ALKS 2680 for Narcolepsy

(Vibrance-1 Trial)

No longer recruiting at 46 trial locations
GC
Overseen ByGlobal 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 treatment called ALKS 2680 for people with narcolepsy, a condition that often causes excessive daytime sleepiness and cataplexy (sudden loss of muscle control). The goal is to determine if ALKS 2680 can reduce these symptoms more effectively than a placebo. The trial will explore different doses of the medication to identify the most effective one. People diagnosed with narcolepsy type 1 who still experience sleepiness and cataplexy, despite treatment, might be suitable candidates for this study. As a Phase 2 trial, this research focuses on measuring the treatment's effectiveness in an initial, smaller group of people, offering participants a chance to contribute to important medical advancements.

Do I need to stop my current medications for this trial?

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. Studies have found that single doses up to 8 mg are not only safe but also help reduce symptoms of narcolepsy, such as sleepiness and sudden muscle weakness (cataplexy). Earlier trials with both healthy adults and those with narcolepsy reported no serious safety issues. Overall, the treatment appears safe based on current data, with improvements observed in sleep-related problems.12345

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

Researchers are excited about ALKS 2680 for narcolepsy because it introduces a potentially novel mechanism of action compared to standard treatments like modafinil, sodium oxybate, or pitolisant. ALKS 2680 might work differently by targeting specific pathways in the brain that are not the primary focus of current medications. This could lead to improved wakefulness with fewer side effects. Additionally, having multiple dosing options (4 mg, 6 mg, and 8 mg) allows for more personalized treatment, potentially tailoring therapy to meet individual patient needs effectively.

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

Research shows that ALKS 2680, also known as alixorexton, can significantly help people with narcolepsy type 1 stay awake. This trial will evaluate different dosages of ALKS 2680—4 mg, 6 mg, and 8 mg—alongside a placebo. This treatment has effectively reduced daytime sleepiness, a key symptom of narcolepsy. In earlier studies, participants became more alert and experienced fewer episodes of cataplexy, a sudden loss of muscle control. ALKS 2680 works by affecting the orexin system in the brain, which manages sleep and wakefulness. Data indicate that the treatment is generally well tolerated.12367

Who Is on the Research Team?

SM

Study Medical Director, MD

Principal Investigator

Alkermes, Inc.

Are You a Good Fit for This Trial?

This trial is for individuals with Narcolepsy Type 1, a condition causing excessive daytime sleepiness and sometimes sudden muscle weakness. Participants should be diagnosed with this type of narcolepsy to qualify.

Inclusion Criteria

Meets the diagnostic criteria of Narcolepsy type 1 according to ICSD-3-TR guidelines
Has a BMI ≥18 and ≤35 kg/m2
Is willing to adhere to additional protocol requirements
See 3 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 to assess safety and efficacy, focusing on sleepiness and cataplexy reduction

6 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • ALKS 2680
Trial Overview The study tests ALKS 2680 against a placebo to see if it better reduces sleepiness and cataplexy in people with Narcolepsy Type 1. It's designed to compare the effects of the drug versus no active treatment.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Placebo Group
Group I: 8 mg ALKS 2680Experimental Treatment1 Intervention
Group II: 6 mg ALKS 2680Experimental Treatment1 Intervention
Group III: 4 mg ALKS 2680Experimental 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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