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Excessive Daytime SleepinessPhase 3NCT02720744

Once-Nightly Sodium Oxybate for Treatment of Excessive Daytime Sleepiness and Cataplexy in Narcolepsy

A Phase 3 study testing FT218 in people with Excessive Daytime Sleepiness and Cataplexy, run by Avadel at 57 sites in 6 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

The purpose of this study is to determine whether once-nightly FT218 is safe and effective for the treatment of excessive daytime sleepiness and cataplexy in subjects with narcolepsy. Read more about this study

Who is it for?
Ages 16 years and older
What is being tested?
FT218
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
212 participants
Where
57 sitesin 6 countries
Study dates
17 Nov 2016to 25 Mar 2020
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 16 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male or female subjects 16 years of age or older
  • Willing and able to give written informed consent for study participation. For young adults (16 and 17 years old) who have not reached the age of majority they must be capable of giving assent and consent from a legally authorized guardian must be obtained, as required by local laws and regulations
  • Documented evidence of a diagnosis of NT1 (type 1 narcolepsy) or NT2 (type 2 narcolepsy) as, in part, determined by an overnight PSG (polysomnography) and next-day MSLT (maintenance of sleep latency test) with 2 or more SOREMPs (sleep onset REM) with mean sleep latency in the pathological range i.e. < 8 minutes and meeting the NT1 and NT2 as defined by the International Classification of Sleep Disorders -3 criteria.
  • Current continuing presence of EDS (excessive daytime sleepiness) as defined by subject report for the last 3 months and an ESS (Epworth sleepiness scale) > 10
  • For NT1 only, current continuing presence of cataplexy as defined by subject report for the last 3 months
  • Subjects may use concomitant stimulants, but must comply with the following:
Show all 10Show fewer
  • They must be on a stable dose of stimulants for at least 3 weeks prior to starting the screening process for this study; AND
  • They must use the same stimulant regimen throughout the entire study period, including during screening and posttreatment periods
  • They must discontinue all anti cataplexy drugs
  • Addition inclusion criteria per protocol

Who cannot join

  • Any prior use of sodium oxybate is allowed in the study but within the following exclusions:
  • Previous dosing must have been limited to no more than 4.5g per night
  • Patient should not have taken sodium oxybate for more than 2 weeks.
  • All previous dosing must not have occurred within the last year prior to entry to the study.
  • Current use of sodium valproate
  • Any use of the following prohibited medications for the duration of the clinical study:
Show all 19Show fewer
  • Anticonvulsants
  • Clonidine
  • SSRIs (selective serotonin re-uptake inhibitors) and serotonin and norepinephrine re-uptake inhibitors (SNRIs)
  • MAOIs (monoamine oxidase inhibitors)
  • TCAs (tricyclic antidepressants)
  • Hypnotics
  • Anxiolytics
  • Sedating antihistamines
  • Antipsychotics
  • Other experimental medications designed to treat narcolepsy, cataplexy or any other condition
  • Treatment with any investigational products within 3 months before study enrollment
  • Any drug known to affect sleep-wake function. Concomitant stimulant use is permitted
  • Additional exclusion criteria per protocol

Trial locations and contacts

57 sites in 6 countries.

57 sites in 6 countries

United States38 sites
  • California Center for Sleep Disorders

    Alameda, California, 94501

  • Pinnacle Research Group LLC

    Anniston, Alabama, 36207

  • NeuroTrials Research Inc

    Atlanta, Georgia, 30342

  • Sleep Disorders Center of Georgia

    Atlanta, Georgia, GA 30342

  • University Sleep Disorder Center

    Auburn, Alabama, AL 36832

  • Sleep Disorders Center of Alabama

    Birmingham, Alabama, 35213

  • Alpine Research Center

    Boulder, Colorado, 80301

  • Medical University of South Carolina - Institute of Psychiatry

    Charleston, South Carolina, SC 29425

  • Study site

    Chesterfield, Missouri, 63017

  • Center for Sleep and Wake Disorders

    Chevy Chase, Maryland, 20815

  • Sleep Management Institute Intrepid Research

    Cincinnati, Ohio, 45245

  • University Hospitals Case Medical Center

    Cleveland, Ohio, 44106

  • SleepMed Of South Carolina

    Columbia, South Carolina, 29201

  • Geisinger Medical Center

    Danville, Pennsylvania, 17822

  • Ohio Sleep Medicine Institute

    Dublin, Ohio, 43017

  • Fort Wayne Neurological Center

    Fort Wayne, Indiana, IN 46804

  • Sleep and Neurology Consultants

    Houston, Texas, 77063

  • Research Carolina of Huntersville

    Huntersville, North Carolina, 28078

  • Pulmonary Disease Specialist, PA

    Kissimmee, Florida, 34741

  • Baptist Health Center for Clinical Research

    Little Rock, Arkansas, 72205

  • Norton Clinical Research Group

    Louisville, Kentucky, KY40218

  • Sleep Medicine Specialists of South Florida

    Miami, Florida, 33176

  • Sleep Medicine Specialist of South Florida

    Miami, Florida, FL 33126

  • Northwell Health

    New Hyde Park, New York, NY 1040

  • Clinilabs Drug Development Corporation

    New York, New York, NY10019

  • Infinity Medical Research

    North Dartmouth, Massachusetts, MA 2747

  • Yale-New Haven Hospital's Sleep Medicine Center

    North Haven, Connecticut, 06473

  • NeuroMedical Research Institute/Global Research Holdings, LLC

    Panama City, Florida, FL 32405

  • OSF Healthcare Saint Francis Medical Center

    Peoria, Illinois, 61637

  • Wake Research Associates, LLC

    Raleigh, North Carolina, NC 27612

  • Stanford Sleep Medicine

    Redwood City, California, 94063

  • Sleep Therapy Research Center

    San Antonio, Texas, 78229

  • SDS Clinical Trials Inc

    Santa Ana, California, CA 92705

  • Study site

    St Louis, Missouri, 63143

  • Clinical Research Institute

    Stockbridge, Georgia, 30281

  • Montefiore Sleep-Wake Disorders Center

    The Bronx, New York, 10467

  • FL Pediatric REsearch Institute

    Winter Park, Florida, 32789

  • Florida Pulmonary Research Institute LLC

    Winter Park, Florida, 32789

Other trials in United States

Australia6 sites
  • Queen Elizabeth Hospital

    Adelaide, South Australia, SA 5011

  • Flinders Medical Centre

    Adelaide, South Australia, SA 5042

  • Princess Alexandra Hospital

    Brisbane, Queensland, QLD 4102

  • Melbourne Sleep Disorders Centre

    Melbourne, Victoria, 3002

  • NHMRC CEntre for Translational Sleep and Circadian Neurobiology

    Sydney, New South Wales, 2037

  • Westmead Hospital

    Sydney, New South Wales, NSW 2145

Other trials in Australia

Canada6 sites
  • Somni Research Inc. Calgary

    Calgary, Alberta, T2X 2A8

  • Okanagan Clinical Trials Ltd

    Kelowna, British Columbia, BC V1Y 1Z9

  • CIUSS de Nord-de-I'ile-de- Montreal- Hopital de Sacre-Coeur de Montreal

    Montreal, Quebec, 5400

  • West Parry Sound Health Center

    Parry Sound, Ontario, P2A 3A4

  • Somni Research Inc

    Toronto, Ontario, L3R 1A3

  • Paediatric Sleep Research Inc

    Toronto, Ontario, M5G 1N8

Other trials in Canada

France3 sites
  • CHU Michallon

    Grenoble, 938043

  • Hospital Gui-de-de-Chauliac

    Montpellier, 34295

  • INSERM - Centre d'Investigation Clinque Hopital Robert Debre

    Paris, 75019

Other trials in France

Germany3 sites
  • Charit Universittsmedizin Berlin

    Berlin, 10117

  • Hephata Klinik

    Schwalmstadt, 34131

  • Somni bene GmbH

    Schwerin, 19053

Other trials in Germany

Czechia1 site
  • Vseobecna Facultni Nemocnice

    Prague, 212821

Other trials in Czechia

About this study

Official title: A Double-blind, Randomized, Placebo Controlled, Two Arm Multi-center Study to Assess the Efficacy and Safety of a Once Nightly Formulation of Sodium Oxybate for Extended-Release Oral Suspension (FT218) for the Treatment of Excessive Daytime Sleepiness and Cataplexy in Subjects With Narcolepsy

The purpose of this study is to determine whether once-nightly FT218 is safe and effective for the treatment of excessive daytime sleepiness and cataplexy in subjects with narcolepsy.

Being tested
FT218, Placebo
Medical subject headings
Disorders of Excessive Somnolence, Cataplexy, Narcolepsy

What participants receive

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

  • FT218Drug

  • PlaceboDrug

Study groups in NCT02720744
Study groupRoleWhat they receive
Sodium OxybateExperimentalPatients will undergo a screening period and will then be titrated to the following once-nightly doses: 4.5 g sodium oxybate, 6.0 g sodium oxybate, 7.5 g sodium oxybate, and 9.0 g sodium oxybate.
Receives: Drug: FT218
PlaceboPlacebo comparatorPatients will undergo a screening period and will then be titrated to the following once-nightly doses: 4.5 g placebo, 6.0 g placebo, 7.5 g placebo, and 9.0 g placebo.
Receives: Drug: Placebo

What is being measured

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

  1. Maintenance of Wakefulness Test (MWT)

    Change from Baseline for MWT, which is the mean latency across 5 naps, averaged over the test day

    Measured: Study Visit 8 at 14 weeks

  2. Proportion of Patients That Were Very Much Improved or Much Improved on Clinical Global Impression of Improvement as Compared to Screening

    The CGI is the clinician's global impression of improvement in daytime sleepiness. For the CGI, a GLIMMIX (generalized linear mixed models) model for binomial data with logit link was used to analyze the categorized CGI response, i.e., the proportions of subjects who were Very Much Improved or Much Improved as compared to Screening

    Measured: Study Visit 8 at 14 weeks

  3. Number of Cataplexy Attacks at Visit 8 (Week 14) as Compared to Baseline

    Mean number of cataplexy events recorded on the Sleep and Symptom Daily Diary during the period

    Measured: Visit 8 - Change from Baseline at 14 Weeks

Timeline

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

  1. First posted28 Mar 2016 (estimated)
  2. Study start17 Nov 2016
  3. Primary completion25 Mar 2020
  4. Study completion25 Mar 2020

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
212 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02720744
Sponsor's protocol ID
CLFT218-1501
Status last verified
Mar 2022
First submitted
22 Mar 2016
Last updated
22 Mar 2022
Data monitoring committee
Yes

Publications

  • Ortiz LE, Morse AM, Thorpy MJ, Kushida CA, Harsh J, Roth T, Gudeman J, Dauvilliers Y. Once-Nightly Sodium Oxybate Meets American Academy of Sleep Medicine Criteria for Treatment of Narcolepsy. J Sleep Res. 2026 Apr;35(2):e70189. doi: 10.1111/jsr.70189. Epub 2025 Aug 25.

    PubMed 40851446
  • Roth T, Thorpy MJ, Kushida CA, Gudeman J. Efficacy of Once-Nightly Sodium Oxybate in Patients with Narcolepsy: Post Hoc Analyses of Sensitivity, Effect Size, and Numbers Needed to Treat from the Phase 3 REST-ON Trial. CNS Drugs. 2025 Mar;39(Suppl 1):61-70. doi: 10.1007/s40263-025-01160-0. Epub 2025 Mar 20.

    PubMed 40111739
  • Krahn L, Roy A, Winkelman JW, Morse AM, Gudeman J. Assessing Early Efficacy After Initiation of Once-Nightly Sodium Oxybate (ON-SXB; FT218) in Participants with Narcolepsy Type 1 or 2: A Post Hoc Analysis from the Phase 3 REST-ON Trial. CNS Drugs. 2025 Mar;39(Suppl 1):53-59. doi: 10.1007/s40263-024-01143-7. Epub 2025 Mar 20.

    PubMed 40111738
  • Dauvilliers Y, Roth T, Bogan R, Thorpy MJ, Morse AM, Roy A, Gudeman J. Efficacy of once-nightly sodium oxybate (FT218) on daytime symptoms in individuals with narcolepsy with or without concomitant alerting agent use: A post hoc analysis from the phase 3 REST-ON trial. Sleep Med. 2024 Dec;124:209-216. doi: 10.1016/j.sleep.2024.09.024. Epub 2024 Sep 17.

    PubMed 39321628
  • Roth T, Morse AM, Bogan R, Roy A, Gudeman J, Dauvilliers Y. Weight Loss With Once-nightly Sodium Oxybate for the Treatment of Narcolepsy: Analysis From the Phase III Randomized study Evaluating the efficacy and SafeTy of a ONce nightly formulation of sodium oxybate (REST-ON) Trial. Clin Ther. 2024 Oct;46(10):791-798. doi: 10.1016/j.clinthera.2024.07.010. Epub 2024 Aug 16.

    PubMed 39153911
  • Roth T, Dauvilliers Y, Thorpy MJ, Kushida C, Corser BC, Bogan R, Rosenberg R, Dubow J, Seiden D. Effect of FT218, a Once-Nightly Sodium Oxybate Formulation, on Disrupted Nighttime Sleep in Patients with Narcolepsy: Results from the Randomized Phase III REST-ON Trial. CNS Drugs. 2022 Apr;36(4):377-387. doi: 10.1007/s40263-022-00904-6. Epub 2022 Apr 5.

    PubMed 35380374
  • Kushida CA, Shapiro CM, Roth T, Thorpy MJ, Corser BC, Ajayi AO, Rosenberg R, Roy A, Seiden D, Dubow J, Dauvilliers Y. Once-nightly sodium oxybate (FT218) demonstrated improvement of symptoms in a phase 3 randomized clinical trial in patients with narcolepsy. Sleep. 2022 Jun 13;45(6):zsab200. doi: 10.1093/sleep/zsab200.

    PubMed 34358324

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing FT218 in people with Excessive Daytime Sleepiness and Cataplexy, run by Avadel at 57 sites in 6 countries.

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

Who may be eligible to take part?

The sponsor lists 10 inclusion and 19 exclusion criteria. 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 22 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 57 sites in United States, Australia, Canada, France, Germany and 1 more country. 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. Some participants in this study may receive a placebo. 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 22 Mar 2022). 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?

Maintenance of Wakefulness Test (MWT) (time frame: Study Visit 8 at 14 weeks). The study lists 3 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 NCT02720744, which also lists 7 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 22 Mar 2022; AzTrials last refreshed its copy on 8 Nov 2026.

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