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
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 258 (estimated) |
| Sponsor | Harmony Biosciences Management, Inc. Industry-sponsored |
| Locations | 53 sites (Birmingham, Alabama and 52 other locations) |
| Status | Recruiting |
| Started | June 4, 2026 |
| Main results expected | October 2027 |
| Study ends | November 2027 |
| Registry record updated | August 27, 2026 |
| Trial ID | NCT07675135 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
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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
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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
- Study coordinator: Michelle Manuel
- Email: clinicaltrials@harmonybiosciences.com
- Phone: 847-903-4610
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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.