Clinical trial Recruiting at 44 sites Phase 3 Interventional Ages 18 to 70

ALKS 2680 for reducing daytime sleepiness and cataplexy in adults with narcolepsy type 1

Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of ALKS 2680 in Adults With Narcolepsy Type 1 (Brilliance NT1 Study 302)

Run by Alkermes, Inc. · NCT07455383 · Data updated 2026-11-12

This study will test whether ALKS 2680 tablets can reduce daytime sleepiness, cataplexy, and other symptoms in adults with narcolepsy type 1.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 70 Years
SexAll
Enrollment150 (estimated)
SponsorAlkermes, Inc.
Industry-sponsored
Locations44 sites (Cullman, Alabama and 43 other locations)
StatusRecruiting
StartedApril 6, 2026
Main results expectedMay 2027
Study endsJune 2027
Registry record updatedOctober 7, 2026
Trial IDNCT07455383 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults diagnosed with narcolepsy type 1 according to ICSD-3-TR and confirmed by PSG/MSLT or low CSF hypocretin-1 levels are ideal candidates.

Probably not a fit

People with other comorbid sleep disorders, significant uncontrolled medical conditions, recent participation in other interventional trials, or those who are pregnant or breastfeeding may not benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 3 interventional study enrolls adults with narcolepsy type 1 confirmed by ICSD-3-TR diagnostic testing (polysomnography/MSLT or CSF hypocretin-1). Participants will receive one of two doses of ALKS 2680 tablets or placebo and will be monitored for changes in daytime sleepiness, frequency of cataplexy, and other disease symptoms. Efficacy and safety endpoints compare symptom changes between dose groups and placebo over the treatment period. The study is sponsored by Alkermes and conducted at Alkermes investigational sites in Brandon, FL; Macon, GA; and Lansing, MI.

Why it matters

Potential benefit: If successful, ALKS 2680 could reduce daytime sleepiness and cataplexy, improving daily function and quality of life for people with narcolepsy type 1.

How similar studies have gone: Earlier-phase studies of ALKS 2680 suggested potential benefit, but this Phase 3 trial is designed to confirm efficacy and safety in a larger group.

Who can join: the full rules

Show full inclusion / exclusion criteria
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).

Exclusion Criteria:

* Has another comorbid sleep disorder or condition that may influence the sleep-wake cycle.
* Has a history or presence at Visit 1 of other clinically significant (treated or untreated) illness, disease, abnormality, or surgical procedure that, in the opinion of the Investigator, might compromise participant safety, interfere with any study assessment, or affect the participant's ability to complete the study.
* Is currently enrolled in another interventional clinical trial or has received any investigational drug or used any interventional investigational device within 30 days prior to Visit 1. Participants previously enrolled in Study ALKS 2680-201 are not eligible for enrollment.
* Is currently pregnant, breastfeeding, or is planning to become pregnant during the study

Where it's running

  • Alkermes Investigational Site
    Cullman, Alabama, United States
    Recruiting
  • Alkermes Investigational Site
    Phoenix, Arizona, United States
    Recruiting
  • Alkermes Investigational Site
    Los Angeles, California, United States
    Recruiting
  • Alkermes Investigational Site
    Boulder, Colorado, United States
    Recruiting
  • Alkermes Investigational Site
    Brandon, Florida, United States
    Recruiting
  • Alkermes Investigational Site
    Miami, Florida, United States
    Recruiting
Show 38 more locations
  • Alkermes Investigational Site
    Winter Park, Florida, United States
    Recruiting
  • Alkermes Investigational Site
    Macon, Georgia, United States
    Recruiting
  • Alkermes Investigational Site
    Kansas City, Kansas, United States
    Recruiting
  • Alkermes Investigational Site
    Newton, Massachusetts, United States
    Recruiting
  • Alkermes Investigational Site
    Lansing, Michigan, United States
    Recruiting
  • Alkermes Investigational Site
    Novi, Michigan, United States
    Recruiting
  • Alkermes Investigational Site
    St Louis, Missouri, United States
    Recruiting
  • Alkermes Investigational Site
    Middletown, New Jersey, United States
    Recruiting
  • Alkermes Investigational Site
    Charlotte, North Carolina, United States
    Recruiting
  • Alkermes Investigational Site
    Cincinnati, Ohio, United States
    Recruiting
  • Alkermes Investigational Site
    Wyomissing, Pennsylvania, United States
    Recruiting
  • Alkermes Investigational Site
    Columbia, South Carolina, United States
    Recruiting
  • Alkermes Investigational Site
    Austin, Texas, United States
    Recruiting
  • Alkermes Investigational Site
    San Antonio, Texas, United States
    Recruiting
  • Alkermes Investigational Site
    Sugar Land, Texas, United States
    Recruiting
  • Alkermes Investigational Site
    Madison, Wisconsin, United States
    Recruiting
  • Alkermes Investigational Site
    Macquarie Park, New South Wales, Australia
    Recruiting
  • Alkermes Investigational Site
    Bruges, Belgium
    Recruiting
  • Alkermes Investigational Site
    Edegem, Belgium
    Recruiting
  • Alkermes Investigational Site
    Ghent, Belgium
    Recruiting
  • Alkermes Investigational Site
    Namur, Belgium
    Recruiting
  • Alkermes Investigational Site
    Markham, Ontario, Canada
    Recruiting
  • Alkermes Investigational Site
    Toronto, Ontario, Canada
    Recruiting
  • Alkermes Investigational Site
    Bordeaux, France
    Recruiting
  • Alkermes Investigational Site
    Lyon, France
    Recruiting
  • Alkermes Investigational Site
    Montpellier, France
    Recruiting
  • Alkermes Investigational Site
    Verona, Italy
    Recruiting
  • Alkermes Investigational Site
    Kitakyushu-shi, Fukuoka, Japan
    Recruiting
  • Alkermes Investigational Site
    Osaka, Osaka, Japan
    Recruiting
  • Alkermes Investigational Site
    Shibuya-ku, Tokyo-To, Japan
    Recruiting
  • Alkermes Investigational Site
    Shinjuku-Ku, Tokyo-To, Japan
    Recruiting
  • Alkermes Investigational Site
    Kumamoto, Japan
    Recruiting
  • Alkermes Investigational Site
    Zwolle, Overijssel, Netherlands
    Recruiting
  • Alkermes Investigational Site
    Heeze, Netherlands
    Recruiting
  • Alkermes Investigational Site
    Vitoria-Gasteiz, Alava, Spain
    Recruiting
  • Alkermes Investigational Site
    Barcelona, Barcelona, Spain
    Recruiting
  • Alkermes Investigational Site
    Madrid, Spain
    Recruiting
  • Alkermes Investigational Site
    Kaohsiung City, Taiwan
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.