A Switch Study From High-Sodium Oxybate to XYWAV to Evaluate Changes in Blood Pressure in Participants With Narcolepsy

NCT ID: NCT05869773

Last Updated: 2025-04-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-26

Study Completion Date

2025-03-10

Brief Summary

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The aim of this study is to quantify the change in blood pressure when participants with narcolepsy treated with high-sodium oxybate are transitioned to XYWAV, a low-sodium oxybate. The results of this study may provide health care providers (HCPs), patients, and payers with important new information regarding BP changes related to differences in sodium content between available oxybates for the treatment of narcolepsy.

Detailed Description

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Conditions

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Narcolepsy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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JZP258

Participants will receive 6 to 9 grams per night of JZP258 (XYWAV) for 6 consecutive weeks.

Group Type EXPERIMENTAL

JZP258

Intervention Type DRUG

0.5 g/ml calcium, magnesium, potassium, and sodium oxybates oral solution

Interventions

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JZP258

0.5 g/ml calcium, magnesium, potassium, and sodium oxybates oral solution

Intervention Type DRUG

Other Intervention Names

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XYWAV

Eligibility Criteria

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Inclusion Criteria

* Participants must be 18 to 70 years of age inclusive, at the time of signing the informed consent.
* Participants have a documented diagnosis of Type 1 or Type 2 narcolepsy that meets International Classification of Sleep Disorders (ICSD)-3 or Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 criteria.
* Participants must have been receiving a total dose of high-sodium oxybate (eg, XYREM) of 6 to 9 g/night (inclusive) with twice-nightly dosing for a minimum of 6 consecutive weeks prior to screening.
* If currently treated with stimulants and/or alerting agents or other medications known to affect BP, participant must have been taking the same dosing regimen for at least 2 months prior to screening and agree to take the same dose throughout the study.
* If currently taking stable doses of antihypertensive therapies, participant must maintain these treatments at the same dose throughout the study unless otherwise advised by their medical care
* Participant is male or female. A female participant is eligible to participate if she is not pregnant or breastfeeding, if she is a woman of nonchildbearing potential or is a woman of childbearing potential and using a contraceptive method that is highly effective.

Exclusion Criteria

* History or presence of any acutely unstable medical condition, behavioral or psychiatric disorder (including active suicidal ideation), or surgical history that could affect the safety of the participant or interfere with study assessments or the ability of the participant to complete the study based on the judgment of the investigator.
* Presence of significant cardiovascular disease or cardiovascular condition that in the investigator's opinion may jeopardize participant safety in the study, including screening ECG results.
* Presence of atrial fibrillation detected on screening electrocardiogram (ECG).
* Presence of resistant hypertension.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jazz Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Science 37

Culver City, California, United States

Site Status

M3 Wake Research

Encino, California, United States

Site Status

So Cal Clinical Research

Huntington Beach, California, United States

Site Status

Long Beach Research Institute

Lakewood, California, United States

Site Status

Stanford School of Medicine

Redwood City, California, United States

Site Status

TriValley Sleep Center

San Ramon, California, United States

Site Status

SDS Clinical Trials, Inc.

Santa Ana, California, United States

Site Status

FWD Clinical Research

Boca Raton, Florida, United States

Site Status

Meris Clinical Research, LLC

Brandon, Florida, United States

Site Status

Ocean Wellness Center

Miami, Florida, United States

Site Status

Serenity Research Center LLC

Miami, Florida, United States

Site Status

Florida Pediatric Research Institute, LLC

Orlando, Florida, United States

Site Status

Sleep Practitioners, LLC

Macon, Georgia, United States

Site Status

Saltzer Medical Group

Nampa, Idaho, United States

Site Status

University of Louisville

Louisville, Kentucky, United States

Site Status

University of Maryland Medical Center

Baltimore, Maryland, United States

Site Status

Neurocare, Inc

Newton, Massachusetts, United States

Site Status

Sparrow Health System

Lansing, Michigan, United States

Site Status

Bryan Medical Center

Lincoln, Nebraska, United States

Site Status

Henderson Clinical Trials LLC

Henderson, Nevada, United States

Site Status

Advanced Respiratory and Sleep Medicine, PLLC

Huntersville, North Carolina, United States

Site Status

Intrepid Research, LLC

Cincinnati, Ohio, United States

Site Status

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status

Ohio Sleep Medicine and Neuroscience

Dublin, Ohio, United States

Site Status

OHSU Hospital

Portland, Oregon, United States

Site Status

Abington Neurological Associates, LTD

Abington, Pennsylvania, United States

Site Status

Bogan Sleep Consultants, LLC

Columbia, South Carolina, United States

Site Status

Velocity Clinical Research, Greenville

Greenville, South Carolina, United States

Site Status

Clinical Research of Rock Hill

Rock Hill, South Carolina, United States

Site Status

FutureSearch Trials of Neurology

Austin, Texas, United States

Site Status

Sleep Therapy & Research Center

San Antonio, Texas, United States

Site Status

Antwerp University Hospital (UZA)

Edegem, , Belgium

Site Status

Private Practice RESPISOM Namur

Namur, , Belgium

Site Status

Hopital Gui de Chauliac

Montpellier, Herault, France

Site Status

CHU de Grenoble - Hôpital Albert Michallon

Grenoble, Isere, France

Site Status

CHU Nantes - Hôtel Dieu

Nantes, Loire Atlantique, France

Site Status

IRCCS Istituto de Scienze Neurologiche di Bologna (ISNB)

Bologna, , Italy

Site Status

Ospedale San Raffaele (San Raffaele Turro)

Milan, , Italy

Site Status

Azienda Ospedaliera Universitaria Policlinico Tor Vergata

Roma, , Italy

Site Status

Hospital Universitario Araba - Sede Santiago

Vitoria-Gasteiz, Alava, Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital General de Castellon

Castellon, , Spain

Site Status

Hospital Universitario Clinico San Carlos

Madrid, , Spain

Site Status

Countries

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United States Belgium France Italy Spain

References

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White WB, Kovacs RJ, Alexander JK, Baranak C, Nichols DA, Fuller DS, Dai J, Whalen M, Ajayi A, Hutchinson B, Dauvilliers Y, Somers VK. Effects of High- Versus Low-Sodium Oxybate on Blood Pressure in Patients With Narcolepsy. Hypertension. 2025 Oct 15. doi: 10.1161/HYPERTENSIONAHA.125.25730. Online ahead of print.

Reference Type DERIVED
PMID: 41090230 (View on PubMed)

Other Identifiers

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JZP258-406

Identifier Type: -

Identifier Source: org_study_id

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