NCT07675135

Brief Summary

This is a Phase 3, multicenter, randomized, double-blind, parallel-group, placebo-controlled clinical study to assess the efficacy and safety of HBS-301 in treating excessive daytime sleepiness (EDS), cataplexy, sleepiness/wakefulness, and fatigue in adult participants (ages ≥18 years) with narcolepsy.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
258

participants targeted

Target at P50-P75 for phase_3

Timeline
15mo left

Started Jun 2026

Geographic Reach
1 country

14 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 Progress11%
Jun 2026Nov 2027

Study Start

First participant enrolled

June 4, 2026

Completed
18 days until next milestone

First Submitted

Initial submission to the registry

June 22, 2026

Completed
8 days until next milestone

First Posted

Study publicly available on registry

June 30, 2026

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2027

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2027

Last Updated

June 30, 2026

Status Verified

June 1, 2026

Enrollment Period

1.3 years

First QC Date

June 22, 2026

Last Update Submit

June 25, 2026

Conditions

Keywords

pitolisantHBS-301narcolepsyEDScataplexyfatigue

Outcome Measures

Primary Outcomes (1)

  • Change in severity of EDS as measured by the Epworth Sleepiness Scale (ESS)

    The ESS is an 8-item, 4-point rating scale.

    Baseline to end of Double-Blind Treatment Period (8 weeks)

Secondary Outcomes (19)

  • Change in Weekly Rate of Cataplexy (WRC) in participants with an average WRC of ≥3 over 2 consecutive weeks at Screening

    End of the Double-Blind Treatment Period (8 weeks)

  • Change in sleepiness/wakefulness measured by the Maintenance of Wakefulness Test (MWT)

    Baseline to the end of the Double-blind Treatment Period (8 weeks)

  • Change in fatigue as measured by the Patient-Reported Outcomes Measurement Information System Fatigue Short Form 7a (PROMIS-Fatigue-SF-7a)

    Baseline to end of Double-Blind Treatment Period (8 weeks)

  • Change in severity of EDS as measured by the ESS

    Baseline through Week 1 and through Week 2 of Titration Period (1 week and 2 weeks)

  • Onset of efficacy of HBS-301 compared with placebo in treating cataplexy measured by WRC in participants with an average WRC of ≥3 over 2 consecutive weeks during Screening

    Baseline through Week 1 and Week 2 of the Titration Period (1 week and 2 weeks)

  • +14 more secondary outcomes

Study Arms (3)

Double-Blind Treatment Period HBS-301

EXPERIMENTAL

HBS-301 tablets administered once daily in the morning upon wakening

Drug: HBS-301

Double-blind Treatment Period Placebo

PLACEBO COMPARATOR

Matching placebo tablets administered once daily in the morning upon wakening

Other: Placebo

Open-Label Extension Period HBS-301

EXPERIMENTAL

HBS-301 tablets administered once daily in the morning upon wakening

Drug: HBS-301

Interventions

HBS-301 tablet

Also known as: pitolisant delayed-release
Double-Blind Treatment Period HBS-301Open-Label Extension Period HBS-301
PlaceboOTHER

Placebo tablet

Double-blind Treatment Period Placebo

Eligibility Criteria

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

You may qualify if:

  • Has a current documented diagnosis of NT1 or NT2 per the International Classification of Sleep Disorders, Third Edition (ICSD-3) or the ICSD-3 Text Revision (ICSD-3-TR) within the last 10 years.
  • Has EDS.
  • 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 (PRN) use of any treatment that could affect daytime sleepiness (including but not limited to oxybates, stimulants, modafinil, and armodafinil) is not permitted.

You may not qualify if:

  • 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 (i.e., symptoms and medications have not been stable for at least 3 months prior to Screening).
  • Has any history of bipolar disorder or psychosis
  • Has acute or chronic liver disease or a history of moderate or severe hepatic impairment.
  • Has a body surface area-corrected estimated glomerular filtration rate (eGFR) \<60 mL/min.
  • Has a known history of long QT syndrome or serious abnormality of the electrocardiogram (ECG).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (14)

Phoenix Medical Group, PC

Peoria, Arizona, 85381, United States

RECRUITING

Santa Monica Clinical Trials

Los Angeles, California, 90025, United States

RECRUITING

Alpine Clinical Research Center, Inc

Boulder, Colorado, 80301, United States

RECRUITING

PharmaDev Clinical Research Institute, LLC

Miami, Florida, 33176, United States

RECRUITING

Central Florida Pediatric Sleep Disorders Institute

Winter Park, Florida, 32789, United States

RECRUITING

Neurotrials Research Inc

Atlanta, Georgia, 30328, United States

RECRUITING

Sleep Practitioners, LLC

Macon, Georgia, 31210, United States

RECRUITING

Intrepid Research, LLC

Cincinnati, Ohio, 45245, United States

RECRUITING

Respiratory Specialists

Wyomissing, Pennsylvania, 19610, United States

RECRUITING

Lowcountry Lung and Critical Care PA

Charleston, South Carolina, 29406, United States

RECRUITING

Bogan Sleep Consultants, LLC

Columbia, South Carolina, 29201, United States

RECRUITING

Southwest Family Medicine

Dallas, Texas, 75235, United States

RECRUITING

Sleep Therapy & Research Center

San Antonio, Texas, 78229, United States

RECRUITING

Sleep and Performance Research Center

Spokane, Washington, 99202, United States

RECRUITING

MeSH Terms

Conditions

CataplexyFatigueNarcolepsy

Condition Hierarchy (Ancestors)

Disorders of Excessive SomnolenceSleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System DiseasesMental DisordersSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • David Seiden, MD

    Harmony Biosciences Management, Inc.

    STUDY DIRECTOR

Central Study Contacts

Study Design

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

Study Record Dates

First Submitted

June 22, 2026

First Posted

June 30, 2026

Study Start

June 4, 2026

Primary Completion (Estimated)

October 1, 2027

Study Completion (Estimated)

November 1, 2027

Last Updated

June 30, 2026

Record last verified: 2026-06

Data Sharing

IPD Sharing
Will not share

Locations