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
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 10 Years to 60 Years |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | Xijing Hospital Academic / other |
| Drugs / interventions | ofatumumab |
| Locations | 1 site (Xi'an, Shaanxi) |
| Status | Recruiting |
| Started | October 1, 2025 |
| Main results expected | June 30, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | October 13, 2026 |
| Trial ID | NCT07871006 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
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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.