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Study on the Management of COMISA
Sponsor: University Hospital, Grenoble
Summary
COMISA, the combination of obstructive sleep apnea (OSA) and insomnia, is a frequent and burdensome condition. Many patients with OSA experience clinically significant insomnia symptoms, and a substantial proportion of individuals with chronic insomnia also meet criteria for OSA. This comorbidity is associated with more severe symptoms, more complex diagnostic pathways, and reduced adherence to continuous positive airway pressure (CPAP) therapy. This study aims to better understand COMISA and evaluate whether adding daridorexant to CPAP treatment can improve treatment adherence and overall patient outcomes.
Key Details
Gender
All
Age Range
18 Years - 75 Years
Study Type
INTERVENTIONAL
Enrollment
150
Start Date
2026-08
Completion Date
2029-02
Last Updated
2026-08-04
Healthy Volunteers
No
Interventions
Daridorexant 50 mg
Daridorexant initiated for 1 month before CPAP and prescribed as part of routine care.
Continuous Positive Air Pressure (CPAP)
PAP therapy initiated after 1 month of Daridorexant, according to standard clinical practice.
Locations (4)
Hôpital Européen Marseille
Marseille, France
Centre Médical Les Jasmins
Metz, France
Hôpital de la Pitié Salpêtrière - AP-HP
Paris, France
Polyclinique Saint-Laurent - Hospitalité Saint-Thomas de Villeneuve
Rennes, France