Clinical trial Recruiting at 29 sites Phase 3 Interventional Ages 18 and up

HBS-301 for Narcolepsy: daily wakefulness and sleepiness improvement in adults

Official title: A Phase 3, Randomized, Double-blind, Placebo-Controlled, Efficacy and Safety Study of HBS-301 in Participants With Narcolepsy Followed by an Open-label Extension

Run by Harmony Biosciences Management, Inc. · NCT07675135 · Data updated 2026-11-12

This Phase 3 study tests HBS-301 vs placebo in adults with narcolepsy to see if it helps with daytime sleepiness, cataplexy, sleepiness, and fatigue.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment258 (estimated)
SponsorHarmony Biosciences Management, Inc.
Industry-sponsored
Locations53 sites (Birmingham, Alabama and 52 other locations)
StatusRecruiting
StartedJune 4, 2026
Main results expectedOctober 2027
Study endsNovember 2027
Registry record updatedAugust 27, 2026
Trial IDNCT07675135 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18 years) with NT1 or NT2 narcolepsy who have persistent EDS and/or cataplexy and are eligible for stable concomitant medications.

Probably not a fit

Patients with other hypersomnia causes, unstable psychiatric illness, recent pitolisant exposure, or those not meeting narcolepsy criteria may not benefit.

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

What this trial studies

This is a large, multicenter, randomized, double-blind, placebo-controlled study evaluating the safety and efficacy of HBS-301 in adults with narcolepsy. Approximately 258 participants will be randomized to receive either HBS-301 or placebo for 8 weeks, with an optional 1-year open-label extension and 30 days of follow-up. The trial includes a screening baseline period, a double-blind treatment period, and strict eligibility criteria to confirm NT1 or NT2 diagnosis and stable concomitant medications. Primary outcomes focus on excessive daytime sleepiness and related symptoms, with safety monitoring throughout. Lead sponsor is Harmony Biosciences Management, Inc., with sites in Alabama and Arizona.

Why it matters

Potential benefit: If successful, participants could experience reduced daytime sleepiness and fewer cataplexy episodes, improving daily functioning.

How similar studies have gone: Previous studies of wake-promoting therapies in narcolepsy have shown meaningful improvements in EDS and cataplexy, supporting further evaluation of HBS-301.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Has a current documented diagnosis of NT1 or NT2 per the International Classification of Sleep Disorders, Third Edition (ICSD-3) or the ICSD-3 Text Revision (ICSD-3-TR) within the last 10 years.
* Has EDS.
* If taking a permitted chronic concomitant medication or supplement, including nonprohibited antidepressants or wake-promoting agents, must be on a stable dose for at least 3 months prior to Screening and agree to continue at that stable dose for the Double-blind Treatment Period of the study. As needed (PRN) use of any treatment that could affect daytime sleepiness (including but not limited to oxybates, stimulants, modafinil, and armodafinil) is not permitted.

Exclusion Criteria:

* Has hypersomnia due to another medical disorder.
* Has a history of pitolisant use within 5 half-lives prior to Screening.
* Has a primary diagnosis of psychiatric illness, including depression, that is not well controlled (i.e., symptoms and medications have not been stable for at least 3 months prior to Screening).
* Has any history of bipolar disorder or psychosis
* Has acute or chronic liver disease or a history of moderate or severe hepatic impairment.
* Has a body surface area-corrected estimated glomerular filtration rate (eGFR) \<60 mL/min.
* Has a known history of long QT syndrome or serious abnormality of the electrocardiogram (ECG).

Where it's running

  • Phoenix Medical Group, PC
    Peoria, Arizona, United States
    Recruiting
  • Santa Monica Clinical Trials
    Los Angeles, California, United States
    Recruiting
  • Stanford Center for Sleep Sciences and Medicine
    Redwood City, California, United States
    Recruiting
  • Trial Site Solutions
    San Ramon, California, United States
    Recruiting
  • Alpine Clinical Research Center, Inc
    Boulder, Colorado, United States
    Recruiting
  • Delta Waves LLC
    Colorado Springs, Colorado, United States
    Recruiting
Show 44 more locations
  • PharmaDev Clinical Research Institute, LLC
    Miami, Florida, United States
    Recruiting
  • Florida Pediatric Sleep Disorders Institute
    Winter Park, Florida, United States
    Recruiting
  • Neurotrials Research Inc
    Atlanta, Georgia, United States
    Recruiting
  • Sleep Practitioners, LLC
    Macon, Georgia, United States
    Recruiting
  • Southeast Lung Associates Research
    Rincon, Georgia, United States
    Recruiting
  • Clinical Research Institute Stockbridge
    Stockbridge, Georgia, United States
    Recruiting
  • Revive Research Institute, Inc
    Southfield, Michigan, United States
    Recruiting
  • Clinical Neurophysiology Services
    Sterling Heights, Michigan, United States
    Recruiting
  • St. Lukes Sleep Medicine and Research Center
    Chesterfield, Missouri, United States
    Recruiting
  • Clinical Research of Gastonia
    Gastonia, North Carolina, United States
    Recruiting
  • Stern Research Partners
    Huntersville, North Carolina, United States
    Recruiting
  • Intrepid Research, LLC
    Cincinnati, Ohio, United States
    Recruiting
  • Abington Neurological Associates
    Abington, Pennsylvania, United States
    Recruiting
  • Berks Schuylkill Respiratory Specialists
    Wyomissing, Pennsylvania, United States
    Recruiting
  • Lowcountry Lung and Critical Care PA
    Charleston, South Carolina, United States
    Recruiting
  • Bogan Sleep Consultants, LLC
    Columbia, South Carolina, United States
    Recruiting
  • Aayus Research
    Austin, Texas, United States
    Recruiting
  • Southwest Family Medicine
    Dallas, Texas, United States
    Recruiting
  • Sleep Therapy & Research Center
    San Antonio, Texas, United States
    Recruiting
  • Tricoastal Narcolepsy and Sleep Disorders Center
    Sugar Land, Texas, United States
    Recruiting
  • Sleep and Performance Research Center
    Spokane, Washington, United States
    Recruiting
  • AMNDX Inc
    Markham, Ontario, Canada
    Recruiting
  • Jodha Tishon Inc
    Toronto, Ontario, Canada
    Recruiting
  • Sleep Disorders Center of Alabama
    Birmingham, Alabama, United States
    Not yet recruiting
  • Springhill Medical Center
    Mobile, Alabama, United States
    Not yet recruiting
  • West Coast Pulmonary & Sleep Disorders Center
    Lancaster, California, United States
    Not yet recruiting
  • University of California San Francisco
    San Francisco, California, United States
    Not yet recruiting
  • NorthShore University HealthSystem
    Glenview, Illinois, United States
    Not yet recruiting
  • OSF St Francis Medical Center
    Peoria, Illinois, United States
    Not yet recruiting
  • Fort Wayne Neurological Center
    Fort Wayne, Indiana, United States
    Not yet recruiting
  • University of Kansas Hospital Main Campus
    Kansas City, Kansas, United States
    Not yet recruiting
  • Henry Ford Medical Center
    Novi, Michigan, United States
    Not yet recruiting
  • Patient First MD
    Middletown, New Jersey, United States
    Not yet recruiting
  • Northwell Health Physician Partners
    New Hyde Park, New York, United States
    Not yet recruiting
  • Research Carolina Elite LLC
    Denver, North Carolina, United States
    Not yet recruiting
  • The Cleveland Clinic Foundation
    Cleveland, Ohio, United States
    Not yet recruiting
  • Neurology Care
    Ardmore, Oklahoma, United States
    Not yet recruiting
  • Geisinger Medical Center
    Danville, Pennsylvania, United States
    Not yet recruiting
  • University of Pittsburgh
    Pittsburgh, Pennsylvania, United States
    Not yet recruiting
  • Infinity Medical Research Inc
    East Providence, Rhode Island, United States
    Not yet recruiting
  • Medical University of South Carolina
    Charleston, South Carolina, United States
    Not yet recruiting
  • K2 Medical Research - Nashville
    Nashville, Tennessee, United States
    Not yet recruiting
  • Metroplex Pulmonary and Sleep Center
    McKinney, Texas, United States
    Not yet recruiting
  • HasResearch
    San Antonio, Texas, United States
    Not yet recruiting

+3 more sites. See ClinicalTrials.gov for the full list.

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.