ClinicalTrials.gg
CompletedNCT05223166Updated Jul 20, 2023

A Clinical Study to Evaluate the Efficacy and Safety of Pitolisant in the Treatment of EDS in Patients With OSA

A Phase 3 interventional study of Pitolisant and Placebo oral tablet in Excessive Daytime Sleepiness, sponsored by Citrine Medicine Limited. Completed at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2023-07-20.

Sponsored by Citrine Medicine Limited · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 16 studies testing pitolisant in Disorders of Excessive Somnolence — 1 open to participants now, 1 under way, 1 of them phase 3. pitolisant · Disorders of Excessive Somnolence.

Enrollment
5th of 16
240 · median 115
Started
2022
with 1 other
Phase 3
13 of 16
1 open now
Registered
14th of 16
by date
Lead sponsor
1 of 16
Citrine Medicine Limited

Among the 16 studies testing pitolisant in Disorders of Excessive Somnolence, this one is the 5th largest by enrollment, is one of 2 that started in 2022, is one of 13 in phase 3, and was the 14th registered.

Disorders of Excessive Somnolence

196 studies on the registry are indexed under Disorders of Excessive Somnolence; 34 are open to participants now.

Browse Disorders of Excessive Somnolence studies →

Open to participants now

1 of the 16 studies testing pitolisant in Disorders of Excessive Somnolence is open now, in 12 countries. Recruiting first, the newest first:

By country, each count listing its studies:

About pitolisant

pitolisant: first FDA approval 2019 (WAKIX), first EMA approval 2016. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 30 Disorders of Excessive Somnolence studies recruiting now, 12 (40%) set no upper age limit and 17 (57%) stop at 75 or younger; 5 take children under 18; 7 take healthy volunteers.

This study: 18 Years to 70 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 16 studies testing pitolisant in Disorders of Excessive Somnolence, or all of them as a file.
02

Study summary

The objective of this study is to demonstrate the efficacy and safety of pitolisant versus placebo during 12 weeks of the Double Blind period, to treat the Excessive Daytime Sleepiness (EDS) in patients with Obstructive Sleep Apnea (OSA) not tolerating or refusing the nasal Continuous Positive Airway Pressure (nCPAP) therapy or treated by nCPAP but still complaining of EDS.

03

Conditions studied

  • Excessive Daytime Sleepiness
04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Inclusion criteria

    1. Voluntarily participate in the clinical study; fully understand and know the study and sign the form (ICF); willing to follow and able to complete all study procedures;
    2. Male or female aged 18 years to 70 years;
    3. Subjects affected by Obstructive Sleep Apnoea (OSA) with excessive daytime sleepiness;
    4. Female subjects of must have a negative serum pregnancy test 1 week before the first dose; female subjects or male subjects with a spouse of childbearing potential must agree to take measures from the signing of the informed consent form to 1 months after the last dose of study drug;
    5. Subjects must be willing not to operate a car (if sleepy at wheel) or heavy machinery for the duration of the study or as long as the investigator deems it clinically indicated. In addition, subjects need to be willing to maintain daily behaviors (e.g., circadian rhythm, caffeine intake, nocturnal sleep duration, etc.) during the study that may affect their daytime sleepiness.

Exclusion Criteria:

  1. Participated in any other drug clinical trial or receiving other clinical trial treatment within 30 days before the first dose;
  2. Subjects who have previously received pitolisant, either from other clinical studies of pitolisant or from the subject use program, or from treatment with commercially available pitolisant (Wakix ®);
  3. Use of prohibited drugs specified in the protocol within 14 days before enrollment;
  4. The mean oxygen saturation \< 85% or the lowest oxygen saturation \< 70% by PSG.
  5. Acute or chronic diseases affecting efficacy evaluation, such as severe (COPD);
  6. Previous history of drug, alcohol, narcotic or other drug abuse or dependence;
  7. Any serious cardiovascular system abnormalities (e.g., ischemic cardio-cerebral disease), such as recent myocardial infarction, angina, severe hypertension or arrhythmia in the recent 6 months, Fridericia- interval higher than 450 ms, history of left ventricular hypertrophy or mitral valve prolapse;
  8. Subjects with severe co-morbid medical or biological conditions that may jeopardize participation in the study (especially cardiovascular system problems and unstable diabetes) as judged by the investigator;
  9. Any positive serology test for , , and syphilis;
  10. Female subjects who are pregnant or breast-feeding;
  11. Known or suspected to study drug or to any ;
  12. Cognitive impairment due to any psychiatric or neurological condition, including epilepsy and dementia, which may limit the understanding, execution of the informed consent form, and compliance of the study;
  13. Presence of severe hepatic insufficiency ( C) or severe renal impairment (\<30 ml/min/1.73㎡), or other significant abnormalities in physical examination/clinical laboratory tests, and any condition that may interfere with the subject's completion of the study;
  14. Subjects who are judged by the investigator to be unsuitable for this study.
Terms in these criteria, in plain language(14)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

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.

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.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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
240 participants (actual)

Study arms

  • Experimental
    Pitolisant

    Histamine H3 receptor H3R antagonist/ inverse agonist

    Drug: Pitolisant

  • Placebo comparator
    Placebo

    Placebo

    Drug: Placebo oral tablet

Interventions

  • Wakix tablet

  • DrugPlacebo oral tablet

    Matching placebo tablets will be provided for each strength of active pitolisant film-coated tablets.

06

What researchers measure

Primary outcomes

  1. Change from baseline of ESS

    Time frame: 12 weeks

07

Study locations

1 site
  • Tsinghua Changgung Hospital
    Beijing, China
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2022 to primary completion in Jul 2023, 15 months.

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

Registered
Jan 24, 2022
First posted
Feb 3, 2022
StartActual
Apr 12, 2022
Primary completionActual
Jul 18, 2023
CompletionActual
Jul 18, 2023
Last update
Jul 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 Jul 20, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05223166
Lead sponsor
Citrine Medicine Limited
Responsible party
Sponsor
First posted
Feb 3, 2022
Start date
Apr 12, 2022
Primary completion
Jul 18, 2023
Completion
Jul 18, 2023
Last update
Jul 20, 2023

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2023. 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: Pitolisant

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