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Obstructive Sleep ApneaPhase 3OSANCT02348606

"Twelve-week Study of the Safety and Efficacy of JZP-110 in the Treatment of Excessive Sleepiness in OSA"

A Phase 3 study testing JZP-110 in people with Obstructive Sleep Apnea, run by Jazz Pharmaceuticals at 59 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This trial is a 12 week, randomized, double-blind, placebo controlled, multicenter, 5-arm parallel group study of safety and efficacy of JZP-110 in the treatment of excessive sleepiness in adult subjects with OSA. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Obstructive Sleep Apnea
What is being tested?
JZP-110
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
476 participants
Where
59 sitesin 5 countries
Study dates
May 2015to Dec 2016
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Major Inclusion Criteria:

  1. Male or female between 18 and 75 years of age, inclusive
  2. Diagnosis of OSA according to ICSD-3 criteria
  3. Body mass index from 18 to <45 kg/m2
  4. Consent to use a medically acceptable method of contraception
  5. Willing and able to provide written informed consent

Major Exclusion Criteria:

  1. Female subjects who are pregnant, nursing, or lactating
  2. Any other clinically relevant medical, behavioral, or psychiatric disorder other than OSA that is associated with excessive sleepiness
  3. History or presence of bipolar disorder, bipolar related disorders, schizophrenia, schizophrenia spectrum disorders, or other psychotic disorders according to DSM-5 criteria
  4. History or presence of any acutely unstable medical condition, behavioral or psychiatric disorder (including active suicidal ideation), or surgical history that could affect the safety of the subject or interfere with study efficacy, safety, PK assessments, or the ability of the subject to complete the trial per the judgment of the Investigator.
  5. History of bariatric surgery within the past year or a history of any gastric bypass procedure
  6. Presence or history of significant cardiovascular disease
  7. Use of any over-the-counter (OTC) or prescription medications that could affect the evaluation of excessive sleepiness
  8. Received an investigational drug in the past 30 days or five half-lives
  9. Previous exposure to or participation in a clinical trial of JZP-110 (ADX-N05, R228060, or YKP10A)
  10. History of phenylketonuria (PKU) or history of hypersensitivity to phenylalanine-derived products

Trial locations and contacts

59 sites in 5 countries.

59 sites in 5 countries

United States45 sites
  • NeuroTrials Research Inc.

    Atlanta, Georgia, 30342

  • FutureSearch Trials of Neurology LP

    Austin, Texas, 78731

  • Johns Hopkins Hospital

    Baltimore, Maryland, 21224

  • Northcoast Clinical Trials Inc.

    Beachwood, Ohio, 44122

  • PAB Clinical Research

    Brandon, Florida, 33511

  • Sleep Medicine & Research Center, St. Luke's Hospital

    Chesterfield, Missouri, 63017

  • The Center for Sleep & Wake Disorders

    Chevy Chase, Maryland, 20815

  • Northwestern University Feinberg School of Medicine

    Chicago, Illinois, 60611

  • University of Illinois at Chicago College of Nursing

    Chicago, Illinois, 60612

  • Sleep Management Institute

    Cincinnati, Ohio, 45245

  • CTI Clinical Research Center

    Cincinnati, Ohio, 45255

  • Case Western Reserve University

    Cleveland, Ohio, 44106

  • Southwest Cleveland Sleep Research Center

    Cleveland, Ohio, 44130

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • University of Missouri

    Columbia, Missouri, 65201

  • Sleep Med of South Carolina

    Columbia, South Carolina, 29201

  • Henry Ford Hospital Sleep Disorders & Research Center

    Detroit, Michigan, 48202

  • Ohio Sleep Medicine & Neuroscience Institute

    Dublin, Ohio, 43017

  • Duke University Medical Center

    Durham, North Carolina, 27705

  • Minnesota Lung Center

    Edina, Minnesota, 55435

  • Pulmonary Associates

    Glendale, Arizona, 85306

  • MD Clinical

    Hallandale, Florida, 33009

  • Hickory Research Center

    Hickory, North Carolina, 28602

  • Todd J. Swick

    Houston, Texas, 77063

  • Hickory Research Center, ARSM Research, LLC

    Huntersville, North Carolina, 28078

  • UC San Diego Medical Center

    La Jolla, California, 92037

  • Preferred Research Partners

    Little Rock, Arkansas, 72211

  • So Cal Institute For Respiratory Diseases, Inc.

    Los Angeles, California, 90048

  • Kentucky Research Group

    Louisville, Kentucky, 40218

  • SleepMed of Central Georgia

    Macon, Georgia, 31201

  • Clinilabs

    New York, New York, 10019

  • Neurocare, Inc.

    Newton, Massachusetts, 24590

  • Pacific Sleep Medicine

    Oceanside, California, 92054

  • Raleigh Neurology Associates

    Raleigh, North Carolina, 27607

  • Stanford University Center for Narcolepsy

    Redwood City, California, 94063

  • Sleep Therapy & Research Center

    San Antonio, Texas, 78229

  • Pacific Research Network, Inc.

    San Diego, California, 92103

  • Mayo Clinic in Arizona

    Scottsdale, Arizona, 85259

  • Swedish Medical Center

    Seattle, Washington, 98122

  • Clayton Sleep Institute

    St Louis, Missouri, 63143

  • Clinical Research Group of St. Petersburg

    St. Petersburg, Florida, 33707

  • Clinical Neurophysiology Services

    Sterling Heights, Michigan, 48314

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • Mercy St. Anne & Mercy St. Charles Sleep Disorders Center

    Toledo, Ohio, 43606

  • Florida Pediatric Research Institute

    Winter Park, Florida, 32789

Other trials in United States

Canada5 sites
  • London Health Sciences Centre

    London, Ontario, N6A 5W9

  • Niagra Clinical Research

    Niagra Falls, Ontario, L2E 7H9

  • Toronto Sleep Institute

    Toronto, Ontario, M4P 1P2

  • Toronto Psychiatric Research Foundation

    Toronto, Ontario, M5K 2A7

  • Pediatric Sleep Research Inc.

    Toronto, Ontario, M6J 3S3

Other trials in Canada

Germany5 sites
  • Advanced Sleep Research GmbH

    Berlin, 10117

  • Studienzentrum Wilhelmshoehe

    Kassel, 34131

  • Universitätsklinikum Münster Department für Neurologie

    Münster, North Rhine-Westphalia, 48149

  • medbo Bezirksklinikum Regensburg Schlafmedizinisches Zentrum

    Regensburg, Bavaria, 93053

  • Somni bene GmbH Institut für Medizinische Forschung und Schlafmedizin Schwerin GmbH

    Schwerin, 19053

Other trials in Germany

France3 sites
  • Hospital Roger Salengro

    Lille, 59000

  • Universite Paris 5 Hôtel-Dieu

    Paris, 75004

  • Hopital Bichat - Claude Bernard

    Paris, 75018

Other trials in France

Netherlands1 site
  • Sleep Wake Center SEIN Heemstede

    Heemsteded, North Holland, 2103 SW

Other trials in Netherlands

About this study

Official title: A Twelve-Week, Double-Blind, Placebo-Controlled, Randomized, Parallel-Group, Multicenter Study of the Safety and Efficacy of JZP-110 [(R)-2-amino-3-phenylpropylcarbamate Hydrochloride] in the Treatment of Excessive Sleepiness in Subjects With Obstructive Sleep Apnea (OSA)

This trial is a 12 week, randomized, double-blind, placebo controlled, multicenter, 5-arm parallel group study of safety and efficacy of JZP-110 in the treatment of excessive sleepiness in adult subjects with OSA.

Being tested
JZP-110, Placebo oral tablet
Medical subject headings
Sleep Apnea, Obstructive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • JZP-110Drug

  • Placebo oral tabletDrug

Study groups in NCT02348606
Study groupRoleWhat they receive
37.5 mg of JZP-110Active comparatorOnce Daily Dosing
Receives: Drug: JZP-110
75 mg of JZP-110Active comparatorOnce Daily Dosing
Receives: Drug: JZP-110
150 mg of JZP-110Active comparatorOnce Daily Dosing
Receives: Drug: JZP-110
300 mg of JZP-110Active comparatorOnce Daily Dosing
Receives: Drug: JZP-110
PlaceboActive comparatorOnce Daily Dosing
Receives: Drug: Placebo oral tablet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Maintenance of Wakefulness Test (MWT) From Baseline to Week 12

    Change in mean sleep latency time (in minutes) as determined from the first 4 trials of a 40-minute MWT from baseline to Week 12.

    Measured: Baseline to Week 12

  2. Change in ESS Score From Baseline to Week 12

    Change in Epworth Sleepiness Scale (ESS) score from Baseline to Week 12. A negative change from baseline represents improvement in excessive sleepiness.

    The ESS is a self-administered questionnaire with 8 questions. Each activity is scored on a scale ranging from 0-3, with 0 = would never fall asleep, and 3 = high chance of falling asleep. The total score ranges from 0-24, with a higher number representing an increased propensity for sleepiness. An analysis of covariance (ANCOVA) was used for the analysis of ESS scores. The response variable was the change in ESS score from baseline.

    Measured: Baseline to Week 12

Secondary outcomes (7)
  1. Subjects Reported Improved on the Patient Global Impression of Change (PGIc) at Week 12

    Percentage of subjects reported as improved (minimally, much, or very much) on the PGIc at Week 12. PGIc was rated by subjects and measures the change in their condition since start of treatment on a 7-point scale ranging from 1 = very much improved to 7 = very much worse.

    This is the key secondary endpoint.

    Measured: 12 Weeks

  2. Change in Sleep Latency Time on Each of the 5 MWT Trials at Week 12

    Time course of efficacy in MWT: Change in sleep latency (in minutes) on each of the 5 MWT trials at week 12.

    Measured: Baseline and Week 12

  3. Change in the Mean Sleep Latency Time as Determined From the First 4 Trials of a 40-minute MWT From Baseline to Week 4

    Change in mean sleep latency time (in minutes) as determined from the first 4 trials of a 40-minute MWT from baseline to week 4.

    Measured: Baseline to Week 4

  4. Change in ESS Score From Baseline to Week 1, Week 4, and Week 8

    Change in Epworth Sleepiness Scale (ESS) score from Baseline to Weeks 1, 4, and 8. A negative change from baseline represents improvement in excessive sleepiness.

    The ESS is a self-administered questionnaire with 8 questions. Each activity is scored on a scale ranging from 0-3, with 0 = would never fall asleep, and 3 = high chance of falling asleep. The total score ranges from 0-24, with a higher number representing an increased propensity for sleepiness. An analysis of covariance (ANCOVA) was used for the analysis of ESS scores. The response variable was the change in ESS score from baseline.

    Measured: Baseline to Weeks 1, 4, and 8

  5. Percentage of Subjects Reported as Improved on the PGIc at Week 1, Week 4, and Week 8

    Percentage of subjects reported as improved (minimally, much, or very much) on the PGIc at Week 1, Week 4, and Week 8. PGIc was rated by subjects and measures the change in their condition since treatment start on a 7-point scale ranging from 1 = very much improved to 7 = very much worse.

    Measured: Weeks 1, 4, and 8

  6. Percentage of Subjects Reported as Improved on the Clinical Global Impression of Change (CGIc) at Week 12

    Percentage of subjects reported as improved (minimally, much, or very much) on the CGIc at Week 12. CGIc was rated by clinicians and measures the change in the subject's condition since treatment starts on a 7-point scale ranging from 1= very much improved to 7= very much worse.

    Measured: Week 12

  7. Percentage of Subjects Reported as Improved on the CGIc at Week 1, Week 4, and Week 8

    Percentage of subjects reported as improved (minimally, much, or very much) on the CGIc at Week 1, Week 4, and Week 8. CGIc was rated by clinicians and measures the change in the subject's condition since treatment starts on a 7-point scale ranging from 1= very much improved to 7= very much worse.

    Measured: Weeks 1, 4, and 8

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jan 2015 (estimated)
  2. Study startMay 2015
  3. Primary completionDec 2016
  4. Study completionDec 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
476 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02348606
Sponsor's protocol ID
14-003
Acronym
OSA
Status last verified
Jul 2019
First submitted
15 Jan 2015
Last updated
23 Jul 2019
Data monitoring committee
No

Publications

  • Rosenberg R, Thorpy MJ, Dauvilliers Y, Schweitzer PK, Zammit G, Gotfried M, Bujanover S, Scheckner B, Malhotra A. Incidence and duration of common early-onset adverse events in randomized controlled trials of solriamfetol for treatment of excessive daytime sleepiness in obstructive sleep apnea and narcolepsy. J Clin Sleep Med. 2022 Jan 1;18(1):235-244. doi: 10.5664/jcsm.9550.

    PubMed 34283019
  • Schweitzer PK, Mayer G, Rosenberg R, Malhotra A, Zammit GK, Gotfried M, Chandler P, Baladi M, Strohl KP. Randomized Controlled Trial of Solriamfetol for Excessive Daytime Sleepiness in OSA: An Analysis of Subgroups Adherent or Nonadherent to OSA Treatment. Chest. 2021 Jul;160(1):307-318. doi: 10.1016/j.chest.2021.02.033. Epub 2021 Feb 22.

    PubMed 33631141
  • Weaver TE, Menno DM, Bron M, Crosby RD, Morris S, Mathias SD. Determination of thresholds for minimally important difference and clinically important response on the functional outcomes of sleep questionnaire short version in adults with narcolepsy or obstructive sleep apnea. Sleep Breath. 2021 Sep;25(3):1707-1715. doi: 10.1007/s11325-020-02270-3. Epub 2021 Jan 4.

    PubMed 33394323
  • Rosenberg R, Baladi M, Bron M. Clinically relevant effects of solriamfetol on excessive daytime sleepiness: a posthoc analysis of the magnitude of change in clinical trials in adults with narcolepsy or obstructive sleep apnea. J Clin Sleep Med. 2021 Apr 1;17(4):711-717. doi: 10.5664/jcsm.9006.

    PubMed 33226332
  • Weaver TE, Drake CL, Benes H, Stern T, Maynard J, Thein SG, Andry JM Sr, Hudson JD, Chen D, Carter LP, Bron M, Lee L, Black J, Bogan RK. Effects of Solriamfetol on Quality-of-Life Measures from a 12-Week Phase 3 Randomized Controlled Trial. Ann Am Thorac Soc. 2020 Aug;17(8):998-1007. doi: 10.1513/AnnalsATS.202002-136OC.

    PubMed 32353246
  • Schweitzer PK, Rosenberg R, Zammit GK, Gotfried M, Chen D, Carter LP, Wang H, Lu Y, Black J, Malhotra A, Strohl KP; TONES 3 Study Investigators. Solriamfetol for Excessive Sleepiness in Obstructive Sleep Apnea (TONES 3). A Randomized Controlled Trial. Am J Respir Crit Care Med. 2019 Jun 1;199(11):1421-1431. doi: 10.1164/rccm.201806-1100OC.

    PubMed 30521757

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing JZP-110 in people with Obstructive Sleep Apnea, run by Jazz Pharmaceuticals at 59 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 59 sites in United States, Canada, Germany, France, Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Jul 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Maintenance of Wakefulness Test (MWT) From Baseline to Week 12 (time frame: Baseline to Week 12). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02348606, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jul 2019.

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