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Comparing Treatment Effect Measurements in Narcolepsy: The Sustained Attention to Response Task, Epworth Sleepiness Scale and Maintenance of Wakefulness Test

Identifieur interne : 003014 ( Main/Exploration ); précédent : 003013; suivant : 003015

Comparing Treatment Effect Measurements in Narcolepsy: The Sustained Attention to Response Task, Epworth Sleepiness Scale and Maintenance of Wakefulness Test

Auteurs : Astrid Van Der Heide [Pays-Bas] ; Mojca K. M. Van Schie [Pays-Bas] ; Gert Jan Lammers [Pays-Bas] ; Yves Dauvilliers [France] ; Isabelle Arnulf [France] ; Geert Mayer [Allemagne] ; Claudio L. Bassetti [Suisse] ; Claire-Li Ding [France] ; Philippe Lehert [Belgique, Australie] ; J. Gert Van Dijk [Pays-Bas]

Source :

RBID : PMC:4481014

Descripteurs français

English descriptors

Abstract

Study Objectives:

To validate the Sustained Attention to Response Task (SART) as a treatment effect measure in narcolepsy, and to compare the SART with the Maintenance of Wakefulness Test (MWT) and the Epworth Sleepiness Scale (ESS).

Design:

Validation of treatment effect measurements within a randomized controlled trial (RCT).

Patients:

Ninety-five patients with narcolepsy with or without cataplexy.

Interventions:

The RCT comprised a double-blind, parallel-group, multicenter trial comparing the effects of 8-w treatments with pitolisant (BF2.649), modafinil, or placebo (NCT01067222). MWT, ESS, and SART were administered at baseline and after an 8-w treatment period. The severity of excessive daytime sleepiness and cataplexy was also assessed using the Clinical Global Impression scale (CGI-C).

Measurements and Results:

The SART, MWT, and ESS all had good reliability, obtained for the SART and MWT using two to three sessions in 1 day. The ability to distinguish responders from nonresponders, classified using the CGI-C score, was high for all measures, with a high performance for the SART (r = 0.61) and the ESS (r = 0.54).

Conclusions:

The Sustained Attention to Response Task is a valid and easy-to-administer measure to assess treatment effects in narcolepsy, enhanced by combining it with the Epworth Sleepiness Scale.

Citation:

van der Heide A, van Schie MK, Lammers GJ, Dauvilliers Y, Arnulf I, Mayer G, Bassetti CL, Ding CL, Lehert P, van Dijk JG. Comparing treatment effect measurements in narcolepsy: the Sustained Attention to Response Task, Epworth Sleepiness Scale and Maintenance of Wakefulness Test. SLEEP 2015;38(7):1051–1058.


Url:
DOI: 10.5665/sleep.4810
PubMed: 25902810
PubMed Central: 4481014


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Cataplexie</term>
<term>Narcolepsie</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Cataplexy</term>
<term>Narcolepsy</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Cataplexie</term>
<term>Narcolepsie</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Composés benzhydryliques</term>
<term>Pipéridines</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Double-Blind Method</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Reproducibility of Results</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Attention</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Méthode en double aveugle</term>
<term>Phases du sommeil</term>
<term>Reproductibilité des résultats</term>
<term>Résultat thérapeutique</term>
<term>Vigilance</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Study Objectives:</title>
<p>To validate the Sustained Attention to Response Task (SART) as a treatment effect measure in narcolepsy, and to compare the SART with the Maintenance of Wakefulness Test (MWT) and the Epworth Sleepiness Scale (ESS).</p>
</sec>
<sec>
<title>Design:</title>
<p>Validation of treatment effect measurements within a randomized controlled trial (RCT).</p>
</sec>
<sec>
<title>Patients:</title>
<p>Ninety-five patients with narcolepsy with or without cataplexy.</p>
</sec>
<sec>
<title>Interventions:</title>
<p>The RCT comprised a double-blind, parallel-group, multicenter trial comparing the effects of 8-w treatments with pitolisant (BF2.649), modafinil, or placebo (NCT01067222). MWT, ESS, and SART were administered at baseline and after an 8-w treatment period. The severity of excessive daytime sleepiness and cataplexy was also assessed using the Clinical Global Impression scale (CGI-C).</p>
</sec>
<sec>
<title>Measurements and Results:</title>
<p>The SART, MWT, and ESS all had good reliability, obtained for the SART and MWT using two to three sessions in 1 day. The ability to distinguish responders from nonresponders, classified using the CGI-C score, was high for all measures, with a high performance for the SART (r = 0.61) and the ESS (r = 0.54).</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>The Sustained Attention to Response Task is a valid and easy-to-administer measure to assess treatment effects in narcolepsy, enhanced by combining it with the Epworth Sleepiness Scale.</p>
</sec>
<sec>
<title>Citation:</title>
<p>van der Heide A, van Schie MK, Lammers GJ, Dauvilliers Y, Arnulf I, Mayer G, Bassetti CL, Ding CL, Lehert P, van Dijk JG. Comparing treatment effect measurements in narcolepsy: the Sustained Attention to Response Task, Epworth Sleepiness Scale and Maintenance of Wakefulness Test.
<italic>SLEEP</italic>
2015;38(7):1051–1058.</p>
</sec>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Belgique</li>
<li>France</li>
<li>Pays-Bas</li>
<li>Suisse</li>
</country>
<region>
<li>Canton de Berne</li>
<li>District de Giessen</li>
<li>Hesse (Land)</li>
<li>Hollande-Méridionale</li>
<li>Languedoc-Roussillon</li>
<li>Occitanie (région administrative)</li>
<li>Victoria (État)</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Berne</li>
<li>Leyde</li>
<li>Marbourg</li>
<li>Melbourne</li>
<li>Montpellier</li>
<li>Paris</li>
</settlement>
<orgName>
<li>Université de Berne</li>
<li>Université de Melbourne</li>
</orgName>
</list>
<tree>
<country name="Pays-Bas">
<region name="Hollande-Méridionale">
<name sortKey="Van Der Heide, Astrid" sort="Van Der Heide, Astrid" uniqKey="Van Der Heide A" first="Astrid" last="Van Der Heide">Astrid Van Der Heide</name>
</region>
<name sortKey="Lammers, Gert Jan" sort="Lammers, Gert Jan" uniqKey="Lammers G" first="Gert Jan" last="Lammers">Gert Jan Lammers</name>
<name sortKey="Lammers, Gert Jan" sort="Lammers, Gert Jan" uniqKey="Lammers G" first="Gert Jan" last="Lammers">Gert Jan Lammers</name>
<name sortKey="Van Dijk, J Gert" sort="Van Dijk, J Gert" uniqKey="Van Dijk J" first="J. Gert" last="Van Dijk">J. Gert Van Dijk</name>
<name sortKey="Van Schie, Mojca K M" sort="Van Schie, Mojca K M" uniqKey="Van Schie M" first="Mojca K. M." last="Van Schie">Mojca K. M. Van Schie</name>
</country>
<country name="France">
<region name="Occitanie (région administrative)">
<name sortKey="Dauvilliers, Yves" sort="Dauvilliers, Yves" uniqKey="Dauvilliers Y" first="Yves" last="Dauvilliers">Yves Dauvilliers</name>
</region>
<name sortKey="Arnulf, Isabelle" sort="Arnulf, Isabelle" uniqKey="Arnulf I" first="Isabelle" last="Arnulf">Isabelle Arnulf</name>
<name sortKey="Ding, Claire Li" sort="Ding, Claire Li" uniqKey="Ding C" first="Claire-Li" last="Ding">Claire-Li Ding</name>
</country>
<country name="Allemagne">
<noRegion>
<name sortKey="Mayer, Geert" sort="Mayer, Geert" uniqKey="Mayer G" first="Geert" last="Mayer">Geert Mayer</name>
</noRegion>
<name sortKey="Mayer, Geert" sort="Mayer, Geert" uniqKey="Mayer G" first="Geert" last="Mayer">Geert Mayer</name>
</country>
<country name="Suisse">
<region name="Canton de Berne">
<name sortKey="Bassetti, Claudio L" sort="Bassetti, Claudio L" uniqKey="Bassetti C" first="Claudio L." last="Bassetti">Claudio L. Bassetti</name>
</region>
</country>
<country name="Belgique">
<noRegion>
<name sortKey="Lehert, Philippe" sort="Lehert, Philippe" uniqKey="Lehert P" first="Philippe" last="Lehert">Philippe Lehert</name>
</noRegion>
</country>
<country name="Australie">
<region name="Victoria (État)">
<name sortKey="Lehert, Philippe" sort="Lehert, Philippe" uniqKey="Lehert P" first="Philippe" last="Lehert">Philippe Lehert</name>
</region>
</country>
</tree>
</affiliations>
</record>

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