TAK-861 for Narcolepsy
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?
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
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Open-label Treatment
Participants receive TAK-861 during the open-label treatment period
Double-blind Randomized Withdrawal
Participants are randomized to continue TAK-861 or switch to placebo for up to 4 weeks
Follow-up
Participants are monitored for safety and effectiveness after treatment
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
Participants on stable TAK 861 dose will receive the same dose of TAK-861 they were taking at the end of the OL treatment period, for up to 4 weeks in the double-blind RW period.
Participants will receive TAK-861 matching-placebo, for up to 4 weeks in the double-blind RW period.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Takeda
Lead Sponsor
Dr. Naoyoshi Hirota
Takeda
Chief Medical Officer since 2020
MD from University of Tokyo
Christophe Weber
Takeda
Chief Executive Officer since 2015
PhD in Molecular Biology from Université de Montpellier
Citations
1.
takeda.com
takeda.com/newsroom/newsreleases/2025/takeda-orexin-data-oveporexton-phase-3-narcolepsy-world-sleep-2025/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 ...
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 ...
8.
neurologylive.com
neurologylive.com/view/narcolepsy-agent-tak-861-moves-phase-3-studies-following-positive-phase-2b-dataNarcolepsy 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 ...
9.
sleepwakeadvisor.com
sleepwakeadvisor.com/reports/tak-861-improves-wakefulness-sleepiness-cataplexy-in-narcolepsy/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, ...
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