A Phase 3 Efficacy and Safety Study of HBS-301 in Participants With Narcolepsy

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorHarmony Biosciences Management, Inc.

About this trial

This is a Phase 3, multicenter, randomized, double-blind, parallel-group, placebo-controlled clinical study to assess the efficacy and safety of HBS-301 in treating excessive daytime sleepiness (EDS), cataplexy, sleepiness/wakefulness, and fatigue in adult participants (ages ≥18 years) with narcolepsy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Has a current documented diagnosis of NT1 or NT2 per the International Classification of Sleep Disorders, Third Edition (ICSD-3) or the ICSD-3 Text Revision (ICSD-3-TR) within the last 10 years.

Has EDS.

If taking a permitted chronic concomitant medication or supplement, including nonprohibited antidepressants or wake-promoting agents, must be on a stable dose for at least 3 months prior to Screening and agree to continue at that stable dose for the Double-blind Treatment Period of the study. As needed (PRN) use of any treatment that could affect daytime sleepiness (including but not limited to oxybates, stimulants, modafinil, and armodafinil) is not permitted.

Disqualifiers

Has hypersomnia due to another medical disorder.

Has a history of pitolisant use within 5 half-lives prior to Screening.

Has a primary diagnosis of psychiatric illness, including depression, that is not well controlled (i.e., symptoms and medications have not been stable for at least 3 months prior to Screening).

Has any history of bipolar disorder or psychosis

Trial design

Design model

Parallel

Treatments tested in this trial

  • HBS-301

    Drug

    HBS-301 tablet

  • Placebo

    Other intervention

    Placebo tablet

Treatment groups

258 Participants
are divided into 3 treatment groups
Group A: Double-Blind Treatment Period HBS-301Experimental treatment 1 intervention
Group B: Double-blind Treatment Period PlaceboPlacebo comparator 1 intervention
Group C: Open-Label Extension Period HBS-301Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change in severity of EDS as measured by the Epworth Sleepiness Scale (ESS)

The ESS is an 8-item, 4-point rating scale.

Time frame
Baseline to end of Double-Blind Treatment Period (8 weeks)

Secondary outcomes

1

Change in Weekly Rate of Cataplexy (WRC) in participants with an average WRC of ≥3 over 2 consecutive weeks at Screening

The WRC is the average number of cataplexy attacks per week.

Time frame
End of the Double-Blind Treatment Period (8 weeks)
2

Change in sleepiness/wakefulness measured by the Maintenance of Wakefulness Test (MWT)

The MWT consists of a series of 20-minute to 40-minute trials spaced 2 hours apart and is used to measure an individual's ability to stay awake.

Time frame
Baseline to the end of the Double-blind Treatment Period (8 weeks)
3

Change in fatigue as measured by the Patient-Reported Outcomes Measurement Information System Fatigue Short Form 7a (PROMIS-Fatigue-SF-7a)

The PROMIS-Fatigue-SF-7a is a 7-question, 5-point scale used to assess fatigue.

Time frame
Baseline to end of Double-Blind Treatment Period (8 weeks)
4

Change in severity of EDS as measured by the ESS

The ESS is an 8-item, 4-point rating scale.

Time frame
Baseline through Week 1 and through Week 2 of Titration Period (1 week and 2 weeks)

Other outcomes

Sponsors and contacts

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