Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to determine whether once-nightly FT218 is safe and effective for the treatment of excessive daytime sleepiness and cataplexy in subjects with narcolepsy.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sodium Oxybate | Experimental | Patients will undergo a screening period and will then be titrated to the following once-nightly doses: 4.5 g sodium oxybate, 6.0 g sodium oxybate, 7.5 g sodium oxybate, and 9.0 g sodium oxybate. |
|
| Placebo | Placebo Comparator | Patients will undergo a screening period and will then be titrated to the following once-nightly doses: 4.5 g placebo, 6.0 g placebo, 7.5 g placebo, and 9.0 g placebo. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FT218 | Drug |
| ||
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Maintenance of Wakefulness Test (MWT) | Change from Baseline for MWT, which is the mean latency across 5 naps, averaged over the test day | Study Visit 8 at 14 weeks |
| Proportion of Patients That Were Very Much Improved or Much Improved on Clinical Global Impression of Improvement as Compared to Screening | The CGI is the clinician's global impression of improvement in daytime sleepiness. For the CGI, a GLIMMIX (generalized linear mixed models) model for binomial data with logit link was used to analyze the categorized CGI response, i.e., the proportions of subjects who were Very Much Improved or Much Improved as compared to Screening | Study Visit 8 at 14 weeks |
| Number of Cataplexy Attacks at Visit 8 (Week 14) as Compared to Baseline | Mean number of cataplexy events recorded on the Sleep and Symptom Daily Diary during the period | Visit 8 - Change from Baseline at 14 Weeks |
Not provided
Not provided
Inclusion Criteria:
Male or female subjects 16 years of age or older
Willing and able to give written informed consent for study participation. For young adults (16 and 17 years old) who have not reached the age of majority they must be capable of giving assent and consent from a legally authorized guardian must be obtained, as required by local laws and regulations
Documented evidence of a diagnosis of NT1 (type 1 narcolepsy) or NT2 (type 2 narcolepsy) as, in part, determined by an overnight PSG (polysomnography) and next-day MSLT (maintenance of sleep latency test) with 2 or more SOREMPs (sleep onset REM) with mean sleep latency in the pathological range i.e. < 8 minutes and meeting the NT1 and NT2 as defined by the International Classification of Sleep Disorders -3 criteria.
Current continuing presence of EDS (excessive daytime sleepiness) as defined by subject report for the last 3 months and an ESS (Epworth sleepiness scale) > 10
For NT1 only, current continuing presence of cataplexy as defined by subject report for the last 3 months
Subjects may use concomitant stimulants, but must comply with the following:
Addition inclusion criteria per protocol
Exclusion criteria
Any prior use of sodium oxybate is allowed in the study but within the following exclusions:
Current use of sodium valproate
Any use of the following prohibited medications for the duration of the clinical study:
Treatment with any investigational products within 3 months before study enrollment
Any drug known to affect sleep-wake function. Concomitant stimulant use is permitted
Additional exclusion criteria per protocol
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pinnacle Research Group LLC | Anniston | Alabama | 36207 | United States | ||
| University Sleep Disorder Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40851446 | Derived | Ortiz LE, Morse AM, Thorpy MJ, Kushida CA, Harsh J, Roth T, Gudeman J, Dauvilliers Y. Once-Nightly Sodium Oxybate Meets American Academy of Sleep Medicine Criteria for Treatment of Narcolepsy. J Sleep Res. 2026 Apr;35(2):e70189. doi: 10.1111/jsr.70189. Epub 2025 Aug 25. | |
| 40111739 | Derived | Roth T, Thorpy MJ, Kushida CA, Gudeman J. Efficacy of Once-Nightly Sodium Oxybate in Patients with Narcolepsy: Post Hoc Analyses of Sensitivity, Effect Size, and Numbers Needed to Treat from the Phase 3 REST-ON Trial. CNS Drugs. 2025 Mar;39(Suppl 1):61-70. doi: 10.1007/s40263-025-01160-0. Epub 2025 Mar 20. |
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | FT218 | Patients treated with FT218, once nightly sodium oxybate granules for oral suspension |
| FG001 | Placebo | Matching Placebo |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
Not provided
Not provided
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Aug 1, 2019 | Jul 13, 2021 |
Not provided
Not provided
Not provided
Not provided
|
| Auburn |
| Alabama |
| AL 36832 |
| United States |
| Sleep Disorders Center of Alabama | Birmingham | Alabama | 35213 | United States |
| Baptist Health Center for Clinical Research | Little Rock | Arkansas | 72205 | United States |
| California Center for Sleep Disorders | Alameda | California | 94501 | United States |
| Stanford Sleep Medicine | Redwood City | California | 94063 | United States |
| SDS Clinical Trials Inc | Santa Ana | California | CA 92705 | United States |
| Alpine Research Center | Boulder | Colorado | 80301 | United States |
| Yale-New Haven Hospital's Sleep Medicine Center | North Haven | Connecticut | 06473 | United States |
| Pulmonary Disease Specialist, PA | Kissimmee | Florida | 34741 | United States |
| Sleep Medicine Specialists of South Florida | Miami | Florida | 33176 | United States |
| Sleep Medicine Specialist of South Florida | Miami | Florida | FL 33126 | United States |
| NeuroMedical Research Institute/Global Research Holdings, LLC | Panama City | Florida | FL 32405 | United States |
| FL Pediatric REsearch Institute | Winter Park | Florida | 32789 | United States |
| Florida Pulmonary Research Institute LLC | Winter Park | Florida | 32789 | United States |
| NeuroTrials Research Inc | Atlanta | Georgia | 30342 | United States |
| Sleep Disorders Center of Georgia | Atlanta | Georgia | GA 30342 | United States |
| Clinical Research Institute | Stockbridge | Georgia | 30281 | United States |
| OSF Healthcare Saint Francis Medical Center | Peoria | Illinois | 61637 | United States |
| Fort Wayne Neurological Center | Fort Wayne | Indiana | IN 46804 | United States |
| Norton Clinical Research Group | Louisville | Kentucky | KY40218 | United States |
| Center for Sleep and Wake Disorders | Chevy Chase | Maryland | 20815 | United States |
| Infinity Medical Research | North Dartmouth | Massachusetts | MA 2747 | United States |
| Chesterfield | Missouri | 63017 | United States |
| St Louis | Missouri | 63143 | United States |
| Northwell Health | New Hyde Park | New York | NY 1040 | United States |
| Clinilabs Drug Development Corporation | New York | New York | NY10019 | United States |
| Montefiore Sleep-Wake Disorders Center | The Bronx | New York | 10467 | United States |
| Research Carolina of Huntersville | Huntersville | North Carolina | 28078 | United States |
| Wake Research Associates, LLC | Raleigh | North Carolina | NC 27612 | United States |
| Sleep Management Institute Intrepid Research | Cincinnati | Ohio | 45245 | United States |
| University Hospitals Case Medical Center | Cleveland | Ohio | 44106 | United States |
| Ohio Sleep Medicine Institute | Dublin | Ohio | 43017 | United States |
| Geisinger Medical Center | Danville | Pennsylvania | 17822 | United States |
| Medical University of South Carolina - Institute of Psychiatry | Charleston | South Carolina | SC 29425 | United States |
| SleepMed Of South Carolina | Columbia | South Carolina | 29201 | United States |
| Sleep and Neurology Consultants | Houston | Texas | 77063 | United States |
| Sleep Therapy Research Center | San Antonio | Texas | 78229 | United States |
| NHMRC CEntre for Translational Sleep and Circadian Neurobiology | Sydney | New South Wales | 2037 | Australia |
| Westmead Hospital | Sydney | New South Wales | NSW 2145 | Australia |
| Princess Alexandra Hospital | Brisbane | Queensland | QLD 4102 | Australia |
| Queen Elizabeth Hospital | Adelaide | South Australia | SA 5011 | Australia |
| Flinders Medical Centre | Adelaide | South Australia | SA 5042 | Australia |
| Melbourne Sleep Disorders Centre | Melbourne | Victoria | 3002 | Australia |
| Somni Research Inc. Calgary | Calgary | Alberta | T2X 2A8 | Canada |
| Okanagan Clinical Trials Ltd | Kelowna | British Columbia | BC V1Y 1Z9 | Canada |
| West Parry Sound Health Center | Parry Sound | Ontario | P2A 3A4 | Canada |
| Somni Research Inc | Toronto | Ontario | L3R 1A3 | Canada |
| Paediatric Sleep Research Inc | Toronto | Ontario | M5G 1N8 | Canada |
| CIUSS de Nord-de-I'ile-de- Montreal- Hopital de Sacre-Coeur de Montreal | Montreal | Quebec | 5400 | Canada |
| Vseobecna Facultni Nemocnice | Prague | 212821 | Czechia |
| CHU Michallon | Grenoble | 938043 | France |
| Hospital Gui-de-de-Chauliac | Montpellier | 34295 | France |
| INSERM - Centre d'Investigation Clinque Hopital Robert Debre | Paris | 75019 | France |
| Charit Universittsmedizin Berlin | Berlin | 10117 | Germany |
| Hephata Klinik | Schwalmstadt | 34131 | Germany |
| Somni bene GmbH | Schwerin | 19053 | Germany |
| 40111738 | Derived | Krahn L, Roy A, Winkelman JW, Morse AM, Gudeman J. Assessing Early Efficacy After Initiation of Once-Nightly Sodium Oxybate (ON-SXB; FT218) in Participants with Narcolepsy Type 1 or 2: A Post Hoc Analysis from the Phase 3 REST-ON Trial. CNS Drugs. 2025 Mar;39(Suppl 1):53-59. doi: 10.1007/s40263-024-01143-7. Epub 2025 Mar 20. |
| 39321628 | Derived | Dauvilliers Y, Roth T, Bogan R, Thorpy MJ, Morse AM, Roy A, Gudeman J. Efficacy of once-nightly sodium oxybate (FT218) on daytime symptoms in individuals with narcolepsy with or without concomitant alerting agent use: A post hoc analysis from the phase 3 REST-ON trial. Sleep Med. 2024 Dec;124:209-216. doi: 10.1016/j.sleep.2024.09.024. Epub 2024 Sep 17. |
| 39153911 | Derived | Roth T, Morse AM, Bogan R, Roy A, Gudeman J, Dauvilliers Y. Weight Loss With Once-nightly Sodium Oxybate for the Treatment of Narcolepsy: Analysis From the Phase III Randomized study Evaluating the efficacy and SafeTy of a ONce nightly formulation of sodium oxybate (REST-ON) Trial. Clin Ther. 2024 Oct;46(10):791-798. doi: 10.1016/j.clinthera.2024.07.010. Epub 2024 Aug 16. |
| 35380374 | Derived | Roth T, Dauvilliers Y, Thorpy MJ, Kushida C, Corser BC, Bogan R, Rosenberg R, Dubow J, Seiden D. Effect of FT218, a Once-Nightly Sodium Oxybate Formulation, on Disrupted Nighttime Sleep in Patients with Narcolepsy: Results from the Randomized Phase III REST-ON Trial. CNS Drugs. 2022 Apr;36(4):377-387. doi: 10.1007/s40263-022-00904-6. Epub 2022 Apr 5. |
| 34358324 | Derived | Kushida CA, Shapiro CM, Roth T, Thorpy MJ, Corser BC, Ajayi AO, Rosenberg R, Roy A, Seiden D, Dubow J, Dauvilliers Y. Once-nightly sodium oxybate (FT218) demonstrated improvement of symptoms in a phase 3 randomized clinical trial in patients with narcolepsy. Sleep. 2022 Jun 13;45(6):zsab200. doi: 10.1093/sleep/zsab200. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | FT218 | Patients treated with FT218, once nightly sodium oxybate granules for oral suspension. |
| BG001 | Placebo | Matching Placebo |
| BG002 | 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, Categorical | Count of Participants | Participants |
| ||||||||||||||||||
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Region of Enrollment | Count of Participants | 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 | Maintenance of Wakefulness Test (MWT) | Change from Baseline for MWT, which is the mean latency across 5 naps, averaged over the test day | Maintenance of Wakefulness Test (MWT) Mean Sleep Latency (Minutes) Change from Baseline to the End of the 9.0g Treatment Period - MMRM (mixed model repeat measure) Analysis (mITT Population) | Posted | Mean | Standard Deviation | minutes | Study Visit 8 at 14 weeks |
|
|
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Proportion of Patients That Were Very Much Improved or Much Improved on Clinical Global Impression of Improvement as Compared to Screening | The CGI is the clinician's global impression of improvement in daytime sleepiness. For the CGI, a GLIMMIX (generalized linear mixed models) model for binomial data with logit link was used to analyze the categorized CGI response, i.e., the proportions of subjects who were Very Much Improved or Much Improved as compared to Screening | Clinical Global Impression - Improvement (CGI-I) by the End of 9.0g Treatment Period | Posted | Number | percentage of subjects | Study Visit 8 at 14 weeks |
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Number of Cataplexy Attacks at Visit 8 (Week 14) as Compared to Baseline | Mean number of cataplexy events recorded on the Sleep and Symptom Daily Diary during the period | Mean Weekly Number of Cataplexy Attacks (NCA) of Each Dosing Period, Change from Baseline to the End of 9.0g Treatment Period - MMRM Analysis (NT1 Subjects in mITT Population) | Posted | Mean | Standard Deviation | Cataplexy Attacks | Visit 8 - Change from Baseline at 14 Weeks |
|
|
AE (adverse event) data were obtained at all study visits (scheduled or unscheduled) from the time of the signing of informed consent until seven days after the last dose of study drug, at 14 weeks.
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | FT218 9g Group | Patients treated with FT218 who completed the 9g dosing period | 0 | 77 | 1 | 77 | 23 | 77 |
| EG001 | Placebo 9g Group | Patients treated with FT218 who completed the 9g dosing period | 0 | 80 | 0 | 80 | 6 | 80 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Suicidal ideation | Psychiatric disorders | MedDRA 22.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dizziness | Nervous system disorders | MedDRA 22.1 | Systematic Assessment |
| |
| Somnolence | Nervous system disorders | MedDRA 22.1 | Systematic Assessment |
| |
| Enuresis | Psychiatric disorders | MedDRA 22.1 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 22.1 | Systematic Assessment |
| |
| Decreased Appetite | Metabolism and nutrition disorders | MedDRA 22.1 | Systematic Assessment |
| |
| Weight Decreased | Metabolism and nutrition disorders | MedDRA 22.1 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 22.1 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 22.1 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 22.1 | Systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jennifer Gudeman | Flamel Ireland Limited | +1 (314) 750-2751 | jgudeman@avadel.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jul 31, 2019 | Jul 13, 2021 | SAP_001.pdf |
| ID | Term |
|---|---|
| D006970 | Disorders of Excessive Somnolence |
| D002385 | Cataplexy |
| D009290 | Narcolepsy |
| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D001523 | Mental Disorders |
Not provided
Not provided
| >=65 years |
|
| Male |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Australia |
|
| Canada |
|
| Czechia |
|
| Denmark |
|
| France |
|
| Netherlands |
|
| United Kingdom |
|
|
|
|
|