ALKS 2680 for Narcolepsy

(Vibrance-2 Trial)

Not currently recruiting at 48 trial locations
DG
Overseen ByDirector, Global Clinical Services
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Alkermes, Inc.
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new tablet, ALKS 2680, to determine if it can reduce sleepiness in people with narcolepsy type 2. Researchers aim to ensure the tablets are safe and to compare their effects against a placebo (a pill with no active medicine). The trial includes different groups that will receive varying doses of the tablet or a placebo. Individuals with narcolepsy type 2 who experience ongoing daytime sleepiness and are willing to stop other narcolepsy medications for the trial might be suitable candidates. As a Phase 2 trial, this research focuses on measuring the treatment's effectiveness in an initial, smaller group of participants.

Will I have to stop taking my current medications?

Yes, you will need to stop taking any medications prescribed for managing narcolepsy symptoms for at least 14 days before the study and throughout its duration.

Is there any evidence suggesting that ALKS 2680 is likely to be safe for humans?

Research has shown that ALKS 2680 is generally safe for people. Earlier studies with single doses up to 8 mg improved sleep without major side effects. Other studies in healthy adults and people with narcolepsy also found ALKS 2680 to be safe. This trial uses higher doses (10, 14, and 18 mg), but earlier research indicates its safety. As a Phase 2 trial, ALKS 2680 has already passed initial safety tests. This suggests the treatment is likely safe, but this trial will help confirm that.12345

Why do researchers think this study treatment might be promising for narcolepsy?

Researchers are excited about ALKS 2680 for narcolepsy because it offers a new approach with its unique formulation. Unlike standard treatments like modafinil or sodium oxybate, which primarily target wakefulness, ALKS 2680 is designed as an oral tablet that may work differently by potentially modulating neurotransmitter systems in novel ways. This could lead to improved wakefulness and reduced daytime sleepiness with possibly fewer side effects. By offering different dosages (10 mg, 14 mg, and 18 mg), ALKS 2680 provides flexibility in treatment, which could be tailored to individual patient needs.

What evidence suggests that ALKS 2680 might be an effective treatment for narcolepsy?

Research shows that ALKS 2680, also known as alixorexton, may help people with narcolepsy type 1 stay awake. Studies have found that it significantly improves alertness and reduces daytime sleepiness. This treatment affects orexin receptors in the brain, which control sleep and wakefulness. Previous users have generally responded well and tolerated it without major issues. These results suggest that ALKS 2680 might also help manage symptoms of narcolepsy type 2. Participants in this trial will receive different dosages of ALKS 2680 or a placebo to further evaluate its effectiveness and safety.12367

Who Is on the Research Team?

MD

Medical Director, MD

Principal Investigator

Alkermes, Inc.

Are You a Good Fit for This Trial?

This trial is for individuals with narcolepsy type 2. Specific eligibility criteria are not provided, but typically participants must meet certain health conditions and agree to the study's procedures.

Inclusion Criteria

I often feel very sleepy during the day.
Meets the diagnostic criteria of Narcolepsy type 2 according to ICSD-3-TR guidelines
Is willing to adhere to additional protocol requirements
See 2 more

Exclusion Criteria

Significant comorbid medical conditions, including other sleep, cardiovascular, psychiatric, hepatic or other disorders may be exclusionary; eligibility will be determined on an individual basis by the study investigator

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive ALKS 2680 or placebo tablets daily to evaluate safety and decrease in sleepiness

8 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Open-label extension (optional)

Participants may opt into continuation of treatment long-term

What Are the Treatments Tested in This Trial?

Interventions

  • ALKS 2680
Trial Overview The trial is testing ALKS 2680 tablets against placebo tablets to see if they're safe and can reduce sleepiness in people with narcolepsy type 2.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Placebo Group
Group I: ALKS 2680, 18 mgExperimental Treatment1 Intervention
Group II: ALKS 2680, 14 mgExperimental Treatment1 Intervention
Group III: ALKS 2680, 10 mgExperimental Treatment1 Intervention
Group IV: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Alkermes, Inc.

Lead Sponsor

Trials
118
Recruited
27,200+

Richard Pops

Alkermes, Inc.

Chief Executive Officer since 1991

BA in Economics from Stanford University

Dr. Craig Hopkinson

Alkermes, Inc.

Chief Medical Officer since 2017

MD

Citations

Alixorexton (ALKS 2680) Narcolepsy Type 1 Phase 2 DataThe results demonstrated alixorexton's significant effect on wakefulness and other important measures and a generally well tolerated profile.
NCT06358950 | A Study to Evaluate the Safety and ...The purpose of this research study is to assess the safety and efficacy of ALKS 2680 compared to placebo, including whether participants taking ALKS 2680 ...
Press Releases... efficacy of alixorexton (formerly referred to as ALKS 2680) in adults with narcolepsy type 1 (NT1). Participants (n=92) were randomized to ...
The Orexin 2 Receptor Agonist ALKS 2680 in Patients with ...To present the results from a randomized, double-blind, phase 1b study assessing the safety, tolerability, and pharmacodynamics of ALKS 2680 in ...
Orexin Receptor Agent ALKS 2680 Meets End Points in ...New study reveals that alixorexton significantly improves wakefulness and reduces daytime sleepiness in narcolepsy type 1, paving the way ...
ISRCTN98204977: A study in healthy subjects to see the ...This is a clinical study to assess how safe and well tolerated an investigational drug (ALKS 2680) is in healthy adults and adults with narcolepsy or idiopathic ...
O013 Preliminary Results from a Phase 1 Study of ALKS ...Preliminary results suggest that the OX2R agonist ALKS 2680 is generally well-tolerated with a pharmacokinetic profile potentially suitable for once-daily oral ...
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