Clinical trial Recruiting at 1 site Phase1; Phase2 Interventional Ages 10 to 60

Ofatumumab for drug-refractory Narcolepsy Type 1

Official title: Ofatumumab in Treatment-Refractory¬ Narcolepsy Type 1

Run by Xijing Hospital · NCT07871006 · Data updated 2026-11-12

Aims to see if a single dose of ofatumumab helps people with Narcolepsy Type 1 who have not responded to previous treatments.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages10 Years to 60 Years
SexAll
Enrollment20 (estimated)
SponsorXijing Hospital
Academic / other
Drugs / interventionsofatumumab
Locations1 site (Xi'an, Shaanxi)
StatusRecruiting
StartedOctober 1, 2025
Main results expectedJune 30, 2027
Study endsDecember 31, 2027
Registry record updatedOctober 13, 2026
Trial IDNCT07871006 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are individuals aged 10–60 with Narcolepsy Type 1 who have not benefited from prior guidelines-based therapies and meet the CSF orexin-A and HLA requirements.

Probably not a fit

Patients who do not respond to ofatumumab or who experience adverse immune-related events may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study tests whether ofatumumab, given as a 20 mg dose, can improve symptoms in people with Narcolepsy Type 1 who have not responded to standard therapies. The trial will monitor sleepiness and cataplexy, as well as safety signals, before and after treatment. Participants will receive one dose, have a clinic visit about one month later, and keep a diary of symptoms. The study will collect CSF orexin-A data and HLA typing as part of eligibility and safety assessments. Results will help determine if ofatumumab is a viable option for drug-refractory NT1 and establish initial safety in this population.

Why it matters

Potential benefit: If successful, participants may experience reduced daytime sleepiness and fewer cataplexy episodes due to the treatment.

How similar studies have gone: Prior studies in related autoimmune-targeted therapies have shown mixed results; this represents an exploratory approach for NT1.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* patients who were clinically diagnosed with narcolepsy type 1
* aged10-60 years, male or female.
* A lumbar puncture was performed to evaluate the CSF orexin-A level.
* HLA typing was performed.
* Patients who had previously failed (no response or no maintenance) guideline- specified first-line therapy for narcolepsy and had previously received at least one guideline-specified second-line treatment for narcolepsy type 1and failed (no response or no maintenance). Or patients who refused to drug treatment.
* Subjects with no significant laboratory abnormalities during screening.
* Patients and their legal guardians must comprehensively understand and be able to adhere to the study protocol requirements and willingly sign the informed consent form.

Exclusion Criteria:

* Patients allergic to ofatumumab, or had failed to respond to previous treatment with ofatumumab.
* Patients were excluded if they had a previous immune disease, or patients diagnosed with various secondary and hereditary auto-immune disorders, contraindications to lumbar puncture, conditions or medication with known substantial impact on the immune system, with impact on the result of lumbar puncture.
* Patients with uncontrollable primary diseases of important organs, such as liver failure, heart failure, renal failure and other diseases.
* Patients who are positive for HIV antibodies or syphilis antibodies.
* Patients accompanied by uncontrollable active infection, including hepatitis B, hepatitis C, cytomegalovirus, EB virus, etc.

Where it's running

  • Xijing Hospital
    Xi'an, Shaanxi, China
    Recruiting

Study contacts

  • Principal investigator: Yonghong Liu, MD;PhD — The First Affiliated Hospital of Air Force Medical University
  • Study coordinator: Yonghong Liu, MD;PhD
  • Email: xjwxl2012@163.com
  • Phone: 029-84771058

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.