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JZP-110

Phase 4

Narcolepsy | Small molecule | Neurology |Jazz Pharmaceuticals plc|Trials Updated: Jan 14, 2021

JZP-110 development status

Highest phase Phase 4 (NCT04602936)
Phase scored for JAZZPhase 3
Registered trials 12 across 4 sponsors since Jan 2015

JZP-110 target and mechanism

Molecular targetnull
Target classNull
ModalitySmall molecule

Also known as solriamfetol

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials7
Total Enrollment1,658

FDA Designations

No designations recorded

JZP-110 clinical trials

JZP-110 · 7 trials · 4 indications

Phase 3 4Phase 2 3
NCT02348593"Twelve-week Study of the Safety and Efficacy of JZP-110 in the Treatment of Excessive Sleepiness in Narcolepsy"Narcolepsy
COMPLETED239 Analytics
NCT02348606"Twelve-week Study of the Safety and Efficacy of JZP-110 in the Treatment of Excessive Sleepiness in OSA"Obstructive Sleep Apnea
COMPLETED476 Analytics
NCT02348619"Six-week Study of the Safety and Efficacy of JZP-110 in the Treatment of Excessive Sleepiness in OSA"Obstructive Sleep Apnea
COMPLETED174 Analytics
NCT02348632"A Long-Term Safety Study of JZP-110 in the Treatment of Excessive Sleepiness in Subjects With Narcolepsy or OSA"Narcolepsy
COMPLETED645 Analytics
PHASE3COMPLETED
"Twelve-week Study of the Safety and Efficacy of JZP-110 in the Treatment of Excessive Sleepiness in Narcolepsy"
NarcolepsyUnlock trial analytics
PHASE3COMPLETED
"Twelve-week Study of the Safety and Efficacy of JZP-110 in the Treatment of Excessive Sleepiness in OSA"
Obstructive Sleep ApneaUnlock trial analytics
PHASE3COMPLETED
"Six-week Study of the Safety and Efficacy of JZP-110 in the Treatment of Excessive Sleepiness in OSA"
Obstructive Sleep ApneaUnlock trial analytics
PHASE3COMPLETED
"A Long-Term Safety Study of JZP-110 in the Treatment of Excessive Sleepiness in Subjects With Narcolepsy or OSA"
NarcolepsyUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in Maintenance of Wakefulness Test (MWT) From Baseline to Week 12
Baseline to Week 12

Change in mean sleep latency time (in minutes) as determined from the first 4 trials of a 40-minute MWT from baseline to Week 12. MWT sleep latency ranges from 0 to 40 minutes, with higher scores indicating greater ability to stay awake; a positive change from baseline represents improvement in the sleep latency time. Mean sleep latency defined as the average of the first 4 MWT trials, if 3 or 4 of them are non-missing.

Change in ESS Score From Baseline to Week 12
Baseline to Week 12

Change in Epworth Sleepiness Scale (ESS) score from Baseline to Week 12. A negative change from baseline represents improvement in excessive sleepiness. The ESS is a self-administered questionnaire with 8 questions. Each activity is scored on a scale ranging from 0-3, with 0 = would never fall asleep, and 3 = high chance of falling asleep. The total score ranges from 0-24, with a higher number representing an increased propensity for sleepiness. An analysis of covariance (ANCOVA) was used for the analysis of ESS scores. The response variable was the change in ESS score from baseline.

Change in the Maintenance of Wakefulness Test (MWT)
Week 4 to Week 6

Change in the mean sleep latency time as determined from the first four trials of a 40-minute MWT from the end of the Stable Dose Phase to the end of the Double-blind Withdrawal Phase. Mean sleep latency defined as the average of the first four MWT trial's measurements.

Change in the Epworth Sleepiness Scale (ESS)
Week 4 to Week 6

Change in Epworth Sleepiness Scale (ESS) score from the end of the Stable Dose Phase to the end of the Double-blind Withdrawal Phase. A negative change from baseline represents improvement in excessive sleepiness. The ESS is a self-administered questionnaire with 8 questions. Each activity is scored on a scale ranging from 0-3, with 0 = would never fall asleep, and 3 = high chance of falling asleep. The total score ranges from 0-24, with a higher number representing an increased propensity for sleepiness. An analysis of covariance (ANCOVA) was used for the analysis of ESS scores. The response variable was the change in ESS score from week 4 to week 6.

Change in Epworth Sleepiness Scale (ESS) Score
Start of randomized withdrawal phase to end of randomized withdrawal (2 weeks)

Change in Epworth Sleepiness Scale (ESS) score during the 2-week randomized withdrawal period. The beginning of the randomized withdrawal period represents efficacy baseline. A negative change from baseline represents improvement in excessive sleepiness. The ESS is a self-administered questionnaire with 8 questions. Each activity is scored on a scale ranging from 0-3, with 0 = would never fall asleep, and 3 = high chance of falling asleep. The total score ranges from 0-24, with a higher number representing an increased propensity for sleepiness. An analysis of covariance (ANCOVA) was used for the analysis of ESS scores. This analysis included treatment group and randomization stratification factor (narcolepsy vs. OSA) as fixed effects. The ESS score at the beginning of the randomized withdrawal period was used as the covariate. The response variable was the change in ESS score from the beginning to the end of 2- week randomized withdrawal period.

Number of Participants With Treatment Emergent Adverse Events (TEAEs) Leading to Early Discontinuation
Up to Day 35
Standard Deviation of Lateral Position (SDLP) at 2 Hours Post-dose (Approximately at Tmax)
2 hours post-dose

Subjects were instructed to drive with steady lateral position between the delineated boundaries of the slower (right) traffic lane, while maintaining a constant speed of 95 kilometers (km) per hour (hr). Deviation was measured by the vehicle's speed and lateral distance to the left lane line and was continuously recorded. Individual improvement was defined as a decrease in SDLP below the negative value of threshold; individual impairment was defined as an increase in SDLP above the threshold or failure to complete the driving test due to sleepiness or subjects related safety concerns.

Secondary Endpoints

Subjects Reported Improved on the Patient Global Impression of Change (PGIc) at Week 12
Baseline to Week 12
Change in Sleep Latency Time on MWT Trial 1 at Week 12
Change from baseline for sleep latency in MWT during trial 1 at week 12
Change in Sleep Latency Time on MWT Trial 2 at Week 12
Change from baseline for sleep latency in MWT during trial 2 at week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
75 mg of JZP-110ACTIVE_COMPARATOROnce Daily Dosing
150 mg JZP-110ACTIVE_COMPARATOROnce Daily Dosing
300 mg of JZP-110ACTIVE_COMPARATOROnce Daily Dosing
PlaceboPLACEBO_COMPARATOROnce Daily Dosing
37.5 mg of JZP-110ACTIVE_COMPARATOROnce Daily Dosing
150 mg of JZP-110ACTIVE_COMPARATOROnce Daily Dosing
75, 150, 300 mg of JZP-110ACTIVE_COMPARATOROnce Daily Dosing
75 mg - 300 mg of JZP-110OTHEROnce Daily Dosing
Arm AEXPERIMENTALJZP-110 and Placebo
Arm BEXPERIMENTALJZP-110 and Placebo
Arm CPLACEBO_COMPARATORPlacebo
JZP-110ACTIVE_COMPARATOR150 mg/day for first 3 days and 300 mg/day for next 4 days

Interventions

NameTypeDescription
JZP-110DRUG -
Placebo oral tabletDRUG -
PlaceboOTHER -
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites60

Major Inclusion Criteria: 1. Males and females between 18 and 75 years of age, inclusive 2. Diagnosis of narcolepsy according to ICSD-3 or DSM-5 criteria 3. Body mass index from 18 to \<45 kg/m2 4. Consent to use a medically acceptable method of contraception 5. Willing and able to provide written ...

Countries:United StatesCanadaFinlandFranceGermanyNetherlandsSweden
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Frequently asked questions about JZP-110

What is JZP-110?

JZP-110 is an investigational small molecule being developed by Jazz Pharmaceuticals plc for excessive sleepiness associated with narcolepsy, obstructive sleep apnea, and Parkinson's disease. It is in clinical development and has been studied in placebo-controlled, double-blind trials. It is not described as approved.

Who makes JZP-110?

JZP-110 is being developed by Jazz Pharmaceuticals plc, which trades under the ticker JAZZ. The company has sponsored Phase 2 and Phase 3 clinical trials of the drug in excessive sleepiness associated with narcolepsy, obstructive sleep apnea, and Parkinson's disease.

What phase is JZP-110 in?

JZP-110 is in Phase 2 development, with completed Phase 2 trials in narcolepsy, obstructive sleep apnea, and Parkinson's disease. A completed Phase 3 long-term safety study in narcolepsy and obstructive sleep apnea has also been conducted. The drug is investigational and is not described as approved.

What clinical trials is JZP-110 in?

JZP-110 has been studied in completed trials including NCT03037203 in Parkinson's disease and excessive sleepiness, NCT02806908 in narcolepsy, NCT02806895 in obstructive sleep apnea, and the Phase 3 long-term safety study NCT02348632 in narcolepsy or obstructive sleep apnea. Total enrollment across these studies was 908 participants.

What is JZP-110 used for in narcolepsy?

JZP-110 is being developed to treat excessive sleepiness in narcolepsy. Completed trials include a Phase 2 study assessing its effects on driving performance, NCT02806908, and the Phase 3 long-term safety study NCT02348632, which enrolled patients with narcolepsy or obstructive sleep apnea.

What is JZP-110 used for in obstructive sleep apnea?

JZP-110 is being developed to treat excessive sleepiness in obstructive sleep apnea. Completed studies include a Phase 2 trial assessing driving performance, NCT02806895, and the Phase 3 long-term safety study NCT02348632, which enrolled 645 participants with narcolepsy or obstructive sleep apnea.