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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Alkermes, Inc. Industry-sponsored |
| Locations | 20 sites (Brandon, Florida and 19 other locations) |
| Status | Recruiting |
| Started | August 13, 2026 |
| Main results expected | June 2027 |
| Study ends | July 2027 |
| Registry record updated | October 7, 2026 |
| Trial ID | NCT07540897 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
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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
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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
- 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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Temporal interference stimulation for narcolepsy type 1
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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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TAK-360 in adults with narcolepsy Type 1 with cataplexy
This study tests TAK-360 versus placebo in adults with narcolepsy Type 1 to see if it is safe and tolerable.
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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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ALKS 2680 for reducing daytime sleepiness and cataplexy in adults with narcolepsy type 1
This study will test whether ALKS 2680 tablets can reduce daytime sleepiness, cataplexy, and other symptoms in adults with narcolepsy type 1.
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Pain testing for people with idiopathic REM sleep behavior disorder
This study will test whether people with idiopathic REM sleep behavior disorder feel and report pain differently using brief thermal pain tests and questionnaires.
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.