Trial Outcomes & Findings for A Study to Evaluate Safety, and Efficacy of SUVN-G3031 (Samelisant) in Patients With Narcolepsy With and Without Cataplexy (NCT NCT04072380)

NCT ID: NCT04072380

Last Updated: 2025-01-13

Results Overview

The Epworth Sleepiness Scale (ESS) is a patient-reported questionnaire consisting of 8 questions. Each of the items are rated on a 4-point scale (0-3), based on the usual chances of dozing off or falling asleep while engaged in eight different activities. The total ESS score (the sum of 8 item scores, 0-3) can range from 0 to 24. Higher values represent a worse outcome.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

190 participants

Primary outcome timeframe

Change from baseline in the mean total ESS score at Day 14

Results posted on

2025-01-13

Participant Flow

Participant milestones

Participant milestones
Measure
SUVN-G3031 2mg
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
SUVN-G3031 4mg
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
Placebo
Orally taken once daily for 14 days Placebo: Placebo Tablets
Overall Study
STARTED
63
64
63
Overall Study
Safety Population
63
63
62
Overall Study
Intent-to-treat (ITT) Population
54
53
57
Overall Study
COMPLETED
51
50
53
Overall Study
NOT COMPLETED
12
14
10

Reasons for withdrawal

Reasons for withdrawal
Measure
SUVN-G3031 2mg
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
SUVN-G3031 4mg
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
Placebo
Orally taken once daily for 14 days Placebo: Placebo Tablets
Overall Study
Adverse Event
4
6
0
Overall Study
Withdrawal by Subject
3
1
1
Overall Study
Physician Decision
2
0
0
Overall Study
Protocol Violation
0
2
3
Overall Study
Intercurrent Illness and Others
3
5
6

Baseline Characteristics

A Study to Evaluate Safety, and Efficacy of SUVN-G3031 (Samelisant) in Patients With Narcolepsy With and Without Cataplexy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
SUVN-G3031 2mg
n=63 Participants
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
SUVN-G3031 4mg
n=63 Participants
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
Placebo
n=62 Participants
Orally taken once daily for 14 days Placebo: Placebo Tablets
Total
n=188 Participants
Total of all reporting groups
Age, Continuous
29.8 years
STANDARD_DEVIATION 8.59 • n=5 Participants
34.0 years
STANDARD_DEVIATION 10.0 • n=7 Participants
33.6 years
STANDARD_DEVIATION 10.02 • n=5 Participants
32.5 years
STANDARD_DEVIATION 9.70 • n=4 Participants
Sex: Female, Male
Female
45 Participants
n=5 Participants
44 Participants
n=7 Participants
44 Participants
n=5 Participants
133 Participants
n=4 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants
19 Participants
n=7 Participants
18 Participants
n=5 Participants
55 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
11 Participants
n=7 Participants
6 Participants
n=5 Participants
21 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
59 Participants
n=5 Participants
52 Participants
n=7 Participants
56 Participants
n=5 Participants
167 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
7 Participants
n=7 Participants
2 Participants
n=5 Participants
12 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
13 Participants
n=5 Participants
16 Participants
n=7 Participants
14 Participants
n=5 Participants
43 Participants
n=4 Participants
Race (NIH/OMB)
White
47 Participants
n=5 Participants
38 Participants
n=7 Participants
43 Participants
n=5 Participants
128 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Region of Enrollment
Canada
6 participants
n=5 Participants
3 participants
n=7 Participants
4 participants
n=5 Participants
13 participants
n=4 Participants
Region of Enrollment
United States
57 participants
n=5 Participants
60 participants
n=7 Participants
58 participants
n=5 Participants
175 participants
n=4 Participants
Epworth Sleepiness Scale (ESS)
17.3 units on a scale
STANDARD_DEVIATION 2.76 • n=5 Participants
17.5 units on a scale
STANDARD_DEVIATION 2.84 • n=7 Participants
17.1 units on a scale
STANDARD_DEVIATION 3.03 • n=5 Participants
17.3 units on a scale
STANDARD_DEVIATION 2.86 • n=4 Participants
Clinical Global Impression of Severity (CGI-S)
4.7 units on a scale
STANDARD_DEVIATION 0.80 • n=5 Participants
4.8 units on a scale
STANDARD_DEVIATION 0.83 • n=7 Participants
4.7 units on a scale
STANDARD_DEVIATION 0.87 • n=5 Participants
4.8 units on a scale
STANDARD_DEVIATION 0.83 • n=4 Participants
Maintenance of Wakefulness Test (MWT)
5.166 minutes
STANDARD_DEVIATION 4.466 • n=5 Participants
6.141 minutes
STANDARD_DEVIATION 4.073 • n=7 Participants
6.242 minutes
STANDARD_DEVIATION 4.158 • n=5 Participants
5.846 minutes
STANDARD_DEVIATION 4.243 • n=4 Participants
Patient Global Impression of Change (PGI-C)
4.8 units on a scale
STANDARD_DEVIATION 1.08 • n=5 Participants
4.7 units on a scale
STANDARD_DEVIATION 1.03 • n=7 Participants
4.8 units on a scale
STANDARD_DEVIATION 1.01 • n=5 Participants
4.8 units on a scale
STANDARD_DEVIATION 1.04 • n=4 Participants

PRIMARY outcome

Timeframe: Change from baseline in the mean total ESS score at Day 14

Population: Intent to treat (ITT) population is considered for outcome measure.

The Epworth Sleepiness Scale (ESS) is a patient-reported questionnaire consisting of 8 questions. Each of the items are rated on a 4-point scale (0-3), based on the usual chances of dozing off or falling asleep while engaged in eight different activities. The total ESS score (the sum of 8 item scores, 0-3) can range from 0 to 24. Higher values represent a worse outcome.

Outcome measures

Outcome measures
Measure
SUVN-G3031 2mg
n=54 Participants
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
SUVN-G3031 4mg
n=53 Participants
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
Placebo
n=57 Participants
Orally taken once daily for 14 days Placebo: Placebo Tablets
Epworth Sleepiness Scale
-5.1 score on a scale
Standard Deviation 5.00
-5.6 score on a scale
Standard Deviation 5.46
-3.3 score on a scale
Standard Deviation 4.61

SECONDARY outcome

Timeframe: Change from baseline in the mean CGI-S score at Day 14

Population: Intent to treat (ITT) population is considered for outcome measure.

The Clinical Global Impressions of Severity (CGI-S) scale is used to rate the severity of the patient's illness by clinician, on a 7-point scale with score ranging from 1 - 7. Higher values represent a worse outcome.

Outcome measures

Outcome measures
Measure
SUVN-G3031 2mg
n=54 Participants
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
SUVN-G3031 4mg
n=52 Participants
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
Placebo
n=55 Participants
Orally taken once daily for 14 days Placebo: Placebo Tablets
Clinical Global Impression of Severity
-1.2 score on a scale
Standard Deviation 1.24
-1.4 score on a scale
Standard Deviation 1.19
-0.8 score on a scale
Standard Deviation 1.17

SECONDARY outcome

Timeframe: Change from baseline in the mean MWT score at Day 14

Population: Intent to treat (ITT) population is considered for outcome measure.

Maintenance of Wakefulness Test (MWT) is an objective test of sleepiness that evaluates a person's ability to remain awake under soporific conditions for a defined period of time. In the MWT, time from start of the test to the time point of falling asleep will be measured, the total score can range from 0 - 30 minutes. Higher values represent a better outcome.

Outcome measures

Outcome measures
Measure
SUVN-G3031 2mg
n=54 Participants
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
SUVN-G3031 4mg
n=52 Participants
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
Placebo
n=57 Participants
Orally taken once daily for 14 days Placebo: Placebo Tablets
Maintenance of Wakefulness Test
2.07 minutes
Standard Deviation 4.68
4.25 minutes
Standard Deviation 6.52
2.73 minutes
Standard Deviation 7.00

OTHER_PRE_SPECIFIED outcome

Timeframe: Analysis of Patient Global Impression of Change (PGI-C) at Day 14

Population: Intent to treat (ITT) population is considered for outcome measure.

The PGI-C is based on a 7-point scale, where at each time point the patient will rate the change from baseline using the following query: "Since the start of the study, my overall status is: 1 = very much better; 2 = much better; 3 = a little better; 4 = no change; 5 = a little worse; 6 = much worse; 7 = very much worse." The PGI-C assessment will be based on change observed from baseline related to excessive daytime sleepiness rather than on the totality of the disease.

Outcome measures

Outcome measures
Measure
SUVN-G3031 2mg
n=53 Participants
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
SUVN-G3031 4mg
n=51 Participants
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
Placebo
n=54 Participants
Orally taken once daily for 14 days Placebo: Placebo Tablets
Patient Global Impression of Change
3.2 score on a scale
Standard Deviation 1.16
2.8 score on a scale
Standard Deviation 1.10
3.7 score on a scale
Standard Deviation 1.12

OTHER_PRE_SPECIFIED outcome

Timeframe: Analysis of Clinical Global Impression of Change (CGI-C) at Day 14

Population: Intent to treat (ITT) population is considered for outcome measure.

The CGI-C is based on a 7-point scale, where at each time point the physician will rate the change from baseline using the following query: "Compared to the patient's condition at admission to the project \[prior to medication initiation\], this patient's condition is: 1 = very much improved since the initiation of treatment; 2 = much improved; 3 = minimally improved; 4 = no change from baseline (the initiation of treatment); 5 = minimally worse; 6 = much worse; 7 = very much worse since the initiation of treatment." The CGI-C assessment will be based on change observed from baseline related to excessive daytime sleepiness rather than on the totality of the disease.

Outcome measures

Outcome measures
Measure
SUVN-G3031 2mg
n=54 Participants
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
SUVN-G3031 4mg
n=53 Participants
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
Placebo
n=57 Participants
Orally taken once daily for 14 days Placebo: Placebo Tablets
Clinical Global Impression of Change
2.8 score on a scale
Standard Deviation 1.01
2.6 score on a scale
Standard Deviation 0.92
3.5 score on a scale
Standard Deviation 0.91

Adverse Events

SUVN-G3031 2mg

Serious events: 0 serious events
Other events: 17 other events
Deaths: 0 deaths

SUVN-G3031 4mg

Serious events: 0 serious events
Other events: 34 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
SUVN-G3031 2mg
n=63 participants at risk
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
SUVN-G3031 4mg
n=63 participants at risk
Orally taken once daily for 14 days SUVN-G3031: SUVN-G3031 Tablets
Placebo
n=62 participants at risk
Orally taken once daily for 14 days Placebo: Placebo Tablets
Psychiatric disorders
Insomnia
9.5%
6/63 • Number of events 7 • From screening to Day 21
17.5%
11/63 • Number of events 11 • From screening to Day 21
3.2%
2/62 • Number of events 2 • From screening to Day 21
Psychiatric disorders
Abnormal dreams
4.8%
3/63 • Number of events 3 • From screening to Day 21
7.9%
5/63 • Number of events 6 • From screening to Day 21
0.00%
0/62 • From screening to Day 21
Gastrointestinal disorders
Nausea
7.9%
5/63 • Number of events 6 • From screening to Day 21
17.5%
11/63 • Number of events 13 • From screening to Day 21
3.2%
2/62 • Number of events 2 • From screening to Day 21
Vascular disorders
Hot flush
4.8%
3/63 • Number of events 3 • From screening to Day 21
11.1%
7/63 • Number of events 7 • From screening to Day 21
1.6%
1/62 • Number of events 1 • From screening to Day 21

Additional Information

Ramakrishna Nirogi, PhD

Suven Life Sciences

Phone: +9140 2319 3956

Results disclosure agreements

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

Restriction type: GT60