Clinical trial Recruiting at 42 sites Phase 3 Interventional Ages 18 and up

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

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment248 (estimated)
SponsorHarmony Biosciences Management, Inc.
Industry-sponsored
Locations42 sites (Birmingham, Alabama and 41 other locations)
StatusRecruiting
StartedMarch 16, 2026
Main results expectedOctober 2027
Study endsOctober 2028
Registry record updatedSeptember 14, 2026
Trial IDNCT07500090 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

  • 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
  • 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

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.