Long-term ORX750 treatment for people with narcolepsy or idiopathic hypersomnia
Official title: A Phase 2, Long-term Extension Study of the Safety and Efficacy of ORX750 in Participants With Narcolepsy and Idiopathic Hypersomnia Who Completed a Sponsored ORX750 Clinical Trial
Run by Centessa Pharmaceuticals (UK) Limited · NCT07096674 · Data updated 2026-11-12
This open-label extension will try continued ORX750 treatment in people with narcolepsy or idiopathic hypersomnia who completed the earlier ORX750 parent study.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | Centessa Pharmaceuticals (UK) Limited Industry-sponsored |
| Locations | 24 sites (Auburn, Alabama and 23 other locations) |
| Status | Recruiting |
| Started | August 12, 2025 |
| Main results expected | April 30, 2026 |
| Study ends | April 30, 2026 |
| Registry record updated | April 16, 2026 |
| Trial ID | NCT07096674 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are people with narcolepsy type 1 or 2 or idiopathic hypersomnia who completed the full treatment period of the parent ORX750-0201 (CRYSTAL-1) study and can follow the protocol.
✕Probably not a fit
People who did not finish the parent study, who develop new medical conditions that prevent continued participation, or who cannot stop excluded medications are unlikely to join or benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This long-term extension enrolls participants who completed the parent ORX750-0201 (CRYSTAL-1) study to receive open-label ORX750 with ongoing monitoring. The main focus is collecting long-term safety and tolerability data, with additional measures of symptomatic benefit over time. Participants will attend regular clinic visits for examinations, adverse event monitoring, and efficacy assessments. New medical conditions or use of excluded medications may disqualify continued participation.
Why it matters
Potential benefit: If successful, long-term ORX750 could offer a well-tolerated treatment option that reduces daytime sleepiness and other symptoms for people with narcolepsy or idiopathic hypersomnia.
How similar studies have gone: Earlier-phase studies of ORX750 and other orexin-targeting drugs have shown promising short-term effects on wakefulness, but long-term outcomes remain limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnosis of narcolepsy (NT1 or NT2) or IH who was eligible for and completed the full treatment period in the eligible parent study ORX750-0201 (CRYSTAL-1) * Is willing and able to adhere to additional protocol requirements Exclusion Criteria: * Development of any new disease/disorder that in the opinion of the investigator would make the participant unable to continue the study * Unable to refrain from excluded medications, including those used for treatment of narcolepsy or idiopathic hypersomnia
Where it's running
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Auburn, alabama
Auburn, Alabama, United States Recruiting -
Santa Ana, California
Santa Ana, California, United States Recruiting -
Miami, Florida
Miami, Florida, United States Recruiting -
Orlando, Florida
Orlando, Florida, United States Recruiting -
Winter Park, FL
Winter Park, Florida, United States Recruiting -
Stockbridge, GA
Atlanta, Georgia, United States Recruiting
Show 18 more locations
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Atlanta, Georgia
Atlanta, Georgia, United States Recruiting -
Sterling Heights, Michigan
Sterling Heights, Michigan, United States Recruiting -
Hendersen, Navada
Henderson, Nevada, United States Recruiting -
Henderson, Nevada
Henderson, Nevada, United States Recruiting -
Denver, North Carolina
Denver, North Carolina, United States Recruiting -
Huntersville, North Carolina
Huntersville, North Carolina, United States Recruiting -
Cincinnati, Ohio
Cincinnati, Ohio, United States Recruiting -
Dublin
Dublin, Ohio, United States Recruiting -
Abington, Pennsylvania
Abington, Pennsylvania, United States Recruiting -
Willow Grove, Pennsylvania
Willow Grove, Pennsylvania, United States Recruiting -
North Charleston, South Carolina
North Charleston, South Carolina, United States Recruiting -
Austin, Texas
Austin, Texas, United States Recruiting -
El Paso, Texas
El Paso, Texas, United States Recruiting -
Toronto
Toronto, Ontario, Canada Recruiting -
Bologna
Bologna, Bo, Italy Recruiting -
Verona
Verona, Vr, Italy Recruiting -
Móstoles, Madrid
Móstoles, Madrid, Spain Recruiting -
Álava, Spain
Álava, Spain Recruiting
Study contacts
- Study coordinator: Orexin Centessa Program Lead
- Email: ORX750-LTE@centessa.com
- Phone: 617-468-5770
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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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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Long-term treatment with ALKS 2680 for narcolepsy and idiopathic hypersomnia
This study is testing how well a new medication called ALKS 2680 works for people with narcolepsy or idiopathic hypersomnia over a long period of time.
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Testing ORX750 for Narcolepsy and Idiopathic Hypersomnia
This study is testing a new medication called ORX750 to see if it can help people with narcolepsy or idiopathic hypersomnia feel more awake and improve their daily lives.
-
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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Understanding how food intake affects sleep in narcolepsy and hypersomnia patients
This study is testing how what people eat affects their sleep and daytime sleepiness in patients with narcolepsy and hypersomnia to find better ways to manage their health.
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Exploring mind-wandering and its effects in narcolepsy and hypersomnolence
This study is testing how daydreaming affects thinking and creativity in people with narcolepsy and excessive sleepiness.
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.