- ICH GCP
- Реестр клинических исследований США
- Клиническое испытание NCT07646678
A Study of TAK-360 in People With Narcolepsy or Idiopathic Hypersomnia
A Long-term Extension Trial to Evaluate the Safety and Tolerability of TAK-360 in Participants With Selected Central Hypersomnia Conditions
Central hypersomnia conditions are a group of sleeping disorders where the brain has trouble keeping a person awake during the day (called excessive daytime sleepiness or EDS). These conditions usually include narcolepsy (type 1 and 2) and idiopathic hypersomnia (IH). Narcolepsy type 1 (NT1) includes sudden muscle weakness while you stay awake, called cataplexy, often triggered by strong emotions. Narcolepsy type 2 (NT2) does not include cataplexy. People with narcolepsy typically feel refreshed by short naps. People with IH feel extremely sleepy during the day, and do not feel refreshed by sleep. Waking up from sleep is difficult. This is common in the morning and also when waking up from long naps.
The study wants to learn about TAK-360 when taken over a long time period; this is called a long-term extension or LTE study. The main aim of this LTE study is to find out how well participants with NT1, NT2, and IH tolerate TAK-360 over a longer period (long-term tolerability) and to learn how safe TAK-360 is when given over a longer period of time (long-term safety).
Participants who completed one of the TAK-360 parent studies can join this study if they meet the study rules. Parent studies include TAK-360-2001(NCT06952699), TAK-360-2002 (NCT06812078), or other TAK-360 studies that evaluate the TAK-360 medicine. All participants will receive TAK-360 in this study. They will either receive the same dose as they did in the parent study, or the closest dose available in this LTE study. Participants who received placebo (the placebo looks just like TAK-360 but does not have any medicine in it) in their parent study will receive one of the TAK-360 doses available in this study. Placebo will only be used to not reveal the dose of TAK-360 from parent studies to investigator, participants, and sponsor. Sponsor, investigators and participants will not know which TAK-360 dose was used in the LTE study as long as the parent study is ongoing.
The participants will have to visit the clinic multiple times during this study.
Обзор исследования
Статус
Вмешательство/лечение
Тип исследования
Регистрация (Оцененный)
Фаза
- Фаза 2
- Фаза 3
Контакты и местонахождение
Контакты исследования
- Имя: Study Director
- Номер телефона: +1-877-825-3327
- Электронная почта: medinfoUS@takeda.com
Места учебы
-
-
New South Wales
-
Macquarie Park, New South Wales, Австралия, 2113
- Рекрутинг
- Takeda Site 15
-
-
-
-
Beijing Municipality
-
Xicheng, Beijing Municipality, Китай, 100053
- Рекрутинг
- Takeda Site 12
-
-
Guangdong
-
Guangzhou, Guangdong, Китай, 510515
- Рекрутинг
- Takeda Site 5
-
-
Henan
-
Zhenzhou, Henan, Китай, 450003
- Рекрутинг
- Takeda Site 16
-
-
-
-
California
-
Chula Vista, California, Соединенные Штаты, 91910
- Рекрутинг
- Takeda Site 23
-
-
Colorado
-
Colorado Springs, Colorado, Соединенные Штаты, 80918
- Рекрутинг
- Takeda Site 14
-
-
Florida
-
Brandon, Florida, Соединенные Штаты, 33511
- Рекрутинг
- Takeda Site 11
-
Miami, Florida, Соединенные Штаты, 33176
- Рекрутинг
- Takeda Site 7
-
Winter Park, Florida, Соединенные Штаты, 32789
- Рекрутинг
- Takeda Site 18
-
-
Georgia
-
Atlanta, Georgia, Соединенные Штаты, 30328
- Рекрутинг
- Takeda Site 6
-
-
Michigan
-
Southfield, Michigan, Соединенные Штаты, 48075
- Рекрутинг
- Takeda Site 21
-
-
Missouri
-
St Louis, Missouri, Соединенные Штаты, 63123
- Рекрутинг
- Takeda Site 9
-
-
New Jersey
-
Middletown, New Jersey, Соединенные Штаты, 07748
- Рекрутинг
- Takeda Site 19
-
-
North Carolina
-
Denver, North Carolina, Соединенные Штаты, 28037
- Рекрутинг
- Takeda Site 24
-
Huntersville, North Carolina, Соединенные Штаты, 28078
- Рекрутинг
- Takeda Site 10
-
Winston-Salem, North Carolina, Соединенные Штаты, 27103
- Рекрутинг
- Takeda Site 22
-
-
Ohio
-
Cincinnati, Ohio, Соединенные Штаты, 45245
- Рекрутинг
- Takeda Site 2
-
Cincinnati, Ohio, Соединенные Штаты, 45245
- Рекрутинг
- Takeda Site 4
-
-
South Carolina
-
Columbia, South Carolina, Соединенные Штаты, 29021
- Рекрутинг
- Takeda Site 8
-
-
Texas
-
Austin, Texas, Соединенные Штаты, 78731
- Рекрутинг
- Takeda Site 20
-
San Antonio, Texas, Соединенные Штаты, 78229
- Рекрутинг
- Takeda Site 3
-
-
-
-
Daegu Gwang'yeogsi
-
Daegu, Daegu Gwang'yeogsi, Южная Корея, 42601
- Рекрутинг
- Takeda Site 17
-
-
-
-
Kumamoto
-
Kumamoto, Kumamoto, Япония, 162-0851
- Рекрутинг
- Takeda Site 13
-
-
Tokyo
-
Shinjuku-ku, Tokyo, Япония, 162-0851
- Рекрутинг
- Takeda Site 1
-
-
Критерии участия
Критерии приемлемости
Возраст, подходящий для обучения
- Взрослый
- Пожилой взрослый
Принимает здоровых добровольцев
Описание
Key Inclusion Criteria:
- Participant is willing and able to understand and fully comply with trial procedures and requirements.
- Participant has a confirmed diagnosis of either NT1, NT2, or IH, and has completed the treatment period of a parent TAK-360 trial.
- Participant has provided informed consent (that is, in writing, documented via a signed and dated informed consent form (ICF) and any required privacy authorization before the initiation of any trial procedures.
Key Exclusion Criteria:
- Participant has a positive pregnancy test or is lactating/breastfeeding.
- Participant has a risk of suicide according to endorsement of item 4 or 5 on the Columbia Suicide Severity Rating Scale (C-SSRS).
- The participant has developed a new medical disorder associated with excessive daytime sleep (EDS).
- Participant has developed (within the last 6 months) gastrointestinal disease that is expected to influence the absorption of drugs.
- Participant has developed a new history of seizures.
- Participant has experienced clinically significant head injury, per investigator opinion.
- Participant has developed a history of cerebral ischemia, transient ischemic attack (less than [<] 5 years ago), or cerebral haemorrhage.
- Participant has developed a history of myocardial infarction, clinically significant coronary artery disease, clinically significant angina, clinically significant cardiac rhythm abnormality, or heart failure.
- The participant has been diagnosed with medically significant thyroid disease, known functional hepatic impairment, or other severe chronic medical condition other than the central hypersomnolence disorder.
- Participant has developed a history of cancer in the past 5 years.
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Уход
- Распределение: Н/Д
- Интервенционная модель: Одногрупповое задание
- Маскировка: Нет (открытая этикетка)
Оружие и интервенции
Группа участников / Армия |
Вмешательство/лечение |
|---|---|
|
Экспериментальный: TAK-360 Long Term Extension (LTE) Phase
Participants will receive one of the available TAK-360 doses for up to approximately 5 years in this trial.
Participants will enter the LTE on the dose they were in the parent trial or for participants with discontinued dosing regimen in the parent trial to the next closest available dose/dosing regimen for their indication in this trial.
Participants rolling over to this trial from a placebo arm in the parent trial, will receive one of the available TAK-360 doses.
Placebo will be only administered as needed to maintain dose blinding between TAK-360 doses and regimens.
|
TAK-360 tablets
TAK-360-matching placebo tablets
|
Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Number of Participants With at Least 1 Treatment-Emergent Adverse Event (TEAE)
Временное ограничение: Up to approximately 5 years
|
An adverse event (AE) is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product.
A TEAE is defined as any event emerging or manifesting at or after the initiation of treatment with a study intervention or medicinal product or any existing event that worsens in either intensity or frequency following exposure to the study intervention or medicinal product.
|
Up to approximately 5 years
|
Вторичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
All Participants: Change From Baseline in Epworth Sleepiness Scale (ESS) Total Score
Временное ограничение: Baseline through Year 5
|
The ESS provides individuals with 8 different situations of daily life and asks them how likely they are to fall asleep in those situations (scored 0 to 3) and to try to imagine their likelihood of dozing even if they have not actually been in the identical situation; the scores are summed to give an overall score of 0 to 24.
Higher scores indicate stronger subjective daytime sleepiness, and scores below 10 are considered to be within the normal range.
|
Baseline through Year 5
|
|
All Participants: Change from Baseline in Mean Sleep Latency on the Maintenance of Wakefulness Test (MWT)
Временное ограничение: Baseline through Month 6
|
The MWT evaluates a participant's ability to remain awake under soporific conditions for a defined period.
Because there is no biological measure of wakefulness, wakefulness is measured indirectly by the inability or delayed tendency to fall asleep.
This tendency to fall asleep is measured via electroencephalography-derived sleep latency in the MWT.
One MWT, that includes four 40-minute wake trials, will be done.
Sleep latency in each wake trial will be recorded.
Participants will be required to stay awake in between the 4 MWT wake trials.
|
Baseline through Month 6
|
|
Change from Baseline in Weekly Cataplexy Rate (WCR) Using the Participant-Reported Cataplexy eDiary
Временное ограничение: Baseline, Month 3 through Month 24
|
Participants will complete a patient-reported sleep diary to record self-reported narcolepsy symptoms.
Participants will record episodes of cataplexy attacks in the diary.
The total number of events averaged for a week will be reported.
|
Baseline, Month 3 through Month 24
|
|
IH Participants: Change From Baseline in IH Severity Scale (IHSS) Total Score
Временное ограничение: Baseline through Year 5
|
The IHSS is a 14-item self-assessment questionnaire, to measure the severity, frequency and functional impact of the 3 key IH symptoms (during a recall period of "past 7 days").
The IHSS includes 2 items (1 and 2) on nighttime sleep duration and quality, 3 items (3, 4, and 5) on sleep inertia and sleep drunkenness after nighttime sleep and 1 (8) after daytime nap, and 3 items (6, 7, and 9) on diurnal symptoms (nap occurrence, daytime sleepiness).
Items 10 to 14 assess daytime functioning alterations due to hypersomnolence.
Six items (1,2,3,5,7,8) are scored with 4 ranged response options, with score from 0 to 3, and 8 items (4,6,9,10,11,12,13,14) with 5 ranged response options, with score from 0 to 4, with 1 additional response option for item 14.
The total IHSS score is the sum of all item scores (range: 0 to 50); higher scores indicate more severe symptoms.
|
Baseline through Year 5
|
|
NT1 Participants: Change From Baseline on the Narcolepsy Severity Scale for Clinical Trials (NSS-CT)
Временное ограничение: Baseline through Year 5
|
The NSS-CT is a 15-item self-administered questionnaire that assesses the severity and consequences of the 5 major narcolepsy symptoms such as daytime sleepiness, cataplexy, hallucinations, sleep paralysis, and disrupted nighttime sleep (DNS) with a total score range of 0 to 57 (sum of 8 items that assess symptoms severity [2 with 4 response options, 1 response with 6 options, and 5 items capturing event count], and 7 items that describe the symptom effect on daily life with 4 response options).
The presence of narcolepsy symptoms is defined by EDS (score greater than or equal to [≥] 1 on at least one of items 1, 2, 3, 4, 5, 6, or 7), cataplexy (score ≥1 on at least one of items 8, 9, or 10), hallucinations (score ≥1 on at least one of items 11 and 12), sleep paralysis (score ≥1 on at least one of the items 13 and 14), and disrupted nighttime sleep by a score ≥1 on item 15.
Higher scores indicate greater symptom severity or degree of impact.
|
Baseline through Year 5
|
|
NT2 Participants: Change From Baseline on the Narcolepsy Severity Scale for Clinical Trials (NSS-2-CT)
Временное ограничение: Baseline, Month 1 through Year 5
|
The NSS-2-CT is a 12-item self-administered questionnaire that assesses the severity and consequences of major narcolepsy symptoms such as daytime sleepiness, hallucinations, sleep paralysis, and disrupted nighttime sleep, with higher scores indicating more severe narcolepsy symptoms and impacts.
The total score ranges from 0-44(sum of 6 items that assess event symptom severity [including 2 items with 4 response options, 1 item with 6 response options, and 3 items capturing event count], and 6 items that describe symptom effect on daily life, with 4 response options), and differs from the NSS-CT in its omission of cataplexy-related items.
The presence of narcolepsy symptoms is defined by EDS (score ≥1 on at least one of items 1, 2, 3, 4, 5, 6, or 7), hallucinations (score ≥1 on at least one of items 8 and 9), sleep paralysis (score ≥1 on at least one of the items 10 and 11), and disrupted nighttime sleep by a score ≥1 on item 12.
|
Baseline, Month 1 through Year 5
|
Соавторы и исследователи
Спонсор
Следователи
- Директор по исследованиям: Takeda Contact, Takeda
Публикации и полезные ссылки
Полезные ссылки
- Click here to ask Takeda's chatbot for comprehensive and easy-to-understand information about clinical trials - even across products and indications - in your local language.
- Click here for more information about this trial in easy-to-understand language, including a Plain Language Summary of the results if the trial has been completed.
Даты записи исследования
Изучение основных дат
Начало исследования (Действительный)
Первичное завершение (Оцененный)
Завершение исследования (Оцененный)
Даты регистрации исследования
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Действительный)
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Ключевые слова
Дополнительные соответствующие термины MeSH
Другие идентификационные номера исследования
- TAK-360-2003
- 2025 (Грант/контракт NIH США: Faculty of Social Sciences Scientific Grant at the University of Gdańsk)
- jRCT2031260198 (Другой идентификатор: jRCT)
- 2025-522833-68-01 (Ктис)
Планирование данных отдельных участников (IPD)
Планируете делиться данными об отдельных участниках (IPD)?
Описание плана IPD
Критерии совместного доступа к IPD
Совместное использование IPD Поддерживающий тип информации
- STUDY_PROTOCOL
- САП
- МКФ
- КСО
Информация о лекарствах и устройствах, исследовательские документы
Изучает лекарственный продукт, регулируемый FDA США.
Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.
Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .