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Serdexmethylphenidate

Phase 2

Idiopathic Hypersomnia | Small molecule | Other |Zevra Therapeutics, Inc.|Last Updated: Feb 3, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment50
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05668754Placebo-Controlled, Double-Blind, Study to Determine the Safety and Efficacy of SDX in Patients With IHPHASE2 COMPLETED 50Dec 28, 2022Mar 21, 2024Feb 3, 202541 United States
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Study Endpoints
Primary Endpoints
Safety parameters - TEAEs
Time Frame: Start of OLTP to end of DBWP (7 weeks)

Type and frequency of Treatment-Emergent Adverse Events

Safety parameter - Heart Rate
Time Frame: Start of OLTP to end of DBWP (7 weeks)

Change from baseline in heart rate (beats/minute).

Safety parameter - Blood Pressure
Time Frame: Start of OLTP to end of DBWP (7 weeks)

Change from baseline in blood pressure (mmHg).

Safety parameter - Laboratory Tests
Time Frame: Start of OLTP to end of DBWP (7 weeks)

Clinical significant change from baseline in clinical laboratory tests.

Safety parameter - ECG
Time Frame: Start of OLTP to end of DBWP (7 weeks)

Clinical significant change from baseline in electrocardiogram (ECG).

Safety parameter - PSQI
Time Frame: Start of OLTP to end of DBWP (7 weeks)

Change from baseline in Pittsburg Sleep Quality Index Question #6. Sleep quality score ranging from very good (0) to very bad (4).

Secondary Endpoints
Change from baseline in Epworth Sleepiness Scale (ESS) score
Start to end of DBWP (2 weeks)
Change from baseline in Brain Fog score
Time Frame: Start to end of DBWP (2 weeks)
Percentage of participants with increase (worsening) of 2 points or more from baseline in the Clinical Global Impression of Severity (CGI-S)
Start to end of DBWP (2 weeks)
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Experimental: SDXEXPERIMENTALSDX capsules at the optimized daily dose, once in the evening daily (qd pm) or twice per day (bid), for 2 weeks (DBWP)
Active ComparatorPLACEBO_COMPARATORPlacebo capsules once in the evening daily (qd pm) or twice per day (bid), for 2 weeks (DBWP)
Interventions
NameTypeDescription
SerdexmethylphenidateDRUGParticipants randomized to active drug will receive their optimized dose according to a dosing regimen set by randomization at the start of the OLTP. The 4 possible oral SDX doses are 80, 160, 240, or 320 mg/day. The optimal SDX dose will be determined during the 5-week OLTP preceding the 2-week DBWP.
PlaceboOTHERParticipants randomized to placebo will receive matching placebo capsules to the optimized dose established at the end of the OLTP, according to a dosing regimen set by randomization at the start of the OLTP.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites41

Inclusion Criteria: 1. At least 18 years of age at the time of consent 2. Body Mass Index (BMI) ≤35 kg/m2 3. Documented primary diagnosis of IH according to the International Classification of Sleep Disorders (ICSD-3) criteria 4. At the Screening Visit and Baseline Visit (start of OLTP), Epworth Sl...

Countries:United States
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