TAK-861 for Narcolepsy

Not currently recruiting at 40 trial locations
Age: Any Age
Sex: Any
Trial Phase: Phase 3
Sponsor: Takeda
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
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 the effectiveness of a new treatment called TAK-861 for individuals with narcolepsy type 1, a condition that causes excessive daytime sleepiness and sudden muscle weakness. Participants will take TAK-861 for several months, after which some will switch to a placebo to observe if symptoms return. The trial aims to determine if TAK-861 can maintain symptom relief over time. Individuals with narcolepsy type 1 and a body mass index (BMI) between 18 and 40 may be suitable for this trial. As a Phase 3 trial, this study represents the final step before FDA approval, offering participants the opportunity to contribute to a potentially groundbreaking treatment.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Is there any evidence suggesting that TAK-861 is likely to be safe for humans?

In earlier studies, TAK-861 demonstrated promising safety results for treating narcolepsy type 1. Research suggests that most patients tolerate it well. Importantly, these studies did not identify any serious side effects linked to the treatment. While some side effects might occur, they were not severe. TAK-861 has undergone testing in various studies, and the safety results remain positive.12345

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

Unlike the standard treatments for narcolepsy, which often include stimulants like modafinil or sodium oxybate to manage symptoms, TAK-861 offers a new approach by targeting the orexin system in the brain. This is significant because orexin plays a key role in regulating wakefulness and sleep, and TAK-861 aims to directly modulate this pathway. Researchers are excited about TAK-861 because it could potentially provide more effective symptom control with fewer side effects compared to current options, offering renewed hope for people living with narcolepsy.

What evidence suggests that TAK-861 might be an effective treatment for narcolepsy?

Research has shown that TAK-861, also known as oveporexton, may help treat narcolepsy type 1. Studies found that people taking TAK-861 were more awake and less sleepy during the day. Importantly, they experienced fewer cataplexy episodes, which are sudden muscle weaknesses often triggered by emotions. In this trial, participants will receive either TAK-861 or a placebo. TAK-861 has helped people stay awake longer during the day compared to a placebo. Overall, evidence suggests TAK-861 could effectively manage narcolepsy symptoms.16789

Who Is on the Research Team?

SD

Study Director

Principal Investigator

Takeda

Are You a Good Fit for This Trial?

This trial is for people diagnosed with narcolepsy type 1 who have a BMI between 18 and 40. Participants must meet specific genetic or lab test criteria related to their condition.

Inclusion Criteria

My BMI is between 18 and 40.
I have been diagnosed with Narcolepsy Type 1.
I am positive for a specific genetic marker or have low levels of a certain brain protein.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Open-label Treatment

Participants receive TAK-861 during the open-label treatment period

16 weeks

Double-blind Randomized Withdrawal

Participants are randomized to continue TAK-861 or switch to placebo for up to 4 weeks

4 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Long-term Extension (optional)

Participants may opt into a separate long-term extension study if their symptoms worsen

What Are the Treatments Tested in This Trial?

Interventions

  • TAK-861

Trial Overview

The study tests TAK-861, a new medication, against a placebo (inactive pill) to see if it helps treat narcolepsy type 1 and whether its effects last over time. Treatment assignment after initial use is random.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Placebo Group

Group I: Double-blind RW Period: TAK-861Experimental Treatment1 Intervention
Group II: Double-blind RW Period: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Takeda

Lead Sponsor

Trials
1,255
Recruited
4,219,000+
Dr. Naoyoshi Hirota profile image

Dr. Naoyoshi Hirota

Takeda

Chief Medical Officer since 2020

MD from University of Tokyo

Christophe Weber profile image

Christophe Weber

Takeda

Chief Executive Officer since 2015

PhD in Molecular Biology from Université de Montpellier

Citations

Takeda Presents Orexin Data from Landmark Oveporexton ...

Discover how Takeda's Oveporexton (TAK-861) Phase 3 studies reveal significant improvements in narcolepsy type 1 symptoms, marking a ...

Efficacy and Safety of TAK-861, an Oral Orexin Receptor 2 ...

Compared with placebo, improvements from baseline to week 8 were achieved with TAK-861 doses in SOL-MWT (LS means change 12.5–25.4 vs −1.2 ...

Oveporexton, an Oral Orexin Receptor 2–Selective Agonist ...

In this phase 2 trial involving participants with narcolepsy type 1, oveporexton significantly improved measures of wakefulness, sleepiness, and cataplexy over ...

4.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/41359331/

Effects of Oveporexton, an Orexin Receptor 2-Selective ...

Conclusions and relevance: In this secondary analysis of the TAK-861-2001 randomized clinial trial, the OX2R agonist oveporexton improved NT1- ...

Oveporexton phase 3 data signal new hope for narcolepsy ...

These trials met all primary and secondary endpoints at week 12, with both waking and cataplexy symptoms significantly improved compared to ...

A Study of TAK-861 in Participants With Narcolepsy Type 1

This study will look at the effect of TAK-861 on improvement in narcolepsy symptoms, including excessive daytime sleepiness (EDS) and number of cataplexy ...

OVEPOREXTON (TAK-861) FOR THE TREATMENT OF ...

Oveporexton improved NT1 symptoms and was well tolerated in a phase 2b trial. Here, we present results from two phase 3 trials evaluating efficacy, safety, and ...

Narcolepsy Agent TAK-861 Moves to Phase 3 Studies ...

The therapy was considered safe and well-tolerated, with no treatment-related serious adverse events reported. Investigators also noted no cases ...

TAK-861 Improves Wakefulness, Subjective Sleepiness ...

TAK-861 demonstrates both safety and efficacy for the treatment of narcolepsy type 1 (NT1), with clinically meaningful improvements in wakefulness symptoms, ...