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Idiopathic HypersomniaPhase 3NCT03533114

A Multicenter Study of the Efficacy and Safety of JZP-258 in the Treatment of Idiopathic Hypersomnia (IH) With an Open-label Safety Extension

A Phase 3 study testing JZP-258 in people with Idiopathic Hypersomnia, run by Jazz Pharmaceuticals at 63 sites in 8 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 is a study of the efficacy and safety of JZP-258, an oxybate mixed-salts oral solution being developed as a low sodium alternative product for Xyrem. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Idiopathic Hypersomnia
What is being tested?
JZP-258
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
154 participants
Where
63 sitesin 8 countries
Study dates
27 Nov 2018to 18 Dec 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 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female between 18 and 75 years of age, inclusive, at the time of consent.
  • Have a primary diagnosis of IH according to the International Classification of Sleep Disorders ICSD-2 or ICSD-3 criteria.
  • At the Screening Visit and the Baseline Visit, subjects who are not on Xyrem at study entry must have ESS scores ≥ 11 (as assessed with a look-back period of 1 week).
  • If currently treated with Xyrem, must have documented clinical improvement of EDS after the initiation of Xyrem per Investigator's clinical judgment.
  • Average nightly total sleep time of ≥ 7 hours, per subject history. Average nightly total sleep time will be confirmed by Investigator's review of sleep diaries collected during the final 2 weeks of the Screening Period.
  • If currently treated with stimulants and / or alerting agents or nicotine replacement therapy, must have been taking the same regimen and dose for at least 2 months prior to screening and must agree to take the same dose leading up to and throughout the Double-blind Randomized Withdrawal Period.
  • Have used a medically acceptable method of contraception for at least 2 months prior to the first dose of study drug and consent to use a medically acceptable method of contraception from the first dose of study drug, throughout the entire study period, and for 90 days after the last dose of study drug.

Who cannot join

  • Hypersomnia due to another medical, behavioral, or psychiatric disorder condition.
  • Evidence of untreated or inadequately treated sleep-disordered breathing.
  • Clinically significant parasomnias (eg, sleep walking, rapid eye movement sleep behavior disorder, etc.).
  • Current or past (within 1 year) major depressive episode according to DSM-5 criteria. Patients with depression under control are allowed per the judgment of the Investigator or the treating physician and the anti-depressant treatment has to be stable for at least 6 months prior to Screening and remain stable for the duration of the study.
  • Current suicidal risk as determined from history by presence of active suicidal ideation as indicated by positive response to item #4 or #5 on C-SSRS, or any history of suicide attempt.
  • Occupation requiring nighttime shift work or variable shift work with early work start times or other occupations that could affect the safety of the subject per the judgment of the Investigator.
  • Treatment or planned treatment with any CNS sedating agents, including but not limited to benzodiazepines or other sedating anxiolytics, sedating antidepressants, hypnotics, sedatives, neuroleptics, opoids, barbiturates, phenytoin, melatonin, ethosuximide, medications containing valproic acid or its sodium salt, or any other medication in which the subject experiences sedation are prohibited during the study. Treatment must have been discontinued within 2 weeks or 5 half-lives, whichever is longer, prior to enrollment. The Investigator must ensure that discontinuation from these medications is medically supervised. Subjects must abstain from these medications during the study.
  • Current or past substance use disorder (including alcohol) according to DSM-5 criteria, or the subject is unwilling to refrain from consuming alcohol, cannabinoids, or prohibited medications during the study.

Trial locations and contacts

63 sites in 8 countries.

63 sites in 8 countries

United States40 sites
  • NeuroTrials Research

    Atlanta, Georgia, 30342

  • FutureSearch Trials of Neurology

    Austin, Texas, 78731

  • Sleep Disorders Center of Alabama

    Birmingham, Alabama, 35213

  • Wright Clinical Research, LLC

    Birmingham, Alabama, 35243

  • Alpine Clinical Research Center

    Boulder, Colorado, 80301

  • PAB Clinical Research

    Brandon, Florida, 33511

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • American Health Research

    Charlotte, North Carolina, 28207

  • Center for Sleep & Wake Disorders

    Chevy Chase, Maryland, 20815

  • Intrepid Research

    Cincinnati, Ohio, 45245

  • The Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • Delta Waves, Inc.

    Colorado Springs, Colorado, 80918

  • Bogan Sleep Consultants, LLC

    Columbia, South Carolina, 29201

  • Neurology Clinic, PC

    Cordova, Tennessee, 38018

  • Geisinger Medical Center

    Danville, Pennsylvania, 17822

  • Ohio Sleep Medicine and Neuroscience Institute

    Dublin, Ohio, 43017

  • Clinical Research of Gastonia

    Gastonia, North Carolina, 28054

  • Research Carolina

    Huntersville, North Carolina, 28078

  • Bronson Methodist Hospital

    Kalamazoo, Michigan, 49007

  • Southern California Institute for Respiratory Diseases, Inc.

    Los Angeles, California, 90048

  • Sleep Practitioners, LLC

    Macon, Georgia, 31210

  • Suncoast Research Group

    Miami, Florida, 33135

  • Bio-Medical Research, LLC

    Miami, Florida, 33184

  • Minnesota Lung Center

    Minneapolis, Minnesota, 55435

  • Coastal Clinical Research

    Mobile, Alabama, 36608

  • Clinical Research of Lake Norman

    Mooresville, North Carolina, 28117

  • Clinical Research of Charleston

    Mt. Pleasant, South Carolina, 29464

  • Lynne Health Science Institute

    Oklahoma City, Oklahoma, 73112

  • Mayo Clinic Building

    Phoenix, Arizona, 85054

  • Raleigh Neurology Associates

    Raleigh, North Carolina, 27607

  • Stanford Sleep Medicine Center

    Redwood City, California, 94063

  • Sleep Therapy & Research Center

    San Antonio, Texas, 78229

  • SDS Clinical Trials, Inc.

    Santa Ana, California, 92705

  • Baystate Wesson Sleep Clinic

    Springfield, Massachusetts, 01199

  • Clayton Sleep Institute, LLC

    St Louis, Missouri, 63146

  • Clinical Neurophysiology Services, P.C.

    Sterling Heights, Michigan, 48314

  • SleepCare Research Institute d/b/a Clinical Research

    Stockbridge, Georgia, 30281

  • Clinical Research of West Florida, Inc.

    Tampa, Florida, 33603

  • Montefiore Medical Center/Sleep-Wake Disorders Center

    The Bronx, New York, 10467

  • Abington Neurological Associates

    Willow Grove, Pennsylvania, 19090

Other trials in United States

Spain7 sites
  • Hospital Universitari Vall d'Hebron

    Barcelona, 08035

  • Hospital Clinic de Barcelona

    Barcelona, 08036

  • Fundacion Jimenez Diaz

    Madrid, 28040

  • Hospital Universitario Clinico San Carlos

    Madrid, 28040

  • Hospital Vithas Nuestra Señora de America

    Madrid, 28043

  • Hospital Universitari i Politecnic La Fe

    Valencia, 46026

  • Hospital Universitario Araba

    Vitoria-Gasteiz, 01009

Other trials in Spain

France5 sites
  • CHU de Grenoble - Hôpital Michallon

    Grenoble, 38043

  • Hopital Roger Salengro

    Lille, 59037

  • Hopital Gui de Chauliac

    Montpellier, 34295

  • CHU Nantes - Hopital Nord Laënnec

    Nantes, 44093

  • Hopital Pitie-Salpetriere

    Paris, 75651

Other trials in France

Belgium3 sites
  • Anima Research Center

    Alken, 3570

  • Antwerp University Hospital

    Edegem, 2650

  • CHU UCL Namur site de Sainte Elisabeth

    Namur, 5000

Other trials in Belgium

Czechia3 sites
  • Nemocnice Ceske Budejovice a.s.

    České Budějovice, 370 01

  • Fakultni nemocnice Hradec Kralove

    Hradec Králové, 50333

  • Vseobecna fakultni nemocnice v Praze

    Prague, 128 21

Other trials in Czechia

Poland3 sites
  • Uniwersyteckie Centrum Kliniczne

    Gdansk, 80-952

  • Osrodek Badan Klinicznych CROMED

    Poznan, 61-505

  • lnstytut Psychiatrii i Neurologii, Zaklad Neurofizjologii Klinicznej

    Warsaw, 02-957

Other trials in Poland

Finland1 site
  • VitalMed Oy

    Helsinki, 00240

Other trials in Finland

United Kingdom1 site
  • Royal Infirmary of Edinburgh

    Edinburgh, EH16 4SA

Other trials in United Kingdom

About this study

Official title: A Double-blind, Placebo-controlled, Randomized Withdrawal, Multicenter Study of the Efficacy and Safety of JZP-258 in the Treatment of Idiopathic Hypersomnia (IH) With an Open-label Safety Extension

This is a study of the efficacy and safety of JZP-258, an oxybate mixed-salts oral solution being developed as a low sodium alternative product for Xyrem.

Being tested
JZP-258, Placebo Oral Solution
Medical subject headings
Idiopathic Hypersomnia

What participants receive

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

  • JZP-258Drug

    Participants randomized to JZP-258 will receive the dose taken at the end of the Stable Dose Period.

  • Placebo Oral SolutionDrug

    Participants randomized to Placebo will receive an oral solution at a volume and regimen equivalent to the JZP-258 dose taken at the end of the Stable Dose Period.

Study groups in NCT03533114
Study groupRoleWhat they receive
JZP-258ExperimentalJZP-258 at the stable dose and regimen for 2 weeks.
Receives: Drug: JZP-258
PlaceboPlacebo comparatorPlacebo will be administered at a volume and regimen equivalent to the JZP-258 dose and regimen for 2 weeks.
Receives: Drug: Placebo Oral Solution

What is being measured

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

  1. Change in Epworth Sleepiness Scale (ESS) Score

    The ESS is a 8-item self reported questionnaire intended to measure daytime sleepiness. In this test, participants answer questions with regard to the level of sleepiness they experienced over approximately the 7 days prior to the assessment while performing eight common, non-stimulating activities. The ESS total score range is 1 to 24. Each activity is rated on a 4-point scale ranging from a minimum of "would never doze" to a maximum of "a high chance of dozing." Thus, the ESS scale range is as follows: 0=would never doze, 1=slight chance of dozing, 2=moderate chance of dozing, 3=high chance of dozing; 0 indicates a better outcome, and 3 indicates a worse outcome. A positive mean change value indicates an increase in score from the end of the stable dose period and worsened daytime sleepiness. A higher ESS score (above 10) reflects a greater average sleep propensity in daily life (ASP) , or daytime sleepiness.

    Measured: Change from the end of the Stable Dose Period to the end of the Double-blind Randomized Withdrawal Period (DBRW) (2 Weeks)

Secondary outcomes (4)
  1. Percentage of Participants Reported as Worse on the Patient Global Impression of Change (PGIc)

    The Patient Global Impression - Change (PGIc) scale was completed by the participant. The PGI-C scale rated the participant's condition at a specified time point on a 7-point scale ranging from a minimum of "Very much improved" to a maximum of "Very much worse." The PGIc scale consists of the following ratings: 1-Very Much improved, 2-Much improved, 3-Minimally improved, 4-No change, 5-Minimally worse, 6-Much worse, 7-Very much worse; a rating of 1 indicates a better outcome, and a rating of 7 indicates a worse outcome. Worsened condition was defined as a PGIc rating of 5, 6, or 7.

    Measured: At the end of the DBRW Period (2 Weeks)

  2. Change in Total Score on the Idiopathic Hypersomnia Severity Scale (IHSS)

    The IHSS is a 14-item self-reported questionnaire assessing the severity of IH symptoms of excessive sleepiness, prolonged sleep duration, cognitive impairment and sleep inertia. Total scores can range from 0 to 50, with higher scores indicating a greater severity or frequency of symptoms.

    Measured: Change from the end of the Stable Dose Period to the end of the DBRW Period (2 Weeks)

  3. Percentage of Participants Reported as Worse on the Clinical Global Impression of Change (CGIc)

    The CGIc scale is a 7-point Likert-type scale that rates the Investigator's impression of any change in the severity of the participant's condition at a specified time point. The participant was rated on a 7-point scale ranging from a minimum of "Very much improved" to a maximum of "Very much worse." The CGIc scale consists of the following ratings: 1-Very Much improved, 2-Much improved, 3-Minimally improved, 4-No change, 5-Minimally worse, 6-Much worse, 7-Very much worse; a rating of 1 indicates a better outcome, and a rating of 7 indicates a worse outcome. Worsened condition was defined as a CGIc rating of 5, 6, or 7.

    Measured: At the end of the DBRW Period (2 Weeks)

  4. Change in Total Score on the Functional Outcomes of Sleep Questionnaire (FOSQ-10)

    The FOSQ-10 is a short version of the original FOSQ-30 instrument, which is a disease specific quality of life questionnaire to determine functional status in adults. Measures are designed to assess the impact of disorders of excessive sleepiness on multiple activities of everyday living and the extent to which these activities are improved by effective treatment. The questionnaire has a 4-point Likert response format (e.g., 1= extreme difficulty, 2= moderate difficulty, 3=a little difficulty, and 4 =no difficulty). FOSQ-10 total score is calculated by first taking the mean of the items for each subscale with more than 1 item completed and then taking the mean across the non-missing 5 subscales (General Productivity, Activity Level, Vigilance, Social Outcomes, Intimacy and Sexual Relationship) multiplied by 5. The score ranges from a minimum of 5 points to a maximum of 20 points, with higher scores indicating better functional status.

    Measured: Change from the end of the Stable Dose Period to the end of the DBRW Period (2 Weeks)

Timeline

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

  1. First posted22 May 2018
  2. Study start27 Nov 2018
  3. Primary completion12 Jun 2020
  4. Study completion18 Dec 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
Double blind
Who is masked
Participant, Investigator
Enrolment
154 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03533114
Sponsor's protocol ID
JZP080-301
Other IDs
2018-001311-79, 2018
Status last verified
Nov 2021
First submitted
10 May 2018
Last updated
24 Nov 2021
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Lin J, Lowe C, Banderas B, Chandler P, Arenson E, Shields AL, Morris S, Srivastava B, Dauvilliers Y. Content Validity and Psychometric Evaluation of the Idiopathic Hypersomnia Severity Scale (IHSS) in Adults with Idiopathic Hypersomnia. Nat Sci Sleep. 2026 Jun 26;18:571289. doi: 10.2147/NSS.S571289. eCollection 2026.

    PubMed 42382222
  • Morse AM, Dauvilliers Y, Schneider LD, Fuller DS, Steininger TL, Black J, Thorpy MJ. Effects of low-sodium oxybate on diary-based sleep time in a clinical study in adults with idiopathic hypersomnia. Sleep Med. 2026 Feb;138:108710. doi: 10.1016/j.sleep.2025.108710. Epub 2025 Dec 8.

    PubMed 41442817
  • Bogan RK, Fuller DS, Whalen M, Casstevens C, Schneider LD. A minimal clinically important difference for the sleep inertia visual analog scale in idiopathic hypersomnia. J Clin Sleep Med. 2025 Jul 1;21(7):1209-1216. doi: 10.5664/jcsm.11662.

    PubMed 40135693
  • Morse AM, Dauvilliers Y, Arnulf I, Thorpy MJ, Foldvary-Schaefer N, Chandler P, Chen A, Hickey L, Black J, Bogan RK. Long-term efficacy and safety of low-sodium oxybate in an open-label extension period of a placebo-controlled, double-blind, randomized withdrawal study in adults with idiopathic hypersomnia. J Clin Sleep Med. 2023 Oct 1;19(10):1811-1822. doi: 10.5664/jcsm.10698.

    PubMed 37409509
  • Dauvilliers Y, Arnulf I, Foldvary-Schaefer N, Morse AM, Sonka K, Thorpy MJ, Mignot E, Chandler P, Parvataneni R, Black J, Sterkel A, Chen D, Skobieranda F, Bogan RK. Safety and efficacy of lower-sodium oxybate in adults with idiopathic hypersomnia: a phase 3, placebo-controlled, double-blind, randomised withdrawal study. Lancet Neurol. 2022 Jan;21(1):53-65. doi: 10.1016/S1474-4422(21)00368-9.

    PubMed 34942138

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing JZP-258 in people with Idiopathic Hypersomnia, run by Jazz Pharmaceuticals at 63 sites in 8 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 7 inclusion and 8 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 24 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 63 sites in United States, Spain, France, Belgium, Czechia and 3 more countries. 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 24 Nov 2021). 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 Epworth Sleepiness Scale (ESS) Score (time frame: Change from the end of the Stable Dose Period to the end of the Double-blind Randomized Withdrawal Period (DBRW) (2 Weeks)). 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 NCT03533114, which also lists 5 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 24 Nov 2021.

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