Narcolepsy Type 1 (NT1) and Narcolepsy Type 2 (NT2) are rare conditions that make people feel very sleepy during the day (often referred to as excessive daytime sleepiness \[EDS\]). People living with these conditions might find it hard to stay alert and pay attention when they are at school, working, driving, or performing other daily activities. While all conditions result in feeling sleepy, there are some differences in other common symptoms: * NT1: People with NT1 often feel very tired during the day and experience cataplexy. Cataplexy is a sudden loss of muscle strength, which can cause someone to collapse or lose control of their muscles for a short time. This is often triggered by strong emotions, such as laughter or surprise. They may also have trouble sleeping well at night. * NT2: People with NT2 feel sleepy during the day, just like NT1, but they do not have cataplexy. Orexin is a protein in the brain that helps coordinate a system that plays an important role in helping people to stay awake during the daytime. Cleminorexton is designed to mimic the action of orexin. The purpose of this study is to see how safe and tolerable cleminorexton is in NT1 and NT2 and learn about what the drug does to the body. Another goal of the study is to see if cleminorexton can help people with NT1 and NT2 feel less sleepy and make other symptoms better.
The SAPPHIRE Clinical Trial The Sponsor may in the future, through a protocol amendment, expand the protocol to include participants with idiopathic hypersomnia (IH) in Cohort C.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
222
Oral cleminorexton capsule
matching placebo capsule
Huntersville, North Carolina
Huntersville, North Carolina, United States
RECRUITINGColumbia, South Carolina
Columbia, South Carolina, United States
RECRUITINGChange from baseline in mean sleep latency (average of the first 4 trials) on the Maintenance of Wakefulness Test (MWT)
Time frame: Baseline to week 12
Change from baseline in Epworth Sleepiness Scale (ESS) total score
Time frame: Baseline to Week 12
Weekly Cataplexy Rate (WCR)
Measurement specific to Group A
Time frame: Week 12
Change from baseline in Narcolepsy Severity Scale for Clinical Trials (NSS-CT)
Measurement specific to Group A
Time frame: Baseline to Week 12
Change from baseline in Narcolepsy Severity Scale-2 for Clinical Trials (NSS2-CT) total score
Measurement specific to Group B
Time frame: Baseline to Week 12
Incidence, Severity, and casual relationship of participants with Treatment Emergent Adverse Events (TEAEs)
Time frame: Baseline to Week 12
Number of participants with abnormal changes from baseline in clinical laboratory tests
Time frame: Baseline to Week 12
Number of participants with abnormal changes from baseline in vital signs
Time frame: Baseline to Week 12
Number of participants with abnormal changes from baseline in 12-lead electrocardiograms (ECGs)
Time frame: Baseline to Week 12
Number of participants with at least 1 endorsement of Item 4 or 5 on Columbia-Suicide Severity Rating Scale (C-SSRS)
Time frame: Baseline to Week 12
Cmax: Maximum observed plasma concentration
Time frame: Baseline to Week 12
Tmax: Time of Maximum Concentration for cleminorexton
Time frame: Baseline to Week 12
AUC: Area under the plasma concentration-time curve
Time frame: Baseline to Week 12
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