Narcolepsy patients may see blood pressure benefits by switching to Low-Sodium oxybate
NCT ID NCT05869773
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study involved 155 adults with narcolepsy who were already taking a high-sodium oxybate medication. They switched to Xywav, a low-sodium version, to see if their blood pressure would improve. The goal was to provide doctors and patients with useful information about the impact of sodium content in narcolepsy treatments.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Xywav (low-sodium oxybate)
- What this could lead to
- If successful, this study could show that switching to a low-sodium oxybate lowers blood pressure, offering a safer option for managing narcolepsy.
- What could go wrong
- This is a small, completed Phase 4 study with no placebo group, so results may not apply to everyone. Blood pressure changes may vary and not be clinically significant.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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155 people
The number who actually took part.
- Started
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Jun 2023
- Finished
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Mar 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Participants must be 18 to 70 years of age inclusive, at the time of signing the informed consent. * Participants have a documented diagnosis of Type 1 or Type 2 narcolepsy that meets International Classification of Sleep Disorders (ICSD)-3 or Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 criteria. * Participants must have been receiving a total dose of high-sodium oxybate (eg, XYREM) of 6 to 9 g/night (inclusive) with twice-nightly dosing for a minimum of 6 consecutive weeks prior to screening. * If currently treated with stimulants and/or alerting agents or other medications known to affect BP, participant must have been taking the same dosing regimen for at least 2 months prior to screening and agree to take the same dose throughout the study. * If currently taking stable doses of antihypertensive therapies, participant must maintain these treatments at the same dose throughout the study unless otherwise advised by their medical care * Participant is male or female. A female participant is eligible to participate if she is not pregnant or breastfeeding, if she is a woman of nonchildbearing potential or is a woman of childbearing potential and using a contraceptive method that is highly effective. Key Exclusion Criteria: * History or presence of any acutely unstable medical condition, behavioral or psychiatric disorder (including active suicidal ideation), or surgical history that could affect the safety of the participant or interfere with study assessments or the ability of the participant to complete the study based on the judgment of the investigator. * Presence of significant cardiovascular disease or cardiovascular condition that in the investigator's opinion may jeopardize participant safety in the study, including screening ECG results. * Presence of atrial fibrillation detected on screening electrocardiogram (ECG). * Presence of resistant hypertension.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Abington Neurological Associates, LTD
Abington, Pennsylvania, 19001, United States
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Advanced Respiratory and Sleep Medicine, PLLC
Huntersville, North Carolina, 28078, United States
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Antwerp University Hospital (UZA)
Edegem, 2650, Belgium
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Azienda Ospedaliera Universitaria Policlinico Tor Vergata
Roma, 00133, Italy
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Bogan Sleep Consultants, LLC
Columbia, South Carolina, 29201, United States
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Bryan Medical Center
Lincoln, Nebraska, 68506, United States
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CHU Nantes - Hôtel Dieu
Nantes, Loire Atlantique, 44093, France
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CHU de Grenoble - Hôpital Albert Michallon
Grenoble, Isere, 38043, France
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Clinical Research of Rock Hill
Rock Hill, South Carolina, 29732, United States
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FWD Clinical Research
Boca Raton, Florida, 33486, United States
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Florida Pediatric Research Institute, LLC
Orlando, Florida, 32804, United States
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FutureSearch Trials of Neurology
Austin, Texas, 78731, United States
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Henderson Clinical Trials LLC
Henderson, Nevada, 89052, United States
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Hopital Gui de Chauliac
Montpellier, Herault, 34295, France
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Hospital General de Castellon
Castellon, 12004, Spain
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Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Universitario Araba - Sede Santiago
Vitoria-Gasteiz, Alava, 01004, Spain
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Hospital Universitario Clinico San Carlos
Madrid, 28040, Spain
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IRCCS Istituto de Scienze Neurologiche di Bologna (ISNB)
Bologna, 40139, Italy
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Intrepid Research, LLC
Cincinnati, Ohio, 45245, United States
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Long Beach Research Institute
Lakewood, California, 90805, United States
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M3 Wake Research
Encino, California, 91436, United States
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Meris Clinical Research, LLC
Brandon, Florida, 33511, United States
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Neurocare, Inc
Newton, Massachusetts, 02459, United States
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OHSU Hospital
Portland, Oregon, 97239, United States
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Ocean Wellness Center
Miami, Florida, 33169, United States
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Ohio Sleep Medicine and Neuroscience
Dublin, Ohio, 43017, United States
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Ospedale San Raffaele (San Raffaele Turro)
Milan, 20127, Italy
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Private Practice RESPISOM Namur
Namur, 5101, Belgium
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SDS Clinical Trials, Inc.
Santa Ana, California, 92705, United States
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Saltzer Medical Group
Nampa, Idaho, 83686, United States
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Science 37
Culver City, California, 90230, United States
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Serenity Research Center LLC
Miami, Florida, 33176, United States
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Sleep Practitioners, LLC
Macon, Georgia, 31210, United States
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Sleep Therapy & Research Center
San Antonio, Texas, 78229, United States
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So Cal Clinical Research
Huntington Beach, California, 92647, United States
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Sparrow Health System
Lansing, Michigan, 48911, United States
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Stanford School of Medicine
Redwood City, California, 94063, United States
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TriValley Sleep Center
San Ramon, California, 94583, United States
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University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106, United States
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University of Louisville
Louisville, Kentucky, 40202, United States
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University of Maryland Medical Center
Baltimore, Maryland, 21201, United States
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Velocity Clinical Research, Greenville
Greenville, South Carolina, 29615, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- New test could sharpen diagnosis of narcolepsy and related sleep disorders
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- Dream control: a new behavioral approach to tame narcolepsy nightmares
- Pregnancy safety of narcolepsy drug pitolisant under scrutiny