International Swiss Primary Hypersomnolence and Narcolepsy Cohort Study

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age10-70
SponsorInsel Gruppe AG, University Hospital Bern

About this trial

Swiss Primary Hypersomnolence and Narcolepsy Cohort Study (SPHYNCS) is a cohort study on disease presentation and long-term course with an exploratory approach to detect biomarkers.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Subjective complaints of Excessive daytime sleepiness (EDS) and/or Hypersomnia (H) as defined above

EDS and/or H present daily or almost daily for at least 1 month prior to the consultation

Ability and consent to undergo electrophysiological routine assessment

Ability to give informed consent

Disqualifiers

Apnea index (AI) > 10 if on OSA treatment or untreated; or

Clinically significant hypoventilation; or

Noncompliance with primary OSA therapy

except if NT1 has been diagnosed including decreased or missing cerebrospinal fluid (CSF) hypocretin

Trial population

The project population consists of subjects, who were referred to the outpatient clinic / sleep center of one of the study sites for further investigation, due to complaints of EDS and / or H and / or suspected Central disorders of hypersomnolence (CDH), fulfilling inclusion / exclusion criteria and a control population as well as healthy controls.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

600 Participants
are grouped into 4 trial groups
Group A: Hypersomnolence group
Group B: Healthy controls
Group C: SDB controls
Group D: Pediatric Hypersomnolence group

Trial outcomes

Primary outcomes

1

Proportion of study subjects with diagnosis of Narcolepsy type 1 (NT1) at follow up

Time frame
36 months
2

Proportion of study subjects with final diagnosis other than NT1 but within the group of CDH at follow up

Time frame
36 months

Secondary outcomes

1

Proportion of patients with autoreactive T-cell clones in NT1 and some Narcolepsy borderland (NBL) subjects but not in controls

Time frame
36 months
2

Preptidomic profile of NT1 and NBL in comparison to controls

Mass spectrometry based peptidomics of cerebrospinal fluid (CSF) for the identification of Hypocretin and approximately 6000 other neuropeptides in 10 to 20 samples for each group to be analyzed. In collaboration with the group of Prof. Matthias Mann, Max Planck Institute of Biochemistry, Planegg, Germany

Time frame
36 months
3

Gut microbiome of NT1 and NBL in comparison to controls

16S based analysis of the gut microbiome based on stool samples from all participants (where available). In collaboration with the group of Prof. Andrew Macpherson, University of Bern

Time frame
36 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Insel Gruppe AG, University Hospital Bern

Lead sponsor

Klinik Barmelweid

Collaborator

Zentrum für Schlafmedizin Basel

Collaborator

Ospedale Regionale di Lugano

Collaborator

Cantonal Hospital of St. Gallen

Collaborator

Zurzach Care Klinik für Schlafmedizin

Collaborator

University Children's Hospital, Zurich

Collaborator

University Children's Hospital Basel

Collaborator

Centre Lausannios de Sommeil

Collaborator

Private Universität Witten-Herdecke and Orfea Fachklinik für Schlafmedizin, Witten, Germany

Collaborator

Leiden University Medical Center, Leiden, Netherlands

Collaborator

University of Bologna

Collaborator