MedPath

Expanded Access Program to Provide Treatment With Pitolisant to Adult Patients in the U.S. With Excessive Daytime Sleepiness Associated With Narcolepsy With or Without Cataplexy

Conditions
Narcolepsy Without Cataplexy
Narcolepsy With Cataplexy
Registration Number
NCT03433131
Lead Sponsor
Harmony Biosciences, LLC
Brief Summary

This EAP will be open to provide access to treatment with pitolisant while a U.S. New Drug Application (NDA) is being prepared and submitted for review for marketing approval. This program will be open to adult patients in the U.S. with Excessive Daytime Sleepiness (EDS) associated with narcolepsy, with or without cataplexy. Pitolisant will be made available through treating physicians participating in the program.

Detailed Description

Not available

Recruitment & Eligibility

Status
NO_LONGER_AVAILABLE
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  1. In the opinion of the treating physician, the patient is capable of understanding and complying with protocol and program requirements, oral drug administration and care instructions.
  2. The patient or, when applicable, the patient's legally acceptable representative, signs and dates a written, ICF and any required privacy authorization prior to the initiation of any program procedures.
  3. Men or women, 18 years of age and over.
  4. Patients with a diagnosis of narcolepsy with or without cataplexy according to the ICSD or DSM criteria at the time of diagnosis.
  5. Patients should be free of prohibited treatments or have discontinued them for at least 7 days prior to the start of treatments.
  6. Women of child-bearing potential must have a negative serum pregnancy test performed at the screening visit.
  7. Due to the effectiveness of hormonal contraceptives potentially being reduced when used with pitolisant, alternative or concomitant barrier methods of contraception are required for patients taking hormonal contraceptives (e.g., ethinyl estradiol) when taking pitolisant and for at least 21 days after discontinuation of pitolisant treatment.
Exclusion Criteria
  1. The patient has severe hepatic impairment (Child-Pugh C).
  2. The patient is a woman who is breastfeeding or plans to breastfeed during their participation.
  3. The patient has, in the judgment of the treating physician, a history or current medical condition that could affect safety or poses an additional risk to the patient by their participation in the program.
  4. The patient is at high risk for suicide defined as a suicide attempt within the past year, significant risk determined by the investigator interview, or use of the Columbia Suicide Severity Rating Scale (C-SSRS).
  5. The patient has a history of hypersensitivity or allergic reaction to pitolisant or any inactive ingredient of the formulation.
  6. Current or recent (within one year) history of a substance abuse or dependence disorder including alcohol abuse as defined in Diagnostic and Statistical Manual of Mental Disorders (DSM-V).
  7. Patients with a known history of long QTc syndrome (e.g. syncope or arrhythmia) or any significant history of a serious abnormality of the ECG (e.g. recent myocardial infarction), or QTc Fridericia higher than 450 ms for male and 470 ms for female (electrocardiogram Fridericia's corrected QT interval = QT / 3√ RR).
  8. Significant abnormality in the physical examination or clinical laboratory results.
  9. Prior severe adverse reactions to CNS stimulants.

Study & Design

Study Type
EXPANDED_ACCESS
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (67)

St. Lukes Hospital, Sleep Medicine

πŸ‡ΊπŸ‡Έ

Chesterfield, Missouri, United States

Emory University

πŸ‡ΊπŸ‡Έ

Atlanta, Georgia, United States

Northwestern Medical Group

πŸ‡ΊπŸ‡Έ

Chicago, Illinois, United States

Rush University Medical Center

πŸ‡ΊπŸ‡Έ

Chicago, Illinois, United States

Cleveland Clinic

πŸ‡ΊπŸ‡Έ

Cleveland, Ohio, United States

Boston Children's Hospital

πŸ‡ΊπŸ‡Έ

Boston, Massachusetts, United States

Sleep Medicine Specialists of South Florida, PA

πŸ‡ΊπŸ‡Έ

Miami, Florida, United States

Intrepid Research, LLC

πŸ‡ΊπŸ‡Έ

Cincinnati, Ohio, United States

CPC

πŸ‡ΊπŸ‡Έ

Cullman, Alabama, United States

Sleep Medicine Specialists of California

πŸ‡ΊπŸ‡Έ

San Ramon, California, United States

Norton Pulmonary Specialists

πŸ‡ΊπŸ‡Έ

Louisville, Kentucky, United States

Santa Monica Sleep Disorders Center

πŸ‡ΊπŸ‡Έ

Santa Monica, California, United States

Norwalk Hospital Sleep Disorders Center

πŸ‡ΊπŸ‡Έ

Norwalk, Connecticut, United States

The Center for Sleep and Wake Disorders

πŸ‡ΊπŸ‡Έ

Chevy Chase, Maryland, United States

Child Lung, Asthma Sleep Specialists

πŸ‡ΊπŸ‡Έ

Winter Park, Florida, United States

Critical Healthcare Decisions

πŸ‡ΊπŸ‡Έ

Savannah, Georgia, United States

NorthShore Uni HealthSys-Glenbrook Hospital

πŸ‡ΊπŸ‡Έ

Glenview, Illinois, United States

Maine Medical Partners - Neurology

πŸ‡ΊπŸ‡Έ

Scarborough, Maine, United States

The Neurological Center of North Georgia

πŸ‡ΊπŸ‡Έ

Gainesville, Georgia, United States

The University of Kansas Health System

πŸ‡ΊπŸ‡Έ

Fairway, Kansas, United States

Bronson Sleep Health

πŸ‡ΊπŸ‡Έ

Portage, Michigan, United States

University of Missouri

πŸ‡ΊπŸ‡Έ

Columbia, Missouri, United States

Indiana Internal Medicine Consultants

πŸ‡ΊπŸ‡Έ

Greenwood, Indiana, United States

NeuroTrials Research Center

πŸ‡ΊπŸ‡Έ

Atlanta, Georgia, United States

Northshore Sleep Medicine

πŸ‡ΊπŸ‡Έ

Northbrook, Illinois, United States

The University of Michigan

πŸ‡ΊπŸ‡Έ

Ann Arbor, Michigan, United States

Henry Ford Health System

πŸ‡ΊπŸ‡Έ

Novi, Michigan, United States

Alliance Health Shelby Family Medicine

πŸ‡ΊπŸ‡Έ

Shelby, Michigan, United States

Norwell Health

πŸ‡ΊπŸ‡Έ

New Hyde Park, New York, United States

Unity Sleep Disorders Center

πŸ‡ΊπŸ‡Έ

Rochester, New York, United States

University of Rochester Sleep Center

πŸ‡ΊπŸ‡Έ

Rochester, New York, United States

Raleigh Neurology Assoc., PA

πŸ‡ΊπŸ‡Έ

Raleigh, North Carolina, United States

Duke University Medical Center

πŸ‡ΊπŸ‡Έ

Durham, North Carolina, United States

Excel Psychiatric Associates, PA

πŸ‡ΊπŸ‡Έ

Huntersville, North Carolina, United States

NYU-FGP Comphrenhensive Epilepsy Center-Sleep Center

πŸ‡ΊπŸ‡Έ

New York, New York, United States

Columbia University

πŸ‡ΊπŸ‡Έ

New York, New York, United States

Neurology & Neuroscience Associates, Inc.

πŸ‡ΊπŸ‡Έ

Akron, Ohio, United States

Ohio Sleep Medicine Institute

πŸ‡ΊπŸ‡Έ

Dublin, Ohio, United States

Maria J. Sunseri, MD, LLC

πŸ‡ΊπŸ‡Έ

Pittsburgh, Pennsylvania, United States

Collegeville Family Practice

πŸ‡ΊπŸ‡Έ

Berwyn, Pennsylvania, United States

Respitory Specialists

πŸ‡ΊπŸ‡Έ

Wyomissing, Pennsylvania, United States

Bogan Sleep Consultants

πŸ‡ΊπŸ‡Έ

Columbia, South Carolina, United States

Sleep Medicine Associates of Texas

πŸ‡ΊπŸ‡Έ

Dallas, Texas, United States

Houston Neurology & Sleep Center

πŸ‡ΊπŸ‡Έ

Houston, Texas, United States

Sleep Therapy & Research Center

πŸ‡ΊπŸ‡Έ

San Antonio, Texas, United States

Stultz Sleep and Behavioral Health

πŸ‡ΊπŸ‡Έ

Barboursville, West Virginia, United States

Saint Luke's Hospital of Kansas City

πŸ‡ΊπŸ‡Έ

Kansas City, Missouri, United States

Oklahoma Heart Institute

πŸ‡ΊπŸ‡Έ

Tulsa, Oklahoma, United States

Foothills Neurology

πŸ‡ΊπŸ‡Έ

Phoenix, Arizona, United States

Sleep Disorders Center of Alabama

πŸ‡ΊπŸ‡Έ

Birmingham, Alabama, United States

Medical College of Wisonsin

πŸ‡ΊπŸ‡Έ

Milwaukee, Wisconsin, United States

Xenoscience

πŸ‡ΊπŸ‡Έ

Phoenix, Arizona, United States

Mayo Clinic

πŸ‡ΊπŸ‡Έ

Rochester, Minnesota, United States

Children's Hospital Colorado

πŸ‡ΊπŸ‡Έ

Aurora, Colorado, United States

Legacy Medical Group Sleep Medicine

πŸ‡ΊπŸ‡Έ

Portland, Oregon, United States

Paoli Sleep Center

πŸ‡ΊπŸ‡Έ

Paoli, Pennsylvania, United States

Clinical Neurosciences fo Tampa Bay

πŸ‡ΊπŸ‡Έ

Clearwater, Florida, United States

Colorado Sleep Institute

πŸ‡ΊπŸ‡Έ

Boulder, Colorado, United States

Fairview Health Services

πŸ‡ΊπŸ‡Έ

Brooklyn Park, Minnesota, United States

Abington Neurological Associates

πŸ‡ΊπŸ‡Έ

Willow Grove, Pennsylvania, United States

Brown Medicine/Rhode Island Hospital

πŸ‡ΊπŸ‡Έ

West Warwick, Rhode Island, United States

Chalottesville Neurology and Sleep Medicine

πŸ‡ΊπŸ‡Έ

Charlottesville, Virginia, United States

Children's Hospital of The King's Daughters

πŸ‡ΊπŸ‡Έ

Norfolk, Virginia, United States

Comprehensive Sleep Medicine Associates

πŸ‡ΊπŸ‡Έ

Sugar Land, Texas, United States

Eastern Virginia Medical School

πŸ‡ΊπŸ‡Έ

Norfolk, Virginia, United States

Montefiore Medical Center

πŸ‡ΊπŸ‡Έ

Bronx, New York, United States

Thomas Jefferson University

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

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