Suvorexant to improve sleep in people receiving treatment for opioid use disorder

Phase III double-blind, randomized controlled trial of suvorexant versus placebo to treat insomnia in persons with opioid use disorder

NIH-funded research Johns Hopkins University · NIH-11309185

People on medications for opioid use disorder who have insomnia will be given suvorexant or a placebo to see if it helps their sleep, cravings, and withdrawal symptoms.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionJohns Hopkins University NIH-funded
Lab location1 site (Baltimore, United States)
Project IDNIH-11309185 on NIH RePORTER

What this research studies

You would join a multisite, Phase III, double-blind randomized study where neither you nor the staff know whether you receive suvorexant or a placebo. The trial enrolls people on long-term medications for opioid use disorder such as buprenorphine or methadone who report persistent insomnia. Participants take nightly study medication, complete sleep questionnaires and diaries, and report on cravings, withdrawal symptoms, and any side effects while researchers monitor safety and treatment retention. Results will compare sleep quality and related outcomes between the suvorexant and placebo groups.

Who could benefit from this research

Good fit: Adults receiving long-term medications for opioid use disorder (for example buprenorphine or methadone) who are experiencing clinically significant insomnia are the intended participants.

Not a fit: People not on MOUD, people without insomnia, or those with medical or medication contraindications to suvorexant may not benefit or may be excluded.

Why it matters

Potential benefit: If successful, suvorexant could improve sleep and may reduce opioid cravings or withdrawal, which might help people stay engaged in OUD treatment.

How similar studies have performed: A prior pilot study by this team showed suvorexant was safe and suggested benefits for sleep and reduced craving, but larger Phase III data are needed to confirm those findings.

Where this research is happening

Baltimore, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.