Low Sodium Oxybate in Patients With Idiopathic Hypersomnia

• Status: Not yet recruiting
• Trial end date: 2025-06-01
• Target enrollment: 0
• Participant gender: All

Summary

Low sodium oxybate has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of idiopathic hypersomnia. In this study, the researchers want to learn how low sodium oxybate impacts ability of people diagnosed with idiopathic hypersomnia to sleep for long periods of time. In addition, this study will use novel tools to determine when an individual is awake or asleep.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Mayo Clinic
• Treatments: Sodium Oxybate

Criteria

Inclusion Criteria:

1. Primary diagnosis of IH, according to ICSD-3 criteria (does not require MSLT)

2. BMI between 18 and 35 kg/m2

3. Self-reported sleep duration ≥ 10 hours most days including daytime naps/sleep based upon at least 10/14 days of completed sleep diary entries

4. Epworth Sleepiness Scale (ESS) ≥ 10

5. Recommended LSO by a clinical sleep specialist as part of routine medical care. The clinical sleep specialist will be responsible for titrating LSO according to standard of care.

6. Subject must be willing to postpone LSO therapy until all baseline assessments completed

7. If treated with wake promoting agents, traditional stimulants and/or antidepressant(s), a stable dose and regimen will be required for at least 2 months before study entry and throughout the main study

8. Have used a medically acceptable method of contraception for at least 2 full menstrual cycles before participating in this study and consent to use a medically acceptable method of contraception from the first dose of study drug, throughout the entire study period, and for 30 days after the last dose of study drug

Exclusion Criteria:

1. Succinic semialdehyde dehydrogenase deficiency, porphyria

2. Other central nervous system diseases: neurodegenerative diseases, seizure disorders or history of head trauma associated with loss of consciousness

3. Lifetime history of suicide attempt or suicidal ideation in the past 6 months, including answer to question #9 on PHQ-9 ≥1; PHQ-9 total score > 10; prior history of psychotic episodes; active major depressive disorder

4. Change to psychiatric medication(s)/stimulant(s) within last 3 months

5. History of chronic alcohol or drug abuse within the prior 12 months

6. Malignant neoplastic disease requiring therapy within the prior 12 months

7. Heart failure, severe hypertension or other cardiovascular disease compromising the patient's wellbeing or ability to participate in this study

8. Renal or hepatic impairment

9. Compromised respiratory function (e.g., history of COPD, pulmonary hypertension, and/or poorly controlled asthma)

10. Diagnosis of sleep-related breathing disorders (AHI ≥ 15 events/h using 4 % AHI) or high suspicion for sleep disordered breathing

11. Any sleep apnea treatment (e.g., Positive Airway Pressure (PAP) therapy, oral appliance therapy, etc.)

12. No regular sleep at night: shift work or other continuous, non-disease-related life conditions

13. Participation in another study of an investigational drug within the 28 days prior to Screening visit or currently

14. Pregnant and/or breast-feeding

15. Subjects who, in the opinion of the investigator(s), may not be suitable for the study