Trial Outcomes & Findings for Safety and Efficacy of THN102 on Sleepiness in Narcoleptic Patients (NCT NCT02821715)

NCT ID: NCT02821715

Last Updated: 2020-09-04

Results Overview

Range 0 to 24, low score indicates good outcome

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

51 participants

Primary outcome timeframe

14 days after the beginning of treatment period

Results posted on

2020-09-04

Participant Flow

54 patients were screened, 51 patients were randomized and 48 started the double-blind treatment period

Study starts with open-label run in period with modafinil 300 mg/d. 51 patients met study inclusion/exclusion criteria and entered the run-in period, 48 subjects still fulfilled inclusion criteria after run-in and entered the double-blind period.

Participant milestones

Participant milestones
Measure
Sequence 1 : ABC
Treatment A : 300 mg modafinil + 0 mg flecainide per day Treatment B : 300 mg modafinil and 3 mg flecainide per day Treatment C: 300 mg modafinil and 27 mg flecainide per day Treatment period A, B and C duration = 2 weeks No wash out between each period
Sequence 2 : BCA
Treatment A : 300 mg modafinil + 0 mg flecainide per day Treatment B : 300 mg modafinil and 3 mg flecainide per day Treatment C: 300 mg modafinil and 27 mg flecainide per day Treatment period A, B and C duration = 2 weeks No wash out between each period
Sequence 3: CAB
Treatment A : 300 mg modafinil + 0 mg flecainide per day Treatment B : 300 mg modafinil and 3 mg flecainide per day Treatment C: 300 mg modafinil and 27 mg flecainide per day Treatment period A, B and C duration = 2 weeks No wash out between each period
Sequence 4: ACB
Treatment A : 300 mg modafinil + 0 mg flecainide per day Treatment B : 300 mg modafinil and 3 mg flecainide per day Treatment C: 300 mg modafinil and 27 mg flecainide per day Treatment period A, B and C duration = 2 weeks No wash out between each period
Sequence 5: CBA
Treatment A : 300 mg modafinil + 0 mg flecainide per day Treatment B : 300 mg modafinil and 3 mg flecainide per day Treatment C: 300 mg modafinil and 27 mg flecainide per day Treatment period A, B and C duration = 2 weeks No wash out between each period
Sequence 6: BAC
Treatment A : 300 mg modafinil + 0 mg flecainide per day Treatment B : 300 mg modafinil and 3 mg flecainide per day Treatment C: 300 mg modafinil and 27 mg flecainide per day Treatment period A, B and C duration = 2 weeks No wash out between each period
Overall Study
STARTED
8
8
8
9
6
9
Overall Study
COMPLETED
7
8
8
9
6
9
Overall Study
NOT COMPLETED
1
0
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Sequence 1 : ABC
Treatment A : 300 mg modafinil + 0 mg flecainide per day Treatment B : 300 mg modafinil and 3 mg flecainide per day Treatment C: 300 mg modafinil and 27 mg flecainide per day Treatment period A, B and C duration = 2 weeks No wash out between each period
Sequence 2 : BCA
Treatment A : 300 mg modafinil + 0 mg flecainide per day Treatment B : 300 mg modafinil and 3 mg flecainide per day Treatment C: 300 mg modafinil and 27 mg flecainide per day Treatment period A, B and C duration = 2 weeks No wash out between each period
Sequence 3: CAB
Treatment A : 300 mg modafinil + 0 mg flecainide per day Treatment B : 300 mg modafinil and 3 mg flecainide per day Treatment C: 300 mg modafinil and 27 mg flecainide per day Treatment period A, B and C duration = 2 weeks No wash out between each period
Sequence 4: ACB
Treatment A : 300 mg modafinil + 0 mg flecainide per day Treatment B : 300 mg modafinil and 3 mg flecainide per day Treatment C: 300 mg modafinil and 27 mg flecainide per day Treatment period A, B and C duration = 2 weeks No wash out between each period
Sequence 5: CBA
Treatment A : 300 mg modafinil + 0 mg flecainide per day Treatment B : 300 mg modafinil and 3 mg flecainide per day Treatment C: 300 mg modafinil and 27 mg flecainide per day Treatment period A, B and C duration = 2 weeks No wash out between each period
Sequence 6: BAC
Treatment A : 300 mg modafinil + 0 mg flecainide per day Treatment B : 300 mg modafinil and 3 mg flecainide per day Treatment C: 300 mg modafinil and 27 mg flecainide per day Treatment period A, B and C duration = 2 weeks No wash out between each period
Overall Study
Protocol Violation
1
0
0
0
0
0

Baseline Characteristics

51 patients were randomised (1 randomized patient never took study medication), Safety set: 50 patients Modified Intent to Treat Set: 48 patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=51 Participants
Participants received either: A Modafinil 300mg/d/Flecainide placebo, B Modafinil 300mg/d/Flecainide 3mg/d C Modafinil 300mg/d/Flecainide 27mg/d
Age, Continuous
35.7 years
STANDARD_DEVIATION 9.96 • n=51 Participants
Sex: Female, Male
Female
24 Participants
n=51 Participants • 51 patients were randomised (1 randomized patient never took study medication), Safety set: 50 patients Modified Intent to Treat Set: 48 patients
Sex: Female, Male
Male
27 Participants
n=51 Participants • 51 patients were randomised (1 randomized patient never took study medication), Safety set: 50 patients Modified Intent to Treat Set: 48 patients
Region of Enrollment
Belgium
4 participants
n=51 Participants
Region of Enrollment
France
47 participants
n=51 Participants
Epworth Sleepiness Scale (ESS)
17.1 units on a scale
STANDARD_DEVIATION 2.8 • n=48 Participants • Efficacy population (modified Intent to Treat Population) 48

PRIMARY outcome

Timeframe: 14 days after the beginning of treatment period

Population: modified Intent To Treat population

Range 0 to 24, low score indicates good outcome

Outcome measures

Outcome measures
Measure
Modafinil + Placebo
n=48 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide placebo per day for 2 weeks Active comparator: Modafinil + placebo
THN102 300/3
n=48 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 1 mg per day (THN102 as 300 + 3 mg) for 2 weeks THN102 300/3
THN102 300/27
n=48 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 9 mg per day(THN102 as 300 + 27 mg) for 2 weeks THN102 300/27
Epworth Sleepiness Scale (ESS)
14.68 score on a scale
Standard Error 0.689
15.34 score on a scale
Standard Error 0.695
15.34 score on a scale
Standard Error 0.694

SECONDARY outcome

Timeframe: 14 days after the beginning of treatment period

Population: modified Intent To Treat (mITT)

Fatigue scale is a rating scale completed by the participants at each visit starting from baseline to last visit; 14 questions to be ticked off by "yes" or "No" by the patient. 0 : No fatigue 14 : worst fatigue condition

Outcome measures

Outcome measures
Measure
Modafinil + Placebo
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide placebo per day for 2 weeks Active comparator: Modafinil + placebo
THN102 300/3
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 1 mg per day (THN102 as 300 + 3 mg) for 2 weeks THN102 300/3
THN102 300/27
n=46 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 9 mg per day(THN102 as 300 + 27 mg) for 2 weeks THN102 300/27
14-item Fatigue Scale
6.37 score on a scale
Standard Error 0.545
6.94 score on a scale
Standard Error 0.549
7.25 score on a scale
Standard Error 0.549

SECONDARY outcome

Timeframe: 14 days after the beginning of the screening

Population: mITT

EQ-5D is a quality of life questionnaire filled in by the participants from screening to the last visit (all visits). The EQ-5D assesses the status on the day of visit and not over the past week. It has two parts: The first part is a descriptive system that assesses five distinct health states/dimensions: Mobility (MO), Self-care (SC), Usual activities (UA), Pain/discomfort, Anxiety/depression (AD). A higher score signifies a higher number of symptoms present. The second part is a 100 mm VAS (EQ-VAS). An increase in VAS indicates an improvement in health state.

Outcome measures

Outcome measures
Measure
Modafinil + Placebo
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide placebo per day for 2 weeks Active comparator: Modafinil + placebo
THN102 300/3
n=46 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 1 mg per day (THN102 as 300 + 3 mg) for 2 weeks THN102 300/3
THN102 300/27
n=46 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 9 mg per day(THN102 as 300 + 27 mg) for 2 weeks THN102 300/27
Questionnaire EQ-5D (European Quality of Life EQ-5D) (Questionnaire Part)
0.86 score on a scale
Standard Error 0.358
1.16 score on a scale
Standard Error 0.189
1.24 score on a scale
Standard Error 0.258

SECONDARY outcome

Timeframe: 14 days after the beginning of treatment period

Population: mITT

PGI-C is a scale completed by the participants starting from screening to last Last visit (all the visits). Participants have to chose 1 condition among 7 : Very much improved/ Much improved/ Minimally improved/ No change/ Minimally worse/ Much worse/ Very much worse. 1 is the best score (very much improved) 7 is the worse score (very much worse)

Outcome measures

Outcome measures
Measure
Modafinil + Placebo
n=46 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide placebo per day for 2 weeks Active comparator: Modafinil + placebo
THN102 300/3
n=46 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 1 mg per day (THN102 as 300 + 3 mg) for 2 weeks THN102 300/3
THN102 300/27
n=46 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 9 mg per day(THN102 as 300 + 27 mg) for 2 weeks THN102 300/27
Patient Global Impression of Change (PGI-C)
Very much worse
0 Participants
1 Participants
1 Participants
Patient Global Impression of Change (PGI-C)
Very much improved
2 Participants
1 Participants
0 Participants
Patient Global Impression of Change (PGI-C)
Much improved
10 Participants
7 Participants
9 Participants
Patient Global Impression of Change (PGI-C)
Minimally improved
16 Participants
15 Participants
10 Participants
Patient Global Impression of Change (PGI-C)
No change
10 Participants
12 Participants
17 Participants
Patient Global Impression of Change (PGI-C)
Minimally worse
8 Participants
7 Participants
8 Participants
Patient Global Impression of Change (PGI-C)
Much worse
0 Participants
3 Participants
1 Participants

SECONDARY outcome

Timeframe: 14 days after the end of treatment period I

Population: mITT

CGI-C (change from baseline) is a scale completed by the investigator at V3, V4 , V5 and V6 for global impression the investigator or his/her designee has to score 3 items : global impression/ sleepiness and Cataplexy. For each item the investigator or his/her designee has to chose 1 condition among 7 : Very much improved/ Much improved/ Minimally improved/ No change/ Minimally worse/ Much worse/ Very much worse. 1 is the best score (very much improved) 7 is the worse score (very much worse)

Outcome measures

Outcome measures
Measure
Modafinil + Placebo
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide placebo per day for 2 weeks Active comparator: Modafinil + placebo
THN102 300/3
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 1 mg per day (THN102 as 300 + 3 mg) for 2 weeks THN102 300/3
THN102 300/27
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 9 mg per day(THN102 as 300 + 27 mg) for 2 weeks THN102 300/27
Clinical Global Impression of Change (CGI-C) Global Impression
Very much worse
0 Participants
1 Participants
0 Participants
Clinical Global Impression of Change (CGI-C) Global Impression
Very much improved
3 Participants
1 Participants
0 Participants
Clinical Global Impression of Change (CGI-C) Global Impression
Much improved
7 Participants
10 Participants
8 Participants
Clinical Global Impression of Change (CGI-C) Global Impression
Minimally improved
18 Participants
9 Participants
13 Participants
Clinical Global Impression of Change (CGI-C) Global Impression
no change
14 Participants
21 Participants
21 Participants
Clinical Global Impression of Change (CGI-C) Global Impression
Minimally worse
4 Participants
3 Participants
5 Participants
Clinical Global Impression of Change (CGI-C) Global Impression
Much worse
1 Participants
2 Participants
0 Participants

SECONDARY outcome

Timeframe: 14 days

Population: mITT

Beck Depression Inventory (BDI) evaluation for depressive symptoms (including suicidal thoughts). The scale is completed by the participants from baseline, to last visit (all except screening visit). The questionnaire contains 21 items. Each must be scored from 0 to 3, minimum score = 0, maximum score = 63. A high score indicates increased severity of depression.

Outcome measures

Outcome measures
Measure
Modafinil + Placebo
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide placebo per day for 2 weeks Active comparator: Modafinil + placebo
THN102 300/3
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 1 mg per day (THN102 as 300 + 3 mg) for 2 weeks THN102 300/3
THN102 300/27
n=46 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 9 mg per day(THN102 as 300 + 27 mg) for 2 weeks THN102 300/27
Beck Depression Inventory (BDI)
6.3 score on a scale
Standard Deviation 5.17
7.0 score on a scale
Standard Deviation 5.60
7.0 score on a scale
Standard Deviation 6.16

SECONDARY outcome

Timeframe: 14 days

Population: mITT

PGI-S us a scale filled by the participant from screening to last visit (all the visits) Participants have to chose 1 condition among 7 : 1 Normal-Not ill at all/ 2 borderline ill/ 3 mildly ill/ 4 moderately ill/ 5 markedly ill/ 6 severely ill/ 7 among the most extremely ill patient 1 is the best score (very much improved) 7 is the worse score (very much worse)

Outcome measures

Outcome measures
Measure
Modafinil + Placebo
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide placebo per day for 2 weeks Active comparator: Modafinil + placebo
THN102 300/3
n=46 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 1 mg per day (THN102 as 300 + 3 mg) for 2 weeks THN102 300/3
THN102 300/27
n=46 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 9 mg per day(THN102 as 300 + 27 mg) for 2 weeks THN102 300/27
Patient Global Impression for Severity (PGI-S) Global Score
normal Not ill at all
10 Participants
9 Participants
8 Participants
Patient Global Impression for Severity (PGI-S) Global Score
borderline ill
8 Participants
10 Participants
10 Participants
Patient Global Impression for Severity (PGI-S) Global Score
mildly ill
9 Participants
7 Participants
9 Participants
Patient Global Impression for Severity (PGI-S) Global Score
moderately ill
12 Participants
13 Participants
11 Participants
Patient Global Impression for Severity (PGI-S) Global Score
markedly ill
8 Participants
6 Participants
5 Participants
Patient Global Impression for Severity (PGI-S) Global Score
severely ill
0 Participants
1 Participants
3 Participants

SECONDARY outcome

Timeframe: 14 days after the end of treatment period I

Population: mITT

CGI-C (change from baseline) is a scale completed by the investigator at V3, V4 , V5 and V6 for sleepiness the investigator or his/her designee has to score 3 items : global impression/ sleepiness and Cataplexy. For each item the investigator or his/her designee has to chose 1 condition among 7 : Very much improved/ Much improved/ Minimally improved/ No change/ Minimally worse/ Much worse/ Very much worse. 1 is the best score (very much improved) 7 is the worse score (very much worse)

Outcome measures

Outcome measures
Measure
Modafinil + Placebo
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide placebo per day for 2 weeks Active comparator: Modafinil + placebo
THN102 300/3
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 1 mg per day (THN102 as 300 + 3 mg) for 2 weeks THN102 300/3
THN102 300/27
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 9 mg per day(THN102 as 300 + 27 mg) for 2 weeks THN102 300/27
Clinical Global Impression of Change (CGI-C) Sleepiness
Very much improved
6 Participants
2 Participants
0 Participants
Clinical Global Impression of Change (CGI-C) Sleepiness
Much improved
5 Participants
11 Participants
9 Participants
Clinical Global Impression of Change (CGI-C) Sleepiness
Minimally improved
16 Participants
10 Participants
11 Participants
Clinical Global Impression of Change (CGI-C) Sleepiness
No change
14 Participants
17 Participants
20 Participants
Clinical Global Impression of Change (CGI-C) Sleepiness
Minimally worse
3 Participants
4 Participants
6 Participants
Clinical Global Impression of Change (CGI-C) Sleepiness
Much worse
3 Participants
3 Participants
1 Participants
Clinical Global Impression of Change (CGI-C) Sleepiness
Very much worse
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 14 days after the end of treatment period I

Population: mITT

CGI-C (change from baseline) is a scale completed by the investigator at V3, V4 , V5 and V6 for Cataplexy the investigator or his/her designee has to score 3 items : global impression/ sleepiness and Cataplexy. For each item the investigator or his/her designee has to chose 1 condition among 7 : Very much improved/ Much improved/ Minimally improved/ No change/ Minimally worse/ Much worse/ Very much worse. 1 is the best score (very much improved) 7 is the worse score (very much worse)

Outcome measures

Outcome measures
Measure
Modafinil + Placebo
n=40 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide placebo per day for 2 weeks Active comparator: Modafinil + placebo
THN102 300/3
n=41 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 1 mg per day (THN102 as 300 + 3 mg) for 2 weeks THN102 300/3
THN102 300/27
n=41 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 9 mg per day(THN102 as 300 + 27 mg) for 2 weeks THN102 300/27
Clinical Global Impression of Change (CGI-C) Cataplexy
Much worse
0 Participants
0 Participants
0 Participants
Clinical Global Impression of Change (CGI-C) Cataplexy
Very much improved
2 Participants
2 Participants
0 Participants
Clinical Global Impression of Change (CGI-C) Cataplexy
Much improved
1 Participants
0 Participants
1 Participants
Clinical Global Impression of Change (CGI-C) Cataplexy
Minimally improved
6 Participants
7 Participants
7 Participants
Clinical Global Impression of Change (CGI-C) Cataplexy
No change
29 Participants
32 Participants
33 Participants
Clinical Global Impression of Change (CGI-C) Cataplexy
Minimally worse
2 Participants
0 Participants
0 Participants
Clinical Global Impression of Change (CGI-C) Cataplexy
very much worse
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 14 days after the end of treatment period I

Population: mITT

CGI-S is a scale completed by the investigator at each visit : Item global impression CGI-S us a scale filled by the Investigator or his/her designee from screening to last visit (all the visits) Investigators have to chose 1 condition among 7 : 1 normal-not ill at all/ 2 borderline ill/ 3 mildly ill/ 4 moderately ill/ 5 markedly ill/ 6 severely ill/ 7 among hte most extremely ill patient 1 is the best score (very much improved) 7 is the worse score (very much worse) CGI-S scale explores 3 items : Global impression/ Sleepiness/ Cataplexy

Outcome measures

Outcome measures
Measure
Modafinil + Placebo
n=48 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide placebo per day for 2 weeks Active comparator: Modafinil + placebo
THN102 300/3
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 1 mg per day (THN102 as 300 + 3 mg) for 2 weeks THN102 300/3
THN102 300/27
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 9 mg per day(THN102 as 300 + 27 mg) for 2 weeks THN102 300/27
Clinical Global Impression for Severity (CGI-S) Global Score
normal, not ill at all
2 Participants
0 Participants
1 Participants
Clinical Global Impression for Severity (CGI-S) Global Score
borderline ill
5 Participants
4 Participants
7 Participants
Clinical Global Impression for Severity (CGI-S) Global Score
mildly ill
11 Participants
8 Participants
11 Participants
Clinical Global Impression for Severity (CGI-S) Global Score
moderately ill
13 Participants
18 Participants
14 Participants
Clinical Global Impression for Severity (CGI-S) Global Score
markedly ill
14 Participants
8 Participants
5 Participants
Clinical Global Impression for Severity (CGI-S) Global Score
severely ill
3 Participants
9 Participants
8 Participants
Clinical Global Impression for Severity (CGI-S) Global Score
among the most extremely ill
0 Participants
0 Participants
1 Participants

SECONDARY outcome

Timeframe: 14 days after the end of treatment period I

Population: modified Intent To Treat : mITT

CGI-S is a scale completed by the investigator at each visit for Sleepiness CGI-S us a scale filled by the Investigator or his/her designee from screening to last visit (all the visits) Investigators have to chose 1 condition among 7 : 1 Normal-Not ill at all/ 2 Borderline ill/ 3 Mildly ill/ 4 Moderately ill/ 5 Markedly ill/ 6 severely ill/ 7 Among the most extremely ill patient 1 is the best score (very much improved) 7 is the worse score (very much worse) CGI-S scale explores 3 items : Global impression/ Sleepiness/ Cataplexy

Outcome measures

Outcome measures
Measure
Modafinil + Placebo
n=48 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide placebo per day for 2 weeks Active comparator: Modafinil + placebo
THN102 300/3
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 1 mg per day (THN102 as 300 + 3 mg) for 2 weeks THN102 300/3
THN102 300/27
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 9 mg per day(THN102 as 300 + 27 mg) for 2 weeks THN102 300/27
Clinical Global Impression for Severity (CGI-S) Sleepiness
Normal, not ill at all
2 Participants
0 Participants
1 Participants
Clinical Global Impression for Severity (CGI-S) Sleepiness
Borderline ill
6 Participants
3 Participants
6 Participants
Clinical Global Impression for Severity (CGI-S) Sleepiness
Mildly ill
9 Participants
8 Participants
10 Participants
Clinical Global Impression for Severity (CGI-S) Sleepiness
Moderately ill
10 Participants
17 Participants
12 Participants
Clinical Global Impression for Severity (CGI-S) Sleepiness
Markedly ill
16 Participants
10 Participants
8 Participants
Clinical Global Impression for Severity (CGI-S) Sleepiness
Severely ill
5 Participants
9 Participants
9 Participants
Clinical Global Impression for Severity (CGI-S) Sleepiness
Among the most extremely ill patients
0 Participants
0 Participants
1 Participants

SECONDARY outcome

Timeframe: 14 days after the end of treatment period I

Population: modified Intent To Treat : mITT

CGI-S is a scale completed by the investigator at each visit for Cataplexy CGI-S us a scale filled by the Investigator or his/her designee from screening to last visit (all the visits) Investigators have to chose 1 condition among 7 : 1 Normal-Not ill at all/ 2 Borderline ill/ 3 Mildly ill/ 4 Moderately ill/ 5 Markedly ill/ 6 severely ill/ 7 Among the most extremely ill patient 1 is the best score (very much improved) 7 is the worse score (very much worse) CGI-S scale explores 3 items : Global impression/ Sleepiness/ Cataplexy

Outcome measures

Outcome measures
Measure
Modafinil + Placebo
n=41 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide placebo per day for 2 weeks Active comparator: Modafinil + placebo
THN102 300/3
n=41 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 1 mg per day (THN102 as 300 + 3 mg) for 2 weeks THN102 300/3
THN102 300/27
n=41 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 9 mg per day(THN102 as 300 + 27 mg) for 2 weeks THN102 300/27
Clinical Global Impression for Severity (CGI-S) Cataplexy
Normal, not ill at all
7 Participants
7 Participants
5 Participants
Clinical Global Impression for Severity (CGI-S) Cataplexy
Borderline ill
7 Participants
8 Participants
14 Participants
Clinical Global Impression for Severity (CGI-S) Cataplexy
Mildly ill
10 Participants
10 Participants
10 Participants
Clinical Global Impression for Severity (CGI-S) Cataplexy
Moderately ill
10 Participants
8 Participants
6 Participants
Clinical Global Impression for Severity (CGI-S) Cataplexy
Markedly ill
4 Participants
5 Participants
0 Participants
Clinical Global Impression for Severity (CGI-S) Cataplexy
Severely ill
2 Participants
3 Participants
6 Participants
Clinical Global Impression for Severity (CGI-S) Cataplexy
Among the most extremely ill patients
1 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 14 days

Population: mITT

EQ-5D is a quality of life questionnaire filled in by the participants from screening to the last visit (all visits). The EQ-5D is a questionnaire assessing the quality of life of the patient. It has two parts: The first part is a descriptive system that assesses five distinct health states/dimensions: Mobility (MO), Self-care (SC), Usual activities (UA), Pain/discomfort, Anxiety/depression (AD). A higher score signifies a higher number of symptoms present. The second part is a 100 mm Visual analogic scale (EQ-VAS). An higher score in VAS indicates a better health state. The questionnaire is assessed at baseline and all subsequent visits

Outcome measures

Outcome measures
Measure
Modafinil + Placebo
n=47 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide placebo per day for 2 weeks Active comparator: Modafinil + placebo
THN102 300/3
n=46 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 1 mg per day (THN102 as 300 + 3 mg) for 2 weeks THN102 300/3
THN102 300/27
n=46 Participants
3 tablets modafinil 100 mg per day and 3 capsules flecainide 9 mg per day(THN102 as 300 + 27 mg) for 2 weeks THN102 300/27
EQ-5D European Quality of Life EQ-5D (Visual Analogic Scale Part)
70.10 units on a scale
Standard Error 2.600
66.13 units on a scale
Standard Error 2.601
66.72 units on a scale
Standard Error 2.600

Adverse Events

THN102 300/0

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

THN102 300/3

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

THN102 300/27

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
THN102 300/0
n=48 participants at risk
Treatment A : THN102 300/0 Modafinil 300 mg/d Flecainide placebo Duration : 2 weeks
THN102 300/3
n=47 participants at risk;n=48 participants at risk
Treatment B : THN102 300/3 Modafinil 300 mg/d Flecainide 3 mg/d Duration : 2 weeks
THN102 300/27
n=47 participants at risk;n=48 participants at risk
Treatment C : THN102 300/27 Modafinil 300 mg/d Flecainide 27 mg/d Duration : 2 weeks
Infections and infestations
tracheitis
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Infections and infestations
urinary tact infection
2.1%
1/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Injury, poisoning and procedural complications
limb injury
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Investigations
hepatic enzyme increase
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Musculoskeletal and connective tissue disorders
arthralgia
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Metabolism and nutrition disorders
pain in extremity
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Nervous system disorders
balance disorder
2.1%
1/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Nervous system disorders
dizziness
2.1%
1/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
4.3%
2/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Nervous system disorders
dysgeusia
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Nervous system disorders
headache
4.2%
2/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
4.3%
2/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Psychiatric disorders
irritability
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Psychiatric disorders
nightmare
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Psychiatric disorders
violence related symptom
2.1%
1/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Respiratory, thoracic and mediastinal disorders
oropharyngeal pain
2.1%
1/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Respiratory, thoracic and mediastinal disorders
rhinitis allergic
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Skin and subcutaneous tissue disorders
hyperhidrosis
2.1%
1/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Gastrointestinal disorders
Abdominal pain upper
2.1%
1/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Cardiac disorders
Palpitation
2.1%
1/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Ear and labyrinth disorders
vertigo
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Eye disorders
chalazion
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Gastrointestinal disorders
constipation
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Gastrointestinal disorders
dry mouth
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Gastrointestinal disorders
toothache
2.1%
1/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
General disorders
asthenia
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
General disorders
fatigue
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
General disorders
hunger
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
General disorders
sluggishness
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Immune system disorders
food allergy
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Infections and infestations
gastroenteritis
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
4.3%
2/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Infections and infestations
influenza
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
4.3%
2/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Infections and infestations
laryngitis
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
2.1%
1/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
0.00%
0/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
Infections and infestations
nasopharyngitis
0.00%
0/48 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
4.3%
2/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.
4.3%
2/47 • Adverse Events were collected for each 2 week treatment period during the 3 crossover periods.
Adverse events were collected by investigator - open question to patient. No scale or questionnaire based collection of events.

Additional Information

Chief medical officer

Theranexus

Phone: +33680026779

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60