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Serdexmethylphenidate

Phase 2

Idiopathic Hypersomnia | Small molecule | Neurology |Zevra Therapeutics, Inc.|Last Updated: Jun 30, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment66

FDA Designations

No designations recorded

Clinical trial landscape

Serdexmethylphenidate · 1 trial · 1 indication

Phase 2 1
NCT05668754Study of SDX in Patients With Idiopathic Hypersomnia (IH)Idiopathic Hypersomnia
COMPLETED66 Analytics
PHASE2COMPLETED
Study of SDX in Patients With Idiopathic Hypersomnia (IH)
Idiopathic HypersomniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Epworth Sleepiness Scale (ESS) Score
Start to end of DBWP (2 weeks)

Scores level of daytime sleepiness ranging from 0 to 24, with a higher score indicating worsened sleepiness

Secondary Endpoints

Change From Baseline in Epworth Sleepiness Scale (ESS) Score
Changes from Titration Baseline to Week 5 (5 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 (Double-Blind Withdrawal Period)
Placebo ComparatorPLACEBO_COMPARATORPlacebo capsules once in the evening daily (qd pm) or twice per day (bid), for 2 weeks (Double-Blind Withdrawal Period)

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 to 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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Recent Changes (Last 90 Days)

MEDIUMJul 31, 2026NCT05668754TRIAL_REMOVED: changed
MEDIUMJul 31, 2026NCT05668754TRIAL_REMOVED: changed
MEDIUMJul 31, 2026NCT05668754TRIAL_REMOVED: changed

Frequently asked questions about Serdexmethylphenidate

What is Serdexmethylphenidate used for?

Serdexmethylphenidate is an investigational small molecule being developed for the treatment of idiopathic hypersomnia, a neurological disorder characterized by excessive daytime sleepiness despite adequate or prolonged sleep. It is currently in Phase 2 clinical development and has not been approved by regulatory authorities.

Who is developing Serdexmethylphenidate?

Serdexmethylphenidate is being developed by Zevra Therapeutics, Inc., a biopharmaceutical company traded on the Nasdaq under the ticker symbol ZVRA. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with idiopathic hypersomnia.

What phase is Serdexmethylphenidate in?

Serdexmethylphenidate is in Phase 2 clinical development. A Phase 2 clinical trial has been completed, and the drug remains investigational. It has not received FDA approval and is still undergoing clinical evaluation for the treatment of idiopathic hypersomnia.

What clinical trials is Serdexmethylphenidate in?

Serdexmethylphenidate has one completed Phase 2 clinical trial registered under NCT05668754, titled 'Study of SDX in Patients With Idiopathic Hypersomnia (IH)'. This randomized, double-blind, placebo-controlled trial enrolled 66 participants in the United States, with a minimum age of 18 years.

Is Serdexmethylphenidate the same as SDX?

Yes, Serdexmethylphenidate is also known as SDX. The clinical trial NCT05668754 uses the abbreviation SDX in its title, referring to the same investigational drug being developed by Zevra Therapeutics for idiopathic hypersomnia.