Clinical trial Recruiting at 43 sites Phase 3 Interventional Ages 18 to 70

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

PhasePhase 3
Study typeInterventional
Ages18 Years to 70 Years
SexAll
Enrollment176 (estimated)
SponsorAlkermes, Inc.
Industry-sponsored
Locations44 sites (Cullman, Alabama and 43 other locations)
StatusRecruiting
StartedApril 22, 2026
Main results expectedMay 2027
Study endsJune 2027
Registry record updatedOctober 7, 2026
Trial IDNCT07502443 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

  • 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
  • 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
  • Alkermes Investigational Site
    Namur, Belgium
    Recruiting
  • Alkermes Investigational Site
    Markham, Ontario, Canada
    Recruiting
  • Alkermes Investigational Site
    Toronto, Ontario, Canada
    Recruiting
  • Alkermes Investigational Site
    Bordeaux, France
    Recruiting
  • Alkermes Investigational Site
    Lyon, France
    Recruiting
  • Alkermes Investigational Site
    Montpellier, France
    Recruiting
  • Alkermes Investigational Site
    Bologna, Italy
    Recruiting
  • Alkermes Investigational Site
    Kitakyushu-shi, Fukuoka, Japan
    Recruiting
  • Alkermes Investigational Site
    Osaka, Osaka, Japan
    Recruiting
  • Alkermes Investigational Site
    Shibuya-ku, Tokyo-To, Japan
    Recruiting
  • Alkermes Investigational Site
    Shinjuku-ku, Tokyo-To, Japan
    Recruiting
  • Alkermes Investigational Site
    Kumamoto, Japan
    Recruiting
  • Alkermes Investigational Site
    Tokyo, Japan
    Recruiting
  • Alkermes Investigational Site
    Heeze, Netherlands
    Recruiting
  • Alkermes Investigational Site
    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

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.