A Study of Pitolisant in Patients With Prader-Willi Syndrome

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age6+
SponsorHarmony Biosciences Management, Inc.

About this trial

This is a Phase 3, randomized, double-blind, placebo-controlled, multicenter, global clinical study to assess the efficacy and safety of pitolisant in patients living with Prader-Willi syndrome.

The primary objective of this study is to evaluate the efficacy of pitolisant in treating excessive daytime sleepiness (EDS) in patients ≥6 years of age with Prader-Willi syndrome.

Secondary objectives include assessing the impact of pitolisant on:

Irritable and disruptive behaviors Hyperphagia Other behavioral problems including social withdrawal, stereotypic behavior, hyperactivity/noncompliance, and inappropriate speech

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Genetically confirmed diagnosis of PWS

Excessive daytime sleepiness

Has a consistent parent/caregiver (preferably the same person throughout the study) who is willing and able to complete the required study assessments.

In the opinion of the Investigator, the patient/parent(s)/caregiver(s)/legal guardian(s) are capable of understanding and complying with the requirements of the protocol and administration of oral study drug.

Disqualifiers

Has a diagnosis of sleep apnea (OSA, CSA) that is not adequately controlled

Has a diagnosis of hypersomnia due to another sleep/medical disorder

Participation in an interventional research study involving another investigational medication, device, or behavioral treatment within 30 days or 5 half-lives (whichever is longer) of the investigational medication prior to Screening

Trial design

Design model

Parallel

Treatments tested in this trial

  • Pitolisant tablet

    Drug

    Pitolisant tablet

  • Placebo tablet

    Other intervention

    Placebo tablet

Treatment groups

134 Participants
are divided into 3 treatment groups
Group A: Double-Blind Treatment Period PitolisantExperimental treatment 1 intervention
Group B: Double-Blind Treatment Period PlaceboPlacebo comparator 1 intervention
Group C: Open-Label Extension Period PitolisantOther 1 intervention

Trial outcomes

Primary outcomes

1

Change in severity of EDS as measured by Patient-Reported Outcomes Measurement Information System Bank v1.0 - Sleep-Related Impairment (PROMIS-SRI) T-score

The PROMIS-SRI item bank consists of 13 items with a 5-point rating scale.

Time frame
Baseline and end of the Double Blind Treatment Period (Day 77)

Secondary outcomes

1

Change in severity of irritable and disruptive behaviors as measured by the Aberrant Behavior Checklist-Community, Second Edition (ABC-C) Irritability domain

The ABC-C is a 58-item questionnaire, divided into 5 subscales (Irritability, Social Withdrawal, Stereotypic Behavior, Hyperactive/Noncompliance, and Inappropriate Speech).

Time frame
Baseline and end of the Double Blind Treatment Period (Day 77)
2

Change in overall severity of EDS as measured by the Caregiver Global Impression of Severity for Excessive Daytime Sleepiness (CaGI-S for EDS)

The CaGI-S for EDS is a 1-item, 5-point rating scale.

Time frame
Baseline and end of the Double Blind Treatment Period (Day 77)
3

Change in overall severity of EDS as measured by the Clinical Global Impression of Severity for Excessive Daytime Sleepiness (CGI-S for EDS)

The CGI-S for EDS is a 1-item, 5-point rating scale.

Time frame
Baseline and end of the Double Blind Treatment Period (Day 77)
4

Change in overall severity of irritable and disruptive behaviors as measured by the Caregiver Global Impression of Severity (CaGI-S) for Irritable and/or Disruptive Behaviors

The CaGI-S for Irritable and/or Disruptive Behaviors is a 1-item, 5-point rating scale.

Time frame
Baseline and end of the Double Blind Treatment Period (Day 77)

Other outcomes

Sponsors and contacts

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