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CompletedNCT02611687Updated Jun 26, 2025Results posted

Efficacy and Safety of Pitolisant in Pediatric Narcoleptic Patients With or Without Cataplexy, Double-blind Study Followed by a Prolonged Open-label Period

A Phase 3 interventional study of pitolisant and Placebo in Narcolepsy With Cataplexy and Narcolepsy Without Cataplexy, sponsored by Bioprojet. Completed at 11 sites in 5 countries. Open to participants aged 6 Years to 18 Years. Per ClinicalTrials.gov, last updated 2025-06-26.

Sponsored by Bioprojet · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
110
Allocation
Randomized
Ages
6 Years to 18 Years
Sex
All
01

Study summary

The purpose of this multicenter double blind study is to assess efficacy and safety of Pitolisant versus placebo in paediatric Narcoleptic patients with or without cataplexy.

02

Conditions studied

  • Narcolepsy With Cataplexy
  • Narcolepsy Without Cataplexy

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03

In context

Narcolepsy

157 studies on the registry are indexed under Narcolepsy; 37 are open to participants now.

This study's enrollment of 110 is above the median of 78 across 114 interventional studies indexed under Narcolepsy.

Browse Narcolepsy studies →

Lead sponsor

Bioprojet is the lead sponsor of 29 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male and female children from 6 to less than 18 years of age suffering from narcolepsy with or without cataplexy - ICSD-3 criteria (narcolepsy type 1 and 2).
  • PDSS
  • Patients should be free of non-authorized medication, in particular psychostimulant treatments as from the screening visit onwards.
  • Parents - and patients old enough to understand who have expressed a willingness to participate in the study, who have signed and dated the form prior to beginning protocol required procedures.
  • In the opinion of the investigator, the patient must have adequate support to comply with the entire study requirements as described in the protocol (e.g., transportation to and from trial site, self rating scales and diaries completion, drug compliance, scheduled visits, tests).

Exclusion criteria

Exclusion Criteria:

  • Any other conditions that can be considered the primary causes of EDS.
  • Cataplectic patients treated by anticataplectics which are not under a stable treatment at the time of inclusion.
  • Patients treated for cataplexy or any other pathology, by tricyclic antidepressants.
  • Any significant abnormality of the and particularly Fridericia's .
  • Patients with significant abnormality or clinical laboratory results.
  • Psychiatric and neurological disorders in the investigator's opinion, would preclude the patient's participation and completion of this trial or comprise reliable representation of subjective symptoms.
  • Active illness, including unstable cardiovascular, endocrine, neoplastic, gastrointestinal, haematological, hepatic, immunologic, metabolic, neurological (other than narcolepsy/cataplexy), pulmonary, and/or renal disease which could interfere with the study conduct or counter-indicate the study treatments or place the patient at risk during the trial or compromise the study objectives.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
110 participants (actual)

Study arms

  • Experimental
    pitolisant

    tablet, oral, once a day.

    Drug: pitolisant

  • Placebo comparator
    placebo

    tablet, oral, once a day.

    Drug: Placebo

Interventions

  • Tablet

    Also known as: BF2.649

  • DrugPlacebo

    Tablet

06

What researchers measure

Primary outcomes

  1. To Evaluate the Efficacy of Pitolisant in Reducing Residual Excessive Daytime Sleepiness (EDS), Ullanlinna Narcolepsy Scale Score.

    Changes in EDS measured by the Ullanlinna Narcolepsy Scale Score (UNS) from baseline (mean of two pre-treatment measures) to the end of double-blind period (mean of the last two measures). The UNS is an 11-item scale used to measure the intensity and frequency of symptoms of narcolepsy (EDS and cataplexy). The total score varies from 0 to 44, with higher scores denoting greater narcoleptic tendencies.

    Time frame: 8 weeks

Secondary outcomes

  1. To Evaluate the Efficacy of Pitolisant in Reducing Residual Excessive Daytime Sleepiness (EDS), Pediatric Daytime Sleepiness Scale.

    Changes in EDS measured by the Pediatric Daytime Sleepiness Scale (PDSS) from baseline (mean of two pre-treatment measures) to the end of double-blind period (mean of the last two measures). The PDSS total score can range from 0 and 32 and a score \>13 is considered abnormal sleepiness.

    Time frame: 8 weeks

  2. To Evaluate the Efficacy of Pitolisant in Reducing Residual Excessive Daytime Sleepiness (EDS), Ullanlinna Narcolepsy Scale-Cataplexy Subscore .

    Changes in EDS measured by Ullanlinna Narcolepsy Scale-Cataplexy Subscore (UNS-CTP) in patients with type 1 narcolepsy from baseline (mean of two pre-treatment measures) to the end of double-blind period (mean of the last two measures). This subscore is defined as the sum of the first 4 items of the UNS, UNS-CTP subscore ranges from 0 to 16, with higher scores indicating more severe symptoms.

    Time frame: 8 weeks

07

Results

Posted Sep 19, 2024

Participant flow

Double-blind Period (0 to 8 Weeks)
Participant flow — Double-blind Period (0 to 8 Weeks)
MilestonePitolisantPlacebo
Started7238
Completed7037
Not completed21
Withdrew: Withdrawal by subject21
Open-label Period (0 to >11 Months)
Participant flow — Open-label Period (0 to >11 Months)
MilestonePitolisantPlacebo
Started7036
Completed3921
Not completed3115

Outcome measures

PrimaryTo Evaluate the Efficacy of Pitolisant in Reducing Residual Excessive Daytime Sleepiness (EDS), Ullanlinna Narcolepsy Scale Score.

Changes in EDS measured by the Ullanlinna Narcolepsy Scale Score (UNS) from baseline (mean of two pre-treatment measures) to the end of double-blind period (mean of the last two measures). The UNS is an 11-item scale used to measure the intensity and frequency of symptoms of narcolepsy (EDS and cataplexy). The total score varies from 0 to 44, with higher scores denoting greater narcoleptic tendencies.

Time frame:
8 weeks
Reported as:
Geometric least squares mean · score on a scale
To Evaluate the Efficacy of Pitolisant in Reducing Residual Excessive Daytime Sleepiness (EDS), Ullanlinna Narcolepsy Scale Score.
score on a scalePitolisantPlacebo
To Evaluate the Efficacy of Pitolisant in Reducing Residual Excessive Daytime Sleepiness (EDS), Ullanlinna Narcolepsy Scale Score.-6.29 ± 1.14-2.60 ± 1.35
SecondaryTo Evaluate the Efficacy of Pitolisant in Reducing Residual Excessive Daytime Sleepiness (EDS), Pediatric Daytime Sleepiness Scale.

Changes in EDS measured by the Pediatric Daytime Sleepiness Scale (PDSS) from baseline (mean of two pre-treatment measures) to the end of double-blind period (mean of the last two measures). The PDSS total score can range from 0 and 32 and a score \>13 is considered abnormal sleepiness.

Time frame:
8 weeks
Reported as:
Least squares mean · score on a scale
To Evaluate the Efficacy of Pitolisant in Reducing Residual Excessive Daytime Sleepiness (EDS), Pediatric Daytime Sleepiness Scale.
score on a scalePitolisantPlacebo
To Evaluate the Efficacy of Pitolisant in Reducing Residual Excessive Daytime Sleepiness (EDS), Pediatric Daytime Sleepiness Scale.-5.53 ± 0.66-2.11 ± 0.89
SecondaryTo Evaluate the Efficacy of Pitolisant in Reducing Residual Excessive Daytime Sleepiness (EDS), Ullanlinna Narcolepsy Scale-Cataplexy Subscore .

Changes in EDS measured by Ullanlinna Narcolepsy Scale-Cataplexy Subscore (UNS-CTP) in patients with type 1 narcolepsy from baseline (mean of two pre-treatment measures) to the end of double-blind period (mean of the last two measures). This subscore is defined as the sum of the first 4 items of the UNS, UNS-CTP subscore ranges from 0 to 16, with higher scores indicating more severe symptoms.

Time frame:
8 weeks
Reported as:
Least squares mean · score on a scale
To Evaluate the Efficacy of Pitolisant in Reducing Residual Excessive Daytime Sleepiness (EDS), Ullanlinna Narcolepsy Scale-Cataplexy Subscore .
score on a scalePitolisantPlacebo
To Evaluate the Efficacy of Pitolisant in Reducing Residual Excessive Daytime Sleepiness (EDS), Ullanlinna Narcolepsy Scale-Cataplexy Subscore .-2.88 ± 0.44-1.12 ± 0.64

Adverse events

Collected over 8 to 13 weeks (up to 4 weeks prior randomization, 8 weeks double-blind period and 1 week single-blind period). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pitolisant0/73 (0%)0/73 (0%)15/73 (20.5%)
Placebo0/37 (0%)0/37 (0%)11/37 (29.7%)
Most frequent other events
Most frequent other events
EventPitolisantPlacebo
HeadacheNervous system disorders14/733/37
Upper respiratory tract infectionInfections and infestations0/733/37
InsomniaPsychiatric disorders5/731/37
InfluenzaInfections and infestations2/732/37
DiarrhoeaGastrointestinal disorders0/732/37

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)PitolisantPlaceboTotal
<=18 years7238110
Between 18 and 65 years000
>=65 years000
Age, Continuous
Age, Continuous(years)PitolisantPlaceboTotal
Mean13.0 ± 3.012.5 ± 3.012.9 ± 3.0
Sex: Female, Male
Sex: Female, Male(Participants)PitolisantPlaceboTotal
Female351449
Male372461
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PitolisantPlaceboTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White000
More than one race000
Unknown or Not Reported7238110
Region of Enrollment
Region of Enrollment(participants)PitolisantPlaceboTotal
Netherlands325
Finland112
Italy17926
France19928
Russia321749
08

Study locations

11 sites
  • Terveystalo Helsinki Uniklinikka
    Helsinki, Finland
  • Hôpital Femme-Mère-Enfant
    Bron, France
  • Hôpital Gui de Chauliac
    Montpellier, France
  • Hôpital Robert Debré
    Paris, France
  • Università di Bologna
    Bologna, Italy
  • Polikliniek Heemstede Neurologist-Somnologist
    Heemstede, Netherlands
  • Scientific-Research Medical Complex "Your Health"
    Kazan', Russia
  • I.M. Sechenov First Moscow State Medical University
    Moscow, Russia
  • V.M. Behterev National Medical Research Psychiatry and Neurology Center
    Saint Petersburg, Russia
  • Samara Regional Clinical Hospital
    Samara, Russia
  • N.I. Balaban Crimea Repiblic Clinical Psychiatric Hospital No. 1
    Simferopol, Russia
09

References and documents

Publications

  • Dauvilliers Y, Lecendreux M, Lammers GJ, Franco P, Poluektov M, Causse C, Lecomte I, Lecomte JM, Lehert P, Schwartz JC, Plazzi G. Safety and efficacy of pitolisant in children aged 6 years or older with narcolepsy with or without cataplexy: a double-blind, randomised, placebo-controlled trial. Lancet Neurol. 2023 Apr;22(4):303-311. doi: 10.1016/S1474-4422(23)00036-4. PubMed 36931805 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02611687
Lead sponsor
Bioprojet
Responsible party
Sponsor
First posted
Nov 23, 2015
Start date
Jun 6, 2016
Primary completion
Apr 3, 2021
Completion
Jun 5, 2025
Results posted
Sep 19, 2024
Last update
Jun 26, 2025

Study contacts

Giuseppe Plazzi, MD
study chair · Dipartimento di Scienze Biomediche e Neuromotorie Alma Mater Studiorum - Università di Bologna

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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