Evidence map›Paper›PMID 30694576›Full record

Trial reportAnnals of neurology2019

A randomized study of solriamfetol for excessive sleepiness in narcolepsy.

Michael J Thorpy, Colin Shapiro, Geert Mayer, Bruce C Corser, Helene Emsellem, Giuseppe Plazzi, Dan Chen, Lawrence P Carter, Hao Wang, Yuan Lu and 2 more

Erratum issued Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Annals of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02348593 (A Twelve-week, Double-blind, Placebo-controlled, Randomized, Parallel-group, Multicenter Study of the Safety and Efficacy of JZP-110 [), which is not on this map. Cited by 60 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 3 pooled it
32.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02348593 phase3completednot on this map

A Twelve-week, Double-blind, Placebo-controlled, Randomized, Parallel-group, Multicenter Study of the Safety and Efficacy of JZP-110 [(R)-2-amino-3-phenylpropylcarbamate Hydrochloride] in the Treatment of Excessive Sleepiness in Subjects With Narcolepsy

TypeinterventionalSponsorJazz PharmaceuticalsRan2015 to 2017Enrolled239ConditionsNarcolepsyArmsJZP-110, Placebo oral tablet
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 3 syntheses or guidelines pooled it, 319 citations in OpenAlex.

  1. Pooled it
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  3. Treatment of central disorders of hypersomnolence: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Pooled it
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  8. Solriamfetol for Excessive Daytime Sleepiness in Parkinson's Disease: Phase 2 Proof-of-Concept Trial.Movement disorders : official journal of the Movement Disorder Society · 2021
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  13. Effects of solriamfetol in a long-term trial of participants with obstructive sleep apnea who are adherent or nonadherent to airway therapy.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 10 institutions in 5 countries.

Michael J ThorpySleep-Wake Disorders Center, Montefiore Medical Center, Bronx, NY.
Colin ShapiroDepartment of Psychiatry, Sleep and Alertness Clinic, Sleep Research Laboratory, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.
Geert MayerSleep Disorder Unit, Hephata Clinic, Schwalmstadt, Germany.
Bruce C CorserSleep Management Institute, Cincinnati, OH.
Helene EmsellemCenter for Sleep and Wake Disorders, Chevy Chase, MD.
Giuseppe PlazziDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Dan ChenClinical Development, Jazz Pharmaceuticals, Palo Alto, CA.
Lawrence P CarterClinical Development, Jazz Pharmaceuticals, Palo Alto, CA.
Hao WangBiostatistics, Jazz Pharmaceuticals, Palo Alto, CA.
Yuan LuDepartment of Pharmacology and Toxicology, University of Arkansas for Medical Sciences, Little Rock, AR.
Jed BlackClinical Development, Jazz Pharmaceuticals, Palo Alto, CA.
Yves DauvilliersReference National Center for Narcolepsy-Hypersomnia, Guy de Chauliac Hospital, Montpellier University Hospital Center, National Institute of Health and Medical Research U1061, Montpellier, France.
Jazz Pharmaceuticals (United States) · USCalifornia Center for Sleep Disorders · USKlinik für Schlafmedizin · CHMontefiore Medical Center · USSleep Management Institute · USStanford Medicine · USUniversité de Montpellier · FRUniversity of Arkansas for Medical Sciences · USUniversity of Bologna · ITUniversity of Toronto · CA

Funding

Jazz Pharmaceuticals
6 · The paper itself

Abstract

objectiveSolriamfetol (JZP-110) is a selective dopamine and norepinephrine reuptake inhibitor with wake-promoting effects. This phase 3 study (NCT02348593) evaluated the safety and efficacy of solriamfetol in narcolepsy.

methodsPatients with narcolepsy with mean sleep latency <25 minutes on the Maintenance of Wakefulness Test (MWT), Epworth Sleepiness Scale (ESS) score ≥10, and usual nightly sleep ≥6 hours were randomized to solriamfetol 75, 150, or 300 mg, or placebo for 12 weeks. Coprimary endpoints were change from baseline to week 12 in MWT and ESS. Improvement on the Patient Global Impression of Change (PGI-C) was the key secondary endpoint.

resultsSafety and modified intention-to-treat populations included 236 and 231 patients, respectively. Solriamfetol 300 and 150 mg were positive on both coprimary endpoints. Least squares mean (standard error [SE]) changes from baseline were 12.3 (SE = 1.4) and 9.8 (SE = 1.3) minutes for solriamfetol 300 and 150 mg on the MWT, respectively, versus 2.1 (SE = 1.3) minutes for placebo, and -6.4 (SE = 0.7) for 300 mg and -5.4 (SE = 0.7) for 150 mg on the ESS versus -1.6 (SE = 0.7) for placebo (all p < 0.0001). At week 12, higher percentages of patients treated with solriamfetol 150 mg (78.2%) and 300 mg (84.7%) reported PGI-C improvement relative to placebo (39.7%; both p < 0.0001). Adverse events ≥5% across all solriamfetol doses included headache (21.5%), nausea (10.7%), decreased appetite (10.7%), nasopharyngitis (9.0%), dry mouth (7.3%), and anxiety (5.1%).

interpretationSolriamfetol has the potential to be an important therapeutic option for the treatment of impaired wakefulness and excessive sleepiness in patients with narcolepsy. ANN NEUROL 2019;85:359-370.

Indexed as

SleepinessSleep LatencyAdultCarbamatesDouble-Blind MethodFemaleHumansMaleMiddle AgedNarcolepsyPhenylalanineTreatment OutcomeWakefulness-Promoting AgentsYoung AdultCarbamatesPhenylalaninesolriamfetolWakefulness-Promoting Agents

Identifiers

PMID30694576
PMCPMC6593450
OpenAlexW2914272431

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.