Evidence map›Paper›PMID 40135693›Full record

Trial reportJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2025

A minimal clinically important difference for the sleep inertia visual analog scale in idiopathic hypersomnia.

Richard K Bogan, Douglas S Fuller, Marisa Whalen, Cristina Casstevens, Logan D Schneider

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03533114 (A Double-blind, Placebo-controlled, Randomized Withdrawal, Multicenter Study of the Efficacy and Safety of JZP-258 in the Treatment of Idiopathic Hypersomnia), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT03533114 phase3completednot on this map

A Double-blind, Placebo-controlled, Randomized Withdrawal, Multicenter Study of the Efficacy and Safety of JZP-258 in the Treatment of Idiopathic Hypersomnia (IH) With an Open-label Safety Extension

TypeinterventionalSponsorJazz PharmaceuticalsRan2018 to 2020Enrolled154ConditionsIdiopathic HypersomniaArmsJZP-258, Placebo Oral Solution
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Idiopathic hypersomnia is a 24-hour disorder.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Review
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

5 authors.

Richard K BoganUniversity of South Carolina School of Medicine, Columbia, South Carolina.
Douglas S FullerJazz Pharmaceuticals, Philadelphia, Pennsylvania.
Marisa WhalenJazz Pharmaceuticals, Philadelphia, Pennsylvania.
Cristina CasstevensJazz Pharmaceuticals, Philadelphia, Pennsylvania.
Logan D SchneiderStanford University Sleep Medicine Center, Stanford University School of Medicine, Redwood City, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesMeasurement tools for sleep inertia, a common and important idiopathic hypersomnia symptom, are limited. For individuals with idiopathic hypersomnia, this post hoc analysis proposes a minimal clinically important difference (MCID) for the Sleep Inertia Visual Analog Scale (SI-VAS), which assesses difficulty waking up.

methodsData from the pivotal phase 3, double-blind, placebo-controlled, randomized withdrawal study (NCT03533114) of low-sodium oxybate in adults with idiopathic hypersomnia were used to estimate an SI-VAS MCID anchored to the Patient Global Impression of Change, Idiopathic Hypersomnia Severity Scale, and Functional Outcomes of Sleep Questionnaire.

resultsOf 109 participants included, the majority female (69.7%) and White (81.7%), most were at least moderately ill (95%) per baseline Clinical Global Impression of Severity. SI-VAS score changes were strongly associated with Patient Global Impression of Change levels (Kruskal-Wallis test statistic, 110.2;

conclusionsEstablishing an MCID strengthens the SI-VAS value, adds context for findings related to sleep inertia in individuals with idiopathic hypersomnia from the phase 3 study, and aids clinicians in identifying clinically meaningful changes in sleep inertia to improve patient outcomes. CLINICAL

trial registrationRegistry: ClinicalTrials.gov; Name: A Multicenter Study of the Efficacy and Safety of JZP-258 in the Treatment of Idiopathic Hypersomnia (IH) With an Open-label Safety Extension; URL: https://www.clinicaltrials.gov/study/NCT03533114; Identifier: NCT03533114. CITATION: Bogan RK, Fuller DS, Whalen M, Casstevens C, Schneider LD. A minimal clinically important difference for the sleep inertia visual analog scale in idiopathic hypersomnia.

Indexed as

Disorders of Excessive SomnolenceIdiopathic HypersomniaMinimal Clinically Important DifferenceVisual Analog ScaleAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedSeverity of Illness IndexSurveys and Questionnairesidiopathic hypersomniaminimal clinically important differenceoxybatesleep inertiavisual analog scale

Identifiers

PMID40135693
PMCPMC12225259

What OpenQuestion holds

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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.