Sodium-oxybate as a potential new treatment for catatonia in patients with depression, bipolar disorder or a psychotic disorder, a randomized controlled trial. the Laborit study

2024-517805-10-01 Protocol NL7793801823 Therapeutic confirmatory (Phase III) Authorised, recruiting

Start 12 Nov 2024 · Status Authorised, recruiting · 1 EU/EEA countries · 6 sites · Protocol NL7793801823

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Authorised, recruiting
Participants planned 42
Countries 1
Sites 6

Catatonia

Our goal is to investigate whether sodium oxybate can be used as a new treatment for psychiatric patients with catatonia.

Key facts

Sponsor
Amsterdam UMC Stichting
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Psychiatry and Psychology [F] - Mental Disorders [F03]
Trial duration
12 Nov 2024 → ongoing
Decision date (initial)
2024-11-12
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-517805-10-01
EudraCT number
2021-004049-19
ISRCTN
ISRCTN11236443

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Therapy

Our goal is to investigate whether sodium oxybate can be used as a new treatment for
psychiatric patients with catatonia.

Conditions and MedDRA coding

Catatonia

VersionLevelCodeTermSystem organ class
21.0 PT 10081006 Bush-Francis catatonia rating scale 100000004848
20.0 PT 10007776 Catatonia 100000004873

Regulatory references

Plan to share IPD
No
IPD plan description
Data sharing is possible through the Laborit Consortium
EU CT numberTitleSponsor
2024-517805-10-00 Sodium-oxybate as a potential new treatment for catatonia in patients with depression, bipolar disorder or a psychotic disorder, a randomized controlled trial. the Laborit study Amsterdam UMC Stichting

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. 1. Adult patients (age 18 years and over) 2. Admission to an acute psychiatric ward for the treatment of catatonia, not responding to usual care (i.e., increasing doses of lorazepam to a maximum of 24 mg during 4 days). 3. DSM-5 classification of either unipolar depressive disorder, bipolar disorder or a psychotic disorder 4. Catatonia is present for a maximum of eight weeks.

Exclusion criteria 1

  1. Somatic disorder underlying catatonia.-Use of anti-psychotic drugs.-Known heart failure or renal impairment due to signifcant amounts of sodium in the sodium-oxybate.-Known sleep apnea.-Use of Gabaergic drugs including gabapentin or pregabalin or clonidine. Or us of valproate.-Presence of alcohol use disorder-Presence of malignant catatonia or development of catatonia during the study, i.e. those with malignant catatonia will be treated immediately with ECT

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The response rate after four days of treatment in both groups (lorazepam and sodium oxybate) as measured by difference in BFCRS scores. Response is defined as a 50% reduction in symptoms based on the BFCRS

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Sodium Oxybate

SUB14731MIG · Substance

Active substance
Sodium Oxybate
Pharmaceutical form
ORAL SOLUTION
Route of administration
ORAL USE
Max daily dose
27 g gram(s)
Max total dose
378 g gram(s)
Max treatment duration
2 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Amsterdam UMC Stichting

Sponsor organisation
Amsterdam UMC Stichting
Address
De Boelelaan 1117
City
Amsterdam
Postcode
1081 HV
Country
Netherlands

Scientific contact point

Organisation
Amsterdam UMC Stichting
Contact name
Eric van Exel

Public contact point

Organisation
Amsterdam UMC Stichting
Contact name
Eric van Exel

Locations

1 EU/EEA country · 6 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Authorised, recruiting 42 6
Rest of world 0

Investigational sites

Netherlands

6 sites · Authorised, recruiting
Amsterdam UMC Stichting
psychiatry, Meibergdreef 9, 1105 AZ, Amsterdam
Leids Universitair Medisch Centrum (LUMC)
psychiatry, P. O. Box 9600, 2300 RC, Leiden
GGZinGeest
psychiatry, Amstelveenseweg 589, 1081 JC, Amsterdam
GGZ Centraal
psychiatry, Laan van de Heelmeesters 2, Netherlands, Hilversum
Antes
psychiatry, Maasstadweg 96, Netherlands
Arkin
psychiatry, Klaprozenweg 111, 1033 NN, Amsterdam

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2024-11-12

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) C1 Laborit 12
Recruitment arrangements (for publication) K1 recruitment procedure empty placeholder document 1
Subject information and informed consent form (for publication) E1 PIF 5
Subject information and informed consent form (for publication) E1 PIF cohortstudie 5
Subject information and informed consent form (for publication) E1 PIF voor naasten 5
Summary of Product Characteristics (SmPC) (for publication) G1_IMPD_Q Sodium Oxybate SmPC xyrem-epar-product-information_en 1
Summary of Product Characteristics (SmPC) (for publication) SmPC xyrem-epar-product-information_en 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-21 Netherlands Acceptable
2024-11-12
2024-11-12