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Four-week Study of the Safety and Efficacy of NLS-2 (Mazindol Extended Release) in the Treatment of Narcolepsy

Phase 2
Completed
Conditions
Excessive Daytime Sleepiness
Narcolepsy
Cataplexy Narcolepsy
Interventions
Registration Number
NCT04923594
Lead Sponsor
NLS Pharmaceutics
Brief Summary

This is a double-blind, randomized, placebo-controlled, multicenter trial of NLS-2 in adult patients with narcolepsy. The study will enroll approximately 60 patients and eligible patients will be treated to receive either NLS-2 or placebo for 4-weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
67
Inclusion Criteria
  • Males and females between 18 and 65 years of age, inclusive
  • Diagnosis of narcolepsy according to ICSD-3 (International Classification of Sleep Disorders, 3rd Edition) or Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria
  • Body mass index from 18 to 40 kg/m2, inclusive
  • Consent to use a medically acceptable method of contraception
  • Willing and able to provide written informed consent

Key

Exclusion Criteria
  • Female subjects who are pregnant, nursing, or lactating
  • Any other clinically relevant medical, behavioral, or psychiatric disorder other than narcolepsy that is associated with excessive sleepiness
  • History or presence of bipolar disorder, bipolar related disorders, schizophrenia, schizophrenia spectrum disorders, or other psychotic disorders according to DSM-5 criteria
  • Use of any over-the-counter (OTC) or prescription medications that could affect the evaluation of excessive sleepiness
  • Use of any medications that could affect the evaluation of cataplexy
  • Received an investigational drug in the past 30 days or five half-lives (whichever is longer)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
NLS-2 (mazindol extended release)mazindol extended release2 mg dosed orally, once daily for 1 week; followed by 3 mg dosed orally, once daily for up to 3 weeks (total of 4 weeks)
PlaceboPlaceboDosed orally, once daily for up to 4 weeks
Primary Outcome Measures
NameTimeMethod
Change in ESS Score From Baseline to Week 4Baseline to Week 4

Change in Epworth Sleepiness Scale (ESS) score from Baseline to Week 4. A negative change from baseline represents improvement in excessive sleepiness.

The ESS is a self-administered questionnaire with 8 questions. Each activity is scored on a scale ranging from 0-3, with 0 = would never fall asleep, and 3 = high chance of falling asleep. The total score ranges from 0-24, with a higher number representing an increased propensity for sleepiness.

Secondary Outcome Measures
NameTimeMethod
Subjects Reported Improved on the Patient Global Impression of Change (PGIc) at Week 4Baseline to Week 4

Percentage of subjects reported as improved (minimally, much, or very much) on the PGIc at Week 4. PGIc is rated by subjects and measures the change in their condition since treatment starts on a 7-point scale ranging from 1= very much improved to 7= very much worse

Trial Locations

Locations (22)

Clinical Research Institute

🇺🇸

Stockbridge, Georgia, United States

Carolinas Sleep Specialists

🇺🇸

Concord, North Carolina, United States

Superior Clinical Research, LLC

🇺🇸

Goldsboro, North Carolina, United States

Advanced Respiratory and Sleep Medicine

🇺🇸

Huntersville, North Carolina, United States

Stanford Sleep Medicine Center

🇺🇸

Redwood City, California, United States

St. Francis Sleep Allergy and Lung Institute

🇺🇸

Clearwater, Florida, United States

The Angel Medical Research Corporation

🇺🇸

Miami Lakes, Florida, United States

Sleep and Attention Disorders

🇺🇸

Sterling Heights, Michigan, United States

Treken Primary care

🇺🇸

Atlanta, Georgia, United States

NeuroTrials Research

🇺🇸

Atlanta, Georgia, United States

Neurology and Sleep Disorders Clinic

🇺🇸

Columbia, Missouri, United States

Ohio Sleep Medicine Institute

🇺🇸

Dublin, Ohio, United States

Bogan Sleep Consultants

🇺🇸

Columbia, South Carolina, United States

Dharma PA d/b/a Southwest Family Medicine Associates

🇺🇸

Dallas, Texas, United States

Hawaii Pacific Neuroscience Clinical Research Center

🇺🇸

Honolulu, Hawaii, United States

The Center For Sleep & Wake Disorders

🇺🇸

Chevy Chase, Maryland, United States

Sleep Disorders Center of Alabama

🇺🇸

Birmingham, Alabama, United States

Ivetmar Medical Group

🇺🇸

Miami, Florida, United States

Pacific Research Network

🇺🇸

San Diego, California, United States

Sleep Medicine Specialists of South Florida

🇺🇸

Miami, Florida, United States

Intrepid Research

🇺🇸

Cincinnati, Ohio, United States

Sleep Therapy & Research Center

🇺🇸

San Antonio, Texas, United States

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