Phase 3 HBS-301 for idiopathic hypersomnia
Official title: A Phase 3, Randomized, Double-blind, Placebo-Controlled, Efficacy and Safety Study of HBS-301 in Participants With Idiopathic Hypersomnia (IH) Followed by an Open-label Extension
Run by Harmony Biosciences Management, Inc. · NCT07500090 · Data updated 2026-11-12
This trial will test whether the oral medicine HBS-301 helps adults with idiopathic hypersomnia reduce daytime sleepiness, sleep inertia, and fatigue.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 248 (estimated) |
| Sponsor | Harmony Biosciences Management, Inc. Industry-sponsored |
| Locations | 42 sites (Birmingham, Alabama and 41 other locations) |
| Status | Recruiting |
| Started | March 16, 2026 |
| Main results expected | October 2027 |
| Study ends | October 2028 |
| Registry record updated | September 14, 2026 |
| Trial ID | NCT07500090 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults (age ≥18) with a documented ICSD-3 diagnosis of idiopathic hypersomnia confirmed by PSG/MSLT, who have moderate to very severe symptoms and are on stable doses of any permitted chronic medications.
✕Probably not a fit
People without a confirmed IH diagnosis, those with untreated or noncompliant obstructive sleep apnea or recent changes in medications that affect wakefulness, children, or those taking prohibited as-needed stimulants are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a randomized, double-blind, placebo-controlled Phase 3 study enrolling about 248 adults with idiopathic hypersomnia to compare HBS-301 tablets with placebo over an 8-week double-blind period. Participants must have a prior ICSD-3 diagnosis confirmed by PSG/MSLT and stable concomitant medications when allowed. The study includes a screening/baseline period, an optional 1-year open-label extension for responders, and a 30-day safety follow-up. Key outcomes focus on changes in excessive daytime sleepiness, sleep inertia, fatigue, and safety measures.
Why it matters
Potential benefit: If successful, HBS-301 could reduce excessive daytime sleepiness, sleep inertia, and fatigue and improve daily functioning and quality of life for people with idiopathic hypersomnia.
How similar studies have gone: Related drugs acting on the histamine H3 pathway, including pitolisant, have shown benefit for excessive daytime sleepiness in narcolepsy and some data in hypersomnolence, so the mechanism has supporting evidence though Phase 3 data in IH remain needed.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Has a current documented diagnosis of IH per the International Classification of Sleep Disorders, Third Edition (ICSD-3) or Text Revision (ICSD-3-TR) criteria with confirmatory polysomnogram (PSG) with multiple sleep latency test (MSLT; and if applicable, a 24-hour PSG report or an actigraphy report with sleep log) on file that led to the diagnosis and was completed within the last 10 years. * Has EDS. * Has moderate to very severe symptoms of IH. * If taking a permitted chronic concomitant medication or supplement, including nonprohibited antidepressants or wake-promoting agents, must be on a stable dose for at least 3 months prior to Screening and agree to continue at that stable dose for the Double-blind Treatment Period of the study. As-needed use of any treatment that could affect daytime sleepiness (including but not limited to stimulants, modafinil, and armodafinil) used on an as-needed basis is not permitted. Exclusion Criteria: * Has hypersomnia due to another medical disorder. * Has a history of pitolisant use within 5 half-lives prior to Screening. * Has a primary diagnosis of psychiatric illness, including depression, that is not well controlled. * Has a history of moderate or severe hepatic impairment. * Has a body surface area (BSA)-corrected estimated glomerular filtration rate (eGFR) \<60 mL/min. * Has a known history of long QT syndrome or any significant history of a serious abnormality of the electrocardiogram (ECG).
Where it's running
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Sleep Disorders Center of Alabama
Birmingham, Alabama, United States Recruiting -
Phoenix Medical Group LLC
Peoria, Arizona, United States Recruiting -
Stanford Center for Sleep Medicine
Redwood City, California, United States Recruiting -
Trial Site Solutions
San Ramon, California, United States Recruiting -
Santa Monica Clinical Trials
Santa Monica, California, United States Recruiting -
Alpine Clinical Research Center, Inc.
Boulder, Colorado, United States Recruiting
Show 36 more locations
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Delta Waves LLC
Colorado Springs, Colorado, United States Recruiting -
PharmDev Research Institute, LLC
Miami, Florida, United States Recruiting -
Central Florida Pediatric Sleep Disorders Institute (Florida Pediatric Research Institute, LLC)
Winter Park, Florida, United States Recruiting -
NeuroTrials Research Inc.
Atlanta, Georgia, United States Recruiting -
Sleep Practitioners, LLC
Macon, Georgia, United States Recruiting -
Southeast Lung Associates Research
Rincon, Georgia, United States Recruiting -
Clinical Research Institute Stockbridge
Stockbridge, Georgia, United States Recruiting -
Fort Wayne Neurological Center
Fort Wayne, Indiana, United States Recruiting -
Revive Research Institute
Southfield, Michigan, United States Recruiting -
Clinical Neuropsychology Services
Sterling Heights, Michigan, United States Recruiting -
St. Luke's Hospital, Sleep Medicine and Research Center
Chesterfield, Missouri, United States Recruiting -
Clinical Research of Gastonia
Gastonia, North Carolina, United States Recruiting -
Stern Research Partners, LLC
Huntersville, North Carolina, United States Recruiting -
David Kudrow, MD
Morrisville, North Carolina, United States Recruiting -
Neuroscience Research Center, LLC
Canton, Ohio, United States Recruiting -
Intrepid Research
Cincinnati, Ohio, United States Recruiting -
Neurology Care
Ardmore, Oklahoma, United States Recruiting -
Abington Neurological Associates
Abington, Pennsylvania, United States Recruiting -
Suburban Research Associates
West Chester, Pennsylvania, United States Recruiting -
Berks Schuylkill Respiratory Specialists
Wyomissing, Pennsylvania, United States Recruiting -
Infinity Medical Research Inc.
East Providence, Rhode Island, United States Recruiting -
Lowcountry Lung and Critical Care, PA
Charleston, South Carolina, United States Recruiting -
Bogan Sleep Consultants, LLC
Columbia, South Carolina, United States Recruiting -
K2 Medical Research
Nashville, Tennessee, United States Recruiting -
Aayus Research
Austin, Texas, United States Recruiting -
Southwest Family Medicine Associates
Dallas, Texas, United States Recruiting -
Metroplex Pulmonary and Sleep Center
McKinney, Texas, United States Recruiting -
Sleep Therapy and Research Center
San Antonio, Texas, United States Recruiting -
HAS Research
San Antonio, Texas, United States Recruiting -
Tricoastal Narcolepsy and Sleep Disorders Center
Sugar Land, Texas, United States Recruiting -
TPMG Clinical Research
Williamsburg, Virginia, United States Recruiting -
Washington State University Sleep and Performance Center
Spokane, Washington, United States Recruiting -
West Virginia University
Morgantown, West Virginia, United States Recruiting -
University of Washington
Madison, Wisconsin, United States Recruiting -
AMNDX Inc
Markham, Ontario, Canada Recruiting -
Jodha Tishon Inc
Toronto, Ontario, Canada Recruiting
Study contacts
- Study coordinator: Katie Wilmsen
- Email: clinicaltrials@harmonybiosciences.com
- Phone: 443-309-5556
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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.