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A Study to Evaluate Safety, and Efficacy of SUVN-G3031 (Samelisant) in Patients With Narcolepsy With and Without Cataplexy

Phase 2
Completed
Conditions
Narcolepsy
Interventions
Drug: Placebo
Registration Number
NCT04072380
Lead Sponsor
Suven Life Sciences Limited
Brief Summary

This study is of an investigational drug called SUVN-G3031 (Samelisant) as a possible treatment for narcolepsy with cataplexy or narcolepsy without cataplexy. The main purpose of this study is to learn how well the study drug works and how safe the study drug is compared to placebo.

Detailed Description

This is a Phase 2, double-blind, placebo-controlled, parallel-group, multicenter study to evaluate the safety, tolerability, pharmacokinetics (PK), and efficacy of SUVN-G3031 compared to placebo in participants with narcolepsy with and without cataplexy. Participants will be randomized at a ratio of 1:1:1 to 2 mg SUVN-G3031, 4 mg SUVN-G3031, or placebo. Each participant will receive study drug once daily, in a tablet formulation, for 14 days.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
190
Inclusion Criteria
  • Ages of 18 to 65 years (adult), inclusive.
  • Have narcolepsy with or without cataplexy (Na-1 or Na-2) based on the International Classification of Sleep Disorders (3rd edition) criteria (new or previously diagnosed).
  • Have undergone a multiple sleep latency test (MSLT) study showing an MSLT of ≤ 8 minutes.
  • An Epworth Sleepiness Scale (ESS) score of ≥ 12; and mean Maintenance of Wakefulness Test (MWT) time of < 12 min.
  • Body mass index ranging from 18 to < 45 kg/m2
  • Negative urine drug screen.
  • A woman must be either not of childbearing potential or of childbearing potential practicing highly effective methods of birth control.
  • Willingness to complete the study protocol with full compliance with procedures and sign an informed consent form (ICF).
Exclusion Criteria
  • Habitual wake-up time after 8 AM as assessed by sleep diary, habitual sleep time of < 6 hours, and habitual bedtime past 1 AM as determined by sleep diary entries.
  • Use of any investigational therapy within the 30-day period prior to enrollment.
  • Excessive caffeine (defined as > 600 mg/per day) use at least 1 week prior to baseline assessments and during the course of the trial.
  • Nicotine dependence that has an effect on sleep (eg, a patient who routinely awakens at night to smoke).
  • Use of concurrent medications prescribed to treat narcolepsy as specified including stimulants, antidepressants and sodium oxybate.
  • Current diagnosis of or past treatment for syndromes known to cause sleep disruption or any other cause of daytime sleepiness.
  • Clinically significant ECG abnormalities.
  • An occupation requiring variable shift work, night shifts, or frequent overnight travel which disrupts sleep patterns.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SUVN-G3031 4mgSUVN-G3031Orally taken once daily for 14 days
PlaceboPlaceboOrally taken once daily for 14 days
SUVN-G3031 2mgSUVN-G3031Orally taken once daily for 14 days
Primary Outcome Measures
NameTimeMethod
Epworth Sleepiness ScaleChange from baseline in the mean total ESS score at Day 14

The Epworth Sleepiness Scale (ESS) is a patient-reported questionnaire consisting of 8 questions. Each of the items are rated on a 4-point scale (0-3), based on the usual chances of dozing off or falling asleep while engaged in eight different activities. The total ESS score (the sum of 8 item scores, 0-3) can range from 0 to 24. Higher values represent a worse outcome.

Secondary Outcome Measures
NameTimeMethod
Clinical Global Impression of SeverityChange from baseline in the mean CGI-S score at Day 14

The Clinical Global Impressions of Severity (CGI-S) scale is used to rate the severity of the patient's illness by clinician, on a 7-point scale with score ranging from 1 - 7. Higher values represent a worse outcome.

Maintenance of Wakefulness TestChange from baseline in the mean MWT score at Day 14

Maintenance of Wakefulness Test (MWT) is an objective test of sleepiness that evaluates a person's ability to remain awake under soporific conditions for a defined period of time. In the MWT, time from start of the test to the time point of falling asleep will be measured, the total score can range from 0 - 30 minutes. Higher values represent a better outcome.

Trial Locations

Locations (39)

Santa Monica Clinical Trials

🇺🇸

Los Angeles, California, United States

Southern California Institute for Respiratory Diseases, Inc.

🇺🇸

Los Angeles, California, United States

St. Francis Medical Institute

🇺🇸

Clearwater, Florida, United States

Sleep Medicine Specialists of South Florida, PA

🇺🇸

Miami, Florida, United States

Lowcountry Lung Critical Care

🇺🇸

North Charleston, South Carolina, United States

SDS Clinical Trials Inc.

🇺🇸

Santa Ana, California, United States

PDS Research

🇺🇸

Kissimmee, Florida, United States

Florida Pulmonary Research Institute, LLC

🇺🇸

Winter Park, Florida, United States

NeuroTrials Research Inc

🇺🇸

Atlanta, Georgia, United States

Sleep Practitioners, LLC

🇺🇸

Macon, Georgia, United States

Cleveland Clinic, Sleep Disorders Center

🇺🇸

Cleveland, Ohio, United States

Florida Pediatric Research Institute

🇺🇸

Winter Park, Florida, United States

Intrepid Research, LLC

🇺🇸

Cincinnati, Ohio, United States

Helene A. Emsellem, MD PC

🇺🇸

Chevy Chase, Maryland, United States

Clayton Sleep Institute

🇺🇸

Saint Louis, Missouri, United States

Research Carolina Elite

🇺🇸

Denver, North Carolina, United States

Clinical Neurophysiology Services

🇺🇸

Sterling Heights, Michigan, United States

CTI Clinical Research Center

🇺🇸

Cincinnati, Ohio, United States

St Lukes Hospital, Sleep Medicine & Research Center

🇺🇸

Chesterfield, Missouri, United States

Clinical Research Institute

🇺🇸

Stockbridge, Georgia, United States

Sleep Therapy & Research Center

🇺🇸

San Antonio, Texas, United States

Roadrunner Research

🇺🇸

San Antonio, Texas, United States

Sleep Disorders Center o f Alabama

🇺🇸

Birmingham, Alabama, United States

Teradan Clinical Trials

🇺🇸

Brandon, Florida, United States

Meris Clinical Research

🇺🇸

Brandon, Florida, United States

Ivetmar Medical Group, LLC

🇺🇸

Miami, Florida, United States

Pacific Research Network, Inc.

🇺🇸

San Diego, California, United States

The Neuro Center

🇺🇸

Gainesville, Georgia, United States

IACT Health

🇺🇸

Rincon, Georgia, United States

Bronson Sleep Health

🇺🇸

Portage, Michigan, United States

Clinical Research of Gastonia

🇺🇸

Gastonia, North Carolina, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

Ohio Sleep Medicine Institute

🇺🇸

Dublin, Ohio, United States

Respiratory Specialists

🇺🇸

Wyomissing, Pennsylvania, United States

Bogan Sleep Consultants

🇺🇸

Columbia, South Carolina, United States

Children's Hospital of the King's Daughters

🇺🇸

Norfolk, Virginia, United States

Medical Arts Health Research Group

🇨🇦

Kelowna, British Columbia, Canada

Jodha Tishon Inc

🇨🇦

Toronto, Ontario, Canada

FutureSearch Trials of Neurology

🇺🇸

Austin, Texas, United States

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