- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05371483
Cardiovascular and Cognitive Implications of Central Disorders of Hypersomnolence and Their Treatments
Study Overview
Status
Conditions
Detailed Description
This is an observational study evaluating how hypersomnia medications influence blood pressure and cognitive function in patients diagnosed with narcolepsy or idiopathic hypersomnia. Blood pressure will be assessed using 24-hour ambulatory blood pressure monitoring equipment. Cognitive function will be evaluated using the Oculo-Cognitive Addition Test (OCAT). Both tests will performed at baseline (e.g., before starting a new hypersomnia medication) and after taking a stable dose of the new hypersomnia medication for at least three months. All medications will be prescribed by a clinical sleep specialist as part of routine medical care and covered by subject's health insurance plan (i.e., no medications are dispensed/titrated/paid for by the study investigators/trial).
The 24-hour ambulatory blood pressure test will be setup in person by staff. During the blood pressure test, the study participant will also complete a sleep diary and wear an actigraphy watch to track activity and sleep-wake cycle. The 24-hour ambulatory blood pressure test will be programmed to inflate a blood pressure cuff placed around the arm every 15 - 30 minutes.
The OCAT test, which takes approximately 15-20 minutes to complete, will be completed in person as well.
Each study participant may complete one or both tests. Each study participant may complete more than two assessments (e.g., patient that has been prescribed a second hypersomnia medication). If a patient presents already taking a medication of interest at baseline for at least the last 3 months then the participant may undergo baseline assessment(s) while taking respective medication(s).
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Locations
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Arizona
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Scottsdale, Arizona, United States, 85259
- Mayo Clinic Arizona
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Diagnosed with narcolepsy or idiopathic hypersomnia according to International Classification of Sleep Disorders, third edition
- Age 18 - 75 years
- BMI between 18 and 40 kg/m2
- Prescribed a medication of interest (e.g., sodium oxybate, low sodium oxybate, pitolisant, modafinil/armodafinil, solriamfetol, traditional stimulant(s)) by a clinical sleep specialist as part of routine medical care.
- Subject must be willing to postpone starting medication until after completion of baseline assessment(s).
- If subject has been taking a prescribed hypersomnia medication(s) at a stable dose for at least 3 months and has been prescribed a new medication, then subject may complete baseline assessment(s) while taking initial hypersomnia medication(s) before starting new medication.
Exclusion Criteria:
- Any change to medication(s) within the last 45 days
- History of chronic alcohol or drug abuse within the prior 12 months
- Heart failure, history of severe hypertension, or other cardiovascular disease compromising the patient's wellbeing or ability to participate in this study
- Use of any sleep apnea treatment (e.g., Positive Airway Pressure (PAP) therapy, oral appliance therapy, etc.) within 45 days of baseline assessment visit
- Participation in another study of an investigational drug within the 28 days prior to screening visit or currently
- Pregnancy and/or breast-feeding
- Subjects who, in the opinion of the Investigator, may not be suitable for the study.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Narcolepsy Type 1
Study participant will complete test(s) before and after taking a stable dose of a new/different hypersomnia medication.
All hypersomnia medications will be prescribed and titrated by a clinical sleep specialist outside of this protocol.
|
Arm blood pressure cuff that will automatically inflate every 15-30 minutes to check blood pressure while awake and asleep over 24 hours.
Patient will also complete a sleep diary and wear an actigraphy watch during this test.
Other Names:
Tracks users' eye movements as they complete a simple mental addition test.
|
Narcolepsy Type 2
Study participant will complete test(s) before and after taking a stable dose of a new/different hypersomnia medication.
All hypersomnia medications will be prescribed and titrated by a clinical sleep specialist outside of this protocol.
|
Arm blood pressure cuff that will automatically inflate every 15-30 minutes to check blood pressure while awake and asleep over 24 hours.
Patient will also complete a sleep diary and wear an actigraphy watch during this test.
Other Names:
Tracks users' eye movements as they complete a simple mental addition test.
|
Idiopathic Hypersomnia
Study participant will complete test(s) before and after taking a stable dose of a new/different hypersomnia medication.
All hypersomnia medications will be prescribed and titrated by a clinical sleep specialist outside of this protocol.
|
Arm blood pressure cuff that will automatically inflate every 15-30 minutes to check blood pressure while awake and asleep over 24 hours.
Patient will also complete a sleep diary and wear an actigraphy watch during this test.
Other Names:
Tracks users' eye movements as they complete a simple mental addition test.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in mean 24-hour ambulatory blood pressure
Time Frame: Baseline, at least 3 months
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Change in 24-hour ambulatory blood pressure from baseline (pre-treatment) to after taking a stable dose of medication for at least 3 months
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Baseline, at least 3 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Oculo-Cognitive Addition Test (OCAT) completion time
Time Frame: Baseline, at least 3 months
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Change in OCAT completion time from baseline (pre-treatment) to after taking a stable dose of medication for at least 3 months (post-treatment)
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Baseline, at least 3 months
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Change in mean daytime and nighttime 24-hour ambulatory blood pressure
Time Frame: Baseline, at least 3 months
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Change in mean daytime and nighttime 24-hour ambulatory blood pressure from baseline (pre-treatment) to after taking a stable dose of medication for at least 3 months (post-treatment)
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Baseline, at least 3 months
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Change in 24-hour ambulatory blood pressure diurnal pattern (dipper versus non-dipper)
Time Frame: Baseline, at least 3 months
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Change in 24-hour ambulatory blood pressure diurnal pattern (dipper versus non-dipper) from baseline (pre-treatment) to after taking a stable dose of medication for at least 3 months (post-treatment)
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Baseline, at least 3 months
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Chad Ruoff, MD, Mayo Clinic
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 21-013321
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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