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Expert Interview

Slingshot members are talking to an expert! The topic is:

A Second Look: Discussing Recent Clinical Data on Jazz Pharmaceuticals' Xywav and Avadel's LUMRYZ (sodium oxybate) for the Treatment of Narcolepsy

Ticker(s): AVDL, JAZZ

Who's the expert?

Institution: Stanford

  • Clinical Associate Professor, Neurology & Neurological Sciences  & Clinical Associate Professor, Psychiatry and Behavioral Sciences - Sleep Medicine at Stanford.
  • Manages 40 patients with narcolepsy and has prescribed SUNOSI.
  • Research interests involve biomarkers of disease progression in REM sleep behavior disorder, and mechanisms and treatment of Postural Tachycardia Syndrome and Post-Acute COVID Syndrome; special interest in Autonomic Disorders, Sleep Disorders, and the interaction between these conditions.

Interview Questions
Q1.

What did you think about the primary findings of the TENOR study regarding the reasons patients utilized a Xywav individualized dosing regimen?

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Q2.

How does the sodium content in Xywav compare to that in Xyrem in terms of the American Heart Association's daily ideal sodium intake for most adults?

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Q3.

Can you please comment on the baseline mean systolic blood pressure measurements for patients with narcolepsy and idiopathic hypersomnia in the exploratory, post-hoc analysis from two Phase 3 trials of Xywav?

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Q4.

How does the sodium burden reduction from low-sodium therapies like Xywav impact the health risks in patients with sleep disorders?

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Q5.

Can you comment on the percentage of patients in the TENOR study reported benefiting from individualized dosing, and the most common reasons cited for taking a higher first dose?

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Q6.

How does LUMRYZ differ from other sodium oxybate treatments in terms of dosing frequency?

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Q7.

What percentage of patients with narcolepsy experience poor, fragmented sleep, as mentioned in the data?

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Q8.

What's your impression on the key findings from the post-hoc analyses of the REST-ON trial regarding the improvement in EDS as measured by the Epworth Sleepiness Scale?

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Q9.

How does the once-at-bedtime formulation of LUMRYZ impact the need for middle-of-the-night oxybate doses?

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Q10.

What insights did the RESTORE study provide regarding the long-term tolerability and symptom improvement with LUMRYZ in real-world use?

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Q11.

How does the sodium content in LUMRYZ compare to other treatments in terms of its impact on cardiovascular health?

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Q12.

Can you comment on the primary outcomes of the REST-ON clinical trial that supported the FDA approval of LUMRYZ?

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Q13.

Since the FDA has declared LUMRYZ superior to all other oxybates on the market, are there any reasons why would you not have every patient, except those who have a cardiovascular issues , on LUMRYZ?

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Q14.

Will you be asking all your patients whether they would prefer a once nightly dosing?

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