ALKS 2680 for reducing daytime sleepiness and cataplexy in adults with narcolepsy type 1

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of ALKS 2680 in Adults With Narcolepsy Type 1 (Brilliance NT1 Study 302)

Phase 3 Interventional Alkermes, Inc. · NCT07455383

This study will test whether ALKS 2680 tablets can reduce daytime sleepiness, cataplexy, and other symptoms in adults with narcolepsy type 1.

Quick facts

PhasePhase 3
Study typeInterventional
Enrollment150 (estimated)
Ages18 Years to 70 Years
SexAll
SponsorAlkermes, Inc. Industry-sponsored
Locations9 sites (Brandon, Florida and 8 other locations)
Trial IDNCT07455383 on ClinicalTrials.gov

What this trial studies

This Phase 3 interventional study enrolls adults with narcolepsy type 1 confirmed by ICSD-3-TR diagnostic testing (polysomnography/MSLT or CSF hypocretin-1). Participants will receive one of two doses of ALKS 2680 tablets or placebo and will be monitored for changes in daytime sleepiness, frequency of cataplexy, and other disease symptoms. Efficacy and safety endpoints compare symptom changes between dose groups and placebo over the treatment period. The study is sponsored by Alkermes and conducted at Alkermes investigational sites in Brandon, FL; Macon, GA; and Lansing, MI.

Who should consider this trial

Good fit: Adults diagnosed with narcolepsy type 1 according to ICSD-3-TR and confirmed by PSG/MSLT or low CSF hypocretin-1 levels are ideal candidates.

Not a fit: People with other comorbid sleep disorders, significant uncontrolled medical conditions, recent participation in other interventional trials, or those who are pregnant or breastfeeding may not benefit or be eligible.

Why it matters

Potential benefit: If successful, ALKS 2680 could reduce daytime sleepiness and cataplexy, improving daily function and quality of life for people with narcolepsy type 1.

How similar studies have performed: Earlier-phase studies of ALKS 2680 suggested potential benefit, but this Phase 3 trial is designed to confirm efficacy and safety in a larger group.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Meets the diagnostic criteria of NT1 according to ICSD-3-TR guidelines, confirmed by diagnostic evaluations (either PSG/MSLT\* or CSF hypocretin-1 level).

Exclusion Criteria:

* Has another comorbid sleep disorder or condition that may influence the sleep-wake cycle.
* Has a history or presence at Visit 1 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 2680-201 are not eligible for enrollment.
* Is currently pregnant, breastfeeding, or is planning to become pregnant during the study

Where this trial is running

Brandon, Florida and 8 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Narcolepsy Type 1BrillanceNarcolepsySleep DisordersFatigueCataplexyALKS 2680Alixorexton
Last reviewed 2026-06-13 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.