Evaluating TAK-861 for treating narcolepsy type 1
Official title: A Long-term Extension Study to Evaluate the Safety and Tolerability of TAK-861 in Participants With Selected Central Hypersomnia Conditions
Run by Takeda · NCT05816382 · Data updated 2026-11-12
This study is testing a new medication called TAK-861 to see if it can help people with narcolepsy type 1 feel less sleepy during the day and reduce their sudden muscle weakness.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 16 Years to 70 Years |
| Sex | All |
| Enrollment | 500 (estimated) |
| Sponsor | Takeda Industry-sponsored |
| Locations | 52 sites (Birmingham, Alabama and 51 other locations) |
| Status | Recruiting |
| Started | April 5, 2023 |
| Main results expected | February 28, 2028 |
| Study ends | February 28, 2028 |
| Registry record updated | March 5, 2026 |
| Trial ID | NCT05816382 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are individuals diagnosed with narcolepsy type 1 who have completed a prior controlled study involving TAK-861.
✕Probably not a fit
Patients with severe treatment-emergent adverse events from previous studies or those with other significant medical conditions may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to assess the safety and tolerability of TAK-861 in participants diagnosed with narcolepsy type 1 who have previously participated in controlled studies with the drug. The trial will monitor improvements in narcolepsy symptoms, particularly excessive daytime sleepiness and cataplexy episodes. Up to 500 patients will be enrolled, and they will receive either of two doses of TAK-861 based on their prior treatment. The study is a long-term extension that will last approximately five years and is conducted across multiple centers worldwide.
Why it matters
Potential benefit: If successful, this treatment could significantly improve the quality of life for patients suffering from narcolepsy type 1 by reducing daytime sleepiness and cataplexy episodes.
How similar studies have gone: Other studies involving TAK-861 have shown promise, but this specific long-term extension is a novel approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria: 1\. Participant with a diagnosis of NT1 who has completed a controlled trial with TAK-861, and for whom the investigator has no clinical objection to their enrollment. Exclusion criteria: 1. Participant has a treatment-emergent adverse event (TEAE) that remains severe at the time of rollover related to the trial intervention from the parent trial or discontinued because of TEAEs in the parent trial. 2. Participant has a risk of suicide according to endorsement of item 4 or 5 on the Columbia Suicide Severity Rating Scale (C-SSRS). 3. The participant has alanine aminotransferase (ALT) and aspartate aminotransferase (AST) values greater than (\>) 1.5 times the upper limit of normal (ULN). 4. Participant has a current medical disorder, other than narcolepsy with or without cataplexy, associated with excessive daytime sleepiness (EDS). 5. Participant has current active major depressive episode (MDE) or has had an active MDE in the past 6 months. 6. Participant has developed (within the last 6 months) gastrointestinal disease that is expected to influence the absorption of drugs. 7. Participant has epilepsy or history of seizure. 8. Participant has any other medical condition, such as anxiety, depression, heart disease, or significant hepatic, pulmonary, or renal disease, that requires them to take excluded medications. 9. Participant has a history of cerebral ischemia, transient ischemic attack (less than (\<) 5 years ago), or cerebral hemorrhage. 10. Participant has a history of myocardial infarction, clinically significant coronary artery disease, clinically significant angina, clinically significant cardiac rhythm abnormality, or heart failure. 11. Participant has a history of cancer in the past 5 years.
Where it's running
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Sleep Disorders Center of Alabama
Birmingham, Alabama, United States Recruiting -
Stanford Center for Sleep Sciences and Medicine
Redwood City, California, United States Recruiting -
SDS Clinical Trials, Inc.
Santa Ana, California, United States Recruiting -
Delta Waves LLC - Hunt - PPDS
Colorado Springs, Colorado, United States Recruiting -
Florida Pediatric Research Institute
Orlando, Florida, United States Recruiting -
Neurotrials Research
Atlanta, Georgia, United States Recruiting
Show 44 more locations
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Georgia Neuro Center
Gainesville, Georgia, United States Recruiting -
Neurocare Inc
Newton, Massachusetts, United States Recruiting -
Henry Ford Medical Center - Columbus
Novi, Michigan, United States Recruiting -
Research Carolina Elite
Denver, North Carolina, United States Recruiting -
ARSM Research, LLC
Huntersville, North Carolina, United States Recruiting -
CTI Research Center
Cincinnati, Ohio, United States Recruiting -
Intrepid Research
Cincinnati, Ohio, United States Recruiting -
The Cleveland Clinic Foundation
Cleveland, Ohio, United States Recruiting -
Ohio Sleep Medicine Institute
Dublin, Ohio, United States Recruiting -
Medical University of South Carolina - PPDS
Charleston, South Carolina, United States Recruiting -
Bogan Sleep Consultants, LLC
Columbia, South Carolina, United States Recruiting -
Sleep Therapy and Research Center
San Antonio, Texas, United States Recruiting -
Children's Specialty Group
Norfolk, Virginia, United States Recruiting -
Woolcock Institute of Medical Research
Glebe, New South Wales, Australia Recruiting -
Terveystalo Helsinki Sleep Clinic
Helsinki, Uusimaa, Finland Recruiting -
Hopital Pierre-Paul Riquet
Toulouse, Haute-Garonne, France Recruiting -
CHU Gui De Chauliac
Montpellier, Herault, France Recruiting -
CHU de Grenoble
La Tronche, Isere, France Recruiting -
Hopital de la Pitie Salpetriere
Paris, France Recruiting -
Universitaet Regensburg am Bezirksklinikum
Regensburg, Bavaria, Germany Recruiting -
Somni Bene Institut fur Medizinische Forschung und Schlafmedizin Schwerin GmbH
Schwerin, Mecklenburg-Vorpommern, Germany Recruiting -
Charite - Universitatsmedizin Berlin
Berlin, Germany Recruiting -
Klinische Forschung Hamburg
Hamburg, Germany Recruiting -
Fondazione PTV Policlinico Tor Vergata
Rome, Lazio, Italy Recruiting -
Istituto Neurologico Mediterraneo Neuromed
Pozzilli, Molise, Italy Recruiting -
Ospedale Bellaria
Bellaria, Italy Recruiting -
Kurume University Hospital
Kurume-Shi, Hukuoka, Japan Recruiting -
Howakai Kuwamizu Hospital
Kumamoto, Kumamoto, Japan Recruiting -
YOU ARIYOSHI Sleep Clinic
Nagasaki, Nagasaki, Japan Recruiting -
Gokeikai Osaka Kaisei Hospital
Osaka, Osaka, Japan Recruiting -
Koishikawa Tokyo Hospital
Bunkyo-Ku, Tokyo, Japan Recruiting -
Aichi Medical University Hospital
Nagakute, Japan Recruiting -
Kempenhaeghe - PPDS
Heeze, North Brabant, Netherlands Recruiting -
Slaap-Waakcentrum SEIN Heemstede
Heemstede, North Holland, Netherlands Recruiting -
University of Oslo
Oslo, Norway Recruiting -
Hospital Universitario Araba Santiago
Vitoria-Gasteiz, Alava, Spain Recruiting -
Hospital General de Castello
Castellon, Castellon, Spain Recruiting -
Hospital de La Ribera
Alzira, Valencia, Spain Recruiting -
Hospital Universitario Vall d'Hebron - PPDS
Barcelona, Spain Recruiting -
Hospital Clinic de Barcelona
Barcelona, Spain Recruiting -
Instituto de Investigaciones del Sueno
Madrid, Spain Recruiting -
Hospital Vithas Madrid Arturo Soria
Madrid, Spain Recruiting -
Sahlgrenska University Hospital
Gothenburg, Västra Götaland County, Sweden Recruiting -
Klinik Barmelweid AG
Barmelweid, Aargau (de), Switzerland Recruiting
+2 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Takeda Contact
- Email: medinfoUS@takeda.com
- Phone: +1-877-825-3327
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Temporal interference stimulation for narcolepsy type 1
A noninvasive brain stimulation test to see if theta-burst temporal interference can help people with narcolepsy type 1.
-
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.
-
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.
-
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.
-
ALKS 2680 in adults with narcolepsy type 1: see if it helps daytime sleepiness and cataplexy
This study tests whether ALKS 2680 helps reduce daytime sleepiness and cataplexy in adults with narcolepsy type 1 compared with a placebo.
-
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.
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.