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

• Status: Not yet recruiting
• Trial end date: 2022-09-01
• Target enrollment: 0
• Participant gender: All

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.

• Phase: Phase 3
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Citrine Medicine Limited

Criteria

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 or older;

3. Subjects affected by Obstructive Sleep Apnoea (OSA) with excessive daytime sleepiness and refused or did not tolerate nCPAP treatment, or received nCPAP treatment for at least 3 months and still had excessive daytime sleepiness;

4. Polysomnography completed at the study site during the screening period or in the past 3 months showed that the apnea-hypopnea index (AHI) was ≥ 15 for subjects who did not tolerate or refused nCPAP treatment and ≤ 10 for subjects who received nCPAP treatment;

5. For the subjects receiving nCPAP treatment, it is required that the duration of nCPAP use is ≥ 4 h/day for more than 70% of the nights in the past 3 months;

6. Body mass index (BMI) ≤ 38 kg/m²;

7. ESS score ≥ 12;

8. 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;

9. 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. With co-existing narcolepsy as defined by the International Classification of Sleep Disorders (ICSD-3) as judged by clinical criteria;

4. Suffering from chronic severe insomnia as defined in ICSD-3;

5. with sleep debt not due to OSA according to the investigator's judgment;

6. Presence of non-respiratory sleep fragmentation (restless legs syndrome, etc.);

7. Be engaged in shift work or night shift;

8. Use of prohibited drugs specified in the protocol within 14 days before enrollment;

9. The mean oxygen saturation < 85% and the lowest oxygen saturation < 70% by PSG.

10. Acute or chronic diseases affecting efficacy evaluation, such as severe chronic obstructive pulmonary disease (COPD);

11. Previous history of drug, alcohol, narcotic or other drug abuse or dependence;

12. Abnormal thyroid function judged by the investigator;

13. 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;

14. 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;

15. Any positive serology test for HIV, HCV, HBsAg and syphilis;

16. Female subjects who are pregnant or breast-feeding;

17. Patients with depression and suicidality;

18. Known or suspected hypersensitivity to study drug or to any excipients;

19. 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;

20. Previous severe adverse reactions caused by central nervous system stimulants;

21. Presence of severe hepatic insufficiency (Child Pugh C) or severe renal impairment (eGFR < 30ml/min), 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;

22. Subjects who are judged by the investigator to be unsuitable for this study.