Clinical trial Recruiting at 20 sites Phase 3 Interventional Ages 18 to 70

ALKS 2680 in adults with narcolepsy type 1: see if it helps daytime sleepiness and cataplexy

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 1 (Brilliance NT1 Study 304)

Run by Alkermes, Inc. · NCT07540897 · Data updated 2026-11-12

This study tests whether ALKS 2680 helps reduce daytime sleepiness and cataplexy in adults with narcolepsy type 1 compared with a placebo.

More Narcolepsy Type 1 trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 70 Years
SexAll
Enrollment150 (estimated)
SponsorAlkermes, Inc.
Industry-sponsored
Locations20 sites (Brandon, Florida and 19 other locations)
StatusRecruiting
StartedAugust 13, 2026
Main results expectedJune 2027
Study endsJuly 2027
Registry record updatedOctober 7, 2026
Trial IDNCT07540897 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults diagnosed with narcolepsy type 1 by ICSD-3-TR criteria, confirmed via PSG/MSLT or CSF hypocretin-1 testing, with no competing sleep disorders or recent interventional treatments.

Probably not a fit

Individuals with other sleep disorders, significant untreated illnesses, recent interventional drug use, or pregnancy plans may not benefit or may be ineligible.

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 trial compares two doses of ALKS 2680 to placebo in adults with narcolepsy type 1. Participants will be randomly assigned to receive one of the two ALKS 2680 doses or placebo over a defined treatment period. The study aims to measure changes in daytime sleepiness, cataplexy frequency, and overall narcolepsy symptoms, while monitoring safety and tolerability. Eligibility requires a diagnosis of narcolepsy type 1 confirmed by standard sleep tests or CSF hypocretin-1 levels, with exclusions for other sleep disorders or recent interventional therapies. Conduct locations are Alkermes investigational sites in Florida.

Why it matters

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

How similar studies have gone: Previous studies of orexin pathway–targeting therapies have shown potential in improving narcolepsy symptoms, but results for ALKS 2680 are being tested in this phase 3 trial.

Who can join: the full rules

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 it's running

  • Alkermes Investigational Site
    Brandon, Florida, United States
    Recruiting
  • Alkermes Investigational Site
    Miami, Florida, United States
    Recruiting
  • Alkermes Investigational Site
    Winter Park, Florida, United States
    Recruiting
  • Alkermes Investigational Site
    Atlanta, Georgia, United States
    Recruiting
  • Alkermes Investigational Site
    Macon, Georgia, United States
    Recruiting
  • Alkermes Investigational Site
    Lansing, Michigan, United States
    Recruiting
Show 14 more locations
  • Alkermes Investigational Site
    St Louis, Missouri, United States
    Recruiting
  • Alkermes Investigational Site
    Charlotte, North Carolina, United States
    Recruiting
  • Alkermes Investigational Site
    Cincinnati, Ohio, United States
    Recruiting
  • Alkermes Investigational Site
    Colombia, South Carolina, United States
    Recruiting
  • Alkermes Investigational Site
    Dallas, 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
    Spokane, Washington, United States
    Recruiting
  • Alkermes Investigational Site
    Diest, Belgium
    Recruiting
  • Alkermes Investigational Site
    Markham, Ontario, Canada
    Recruiting
  • Alkermes Investigational Site
    Toronto, Ontario, Canada
    Recruiting
  • Alkermes Investigational Site
    Kumamoto, Japan
    Recruiting
  • Alkermes Investigational Site
    Krakow, Poland
    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.