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CompletedNCT05375890Updated Mar 13, 2024

Clinical and Neurophysiological Characteristics of Narcolepsy

An observational study in Narcolepsy Type 1, sponsored by I.M. Sechenov First Moscow State Medical University. Completed at 11 sites in Russian Federation. Open to participants aged 7 Years to 78 Years. Per ClinicalTrials.gov, last updated 2024-03-13.

Sponsored by I.M. Sechenov First Moscow State Medical University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
89
Ages
7 Years to 78 Years
Sex
All
01

Study summary

The study is the first attempt in post-Soviet Russian history to collect and analyze the existing available data of narcolepsy cohort in order to get prove characteristics of narcolepsy in Russia according to known data. Investigators created the system of national narcolepsy centers in Russia - Russian narcolepsy network, with a purpose of collecting clinical and neurophysiological data with subsequent analyze and formation of Russian narcolepsy profile.

Read the detailed description

First reports of narcolepsy with cataplexy in Russia were made by Mankovsky in 1925 (narcolepsy with cataplexy, NC). The largest series of patients (n=110) was reported by A. Vein in 1964. Narcolepsy remains however until today relatively unknown in Russia. The aim of this study is to report clinical and polysomnographic (PSG)/multiple sleep latency test (MSLT) results in a Russian population and compare them with the European narcolepsy network (n=1099) reported (Luca G, Haba-Rubio J, Dauvilliers Y, Lammers GJ, Overeem S, Donjacour CE, Mayer G, Javidi S, Iranzo A, Santamaria J, Peraita-Adrados R, Hor H, Kutalik Z, Plazzi G, Poli F, Pizza F, Arnulf I, Lecendreux M, Bassetti C, Mathis J, Heinzer R, Jennum P, Knudsen S, Geisler P, Wierzbicka A, Feketeova E, Pfister C, Khatami R, Baumann C, Tafti M; European Narcolepsy Network. Clinical, polysomnographic and genome-wide association analyses of narcolepsy with cataplexy: a European Narcolepsy Network study. J Sleep Res. 2013 Oct;22(5):482-95. doi: 10.1111/jsr.12044. Epub 2013 Mar 18. PMID: 23496005., 2013).

For the purpose of this study only patients with narcolepsy with cataplexy were considered because of the uncertainty about the diagnosis of narcolepsy without cataplexy.

In order to create a network of sleep centers with expertise/interest in narcolepsy 79 centers from 27 Russian cities were connected in 2019. A total of 11 centers officially joined the Russian Narcolepsy Network (rnane.ru) and agreed to participate in the current study. A standardized questionnaire, similar to the one reported by the EU-NN in a series of 1099 patients (Luca G, Haba-Rubio J, Dauvilliers Y, Lammers GJ, Overeem S, Donjacour CE, Mayer G, Javidi S, Iranzo A, Santamaria J, Peraita-Adrados R, Hor H, Kutalik Z, Plazzi G, Poli F, Pizza F, Arnulf I, Lecendreux M, Bassetti C, Mathis J, Heinzer R, Jennum P, Knudsen S, Geisler P, Wierzbicka A, Feketeova E, Pfister C, Khatami R, Baumann C, Tafti M; European Narcolepsy Network. Clinical, polysomnographic and genome-wide association analyses of narcolepsy with cataplexy: a European Narcolepsy Network study. J Sleep Res. 2013 Oct;22(5):482-95. doi: 10.1111/jsr.12044. Epub 2013 Mar 18. PMID: 23496005., 2013) was sent by mail to the 11 centers. The questionnaire included the following parameters:

  1. Demographic characteristics: date of birth, gender, height, weight, BMI(body mass index) at diagnosis.
  2. Age at EDS (excessive daytime sleepines) onset and age at cataplexy onset. Investigators defined the age at onset of NC(narcolepsy with cataplexy) as the age at occurrence of EDS and/or cataplexy, determined during the clinical interview.
  3. Frequency of cataplexy attacks at diagnosis. The frequency of cataplexy was assessed by a scale from 1 to 5, reporting rare to very frequent cataplexy attacks: 1 = one or less cataplexy attacks per year; 2 = more than one cataplexy attack per year but less than one per month; 3 = more than one attack per month but less than one per week; 4 = more than one per week but less than one per day; 5 = at least one cataplexy attack per day.
  4. ESS (Epworth Sleepiness Scale) score at diagnosis.
  5. Polysomnographic variables [sleep onset latency at diagnosis, apnea-hypopnea index (AHI) and periodic leg movements during sleep index (PLMSI) when available] and MSLT results (mean sleep latency, number of SOREMPs) at diagnosis. Even if the recording procedures were different among centers, most of the patients underwent nocturnal in-lab PSG followed by an MSLT as part of the diagnostic evaluation. For PSG and MSLT, sleep latency was defined as the time from lights off to the first epoch scored as sleep. A SOREMP was defined as the occurrence of an epoch of REM(rapid eye movement) sleep within 15 min after the first epoch scored as sleep. Although MSLT was performed according to standard methods (Carskadon MA, Dement WC, Mitler MM, Roth T, Westbrook PR, Keenan S. Guidelines for the multiple sleep latency test (MSLT): a standard measure of sleepiness. Sleep. 1986 Dec;9(4):519-24. doi: 10.1093/sleep/9.4.519. PMID: 3809866.), the number of scheduled naps could be variable. To standardize the results, investigators calculated the percentage of SOREMPs of the total number of naps: percentage of naps with SOREMPs.
  1. Associated features, with particular attention to symptoms frequently reported with narcolepsy: sleep paralysis (SP); hypnagogic/hypnopompic hallucinations (HH); and poor nocturnal sleep.
  1. Co-morbidities (sleep-related, somatic or psychiatric) and treatment when available.
02

Conditions studied

  • Narcolepsy Type 1

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Keywords

  • narcolepsy
  • cataplexy
  • excessive sleepiness
  • PSG
  • MSLT
  • Russia
03

In context

Narcolepsy

149 studies on the registry are indexed under Narcolepsy; 33 are open to participants now.

This study's enrollment of 89 is below the median of 120 across 34 observational studies indexed under Narcolepsy.

Browse Narcolepsy studies →

Lead sponsor

I.M. Sechenov First Moscow State Medical University is the lead sponsor of 133 studies on the registry; 27 are open to participants now.

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

04

Who can participate

Ages eligible
7 Years to 78 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Men and women aged 6-80 who have been diagnosed with narcolepsy type I, met inclusion criteria and who(or whose representatives in case of being under 18 years) agreed to participate in studying.

Inclusion criteria

  1. Signed written informed consent of the patient and/or parent/adoptive parent (in the case of a minor) to participate in the study;
  2. Age: 6-80 years;
  3. Gender: Men and women;
  4. Established diagnosis: Narcolepsy of type I and II (according to the criteria of the International classification of sleep disorders of 2014).

Exclusion criteria

Exclusion Criteria:

  1. Refusal of the patient or his parent / adoptive parent (in the case of a minor) from further participation in the study;
  2. The occurrence of a serious illness or a significant deterioration of a disease unrelated to narcolepsy;
  3. Pregnancy started after inclusion.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
89 participants (actual)
Target follow-up
1 Month
Patient registry
Yes

Interventions

  • Otherno intervention

    Narcolepsy patients in Russia gathered according to criteria.

06

What researchers measure

Primary outcomes

  1. date of birth

    year of birth

    Time frame: during 1-3 years after beginning and when patient and data are available

  2. gender

    male or female

    Time frame: during 1-3 years after beginning and when patient and data are available

  3. height

    meters

    Time frame: during 1-3 years after beginning and when patient and data are available

  4. weight

    kilograms

    Time frame: during 1-3 years after beginning and when patient and data are available

  5. BMI at diagnosis

    Weight and height will be combined to report BMI in kg/m\^2 at the time of diagnosis

    Time frame: during 1-3 years after beginning and when patient and data are available

  6. age at EDS (excessive daytime sleepioness) onset

    Age when EDS first time was reported by patient

    Time frame: during 1-3 years after beginning and when patient and data are available

  7. age at cataplexy onset

    Age when cataplexy first time was reported by patient

    Time frame: during 1-3 years after beginning and when patient and data are available

  8. frequency of cataplexy attacks at diagnosis

    Reported at diagnosis. The frequency of cataplexy was assessed by a scale from 1 to 5, reporting rare to very frequent cataplexy attacks: 1 = one or less cataplexy attacks per year; 2 = more than one cataplexy attack per year but less than one per month; 3 = more than one attack per month but less than one per week; 4 = more than one per week but less than one per day; 5 = at least one cataplexy attack per day.

    Time frame: during 1-3 years after beginning and when patient and data are available

  9. ESS score at diagnosis

    Unit of Measure at diagnosis

    Time frame: during 1-3 years after beginning and when patient and data are available

  10. Apnea-hypopnea index (AHI)

    PSG at diagnosis, Unit of Measure at diagnosis

    Time frame: during 1-3 years after beginning and when patient and data are available

  11. Periodic leg movements during sleep index (PLMSI)

    Number of episodes and hours of sleep combined to report PLMSI in episodes per hour.

    Time frame: during 1-3 years after beginning and when patient and data are available

  12. Sleep onset latency at diagnosis

    Time from lights off to the first epoch scored as sleep in PSG. Measured in minutes.

    Time frame: during 1-3 years after beginning and when patient and data are available

  13. Sleep latency

    Time from lights off to the first epoch scored as sleep in MSLT. Measured in minutes.

    Time frame: during 1-3 years after beginning and when patient and data are available

  14. Number of SOREM

    It was defined as the occurrence of an epoch of REM sleep within 15 min after the first epoch scored as sleep. Then investigators calculated the percentage of SOREMPs of the total number of naps: percentage of naps with SOREMPs.

    Time frame: during 1-3 years after beginning and when patient and data are available

  15. Frequently of sleep paralysis, hypnagogic/hypnopompic hallucinations and poor nocturnal sleep, co-morbidities (sleep-related, somatic or psychiatric) and treatment when available.

    Percentage of occurence in group.

    Time frame: during 1-3 years after beginning and when patient and data are available

Secondary outcomes

  1. summarization of collected database with European one

    analyzing and comparison collected data with European one leading to final summarization of studying

    Time frame: 1 year after receiving data from sleep centers from Russia and publishing results

07

Study locations

11 sites
  • Regional Clinical Hospital No.3
    Chelyabinsk, Russian Federation
  • Kazan State Medical University
    Kazan, Russian Federation
  • Private healthcare institution 'Clinical hospital 'RZD-Medicine'
    Khabarovsk, Russian Federation
  • Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency
    Moscow, Russian Federation
  • FSBI NMRCO FMBA Russia
    Moscow, Russian Federation
  • I.M. Sechenov First Moscow State Medical University (Sechenov University)
    Moscow, Russian Federation
  • Novosibirsk State Medical University
    Novosibirsk, Russian Federation
  • Almazov National Medical Research Centre
    Saint Petersburg, Russian Federation
  • Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia
    Saint Petersburg, Russian Federation
  • V. M. Bekhterev National Research Medical Center for Psychiatry and Neurology
    Saint Petersburg, Russian Federation
  • Samara State Medical University
    Samara, Russian Federation
08

References and documents

Publications

  • Kuts A, Poluektov M, Bassetti CLA. The evolution of the narcolepsy concept in Russia: A historical view. J Hist Neurosci. 2021 Apr-Jun;30(2):113-127. doi: 10.1080/0964704X.2020.1777502. Epub 2020 Jun 30. PubMed 32603636 ↗
  • Kuts A, Poluektov M, Zakharov A, Govzman V, Ponomareva I, Yakupov E, Zavalko I, Tikhomirova O, Sviryaev Y, Yakovlev A, Polyakov A, Melnikov A, Bassetti CLA. Clinical and neurophysiological characteristics of 89 patients with narcolepsy and cataplexy from the Russian Narcolepsy Network. J Clin Sleep Med. 2023 Feb 1;19(2):355-359. doi: 10.5664/jcsm.10340. PubMed 36305577 ↗

Individual participant data

Plan to share: Yes — IPD Sharing can be done after written official request in Sechenov University and approval of Central Contact investigator because our local Ethics committee does not allow free study sharing.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05375890
Lead sponsor
I.M. Sechenov First Moscow State Medical University
Responsible party
Sponsor
First posted
May 17, 2022
Start date
Nov 1, 2019
Primary completion
Feb 1, 2022
Completion
Sep 28, 2023
Last update
Mar 13, 2024

Study contacts

Alexander Kuts
principal investigator · I.M. Sechenov First Moscow State Medical University (Sechenov University)

Oversight

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

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This study is completed, as verified in May 2022. You cannot join it, but the record below documents what was studied.

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