drug: HS-10506

Interventions

HS-10506 tablet

HS-10506

Eligibility Criteria

Age18 Years - 64 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Participants must be 18 to 65 years of age (inclusive 18, not inclusive 65);
  • Participants are required to voluntarily sign the informed consent form;
  • Body mass index (BMI): BMI (weight/height2 \[kg/m2\]) must be in the range of 18 to 35 kg/m2 (inclusive);
  • For Participants completed Study 301: Participants have completed the Study 301, can potentially benefit from extended treatment with HS-10506 and have no major safety risks according to the investigator's clinical judgment;
  • For new Participants: Participants must meet Diagnostic and Statistical Manual of Mental Disorders (5th edition) (DSM-5) criteria for insomnia disorder;
  • For new Participants: Participants must have Insomnia Severity Index (ISI) scores≥15 at screening;
  • For new Participants: Participants must have an sSOL≥30 minutes, sWASO≥30 minutes, and sTST\<6.5 hours for at least three nights every week within one month prior to screening; and sSOL≥30 minutes, sWASO≥30 minutes, and sTST\<6.5 hours for at least 3 nights from sleep diary in the last 7 consecutive days before the first dose in the open-label treatment period;

You may not qualify if:

  • Has received systemic hypnotherapy, cognitive behavioral therapy (CBT), or other non-pharmacological treatments for insomnia in last 4 weeks or have plans during the study;
  • Has a risk of suicide according to the Columbia Suicide Severity Rating Scale (C-SSRS), or has a high risk of suicide at the discretion of the investigator;
  • Has used any medication that may affect the pharmacokinetics of HS-10506 or GLP-1R-related single/multi-target drugs within the past 2 weeks or 5 half-lives of the medication;
  • Has used any medication that may affect sleep-wake function, or any other prohibited central nervous system active medications within 1 week or 5 half-lives of the medication;
  • Has a history of drug dependency or abuse within the past 1 year or showed positive in urine drug test at screening;
  • Has a history of alcohol abuse within the past 1 year or can't obey the rules of alcohol restriction;
  • Has a history of smoking≥10 cigars daily within the past 3 months or can't obey the rules of cigar restriction;
  • Has a history of caffeine consumption≥600 mg per day or can't obey the rules of caffeine restriction;
  • Has been working across 3 or more time zones or shift work within 2 weeks prior to screening;
  • Has taken more than 3 naps per week for\>1 hour each time within the past 2 weeks prior to screening;
  • Has any circumstances or conditions, which, in the opinion of the investigator, may affect the subject's full participation in the study or compliance with the protocol.
  • For Participants completed Study 301: Has been diagnosed with a sleep-wake disorders or sleep-related breathing disorders other than insomnia disorder during Study 301, such as restless legs syndrome, periodic limb movement disorder, circadian rhythm disorder, narcolepsy, rapid eye movement sleep phase (REM) behavioral disorders, and obstructive sleep apnea;
  • For Participants completed Study 301: Has been diagnosed with neurodevelopmental retardation, cognitive impairment, epilepsy, schizophrenia, bipolar disorder, hyperthyroidism, cancer, severe cardio-cerebrovascular diseases or respiratory diseases; or current chronic pain that affects sleep, nocturia resulting in frequent need to get out of bed to use the bathroom during the night; or clinically significant and/or unstable neurological, psychiatric, respiratory, cardiovascular, digestive, immunologic, urologic, endocrine diseases during Study 301; or other systemic diseases that are inappropriate for the study;
  • For Participants completed Study 301: Previously participated in any clinical trial other than HS-10506-301 within 3 months prior to screening;
  • For new Participants: Has history of/current sleep-wake disorders or sleep-related breathing disorders other than insomnia disorder, such as restless legs syndrome, periodic limb movement disorder, circadian rhythm disorder, narcolepsy, rapid eye movement sleep phase (REM) behavioral disorders, and obstructive sleep apnea;
  • +3 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Sleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System DiseasesMental Disorders

Central Study Contacts

Yuping Wang, Principal Investigator

CONTACT

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 8, 2026

First Posted

June 30, 2026

Study Start

June 12, 2026

Primary Completion (Estimated)

June 30, 2029

Study Completion (Estimated)

June 30, 2029

Last Updated

June 30, 2026

Record last verified: 2026-05