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NLS-2

Phase 3

Narcolepsy Type 1 | Small molecule | Neurology |NewcelX Ltd.|Trials Updated: May 21, 2024

NLS-2 development status

Highest phase Phase 3
Registered trials 5 across 2 sponsors since Sep 1999

NLS-2 target and mechanism

ModalitySmall molecule

Also known as Mazindol, mazindol extended release

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials4
Total Enrollment251

FDA Designations

No designations recorded

NLS-2 clinical trials

NLS-2 · 4 trials · 7 indications

Phase 3 1Phase 2 3
NCT05914194A Eight-Week Study of NLS-2 (Mazindol Extended Release) in Participants With Narcolepsy Type 1Narcolepsy Type 1
NOT YET_RECRUITING48 Analytics
PHASE3NOT YET_RECRUITING
A Eight-Week Study of NLS-2 (Mazindol Extended Release) in Participants With Narcolepsy Type 1
Narcolepsy Type 1Unlock trial analytics

Study Endpoints

Primary Endpoints

Number of cataplexy episodes at Week 8
8 weeks

Cataplexy episodes is a clinical outcome measure that assesses the frequency of cataplexy episodes.

To evaluate the safety and tolerability of NLS-2 in adult subjects with narcolepsy type 1 (NT1) or narcolepsy type 2 (NT2)
24 weeks

Summaries of the number and percentage of subjects who experienced Treatment Emergent Adverse Events (TEAEs), TEAEs related to study drug, SAEs, or discontinued study drug or withdrew from the study due to an AE.

Change in ESS Score From Baseline to Week 4
Baseline to Week 4

Change in Epworth Sleepiness Scale (ESS) score from Baseline to Week 4. 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.

ADHD Rating Scale
weekly rating up to six weeks

Secondary Endpoints

Patient Reported Outcomes Measurement Information System-Sleep Related Impairment (PROMIS-SRI): change from baseline
8 weeks
Patient Reported Outcomes Measurement Information System-Sleep Disturbance (PROMIS-SD): change from baseline
8 weeks
Epworth Sleepiness Scale (ESS): change from baseline
8 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NLS-2EXPERIMENTALParticipants will receive a single NLS-2 tablet orally once daily from Day 1 to Day 56 (until the end of Week 8).
PlaceboPLACEBO_COMPARATORParticipants will receive a single NLS-2 placebo matching tablet orally once daily from Day 1 to Day 56 (until the end of Week 8).
NLS-2 (mazindol extended release)EXPERIMENTALNLS-2 (mazindol extended release) administered once a day.
Mazindol Controlled ReleaseEXPERIMENTALMazindol controlled release taken once daily. Dosage starting at 1 mg increasing or decreasing in increments of 1 mg depending on efficacy and tolerability. Maximum dose during the study is 3 mg taken once daily.

Interventions

NameTypeDescription
NLS-2DRUGParticipants will receive NLS-2 tablets orally.
PlaceboDRUGParticipants will receive NLS-2 matching placebo tablets orally.
MazindolDRUGDrug: NLS-2
mazindol extended releaseDRUGDosed orally, once daily for up to 3 weeks
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Key Inclusion Criteria: * Adults ≥ 18 years of age at the time of signing the informed consent. * Documented primary diagnosis of Narcolepsy Type 1 (NT1) according to the International Classification of Sleep Disorders-Third Edition (ICSD-3) criteria. * Willing and able to safely discontinue all pr...

Countries:United States
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Frequently asked questions about NLS-2

What is NLS-2 used for?

NLS-2 is an investigational small molecule being developed for the treatment of narcolepsy type 1, also known as narcolepsy with cataplexy. It is currently in Phase 3 clinical development and has not been approved by regulatory authorities.

What does NLS-2 target?

NLS-2 is a small molecule, but its specific molecular target has not been disclosed in available information. It is being studied for its effects on symptoms of narcolepsy type 1, including excessive daytime sleepiness and cataplexy.

Who is developing NLS-2?

NLS-2 is being developed by NewcelX Ltd., a biopharmaceutical company. The company is conducting a Phase 3 clinical trial to evaluate the drug's safety and efficacy in patients with narcolepsy type 1.

What phase is NLS-2 in?

NLS-2 is currently in Phase 3 clinical development. It is an investigational drug and has not yet received regulatory approval for any indication. The ongoing Phase 3 trial is designed to assess its effects in participants with narcolepsy type 1.

What clinical trials is NLS-2 in?

NLS-2 is being evaluated in a Phase 3 clinical trial registered as NCT05914194. This eight-week study is a randomized, double-blind, placebo-controlled trial enrolling approximately 48 participants aged 18 years and older with narcolepsy type 1 or narcolepsy with cataplexy.

Is NLS-2 the same as mazindol?

NLS-2 is described as mazindol extended release in the clinical trial title. It is a formulation of mazindol designed for extended release, being studied for the treatment of narcolepsy type 1.