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A Clinical Study to Evaluate the Efficacy and Safety of Pitolisant in the Treatment of EDS in Patients With OSA

Primary Purpose

Excessive Daytime Sleepiness

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Pitolisant
Placebo oral tablet
Sponsored by
Citrine Medicine Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Excessive Daytime Sleepiness

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Inclusion criteria

    1. Voluntarily participate in the clinical study; fully understand and know the study and sign the informed consent form (ICF); willing to follow and able to complete all study procedures;
    2. Male or female aged 18 years to 70 years;
    3. Subjects affected by Obstructive Sleep Apnoea (OSA) with excessive daytime sleepiness;
    4. Female subjects of childbearing potential must have a negative serum pregnancy test 1 week before the first dose; female subjects or male subjects with a spouse of childbearing potential must agree to take contraceptive measures from the signing of the informed consent form to 1 months after the last dose of study drug;
    5. Subjects must be willing not to operate a car (if sleepy at wheel) or heavy machinery for the duration of the study or as long as the investigator deems it clinically indicated. In addition, subjects need to be willing to maintain daily behaviors (e.g., circadian rhythm, caffeine intake, nocturnal sleep duration, etc.) during the study that may affect their daytime sleepiness.

Exclusion Criteria:

  1. Participated in any other drug clinical trial or receiving other clinical trial treatment within 30 days before the first dose;
  2. Subjects who have previously received pitolisant, either from other clinical studies of pitolisant or from the subject use program, or from treatment with commercially available pitolisant (Wakix ®);
  3. Use of prohibited drugs specified in the protocol within 14 days before enrollment;
  4. The mean oxygen saturation < 85% or the lowest oxygen saturation < 70% by PSG.
  5. Acute or chronic diseases affecting efficacy evaluation, such as severe chronic obstructive pulmonary disease (COPD);
  6. Previous history of drug, alcohol, narcotic or other drug abuse or dependence;
  7. Any serious cardiovascular system abnormalities (e.g., ischemic cardio-cerebral disease), such as recent myocardial infarction, angina, severe hypertension or arrhythmia in the recent 6 months, ECG Fridericia-corrected QT interval higher than 450 ms, history of left ventricular hypertrophy or mitral valve prolapse;
  8. Subjects with severe co-morbid medical or biological conditions that may jeopardize participation in the study (especially cardiovascular system problems and unstable diabetes) as judged by the investigator;
  9. Any positive serology test for HIV, HCV, HBsAg and syphilis;
  10. Female subjects who are pregnant or breast-feeding;
  11. Known or suspected hypersensitivity to study drug or to any excipients;
  12. Cognitive impairment due to any psychiatric or neurological condition, including epilepsy and dementia, which may limit the understanding, execution of the informed consent form, and compliance of the study;
  13. Presence of severe hepatic insufficiency (Child Pugh C) or severe renal impairment (eGFR<30 ml/min/1.73㎡), or other significant abnormalities in physical examination/clinical laboratory tests, and any clinically significant condition that may interfere with the subject's completion of the study;
  14. Subjects who are judged by the investigator to be unsuitable for this study.

Sites / Locations

  • Tsinghua Changgung Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Pitolisant

Placebo

Arm Description

Histamine H3 receptor H3R antagonist/ inverse agonist

Placebo

Outcomes

Primary Outcome Measures

Change from baseline of ESS

Secondary Outcome Measures

Full Information

First Posted
January 24, 2022
Last Updated
July 18, 2023
Sponsor
Citrine Medicine Limited
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1. Study Identification

Unique Protocol Identification Number
NCT05223166
Brief Title
A Clinical Study to Evaluate the Efficacy and Safety of Pitolisant in the Treatment of EDS in Patients With OSA
Official Title
A Randomized, Double-blind, Placebo-controlled, Multicenter Clinical Study to Evaluate the Efficacy and Safety of Pitolisant in the Treatment of Excessive Daytime Sleepiness in Patients With Obstructive Sleep Apnea
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Completed
Study Start Date
April 12, 2022 (Actual)
Primary Completion Date
July 18, 2023 (Actual)
Study Completion Date
July 18, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Citrine Medicine Limited

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The objective of this study is to demonstrate the efficacy and safety of pitolisant versus placebo during 12 weeks of the Double Blind period, to treat the Excessive Daytime Sleepiness (EDS) in patients with Obstructive Sleep Apnea (OSA) not tolerating or refusing the nasal Continuous Positive Airway Pressure (nCPAP) therapy or treated by nCPAP but still complaining of EDS.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Excessive Daytime Sleepiness

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
240 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pitolisant
Arm Type
Experimental
Arm Description
Histamine H3 receptor H3R antagonist/ inverse agonist
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
Pitolisant
Intervention Description
Wakix tablet
Intervention Type
Drug
Intervention Name(s)
Placebo oral tablet
Intervention Description
Matching placebo tablets will be provided for each strength of active pitolisant film-coated tablets.
Primary Outcome Measure Information:
Title
Change from baseline of ESS
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Inclusion criteria Voluntarily participate in the clinical study; fully understand and know the study and sign the informed consent form (ICF); willing to follow and able to complete all study procedures; Male or female aged 18 years to 70 years; Subjects affected by Obstructive Sleep Apnoea (OSA) with excessive daytime sleepiness; Female subjects of childbearing potential must have a negative serum pregnancy test 1 week before the first dose; female subjects or male subjects with a spouse of childbearing potential must agree to take contraceptive measures from the signing of the informed consent form to 1 months after the last dose of study drug; Subjects must be willing not to operate a car (if sleepy at wheel) or heavy machinery for the duration of the study or as long as the investigator deems it clinically indicated. In addition, subjects need to be willing to maintain daily behaviors (e.g., circadian rhythm, caffeine intake, nocturnal sleep duration, etc.) during the study that may affect their daytime sleepiness. Exclusion Criteria: Participated in any other drug clinical trial or receiving other clinical trial treatment within 30 days before the first dose; Subjects who have previously received pitolisant, either from other clinical studies of pitolisant or from the subject use program, or from treatment with commercially available pitolisant (Wakix ®); Use of prohibited drugs specified in the protocol within 14 days before enrollment; The mean oxygen saturation < 85% or the lowest oxygen saturation < 70% by PSG. Acute or chronic diseases affecting efficacy evaluation, such as severe chronic obstructive pulmonary disease (COPD); Previous history of drug, alcohol, narcotic or other drug abuse or dependence; Any serious cardiovascular system abnormalities (e.g., ischemic cardio-cerebral disease), such as recent myocardial infarction, angina, severe hypertension or arrhythmia in the recent 6 months, ECG Fridericia-corrected QT interval higher than 450 ms, history of left ventricular hypertrophy or mitral valve prolapse; Subjects with severe co-morbid medical or biological conditions that may jeopardize participation in the study (especially cardiovascular system problems and unstable diabetes) as judged by the investigator; Any positive serology test for HIV, HCV, HBsAg and syphilis; Female subjects who are pregnant or breast-feeding; Known or suspected hypersensitivity to study drug or to any excipients; Cognitive impairment due to any psychiatric or neurological condition, including epilepsy and dementia, which may limit the understanding, execution of the informed consent form, and compliance of the study; Presence of severe hepatic insufficiency (Child Pugh C) or severe renal impairment (eGFR<30 ml/min/1.73㎡), or other significant abnormalities in physical examination/clinical laboratory tests, and any clinically significant condition that may interfere with the subject's completion of the study; Subjects who are judged by the investigator to be unsuitable for this study.
Facility Information:
Facility Name
Tsinghua Changgung Hospital
City
Beijing
Country
China

12. IPD Sharing Statement

Learn more about this trial

A Clinical Study to Evaluate the Efficacy and Safety of Pitolisant in the Treatment of EDS in Patients With OSA

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