ALKS 2680 for adults with Narcolepsy Type 2
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 2 (Brilliance NT2 Study 303)
Run by Alkermes, Inc. · NCT07502443 · Data updated 2026-11-12
This will test whether ALKS 2680 tablets reduce daytime sleepiness and other symptoms in adults with Narcolepsy Type 2 compared with placebo.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 176 (estimated) |
| Sponsor | Alkermes, Inc. Industry-sponsored |
| Locations | 44 sites (Cullman, Alabama and 43 other locations) |
| Status | Recruiting |
| Started | April 22, 2026 |
| Main results expected | May 2027 |
| Study ends | June 2027 |
| Registry record updated | October 7, 2026 |
| Trial ID | NCT07502443 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with a confirmed Narcolepsy Type 2 diagnosis per ICSD-3-TR (by PSG/MSLT), who can follow study procedures and any required sleep therapy, are the ideal candidates.
✕Probably not a fit
People with other comorbid sleep disorders, significant uncontrolled medical conditions, or those who cannot comply with protocol requirements are unlikely to benefit from or be eligible for the trial.
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, randomized interventional trial compares three doses of ALKS 2680 tablets with placebo in adults diagnosed with Narcolepsy Type 2. Participants must have NT2 confirmed by PSG/MSLT and will follow study requirements including actigraphy, sleep diaries, and adherence to any primary OSA therapy. The trial measures changes in daytime sleepiness and core disease symptoms across treatment arms. Study visits occur at Alkermes investigational sites in Florida, Georgia, and Michigan.
Why it matters
Potential benefit: If successful, ALKS 2680 could lessen daytime sleepiness and other NT2 symptoms, improving daily function for affected adults.
How similar studies have gone: Early-phase studies of orexin-2 receptor agonists, including prior testing of ALKS 2680, have shown promising effects on wakefulness, but large-scale phase 3 confirmation is still needed.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Is willing and able, in the opinion of the Investigator, to understand and comply with protocol requirements, including the following: lifestyle considerations and restrictions, adherence to contraception guidance, adherence to actigraphy and diary requirements, if receiving treatment for OSA, adherence to primary OSA therapy over the 30 days prior to Visit 1, and throughout the study, including during overnight visits. * Meets the diagnostic criteria of NT2 according to ICSD-3-TR guidelines, confirmed by diagnostic evaluations (either PSG/MSLT). Exclusion Criteria: * Has another comorbid sleep disorder or condition that may influence the sleep-wake cycle. * Has a history or presence 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 2680-202 are not eligible for enrollment. * Is currently pregnant, breastfeeding, or is planning to become pregnant during the study
Where it's running
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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
Maimi, Florida, United States Recruiting
Show 38 more locations
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Alkermes Investigational Site
Winter Park, Florida, United States Recruiting -
Alkermes Investigational Site
Macon, Georgia, United States Recruiting -
Alkermes Investigational Site
Stockbridge, Georgia, United States Recruiting -
Alkermes Investigational Site
Kansas City, Kansas, United States Recruiting -
Alkermes Investigational Site
Newton, Massachusetts, United States Recruiting -
Alkermes Investigational Site
Novi, Michigan, United States Recruiting -
Alkermes Investigational Site
Rochester, Minnesota, United States Recruiting -
Alkermes Investigational Site
Charlotte, North Carolina, United States Recruiting -
Alkermes Investigational Site
Huntersville, 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
Frisco, 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
Sydney, New Sout, Australia Recruiting -
Alkermes Investigational Site
Bruges, Belgium Recruiting -
Alkermes Investigational Site
Edegem, Belgium Recruiting -
Alkermes Investigational Site
Ghent, Belgium Recruiting -
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Namur, Belgium Recruiting -
Alkermes Investigational Site
Markham, Ontario, Canada Recruiting -
Alkermes Investigational Site
Toronto, Ontario, Canada Recruiting -
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Bordeaux, France Recruiting -
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Lyon, France Recruiting -
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Montpellier, France Recruiting -
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Bologna, Italy Recruiting -
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Kitakyushu-shi, Fukuoka, Japan Recruiting -
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Osaka, Osaka, Japan Recruiting -
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Shibuya-ku, Tokyo-To, Japan Recruiting -
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Shinjuku-ku, Tokyo-To, Japan Recruiting -
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Kumamoto, Japan Recruiting -
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Tokyo, Japan Recruiting -
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Heeze, Netherlands Recruiting -
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Barcelona, Spain Recruiting -
Alkermes Investigational Site
Madrid, Spain Recruiting -
Alkermes Investigational Site
Kaohsiung City, Taiwan Recruiting -
Alkermes Investigational Site
Lansing, Michigan, United States Not yet recruiting
Study contacts
- Study coordinator: Director Clinical Trial Manager
- Email: clinicaltrials@alkermes.com
- Phone: 888-235-8008 (US Only)
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Long-term test of TAK-360 in people with narcolepsy or idiopathic hypersomnia
This study tests TAK-360 over an extended period to see if it is tolerable for people with narcolepsy type 1, narcolepsy type 2, or idiopathic hypersomnia who completed an earlier TAK-360 trial.
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Test of Cleminorexton vs placebo for central hypersomnolence in NT1/NT2
This study tests cleminorexton to see if it helps daytime sleepiness in adults with Narcolepsy Type 1 or Type 2 compared with a placebo.
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Long-term ORX750 treatment for people with narcolepsy or idiopathic hypersomnia
This open-label extension will try continued ORX750 treatment in people with narcolepsy or idiopathic hypersomnia who completed the earlier ORX750 parent study.
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Evaluating TAK-360 for adults with Narcolepsy Type 2
This study is testing a new medication called TAK-360 to see if it can help adults with Narcolepsy Type 2 stay awake during the day.
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Long-term treatment with ALKS 2680 for narcolepsy and idiopathic hypersomnia
This study is testing how well a new medication called ALKS 2680 works for people with narcolepsy or idiopathic hypersomnia over a long period of time.
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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.
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.