Clinical trial Recruiting at 52 sites Phase2; Phase3 Interventional Ages 16 to 70

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

PhasePhase2; Phase3
Study typeInterventional
Ages16 Years to 70 Years
SexAll
Enrollment500 (estimated)
SponsorTakeda
Industry-sponsored
Locations52 sites (Birmingham, Alabama and 51 other locations)
StatusRecruiting
StartedApril 5, 2023
Main results expectedFebruary 28, 2028
Study endsFebruary 28, 2028
Registry record updatedMarch 5, 2026
Trial IDNCT05816382 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

  • 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
  • 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

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.