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A Study to Investigate Efficacy, Safety, Tolerability, and Pharmacokinetics of JZP441 Compared With Placebo in Participants With Narcolepsy Type 1

Phase 1
Recruiting
Conditions
Narcolepsy
Interventions
Drug: Matching Placebo
Registration Number
NCT06961266
Lead Sponsor
Jazz Pharmaceuticals
Brief Summary

Narcolepsy is a sleep disorder in which patients are not able to maintain wakefulness or require treatment to maintain wakefulness during the daytime. Narcolepsy is a lifelong neurologic disease for which no cure has been clinically available. JZP441 is currently being developed for the treatment of narcolepsy type 1 (NT1). This study will assess the safety of efficacy of JZP441 in adult patients with NT1.

Detailed Description

This Phase 1b, randomized, double-blind, sponsor-unblinded, placebo-controlled 4-way crossover study will evaluate the efficacy, safety, tolerability, and pharmacokinetics (PK) of a range of JZP441 doses in participants with NT1. Changes in daytime sleepiness will be assessed via objective (MWT) and subjective (KSS, VAS for sleepiness) efficacy measures.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
8
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
JZP441 Dose Level 1JZP441Participants with narcolepsy type 1 who are randomized to receive JZP441.
JZP441 Dose Level 2JZP441Participants with narcolepsy type 1 who are randomized to receive JZP441.
JZP441 Dose Level 3JZP441Participants with narcolepsy type 1 who are randomized to receive JZP441.
PlaceboMatching PlaceboParticipants with narcolepsy type 1 who are randomized to receive matching placebo.
Primary Outcome Measures
NameTimeMethod
Mean sleep latency of the first 4 sessions of the Maintenance of Wakefulness Test1, 3, 5, and 7 hours after the first dose of study intervention

The MWT is the standard objective measure of an individual's ability to remain awake during the daytime in a darkened quiet environment and is commonly used to assess response to treatment. The MWT will be used to compare the pharmacodynamic response of JZP441 versus placebo. Sleep latency will be reported in minutes.

Secondary Outcome Measures
NameTimeMethod
Number of Participants Reporting Treatment-emergent Adverse EventsBaseline up to Week 11

A treatment-emergent adverse event (TEAE) is defined as an adverse event (AE) that started, or worsened in severity or seriousness, following a dose of study intervention.

Pharmacokinetic Parameter Maximum Plasma ConcentrationDay 1 (predose), 2, 4, 6, 8, 10, and 12 hours post first dose; Day 2 (24 hours) post first dose.
Mean Score of the First 4 assessments of Karolinska Sleepiness Scale1, 3, 5, 7, 9 and 11 hours after first dose

The Karolinska Sleepiness Scale (KSS) is a single-item, 9-point, self-administered questionnaire that measures a participant's subjective level of sleepiness (from "extremely alert" to "extremely sleepy, can't keep awake"). Scores generally decrease with longer periods of wakefulness, indicating that lower scores correlate with better outcomes.

Mean VAS Score For Sleepiness1, 3, 5, 7, 9 and 11 hours after first dose

The self-reported VAS measure of sleepiness in the current study will be a retrospective measure of how sleepy the participant felt throughout the day, with anchors at each end of the line labeled as "0=not at all sleepy" to "100=very sleepy." Higher VAS scores indicate worse outcome.

Pharmacokinetic Parameter Area Under the Plasma Concentration CurveDay 1 (predose), 2, 4, 6, 8, 10, and 12 hours post first dose; Day 2 (24 hours) post first dose.
Pharmacokinetic Parameter Time to Maximum Plasma ConcentrationDay 1 (predose), 2, 4, 6, 8, 10, and 12 hours post first dose; Day 2 (24 hours) post first dose.

Trial Locations

Locations (1)

Clinical Trial Site

🇺🇸

Columbia, South Carolina, United States

Clinical Trial Site
🇺🇸Columbia, South Carolina, United States

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