ClinicalTrials.gg
CompletedNCT06358950Vibrance-1Updated Jun 10, 2026

A Study to Evaluate the Safety and Effectiveness of ALKS 2680 in Subjects With Narcolepsy Type 1 (ALKS 2680-201)

A Phase 2 interventional study of ALKS 2680 and Placebo in Narcolepsy Type 1, sponsored by Alkermes, Inc.. Completed at 45 sites in 8 countries. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-06-10.

Sponsored by Alkermes, Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jun 2025, 1 year 4 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Jun 2026.
Phase
Phase 2
Study type
Interventional
Enrollment
92
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 85 studies in Narcolepsy with a site in United States — 19 open to participants now, 20 under way, 8 of them phase 3. Narcolepsy · United States.

Enrollment
36th of 69
92 · median 93
Started
2024
with 6 others
Phase 2
21 of 85
5 open now
Registered
62nd of 85
by date
Lead sponsor
4 of 85
Alkermes, Inc.

Among the 85 studies in Narcolepsy with a site in United States, this one is the 36th largest by enrollment of the 69 interventional ones, is one of 7 that started in 2024, is one of 21 in phase 2, and was the 62nd registered.

By phase

85 studies; the count open now beside each. This study's row is marked.

Phase 2this study21 · 5 open
Phase 321 · 4 open
Observational15 · 5 open
Phase 113 · 1 open
No phase8 · 1 open
Phase 2/33 · 3 open
Phase 43 · 0 open
Other kind1 · 0 open

By the year they started

First in 1996; this study’s year is marked. 7 started in 2024.

Size and results

Median enrollment 93 across the 69 interventional studies, 191 across the 15 observational. Of the 62 that completed or were terminated, 30 (48%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 85 studies in Narcolepsy with a site in United States, or all of them as a file.
02

Study summary

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 experience a greater decrease in sleepiness and a decrease in cataplexy ("sudden loss of muscle control"), compared to participants taking placebo alone.

03

Conditions studied

  • Narcolepsy Type 1

Keywords

  • Narcolepsy
  • Cataplexy
  • Orexin
04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 18-70 years of age
  • Has a ≥18 and ≤40 kg/m2
  • Meets the diagnostic criteria of Narcolepsy type 1 according to ICSD-3-TR guidelines. Additionally, meets the following criteria:

    • Is HLA-DQB1*06:02-positive
    • Has residual excessive daytime sleepiness and cataplexy
  • Is willing and able to discontinue any medications prescribed for the management of narcolepsy symptoms for at least 14 days and for the duration of study
  • Is willing to adhere to additional protocol requirements

Exclusion criteria

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
  • Is currently pregnant, breastfeeding, or planning to become pregnant during the study
  • Is currently enrolled in another clinical study (other than the parent study) or used any drug or device within 30 days prior to Screening
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
92 participants (actual)

Study arms

  • Experimental
    4 mg ALKS 2680

    Drug: ALKS 2680

  • Experimental
    6 mg ALKS 2680

    Drug: ALKS 2680

  • Experimental
    8 mg ALKS 2680

    Drug: ALKS 2680

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • Oral tablet of ALKS 2680 for once daily administration

  • DrugPlacebo

    Oral tablet containing matching placebo for once daily administration

06

What researchers measure

Primary outcomes

  1. Change in Mean Sleep Latency (MSL) on the Maintenance of Wakefulness Test (MWT) from baseline to Week 6

    Time frame: Baseline to Week 6

Secondary outcomes

  1. Change in Epworth Sleepiness Scale (ESS) from baseline to Week 6

    Epsworth Sleepiness Scale is a 4-point scale used to measure excessive sleepiness from 0 (would never doze) to 3 (high chance of "dozing)

    Time frame: Baseline to Week 6

  2. Mean weekly cataplexy rate (WCR) as derived by subject cataplexy diary

    Time frame: Measured at Week 5 and 6

  3. Incidence of adverse events

    Time frame: Up to 15 Weeks

07

Study locations

45 sites
  • Alkermes Investigational Site
    Los Angeles, California 90025, United States
  • Alkermes Investigational Site
    Redwood City, California 94063, United States
  • Alkermes Investigator Site
    San Francisco, California 94107, United States
  • Alkermes Investigational Site
    Santa Ana, California 92705, United States
  • Alkermes Investigational Site
    Aurora, Colorado 80045, United States
  • Alkermes Investigational Site
    Colorado Springs, Colorado 80918, United States
  • Alkermes Investigational Site
    Brandon, Florida 33511, United States
  • Alkermes Investigator Site
    Brandon, Florida 33511, United States
  • Alkermes Investigational Site
    Miami, Florida 33176, United States
  • Alkermes Investigator Site
    Winter Park, Florida 32789, United States
  • Alkermes Investigational Site
    Atlanta, Georgia 30328, United States
  • Alkermes Investigational Site
    Macon, Georgia 31210, United States
  • Alkermes Investigational Site
    Stockbridge, Georgia 30281, United States
  • Alkermes Investigator Site
    Peoria, Illinois 61637, United States
  • Alkermes Investigator Site
    Lansing, Michigan 48911, United States
  • Alkermes Investigator Site
    Sterling Heights, Michigan 48314, United States
  • Alkermes Investigator Site
    Lincoln, Nebraska 68506, United States
  • Alkermes Investigational Site
    Middletown, New Jersey 07748, United States
  • Alkermes Investigational Site
    Denver, North Carolina 28037, United States
  • Alkermes Investigational Site
    Huntersville, North Carolina 28708, United States
  • Alkermes Investigator Site
    Canton, Ohio 44718, United States
  • Alkermes Investigational Site
    Cincinnati, Ohio 45227, United States
  • Alkermes Investigational Site
    Cincinnati, Ohio 45245, United States
  • Alkermes Investigational Site
    Dublin, Ohio 43017, United States
  • Alkermes Investigational Site
    Wyomissing, Pennsylvania 19610, United States
  • Alkermes Investigational Site
    Columbia, South Carolina 29201, United States
  • Alkermes Investigational Site
    Austin, Texas 78731, United States
  • Alkermes Investigational Site
    San Antonio, Texas 78229, United States
  • Alkermes Investigational Site
    The Woodlands, Texas 77380, United States
  • Alkermes Investigator Site
    Macquarie Park, New South Wales 2113, Australia
  • Alkermes Investigator Site
    Bedford Park, South Australia 5042, Australia
  • Alkermes Investigational Site
    Alken, 3570, Belgium
  • Alkermes Investigational Site
    Bruges, 8000, Belgium
  • Alkermes Investigational Site
    Namur, 5101, Belgium
  • Alkermes Investigational Site
    Prague, 128 21, Czechia
  • Alkermes Investigational Site
    Bordeaux, 33000, France
  • Alkermes Investigational Site
    Montpellier, 34295, France
  • Alkermes Investigational Site
    Bologna, 40139, Italy
  • Alkermes Investigational Site
    Milan, 20127, Italy
  • Alkermes Investigational Site
    Verona, 37134, Italy
  • Alkermes Investigational Site
    Heemstede, 2103 SW, Netherlands
  • Alkermes Investigational Site
    Zwolle, 8025 BV, Netherlands
  • Alkermes Investigational Site
    Barcelona, 08036, Spain
  • Alkermes Investigational Site
    Madrid, 28036, Spain
  • Alkermes Investigational Site
    Madrid, 28043, Spain
08

References and documents

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2024 to primary completion in Jun 2025, 14 months.

Of 15 phase 2 interventional studies under Narcolepsy, half reached primary completion within 14 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 44. This study's 14 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 2, 2024
First posted
Apr 11, 2024
StartActual
Mar 24, 2024
Primary completionActual
Jun 19, 2025
CompletionActual
Jul 31, 2025
Results delay requested
Jun 8, 2026
Last update
Jun 10, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06358950
Lead sponsor
Alkermes, Inc.
Responsible party
Sponsor
First posted
Apr 11, 2024
Start date
Mar 24, 2024
Primary completion
Jun 19, 2025
Completion
Jul 31, 2025
Last update
Jun 10, 2026

Study contacts

Study Medical Director, MD
study director · Alkermes, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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