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Safety and efficacy of Xyrem oral solution (sodium oxybate) compared with placebo in narcoleptic patients



Safety and efficacy of Xyrem oral solution (sodium oxybate) compared with placebo in narcoleptic patients

For Condition: Narcolepsy
Status: Recruiting
Sponsor(s): Orphan Medical ,
Synopsis: The initial portion of the protocol involves discontinuing any medications for cataplexy that the patient may be taking. Subsequently, the patient is prescribed a dose of oral solution of study drug or placebo over a 10-11 week period. During the trial, narcolepsy symptoms will be evaluated. Participants are allowed to continue using stimulant medications at constant doses during the study. A total of 1 to 3 daytime visits in addition to 4 overnight visits to the sleep center will be required to complete the study.
Details:
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study
Minimum Age/Maximum Age: 16 Years/
Genders: Both
Protocol Entry Criteria: INCLUSION CRITERIA - Have signed & dated informed consent before beginning protocol procedures. - Willing & able to complete entire trial as described in protocol. - 16 years of age or older. - Have a history and presenting symptoms of excessive daytime sleepiness. - Have a history of cataplexy localizable to a specific muscle group(s) or part(s) of body during which the patient is lucid (not experiencing an inadvertent nap or micro sleep). - Have valid PSG & MSLT scores (collected during an overnight test) within last five years and a current diagnosis of narcolepsy according to the following criteria established by the American Sleep Disorders Association: (1) Recurrent daytime naps or lapses into sleep occur almost daily for at least 3 months; (2) Sudden bilateral loss of postural muscle tone occurs in association with intense emotion (cataplexy); (3) Polysomnography demonstrates one or more of the following: (a) Sleep latency less than 10 minutes; (b) REM sleep latency less than 20 minutes; (c) An MSLT that demonstrates a mean sleep latency of less than 5 minutes; (d) Two or more sleep-onset REM periods - Females who are surgically sterile, two years post-menopausal, or if of child-bearing potential, using a medically accepted method of birth control and agree to continue use of this method for the duration of the trial. - In the opinion of the investigator, have adequate support for the duration of trial to include transportation to and from trial site. In addition, if in the investigator’s assessment it is clinically indicated, the patient is willing to not operate a car or heavy machinery for the duration of the trial or for as long as the investigator deems clinically indicated. EXCLUSION CRITERIA - Received gamma-hydroxybutyrate in the last 30 days. - Have taken any investigational therapy within 30-day period prior to initial screening visit for this trial. - Patients taking fluoxetine (Prozac). - Have been diagnosed with sleep apnea syndrome, defined as an Apnea Index > 10 per hour or an Apnea Hypopnea Index greater than 15 per hour, or have any other cause of daytime sleepiness, and have any other disorder(s) that can be considered a primary cause of excessive daytime sleepiness. - Taking hypnotics, tranquilizers, antihistamines (except for non-sedating antihistamines), benzodiazepines or clonidine at the start of the baseline period. Patients taking anticonvulsants are not eligible to participate even if willing to washout anticonvulsants for the trial. - Experiencing unstable cardiovascular, endocrine, neoplastic (excluding localized basal cell carcinoma), gastrointestinal, hematologic, hepatic, immunologic, metabolic, neurological (other than narcolepsy/cataplexy), pulmonary, and/or renal disease which would place the patient at risk during the trial or compromise objectives outlined in the protocol. - Have psychiatric disorders, major affective or psychotic disorders, or other problems that, in the investigator’s opinion, would preclude the patient's participation and completion of this trial or compromise reliable representation of subjective symptoms. - Have current or recent (within one year) history of a substance use disorder including alcohol abuse as defined by DSM-IV. - Serum creatinine greater than 2.0 mg/dL, abnormal liver function tests (SGOT [AST] or SGPT [ALT] more than twice the upper limit of normal), or elevated serum bilirubin (more than 1.5 times upper limit of normal), or pre-trial ECG results demonstrating clinically significant arrhythmias, greater than a first degree AV block or a history of myocardial infarction within last six months. - Have an occupation that requires variable shift work or routine night shift. - Have a clinically significant history of seizure disorder, a history of clinically significant head trauma (i.e., concussion resulting in clinically significant loss of consciousness) or past invasive intracranial surgery, and are taking anticonvulsant medications.
Total Enrollment: 200

Location and Contact Information:

Overall Study Official:
HarryCook,  Study Director,  Orphan Medical

Saint John Regional Hospital -- Somnology Program *Recruiting*
Saint John,  New Brunswick,  E2L4L2
Canada
Recruiting Brenda  Lamb 506-648-7176

Duke University Medical Center *Recruiting*
Durham,  North Carolina,  27710
United States
Recruiting Katherine  Beck 919-668-2278

Peoria Pulmonary Associates, Ltd. *Recruiting*
Peoria,  Illinois,  61603
United States
Recruiting Kimberly  Hartwig 309-672-5682

Sleep Medicine Associates of Texas *Recruiting*
Plano,  Texas,  75093
United States
Recruiting Jill  Krows 972-312-0204

Palmetto Baptist Medical Center Sleep Disorders Center *Recruiting*
Columbia,  South Carolina,  29201
United States
Recruiting Donna  James 803-296-5847

VCU Health System MCV Hospitals - Sleep Disorders Center *Recruiting*
Richmond,  Virginia,  23235
United States
Recruiting Heather  Bonner 804-323-2255

Rhode Island Hospital - Division of Pulmonary, Sleep and Critical Care Medicine *Recruiting*
Providence,  Rhode Island,  02903
United States
Recruiting Christina  Rossi 404-444-2302

Sleep Disorders Center -- Eastern Virginia Medical School -- Sentara General Hospital *Recruiting*
Norfolk,  Virginia,  23507
United States
Recruiting Pashmina  Rashad 757-668-1446

The Ottawa Hospital Sleep Centre -- Ottawa Hospital -- Civic Campus -- Sleep Laboratory *Recruiting*
Ottawa,  Ontario,  K1Y 4E9
Canada
Recruiting Mary  Lewis 613-798-5555

Charleston Pulmonary Associates PA *Recruiting*
Charleston,  South Carolina,  29403
United States
Recruiting Becky  Hicks 843-572-3300

Washington University -- Sleep Medicine Center *Recruiting*
St. Louis,  Missouri,  63108
United States
Recruiting Pam  Quertermus 314-747-0646

St. Petersburg Sleep Disorders Center *Recruiting*
St. Petersburg,  Florida,  33707
United States
Recruiting Mary  O'Brien 727-341-7676

Sleep Medicine Assoc PLLC -- Summit Medical Center *No longer recruiting*
Hermitage,  Tennessee,  37076
United States
No longer recruiting  

Raleigh Neurology Associates *Recruiting*
Raleigh,  North Carolina,  27607
United States
Recruiting Tippi  Garriss 919-420-1658

Stanford Sleep Disorders Clinic *Recruiting*
Stanford,  California,  94305
United States
Recruiting Paul  Stowers 650-498-6294

Fort Wayne Neurological Center *Recruiting*
Ft. Wayne,  Indiana,  46804
United States
Recruiting Molly  Miller 260-436-3991

Center for Sleep Diagnostics *Recruiting*
Newton,  Massachusetts,  02459
United States
Recruiting Jennifer  Mahoney 800-432-8808

Fort Wayne Neurological Center *Recruiting*
Ft. Wayne,  Indiana,  46805
United States
Recruiting Molly  Miller 260-436-3991

Chest Medicine Associates DBA/Sleep Medicine Specialists *Recruiting*
Louisville,  Kentucky,  40217
United States
Recruiting Pam  McCullough 502-479-1217

The Sleep Center - Community General Hospital *Recruiting*
Syracuse,  New York,  13215
United States
Recruiting Antonio  Culebras

Canadian Sleep Institute *Recruiting*
Calgary,  Alberta,  T2X2A8
Canada
Recruiting Ron  Chisholm 403-254-3583

Sleep Disorder Centre -- Hopital du Sacre-Coeur *No longer recruiting*
Montreal,  Quebec,  H4J1C5
Canada
No longer recruiting  

Low Country Lung and Critical Care PA *Recruiting*
Charleston,  South Carolina,  29406-7108
United States
Recruiting Becky  Hicks 843-572-3300

CSC Research -- Grove City Sleep Diagnostic Center *Recruiting*
Grove City,  Ohio,  43123
United States
Recruiting Timothy  Walter

Central Carolina Neurology & Sleep *Recruiting*
Salisbury,  North Carolina,  28144
United States
Recruiting Sharon  Leach 704-637-2261

Pacific Sleep Medicine Services *Recruiting*
La Jolla,  California,  92037-1205
United States
Recruiting Nanette  Mata 858-657-0550

Charleston Pulmonary Associates PA *Recruiting*
Mount Pleasant,  South Carolina,  29464
United States
Recruiting Becky  Hicks 843-572-3300

LSU Health Science Center *Recruiting*
Shreveport,  Louisiana,  71130
United States
Recruiting Andrew  Chesson

Southwest Cleveland Sleep Center *Recruiting*
Middleburg Heights,  Ohio,  44130
United States
Recruiting Virginya  Westover 440-239-7533

Sleep Disorders Center--Division of Neurology *Recruiting*
Evanston,  Illinois,  60201
United States
Recruiting Cindy  Nierodzik 847-570-2645

Sleep Disorders Center of Alabama, Inc. *Recruiting*
Birmingham,  Alabama,  35213
United States
Recruiting Sheila  Pegram 800-874-4948

The Sleep Disorders Clinic of the Centre for Sleep and Chronobiology *Recruiting*
Toronto,  Ontario,  M5T 3A9
Canada
Recruiting Angela  Cesta 416-323-2008

Center for Sleep and Wake Disorders *Recruiting*
Chevy Chase,  Maryland,  20815
United States
Recruiting Jamie  Stretz 301-654-0209

Department of Neurology *Recruiting*
Worcester,  Massachusetts,  01608
United States
Recruiting Pam  Sigel 508-363-7018

The Houston Sleep Center *Recruiting*
Houston,  Texas,  77024
United States
Recruiting Sean  O’Connor 713-465-9282

Sleep Disorders Center of Georgia *Recruiting*
Atlanta,  Georgia,  30342
United States
Recruiting Mike  Bohannon 404-256-6545

Lynn Health Science Institute *Recruiting*
Oklahoma City,  Oklahoma,  73112
United States
Recruiting Suzanne  Goodrich 405-602-3956

Miriam Hospital *Recruiting*
Providence,  Rhode Island,  02906
United States
Recruiting Christina  Rossi 404-444-2302

Swedish Sleep Medicine Institute *Recruiting*
Seattle,  Washington,  98122
United States
Recruiting Dallas  Parman 206-386-3714

Vancouver Hospital -- Sleep Disorders Clinic *Recruiting*
Vancouver,  British Columbia,  V6T2B5
Canada
Recruiting Sabina  Hoffman 604-822-7857

Neurologische Poliklinik - Universitats Spital Zurich *Recruiting*
Zurich,  ,  CH-8091
Switzerland
Recruiting Ramin  Khatami 41-1-255-55-75

Sleep/Wake Center 7N2 -- Bellevue Hospital Center *Recruiting*
New York City,  New York,  10016
United States
Recruiting Bien  Pagan 212-263-7130

The Center for Sleep and Wake Disorders/Midwest Neurology *Recruiting*
Danville,  Indiana,  46122
United States
Recruiting Carrie  Doub 317-718-1403

Brain & Sleep Diagnostic Center *No longer recruiting*
Toronto,  Ontario,  M8X2W2
Canada
No longer recruiting  


Additional Information:
Study ID Numbers:
  OMC-SXB-15; 
Study Start Date: December 2000
Record last reviewed: February 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00049803

Other Narcolepsy Studies:
1. Safety and Efficacy Study of CEP-10953 in the Treatment of Excessive Sleepiness Associated with Narcolepsy

2. Trial Comparing Effects of Xyrem taken Orally and Modafinil with Placebo in Treating Daytime Sleepiness in Narcolepsy

3. Safety and efficacy of Xyrem oral solution (sodium oxybate) compared with placebo in narcoleptic patients

4. CEP-10953 for Treatment of Narcolepsy, Obstructive Sleep Apnea/Hypopnea Syndrome, or Chronic Shift Work Sleep Disorder

5. Sleep Disorders of Patients with Diseases of the Nervous System

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