Clinical trial Recruiting at 26 sites Phase2; Phase3 Interventional Ages 18 to 70

Test of Cleminorexton vs placebo for central hypersomnolence in NT1/NT2

Official title: A Randomized, Double-blind, 3-Arm Parallel Design Study to Investigate the Efficacy, Safety, Tolerability, and Pharmacokinetics of Cleminorexton Compared With Placebo in Participants With Central Disorders of Hypersomnolence

Run by Centessa Pharmaceuticals plc · NCT07598708 · Data updated 2026-11-12

This study tests cleminorexton to see if it helps daytime sleepiness in adults with Narcolepsy Type 1 or Type 2 compared with a placebo.

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Ages18 Years to 70 Years
SexAll
Enrollment222 (estimated)
SponsorCentessa Pharmaceuticals plc
Industry-sponsored
Locations26 sites (Birmingham, Alabama and 25 other locations)
StatusRecruiting
StartedMay 29, 2026
Main results expectedSeptember 30, 2027
Study endsDecember 31, 2027
Registry record updatedNovember 3, 2026
Trial IDNCT07598708 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–70 with NT1 or NT2 who can discontinue their current narcolepsy medications and meet diagnostic criteria.

Probably not a fit

Some participants may not experience meaningful daytime improvement or may have safety concerns requiring study discontinuation.

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

What this trial studies

This interventional study evaluates cleminorexton for adults with NT1 or NT2 who experience excessive daytime sleepiness. Participants are assigned to receive cleminorexton or placebo across phase 2 and phase 3 cohorts. Key criteria include age 18–70, BMI 17–45, and adherence to narcolepsy diagnostic standards, with requirements to stop other narcolepsy medications during the study. The trial may later expand to include idiopathic hypersomnia in a future amendment. Primary outcomes focus on wakefulness and symptom improvement, with safety monitoring throughout.

Why it matters

Potential benefit: If successful, participants could experience improved daytime alertness and sleep-wake regulation.

How similar studies have gone: Other trials with orexin receptor-targeted approaches have shown promise in reducing EDS, but results vary by population and compound.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

* 18-70 years of age
* Body Mass Index (BMI) within the range ≥ 17.0 and ≤ 45 kg/m\^2 (inclusive)
* Meets the diagnostic criteria of Narcolepsy Type 1 (NT1) or Type 2 (NT2) according to International Classification of Sleep Disorders, 3rd edition, Text Revision edition (ICSD-3-TR) criteria
* Is willing and able to discontinue all medications used for the treatment of narcolepsy
* Is willing and able to adhere to additional protocol requirements

Key Exclusion Criteria:

* Medical disorder other than NT1 or NT2, that is associated with excessive daytime sleepiness (EDS)
* Presence of significant cardiovascular, pulmonary, gastrointestinal, hepatic, renal, hematological, malignancy, endocrine, neurological or psychiatric disease

Where it's running

  • Birmingham, Alabama
    Birmingham, Alabama, United States
    Recruiting
  • Colorado Springs, Colorado
    Colorado Springs, Colorado, United States
    Recruiting
  • Brandon, Florida
    Brandon, Florida, United States
    Recruiting
  • Miami, Florida
    Miami, Florida, United States
    Recruiting
  • Miami, Florida
    Miami, Florida, United States
    Recruiting
  • Miami, Florida
    Miami, Florida, United States
    Recruiting
Show 20 more locations
  • Miami, Florida
    Miami, Florida, United States
    Recruiting
  • Miami Lakes, Florida
    Miami Lakes, Florida, United States
    Recruiting
  • Orlando, Florida
    Orlando, Florida, United States
    Recruiting
  • St. Petersburg, Florida
    St. Petersburg, Florida, United States
    Recruiting
  • Atlanta, Georgia
    Atlanta, Georgia, United States
    Recruiting
  • Rincon, Georgia
    Rincon, Georgia, United States
    Recruiting
  • Stockbridge, Georgia
    Stockbridge, Georgia, United States
    Recruiting
  • Lansing, Michigan
    Lansing, Michigan, United States
    Recruiting
  • Flowood Mississippi
    Flowood, Mississippi, United States
    Recruiting
  • Denver, North Carolina
    Denver, North Carolina, United States
    Recruiting
  • Huntersville, North Carolina
    Huntersville, North Carolina, United States
    Recruiting
  • Cincinnati, Ohio
    Cincinnati, Ohio, United States
    Recruiting
  • Dublin, Ohio
    Dublin, Ohio, United States
    Recruiting
  • Columbia, South Carolina
    Columbia, South Carolina, United States
    Recruiting
  • Austin, Texas
    Austin, Texas, United States
    Recruiting
  • Dallas, Texas
    Dallas, Texas, United States
    Recruiting
  • Frisco, Texas
    Frisco, Texas, United States
    Recruiting
  • Houston, Texas
    Houston, Texas, United States
    Recruiting
  • San Antonio, Texas
    San Antonio, Texas, United States
    Recruiting
  • Sugar Land, Texas
    Sugar Land, Texas, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.