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Enrolling by invitationNCT05371483Updated Jun 9, 2026

Cardiovascular and Cognitive Implications of Central Disorders of Hypersomnolence and Their Treatments

An observational study in Narcolepsy and Idiopathic Hypersomnia, sponsored by Mayo Clinic. Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-06-09.

Sponsored by Mayo Clinic · Observational

Study type
Observational
Model
Case-crossover
Time perspective
Prospective
Enrollment
100
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is an observational study evaluating patients diagnosed with narcolepsy or idiopathic hypersomnia that have been prescribed a new/different hypersomnia treatment. The study is being done to better understand how hypersomnia treatment(s) impact blood pressure and cognitive function.

Read the detailed description

This is an observational study evaluating how hypersomnia medications influence blood pressure and cognitive function in patients diagnosed with narcolepsy or idiopathic hypersomnia. Blood pressure will be assessed using 24-hour ambulatory blood pressure monitoring equipment. Cognitive function will be evaluated using the Oculo-Cognitive Addition Test (OCAT). Both tests will performed at baseline (e.g., before starting a new hypersomnia medication) and after taking a stable dose of the new hypersomnia medication for at least three months. All medications will be prescribed by a clinical sleep specialist as part of routine medical care and covered by subject's health insurance plan (i.e., no medications are dispensed/titrated/paid for by the study investigators/trial).

The 24-hour ambulatory blood pressure test will be setup in person by staff. During the blood pressure test, the study participant will also complete a sleep diary and wear an actigraphy watch to track activity and sleep-wake cycle. The 24-hour ambulatory blood pressure test will be programmed to inflate a blood pressure cuff placed around the arm every 15 - 30 minutes.

The OCAT test, which takes approximately 15-20 minutes to complete, will be completed in person as well.

Each study participant may complete one or both tests. Each study participant may complete more than two assessments (e.g., patient that has been prescribed a second hypersomnia medication). If a patient presents already taking a medication of interest at baseline for at least the last 3 months then the participant may undergo baseline assessment(s) while taking respective medication(s).

02

Conditions studied

  • Narcolepsy
  • Idiopathic Hypersomnia

Keywords

  • Central Disorders of Hypersomnolence
  • Blood pressure
  • Cognitive function
  • narcolepsy
  • idiopathic hypersomnia
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 100 is below the median of 135 across 38 observational studies indexed under Narcolepsy.

Browse Narcolepsy studies →

Lead sponsor

Mayo Clinic is the lead sponsor of 3,269 studies on the registry; 672 are open to participants now.

Of its 452 completed or terminated interventional studies of FDA-regulated products, 321 (71%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients diagnosed with narcolepsy or idiopathic hypersomnia that have been prescribed but not yet started a new/different hypersomnia medication.

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

  • Diagnosed with narcolepsy or idiopathic hypersomnia according to International Classification of Sleep Disorders, third edition
  • Age 18 - 75 years
  • between 18 and 40 kg/m2
  • Prescribed a medication of interest (e.g., sodium oxybate, low sodium oxybate, pitolisant, modafinil/armodafinil, solriamfetol, traditional stimulant(s)) by a clinical sleep specialist as part of routine medical care.
  • Subject must be willing to postpone starting medication until after completion of baseline assessment(s).
  • If subject has been taking a prescribed hypersomnia medication(s) at a stable dose for at least 3 months and has been prescribed a new medication, then subject may complete baseline assessment(s) while taking initial hypersomnia medication(s) before starting new medication.

Exclusion criteria

Exclusion Criteria:

  • Any change to medication(s) within the last 45 days
  • History of chronic alcohol or drug abuse within the prior 12 months
  • Heart failure, history of severe hypertension, or other cardiovascular disease compromising the patient's wellbeing or ability to participate in this study
  • Use of any sleep apnea treatment (e.g., Positive Airway Pressure (PAP) therapy, oral appliance therapy, etc.) within 45 days of baseline assessment visit
  • Participation in another study of an drug within the 28 days prior to screening visit or currently
  • Pregnancy and/or breast-feeding
  • Subjects who, in the opinion of the Investigator, may not be suitable for the study.
Terms in these criteria, in plain language(2)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Observational model
Case-crossover
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No

Groups and cohorts

  • Narcolepsy Type 1

    Study participant will complete test(s) before and after taking a stable dose of a new/different hypersomnia medication. All hypersomnia medications will be prescribed and titrated by a clinical sleep specialist outside of this protocol.

    Diagnostic Test: 24-hour Ambulatory Blood Pressure Monitoring · Diagnostic Test: Oculo-Cognitive Addition Test (OCAT)

  • Narcolepsy Type 2

    Study participant will complete test(s) before and after taking a stable dose of a new/different hypersomnia medication. All hypersomnia medications will be prescribed and titrated by a clinical sleep specialist outside of this protocol.

    Diagnostic Test: 24-hour Ambulatory Blood Pressure Monitoring · Diagnostic Test: Oculo-Cognitive Addition Test (OCAT)

  • Idiopathic Hypersomnia

    Study participant will complete test(s) before and after taking a stable dose of a new/different hypersomnia medication. All hypersomnia medications will be prescribed and titrated by a clinical sleep specialist outside of this protocol.

    Diagnostic Test: 24-hour Ambulatory Blood Pressure Monitoring · Diagnostic Test: Oculo-Cognitive Addition Test (OCAT)

Interventions

  • Diagnostic test24-hour Ambulatory Blood Pressure Monitoring

    Arm blood pressure cuff that will automatically inflate every 15-30 minutes to check blood pressure while awake and asleep over 24 hours. Patient will also complete a sleep diary and wear an actigraphy watch during this test.

    Also known as: Actigraphy, Sleep diary

  • Diagnostic testOculo-Cognitive Addition Test (OCAT)

    Tracks users' eye movements as they complete a simple mental addition test.

06

What researchers measure

Primary outcomes

  1. Change in mean 24-hour ambulatory blood pressure

    Change in 24-hour ambulatory blood pressure from baseline (pre-treatment) to after taking a stable dose of medication for at least 3 months

    Time frame: Baseline, at least 3 months

Secondary outcomes

  1. Change in Oculo-Cognitive Addition Test (OCAT) completion time

    Change in OCAT completion time from baseline (pre-treatment) to after taking a stable dose of medication for at least 3 months (post-treatment)

    Time frame: Baseline, at least 3 months

  2. Change in mean daytime and nighttime 24-hour ambulatory blood pressure

    Change in mean daytime and nighttime 24-hour ambulatory blood pressure from baseline (pre-treatment) to after taking a stable dose of medication for at least 3 months (post-treatment)

    Time frame: Baseline, at least 3 months

  3. Change in 24-hour ambulatory blood pressure diurnal pattern (dipper versus non-dipper)

    Change in 24-hour ambulatory blood pressure diurnal pattern (dipper versus non-dipper) from baseline (pre-treatment) to after taking a stable dose of medication for at least 3 months (post-treatment)

    Time frame: Baseline, at least 3 months

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05371483
Lead sponsor
Mayo Clinic
Responsible party
Chad M. Ruoff (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
May 12, 2022
Start date
May 18, 2022
Primary completion
May 2028 (estimated)
Completion
Jul 2028 (estimated)
Last update
Jun 9, 2026

Study contacts

Chad Ruoff, MD
principal investigator · Mayo Clinic

Oversight

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

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