A Study to Investigate the Effect of XYWAV on Sleepiness, Polysomnography, and Functional Outcomes in Participants With Idiopathic Hypersomnia or Narcolepsy

Last updated: April 11, 2025
Sponsor: Jazz Pharmaceuticals
Overall Status: Completed

Phase

4

Condition

Sleep Disorders

Narcolepsy

Idiopathic Hypersomnia

Treatment

JZP258 (XYWAV)

Clinical Study ID

NCT05875974
JZP258-407
  • Ages 18-75
  • All Genders

Study Summary

This study will assess the safety and efficacy of JZP258 (XYWAV) on sleepiness, polysomnography, and functional outcomes in patients with idiopathic hypersomnia (IH) or narcolepsy.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Is 18 to 75 years of age (inclusive) at the time of signing the informed consentform (ICF)

  • Has a primary diagnosis of IH meeting International Classification of SleepDisorders, Third Edition (ICSD-3) criteria or narcolepsy (Type 1 or Type 2) meetingICSD-3 or Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) criteria.

  • If not currently taking oxybate medication, has clinically significant symptoms ofExcessive daytime sleepiness (EDS) with an ESS score > 10 at Screening Visit 1. Ifcurrently taking oxybate medication, has an ESS score > 10 at the Baseline Visit 2polysomnography (after washout period). Note: Not applicable for participants who donot washout.

  • If currently treated with anticataplectics and/or alerting agents, has been takingthe same dosage for at least 1 month prior to Screening Visit 1 and has no currentplans to adjust the dosage during the study period. Note: Alerting agents refer toeither traditional stimulants (eg, amphetamines, methylphenidates) or wake-promotingagents (eg, modafinils, pitolisant, solriamfetol).

Exclusion

Key Exclusion Criteria:

  • Shows evidence of a previous untreated or inadequately treated sleep disorderconsidered by the investigator to negatively impact the conduct of the study,including sleep-disordered breathing, parasomnias, circadian rhythm sleep disorders,or restless legs syndrome determined by a previous sleep-laboratory diagnosis orinterview utilizing modules of the Diagnostic Interview for Sleep Patterns andDisorders.

  • Shows evidence of untreated or inadequately treated sleep-disordered breathingduring Baseline Visit 2 polysomnography defined as an Apnea/Hypopnea Index (AHI) > 10, using the US Centers for Medicare and Medicaid Services rules (CMS.gov).

  • Has a history or presence of any unstable or clinically significant medicalcondition (chronic pain condition that may impact sleep), behavioral or psychiatricdisorder (including active suicidal ideation or current or past [within 1 year]major depressive episode), or history or presence of another neurologic disorder orsurgical history that might affect the participant's safety and/or interfere withthe conduct of the study, in the opinion of the investigator.

  • Has recently taken (ie, within 1 month prior to screening), is taking, or plans totake any of the following:

  • A substance or medication contraindicated with XYWAV use, ie. specificallyalcohol and sedative hypnotics

  • A medication with a known drug-drug interaction with XYWAV

  • A medication that may have similar EEG effects to XYWAV

  • Medications known to have clinically significant CNS sedative effects

  • Other medications, natural health products, or substances from which theparticipant experiences clinically significant sedation

Study Design

Total Participants: 207
Treatment Group(s): 1
Primary Treatment: JZP258 (XYWAV)
Phase: 4
Study Start date:
July 27, 2023
Estimated Completion Date:
March 13, 2025

Study Description

This prospective, multicenter, single-arm, open-label interventional study will assess the safety and efficacy of JZP258 on sleepiness, polysomnography measurements (eg, sleep stage transitions, sleep patterns, and sleep quality), daytime and nighttime symptoms, pharmacokinetics (in narcolepsy), and patient-reported outcomes that include subjective sleep quality and quality of life in patients with IH or narcolepsy.

Connect with a study center

  • Heritage Medical Research Clinic, University of Calgary

    Calgary, Alberta T2N 4Z6
    Canada

    Site Not Available

  • AMNDX Inc

    Markham, Ontario L3R 1A3
    Canada

    Site Not Available

  • Johda Tishon Inc

    Toronto, Ontario M5S 3A3
    Canada

    Site Not Available

  • Toronto Sleep Institute

    Toronto, Ontario M4P 1P2
    Canada

    Active - Recruiting

  • Sleep Disorders Center of Alabama

    Birmingham, Alabama 35213
    United States

    Site Not Available

  • Perseverance Research Center, LLC

    Scottsdale, Arizona 85253
    United States

    Site Not Available

  • Amnova Clinical Research

    Irvine, California 92604
    United States

    Site Not Available

  • Long Beach Research Institute

    Lakewood, California 90805
    United States

    Site Not Available

  • Santa Monica Clinical Trials

    Los Angeles, California 90025
    United States

    Site Not Available

  • Stanford School of Medicine

    Redwood City, California 94063
    United States

    Site Not Available

  • TriValley Sleep Center

    San Ramon, California 94583
    United States

    Site Not Available

  • SDS Clinical Trials, Inc.

    Santa Ana, California 92705
    United States

    Site Not Available

  • BioSerenity

    Altamonte Springs, Florida 32701
    United States

    Site Not Available

  • Meris Clinical Research, LLC

    Brandon, Florida 33511
    United States

    Site Not Available

  • PharmaDev Clinical Research Institute, LLC

    Miami, Florida 33176
    United States

    Site Not Available

  • Florida Hospital for Children

    Winter Park, Florida 32789
    United States

    Site Not Available

  • NeuroTrials Research, Inc.

    Atlanta, Georgia 30328
    United States

    Site Not Available

  • Centricity Research Rincon - DBA IACT Health Southeast Lung Associates Research

    Rincon, Georgia 31326
    United States

    Site Not Available

  • Saltzer Medical Group

    Nampa, Idaho 83686
    United States

    Site Not Available

  • Neurocare, Inc., dba Neurocare Center for Research

    Newtown, Massachusetts 02459
    United States

    Site Not Available

  • Clinical Neurophysiology Services, P.C.

    Sterling Heights, Michigan 48314
    United States

    Site Not Available

  • St. Lukes Hospital Medical Center

    Chesterfield, Missouri 63017
    United States

    Site Not Available

  • Clinical Research of Gastonia

    Gastonia, North Carolina 28054
    United States

    Site Not Available

  • Advanced Respiratory and Sleep Medicine, PLLC

    Huntersville, North Carolina 28078
    United States

    Site Not Available

  • CTI Clinical Research Center

    Cincinnati, Ohio 45212
    United States

    Site Not Available

  • Intrepid Research

    Cincinnati, Ohio 45245
    United States

    Site Not Available

  • Cleveland Clinic Main Campus - Clinical Research Unit

    Cleveland, Ohio 44195
    United States

    Site Not Available

  • Ohio Sleep Medicine and Neuroscience Institute

    Dublin, Ohio 43017
    United States

    Site Not Available

  • Abington Neurological Associates, LTD

    Abington, Pennsylvania 19001
    United States

    Site Not Available

  • Geisinger Clinic

    Scranton, Pennsylvania 18510
    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

  • Comprehensive Sleep Medicine Associates

    Houston, Texas 77030
    United States

    Site Not Available

  • Sleep Therapy & Research Center

    San Antonio, Texas 78229
    United States

    Site Not Available

  • Tricoastal Narcolepsy and Sleep Disorders Center

    Sugar Land, Texas 77479
    United States

    Site Not Available

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