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An Open Label Study of FT218 in Subjects With Narcolepsy (RESTORE)

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ClinicalTrials.gov Identifier: NCT04451668
Recruitment Status : Recruiting
First Posted : June 30, 2020
Last Update Posted : August 2, 2021
Sponsor:
Information provided by (Responsible Party):
Avadel

Brief Summary:
An Open Label Study to Evaluate Long-Term Safety and Tolerability of a Once Nightly Formulation of Sodium Oxybate for Extended-Release Oral Suspension (FT218) and the ability to switch from twice-nightly immediate release sodium oxybate to once-nightly FT218 for the Treatment of Excessive Daytime Sleepiness and Cataplexy in Subjects with Narcolepsy

Condition or disease Intervention/treatment Phase
Narcolepsy Cataplexy Excessive Daytime Somnolence Sleep Disorder Sleep Disturbance Sleep Wake Disorders Drug: FT218 Phase 3

Detailed Description:
This study will enroll subjects with narcolepsy, either NT1 or NT2, who completed the FT218 Phase 3 REST-ON study or eligible subjects with narcolepsy currently receiving a stable dose of twice nightly sodium oxybate IR or mixed salts oxybate (regardless of whether they participated in the REST-ON study), or subjects who are naïve to oxybate therapy (i.e., FT218, twice nightly sodium oxybate IR or mixed salts oxybate). Following a screening period, subjects who meet the entry criteria will be enrolled into the study. Subjects who completed the FT218 Phase 3 REST-ON study will initiate treatment with FT218 at 4.5 g and will follow a titration schedule up to the highest tolerate dose (up to 9 g), or the dose deemed effective by the investigator. Subjects previously maintained on twice nightly sodium oxybate IR will initiate FT218 treatment at a dose equivalent or closest to the total gram dose of twice-nightly sodium oxybate IR and then titrate up or down, in accord with safety and effectiveness as determined by the investigator.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 250 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Intervention Model Description: Open label treatment with FT218 (once nightly sodium oxybate extended release)
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Open Label Study of Safety/Tolerability of Once Nightly FT218 for the Treatment of Excessive Daytime Sleepiness and Cataplexy in Narcolepsy Patients That Have and Have Not Been Previously Maintained on Twice-nightly Sodium Oxybate IR
Actual Study Start Date : June 12, 2020
Estimated Primary Completion Date : June 2023
Estimated Study Completion Date : June 2023

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Club Drugs

Arm Intervention/treatment
Experimental: FT218
once nightly sodium oxybate extended release oral solution (FT218)
Drug: FT218
once nightly sodium oxybate extended release




Primary Outcome Measures :
  1. Incidence of treatment-related adverse events [ Time Frame: 24 months ]
    Assess the long-term safety and tolerability of FT218 by the number of participants experiencing treatment-related adverse events

  2. Incidence of clinically significant changes in vital signs [ Time Frame: 24 months ]
    Assess the long-term safety and tolerability of FT218 by the number of participants experiencing clinically significant changes in vital signs

  3. Incidence of clinically significant changes in laboratory test results [ Time Frame: 24 months ]
    Assess the long-term safety and tolerability of FT218 by the number of participants experiencing clinically significant changes in laboratory test results



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Ages Eligible for Study:   16 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Subjects receiving a stable doses of twice-nightly sodium oxybate IR or mixed salts oxybate for at least 4 weeks and are willing to switch to FT218
  • Subjects who completed the CLFT218-1501 REST-ON Study in a compliant manner and for whom the Investigator determines would receive benefit from treatment with FT218 and have not started treatment with twice nightly sodium oxybate IR or mixed salts oxybate
  • Are treatment naïve to any oxybate therapy (i.e. FT218, twice nightly sodium oxybate IR or mixed salts oxybate)
  • Subjects have a diagnosis of narcolepsy, either confirmed prior to the REST-ON study or as confirmed by the Investigator as defined by the International Classification of Sleep Disorders 3 criteria (AASM 2014)
  • Willing and able to give written informed consent for study participation. Young adults (16 and 17 years old) who have not reached the age of majority must be capable of giving assent in addition to consent from a legally authorized guardian, as required by local laws and regulations.

Exclusion Criteria:

  • Subjects that terminated the CLFT218-1501 REST-ON Study prior to completing Visit 8
  • Any use of the following medications during the study: Anticonvulsants, Clonidine, Hypnotics, Anxiolytics, Sedating antihistamines, Antipsychotics, Other experimental medications designed to treat narcolepsy, cataplexy or any other condition, or other medications with significant sedating effects/CNS depressant effects are prohibited for REST-ON and naive patients. Patients on twice nightly sodium oxybate IR on medications in classes listed above may be eligible for enrollment if the subject has been on a stable dose of the prohibited medication in combination with a stable dose of twice nightly sodium oxybate or mixed salts oxybate for at least three months and has demonstrated no AEs, intolerance, or interactions AND is approved to participate by the Medical Monitor. Sedative hypnotics are prohibited regardless.)
  • A diagnosis of sleep apnea where AHI is ≥15 and/or current use of CPAP or other devices for sleep apnea.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04451668


Locations
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Sponsors and Collaborators
Avadel
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Responsible Party: Avadel
ClinicalTrials.gov Identifier: NCT04451668    
Other Study ID Numbers: CLFT218-1901
First Posted: June 30, 2020    Key Record Dates
Last Update Posted: August 2, 2021
Last Verified: July 2021

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Narcolepsy
Sleep Wake Disorders
Parasomnias
Dyssomnias
Cataplexy
Disease
Sleepiness
Pathologic Processes
Nervous System Diseases
Neurologic Manifestations
Mental Disorders
Disorders of Excessive Somnolence
Sleep Disorders, Intrinsic