Solriamfetol for the Treatment of Multiple Sclerosis Fatigue
NCT06170970 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 46
Last updated 2025-06-11
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 limited effectiveness. Previous research indicates that these agents may be beneficial specifically for MS patients with concomitant excessive daytime sleepiness. This study uses a randomized, double-blind, placebo-controlled crossover design. Participants will undergo a 10-day lead-in with he medication/placebo, followed by two four-week treatment periods separated by a one-week washout. Outcomes will be measured primarily using the Modified Fatigue Impact Scale (MFIS), with additional exploratory measures collected via a smartphone app that assesses fatigue through keystroke dynamics. This novel approach to fatigue measurement aims to capture real-time variations and provide more granular data than traditional self-report questionnaires.
Conditions
- Multiple Sclerosis
- Multiple Sclerosis Fatigue
Interventions
- DRUG
-
Solriamfetol
solriamfetol 75 mg daily for 3 days and will increase the dose to 150 mg daily starting on day 4 of the treatment period (total of four weeks)
- DRUG
-
Four weeks of oral placebo
Sponsors & Collaborators
-
National Multiple Sclerosis Society
collaborator OTHER -
Axsome Therapeutics, Inc.
collaborator INDUSTRY - lead OTHER
Principal Investigators
-
Bardia Nourbakhsh, MD · Johns Hopkins School of Medicine
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-06-01
- Primary Completion
- 2026-12-01
- Completion
- 2027-03-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
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