An Open Label Study of FT218 in Subjects With Narcolepsy

Last updated: January 28, 2024
Sponsor: Avadel
Overall Status: Completed

Phase

3

Condition

Narcolepsy

Restless Leg Syndrome

Sleep Disorders

Treatment

FT218

Clinical Study ID

NCT04451668
CLFT218-1901
  • Ages > 16
  • All Genders

Study Summary

An Open Label Study to Evaluate Long-Term Safety and Tolerability of a Once Nightly Formulation of Sodium Oxybate for Extended-Release Oral Suspension (FT218) and the ability to switch from twice-nightly immediate release sodium oxybate to once-nightly FT218 for the Treatment of Excessive Daytime Sleepiness and Cataplexy in Subjects with Narcolepsy

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Subjects receiving a stable doses of twice-nightly sodium oxybate IR or mixed saltsoxybate for at least 4 weeks and are willing to switch to FT218
  • Subjects who completed the CLFT218-1501 REST-ON Study in a compliant manner and forwhom the Investigator determines would receive benefit from treatment with FT218 andhave not started treatment with twice nightly sodium oxybate IR or mixed salts oxybate
  • Are treatment naïve to any oxybate therapy (i.e. FT218, twice nightly sodium oxybateIR or mixed salts oxybate)
  • Subjects have a diagnosis of narcolepsy, either confirmed prior to the REST-ON studyor as confirmed by the Investigator as defined by the International Classification ofSleep Disorders 3 criteria (AASM 2014)
  • Willing and able to give written informed consent for study participation. Youngadults (16 and 17 years old) who have not reached the age of majority must be capableof giving assent in addition to consent from a legally authorized guardian, asrequired by local laws and regulations.

Exclusion

Exclusion Criteria:

  • Subjects that terminated the CLFT218-1501 REST-ON Study prior to completing Visit 8
  • Any use of the following medications during the study: Anticonvulsants, Clonidine,Hypnotics, Anxiolytics, Sedating antihistamines, Antipsychotics, Other experimentalmedications designed to treat narcolepsy, cataplexy or any other condition, or othermedications with significant sedating effects/CNS depressant effects are prohibitedfor REST-ON and naive patients. Patients on twice nightly sodium oxybate IR onmedications in classes listed above may be eligible for enrollment if the subject hasbeen on a stable dose of the prohibited medication in combination with a stable doseof twice nightly sodium oxybate or mixed salts oxybate for at least three months andhas demonstrated no AEs, intolerance, or interactions AND is approved to participateby the Medical Monitor. Sedative hypnotics are prohibited regardless.)
  • A diagnosis of sleep apnea where AHI is ≥15 and/or current use of CPAP or otherdevices for sleep apnea.

Study Design

Total Participants: 184
Treatment Group(s): 1
Primary Treatment: FT218
Phase: 3
Study Start date:
June 12, 2020
Estimated Completion Date:
December 22, 2023

Study Description

This study will enroll subjects with narcolepsy, either NT1 or NT2, who completed the FT218 Phase 3 REST-ON study or eligible subjects with narcolepsy currently receiving a stable dose of twice nightly sodium oxybate IR or mixed salts oxybate (regardless of whether they participated in the REST-ON study), or subjects who are naïve to oxybate therapy (i.e., FT218, twice nightly sodium oxybate IR or mixed salts oxybate). Following a screening period, subjects who meet the entry criteria will be enrolled into the study. Subjects who completed the FT218 Phase 3 REST-ON study will initiate treatment with FT218 at 4.5 g and will follow a titration schedule up to the highest tolerate dose (up to 9 g), or the dose deemed effective by the investigator. Subjects previously maintained on twice nightly sodium oxybate IR will initiate FT218 treatment at a dose equivalent or closest to the total gram dose of twice-nightly sodium oxybate IR and then titrate up or down, in accord with safety and effectiveness as determined by the investigator.

Connect with a study center

  • West Perry Sound Health Center

    Parry Sound, Ontario P2A 3A4
    Canada

    Site Not Available

  • Jodha Tishon Inc.

    Toronto, Ontario M5S 3A3
    Canada

    Site Not Available

  • Sleep Disorders Center of Alabama

    Birmingham, Alabama 35213
    United States

    Site Not Available

  • Stanford Sleep Medicine

    Redwood City, California 94063
    United States

    Site Not Available

  • SDS Clinical Trials

    Santa Ana, California 92705
    United States

    Site Not Available

  • Alpine Clinical Research Center

    Boulder, Colorado 80301
    United States

    Site Not Available

  • Delta Waves, Inc.

    Colorado Springs, Colorado 80918
    United States

    Site Not Available

  • Pulmonary Disease Specialists, PA

    Kissimmee, Florida 34741
    United States

    Site Not Available

  • Sleep Medicine Specialists of South Florida

    Miami, Florida 33176
    United States

    Site Not Available

  • FL Pediatric Research Institute

    Winter Park, Florida 32789
    United States

    Site Not Available

  • NeuroTrials Research Inc

    Atlanta, Georgia 30328
    United States

    Site Not Available

  • SleepCare Research Institute, Inc. d/b/a Clinical Research Institute

    Stockbridge, Georgia 30281
    United States

    Site Not Available

  • Fort Wayne Neurological

    Fort Wayne, Indiana 46804
    United States

    Site Not Available

  • Helene A. Emsellem, MD PC

    Chevy Chase, Maryland 20815
    United States

    Site Not Available

  • Baystate Medical Center

    Springfield, Massachusetts 01199
    United States

    Site Not Available

  • St. Luke's Hospital - Sleep Medicine and Research Center

    Chesterfield, Missouri 63017
    United States

    Site Not Available

  • Montefiore Sleep-Wake Disorders Center

    Bronx, New York 10467
    United States

    Site Not Available

  • Advanced Respiratory and Sleep Medicine

    Huntersville, North Carolina 28078
    United States

    Site Not Available

  • Sleep Management Institute Intrepid Research

    Cincinnati, Ohio 45245
    United States

    Site Not Available

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio 44106
    United States

    Site Not Available

  • Ohio Sleep Medicine Institute

    Dublin, Ohio 43017
    United States

    Site Not Available

  • Geisinger Medical Center

    Danville, Pennsylvania 17822
    United States

    Site Not Available

  • Brian Abaluck Sleep Medicine

    Malvern, Pennsylvania 19355
    United States

    Site Not Available

  • Bogan Sleep Consultants, LLC

    Columbia, South Carolina 29201
    United States

    Site Not Available

  • FutureSearch Trials of Neurology

    Austin, Texas 78731
    United States

    Site Not Available

  • Sleep Therapy & Research Center

    San Antonio, Texas 78229-4849
    United States

    Site Not Available

  • Comprehensive Sleep Medicine Associates

    Sugar Land, Texas 77478
    United States

    Site Not Available

  • Northwest Houston Neurology

    Tomball, Texas 77375
    United States

    Site Not Available

  • TPMG Clinical Research Williamsburg

    Williamsburg, Virginia 23188
    United States

    Site Not Available

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