Wakefulness DisorderSOMNO-PEDNCT07766343
Hypersomnia in the Paediatric Population
A study testing Sleepness and wakeness scale, Polysomnography and Actimetry in people with Wakefulness Disorder and Narcolepsy, run by University Hospital, Montpellier at 1 site in France.
Trial summary
This is a 36-month, multicentric, cross-sectional study involving a paediatric population aged 6 to 17 years. Three groups will be included: Group A: children from the general population with no complaints of sleepiness; Group B: children with a sleep disorder or excessive sleepiness associated with a medical… Read more about this study
- Who is it for?
- Ages 6 to 17 yearsHealthy volunteers can take part
- Conditions the study is for
- Wakefulness Disorder, Narcolepsy, Idiopathic Hypersomnia
- What is being tested?
- Sleepness and wakeness scale, Polysomnography and Actimetry
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 760 participants
- Where
- 1 siteFrance
- Study dates
- Sep 2026to Nov 2029
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 6 to 17 years
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- For all participants :
- Be aged between 6 and 17 (< 18 years old).
- Be able to express consent to participate.
- Have at least one legal guardian.
- Speak and understand French.
- Obtain consent from the person(s) with parental authority (or from one parent if the patient is accompanied by only one parent, in accordance with Article 1122-2 of the Public Health Code) or from the child's legal guardian.
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- Be affiliated with a Social Security scheme or be covered by such a scheme
- For patients with CHD :
- Patients with a clinical diagnosis of NT1 according to international criteria (32) with symptom onset (sleepiness and/or cataplexy) dating back no more than two years. The ICSD-3-TR criteria are: SDE lasting at least 3 months, and the presence of one or two of the following:
- Well-defined cataplexy, with either:
- Mean sleep latency of 8 minutes or less on TILEs, and at least 2 episodes of REM sleep onset polysomnography (SOREMP), Or
- One episode of SOREMP within 15 minutes of falling asleep during the night of recording.
- A hypocretin level in the CSF of less than or equal to 110 pg/mL. OR
- Patients with a clinical diagnosis of NT2 according to international criteria (30) with onset of sleepiness dating back no more than two years. The ICSD-3 criteria are: SDE evolving for at least 3 years, absence of cataplexy and average sleep latency less than or equal to 8 minutes on TILEs, and at least 2 SOREMPs (one SOREMP the previous night can replace one SOREMP on the TILE). The hypocretin level in the CSF must be greater than 110 pg/mL. In addition, the symptoms and TILE results must not be better explained by other causes (e.g., sleep deprivation, CRD, OSA).
- OR
- Patients with a clinical diagnosis of IH according to the ICSD-3-TR international criteria, which are as follows: EDS occurring daily for at least 3 months, absence of cataplexy, PSG and MSLT results must not be compatible with narcolepsy (NT1 or NT2): there must be fewer than 2 SOREMPs in total on MSLTs or no SOREMPs if the REM sleep latency on PSG was ≤15 minutes. Also, the presence of at least one of the following two criteria:
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- Mean sleep latency (TILE) ≤ 8 minutes,
- Total sleep time over 24 hours ≥ 12 hours (or over 32 hours ≥ 19 hours) or measured by continuous 24-hour PSG after ensuring that the patient is not sleep deprived (by actigraphy + sleep diary over at least 7 days of unrestricted sleep).
- the symptoms of RLS and TILE results must not be better explained by another sleep disorder, medical disorder, psychiatric disorder, or the use of sedative substances or medications.
- For patients with CRD :
- -Patients diagnosed with circadian rhythm sleep disorder (CRD) according to ICSD-3-TR, followed up in secondary/tertiary care, with symptoms present for ≥3 months. ICSD-3-TR criteria: Sleeping and waking times consistently delayed by ≥2 hours relative to social schedules (e.g., late bedtime with late wake-up time).
- Symptoms have been present for at least three months.
- When patients are allowed to choose their schedule ad libitum, they show an improvement in sleep quality and duration for their age and maintain a delayed phase of the 24-hour sleep-wake pattern.
- Confirmation by sleep diaries or actigraphy over ≥7 days.
- Absence of comorbidities that primarily alter the circadian rhythm (e.g., narcolepsy, unstable psychiatric disorders, substance use).
- For patients with OSA :
- Patients diagnosed with OSA according to ICSD-3-TR, based on polysomnography at a university hospital or specialized center, with at least:
- Apnea + hypopnea index ≥ 1 event/hour in patients under 18 years of age,
- Plus an associated symptom (snoring, breathing difficulties, daytime sleepiness, or behavioral disorders),
- Diagnosis confirmed by a second examination if the first is inconclusive or in the event of comorbidity (obesity, craniofacial malformations).
- For patients with Non REM parasomnia :
- Children/adolescents diagnosed according to ICSD-3-TR with NREM parasomnias (sleepwalking or night terrors):
- Recurrent episodes (≥2 in 6 months) typically occurring during N3 sleep, with no memory or dream content,
- Confusion/reduced responsiveness during the episode,
- Possible confirmation by video PSG or parental history combined with a sleep diary.
- For patients with ASD :
- Patients diagnosed with ASD according to DSM-5, confirmed by a multidisciplinary assessment (ADI-R, ADOS-2, ENT-AM) and monitored by a specialized team. Patients must present with phase delay, prolonged insomnia, or severe sleep fragmentation (WASO > 60 min, latency > 30 min) as confirmed by actimetry.
- For patients with ADHD :
- Children/adolescents diagnosed with ADHD according to DSM-5, made by an experienced clinician and confirmed by standardized scales (Conners, ADHD-RS). Must present with sleep disturbances (difficulty falling asleep, WASO > 30 min, phase delays, etc.), assessed by actimetry or sleep diary, with symptoms established for ≥ 6 months.
- For patients with obesity :
- -Children/adolescents with obesity, defined as a body mass index (BMI) above the 97th percentile for age and gender, according to reference curves. The diagnosis is made by an experienced clinician based on standardized anthropometric measurements (weight, height, BMI calculation). They may present with associated sleep disorders (fragmentation, snoring, EDS), as determined by actimetry, polysomnography, or standardized questionnaires.
Who cannot join
- -Retrait du consentement.
- Souhait du mineur d'interrompre l'étude.
- Maladie ou condition intercurrente qui interfère avec la poursuite de la participation du sujet à l'étude.
- Lors de la visite 2 : si traitement médicamenteux qui agit sur la somnolence ou la vigilance, ou qui n'a pas été stoppé suffisamment tôt.
- Décision de l'investigateur.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
France1 site
CHU de Montpellier - Hôpital Gui de Chauliac
Montpellier, Hérault, 34295
Lucie BARATEAU, Dr, +33 4 67 33 31 65, l-barateau@chu-montpellier.fr
About this study
Official title: Hypersomnolence in the Paediatric Population: From Symptom to Pathology, From Screening in the General Population to Phenotyping in Specialist Centres.
This is a 36-month, multicentric, cross-sectional study involving a paediatric population aged 6 to 17 years. Three groups will be included:
Group A: children from the general population with no complaints of sleepiness; Group B: children with a sleep disorder or excessive sleepiness associated with a medical condition (narcolepsy, circadian rhythm sleep disorder (CRSD), non-REM parasomnias, attention deficit disorder with or without hyperactivity (ADHD), autism spectrum disorder (ASD) or obesity); Group C: healthy volunteers with no medical conditions or sleep-related complaints.
Read the detailed description
"This is a prospective diagnostic study where participants are assigned to a standardized evaluation protocol. The study procedures-including experimental unvalidated sleepiness questionnaires, mandatory 24-hour continuous Video-Polysomnography (PSG), Multiple Sleep Latency Tests (MSLT/TILE), actigraphy, and biological sampling-are explicitly assigned by the study protocol and are performed outside the scope of routine clinical care.
- Conditions
- Wakefulness Disorder, Narcolepsy, Idiopathic Hypersomnia
- Being tested
- Sleepness and wakeness scale, Polysomnography, Actimetry, Diagnostic scales, Ambulatory blood pressure monitoring (ABPM)
- Keywords
- sleep disorders, sleepiness, pediatric, screening, phenotyping, scales, psychometric measurements, biological collection
- Medical subject headings
- Narcolepsy, Idiopathic Hypersomnia, Sleep Wake Disorders, Sleepiness
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Sleepness and wakeness scaleOther
Pediatric Hypersomnia Survey (PHS) Pediatric Daytime Sleepiness Scale (PDSS) Somnolence Scale Adapted for Children and Adolescents French Sleepiness Scale for Children Idiopathic Hypersomnia Severity Scale µMunich Short Chronotype Questionnaire
PolysomnographyProcedure or surgery
Polysomnography over 24 hours
ActimetryProcedure or surgery
Actimetry over 2 weeks
Diagnostic scalesOther
Pediatric Narcolepsy Severity Scale Insomnia Severity Index Children's Depression Inventory Epworth Sleepiness Scale for Children and Adolescents Life Experiences and Perceived Health among Adolescents Pure Procrastination Scale Sleep Disturbance Scale for Children
Ambulatory blood pressure monitoring (ABPM)Procedure or surgery
Ambulatory blood pressure monitoring (ABPM) over 24 hours
blood samplingOther
10 mL of blood are taken
Urine collectionOther
Urine collection during polysomnography, collection periods are: 2:00 p.m. to 5:00 p.m., 5:00 p.m. to 8:00 p.m., 8:00 p.m. to 8:00 a.m., 8:00 a.m. to 11:00 a.m., 11:00 a.m. to 2:00 p.m.
| Study group | Role | What they receive |
|---|---|---|
| General population | Experimental | Administration of scales to diagnose a sleep or wakefulness disorder Receives: Other: Sleepness and wakeness scale |
| Patients with wakeness disorders | Active comparator | The control group consisting of patients with wakeness disorders. Receives: Other: Sleepness and wakeness scale; Procedure: Polysomnography; Procedure: Actimetry; Other: Diagnostic scales; Procedure: Ambulatory blood pressure monitoring (ABPM); Other: blood sampling; Other: Urine collection |
| Healthy volunteers | Experimental | * Completion of screening scales and diagnostic scales
* Polysomnography
* Actimetry Receives: Other: Sleepness and wakeness scale; Procedure: Polysomnography; Procedure: Actimetry; Other: Diagnostic scales; Procedure: Ambulatory blood pressure monitoring (ABPM); Other: blood sampling; Other: Urine collection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Internal consistency of the Epworth Sleepiness Scale for Children and Adolescents (ESEA-E and ESEA-A)
The ESEA is a self-assessment questionnaire adapted from the Epworth Sleepiness Scale. It evaluates daytime sleepiness in common daily situations. Scores range from 0 to 30.
Internal consistency will be assessed using Cronbach's alpha.
The analysis will be performed separately for:
- ESEA-E (children aged 6-11 years)
- ESEA-A (adolescents aged 12-17 years) Each Cronbach's alpha coefficient will be reported independently for each scale version.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Internal consistency of the Idiopathic Hypersomnia Severity Scale (IHSS) for children and adolescents(IHSS-E and IHSS-A)
IHSS : A self-administered 14-item questionnaire assessing hypersomnolence, evaluating excessive sleepiness, daytime fatigue, and difficulty maintaining wakefulness, as well as their impact on academic, social, and daily functioning. Internal consistency will be assessed using Cronbach's alpha. The analysis will be performed separately for: IHSS-E (children aged 6-11 years) IHSS-A (adolescents aged 12-17 years). Each Cronbach's alpha coefficient will be reported independently for each scale version.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Internal consistency of the Pediatric Daytime Sleepiness Scale (PDSS) for children (6-11 years)
PDSS (6-11) is an 8-item self-administered questionnaire adapted from the PDSS for older children. It measures daytime sleepiness and its impact on daily functioning, especially at school, based on the frequency of fatigue and sleep episodes. Scores range from 0 to 32. Internal consistency will be assessed using Cronbach's alpha.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Internal consistency of the French Sleepiness Scale for children (FSSC-8)
FSSC-8 an 8-item self-administered questionnaire adapted from the validated adolescent version (FSSA-8) to assess daytime sleepiness in children. It evaluates the frequency of sleepiness episodes in daily situations. Scores range from 0 to 24.Internal consistency will be assessed using Cronbach's alpha.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Internal consistency of the Pediatric Hypersomnia Survey (PHS) for children (6-11 years) and adolescents (12-17 years)
The PHS is a 14-item self-report questionnaire assessing excessive daytime sleepiness in adolescents (12-17), in relation to school and social activities. Scores range from 0 to 42, with a pathological threshold >24 for narcolepsy/hypersomnia. Internal consistency will be assessed using alpha Cronbach's. The analysis will be performed separately for: PHS (aged 6-11years) and PHS (aged 12-17 years). Each Cronbach's alpha coefficient will be reported independently for each scale version
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Internal consistency of the Short Chronotype Questionnaire (µMunich) for children and adolescents (µMunich-E and µMunich-A)
A self-administered questionnaire assessing chronotype by recording usual bedtimes and wake-up times on weekdays and days off. It identifies "morning," "evening," or intermediate profiles and helps interpret sleep disorders. Internal consistency will be assessed using Cronbach's alpha. The analysis will be performed separately for: µMunich-E (children aged 6-11 years), µMunich-A(adolescents aged 12-17 years) Each Cronbach's alpha coefficient will be reported independently for each scale version.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Secondary outcomes (77)
Correlation coefficients between the Idiopathic Hypersomnia Severity Scale for children and adolescents (IHSS-A and IHSS-E ) and the Pediatric Daytime Sleepiness Scale (PDSS; 12-17years).
IHSS : A self-administered 14-item questionnaire assessing hypersomnolence, evaluating excessive sleepiness, daytime fatigue, and difficulty maintaining wakefulness, as well as their impact on academic, social, and daily functioning. Versions for children (6-11 years, IHSS-E) and adolescents (12-17 years, IHSS-A) are being validated PDSS is an 8-item self-administered questionnaire adapted from the PDSS for older children. It measures daytime sleepiness and its impact on daily functioning, especially at school, based on the frequency of fatigue and sleep episodes. Scores range from 0 to 32
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Correlation coefficients between the Idiopatic Hypersomnia Severity Scale (IHSS-A and IHSS-E ) and the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD).
IHSS : A self-administered 14-item questionnaire assessing hypersomnolence, evaluating excessive sleepiness, daytime fatigue, and difficulty maintaining wakefulness, as well as their impact on academic, social, and daily functioning. Versions for children (6-11 years, IHSS-E) and adolescents (12-17 years, IHSS-A) are being validated.
ESS-CHAD : an 8-item questionnaire designed to assess daytime sleepiness. Participants assign a score from 0 to 3 (0 = never; 1 = weak; 2 = moderate; 3 = strong).The minimum score is 0 and the maximum score is 24.
Measured: Baseline (V1) and during the hospitalization visit at 2 months
Correlation coefficients between the Pediatric Hypersomnolence Scale (PHS; 6-11 and 12-17 years) and the Pediatric Daytime Sleepiness Scale (PDSS; 12-17 years)
PDSS is an 8-item self-administered questionnaire adapted from the PDSS for older children. It measures daytime sleepiness and its impact on daily functioning, especially at school, based on the frequency of fatigue and sleep episodes. Scores range from 0 to 32.
PHS is a 14-item self-report questionnaire assessing excessive daytime sleepiness in adolescents (12-17), in relation to school and social activities. Scores range from 0 to 42, with a pathological threshold >24 for narcolepsy/hypersomnia. A French version for children aged 6-11 (PHS 6-11) is awaiting validation.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Correlation coefficients between the Pediatric Hypersomnolence Scale for children and adolescents (PHS; 6-11 and 12-17 years) and the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD)
PHS is a 14-item self-report questionnaire assessing excessive daytime sleepiness in adolescents (12-17), in relation to school and social activities. Scores range from 0 to 42, with a pathological threshold >24 for narcolepsy/hypersomnia. A French version for children aged 6-11 (PHS 6-11) is awaiting validation.
ESS-CHAD : an 8-item questionnaire designed to assess daytime sleepiness. Participants assign a score from 0 to 3 (0 = never; 1 = weak; 2 = moderate; 3 = strong).The minimum score is 0 and the maximum score is 24.
Measured: Baseline (V1) and during the hospitalization visit at 2 months
Correlation coefficients between the Epworth Sleepiness Scale (ESEA) for children and adolescents (ESEA-E and ESEA-A) and the Pediatric Daytime Sleepiness Scale (PDSS; 12-17 years)
ESEA-A is a self-assessment questionnaire adapted from the Epworth Sleepiness Scale for adolescents (12-17 years). It evaluates daytime sleepiness in common daily situations. Scores range from 0 to 30, with the pathological threshold to be validated. A simplified version for children (6-11 years, ESEA-E) is also under validation.
PDSS is an 8-item self-administered questionnaire adapted from the PDSS for older children. It measures daytime sleepiness and its impact on daily functioning, especially at school, based on the frequency of fatigue and sleep episodes. Scores range from 0 to 32.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Correlation coefficients between the Epworth Sleepiness Scale for children and adolescents (ESEA-E and ESEA-A) and the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD)
ESEA-A is a self-assessment questionnaire adapted from the Epworth Sleepiness Scale for adolescents (12-17 years). It evaluates daytime sleepiness in common daily situations. Scores range from 0 to 30, with the pathological threshold to be validated. A simplified version for children (6-11 years, ESEA-E) is also under validation.
ESS-CHAD : an 8-item questionnaire designed to assess daytime sleepiness. Participants assign a score from 0 to 3 (0 = never; 1 = weak; 2 = moderate; 3 = strong).The minimum score is 0 and the maximum score is 24.
Measured: Baseline (V1) and during the hospitalization visit at 2 months
Correlation coefficients between the French Sleepiness Scale for children (FSSC-8) and the Pediatric Daytime Sleepiness Scale (PDSS; 12-17 years)
FSSC-8 an 8-item self-administered questionnaire adapted from the validated adolescent version (FSSA-8) to assess daytime sleepiness in children. It evaluates the frequency of sleepiness episodes in daily situations. Scores range from 0 to 24.
PDSS is an 8-item self-administered questionnaire adapted from the PDSS for older children. It measures daytime sleepiness and its impact on daily functioning, especially at school, based on the frequency of fatigue and sleep episodes. Scores range from 0 to 32.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Correlation coefficients between the Pediatric Daytime Sleepiness Scale (PDSS; 6-11 years) and the Pediatric Daytime Sleepiness Scale (PDSS; 12-17 years)
PDSS (6-11) is an 8-item self-administered questionnaire assessing daytime sleepiness in children under 12 years of age, adapted from the PDSS used in older children. It evaluates the impact of sleepiness on daily functioning, particularly at school, based on the frequency of daytime fatigue and sleep episodes. Scores range from 0 to 32.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Correlation coefficients between the Pediatric Daytime Sleepiness Scale (PDSS; 6-11 years) and the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD)
PDSS (6-11) is an 8-item self-administered questionnaire assessing daytime sleepiness in children under 12 years of age, adapted from the PDSS used in older children. It evaluates the impact of sleepiness on daily functioning, particularly at school, based on the frequency of daytime fatigue and sleep episodes. Scores range from 0 to 32.
ESS-CHAD : an 8-item questionnaire designed to assess daytime sleepiness. Participants assign a score from 0 to 3 (0 = never; 1 = weak; 2 = moderate; 3 = strong).The minimum score is 0 and the maximum score is 24.
Measured: Baseline (V1) and during the hospitalization visit at 2 months
Correlation coefficients between the Short Chronotype Questionnaire (µMunich) for children and adolescents (µMunich-E and µMunich-A) and the PDSS (12-17 years).
µMunich A self-administered questionnaire assessing chronotype by recording usual bedtimes and wake-up times on weekdays and days off. It identifies "morning," "evening," or intermediate profiles and helps interpret sleep disorders. Versions for children (6-11, µMunich-E) and adolescents (12-17, µMunich-A) are being validated.
PDSS is an 8-item self-administered questionnaire adapted from the PDSS for older children. It measures daytime sleepiness and its impact on daily functioning, especially at school, based on the frequency of fatigue and sleep episodes. Scores range from 0 to 32.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Correlation coefficients between the Short Chronotype Questionnaire (µMunich) for children and adolescents (µMunich-E and µMunich-A) and the the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD)
µMunich :A self-administered questionnaire assessing chronotype by recording usual bedtimes and wake-up times on weekdays and days off. It identifies "morning," "evening," or intermediate profiles and helps interpret sleep disorders. Versions for children (6-11, µMunich-E) and adolescents (12-17, µMunich-A) are being validated.
ESS-CHAD : an 8-item questionnaire designed to assess daytime sleepiness. Participants assign a score from 0 to 3 (0 = never; 1 = weak; 2 = moderate; 3 = strong).The minimum score is 0 and the maximum score is 24.
Measured: Baseline (V1) and during the hospitalization visit at 2 months
Group differences in Pediatric Hypersomnolence Scale for children and adolescents (PHS; 6-11 and PHS; 12-17 years) scores.
Differences in mean PHS scores between diagnostic groups will be assessed using t-tests or analysis of variance (ANOVA), as appropriate. Analyses will be performed separately for PHS; 6-11 years and PHS; 12-17 years.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Group differences in the Epworth Sleepiness Scale for children and adolescents (ESEA-E and ESEA-A) scores
Differences in mean ESEA scores between diagnostic groups will be assessed using t-tests or analysis of variance (ANOVA), as appropriate. Analyses will be performed separately for ESEA-E and ESEA-A
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Group differences in French Sleepiness Scale for children (FSSC-8) scores
Differences in mean FSSC-8 scores between diagnostic groups will be assessed using t-tests or analysis of variance (ANOVA), as appropriate.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Group differences in Pediatric Daytime Sleepiness Scale (PDSS; 6-11 years) scores
Differences in mean PDSS scores between diagnostic groups will be assessed using t-tests or analysis of variance (ANOVA), as appropriate.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Group differences in Idiopathic Hypersomnia Severity Scale for children and adolescents (IHSS-E and IHSS-A) scores
Differences in mean IHSS scores between diagnostic groups will be assessed using t-tests or analysis of variance (ANOVA), as appropriate.
Analyses will be performed separately for IHSS-E and IHSS-A.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Diagnostic performance of the Pediatric Hypersomnolence Scale (PHS)
PHS is a 14-item self-report questionnaire assessing excessive daytime sleepiness in adolescents (12-17), in relation to school and social activities. Scores range from 0 to 42, with a pathological threshold >24 for narcolepsy/hypersomnia Diagnostic performance will be assessed by estimating optimal cut-off values of PHS scores for pathological hypersomnolence.
The following metrics will be reported at optimal thresholds:
- Positive predictive value (PPV)
- Negative predictive value (NPV)
- Sensitivity (%) and specificity (%)
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Association between the Idiopathic Hypersomnia Severity Scale scores for children and adolescents (IHSS-E and IHSS-A) and Pediatric Hypersomnolence Scale (PHS) scores
IHSS : A self-administered 14-item questionnaire assessing hypersomnolence, evaluating excessive sleepiness, daytime fatigue, and difficulty maintaining wakefulness, as well as their impact on academic, social, and daily functioning. Versions for children (6-11 years, IHSS-E) and adolescents (12-17 years, IHSS-A) are being validated.
PHS is a 14-item self-report questionnaire assessing excessive daytime sleepiness in adolescents (12-17), in relation to school and social activities. Scores range from 0 to 42, with a pathological threshold >24 for narcolepsy/hypersomnia. The association between IHSS and PHS scores will be assessed using correlation coefficients
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Association between the Idiopathic Hypersomnia Severity Scale scores for children and adolescents (IHSS-A and IHSS-E ) and the sleepiness scale ESEA (ESEA-E and ESEA-A ) scores
IHSS : A self-administered 14-item questionnaire assessing hypersomnolence, evaluating excessive sleepiness, daytime fatigue, and difficulty maintaining wakefulness, as well as their impact on academic, social, and daily functioning. Versions for children (6-11 years, IHSS-E) and adolescents (12-17 years, IHSS-A) are being validated.
ESEA-A is a self-assessment questionnaire adapted from the Epworth Sleepiness Scale for adolescents (12-17 years). It evaluates daytime sleepiness in common daily situations. Scores range from 0 to 30, with the pathological threshold to be validated. A simplified version for children (6-11 years, ESEA-E) is also under validation. The association between IHSS and ESEA scores will be assessed using correlation coefficients
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Association between the Idiopathic Hypersomnia Severity Scale scores (IHSS-A and IHSS-E ) and the French Sleepiness Scale for children FSSC-8 scores.
IHSS : A self-administered 14-item questionnaire assessing hypersomnolence, evaluating excessive sleepiness, daytime fatigue, and difficulty maintaining wakefulness, as well as their impact on academic, social, and daily functioning. Versions for children (6-11 years, IHSS-E) and adolescents (12-17 years, IHSS-A) are being validated.
FSSC-8 an 8-item self-administered questionnaire adapted from the validated adolescent version (FSSA-8) to assess daytime sleepiness in children. It evaluates the frequency of sleepiness episodes in daily situations. Scores range from 0 to 24.The association between IHSS and FSSC-8 scores will be assessed using correlation coefficients
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Association betweenthe Idiopathic Hypersomnia Severity Scale scores for children and adolescents (IHSS-A and IHSS-E ) and the sleepiness scale PDSS (6-11 years) scores
IHSS : A self-administered 14-item questionnaire assessing hypersomnolence, evaluating excessive sleepiness, daytime fatigue, and difficulty maintaining wakefulness, as well as their impact on academic, social, and daily functioning. Versions for children (6-11 years, IHSS-E) and adolescents (12-17 years, IHSS-A) are being validated.
PDSS is an 8-item self-administered questionnaire adapted from the PDSS for older children. It measures daytime sleepiness and its impact on daily functioning, especially at school, based on the frequency of fatigue and sleep episodes. Scores range from 0 to 32.The association between IHSS and PDSS scores will be assessed using correlation coefficients
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Association between the Idiopathic Hypersomnia Severity Scale scores for children and adolescents (IHSS-A and IHSS-E ) and Children's Depression Inventory (CDI) scores
IHSS : A self-administered 14-item questionnaire assessing hypersomnolence, evaluating excessive sleepiness, daytime fatigue, and difficulty maintaining wakefulness, as well as their impact on academic, social, and daily functioning. Versions for children (6-11 years, IHSS-E) and adolescents (12-17 years, IHSS-A) are being validated.
CDI is a 27-item self-report questionnaire assessing depressive symptom severity in children and adolescents over the past two weeks. Each item is scored 0-2 (total 0-54): 0-12 = no symptoms, 13-19 = mild to moderate, ≥20 = moderate to severe, possibly requiring clinical evaluation. The association between IHSS and CDI scores will be assessed using correlation coefficients
Measured: Baseline (V1) and during the hospitalization visit at 2 months
Association between the Idiopathic Hypersomnia Severity Scale scores for children and adolescents (IHSS-A and IHSS-E ) and the Insomnia Severity Index (ISI) scores
IHSS : A self-administered 14-item questionnaire assessing hypersomnolence, evaluating excessive sleepiness, daytime fatigue, and difficulty maintaining wakefulness, as well as their impact on academic, social, and daily functioning. Versions for children (6-11 years, IHSS-E) and adolescents (12-17 years, IHSS-A) are being validated.
The Insomnia Severity Index (ISI) is a 7-item self-report questionnaire assessing the nature, severity of both nighttime and daytime components of insomnia, and impact of insomnia. Each item is scored 0 (no problem) - 4 (very big problem) with total between 0-28 (absence of insomnia (0-7); sub- threshold insomnia (8-14); moderate insomnia (15-21); and severe insomnia (22-28). The association between IHSS and ISI scores will be assessed using correlation coefficients
Measured: Baseline (V1) and during the hospitalization visit at 2 months
Association between the Idiopathic Hypersomnia Severity Scale scores for children and adolescents (IHSS-A and IHSS-E ) and Quality of life VSP-A (6-11 years and 12-17 ans) scores.
IHSS : A self-administered 14-item questionnaire assessing hypersomnolence, evaluating excessive sleepiness, daytime fatigue, and difficulty maintaining wakefulness, as well as their impact on academic, social, and daily functioning. Versions for children (6-11 years, IHSS-E) and adolescents (12-17 years, IHSS-A) are being validated.
VSP-A is a self-administered questionnaire assessing health-related quality of life in adolescents aged 11-17, covering physical and psychological well-being, social and family relationships, self-perception, and school environment. It includes 39 Likert-scale items, with higher scores indicating better quality of life, and was developed and validated in French. A 38-item version for children aged 6-11 (VSP-A 6-11) is also available and routinely used at Lyon University Hospital.The association between IHSS and VSP-A scores will be assessed using correlation coefficients
Measured: Baseline (V1) and during the hospitalization visit at 2 months
Actigraphy to detect the wake and sleep cycle
Actigraphy is a non-invasive test carried out using a device worn on the wrist over a period of one week. It aims to detect the pattern of waking and sleeping.
Measured: After screening/enrollment visit (V1) for Group B and and after visit 2 (Hospitalization visit 60 days ± 15 days after visit 1) for Group C
Sleepiness severity scores measured on the Quality of life (VSP-A) scale
Description : The VSP-A is a self-administered questionnaire assessing health-related quality of life in adolescents aged 11-17, covering physical and psychological well-being, social and family relationships, self-perception, and school environment. It includes 39 Likert-scale items, with higher scores indicating better quality of life, and was developed and validated in French. A 38-item version for children aged 6-11 (VSP-A 6-11) is also available and routinely used at Lyon University Hospital
Measured: During the hospitalization visit at 2 months
Sleepiness severity scores on the Insomnia Severity Index (ISI)
The Insomnia Severity Index (ISI) is a 7-item self-report questionnaire assessing the nature, severity of both nighttime and daytime components of insomnia, and impact of insomnia. Each item is scored 0 (no problem) - 4 (very big problem) with total between 0-28 (absence of insomnia (0-7); sub- threshold insomnia (8-14); moderate insomnia (15-21); and severe insomnia (22-28).
Measured: During the hospitalization visit at 2 months
Sleepiness severity scores on the Pediatric Narcolepsy Severity Scale (NSS-P)
NSS-P is a 14-item questionnaire assessing the severity of narcolepsy symptoms in children and adolescents, including excessive daytime sleepiness, cataplexy, and other disorder-specific manifestations. Each item is scored to estimate overall symptom intensity (total 0-54): 0-14 = mild, 15-28 = moderate, 29-42 = severe, 43-54 = very severe. A score ≥1 on narcolepsy-specific items indicates pathological symptoms.
Measured: During the hospitalization visit at 2 months
Sleepiness severity scores on the Children's Depression Inventory (CDI)
The CDI is a 27-item self-report questionnaire assessing depressive symptom severity in children and adolescents over the past two weeks. Each item is scored 0-2 (total 0-54): 0-12 = no symptoms, 13-19 = mild to moderate, ≥20 = moderate to severe, possibly requiring clinical evaluation.
Measured: During the hospitalization visit at 2 months
Clinical Global Impression Scale for Severity (CGI-S)
CGI-S is an observer-rated scale measuring illness severity on a 7-point scale: 1 = "normal, not at all ill," 2 = "borderline ill," 3 = "slightly ill," 4 = "moderately ill," 5 = "markedly ill," 6 = "severely ill," 7 = "among the most extremely ill patients." Only completed for group B subjects.
Measured: During the hospitalization visit at 2 months
Clinical Global Impression Scale for Change (CGI-C)
CGI-C : The Clinical Global Impression of Severity (CGI-S) is a global rating scale used for clinician-rated assessment of the severity of a disorder. It consists of a single item asking the clinician to rate, on an ordinal scale from 1 to 7, the overall severity of the patient's condition at the time of assessment. This rating is based on clinical observation and available information regarding the patient's overall functioning.
Only completed for group B subjects.
Measured: During the hospitalization visit at 2 months
Procrastination Severity
PPS-A (Pure Procrastination Scale ) is an 11-item self-report questionnaire assessing procrastination behaviors in adolescents and adults. For children under 12, an age-adapted version (PPS-E) is used. It evaluates cognitive and behavioral aspects, such as delaying important tasks, difficulty initiating action, and loss of control with deadlines, as well as their impact on school, work, and daily activities. Scores range from 11 to 55, with significant procrastination typically indicated by a score ≥45 (75th percentile).
Only completed for group B and C subjects.
Measured: During the hospitalization visit at 2 months
Concentration of CSF orexinA/hypocretin in NT1 patient
Determination orexinA/hypocretin in cerebrospinal fluid (CSF). Only in Group B in case of suspected narcolepsy.
Measured: During the hospitalization visit at 2 months
Urinary melatonin concentration
Measurement of urinary 5-sulfatoxymelatonin as an indicator of melatonin secretion. Only done for groups B and C.
Measured: During the hospitalization visit at 2 months
Normative values scores in the Pediatric Hypersomnia Survey PHS (6-11years and 12-17 years).
- means, standard deviations, and percentiles PHS: Scores range from 0 to 42, with a pathological threshold >24 for narcolepsy/hypersomnia
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Normative values scores in the ESEA-E (6-11years) and ESEA-A (12-17years) versions of the Epworth Sleepiness Scale (ESEA)
- means, standard deviations, and percentiles ESEA : Scores range from 0 to 30.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at the 2 months for group C
Normative values scores in the French Sleepiness Scale for children (FSSC-8)
- means, standard deviations, and percentiles
- FSSC-8: Scores range from 0 to 24
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Normative values scores in the Pediatric Daytime Sleepiness Scale (PDSS; 6-11years)
- means, standard deviations, and percentiles
- PDSS : Scores range from 0 to 32.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Normative values scores in the IHSS-E (6-11years) and IHSS-A (12-17years) versions of the Idiopathic Hypersomnia Severity Scale (IHSS)
- means, standard deviations, and percentiles
- IHSS : scores range from 0 to 50.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Normative values scores in the Short Chronotype Questionnaire μMunich (μMunich-E and μMunich-A versions)
means, standard deviations, and percentiles
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
24-hour Ambulatory Blood Pressure Profile
Assessment of the 24-hour blood pressure profile using automated, non-invasive ambulatory blood pressure monitoring (ABPM), with repeated systolic and diastolic blood pressure measurements.
Unit of Measure: mmHg Only for patients with suspected narcolepsy and for subjects in group C.
Measured: During the hospitalization visit at 2 months
Psychomotor vigilance task (PVT)
PVT is a widely utilized as a measure of behavioral alertness, primary due to its high sensitivity to sleep deprivation and its psychometric advantages over other cognitive tests. The standard 10-min PVT measures sustained or vigilant attention by recording response times (RT) to visual (or auditory) stimuli presented at random inter-stimulus intervals.
Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Mean sleep latency
MSLT (Multiple Sleep Latency Test): A daytime sleep study that measures how quickly a person falls asleep during several scheduled naps. It checks sleep latency and the presence of SOREMPs. Used mainly to diagnose narcolepsy and excessive daytime sleepiness.
Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Number of sleep-onset REM periods
MSLT (Multiple Sleep Latency Test): A daytime sleep study that measures how quickly a person falls asleep during several scheduled naps. It checks sleep latency and the presence of SOREMPs. Used mainly to diagnose narcolepsy and excessive daytime sleepiness.
Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Sleep latency at each test (minutes)
MSLT (Multiple Sleep Latency Test): A daytime sleep study that measures how quickly a person falls asleep during several scheduled naps. It checks sleep latency and the presence of SOREMPs. Used mainly to diagnose narcolepsy and excessive daytime sleepiness.
Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Presence of a SOREMP at each test
MSLT (Multiple Sleep Latency Test): A daytime sleep study that measures how quickly a person falls asleep during several scheduled naps. It checks sleep latency and the presence of SOREMPs. Used mainly to diagnose narcolepsy and excessive daytime sleepiness. Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Percentage of sleep efficiency
is measured in percentage (%) during polysomnography and indicates the proportion of time spent asleep relative to the total time in bed. Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Total sleep time
Total sleep time measured in minutes during polysomnography. Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Sleep onset latency (in minutes)
Sleep onset Latensy measured in minutes during polysomnography. Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Wake after sleep onset - WASO (in minutes)
WASO is defined as the time to wake after initial sleep onset. WASO is measured during overnight sleep laboratory (PSG) assessment and defined as the duration of wakefulness from the onset of persistent sleep. Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Percentage of different sleep stages
Percentage of time spent in stage 1 and 2 sleep stages and stage 3 during polysomnography. Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Rapid Eye Movement sleep latency - REM (in minutes)
Time spent in REM sleep is measured in minutes during polysomnography. Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Respiratory event index - REI (events per hour)
REI is calculated from the number of apneas and hypopneas per hour of sleep (AHI = number of apneas + number of hypopneas / number of hours of sleep) during polysomnography. Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Periodic limb movement index - PLMI (events per hour)
PLMI is measured in events per hour and counts the average number of periodic limb movements per hour of sleep during Polysomnography. Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Phasic and tonic muscle activity during REM sleep (in percentage).
Phasic and tonic muscle activity during REM sleep is measured in percentage (%) during polysomnography and quantifies abnormal muscle activity during REM sleep. Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Deep slow-wave sleep fragmentation index (events per hour)
Deep slow-wave sleep fragmentation index is measured in events per hour during polysomnography and represents the number of arousals or interruptions of deep sleep per hour. Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Complex motor behaviors on video recording (number per night)
Complex motor behaviors on video recording is measured in number per night during polysomnography and counts the frequency of abnormal or complex motor behaviors observed during the night. Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Continuous long-duration 24-hour sleep recording data (in minutes)
Continuous long-duration 24-hour sleep recording data is measured in minutes during polysomnography and represents the total duration of sleep recorded over a continuous 24-hour period. Only done for groups B and C subjects.
Measured: During the hospitalization visit at 2 months
Discriminative ability of French Sleepiness Scale for children (FSSC-8) for pathological hypersomnolence
Discriminative ability will be evaluated using receiver operating characteristic (ROC) curve analysis.
The following metrics will be reported:
- Area Under the Curve (AUC)
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C]
Discriminative ability of Pediatric Daytime Sleepiness Scale (PDSS) for pathological hypersomnolence
Discriminative ability will be evaluated using receiver operating characteristic (ROC) curve analysis.
The following metrics will be reported:
- Area Under the Curve (AUC)
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C]
Discriminative ability of the Idiopatic Hypersomnia Severity Scale (IHSS-A and IHSS-E ) for pathological hyperomnolence
Discriminative ability will be evaluated using receiver operating characteristic (ROC) curve analysis.
The following metrics will be reported:
- Area Under the Curve (AUC)
Analyses will be performed separately for:
- IHSS-A (6-11 years)
- IHSS-E (12-17 years)
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Discriminative ability of Pediatric Hypersomnia Survey (PHS) for pathological hypersomnolence
Discriminative ability will be evaluated using receiver operating characteristic (ROC) curve analysis. The following metrics will be reported: • Area Under the Curve (AUC)
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Discriminative ability of the Epworth Sleepiness Scale for Children and Adolescents (ESEA-E and ESEA-A) for pathological hypersomnolence
Discriminative ability will be evaluated using receiver operating characteristic (ROC) curve analysis.
The following metrics will be reported:
- Area Under the Curve (AUC)
Analyses will be performed separately for:
- ESEA-E (6-11 years)
- ESEA-A (12-17 years) Subgroup analyses will include general population vs referred clinical population.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Discriminative ability of the Short Chronotype Questionnaire (µMunich-E and µMunich-A) for pathological hyperomnolence
Discriminative ability will be evaluated using receiver operating characteristic (ROC) curve analysis. The following metrics will be reported: • Area Under the Curve (AUC) Analyses will be performed separately for: • µMunich-E (6-11 years) • µMunich-A(12-17 years)
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Construct validity of the Epworth Sleepiness Scale for Children and Adolescents (ESEA-E and ESEA-A): Number of dimensions
Construct validity will be assessed using multiple correspondence analysis (MCA) for categorical items. The number of dimensions retained will be determined based on eigenvalues >1 and inspection of the scree plot.
Measure: Number of dimensions retained (dimension count). Results will be reported separately for each version of the scale.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Construct validity of the the Idiopathic Hypersomnia Severity Scale (IHSS) for children and adolescents(IHSS-E and IHSS-A): Number of dimensions
Construct validity will be assessed using multiple correspondence analysis (MCA) for categorical items. The number of dimensions retained will be determined based on eigenvalues >1 and inspection of the scree plot.
Measure: Number of dimensions retained (dimension count). Results will be reported separately for each version of the scale.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Construct validity of the Pediatric Daytime Sleepiness Scale (PDSS) for children (6-11years): Number of dimensions
Construct validity will be assessed using multiple correspondence analysis (MCA) for categorical items. The number of dimensions retained will be determined based on eigenvalues >1 and inspection of the scree plot.
Measure: Number of dimensions retained (dimension count).
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Construct validity of the French Sleepiness Scale for children (FSSC-8): Number of dimensions
Construct validity will be assessed using multiple correspondence analysis (MCA) for categorical items. The number of dimensions retained will be determined based on eigenvalues >1 and inspection of the scree plot.
Measure: Number of dimensions retained (dimension count).
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Construct validity of the Pediatric Hypersomnia Survey (PHS) for children (6-11 years) and adolescents (12-17 years): Number of dimensions
Construct validity will be assessed using multiple correspondence analysis (MCA) for categorical items. The number of dimensions retained will be determined based on eigenvalues >1 and inspection of the scree plot.
Measure: Number of dimensions retained (dimension count). Results will be reported separately for each version of the scale.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Construct validity of the Short Chronotype Questionnaire (µMunich) for children and adolescents (µMunich-E and µMunich-A): Number of dimensions
Construct validity will be assessed using multiple correspondence analysis (MCA) for categorical items. The number of dimensions retained will be determined based on eigenvalues >1 and inspection of the scree plot.
Measure: Number of dimensions retained (dimension count). Results will be reported separately for each version of the scale.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
24-hour Ambulatory Heart Rate Profile
Assessment of the 24-hour heart rate profile using automated ambulatory monitoring with repeated heart rate measurements.
Unit of Measure: beats per minute (bpm)
Measured: During the hospitalization visit at 2 months
Construct validity of the Epworth Sleepiness Scale for Children and Adolescents (ESEA-E and ESEA-A): Coordinates of item categories
Construct validity will be assessed using multiple correspondence analysis (MCA) for categorical items. The coordinates of the item categories on each retained dimension will be reported to describe the position and contribution of each response category within the MCA solution.
Measure: Coordinates of item categories on each retained MCA dimension (dimension-specific coordinates; no physical unit).
Results will be reported separately for each version of the scale.
Measured: Baseline (V1) for Groups A and B and during the hospitalization visit at 2 months for Group C
Construct validity of the the Idiopathic Hypersomnia Severity Scale (IHSS) for children and adolescents(IHSS-E and IHSS-A) : Coordinates of item categories
Construct validity will be assessed using multiple correspondence analysis (MCA) for categorical items. The coordinates of the item categories on each retained dimension will be reported to describe the position and contribution of each response category within the MCA solution.
Measure: Coordinates of item categories on each retained MCA dimension (dimension-specific coordinates; no physical unit).
Results will be reported separately for each version of the scale.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Construct validity of the Pediatric Daytime Sleepiness Scale (PDSS) for children (6-11years) : Coordinates of item categories
Construct validity will be assessed using multiple correspondence analysis (MCA) for categorical items. The coordinates of the item categories on each retained dimension will be reported to describe the position and contribution of each response category within the MCA solution.
Measure: Coordinates of item categories on each retained MCA dimension (dimension-specific coordinates; no physical unit).
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Construct validity of the French Sleepiness Scale for children (FSSC-8): Coordinates of item categories
Construct validity will be assessed using multiple correspondence analysis (MCA) for categorical items. The coordinates of the item categories on each retained dimension will be reported to describe the position and contribution of each response category within the MCA solution.
Measure: Coordinates of item categories on each retained MCA dimension (dimension-specific coordinates; no physical unit).
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Construct validity of the Pediatric Hypersomnia Survey (PHS) for children (6-11 years) and adolescents (12-17 years) : Coordinates of item categories
Construct validity will be assessed using multiple correspondence analysis (MCA) for categorical items. The coordinates of the item categories on each retained dimension will be reported to describe the position and contribution of each response category within the MCA solution.
Measure: Coordinates of item categories on each retained MCA dimension (dimension-specific coordinates; no physical unit).
Results will be reported separately for each version of the scale
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Construct validity of the Short Chronotype Questionnaire (µMunich) for children and adolescents (µMunich-E and µMunich-A) : Coordinates of item categories
Construct validity will be assessed using multiple correspondence analysis (MCA) for categorical items. The coordinates of the item categories on each retained dimension will be reported to describe the position and contribution of each response category within the MCA solution.
Measure: Coordinates of item categories on each retained MCA dimension (dimension-specific coordinates; no physical unit).
Results will be reported separately for each version of the scale.
Measured: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Aug 2026
- Study startSep 2026 (estimated)
- Primary completionMay 2029 (estimated)
- Study completionNov 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Wakefulness DisorderStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 N/A
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 760 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University Hospital, Montpellier
- Sponsor type
- University, hospital or other
- Collaborators
- Société Française de Recherche et de Médecine du Sommeil
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07766343
- Sponsor's protocol ID
- RECHMPL24_0182
- Other IDs
- 2025-A02188-41
- Acronym
- SOMNO-PED
- Status last verified
- Aug 2026
- First submitted
- 10 Feb 2026
- Last updated
- 14 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Hypersomnolence in the Paediatric Population: From Symptom to Pathology, From Screening in the General Population to Phenotyping in Specialist Centres.
- ClinicalTrials.gov ID
- NCT07766343
- Acronym / sponsor ID
- SOMNO-PED / RECHMPL24_0182
- Conditions
- Wakefulness Disorder, Narcolepsy, Idiopathic Hypersomnia
- Keywords
- sleep disorders, sleepiness, pediatric, screening, phenotyping, scales, psychometric measurements, biological collection
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 760 participants (estimated)
- Lead sponsor
- University Hospital, MontpellierUniversity, hospital or other
- Collaborators
- Société Française de Recherche et de Médecine du Sommeil
- Study start
- Sep 2026 (estimated)
- Primary completion
- May 2029 (estimated)
- Study completion
- Nov 2029 (estimated)
- First posted
- 14 Aug 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a 36-month, multicentric, cross-sectional study involving a paediatric population aged 6 to 17 years. Three groups will be included:
Group A: children from the general population with no complaints of sleepiness; Group B: children with a sleep disorder or excessive sleepiness associated with a medical condition (narcolepsy, circadian rhythm sleep disorder (CRSD), non-REM parasomnias, attention deficit disorder with or without hyperactivity (ADHD), autism spectrum disorder (ASD) or obesity); Group C: healthy volunteers with no medical conditions or sleep-related complaints.
Detailed description
"This is a prospective diagnostic study where participants are assigned to a standardized evaluation protocol. The study procedures-including experimental unvalidated sleepiness questionnaires, mandatory 24-hour continuous Video-Polysomnography (PSG), Multiple Sleep Latency Tests (MSLT/TILE), actigraphy, and biological sampling-are explicitly assigned by the study protocol and are performed outside the scope of routine clinical care.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| General population | Experimental | Other: Sleepness and wakeness scaleAdministration of scales to diagnose a sleep or wakefulness disorder |
| Patients with wakeness disorders | Active comparator | Other: Sleepness and wakeness scale, Procedure: Polysomnography, Procedure: Actimetry, Other: Diagnostic scales, Procedure: Ambulatory blood pressure monitoring (ABPM), Other: blood sampling, Other: Urine collectionThe control group consisting of patients with wakeness disorders. |
| Healthy volunteers | Experimental | Other: Sleepness and wakeness scale, Procedure: Polysomnography, Procedure: Actimetry, Other: Diagnostic scales, Procedure: Ambulatory blood pressure monitoring (ABPM), Other: blood sampling, Other: Urine collection* Completion of screening scales and diagnostic scales * Polysomnography * Actimetry |
Who may qualify
- Ages
- 6 to 17 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (42 listed)
- For all participants :
- Be aged between 6 and 17 (< 18 years old).
- Be able to express consent to participate.
- Have at least one legal guardian.
- Speak and understand French.
Key exclusion criteria (5 listed)
- -Retrait du consentement.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Sleepness and wakeness scalePediatric Hypersomnia Survey (PHS) Pediatric Daytime Sleepiness Scale (PDSS) Somnolence Scale Adapted for Children and Adolescents French Sleepiness Scale for Children Idiopathic Hypersomnia Severity Scale µMunich Short Chronotype Questionnaire | Other | General population, Healthy volunteers, Patients with wakeness disorders |
| PolysomnographyPolysomnography over 24 hours | Procedure or surgery | Healthy volunteers, Patients with wakeness disorders |
| ActimetryActimetry over 2 weeks | Procedure or surgery | Healthy volunteers, Patients with wakeness disorders |
| Diagnostic scalesPediatric Narcolepsy Severity Scale Insomnia Severity Index Children's Depression Inventory Epworth Sleepiness Scale for Children and Adolescents Life Experiences and Perceived Health among Adolescents Pure Procrastination Scale Sleep Disturbance Scale for Children | Other | Healthy volunteers, Patients with wakeness disorders |
| Ambulatory blood pressure monitoring (ABPM)Ambulatory blood pressure monitoring (ABPM) over 24 hours | Procedure or surgery | Healthy volunteers, Patients with wakeness disorders |
| blood sampling10 mL of blood are taken | Other | Healthy volunteers, Patients with wakeness disorders |
| Urine collectionUrine collection during polysomnography, collection periods are: 2:00 p.m. to 5:00 p.m., 5:00 p.m. to 8:00 p.m., 8:00 p.m. to 8:00 a.m., 8:00 a.m. to 11:00 a.m., 11:00 a.m. to 2:00 p.m. | Other | Healthy volunteers, Patients with wakeness disorders |
Primary outcome
Internal consistency of the Epworth Sleepiness Scale for Children and Adolescents (ESEA-E and ESEA-A)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
The ESEA is a self-assessment questionnaire adapted from the Epworth Sleepiness Scale. It evaluates daytime sleepiness in common daily situations. Scores range from 0 to 30. Internal consistency will be assessed using Cronbach's alpha. The analysis will be performed separately for: * ESEA-E (children aged 6-11 years) * ESEA-A (adolescents aged 12-17 years) Each Cronbach's alpha coefficient will be reported independently for each scale version.
Internal consistency of the Idiopathic Hypersomnia Severity Scale (IHSS) for children and adolescents(IHSS-E and IHSS-A)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
IHSS : A self-administered 14-item questionnaire assessing hypersomnolence, evaluating excessive sleepiness, daytime fatigue, and difficulty maintaining wakefulness, as well as their impact on academic, social, and daily functioning. Internal consistency will be assessed using Cronbach's alpha. The analysis will be performed separately for: IHSS-E (children aged 6-11 years) IHSS-A (adolescents aged 12-17 years). Each Cronbach's alpha coefficient will be reported independently for each scale version.
Internal consistency of the Pediatric Daytime Sleepiness Scale (PDSS) for children (6-11 years)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
PDSS (6-11) is an 8-item self-administered questionnaire adapted from the PDSS for older children. It measures daytime sleepiness and its impact on daily functioning, especially at school, based on the frequency of fatigue and sleep episodes. Scores range from 0 to 32. Internal consistency will be assessed using Cronbach's alpha.
Internal consistency of the French Sleepiness Scale for children (FSSC-8)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
FSSC-8 an 8-item self-administered questionnaire adapted from the validated adolescent version (FSSA-8) to assess daytime sleepiness in children. It evaluates the frequency of sleepiness episodes in daily situations. Scores range from 0 to 24.Internal consistency will be assessed using Cronbach's alpha.
Internal consistency of the Pediatric Hypersomnia Survey (PHS) for children (6-11 years) and adolescents (12-17 years)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
The PHS is a 14-item self-report questionnaire assessing excessive daytime sleepiness in adolescents (12-17), in relation to school and social activities. Scores range from 0 to 42, with a pathological threshold >24 for narcolepsy/hypersomnia. Internal consistency will be assessed using alpha Cronbach's. The analysis will be performed separately for: PHS (aged 6-11years) and PHS (aged 12-17 years). Each Cronbach's alpha coefficient will be reported independently for each scale version
Internal consistency of the Short Chronotype Questionnaire (µMunich) for children and adolescents (µMunich-E and µMunich-A)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
A self-administered questionnaire assessing chronotype by recording usual bedtimes and wake-up times on weekdays and days off. It identifies "morning," "evening," or intermediate profiles and helps interpret sleep disorders. Internal consistency will be assessed using Cronbach's alpha. The analysis will be performed separately for: µMunich-E (children aged 6-11 years), µMunich-A(adolescents aged 12-17 years) Each Cronbach's alpha coefficient will be reported independently for each scale version.
77 secondary outcomes
Correlation coefficients between the Idiopathic Hypersomnia Severity Scale for children and adolescents (IHSS-A and IHSS-E ) and the Pediatric Daytime Sleepiness Scale (PDSS; 12-17years).
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Correlation coefficients between the Idiopatic Hypersomnia Severity Scale (IHSS-A and IHSS-E ) and the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD).
Time frame: Baseline (V1) and during the hospitalization visit at 2 months
Correlation coefficients between the Pediatric Hypersomnolence Scale (PHS; 6-11 and 12-17 years) and the Pediatric Daytime Sleepiness Scale (PDSS; 12-17 years)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Correlation coefficients between the Pediatric Hypersomnolence Scale for children and adolescents (PHS; 6-11 and 12-17 years) and the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD)
Time frame: Baseline (V1) and during the hospitalization visit at 2 months
Correlation coefficients between the Epworth Sleepiness Scale (ESEA) for children and adolescents (ESEA-E and ESEA-A) and the Pediatric Daytime Sleepiness Scale (PDSS; 12-17 years)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Correlation coefficients between the Epworth Sleepiness Scale for children and adolescents (ESEA-E and ESEA-A) and the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD)
Time frame: Baseline (V1) and during the hospitalization visit at 2 months
Correlation coefficients between the French Sleepiness Scale for children (FSSC-8) and the Pediatric Daytime Sleepiness Scale (PDSS; 12-17 years)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Correlation coefficients between the Pediatric Daytime Sleepiness Scale (PDSS; 6-11 years) and the Pediatric Daytime Sleepiness Scale (PDSS; 12-17 years)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Correlation coefficients between the Pediatric Daytime Sleepiness Scale (PDSS; 6-11 years) and the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD)
Time frame: Baseline (V1) and during the hospitalization visit at 2 months
Correlation coefficients between the Short Chronotype Questionnaire (µMunich) for children and adolescents (µMunich-E and µMunich-A) and the PDSS (12-17 years).
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Correlation coefficients between the Short Chronotype Questionnaire (µMunich) for children and adolescents (µMunich-E and µMunich-A) and the the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD)
Time frame: Baseline (V1) and during the hospitalization visit at 2 months
Group differences in Pediatric Hypersomnolence Scale for children and adolescents (PHS; 6-11 and PHS; 12-17 years) scores.
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Group differences in the Epworth Sleepiness Scale for children and adolescents (ESEA-E and ESEA-A) scores
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Group differences in French Sleepiness Scale for children (FSSC-8) scores
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Group differences in Pediatric Daytime Sleepiness Scale (PDSS; 6-11 years) scores
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Group differences in Idiopathic Hypersomnia Severity Scale for children and adolescents (IHSS-E and IHSS-A) scores
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Diagnostic performance of the Pediatric Hypersomnolence Scale (PHS)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Association between the Idiopathic Hypersomnia Severity Scale scores for children and adolescents (IHSS-E and IHSS-A) and Pediatric Hypersomnolence Scale (PHS) scores
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Association between the Idiopathic Hypersomnia Severity Scale scores for children and adolescents (IHSS-A and IHSS-E ) and the sleepiness scale ESEA (ESEA-E and ESEA-A ) scores
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Association between the Idiopathic Hypersomnia Severity Scale scores (IHSS-A and IHSS-E ) and the French Sleepiness Scale for children FSSC-8 scores.
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Association betweenthe Idiopathic Hypersomnia Severity Scale scores for children and adolescents (IHSS-A and IHSS-E ) and the sleepiness scale PDSS (6-11 years) scores
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Association between the Idiopathic Hypersomnia Severity Scale scores for children and adolescents (IHSS-A and IHSS-E ) and Children's Depression Inventory (CDI) scores
Time frame: Baseline (V1) and during the hospitalization visit at 2 months
Association between the Idiopathic Hypersomnia Severity Scale scores for children and adolescents (IHSS-A and IHSS-E ) and the Insomnia Severity Index (ISI) scores
Time frame: Baseline (V1) and during the hospitalization visit at 2 months
Association between the Idiopathic Hypersomnia Severity Scale scores for children and adolescents (IHSS-A and IHSS-E ) and Quality of life VSP-A (6-11 years and 12-17 ans) scores.
Time frame: Baseline (V1) and during the hospitalization visit at 2 months
Actigraphy to detect the wake and sleep cycle
Time frame: After screening/enrollment visit (V1) for Group B and and after visit 2 (Hospitalization visit 60 days ± 15 days after visit 1) for Group C
Sleepiness severity scores measured on the Quality of life (VSP-A) scale
Time frame: During the hospitalization visit at 2 months
Sleepiness severity scores on the Insomnia Severity Index (ISI)
Time frame: During the hospitalization visit at 2 months
Sleepiness severity scores on the Pediatric Narcolepsy Severity Scale (NSS-P)
Time frame: During the hospitalization visit at 2 months
Sleepiness severity scores on the Children's Depression Inventory (CDI)
Time frame: During the hospitalization visit at 2 months
Clinical Global Impression Scale for Severity (CGI-S)
Time frame: During the hospitalization visit at 2 months
Clinical Global Impression Scale for Change (CGI-C)
Time frame: During the hospitalization visit at 2 months
Procrastination Severity
Time frame: During the hospitalization visit at 2 months
Concentration of CSF orexinA/hypocretin in NT1 patient
Time frame: During the hospitalization visit at 2 months
Urinary melatonin concentration
Time frame: During the hospitalization visit at 2 months
Normative values scores in the Pediatric Hypersomnia Survey PHS (6-11years and 12-17 years).
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Normative values scores in the ESEA-E (6-11years) and ESEA-A (12-17years) versions of the Epworth Sleepiness Scale (ESEA)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at the 2 months for group C
Normative values scores in the French Sleepiness Scale for children (FSSC-8)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Normative values scores in the Pediatric Daytime Sleepiness Scale (PDSS; 6-11years)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Normative values scores in the IHSS-E (6-11years) and IHSS-A (12-17years) versions of the Idiopathic Hypersomnia Severity Scale (IHSS)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Normative values scores in the Short Chronotype Questionnaire μMunich (μMunich-E and μMunich-A versions)
Time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Aug 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Sleepness and wakeness scale, Polysomnography and Actimetry in people with Wakefulness Disorder and Narcolepsy, run by University Hospital, Montpellier at 1 site in France.
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 42 inclusion and 5 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: opening soon, as of the sponsor's last update on 14 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Lucie BARATEAU, Dr (+33 04 67 33 31 65, l-barateau@chu-montpellier.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Internal consistency of the Epworth Sleepiness Scale for Children and Adolescents (ESEA-E and ESEA-A) (time frame: Baseline (V1) for group A and B and during the hospitalization visit at 2 months for group C). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 14 Aug 2026.