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NarcolepsyPhase 3NCT00066170

Trial Comparing Effects of Xyrem Taken Orally and Modafinil With Placebo in Treating Daytime Sleepiness in Narcolepsy

A Phase 3 study testing Xyrem and Modafinil at established dose in people with Narcolepsy, run by Jazz Pharmaceuticals at 40 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will be conducted as a randomized, double blind, double-dummy, placebo-controlled, parallel-group trial in patients diagnosed with narcolepsy. Volunteers for this trial will be required to make 5 visits over up to 14 weeks to a participating expert physician practitioner for various sleep and narcolepsy… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Narcolepsy
What is being tested?
Xyrem and Modafinil at established dose
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
231 participants
Where
40 sitesin 4 countries
Study dates
Apr 2003to Nov 2004
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients will be included in the trial if they:
  • Have signed and dated an informed consent prior to beginning protocol required procedures.
  • Are willing and able to complete the entire trial as described in the protocol.
  • Are 18 years of age or older.
  • Fulfill the International Classification of Sleep Disorders criteria for the diagnosis of narcolepsy.
  • Are taking stable doses of modafinil (200 to 600 mg/day) for the treatment of daytime sleepiness for a period of three months or greater and the modafinil dose has been stable for at least 1 month prior to entering this trial
  • Females may be included who are surgically sterile, two years post-menopausal, or if of child-bearing potential, using a medically accepted method of birth control (e.g., barrier method with spermicide, oral contraceptive, or abstinence) and agree to continue use of this method for the duration of the trial.
  • In the opinion of the investigator have adequate support for the duration of the trial to include transportation to and from the trial site. In addition, if in the investigator's assessment it is clinically indicated, the patient is willing to not operate a car or heavy machinery for the duration of the trial or for as long as the investigator deems clinically indicated.

Who cannot join

  • Patients will be excluded from the trial if they:
  • Have received gamma-hydroxybutyrate in the last 30 days.
  • Have taken any investigational therapy within the 30-day period prior to the initial screening visit (Visit 1) for this trial.
  • Have sleep apnea syndrome, defined as an Apnea Index > 10 per hour or an AHI (Apnea Hypopnea Index) greater than 15 per hour, or have any other cause of daytime sleepiness, and have any other disorder(s) that can be considered a primary cause of excessive daytime sleepiness (e.g., severe periodic leg movement syndrome as determined by the investigator, sleep apnea, sleep deprivation).
  • Are taking hypnotics, tranquilizers, antihistamines (except for non-sedating antihistamines), benzodiazepines or clonidine at the start of the baseline period. Patients taking anticonvulsants are not eligible to participate event if they are willing to washout anticonvulsants for the trial.
  • Are experiencing any major illness, including unstable cardiovascular, endocrine, neoplastic, gastrointestinal, hematologic, hepatic, immunologic, metabolic, neurological (other than narcolepsy/cataplexy), pulmonary, and/or renal disease which would place the patient at risk during the trial or compromise the objectives outlined in the protocol.
Show all 11Show fewer
  • Have psychiatric disorders, major affective or psychotic disorders, or other problems that, in the investigator's opinion, would preclude the patient's participation and completion of this trial or compromise reliable representation of subjective symptoms.
  • Have a current or recent (within one year) history of a substance use disorder including alcohol abuse as defined by the DSM-IV.
  • Have a serum creatinine greater than 2.0 mg/dL, abnormal liver function tests (SGOT [AST] or SGPT [ALT] more than twice the upper limit of normal), or elevated serum bilirubin (more than 1.5 times the upper limit of normal), or pre-trial ECG results demonstrating clinically significant arrhythmias, greater than a first degree AV block or a history of myocardial infarction within the last six months.
  • Have an occupation that requires variable shift work or routine night shift.
  • Have a clinically significant history of seizure disorder either past or present, a history of clinically significant head trauma (i.e., concussion resulting in clinically significant loss of consciousness) or past invasive intracranial surgery, and are taking anticonvulsant medications.

Trial locations and contacts

40 sites in 4 countries.

40 sites in 4 countries

United States36 sites
  • Lehigh Valley Hospital Sleep Disorders Center

    Allentown, Pennsylvania, 18105

  • Graves Gilbert Clinic

    Bowling Green, Kentucky, 42101

  • Capital Region Sleep Disorder Center

    Carlisle, Pennsylvania, 17013

  • Lowcountry Lung and Critical Care, PA

    Charleston, South Carolina, 29406-7108

  • The Center for Sleep & Wake Disorders

    Chevy Chase, Maryland, 20815

  • Cincinnati Clinic & Sleep Management Institute

    Cincinnati, Ohio, 45219

  • Community Research Management Associates,Inc.

    Cincinnati, Ohio, 45219

  • SleepMed of South Carolina

    Columbia, South Carolina, 29220

  • Community Research & Sleep Management Institute

    Crestview Hills, Kentucky, 41017

  • The Center for Sleep and Wake Disorders/Midwest Neurology

    Danville, Indiana, 46122

  • Henry Ford Hospital

    Detroit, Michigan, 48202

  • New Jersey Neuroscience Institute at JFK Medical Center

    Edison, New Jersey, 08818

  • Sleep Disorders Center -- Union Hospital of Cecil County

    Elkton, Maryland, 21921

  • Vermont Medical Sleep Disorders Center, Inc.

    Essex Junction, Vermont, 05452

  • St. Jude Medical Center -- Sleep Disorders Institute

    Fullerton, California, 92835

  • CSC Research -- Grove City Sleep Diagnostic Center

    Grove City, Ohio, 43123

  • Center for Sleep Medicine

    Lafayette Hill, Pennsylvania, 19444

  • Pacific Sleep Medicine Services, Inc.

    Los Angeles, California, 90048

  • Chest Medicine Associates DBA -- Sleep Medicine Specialists

    Louisville, Kentucky, 40217

  • Bhupesh Dihenia, MD

    Lubbock, Texas, 79410

  • Neuro-Therapeutics, Inc.

    Pasadena, California, 91105

  • Peoria Pulmonary Associates, Ltd

    Peoria, Illinois, 61603

  • Pulmonary Associates, PA

    Phoenix, Arizona, 85006

  • Raleigh Neurology Associates

    Raleigh, North Carolina, 27607

  • Sleep Disorders Center of Rochester

    Rochester, New York, 14618

  • Strong Sleep Disorders Center

    Rochester, New York, 14618

  • SLEEP WALKER -- Sleep Disorders Center & Neurodiagnostics--Lung Diagnostics, Ltd.

    San Antonio, Texas, 78229

  • Pacific Sleep Medicine Services, Inc.

    San Diego, California, 92121

  • SDHRF Clinical Research Center

    Sioux Falls, South Dakota, 57104

  • Sioux Valley Clinic -- Pulmonary

    Sioux Falls, South Dakota, 57105

  • Sleep Disorders Center

    Sioux Falls, South Dakota, 57105

  • Washington University Sleep Center

    St Louis, Missouri, 63108

  • Clinical Research Group of St. Petersburg, Inc.

    St. Petersburg, Florida, 33707

  • Stanford Sleep Disorders Clinic

    Stanford, California, 94305

  • Sleep Medicine Associates of Maryland

    Towson, Maryland, 21204

  • ALL-TRIALS Clinical Research, LLC -- Summit Sleep Disorder

    Winston-Salem, North Carolina, 27103

Other trials in United States

France2 sites
  • Centre du sommeil -- Hopital Gui de Chauliac

    Montpellier, Cedex 5, 34295

  • Hopital Pitie Salpetriere -- Federation des Pathologies du sommeil

    Paris, Cedex 13, 75651

Other trials in France

Germany1 site
  • Psychiatrische Universitatsklinik

    Regensburg, 93042

Other trials in Germany

Switzerland1 site
  • Neurologische Poliklinik -- Universitats Spital Zurich

    Zurich, CH-8091

Other trials in Switzerland

About this study

Official title: Randomized, Double-Blind, Double-Dummy, Placebo-Controlled, Parallel-Group, Multi-Center Trial Comparing the Effects of Orally Administered Xyrem (Sodium Oxybate) and Modafinil With Placebo in Treatment of Daytime Sleepiness in Narcolepsy

This study will be conducted as a randomized, double blind, double-dummy, placebo-controlled, parallel-group trial in patients diagnosed with narcolepsy. Volunteers for this trial will be required to make 5 visits over up to 14 weeks to a participating expert physician practitioner for various sleep and narcolepsy evaluations and diaries will also be collected. Participants will take assigned medications during the course of the trial. Subjects will have a 25% probability of receiving placebo for both drugs (modafinil and Xyrem). All subject volunteers must meet criteria for narcolepsy and have evidence of daytime sleepiness. Patients will not incur any personal medical expenses due to participation in this trial. The sponsor is covering all visit costs not covered by insurance and there are some funds for patient expenses such as travel.

Conditions
Narcolepsy
Being tested
Xyrem, Xyrem Placebo, Modafinil at established dose, Modafinil (Placebo)
Keywords
Narcolepsy, Daytime Sleepiness, Daytime sleepiness in narcolepsy
Medical subject headings
Narcolepsy, Disorders of Excessive Somnolence

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • XyremDrug

    Also called Sodium Oxybate

    Xyrem oral solution at 6 g/day for 4 weeks and 9 g/day for another 4 weeks.

  • Xyrem PlaceboDrug

    Also called Sodium Oxybate Placebo

    Xyrem Placebo oral solution 12 ml per day for 4 weeks and 18 ml per day for another 4 weeks.

  • Modafinil at established doseDrug

    Also called Provigil

    Modafinil oral capsules at 200 to 600 mg per day for 8 weeks.

  • Modafinil (Placebo)Drug

    Also called Provigil Placebo

    Modafinil Placebo oral capsules 1 to 3 capsules per day for 8 weeks.

Study groups in NCT00066170
Study groupRoleWhat they receive
Group 1.ExperimentalXyrem + Modafinil Placebo
Receives: Drug: Xyrem; Drug: Modafinil (Placebo)
Group 2:Placebo comparatorXyrem Placebo + Modafinil Placebo
Receives: Drug: Xyrem Placebo; Drug: Modafinil (Placebo)
Group 3Active comparatorXyrem Placebo + Modafinil at established dose
Receives: Drug: Xyrem Placebo; Drug: Modafinil at established dose
Group 4:ExperimentalXyrem + Modafinil at established dose
Receives: Drug: Xyrem; Drug: Modafinil at established dose

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Daytime Sleep Latency as Measured by the Maintenance of Wakefulness Test (MWT)

    The Maintenance of Wakefulness Test consisted of four 20 minute tests of the patient's ability to remain awake in soporific conditions. The Mean change from baseline to week 8 in the average MWT number of minutes until sleep onset was the primary endpoint.

    Measured: Baseline to Week 8

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Aug 2003 (estimated)
  2. Study startApr 2003
  3. Primary completionJul 2004
  4. Study completionNov 2004

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
231 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00066170
Sponsor's protocol ID
OMC-SXB-22
Status last verified
Dec 2011
First submitted
4 Aug 2003
Last updated
29 Dec 2011
Data monitoring committee
No

Publications

  • A randomized, double blind, placebo-controlled multicenter trial comparing the effects of three doses of orally administered sodium oxybate with placebo for the treatment of narcolepsy. Sleep. 2002 Feb 1;25(1):42-9.

    PubMed 11833860
  • Scrima L, Hartman PG, Johnson FH Jr, Thomas EE, Hiller FC. The effects of gamma-hydroxybutyrate on the sleep of narcolepsy patients: a double-blind study. Sleep. 1990 Dec;13(6):479-90. doi: 10.1093/sleep/13.6.479.

    PubMed 2281247
  • Lammers GJ, Arends J, Declerck AC, Ferrari MD, Schouwink G, Troost J. Gammahydroxybutyrate and narcolepsy: a double-blind placebo-controlled study. Sleep. 1993 Apr;16(3):216-20. doi: 10.1093/sleep/16.3.216.

    PubMed 8506453
  • A 12-month, open-label, multicenter extension trial of orally administered sodium oxybate for the treatment of narcolepsy. Sleep. 2003 Feb 1;26(1):31-5.

    PubMed 12627729
  • Black J, Houghton WC. Sodium oxybate improves excessive daytime sleepiness in narcolepsy. Sleep. 2006 Jul;29(7):939-46. doi: 10.1093/sleep/29.7.939.

    PubMed 16895262
  • Black J, Pardi D, Hornfeldt CS, Inhaber N. The nightly use of sodium oxybate is associated with a reduction in nocturnal sleep disruption: a double-blind, placebo-controlled study in patients with narcolepsy. J Clin Sleep Med. 2010 Dec 15;6(6):596-602.

    PubMed 21206549
  • Husain AM, Bujanover S, Ryan R, Scheckner B, Black J, Profant J. Incidence and duration of common, early-onset adverse events occurring during 2 randomized, placebo-controlled, phase 3 studies of sodium oxybate in participants with narcolepsy. J Clin Sleep Med. 2020 Sep 15;16(9):1469-1474. doi: 10.5664/jcsm.8530.

    PubMed 32356515
  • Dauvilliers Y, Roth T, Guinta D, Alvarez-Horine S, Dynin E, Black J. Effect of sodium oxybate, modafinil, and their combination on disrupted nighttime sleep in narcolepsy. Sleep Med. 2017 Dec;40:53-57. doi: 10.1016/j.sleep.2017.07.030. Epub 2017 Oct 7.

    PubMed 29221779

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Xyrem and Modafinil at established dose in people with Narcolepsy, run by Jazz Pharmaceuticals at 40 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Dec 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 40 sites in United States, France, Germany, Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 30 Nov 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Daytime Sleep Latency as Measured by the Maintenance of Wakefulness Test (MWT) (time frame: Baseline to Week 8). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00066170, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Dec 2011.

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