Evidence map›Paper›PMID 31691827›Full record

Trial reportSleep2020

Long-term study of the safety and maintenance of efficacy of solriamfetol (JZP-110) in the treatment of excessive sleepiness in participants with narcolepsy or obstructive sleep apnea.

Atul Malhotra, Colin Shapiro, Jean-Louis Pepin, Jan Hedner, Mansoor Ahmed, Nancy Foldvary-Schaefer, Patrick J Strollo, Geert Mayer, Kathleen Sarmiento, Michelle Baladi and 3 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02348632 (A Long-Term Safety and Maintenance of Efficacy Study ofJZP-110 [), which is not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
25.7field-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.

NCT02348632 phase3completednot on this map

A Long-Term Safety and Maintenance of Efficacy Study ofJZP-110 [(R)-2-amino-3 Phenylpropylcarbamate Hydrochloride] in the Treatment of Excessive Sleepiness in Subjects With Narcolepsy or Obstructive Sleep Apnea

TypeinterventionalSponsorJazz PharmaceuticalsRan2015 to 2017Enrolled645ConditionsNarcolepsy, Obstructive Sleep ApneaArmsJZP-110
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 249 citations in OpenAlex.

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  7. 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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  13. Subjective daytime sleepiness, not sleep quality or hypoxia, predicts sleep-dependent memory consolidation in a cohort of older adults.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
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  14. Patients with obstructive sleep apnea in Germany.Sleep & breathing = Schlaf & Atmung · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 11 institutions in 5 countries.

Atul MalhotraDivision of Pulmonary, Critical Care and Sleep Medicine, University of California San Diego, La Jolla.
Colin ShapiroUniversity of Toronto, ON, Canada.
Jean-Louis PepinHP2 Laboratory, INSERM U1042, University Grenoble Alpes, France.
Jan HednerSahlgrenska University Hospital, Gothenburg University, Sweden.
Mansoor AhmedCleveland Sleep Research Center, OH.
Nancy Foldvary-SchaeferCleveland Clinic Lerner College of Medicine, OH.
Patrick J StrolloUniversity of Pittsburgh/Veterans Administration Pittsburgh Health System, PA.
Geert MayerHephata Klinik, Schwalmstadt, Germany.
Kathleen SarmientoSan Francisco Veterans Administration Healthcare System, CA.
Michelle BaladiJazz Pharmaceuticals, Palo Alto, CA.
Patricia ChandlerJazz Pharmaceuticals, Palo Alto, CA.
Lawrence LeeJazz Pharmaceuticals, Palo Alto, CA.
Richard SchwabUniversity of Pennsylvania, Philadelphia.
Jazz Pharmaceuticals (United States) · USCleveland Clinic Lerner College of Medicine · USCleveland Sleep Research Center · USPhilipps University of Marburg · DESahlgrenska University Hospital · SESan Francisco VA Health Care System · USUniversité Grenoble Alpes · FRUniversity of California System · USUniversity of Pennsylvania · USUniversity of Toronto · CAVA Pittsburgh Healthcare System · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Single Motor Unit Genioglossus Recordings to Understand Sleep Apnea PathogenesisR01HL085188 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2008 to 2018
$3.5M
Training in the Next Generation in Respiratory ScienceT32HL134632 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL, POWELL, FRANK L. · 2017 to 2021
$2.1M
Assessment of Upper Airway Mechanics Using Newer Electromyographic TechniquesK24HL132105 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2016 to 2020
$611k
NCATS NIH HHS UL1 TR002548NHLBI NIH HHS K24 HL132105NHLBI NIH HHS R01 HL085188NHLBI NIH HHS T32 HL134632
6 · The paper itself

Abstract

STUDY

objectivesTo evaluate long-term safety and maintenance of efficacy of solriamfetol treatment for excessive daytime sleepiness in narcolepsy and obstructive sleep apnea (OSA).

methodsParticipants with narcolepsy or OSA who completed a prior solriamfetol study were eligible. A 2-week titration period was followed by a maintenance phase (up to 50 weeks). Efficacy was assessed by Epworth Sleepiness Scale (ESS) and Patient and Clinical Global Impression of Change (PGI-C and CGI-C, respectively). After approximately 6 months of treatment, a subgroup entered a 2-week placebo-controlled randomized withdrawal (RW) phase. Change in ESS from beginning to end of the RW phase was the primary endpoint; PGI-C and CGI-C were secondary endpoints. Safety was assessed throughout the study.

resultsIn the maintenance phase, solriamfetol-treated participants demonstrated clinically meaningful improvements on ESS, PGI-C, and CGI-C. In the RW phase, least squares mean change on ESS was 1.6 in participants continuing solriamfetol versus 5.3 in participants switched to placebo (p < .0001). For both secondary endpoints, higher percentages of participants receiving placebo were reported as worse at the end of the RW phase versus solriamfetol (p < .0001). Common treatment-emergent adverse events (TEAEs) with solriamfetol were headache, nausea, nasopharyngitis, insomnia, dry mouth, anxiety, decreased appetite, and upper respiratory tract infection; 27 (4.2%) participants experienced at least one serious TEAE, and 61 (9.5%) withdrew because of TEAEs.

conclusionsThis study demonstrated long-term maintenance of efficacy of solriamfetol under open-label and double-blind, placebo-controlled conditions. Safety profile of solriamfetol was consistent with previous 12-week studies; no new safety concerns were identified.

trial registrationNCT02348632.

Indexed as

Disorders of Excessive SomnolenceNarcolepsySleep Apnea, ObstructiveCarbamatesDouble-Blind MethodHumansPhenylalanineSleepinessTreatment OutcomeCarbamatesPhenylalaninesolriamfetolexcessive sleepinessJZP-110narcolepsyobstructive sleep apneasolriamfetol

Identifiers

PMID31691827
PMCPMC7315408
OpenAlexW2988862114

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.