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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06366464
Registration number
NCT06366464
Ethics application status
Date submitted
9/10/2023
Date registered
16/04/2024
Date last updated
11/07/2025
Titles & IDs
Public title
A Study of Pitolisant in Patients With Prader-Willi Syndrome
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Scientific title
A Phase 3, Randomized, Double-Blind, Placebo-controlled, Efficacy and Safety Study of Pitolisant Followed by an Open-Label Extension in Patients With Prader-Willi Syndrome
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Secondary ID [1]
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HBS-101-CL-312
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prader-Willi Syndrome
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Mental Health
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Learning disabilities
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Pitolisant tablet
Other interventions - Placebo tablet
Experimental: Double-Blind Treatment Period Pitolisant - Pitolisant tablets administered once daily in the morning upon wakening
Placebo comparator: Double-Blind Treatment Period Placebo - Matching placebo administered tablets once daily in the morning upon wakening
Other: Open-Label Extension Period Pitolisant - Pitolisant tablets administered once daily in the morning upon wakening
Treatment: Drugs: Pitolisant tablet
Pitolisant tablet
Other interventions: Placebo tablet
Placebo tablet
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change in severity of EDS as measured by Patient-Reported Outcomes Measurement Information System Bank v1.0 - Sleep-Related Impairment (PROMIS-SRI) T-score
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Assessment method [1]
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The PROMIS-SRI item bank consists of 13 items with a 5-point rating scale.
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Timepoint [1]
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Baseline and end of the Double Blind Treatment Period (Day 77)
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Secondary outcome [1]
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Change in severity of irritable and disruptive behaviors as measured by the Aberrant Behavior Checklist-Community, Second Edition (ABC-C) Irritability domain
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Assessment method [1]
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The ABC-C is a 58-item questionnaire, divided into 5 subscales (Irritability, Social Withdrawal, Stereotypic Behavior, Hyperactive/Noncompliance, and Inappropriate Speech).
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Timepoint [1]
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Baseline and end of the Double Blind Treatment Period (Day 77)
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Secondary outcome [2]
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Change in overall severity of EDS as measured by the Caregiver Global Impression of Severity for Excessive Daytime Sleepiness (CaGI-S for EDS)
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Assessment method [2]
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The CaGI-S for EDS is a 1-item, 5-point rating scale.
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Timepoint [2]
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Baseline and end of the Double Blind Treatment Period (Day 77)
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Secondary outcome [3]
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Change in overall severity of EDS as measured by the Clinical Global Impression of Severity for Excessive Daytime Sleepiness (CGI-S for EDS)
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Assessment method [3]
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The CGI-S for EDS is a 1-item, 5-point rating scale.
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Timepoint [3]
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Baseline and end of the Double Blind Treatment Period (Day 77)
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Secondary outcome [4]
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Change in overall severity of irritable and disruptive behaviors as measured by the Caregiver Global Impression of Severity (CaGI-S) for Irritable and/or Disruptive Behaviors
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Assessment method [4]
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The CaGI-S for Irritable and/or Disruptive Behaviors is a 1-item, 5-point rating scale.
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Timepoint [4]
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Baseline and end of the Double Blind Treatment Period (Day 77)
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Secondary outcome [5]
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Change in severity of hyperphagia as measured by the Hyperphagia Questionnaire for Clinical Trials (HQ-CT), in conjunction with the Food Safe Zone Questionnaire (FSZQ)
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Assessment method [5]
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The HQ-CT is a 9-item measure of food-related preoccupations and problems. The FSZQ is a 20-item measure of environmental controls to manage hyperphagia.
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Timepoint [5]
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Baseline and end of the Double Blind Treatment Period (Day 77)
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Secondary outcome [6]
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Change in severity of EDS as measured by the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD [parent/caregiver version]) total score
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Assessment method [6]
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The ESS-CHAD (parent/caregiver version) is an 8-item, 4-point rating scale.
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Timepoint [6]
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Baseline and end of the Double Blind Treatment Period (Day 77)
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Secondary outcome [7]
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Change in severity of other behavioral problems as measured by the Aberrant Behavior Checklist-Community, Second Edition (ABC-C) Hyperactivity/Noncompliance, Inappropriate Speech, Social Withdrawal, and Stereotypic Behavior Domains
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Assessment method [7]
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The ABC-C is a 58-item questionnaire, divided into 5 subscales (Irritability, Social Withdrawal, Stereotypic Behavior, Hyperactive/Noncompliance, and Inappropriate Speech).
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Timepoint [7]
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Baseline and end of the Double Blind Treatment Period (Day 77)
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Secondary outcome [8]
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Percentage of patients reporting TEAEs
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Assessment method [8]
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A treatment-emergent adverse events is any adverse event reported after the first dose of study drug and up to 30 days after final dose of study drug, or any worsening of a pre-existing condition reported after first dose of study drug and up to 30 days after final dose of study drug.
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Timepoint [8]
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Baseline up to Day 441
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Eligibility
Key inclusion criteria
* Genetically confirmed diagnosis of PWS
* Excessive daytime sleepiness
* Has a consistent parent/caregiver (preferably the same person throughout the study) who is willing and able to complete the required study assessments.
* In the opinion of the Investigator, the patient/parent(s)/caregiver(s)/legal guardian(s) are capable of understanding and complying with the requirements of the protocol and administration of oral study drug.
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Minimum age
6
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Has a diagnosis of sleep apnea (OSA, CSA) that is not adequately controlled
* Has a diagnosis of hypersomnia due to another sleep/medical disorder
* Participation in an interventional research study involving another investigational medication, device, or behavioral treatment within 30 days or 5 half-lives (whichever is longer) of the investigational medication prior to Screening
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/05/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/07/2027
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Actual
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Sample size
Target
134
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Queensland Children's Hospital - Brisbane
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Recruitment hospital [2]
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Royal Prince Alfred Hospital - Camperdown
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Recruitment hospital [3]
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Sydney Children's Hospital - Randwick
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Recruitment hospital [4]
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Children's Hospital at Westmead - Westmead
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Recruitment postcode(s) [1]
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- Brisbane
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Recruitment postcode(s) [2]
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- Camperdown
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Recruitment postcode(s) [3]
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- Randwick
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Recruitment postcode(s) [4]
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- Westmead
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Recruitment outside Australia
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United States of America
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California
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Colorado
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Delaware
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Georgia
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Illinois
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Indiana
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Maryland
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North Carolina
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Ohio
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Ontario
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Prague
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Aarhus
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Copenhagen
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Angers
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France
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Toulouse
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Germany
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Essen
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Italy
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Genova
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Milano
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Modena
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Italy
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Padova
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Italy
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Roma
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Italy
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Trieste
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Szczecin
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Wroclaw
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Timisoara
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Barcelona
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Spain
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Madrid
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Solna
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England
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United Kingdom
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Scotland
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Harmony Biosciences Management, Inc.
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a Phase 3, randomized, double-blind, placebo-controlled, multicenter, global clinical study to assess the efficacy and safety of pitolisant in patients living with Prader-Willi syndrome. The primary objective of this study is to evaluate the efficacy of pitolisant in treating excessive daytime sleepiness (EDS) in patients =6 years of age with Prader-Willi syndrome. Secondary objectives include assessing the impact of pitolisant on: Irritable and disruptive behaviors Hyperphagia Other behavioral problems including social withdrawal, stereotypic behavior, hyperactivity/noncompliance, and inappropriate speech
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Trial website
https://clinicaltrials.gov/study/NCT06366464
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Address
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Email
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Contact person for public queries
Name
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Ann Adee
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Address
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Phone
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773-383-6258
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06366464
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