NCT07502443

Brief Summary

The purpose of this study is to measure decreases in daytime sleepiness, and disease symptoms in participants with Narcolepsy Type 2 (NT2) when taking ALKS 2680 tablets compared with placebo tablets.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
176

participants targeted

Target at P25-P50 for phase_3

Timeline
13mo left

Started Apr 2026

Shorter than P25 for phase_3

Geographic Reach
1 country

8 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress9%
Apr 2026Jun 2027

First Submitted

Initial submission to the registry

March 26, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 31, 2026

Completed
1 day until next milestone

Study Start

First participant enrolled

April 1, 2026

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2027

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2027

Last Updated

May 6, 2026

Status Verified

May 1, 2026

Enrollment Period

1.1 years

First QC Date

March 26, 2026

Last Update Submit

May 5, 2026

Conditions

Keywords

Narcolepsy Type 2NT2SleepSleep disorderorexin-2 receptor agonistexcessive daytime sleepiness

Outcome Measures

Primary Outcomes (1)

  • Change in mean sleep latency (MSL) on Maintenance of Wakefulness Test (MWT) from baseline to Week 12 by dose level

    Baseline to Week 12

Secondary Outcomes (7)

  • Change in Epworth Sleepiness Scale (ESS) from baseline to Week 12 by dose level

    Baseline to Week 12

  • Percentage of participants who achieve a status of "none" or "mild" on Patient Global Impression-Severity (PGI-S) scale (general disease) at Week 12 by dose level

    Week 12

  • Change in British Columbia Cognitive Complaints Inventory (BC-CCI) from baseline to Week 12 by dose level

    Baseline to Week 12

  • Change in number of lapses on Psychomotor Vigilance Task (PVT) from baseline to Week 12 by dose level

    Baseline to Week 12

  • Change in Patient-Reported Outcomes Measurement Information System - Fatigue 6a (PROMIS Fatigue 6a) from baseline to Week 12 by dose level

    Baseline to Week 12

  • +2 more secondary outcomes

Study Arms (4)

ALKS 2680 Dose 1

EXPERIMENTAL
Drug: ALKS 2680 Dose 1

ALKS 2680 Dose 2

EXPERIMENTAL
Drug: ALKS 2680 Dose 2

ALKS 2680 Dose 3

EXPERIMENTAL
Drug: ALKS 2680 Dose 3

Placebo

PLACEBO COMPARATOR
Drug: Placebo

Interventions

Participants will receive ALKS 2680 tablets, daily, orally, for 12 weeks

Also known as: Alixorexton
ALKS 2680 Dose 1

Participants will receive ALKS 2680 tablets, daily, orally, for 12 weeks

Also known as: Alixorexton
ALKS 2680 Dose 2

Participants will receive ALKS 2680 tablets, daily, orally, for 12 weeks

Also known as: Alixorexton
ALKS 2680 Dose 3

Participants will receive placebo tablets, daily, orally for 12 weeks

Placebo

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Is willing and able, in the opinion of the Investigator, to understand and comply with protocol requirements, including the following: lifestyle considerations and restrictions, adherence to contraception guidance, adherence to actigraphy and diary requirements, if receiving treatment for OSA, adherence to primary OSA therapy over the 30 days prior to Visit 1, and throughout the study, including during overnight visits.
  • Meets the diagnostic criteria of NT2 according to ICSD-3-TR guidelines, confirmed by diagnostic evaluations (either PSG/MSLT).

You may not qualify if:

  • Has another comorbid sleep disorder or condition that may influence the sleep-wake cycle.
  • Has a history or presence of other clinically significant (treated or untreated) illness, disease, abnormality, or surgical procedure that, in the opinion of the Investigator, might compromise participant safety, interfere with any study assessment, or affect the participant's ability to complete the study.
  • Is currently enrolled in another interventional clinical trial or has received any investigational drug or used any interventional investigational device within 30 days prior to Visit 1. Participants previously enrolled in Study ALKS 2680-202 are not eligible for enrollment.
  • Is currently pregnant, breastfeeding, or is planning to become pregnant during the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

Alkermes Investigational Site

Brandon, Florida, 33511, United States

RECRUITING

Alkermes Investigational Site

Macon, Georgia, 31210, United States

RECRUITING

Alkermes Investigational Site

Lansing, Michigan, 48911, United States

NOT YET RECRUITING

Alkermes Investigational Site

Cincinnati, Ohio, 45245, United States

RECRUITING

Alkermes Investigational Site

Wyomissing, Pennsylvania, 19610, United States

RECRUITING

Alkermes Investigational Site

Columbia, South Carolina, 29201, United States

RECRUITING

Alkermes Investigational Site

Austin, Texas, 78731, United States

RECRUITING

Alkermes Investigational Site

Sugar Land, Texas, 77478, United States

RECRUITING

MeSH Terms

Conditions

Sleep Wake DisordersDisorders of Excessive Somnolence

Condition Hierarchy (Ancestors)

Nervous System DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsMental DisordersSleep Disorders, IntrinsicDyssomnias

Study Officials

  • Study Director, MD

    Alkermes, Inc.

    STUDY DIRECTOR

Central Study Contacts

Director Clinical Trial Manager

CONTACT

Director Clinical Trial Manager

CONTACT

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 26, 2026

First Posted

March 31, 2026

Study Start

April 1, 2026

Primary Completion (Estimated)

May 1, 2027

Study Completion (Estimated)

June 1, 2027

Last Updated

May 6, 2026

Record last verified: 2026-05

Locations