Status:

RECRUITING

Solriamfetol for the Treatment of Multiple Sclerosis Fatigue

Lead Sponsor:

Johns Hopkins University

Collaborating Sponsors:

National Multiple Sclerosis Society

Axsome Therapeutics, Inc.

Conditions:

Multiple Sclerosis

Multiple Sclerosis Fatigue

Eligibility:

All Genders

18-60 years

Phase:

PHASE2

Brief Summary

Fatigue is a prevalent and disabling symptom in Multiple Sclerosis (MS), affecting up to 90% of patients. Current treatments, including off-label prescriptions of wake-promoting agents, have shown lim...

Eligibility Criteria

Inclusion

  • Male or female, 18 to 60 years of age, inclusive.
  • Medically stable on the basis of physical examination, medical history, and vital signs
  • Must meet McDonald 2017 diagnostic criteria for multiple sclerosis based on the PI review of the medical records
  • Must complain from fatigue as one of their main symptoms and have a screening MFIS score of 33 or more
  • A screening ESS score of 10 or more
  • Must be ambulatory (able to walk at least 20 feet using bilateral assistance)
  • Must have internet and email access and the ability to use a computer or tablet, or smartphone
  • Own an android smartphone or an iphone
  • Consent to use a medically acceptable method of contraception for the duration of the study
  • Willing and able to comply with the study design schedule and other requirements
  • Willing and able to provide written informed consent

Exclusion

  • History of coronary artery disease or congestive heart failure
  • Uncontrolled hypertension at Screening (history of high blood pressure and screening systolic blood pressure \>160 or diastolic blood pressure\>100)
  • A known history of uncontrolled diabetes (the last known hemoglobin A1c level above 7.0%), high BMI (\>35), or hyperlipidemia (last known total cholesterol \>240 mg/dl, or LDL cholesterol level \>160 mg/dl)
  • Receiving drugs/treatments that increase blood pressure or heart rate (based on the PI review of the medications/treatments)
  • A history of cerebrovascular disease or stroke
  • A medical or neurological disorder other than MS, that was associated with excessive sleepiness.
  • A history of phenylketonuria or hypersensitivity to the phenylalanine-derived product
  • A history of alcohol or drug abuse within the past two years
  • A history of psychosis, or bipolar disorder
  • A history of cardiac arrythmias
  • The use of any product with stimulating or sedating properties, unless they have been on a steady dose for at least a month prior to the screening visit and agree to stay on the same dose over the course of the study
  • Use within 14 days of a monoamine oxidase (MAO) inhibitor drug
  • Pregnant or lactating
  • Use of medications used for the treatment of fatigue (including amantadine, modafinil, armodafinil, and amphetamine-like stimulants) in the past two weeks of the screening visit
  • A known history of moderate or severe kidney dysfunction (estimated Glomerular filtration rate of less than 60 mL/min)

Key Trial Info

Start Date :

June 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2027

Estimated Enrollment :

46 Patients enrolled

Trial Details

Trial ID

NCT06170970

Start Date

June 1 2024

End Date

March 1 2027

Last Update

June 11 2025

Active Locations (1)

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1

Johns Hopkins University

Baltimore, Maryland, United States, 21287