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出境医 / 临床实验 / A Study to Investigate the Effects of ACT-541468 on Nighttime Respiratory Function in Patients With Mild to Moderate Obstructive Sleep Apnea

A Study to Investigate the Effects of ACT-541468 on Nighttime Respiratory Function in Patients With Mild to Moderate Obstructive Sleep Apnea

Study Description
Brief Summary:
This study is conducted to investigate the effects of ACT-541468 on nighttime respiratory function in patients with mild to moderate obstructive sleep apnea

Condition or disease Intervention/treatment Phase
Obstructive Sleep Apnea Drug: ACT-541468 Drug: Placebo Phase 1

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 28 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Intervention Model Description: 2-way cross-over
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomized, Double-blind, Placebo-controlled, 2-way Crossover Study to Investigate the Effects of ACT-541468 on Nighttime Respiratory Function in Patients With Mild to Moderate Obstructive Sleep Apnea
Actual Study Start Date : March 14, 2019
Actual Primary Completion Date : November 5, 2019
Actual Study Completion Date : November 5, 2019
Arms and Interventions
Arm Intervention/treatment
Experimental: Treatment A: ACT-541468
50 mg once daily from Day 1 to Day 5 of Period A
Drug: ACT-541468
Film-coated tablet for oral use

Placebo Comparator: Treatment B: Placebo
Matching placebo once daily from Day 1 to Day 5 of Period B
Drug: Placebo
Film-coated tablet for oral use

Outcome Measures
Primary Outcome Measures :
  1. Apnea/hypopnea index (AHI) after multiple-dose administration of ACT-541468 as measured by polysomnography (PSG) [ Time Frame: After multiple-dose administration (i.e., at Night 5) (duration: 8 hours PSG recording) ]
    AHI is defined by total number of apnea (pause in respiration ≥ 10 s) plus hypopnea (reduction in airflow or tidal volume from pre-event baseline by 30% for at least 10 s accompanied by a decrease of SaO2 ≥ 4%) events, divided by total sleep time (TST, in min), then multiplied by 60, during TST


Other Outcome Measures:
  1. AHI during TST after single-dose administration [ Time Frame: After single-dose (i.e., Night 1) administration (duration: 8 hours PSG recording) ]
  2. Mean SaO2 during TST [ Time Frame: After single-dose (i.e., Night 1) administration (duration: 8 hours PSG recording) ]
  3. AHI during the awake, non-REM, and REM phases [ Time Frame: After single-dose (i.e., Night 1) administration (duration: 8 hours PSG recording) ]
  4. Mean SaO2 during the awake, non-REM, and REM phases [ Time Frame: After single-dose (i.e., Night 1) administration (duration: 8 hours PSG recording) ]
  5. Percentage of TST during which SaO2 is < 90%, < 85%, and < 80% [ Time Frame: After single-dose (i.e., Night 1) administration (duration: 8 hours PSG recording) ]
  6. Change from baseline to EOP of both periods in subjective next-day performance (morning sleepiness, daytime alertness, and daytime ability to function) as assessed by VAS [ Time Frame: After single-dose (i.e., Night 1) and multiple-dose (i.e., Night 5) administration (duration: 2 x 8 hours PSG recording) ]
  7. Objective sleep parameters LPS, WASO, TST, and SEI following single- and multiple-dose administration, as measured by PSG [ Time Frame: After single-dose (i.e., Night 1) and multiple-dose (i.e., Night 5) administration (duration: 2 x 8 hours PSG recording) ]
  8. Safety profile including incidence of adverse events (AEs) and serious adverse events (SAEs) [ Time Frame: From baseline to EOS (duration: for up to 10 weeks) ]

Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Signed informed consent in a language understandable to the subject prior to any study-mandated procedure.
  • Male and female subjects aged ≥ 18 years at Screening.
  • Women of childbearing potential must have a negative serum pregnancy test at Screening and a negative urine pregnancy test at Screening Visit 2 and on Day 1 pre-dose of the first period. They must agree to consistently and correctly use a highly effective method of contraception with a failure rate of < 1% per year.
  • Women of non-childbearing potential, i.e., postmenopausal, with previous bilateral salpingectomy, bilateral salpingo-oophorectomy or hysterectomy, or with premature ovarian failure, XY genotype, Turner syndrome, and/or uterine agenesis.
  • Diagnosis of OSA according to the International Classification of Sleep Disorders documented by medical history and confirmed in a sleep laboratory in the context of diagnosing OSA within the last 3 years.
  • Patient with mild to moderate intensity of OSA determined during OSA diagnosis and confirmed on the screening night PSG and defined as apnea/hypopnea index (AHI) ranging from 5 to < 30.

Exclusion Criteria:

  • Any circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol.
  • Pregnant or lactating women.
  • Modified Swiss Narcolepsy Scale total score < 0 at Screening, or history of narcolepsy or cataplexy.
  • Subjects with clinically significant abnormality on the screening night PSG as per investigator judgment, including evidence of severe insomnia (i.e., sleep time < 5 h) periodic limb movement disorder with arousal index ≥ 10/h, restless legs syndrome, circadian rhythm disorder, REM behavior disorder, parasomnia including nightmare disorder, sleep terror disorder, and/or sleepwalking disorder.
  • Need for continuous positive airway pressure device or a dental appliance device within the preceding 7 days prior to Screening Visit 2 and during the course of the study, i.e., from Screening Visit 2 to EOS.
  • Evidence of any other clinically significant active pulmonary disease such as chronic obstructive pulmonary disease (COPD) (as per Global Initiative for Obstructive Lung Disease), based on investigator's judgment.
  • History of surgical intervention for obstructive sleep apnea, except nose surgery.
  • SaO2 < 90% during wakefulness or mean non-apneic SaO2 (i.e., outside events of apnea/hypopnea) < 85% for > 5 consecutive min during the screening night PSG.
Contacts and Locations

Locations
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Germany
Advanced Sleep Research
Berlin, Germany, 10117
Sponsors and Collaborators
Idorsia Pharmaceuticals Ltd.
Investigators
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Study Director: Clinical Trials Idorsia Pharmaceuticals Ltd.
Tracking Information
First Submitted Date  ICMJE December 4, 2018
First Posted Date  ICMJE December 5, 2018
Last Update Posted Date December 19, 2019
Actual Study Start Date  ICMJE March 14, 2019
Actual Primary Completion Date November 5, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: December 4, 2018)
Apnea/hypopnea index (AHI) after multiple-dose administration of ACT-541468 as measured by polysomnography (PSG) [ Time Frame: After multiple-dose administration (i.e., at Night 5) (duration: 8 hours PSG recording) ]
AHI is defined by total number of apnea (pause in respiration ≥ 10 s) plus hypopnea (reduction in airflow or tidal volume from pre-event baseline by 30% for at least 10 s accompanied by a decrease of SaO2 ≥ 4%) events, divided by total sleep time (TST, in min), then multiplied by 60, during TST
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE Not Provided
Original Secondary Outcome Measures  ICMJE Not Provided
Current Other Pre-specified Outcome Measures
 (submitted: December 4, 2018)
  • AHI during TST after single-dose administration [ Time Frame: After single-dose (i.e., Night 1) administration (duration: 8 hours PSG recording) ]
  • Mean SaO2 during TST [ Time Frame: After single-dose (i.e., Night 1) administration (duration: 8 hours PSG recording) ]
  • AHI during the awake, non-REM, and REM phases [ Time Frame: After single-dose (i.e., Night 1) administration (duration: 8 hours PSG recording) ]
  • Mean SaO2 during the awake, non-REM, and REM phases [ Time Frame: After single-dose (i.e., Night 1) administration (duration: 8 hours PSG recording) ]
  • Percentage of TST during which SaO2 is < 90%, < 85%, and < 80% [ Time Frame: After single-dose (i.e., Night 1) administration (duration: 8 hours PSG recording) ]
  • Change from baseline to EOP of both periods in subjective next-day performance (morning sleepiness, daytime alertness, and daytime ability to function) as assessed by VAS [ Time Frame: After single-dose (i.e., Night 1) and multiple-dose (i.e., Night 5) administration (duration: 2 x 8 hours PSG recording) ]
  • Objective sleep parameters LPS, WASO, TST, and SEI following single- and multiple-dose administration, as measured by PSG [ Time Frame: After single-dose (i.e., Night 1) and multiple-dose (i.e., Night 5) administration (duration: 2 x 8 hours PSG recording) ]
  • Safety profile including incidence of adverse events (AEs) and serious adverse events (SAEs) [ Time Frame: From baseline to EOS (duration: for up to 10 weeks) ]
Original Other Pre-specified Outcome Measures Same as current
 
Descriptive Information
Brief Title  ICMJE A Study to Investigate the Effects of ACT-541468 on Nighttime Respiratory Function in Patients With Mild to Moderate Obstructive Sleep Apnea
Official Title  ICMJE A Randomized, Double-blind, Placebo-controlled, 2-way Crossover Study to Investigate the Effects of ACT-541468 on Nighttime Respiratory Function in Patients With Mild to Moderate Obstructive Sleep Apnea
Brief Summary This study is conducted to investigate the effects of ACT-541468 on nighttime respiratory function in patients with mild to moderate obstructive sleep apnea
Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 1
Study Design  ICMJE Allocation: Randomized
Intervention Model: Crossover Assignment
Intervention Model Description:
2-way cross-over
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Condition  ICMJE Obstructive Sleep Apnea
Intervention  ICMJE
  • Drug: ACT-541468
    Film-coated tablet for oral use
  • Drug: Placebo
    Film-coated tablet for oral use
Study Arms  ICMJE
  • Experimental: Treatment A: ACT-541468
    50 mg once daily from Day 1 to Day 5 of Period A
    Intervention: Drug: ACT-541468
  • Placebo Comparator: Treatment B: Placebo
    Matching placebo once daily from Day 1 to Day 5 of Period B
    Intervention: Drug: Placebo
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: December 4, 2018)
28
Original Estimated Enrollment  ICMJE Same as current
Actual Study Completion Date  ICMJE November 5, 2019
Actual Primary Completion Date November 5, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Signed informed consent in a language understandable to the subject prior to any study-mandated procedure.
  • Male and female subjects aged ≥ 18 years at Screening.
  • Women of childbearing potential must have a negative serum pregnancy test at Screening and a negative urine pregnancy test at Screening Visit 2 and on Day 1 pre-dose of the first period. They must agree to consistently and correctly use a highly effective method of contraception with a failure rate of < 1% per year.
  • Women of non-childbearing potential, i.e., postmenopausal, with previous bilateral salpingectomy, bilateral salpingo-oophorectomy or hysterectomy, or with premature ovarian failure, XY genotype, Turner syndrome, and/or uterine agenesis.
  • Diagnosis of OSA according to the International Classification of Sleep Disorders documented by medical history and confirmed in a sleep laboratory in the context of diagnosing OSA within the last 3 years.
  • Patient with mild to moderate intensity of OSA determined during OSA diagnosis and confirmed on the screening night PSG and defined as apnea/hypopnea index (AHI) ranging from 5 to < 30.

Exclusion Criteria:

  • Any circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol.
  • Pregnant or lactating women.
  • Modified Swiss Narcolepsy Scale total score < 0 at Screening, or history of narcolepsy or cataplexy.
  • Subjects with clinically significant abnormality on the screening night PSG as per investigator judgment, including evidence of severe insomnia (i.e., sleep time < 5 h) periodic limb movement disorder with arousal index ≥ 10/h, restless legs syndrome, circadian rhythm disorder, REM behavior disorder, parasomnia including nightmare disorder, sleep terror disorder, and/or sleepwalking disorder.
  • Need for continuous positive airway pressure device or a dental appliance device within the preceding 7 days prior to Screening Visit 2 and during the course of the study, i.e., from Screening Visit 2 to EOS.
  • Evidence of any other clinically significant active pulmonary disease such as chronic obstructive pulmonary disease (COPD) (as per Global Initiative for Obstructive Lung Disease), based on investigator's judgment.
  • History of surgical intervention for obstructive sleep apnea, except nose surgery.
  • SaO2 < 90% during wakefulness or mean non-apneic SaO2 (i.e., outside events of apnea/hypopnea) < 85% for > 5 consecutive min during the screening night PSG.
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE Germany
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03765294
Other Study ID Numbers  ICMJE ID-078-110
2018-002360-96 ( EudraCT Number )
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party Idorsia Pharmaceuticals Ltd.
Study Sponsor  ICMJE Idorsia Pharmaceuticals Ltd.
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Study Director: Clinical Trials Idorsia Pharmaceuticals Ltd.
PRS Account Idorsia Pharmaceuticals Ltd.
Verification Date December 2019

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP