An Open Label Study of FT218 in Subjects With Narcolepsy
- Conditions
- Excessive Daytime SomnolenceSleep DisturbanceSleep Wake DisordersCataplexySleep DisorderNarcolepsy
- Interventions
- Registration Number
- NCT04451668
- Lead Sponsor
- 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
- 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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 184
- 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.
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description FT218 FT218 once nightly sodium oxybate extended release oral solution (FT218)
- Primary Outcome Measures
Name Time Method Incidence of clinically significant changes in vital signs 24 months Assess the long-term safety and tolerability of FT218 by the number of participants experiencing clinically significant changes in vital signs
Incidence of clinically significant changes in laboratory test results 24 months Assess the long-term safety and tolerability of FT218 by the number of participants experiencing clinically significant changes in laboratory test results
Incidence of treatment-related adverse events 24 months Assess the long-term safety and tolerability of FT218 by the number of participants experiencing treatment-related adverse events
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (29)
Stanford Sleep Medicine
🇺🇸Redwood City, California, United States
FL Pediatric Research Institute
🇺🇸Winter Park, Florida, United States
Ohio Sleep Medicine Institute
🇺🇸Dublin, Ohio, United States
Geisinger Medical Center
🇺🇸Danville, Pennsylvania, United States
Sleep Medicine Specialists of South Florida
🇺🇸Miami, Florida, United States
Sleep Management Institute Intrepid Research
🇺🇸Cincinnati, Ohio, United States
Sleep Therapy & Research Center
🇺🇸San Antonio, Texas, United States
Helene A. Emsellem, MD PC
🇺🇸Chevy Chase, Maryland, United States
Bogan Sleep Consultants, LLC
🇺🇸Columbia, South Carolina, United States
Northwest Houston Neurology
🇺🇸Tomball, Texas, United States
West Perry Sound Health Center
🇨🇦Parry Sound, Ontario, Canada
Brian Abaluck Sleep Medicine
🇺🇸Malvern, Pennsylvania, United States
Comprehensive Sleep Medicine Associates
🇺🇸Sugar Land, Texas, United States
Sleep Disorders Center of Alabama
🇺🇸Birmingham, Alabama, United States
SDS Clinical Trials
🇺🇸Santa Ana, California, United States
Delta Waves, Inc.
🇺🇸Colorado Springs, Colorado, United States
NeuroTrials Research Inc
🇺🇸Atlanta, Georgia, United States
Fort Wayne Neurological
🇺🇸Fort Wayne, Indiana, United States
St. Luke's Hospital - Sleep Medicine and Research Center
🇺🇸Chesterfield, Missouri, United States
Advanced Respiratory and Sleep Medicine
🇺🇸Huntersville, North Carolina, United States
University Hospitals Cleveland Medical Center
🇺🇸Cleveland, Ohio, United States
TPMG Clinical Research Williamsburg
🇺🇸Williamsburg, Virginia, United States
Jodha Tishon Inc.
🇨🇦Toronto, Ontario, Canada
Alpine Clinical Research Center
🇺🇸Boulder, Colorado, United States
Baystate Medical Center
🇺🇸Springfield, Massachusetts, United States
Pulmonary Disease Specialists, PA
🇺🇸Kissimmee, Florida, United States
SleepCare Research Institute, Inc. d/b/a Clinical Research Institute
🇺🇸Stockbridge, Georgia, United States
Montefiore Sleep-Wake Disorders Center
🇺🇸Bronx, New York, United States
FutureSearch Trials of Neurology
🇺🇸Austin, Texas, United States