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A Twelve-week, Double-blind, Placebo-controlled, Randomized, Parallel-group, Multicenter Study to Evaluate the Efficacy and Safety of Solriamfetol in the Treatment of Excessive Daytime Sleepiness (EDS) in Patients with Obstructive Sleep Apnea (OSA)

Phase 3
Completed
Conditions
Sleep Apnea, Obstructive
Excessive Daytime Sleepiness
Interventions
Drug: Placebo
Registration Number
NCT06103825
Lead Sponsor
Ignis Therapeutics (Suzhou) Limited
Brief Summary

The purpose of this study is to evaluate the efficacy and safety of 12-week solriamfetol administration in the treatment of EDS in patients with OSA from China, using a randomized, double-blind, placebo-controlled, multi-center, parallel-design.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
204
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Strengths of solriamfetol (JZP-110) strengths: 37.5 mg,75 mg, 150 mgSolriamfetolsubject will first enter a 2-week Titration Phase, during which the initial dose will be 37.5mg. The dose will be increased from 37.5mg QD to 75mg QD after 3 days, and then to 150mg QD at the first day of the second week if well-tolerated. subjects will then enter the 10-week Maintenance Phase on 150mg QD if well-tolerated. If a subject tolerability issues after titration up to 150mg at the second week, the dose can be reduced to 75mg QD following instructions of the investigators. This subject will then enter the 10-week Maintenance Phase on 75mg QD. If a subject experiences tolerability issues after titration up to 75mg at the first week, the dose can be reduced to 37.5mg QD following instructions of the investigators. The dose will be increased to 75mg QD again at the first day of the second week. Subject will then enter the 10-week Maintenance Phase on 75mg QD if well-tolerated. All subjects should be maintained on either 75mg QD or 150mg QD during the Maintenance Phase.
matching PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
To evaluate the effect of solriamfetol compared to placebo among patients with OSA in change from baseline to Week 12 in the mean MWT sleep latency (minutes, (determined from the first four 40-minute trials of the MWT)From enrollment to the end of treatment at 12 weeks

Change from baseline in mean MWT sleep latency (minutes, determined from the first four 40-minute trials of the MWT) to Week 12

To evaluate the effect of solriamfetol compared to placebo among patients with OSA in change from baseline to Week 12 in ESS scoresFrom enrollment to the end of treatment at 12 weeks

Change from baseline in ESS total score to Week 12 Epworth Sleepiness Scale (ESS): ESS score ranges from 0 to 24 (inclusive), with higher score denoting greater degrees of sleepiness

Secondary Outcome Measures
NameTimeMethod
Key Secondary Study Objective: To compare treatment with solriamfetol versus placebo on the percentage of participants reported as improved (minimally, much, very much) in PGIc at Week 12 among patients with OSAFrom enrollment to the end of treatment at 12 weeks

Percentage of participants with improved PGIc at Week 12

Other Secondary Study Objective 1:To evaluate the effect of solriamfetol compared to placebo among patients with OSA in change from baseline to Week 2 and Week 5 in the mean MWT sleep latencyFrom enrollment to the end of treatment at the 2- and 5-week

Changes from baseline in MWT at the end of the Week 2 and Week 5 are defined as: mean sleep latency at the end of the Week 2 and Week 5 (determined from the first four 40-minute trials of the MWTs) minus the baseline measurement (minutes)

Other Secondary Study Objective 2: To evaluate the effect of solriamfetol compared to placebo among patients with OSA in change from baseline to Week 2, 5 and 8 in ESS scoreFrom enrollment to the end of treatment at the 2- ,5- and 8-week

Changes from baseline in ESS scores at the end of Week 2, 5 and 8 are defined as: ESS total scores at the end of Week 2, 5 and 8 minus baseline values Epworth Sleepiness Scale (ESS): ESS score ranges from 0 to 24 (inclusive), with higher score denoting greater degrees of sleepiness

Other Secondary Study Objective 3: To compare treatment with solriamfetol versus placebo on the percentage of participants reported as improved (minimally, much, very much) in PGIc at Week 2, 5 and 8 among patients with OSAFrom enrollment to the end of treatment at the 2- ,5- and 8-week

The percentages of participants reported as improved (minimally, much, very much) in PGIc at Week 2, 5 and 8 are defined as the percentages calculated by dividing the number of participants reported as improved in PGIc by the total number of participants in the each treatment group at Week 2, 5 and 8

Other Secondary Study Objective 4: To compare treatment with solriamfetol versus placebo on the percentage of participants rated as improved (minimally, much, very much) in CGIc at Week 12 among patients with OSAFrom enrollment to the end of treatment at 12 weeks

The percentage of participants rated as improved (minimally, much, very much) in CGIc at the end of Week 12 is defined as the percentage calculated by dividing the number of participants who have achieve improvement (minimally, much, very much) in CGIc by the total number of participants in each treatment group at Week 12

Other Secondary Study Objective 5: To compare treatment with solriamfetol versus placebo on the percentage of participants rated as improved (minimally, much, very much) in CGIc at Week 2, 5 and 8 among patients with OSAFrom enrollment to the end of treatment at the 2- ,5- and 8-week

The percentage of participants rated as improved (minimally, much, very much) in CGIc at the end of Week 12 is defined as the percentage calculated by dividing the number of participants who have achieve improvement (minimally, much, very much) in CGIc by the total number of participants in each treatment group at Week 2, 5 and 8

Other Secondary Study Objective 6: To compare the efficacy of solriamfetol versus placebo throughout the day in sleep latency for each of the 5 MWT trialsFrom enrollment to the end of treatment at 12 weeks

Changes of the efficacy throughout the day in MWT: changes in sleep latency for each of the 5 MWTs (minutes)

Trial Locations

Locations (26)

West China fourth Hospital Sichuan University

🇨🇳

Sichuan, China

ShenZhen People's Hospital

🇨🇳

Shenzhen, China

Shanghai Sixth People's Hospital

🇨🇳

ShangHai, Shanghai, China

Beijing TianTan Hospital Capital Medical University

🇨🇳

Beijing, China

China-Japan friendship Hospital

🇨🇳

Beijing, China

Peking University Sixth Hospital

🇨🇳

Beijing, China

XuanWu Hospital Capital Medical University

🇨🇳

Beijing, China

The first hospital of Jilin University

🇨🇳

Changchun, China

Xiangya Hospital Central South University

🇨🇳

Changsha, China

ChongQing University three gorges Hospital

🇨🇳

Chongqing, China

The Hospital Group of the First Affiliated Hospital of CQMU

🇨🇳

Chongqing, China

GanSU Provincial Hospital

🇨🇳

Gansu, China

The first affiliated hospital of Guangzhou Medical University

🇨🇳

Guangzhou, China

The first affiliated hospital of JiNan University

🇨🇳

Guangzhou, China

Hangzhou seventh People's Hospital

🇨🇳

Hangzhou, China

The first hospital of Hebei Medical University

🇨🇳

Hebei, China

Huai'an First People's Hospital

🇨🇳

Huai'an, China

The Second Affiliated Hospital of Nanchang University

🇨🇳

Nanchang, China

The Fitst Affiliated Hospital of NingBo University

🇨🇳

Ningbo, China

ShanDong Provincial QianFoShan Hospital

🇨🇳

Shandong, China

HuaShan Hospital FuDan University

🇨🇳

Shanghai, China

First hospital of ShanXi Medical University

🇨🇳

Shanxi, China

Second hospital of Shanxi Medical University

🇨🇳

Shanxi, China

The Second Affiliated Hospital of Suzhou University

🇨🇳

Suzhou, China

Yan'an University Xianyang Hospital

🇨🇳

Xianyang, China

The First People's Hospital of YunNan Province

🇨🇳

Yunnan, China

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