ClinicalTrials.gg
CompletedNCT04451668RESTOREUpdated Oct 2, 2025

An Open Label Study of FT218 in Subjects With Narcolepsy

A Phase 3 interventional study of FT218 in Narcolepsy, Cataplexy and Excessive Daytime Somnolence, sponsored by Avadel. Completed at 29 sites in 2 countries. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2025-10-02.

Primary conditionCataplexyRegistry: NarcolepsyReclassifiedWhy we changed it
Registry
Narcolepsy — the first condition term the registry derived for this study.
ClinicalTrials.gg
Cataplexy
Why
  1. The study's listed conditions name Cataplexy, a narrower term within Narcolepsy.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Avadel (part of Alkermes, Inc.) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Dec 2023, 2 years 10 months ago, and no results have been posted to the registry.
Phase
Phase 3
Study type
Interventional
Enrollment
184
Allocation
Not applicable
Ages
16 Years and older
Sex
All
01

Study summary

An Open Label Study to Evaluate Long-Term Safety and Tolerability of a Once Nightly Formulation of Sodium Oxybate for Extended-Release Oral Suspension (FT218) and the ability to switch from twice-nightly immediate release sodium oxybate to once-nightly FT218 for the Treatment of Excessive Daytime Sleepiness and Cataplexy in Subjects with Narcolepsy

Read the detailed description

This study will enroll subjects with narcolepsy, either NT1 or NT2, who completed the FT218 Phase 3 REST-ON study or eligible subjects with narcolepsy currently receiving a stable dose of twice nightly sodium oxybate IR or mixed salts oxybate (regardless of whether they participated in the REST-ON study), or subjects who are naïve to oxybate therapy (i.e., FT218, twice nightly sodium oxybate IR or mixed salts oxybate). Following a screening period, subjects who meet the entry criteria will be enrolled into the study. Subjects who completed the FT218 Phase 3 REST-ON study will initiate treatment with FT218 at 4.5 g and will follow a titration schedule up to the highest tolerate dose (up to 9 g), or the dose deemed effective by the investigator. Subjects previously maintained on twice nightly sodium oxybate IR will initiate FT218 treatment at a dose equivalent or closest to the total gram dose of twice-nightly sodium oxybate IR and then titrate up or down, in accord with safety and effectiveness as determined by the investigator.

02

Conditions studied

  • Narcolepsy
  • Cataplexy
  • Excessive Daytime Somnolence
  • Sleep Disorder
  • Sleep Disturbance
  • Sleep Wake Disorders

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03

In context

Cataplexy Reclassified

31 studies on the registry are indexed under Cataplexy; 5 are open to participants now.

This study's enrollment of 184 is above the median of 117 across 27 interventional studies indexed under Cataplexy.

Browse Cataplexy studies →

Lead sponsor

Avadel is the lead sponsor of 4 studies on the registry; none are open to participants now.

First submitted before Avadel became part of Alkermes, Inc..

Compared within Cataplexy, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Narcolepsy. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
16 Years and older
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

  • Subjects receiving a stable doses of twice-nightly sodium oxybate IR or mixed salts oxybate for at least 4 weeks and are willing to switch to FT218
  • Subjects who completed the CLFT218-1501 REST-ON Study in a compliant manner and for whom the Investigator determines would receive benefit from treatment with FT218 and have not started treatment with twice nightly sodium oxybate IR or mixed salts oxybate
  • Are treatment naïve to any oxybate therapy (i.e. FT218, twice nightly sodium oxybate IR or mixed salts oxybate)
  • Subjects have a diagnosis of narcolepsy, either confirmed prior to the REST-ON study or as confirmed by the Investigator as defined by the International Classification of Sleep Disorders 3 criteria (AASM 2014)
  • Willing and able to give written for study participation. Young adults (16 and 17 years old) who have not reached the age of majority must be capable of giving assent in addition to consent from a legally authorized guardian, as required by local laws and regulations.

Exclusion criteria

Exclusion Criteria:

  • Subjects that terminated the CLFT218-1501 REST-ON Study prior to completing Visit 8
  • Any use of the following medications during the study: Anticonvulsants, Clonidine, Hypnotics, Anxiolytics, Sedating antihistamines, Antipsychotics, Other experimental medications designed to treat narcolepsy, cataplexy or any other condition, or other medications with significant sedating effects/CNS depressant effects are prohibited for REST-ON and naive patients. Patients on twice nightly sodium oxybate IR on medications in classes listed above may be eligible for enrollment if the subject has been on a stable dose of the prohibited medication in combination with a stable dose of twice nightly sodium oxybate or mixed salts oxybate for at least three months and has demonstrated no AEs, intolerance, or interactions AND is approved to participate by the Medical Monitor. Sedative hypnotics are prohibited regardless.)
  • A diagnosis of sleep apnea where AHI is ≥15 and/or current use of CPAP or other devices for sleep apnea.
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
184 participants (actual)

Study arms

  • Experimental
    FT218

    once nightly sodium oxybate extended release oral solution (FT218)

    Drug: FT218

Interventions

  • DrugFT218

    once nightly sodium oxybate extended release

06

What researchers measure

Primary outcomes

  1. Incidence of treatment-related adverse events

    Assess the long-term safety and tolerability of FT218 by the number of participants experiencing treatment-related adverse events

    Time frame: 24 months

  2. Incidence of clinically significant changes in vital signs

    Assess the long-term safety and tolerability of FT218 by the number of participants experiencing clinically significant changes in vital signs

    Time frame: 24 months

  3. Incidence of clinically significant changes in laboratory test results

    Assess the long-term safety and tolerability of FT218 by the number of participants experiencing clinically significant changes in laboratory test results

    Time frame: 24 months

07

Study locations

29 sites
  • Sleep Disorders Center of Alabama
    Birmingham, Alabama 35213, United States
  • Stanford Sleep Medicine
    Redwood City, California 94063, United States
  • SDS Clinical Trials
    Santa Ana, California 92705, United States
  • Alpine Clinical Research Center
    Boulder, Colorado 80301, United States
  • Delta Waves, Inc.
    Colorado Springs, Colorado 80918, United States
  • Pulmonary Disease Specialists, PA
    Kissimmee, Florida 34741, United States
  • Sleep Medicine Specialists of South Florida
    Miami, Florida 33176, United States
  • FL Pediatric Research Institute
    Winter Park, Florida 32789, United States
  • NeuroTrials Research Inc
    Atlanta, Georgia 30328, United States
  • SleepCare Research Institute, Inc. d/b/a Clinical Research Institute
    Stockbridge, Georgia 30281, United States
  • Fort Wayne Neurological
    Fort Wayne, Indiana 46804, United States
  • Helene A. Emsellem, MD PC
    Chevy Chase, Maryland 20815, United States
  • Baystate Medical Center
    Springfield, Massachusetts 01199, United States
  • St. Luke's Hospital - Sleep Medicine and Research Center
    Chesterfield, Missouri 63017, United States
  • Montefiore Sleep-Wake Disorders Center
    The Bronx, New York 10467, United States
  • Advanced Respiratory and Sleep Medicine
    Huntersville, North Carolina 28078, United States
  • Sleep Management Institute Intrepid Research
    Cincinnati, Ohio 45245, United States
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio 44106, United States
  • Ohio Sleep Medicine Institute
    Dublin, Ohio 43017, United States
  • Geisinger Medical Center
    Danville, Pennsylvania 17822, United States
  • Brian Abaluck Sleep Medicine
    Malvern, Pennsylvania 19355, United States
  • Bogan Sleep Consultants, LLC
    Columbia, South Carolina 29201, United States
  • FutureSearch Trials of Neurology
    Austin, Texas 78731, United States
  • Sleep Therapy & Research Center
    San Antonio, Texas 78229-4849, United States
  • Comprehensive Sleep Medicine Associates
    Sugar Land, Texas 77478, United States
  • Northwest Houston Neurology
    Tomball, Texas 77375, United States
  • TPMG Clinical Research Williamsburg
    Williamsburg, Virginia 23188, United States
  • West Perry Sound Health Center
    Parry Sound, Ontario P2A 3A4, Canada
  • Jodha Tishon Inc.
    Toronto, Ontario M5S 3A3, Canada
08

References and documents

Publications

  • Roy A, Stern T, Harsh J, Corser BC, Santamaria A, Abaluck B, Ibrahim S, Lancaster K, Gudeman J. Once-nightly oxybate dosing preference and nocturnal experience with twice-nightly oxybates: a plain language summary of publication. Expert Rev Neurother. 2026 Jul;26(7):701-711. doi: 10.1080/14737175.2026.2668473. Epub 2026 May 20. PubMed 42163487 ↗
  • Roy A, Stern T, Harsh J, Hudson JD, Ajayi AO, Corser BC, Mignot E, Santamaria A, Morse AM, Abaluck B, Ibrahim S, Schweitzer PK, Lancaster K, Dubow J, Gudeman J. RESTORE: Once-nightly oxybate dosing preference and nocturnal experience with twice-nightly oxybates. Sleep Med X. 2024 Aug 15;8:100122. doi: 10.1016/j.sleepx.2024.100122. eCollection 2024 Dec 15. PubMed 39263597 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2020 to primary completion in Dec 2023, 42 months.

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

Registered
Jun 23, 2020
First posted
Jun 30, 2020
StartActual
Jun 12, 2020
Primary completionActual
Dec 22, 2023
CompletionActual
Nov 18, 2024
Last update
Oct 2, 2025
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 Oct 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04451668
Lead sponsor
Avadel
Responsible party
Sponsor
First posted
Jun 30, 2020
Start date
Jun 12, 2020
Primary completion
Dec 22, 2023
Completion
Nov 18, 2024
Last update
Oct 2, 2025

Oversight

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

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

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: FT218

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