150 Participants NeededMy employer runs this trial

ALKS 2680 for Narcolepsy

(Brilliance NT1 Trial)

Recruiting at 41 trial locations
DC
Overseen ByDirector, Clinical Trial Manager
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: Alkermes, Inc.
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new tablet, ALKS 2680, to determine if it can help people with narcolepsy type 1 (NT1) feel less sleepy during the day and reduce cataplexy, or sudden muscle weakness. Participants will take either ALKS 2680 or a placebo (a pill with no active ingredient) to compare effects. The study seeks individuals diagnosed with NT1 who experience its symptoms in daily life but do not have other sleep disorders. As a Phase 3 trial, this study represents the final step before FDA approval, offering participants a chance to contribute to a potentially groundbreaking treatment for NT1.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.

Is there any evidence suggesting that ALKS 2680 is likely to be safe for humans?

Research has shown that ALKS 2680 is generally easy for people to handle. One study demonstrated that single doses up to 8 mg improved sleep symptoms without major safety issues. Another study found that ALKS 2680 was well-tolerated at all doses tested and helped people stay awake better than a placebo. Early findings suggest that this treatment is safe, making it a promising option for those with narcolepsy. While all medications can have side effects, current data indicates that ALKS 2680 is manageable for most people.12345

Why do researchers think this study treatment might be promising for narcolepsy?

Researchers are excited about ALKS 2680 for narcolepsy because it offers a potentially new approach to managing this condition. Unlike standard treatments such as modafinil or sodium oxybate, which primarily target the symptoms of sleepiness, ALKS 2680 may work by modulating different pathways in the brain, potentially offering improved symptom control. The treatment is administered as an oral tablet, which could provide a convenient option for patients. This new mechanism of action and ease of use could lead to more effective and accessible treatment for those living with narcolepsy.

What evidence suggests that ALKS 2680 might be an effective treatment for narcolepsy?

Research has shown that ALKS 2680 could benefit people with narcolepsy, particularly in staying awake and reducing daytime sleepiness. Studies have found that it helps individuals remain awake longer and feel more alert. Most participants did not experience serious side effects, indicating it was generally well-tolerated. This trial will test different doses of ALKS 2680, as previous findings suggest that higher doses may be more effective. These findings strongly support its potential to help manage narcolepsy symptoms.12367

Who Is on the Research Team?

MD

Medical Director, MD

Principal Investigator

Alkermes, Inc.

Are You a Good Fit for This Trial?

This trial is for adults diagnosed with narcolepsy type 1 (NT1), confirmed by sleep studies or specific lab tests. Participants must meet standard medical criteria for NT1.

Inclusion Criteria

* Meets the diagnostic criteria of NT1 according to ICSD-3-TR guidelines, confirmed by diagnostic evaluations (either PSG/MSLT\* or CSF hypocretin-1 level).

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive ALKS 2680 or placebo tablets to measure decreases in daytime sleepiness, cataplexy, and disease symptoms

12 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • ALKS 2680

Trial Overview

The study compares two different doses of a new tablet called ALKS 2680 to placebo tablets, aiming to see if ALKS 2680 reduces daytime sleepiness and sudden muscle weakness in people with NT1.

How Is the Trial Designed?

3

Treatment groups

Experimental Treatment

Placebo Group

Group I: ALKS 2680 Dose 2Experimental Treatment1 Intervention
Group II: ALKS 2680 Dose 1Experimental Treatment1 Intervention
Group III: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Alkermes, Inc.

Lead Sponsor

Trials
118
Recruited
27,200+

Richard Pops

Alkermes, Inc.

Chief Executive Officer since 1991

BA in Economics from Stanford University

Dr. Craig Hopkinson

Alkermes, Inc.

Chief Medical Officer since 2017

MD

Citations

Alixorexton (ALKS 2680) Narcolepsy Type 1 Phase 2 Data ...

The results demonstrated alixorexton's significant effect on wakefulness and other important measures and a generally well tolerated profile.

The Orexin 2 Receptor Agonist ALKS 2680 in Patients with ...

ALKS 2680 was generally well-tolerated. Single doses up to 8 mg led to statistically significant, clinically meaningful improvements in sleep ...

NCT07540897 | A Study to Evaluate the Efficacy, Safety ...

A Study to Evaluate the Efficacy, Safety and Tolerability of ALKS 2680 in Adults With Narcolepsy Type 1 (Brilliance NT1 - 304). ClinicalTrials.

Orexin Receptor Agent ALKS 2680 Meets End Points in ...

ALKS 2680 showed significant, dose-dependent improvements in sleep latency and wakefulness in NT1 patients, supporting phase 3 trials. The trial ...

Alkermes Presents Data From Phase 1b Study of ALKS 2680 ...

"Data from this phase 1b study provide evidence of a significant treatment effect of single doses of ALKS 2680 in patients with narcolepsy type ...

A Study To Evaluate The Safety And Effectiveness Of ALKS ...

The purpose of this research study is to assess the safety and efficacy of ALKS 2680 compared to placebo, including whether participants taking ...

O013 Preliminary Results from a Phase 1 Study of ALKS 2680 ...

Preliminary results suggest that the OX2R agonist ALKS 2680 is generally well-tolerated with a pharmacokinetic profile potentially suitable for once-daily oral ...