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RecruitingNCT04330963iSPHYNCSUpdated Apr 20, 2023

International Swiss Primary Hypersomnolence and Narcolepsy Cohort Study

An observational study in Narcolepsy, Idiopathic Hypersomnia and Hypersomnolence Disorder, sponsored by Insel Gruppe AG, University Hospital Bern. Recruiting at 1 site in Switzerland. Open to participants aged 10 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-04-20.

Sponsored by Insel Gruppe AG, University Hospital Bern · Observational

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 10 months ago, but the record still lists the study as recruiting.
  • Started Jan 2020; still recruiting 6 years 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
600
Ages
10 Years to 70 Years
Sex
All
01

Study summary

Swiss Primary Hypersomnolence and Narcolepsy Cohort Study (SPHYNCS) is a cohort study on disease presentation and long-term course with an exploratory approach to detect biomarkers.

Read the detailed description

An exploratory prospective, national, multi-center cohort study on clinical, electrophysiological and biological biomarkers of disease presentation and course.

02

Conditions studied

  • Narcolepsy
  • Idiopathic Hypersomnia
  • Hypersomnolence Disorder
03

In context

Narcolepsy

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

This study's planned enrollment of 600 is above the median of 135 across 38 observational studies indexed under Narcolepsy.

Browse Narcolepsy studies →

Lead sponsor

Insel Gruppe AG, University Hospital Bern is the lead sponsor of 741 studies on the registry; 180 are open to participants now.

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

04

Who can participate

Ages eligible
10 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The project population consists of subjects, who were referred to the outpatient clinic / sleep center of one of the study sites for further investigation, due to complaints of EDS and / or H and / or suspected Central disorders of hypersomnolence (CDH), fulfilling inclusion / exclusion criteria and a control population as well as healthy controls.

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

Study participants:

  • Subjective complaints of Excessive daytime sleepiness (EDS) and/or Hypersomnia (H) as defined above
  • EDS and/or H present daily or almost daily for at least 1 month prior to the consultation
  • Ability and consent to undergo electrophysiological routine assessment
  • Ability to give

Healthy controls:

  • Age and gender matched healthy subjects
  • Including blood related relatives of study participants
  • Ability and consent to undergo electrophysiological routine assessment
  • Ability to give informed consent

Controls with Sleep disordered breathing (SDB):

  • Subjective complaints of EDS with Epworth Sleepiness Scale (ESS) > 10 (adults) and/or H due to SDB: Presence of and untreated obstructive sleep apnea (OSA) as determined by the investigator with an apnea-hypopnea-index >30/h
  • Multiple sleep-latency test (MSLT) mean sleep latency ≤ 8min
  • Subjective and objective improvement of EDS and/or H within 3 months after treatment with
  • Positive airway pressure (PAP) therapy with documented

    • Reduction of apnea-hypopnea index below \<10/h
    • Reduction of ESS by ≥ 25%
    • MSLT mean Sleep Latency > 12min
  • Ability and consent to undergo electrophysiological routine assessment
  • Ability to give informed consent

Exclusion criteria

Exclusion Criteria:

Study participants and controls:

  • SDB for study participants and healthy controls: Presence of and untreated obstructive sleep apnea (OSA) or central sleep apnea (CSA) as determined by the investigator or documented previously; or documentation of one of the following:

    • Apnea index (AI) > 10 if on OSA treatment or untreated; or
    • Clinically significant hypoventilation; or
    • Noncompliance with primary OSA therapy
    • except if NT1 has been diagnosed including decreased or missing cerebrospinal fluid (CSF) hypocretin
  • SDB for control population with SDB:

    • Central Sleep Apnea (CSA)
    • Noncompliance with primary OSA therapy and/or
    • No reported improvement of EDS and/or H within 3 months of positive airway pressure (PAP) treatment
  • The following disorders/conditions that on clinical grounds are considered to be the cause of EDS / H

    • Other sleep disorders (e.g. Restless legs syndrome (RLS) with periodic leg movement syndrome (PLMS), sleepwalking, clear-cut circadian disorder)
    • Other neurological disorders (e.g. stroke, multiple sclerosis, parkinsonism, severe traumatic brain injury)
    • (Auto-)immune and systemic disorders (such as Hashimoto Thyroiditis, Chron's Disease, ulcerous colitis, Diabetes mellitus type I, Systemic lupus erythematosus)
    • (except: Status in Remission for at least > 10 years)
    • Instable psychiatric disorder (e.g. acute psychotic, acute suicidal, episode of major depression requiring in-hospital treatment, active substance abuse)
    • Active infectious disease at screening
    • Permanent medications / drugs
  • Chronic infectious diseases (such as /C, )
  • Chronic use of antibiotics
  • Recent use (\< 8 weeks) of immune-modulating drugs

Healthy controls additional:

  • Subjective complaints of EDS and / or H
  • ESS > 10
  • Polysomnography (PSG) with AI > 10/h and / or PLMS Index > 30/h
  • MSLT mean Sleep Latency \< 12 min
Terms in these criteria, in plain language(5)

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
600 participants (estimated)
Target follow-up
36 Months
Patient registry
Yes
Biospecimen retention
Samples with dna

Groups and cohorts

  • Hypersomnolence group

    All patients referred to the outpatient clinic/sleep center for investigation due to complaints for excessive daytime sleepiness (EDS) and/or Hypersomnia (H) and/or suspected central disorder of hypersomnolence (CDH)

  • Healthy controls

    Healthy control subjects without complaints of EDS and /or H.

  • SDB controls

    Patients with EDS and diagnosis of severe sleep related breathing disorder (SBD) significantly improving with therapy.

  • Pediatric Hypersomnolence group

    Pediatric group aged 10-18. Same criteria for inclusion and exclusion apply as for the adult group.

06

What researchers measure

Primary outcomes

  1. Proportion of study subjects with diagnosis of Narcolepsy type 1 (NT1) at follow up

    Time frame: 36 months

  2. Proportion of study subjects with final diagnosis other than NT1 but within the group of CDH at follow up

    Time frame: 36 months

Secondary outcomes

  1. Proportion of patients with autoreactive T-cell clones in NT1 and some Narcolepsy borderland (NBL) subjects but not in controls

    Time frame: 36 months

  2. Preptidomic profile of NT1 and NBL in comparison to controls

    Mass spectrometry based peptidomics of cerebrospinal fluid (CSF) for the identification of Hypocretin and approximately 6000 other neuropeptides in 10 to 20 samples for each group to be analyzed. In collaboration with the group of Prof. Matthias Mann, Max Planck Institute of Biochemistry, Planegg, Germany

    Time frame: 36 months

  3. Gut microbiome of NT1 and NBL in comparison to controls

    16S based analysis of the gut microbiome based on stool samples from all participants (where available). In collaboration with the group of Prof. Andrew Macpherson, University of Bern

    Time frame: 36 months

07

Study locations

1 of 1 sites recruiting
  • Claudio L Bassetti
    Bern, 3010, Switzerland
    Recruiting
08

References and documents

Publications

  • Bassetti CLA, Adamantidis A, Burdakov D, Han F, Gay S, Kallweit U, Khatami R, Koning F, Kornum BR, Lammers GJ, Liblau RS, Luppi PH, Mayer G, Pollmacher T, Sakurai T, Sallusto F, Scammell TE, Tafti M, Dauvilliers Y. Narcolepsy - clinical spectrum, aetiopathophysiology, diagnosis and treatment. Nat Rev Neurol. 2019 Sep;15(9):519-539. doi: 10.1038/s41582-019-0226-9. Epub 2019 Jul 19. PubMed 31324898 ↗
  • Latorre D, Kallweit U, Armentani E, Foglierini M, Mele F, Cassotta A, Jovic S, Jarrossay D, Mathis J, Zellini F, Becher B, Lanzavecchia A, Khatami R, Manconi M, Tafti M, Bassetti CL, Sallusto F. T cells in patients with narcolepsy target self-antigens of hypocretin neurons. Nature. 2018 Oct;562(7725):63-68. doi: 10.1038/s41586-018-0540-1. Epub 2018 Sep 19. PubMed 30232458 ↗
  • Bassetti C, Aldrich MS. Idiopathic hypersomnia. A series of 42 patients. Brain. 1997 Aug;120 ( Pt 8):1423-35. doi: 10.1093/brain/120.8.1423. PubMed 9278632 ↗
  • Dietmann A, Wenz E, van der Meer J, Ringli M, Warncke JD, Edwards E, Schmidt MH, Bernasconi CA, Nirkko A, Strub M, Miano S, Manconi M, Acker J, von Manitius S, Baumann CR, Valko PO, Yilmaz B, Brunner AD, Tzovara A, Zhang Z, Largiader CR, Tafti M, Latorre D, Sallusto F, Khatami R, Bassetti CLA. The Swiss Primary Hypersomnolence and Narcolepsy Cohort study (SPHYNCS): Study protocol for a prospective, multicentre cohort observational study. J Sleep Res. 2021 Oct;30(5):e13296. doi: 10.1111/jsr.13296. Epub 2021 Apr 4. PubMed 33813771 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2020 (actual). Primary completion is estimated for Dec 2024, 59 months after the start.

Of 19 observational studies under Narcolepsy, half reached primary completion within 61 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 73. This study's planned 59 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 6, 2020
First posted
Apr 2, 2020
StartActual
Jan 6, 2020
Primary completionEst.
Dec 30, 2024
CompletionEst.
Jun 30, 2026
Last update
Apr 20, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 20, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04330963
Collaborators
Klinik Barmelweid, Zentrum für Schlafmedizin Basel, Ospedale Regionale di Lugano, Cantonal Hospital of St. Gallen, Zurzach Care Klinik für Schlafmedizin, University Children's Hospital, Zurich, University Children's Hospital Basel, Centre Lausannios de Sommeil, Private Universität Witten-Herdecke and Orfea Fachklinik für Schlafmedizin, Witten, Germany, Leiden University Medical Center, Leiden, Netherlands, University of Bologna, Bologna, Italy
Responsible party
Sponsor
First posted
Apr 2, 2020
Start date
Jan 6, 2020
Primary completion
Dec 30, 2024 (estimated)
Completion
Jun 30, 2026 (estimated)
Last update
Apr 20, 2023

Study contacts

Claudio L Bassetti, Prof.
Contact
Claudio.Bassetti@insel.ch
+41 31 63 2 30 66 ext. +41316323066
Jan Warncke, PhD
Contact
jan.warncke@insel.ch
+41 31 66 4 07 99
Claudio L Bassetti, Prof.
study director · Insel Gruppe

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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