Evidence map›Paper›PMID 40851446›Full record

Trial reportJournal of sleep research2026

Once-Nightly Sodium Oxybate Meets American Academy of Sleep Medicine Criteria for Treatment of Narcolepsy.

Luis E Ortiz, Anne Marie Morse, Michael J Thorpy, Clete A Kushida, John Harsh, Thomas Roth, Jennifer Gudeman, Yves Dauvilliers

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of sleep research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02720744 (A Double-blind, Randomized, Placebo Controlled, Two Arm Multi-center Study to Assess the Efficacy and Safety of a Once Nightly Formulation of Sodium Oxybate for Extended-Release Oral Suspension), 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.

NCT02720744 phase3completednot on this map

A Double-blind, Randomized, Placebo Controlled, Two Arm Multi-center Study to Assess the Efficacy and Safety of a Once Nightly Formulation of Sodium Oxybate for Extended-Release Oral Suspension (FT218) for the Treatment of Excessive Daytime Sleepiness and Cataplexy in Subjects With Narcolepsy

TypeinterventionalSponsorAvadelRan2016 to 2020Enrolled212ConditionsExcessive Daytime Sleepiness, Cataplexy, NarcolepsyArmsFT218, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

8 authors.

Luis E OrtizJohns Hopkins Medical Institutions, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.ORCID 0000-0003-4575-0000
Anne Marie MorseGeisinger Commonwealth School of Medicine, Geisinger Medical Center, Janet Weis Children's Hospital, Danville, Pennsylvania, USA.ORCID 0000-0003-4494-0195
Michael J ThorpyAlbert Einstein College of Medicine, Montefiore Medical Center, New York, New York, USA.ORCID 0000-0002-3993-2230
Clete A KushidaStanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-9430-3752
John HarshColorado Sleep Institute, Boulder, Colorado, USA.ORCID 0000-0001-6532-9278
Thomas RothSleep Disorders and Research Center, Henry Ford Health System, Detroit, Michigan, USA.
Jennifer GudemanAvadel Pharmaceuticals, Chesterfield, Missouri, USA.ORCID 0000-0002-7375-5020
Yves DauvilliersSleep-Wake Disorders Center, Department of Neurology, Gui-De-Chauliac Hospital, Institute for Neurosciences of Montpellier INM, INSERM, University of Montpellier, Montpellier, France.ORCID 0000-0003-0683-6506

Funding

Avadel Pharmaceuticals
6 · The paper itself

Abstract

Data from the REST-ON trial were not available before the 2021 American Academy of Sleep Medicine (AASM) clinical practice guideline update, which included a literature review through August 2020. This post hoc analysis from REST-ON assessed participants who achieved clinically significant improvements on individual AASM clinical significance thresholds (CSTs). Composites of the coprimary endpoints and a secondary endpoint were also analysed. Participants with narcolepsy aged ≥ 16 years were randomised 1:1 to once-nightly sodium oxybate (ON-SXB) or placebo for 13 weeks. Coprimary endpoints were mean sleep latency on the Maintenance of Wakefulness Test (MWT), Clinical Global Impression of Improvement (CGI-I) rating, and number of cataplexy episodes; secondary endpoints included the Epworth Sleepiness Scale (ESS) score. Outcomes with ON-SXB treatment compared with baseline were assessed according to the CSTs, and for those who met CSTs, the proportions of participants who experienced clinically significant improvements on a composite of ≥ 2, ≥ 3, or 4 endpoints were calculated. For improvements from baseline with ON-SXB at Week 13 (9-g dose), mean sleep latency on the MWT increased 10.8 min (CST, ≥ 2-min increase), 92.8% rated improvement on the CGI-I (CST, ≥ 33% of participants reporting improvement), reduction in number of cataplexy episodes was 60.8% reduction (CST, ≥ 25% reduction), and reduction in ESS score was -6.5 (CST, ≥ 2-point decrease). At Weeks 3, 8 and 13, significantly more participants treated with ON-SXB versus placebo experienced clinical improvements on ≥ 2, ≥ 3, or 4 endpoints (p ≤ 0.05). These data demonstrate the robust efficacy of ON-SXB across multiple clinically important narcolepsy symptoms per established CSTs, further supporting the use of ON-SXB in clinical practice. Trial Registration: This manuscript presents the results of a post hoc analysis from the REST-ON clinical trial (NCT02720744).

Indexed as

Adjuvants, AnesthesiaNarcolepsySodium OxybateAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedSleep Medicine SpecialtyTreatment OutcomeUnited StatesAdjuvants, AnesthesiaSodium Oxybateclinical improvement cutoffexcessive daytime sleepinessFT218LUMRYZMCIDminimal clinically important difference

Identifiers

PMID40851446
PMCPMC13003262

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.