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The objective of this trial is to evaluate the safety and efficacy of Xyrem® compared to placebo for the treatment of fibromyalgia in a randomized, double blind, placebo controlled, parallel group trial.
The trial is a randomized, double blind, placebo controlled, parallel group trial in subjects diagnosed with fibromyalgia in accordance with the American College of Rheumatology. Total duration is up to twenty-one (21) weeks of trial participation. Subjects will undergo a screening and withdrawal/washout period lasting up to five (5) weeks combined, followed by baseline period lasting one (1) week. Total treatment duration will be fourteen (14) weeks followed by one (1) week safety follow-up post treatment period. During the screening and withdrawal/washout period, no study medication will be given; however rescue medication acetaminophen (up to 4 grams per day) will be allowed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Placebo Comparator |
| |
| 2 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Xyrem® | Drug | two doses |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Pain VAS (Visual Analog Scale) Response. Percentage of Subjects With a Greater Than or Equal to 30% Reduction in Pain VAS From Baseline (BOCF). | Percentage of pain VAS responders. Subjects with a >= 30% reduction in pain VAS from baseline to endpoint (week 14) were considered responders; all other subjects were considered non-responders. Missing data were handled using BOCF (Baseline Observation Carried Forward). The pain VAS ranges from 0 (no pain) to 100 (worst imaginable pain). The pain VAS was collected morning, afternoon and evening. Baseline is the average value recorded for the measure during the week prior to the end-of-baseline visit. Endpoint is the average value recorded for the measure during the week prior to week 14. | Baseline to Week 14 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| I. Jon Russell, PhD, MD | The University of Texas Health Science Center at San Antonio | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pinnacle Research Group, LLC | Anniston | Alabama | 36207 | United States | ||
| Rheumatology Associates of N. AL, PC |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21397402 | Result | Russell JI, Holman AJ, Swick TJ, Alvarez-Horine S, Wang GY, Guinta D; Sodium Oxybate 06-008 FM Study Group. Sodium oxybate reduces pain, fatigue, and sleep disturbance and improves functionality in fibromyalgia: results from a 14-week, randomized, double-blind, placebo-controlled study. Pain. 2011 May;152(5):1007-1017. doi: 10.1016/j.pain.2010.12.022. Epub 2011 Mar 11. | |
| Result | Swick TJ, Alvarez-Horine S, Zheng Y, Rothman J, Inhaber N, Holman AJ, Smith TR, Russell IJ. Sodium Oxybate Improves Pain, Fatigue, and Sleep in Fibromyalgia: Results from a 14-Week Randomized, Double-Blind, Placebo-Controlled Trial. [APSS abstract 0984]. Sleep 2009;32(suppl):A321. | ||
| Result | Swick TJ, Alvarez-Horine S, Zheng Y, Guinta D, Inhaber N, Holman AJ, Smith TR, Russell IJ. Impaired Sleep and Daytime Functioning at Baseline in Subjects with Fibromyalgia from a 14-Week Randomized, Double-Blind, Placebo-Controlled Trial of Sodium Oxybate. [APSS abstract 1013]. Sleep 2009;32(suppl):A330. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Placebo taken as two equally divided nightly doses |
| FG001 | Xyrem 4.5g | Xyrem 4.5g taken as two equally divided nightly doses |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Drug |
Oral Solution |
|
| Huntsville |
| Alabama |
| 35801 |
| United States |
| Xenoscience, Inc. dba 21st Century Neurology | Phoenix | Arizona | 85004 | United States |
| Arizona Research Center | Phoenix | Arizona | 85023 | United States |
| Advanced Clinical Research Institute | Anaheim | California | 92801 | United States |
| Providence Clinical Research | Burbank | California | 91505 | United States |
| Northern California Research | Carmichael | California | 95608 | United States |
| Pasadena Rehabilitation Institute | Pasadena | California | 91105 | United States |
| Arroyo Medical Group | Pismo Beach | California | 93449 | United States |
| Sacramento Research Medical Group | Sacramento | California | 95825 | United States |
| Apex Research Institute | Santa Ana | California | 92705 | United States |
| Sansum Clinic | Santa Barbara | California | 93110 | United States |
| Robert E. Harris, MD Medical Corporation | Whittier | California | 90601 | United States |
| CRIA Research | Fort Lauderdale | Florida | 33334 | United States |
| Clinical Physiology Associates Clinical Study Center | Fort Meyers | Florida | 33916 | United States |
| Innovative Research | Largo | Florida | 33770 | United States |
| Compass Research | Orlando | Florida | 32806 | United States |
| Sunrise Medical Research | Plantation | Florida | 33317 | United States |
| Coastal Medical Research, Inc | Port Orange | Florida | 32127 | United States |
| Deerpath Physicians Group | Gurnee | Illinois | 60031 | United States |
| Balanced health Research Center | Peoria | Illinois | 61614 | United States |
| Welborn Clinic | Evansville | Indiana | 47713 | United States |
| Investigative Clinical Research of Indiana, LLC | Indianapolis | Indiana | 46254 | United States |
| Graves - Gilbert Clinic | Bowling Green | Kentucky | 42101 | United States |
| Central Kentucky Research Associates, Inc. | Lexington | Kentucky | 40509 | United States |
| Commonwealth Biomedical Reseach, LLC | Madisonville | Kentucky | 42431 | United States |
| FutureCare Studies | Springfield | Massachusetts | 01103 | United States |
| Clinical Pharmacology Study Group | Worcester | Massachusetts | 01610 | United States |
| PCM Medical Services | Lansing | Michigan | 48917 | United States |
| Clinvest | Springfield | Missouri | 65807 | United States |
| Clayton Medical Associates | St Louis | Missouri | 63117 | United States |
| St. John's Mercy Health System | St Louis | Missouri | 63141 | United States |
| Quality Clinical Research, Inc. | Omaha | Nebraska | 68114 | United States |
| CCR Trials | Berlin | New Jersey | 08009 | United States |
| School of Osteopathic Medicine | Cherry Hill | New Jersey | 08002 | United States |
| Anderson & Collins Clinical Research, Inc. | Edison | New Jersey | 08817 | United States |
| Upstate Clinical Research, LLC | Albany | New York | 12205 | United States |
| AAIR Research Center | Rochester | New York | 14618 | United States |
| Great Lakes Medical Research | Westfield | New York | 14787 | United States |
| Carolina Bone and Joint | Charlotte | North Carolina | 28210 | United States |
| Carolinas Research | Charlotte | North Carolina | 28226 | United States |
| Duke University Medical Center | Durham | North Carolina | 27705 | United States |
| Wake Research Associates, LLC | Raleigh | North Carolina | 27612 | United States |
| The Center for Clinical Research | Winston-Salem | North Carolina | 27103 | United States |
| Radiant Research | Columbus | Ohio | 43212 | United States |
| Signal Point Clinical Research Center, LLC | Middletown | Ohio | 45042 | United States |
| Radiant Research | Mogadore | Ohio | 44260 | United States |
| Clinical Research Source, Inc. | Perrysburg | Ohio | 43551 | United States |
| Health Research Institute | Oklahoma City | Oklahoma | 73109 | United States |
| Tulsa Clinical Research, LLC | Tulsa | Oklahoma | 74104 | United States |
| PRO Research | Eugene | Oregon | 97401 | United States |
| Medford Medical Clinic, LLP | Medford | Oregon | 97504 | United States |
| Central Pennsylvania Clinical Research | Mechanicsburg | Pennsylvania | 17055 | United States |
| Omega Medical Research | Warwick | Rhode Island | 02886 | United States |
| Low Country Research Center | Charleston | South Carolina | 29406 | United States |
| Radiant Research, Greer | Greer | South Carolina | 29651 | United States |
| Clinsearch | Chattanooga | Tennessee | 37421 | United States |
| Rheumatology Consultants, PLLC | Knoxville | Tennessee | 37909 | United States |
| Walter M. Chase, MD | Austin | Texas | 78705 | United States |
| Future Search Trials of Neurology Future Research Trials | Austin | Texas | 78756 | United States |
| DFW Wellness | Fort Worth | Texas | 76108 | United States |
| The Methodist Hospital Systems | Houston | Texas | 77030 | United States |
| Houston Sleep Center | Houston | Texas | 77063 | United States |
| Sun Research Institute | San Antonio | Texas | 78205 | United States |
| Radiant Research San Antonio Northeast | San Antonio | Texas | 78217 | United States |
| The University of Texas Health Science Center | San Antonio | Texas | 78229 | United States |
| Fatigue Consultation Center | Salt Lake City | Utah | 84102 | United States |
| Richard A. Neiman, MD, Inc. | Kirkland | Washington | 98034 | United States |
| Pacific Rheumatolgy Associates, Inc. | Renton | Washington | 98055 | United States |
| Charrleston Internal Medicine | Charleston | West Virginia | 25304 | United States |
| Result | Mease PJ, Swick TJ, Alvarez-Horine S, Inhaber N, Guinta DR, Holman AJ, and Russell IJ. Sodium Oxybate Improves Fatigue, Sleep Disturbance, and PGIC in Fibromyalgia-Results form a Phase 3, 14-Week, Controlled Trial. Arthritis & Rheum 2009;60(10):S529. |
| Result | Russell IJ, Alvarez-Horine S, Zheng Y, Guinta DR, Holman AJ and Swick TJ. Effect of Sodium Oxybate on Pain, PGIC, & Composite Scores in Fibromyalgia-Results from a Phase 3 Controlled Trial. Arthritis & Rheum 2009;60(10):S528. |
| Result | Swick TJ, Rosenfeld V, Alvarez-Horine S, Guinta D, Wang YG, Russell IJ. Improvement in Multiple Symptoms of Fibromyalgia With Sodium Oxybate Treatment: Results From a US Phase 3 Randomized, Controlled Trial [AAN abstract P03.292]. Neurology. 2010;74(suppl 2):A279. |
| Result | Jones KD, Bennett RM, Alvarez-Horine S, Wang YG, Guinta D, Russell IJ. Sodium Oxybate Improves Function and Quality of Life in Fibromyalgia-Results From a Phase 3, Randomized, Controlled Trial [APS abstract 262]. J Pain. 2010;11(suppl 1):S41. |
| 19116896 | Result | Russell IJ, Perkins AT, Michalek JE; Oxybate SXB-26 Fibromyalgia Syndrome Study Group. Sodium oxybate relieves pain and improves function in fibromyalgia syndrome: a randomized, double-blind, placebo-controlled, multicenter clinical trial. Arthritis Rheum. 2009 Jan;60(1):299-309. doi: 10.1002/art.24142. |
| Result | Silverman S, Holman AJ, Benson B, Alvarez-Horine S, Wang YG, Sarzi-Puttini. Sodium Oxybate Improves Sleep and Fatigue in Patients With Fibromyalgia: Pooled Analysis From 2 Pivotal Clinical Trials [ACR/ARHP abstract 2337]. Arthritis Rheum. 2010;62(suppl 10):815. |
| Result | Spaeth M, Russell IJ, Perrot S, Choy E, Benson B, Wang YG, Lai C. The Effects of Sodium Oxybate on Multiple Symptoms of Fibromyalgia: Results From Two Phase 3, Randomized, Double-Blind, Controlled Trials. In: Myopain 2010 Abstracts; October 3-7, 2010; Toledo, Spain. Abstract 39. |
| FG002 | Xyrem 6.0g | Xyrem 6.0g taken as two equally divided nightly doses |
| Treated |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Placebo taken as two equally divided nightly doses |
| BG001 | Xyrem 4.5g | Xyrem 4.5g taken as two equally divided nightly doses |
| BG002 | Xyrem 6.0g | Xyrem 6.0g taken as two equally divided nightly doses |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Age, Customized | Number | participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Pain VAS (Visual Analog Scale) Response. Percentage of Subjects With a Greater Than or Equal to 30% Reduction in Pain VAS From Baseline (BOCF). | Percentage of pain VAS responders. Subjects with a >= 30% reduction in pain VAS from baseline to endpoint (week 14) were considered responders; all other subjects were considered non-responders. Missing data were handled using BOCF (Baseline Observation Carried Forward). The pain VAS ranges from 0 (no pain) to 100 (worst imaginable pain). The pain VAS was collected morning, afternoon and evening. Baseline is the average value recorded for the measure during the week prior to the end-of-baseline visit. Endpoint is the average value recorded for the measure during the week prior to week 14. | Posted | Number | Percentage of Participants | Baseline to Week 14 |
|
|
|
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Placebo taken as two equally divided nightly doses | 1 | 183 | 105 | 183 | ||
| EG001 | Xyrem 4.5g | Xyrem 4.5g taken as two equally divided nightly doses | 0 | 182 | 149 | 182 | ||
| EG002 | Xyrem 6.0g | Xyrem 6.0g taken as two equally divided nightly doses | 2 | 182 | 145 | 182 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Colitis | Gastrointestinal disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Sleep Paralysis | Nervous system disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Unresponsive to stimuli | Nervous system disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Large Intestine Perforation | Gastrointestinal disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Abscess Intestinal | Infections and infestations | MedDRA (9.1) | Non-systematic Assessment |
| |
| Diverticulitis | Infections and infestations | MedDRA (9.1) | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Palpatations | Cardiac disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Vertigo | Ear and labyrinth disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Vision Blurred | Eye disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Abdominal Pain Upper | Gastrointestinal disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Dyspepsia | Gastrointestinal disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Fatigue | General disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Upper Respiratory Tract Infection | Infections and infestations | MedDRA (9.1) | Non-systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA (9.1) | Non-systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA (9.1) | Non-systematic Assessment |
| |
| Urinary Tract Infection | Infections and infestations | MedDRA (9.1) | Non-systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA (9.1) | Non-systematic Assessment |
| |
| Weight Decreased | Investigations | MedDRA (9.1) | Non-systematic Assessment |
| |
| Blood Pressure Increased | Investigations | MedDRA (9.1) | Non-systematic Assessment |
| |
| Weight Increased | Investigations | MedDRA (9.1) | Non-systematic Assessment |
| |
| Decreased Appetite | Metabolism and nutrition disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Back Pain | Musculoskeletal and connective tissue disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Muscle Spasms | Musculoskeletal and connective tissue disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Pain in Extremity | Musculoskeletal and connective tissue disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Fibromyalgia | Musculoskeletal and connective tissue disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Somnolence | Nervous system disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Paraesthesia | Nervous system disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Migraine | Nervous system disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Sinus Headache | Nervous system disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Tremor | Nervous system disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Disturbance in Attention | Nervous system disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Nightmare | Psychiatric disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Abnormal Dreams | Psychiatric disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Pharyngolaryngeal Pain | Respiratory, thoracic and mediastinal disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Nasal Congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Night Sweats | Skin and subcutaneous tissue disorders | MedDRA (9.1) | Non-systematic Assessment |
| |
| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA (9.1) | Non-systematic Assessment |
|
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Grace Wang, MD, Medical Monitor & Director of Clinical Development | Jazz Pharmaceuticals, Inc. | 650-496-3777 |
| ID | Term |
|---|---|
| D005356 | Fibromyalgia |
| D010146 | Pain |
| D018771 | Arthralgia |
| D063806 | Myalgia |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007592 | Joint Diseases |
| D059352 | Musculoskeletal Pain |
Not provided
Not provided
| ID | Term |
|---|---|
| D012978 | Sodium Oxybate |
| ID | Term |
|---|---|
| D006885 | Hydroxybutyrates |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D006880 | Hydroxy Acids |
Not provided
Not provided
| 40 - 49 years |
|
| 50 - 64 years |
|
| >=65 years |
|
| Male |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Title | Measurements |
|---|---|
|
| <0.001 |
| 95 |
| No |
| Superiority or Other |
| Pairwise comparison of placebo and Xyrem 6.0g | Chi-squared | 0.015 | 95 | No | Superiority or Other |