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
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 222 (estimated) |
| Sponsor | Centessa Pharmaceuticals plc Industry-sponsored |
| Locations | 26 sites (Birmingham, Alabama and 25 other locations) |
| Status | Recruiting |
| Started | May 29, 2026 |
| Main results expected | September 30, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT07598708 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
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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
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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
- Study coordinator: Centessa Pharmaceuticals
- Email: ORX750trials@centessa.com
- Phone: 617-468-5770
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Testing ORX750 for Narcolepsy and Idiopathic Hypersomnia
This study is testing a new medication called ORX750 to see if it can help people with narcolepsy or idiopathic hypersomnia feel more awake and improve their daily lives.
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Temporal interference stimulation for narcolepsy type 1
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.