ClinicalTrials.gg
RecruitingNCT06767683Updated Oct 9, 2026

A Long-Term Study of ALKS 2680 in Subjects With Narcolepsy and Idiopathic Hypersomnia

A Phase 2/3 interventional study of ALKS 2680, 4mg and ALKS 2680, 6mg in Narcolepsy Type 1, Narcolepsy Type 2 and Idiopathic Hypersomnia, sponsored by Alkermes, Inc.. Recruiting at 50 sites in 8 countries. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by Alkermes, Inc. · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2025; still recruiting 1 year 9 months later.
Updated Oct 9, 2026Primary completion movedStudy completion moved+4 moreGo to Updates ↓
Phase
Phase 2/3
Study type
Interventional
Enrollment
786
Allocation
Non-randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The purpose of this study is to continue to measure the safety, tolerability, and durability of treatment effect in subjects with Narcolepsy Type 1 (NT1), Narcolepsy Type 2 (NT2), or Idiopathic Hypersomnia (IH) when taking ALKS 2680 tablets.

02

Conditions studied

  • Narcolepsy Type 1
  • Narcolepsy Type 2
  • Idiopathic Hypersomnia

Keywords

  • Narcolepsy
  • Narcolepsy Type 1
  • Narcolepsy Type 2
  • NT1
  • NT2
  • orexin-2 receptor agonist
  • sleep
  • sleep disorder
  • excessive daytime sleepiness
  • IH
  • Idiopathic Hypersomnia
03

In context

Idiopathic Hypersomnia

52 studies on the registry are indexed under Idiopathic Hypersomnia; 23 are open to participants now.

This study's planned enrollment of 786 is above the median of 82 across 40 interventional studies indexed under Idiopathic Hypersomnia.

Browse Idiopathic Hypersomnia studies →

Lead sponsor

Alkermes, Inc. is the lead sponsor of 83 studies on the registry; 9 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 5 (56%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

The criteria were revised on the registry on Oct 9, 2026. See what changed

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

  • Was eligible for and has completed end of treatment visit of ALKS 2680 eligible parent study in NT1, NT2 or IH. The current eligible studies are ALKS 2680-201 (Vibrance-1), ALKS 2680-202 (Vibrance-2) and ALKS 2680-203 (Vibrance-3), ALKS 2680-302 (Brilliance NT1) , ALKS 2680-303 (Brilliance NT2) , ALKS 2680-304 (Brilliance NT 1)
  • Is willing and able, and in the opinion of the treating physician can safely discontinue any medications prescribed for the management of narcolepsy symptoms, as applicable, for 5 half-lives prior to Day 1 (for re-entry subjects), and for the duration of study (for all subjects)

Exclusion criteria

Exclusion Criteria:

  • Developed a new health condition, or laboratory abnormality, in the opinion of the Investigator or Sponsor, may impact the subject's participation in the study
  • 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(3)

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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 / Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
786 participants (estimated)

Study arms

  • Experimental
    Narcolepsy Type 1 (NT1)

    Drug: ALKS 2680, 4mg · Drug: ALKS 2680, 6mg · Drug: ALKS 2680, 8mg

  • Experimental
    Narcolepsy Type 2 (NT2)

    Drug: ALKS 2680, 10mg · Drug: ALKS 2680, 14mg · Drug: ALKS 2680, 18mg

  • Experimental
    Idiopathic Hypersomnia (IH)

    Drug: ALKS 2680, 10mg · Drug: ALKS 2680, 14mg · Drug: ALKS 2680, 18mg

Interventions

  • Oral tablet containing 4 mg of ALKS 2680 for once daily administration

  • Oral tablet containing 6 mg of ALKS 2680 for once daily administration

  • Oral tablet containing 8 mg of ALKS 2680 for once daily administration

  • Oral tablet containing 10 mg of ALKS 2680 for once daily administration

  • Oral tablet containing 14 mg of ALKS 2680 for once daily administration

  • Oral tablet containing 18 mg of ALKS 2680 for once daily administration

06

What researchers measure

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events

    Time frame: Up to 248 Weeks

Secondary outcomes

  1. Change in the mean sleep latency (MSL) on Maintenance of Wakefulness Test (MWT)

    Time frame: Baseline to Week 24

  2. Change in Epworth Sleepiness Scale (ESS)

    Time frame: Baseline to up to week 240

  3. Change in weekly cataplexy rate (WCR)

    Time frame: Baseline up to week 240

  4. Change in Idiopathic Hypersomnia Severity Scale (IHSS)

    Only applicable for IH participants

    Time frame: Baseline up to week 240

07

Study locations

50 of 50 sites recruiting
  • Alkermes Investigational Site
    Cullman, Alabama 35055, United States
    Recruiting
  • Alkermes Investigator Site
    Phoenix, Arizona 85054, United States
    Recruiting
  • Alkermes Investigational Site
    Little Rock, Arkansas 72211, United States
    Recruiting
  • Alkermes Investigational Site
    Los Angeles, California 90025, United States
    Recruiting
  • Alkermes Investigator Site
    San Francisco, California 94158, United States
    Recruiting
  • Alkermes Investigational Site
    Stanford, California 94305, United States
    Recruiting
  • Alkermes Investigational Site
    Boulder, Colorado 80309, United States
    Recruiting
  • Alkermes Investigational Site
    Colorado Springs, Colorado 80918, United States
    Recruiting
  • Alkermes Investigational Site
    Brandon, Florida 33511, United States
    Recruiting
  • Alkermes Investigational Site
    Miami, Florida 33176, United States
    Recruiting
  • Alkermes Investigational Site
    Winter Park, Florida 32789, United States
    Recruiting
  • Alkermes Investigational Site
    Atlanta, Georgia 30328, United States
    Recruiting
  • Alkermes Investigational Site
    Macon, Georgia 31210, United States
    Recruiting
  • Alkermes Investigational Site
    Stockbridge, Georgia 30281, United States
    Recruiting
  • Alkermes Investigational Site
    Peoria, Illinois 61637, United States
    Recruiting
  • Alkermes Investigational Site
    Kansas City, Kansas 66160, United States
    Recruiting
  • Alkermes Investigational Site
    Lansing, Michigan 48911, United States
    Recruiting
  • Alkermes Investigational Site
    Sterling Heights, Michigan 48314, United States
    Recruiting
  • Alkermes Investigational Site
    Lincoln, Nebraska 68506, United States
    Recruiting
  • Alkermes Investigational Site
    Middletown, New Jersey 07748, United States
    Recruiting
  • Alkermes Investigational Site
    Denver, North Carolina 28037, United States
    Recruiting
  • Alkermes Investigational Site
    Huntersville, North Carolina 28708, United States
    Recruiting
  • Alkermes Investigational Site
    Canton, Ohio 44718, United States
    Recruiting
  • Alkermes Investigational Site
    Cincinnati, Ohio 45212, United States
    Recruiting
  • Alkermes Investigational Site
    Cincinnati, Ohio 45245, United States
    Recruiting
  • Alkermes Investigational Site
    Dublin, Ohio 43017, United States
    Recruiting
  • Alkermes Investigational Site
    Abington, Pennsylvania 19001, 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
    Dallas, Texas 75251, United States
    Recruiting
  • Alkermes Investigational Site
    San Antonio, Texas 78229, United States
    Recruiting
  • Alkermes Investigational Site
    Sugar Land, Texas 77478, United States
    Recruiting
  • Alkermes Investigational Site
    Madison, Wisconsin 53706, United States
    Recruiting
  • Alkermes Investigational Site
    Sydney, New South Wales 2113, Australia
    Recruiting
  • Alkermes Investigational Site
    Bedford Park, South Australia 5042, Australia
    Recruiting
  • Alkermes Investigational Site
    Clayton, Victoria 3168, Australia
    Recruiting
  • Alkermes Investigational Site
    Bruges, Brugge 8000, Belgium
    Recruiting
  • Alkermes Investigational Site
    Alken, 3570, Belgium
    Recruiting
  • Alkermes Investigational Site
    Namur, 5101, Belgium
    Recruiting
  • Alkermes Investigational Site
    Prague, 128 21, Czechia
    Recruiting
  • Alkermes Investigational Site
    Montpellier, Herault 34295, France
    Recruiting
  • Alkermes Investigational Site
    Bordeaux, 33000, France
    Recruiting
  • Alkermes Investigational Site
    Bologna, 40139, Italy
    Recruiting
  • Alkermes Investigational Site
    Milan, 20127, Italy
    Recruiting
  • Alkermes Investigational Site
    Verona, 37134, Italy
    Recruiting
  • Alkermes Investigational Site
    Zwolle, 8025, Netherlands
    Recruiting
  • Alkermes Investigational Site
    Madrid, Madrid 28036, Spain
    Recruiting
  • Alkermes Investigational Site
    Barcelona, 08036, Spain
    Recruiting
  • Alkermes Investigational Site
    Madrid, 28043, Spain
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
1 site added
Show site
  • Alkermes Investigational Site · Dallas, United States
Oct 9, 2026
Primary completion
Jun 2028→Jun 2030
Oct 9, 2026
Study completion
Jun 2028→Jun 2030
Oct 9, 2026
Enrollment
256→786
Oct 9, 2026
Eligibility
1 inclusion criterion edited
What changed in the criteria
Inclusion criteria
  • EditedWas eligible for and has completed end of treatment visit of ALKS 2680 eligible parent study in NT1, NT2 or IH. The current eligible studies are ALKS 2680-201 (Vibrance-1), ALKS 2680-202 (Vibrance-2) and ALKS 2680-203 (Vibrance-3), ALKS 2680-302 (Brilliance NT1) , ALKS 2680-303 (Brilliance NT2) , ALKS 2680-304 (Brilliance NT 1)
Oct 9, 2026
Primary outcomes
1 time frame changed
What changed in the outcomes
  • Time frameIncidence of Treatment-Emergent Adverse EventsUp to 100 Weeks → Up to 248 Weeks
Oct 9, 2026
Secondary outcomes
1 time frame changed, 2 added
What changed in the outcomes
  • AddedChange in weekly cataplexy rate (WCR)Time frame: Baseline up to week 240
  • AddedChange in Idiopathic Hypersomnia Severity Scale (IHSS)Time frame: Baseline up to week 240
  • Time frameChange in Epworth Sleepiness Scale (ESS)Baseline to 96 Weeks → Baseline to up to week 240
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    1 site added
    Show site
    • Alkermes Investigational Site · Dallas, United States
    Primary completion Jun 2028→Jun 2030
    Study completion Jun 2028→Jun 2030
    Enrollment 256→786
    Eligibility 1 inclusion criterion edited
    What changed in the criteria
    Inclusion criteria
    • EditedWas eligible for and has completed end of treatment visit of ALKS 2680 eligible parent study in NT1, NT2 or IH. The current eligible studies are ALKS 2680-201 (Vibrance-1), ALKS 2680-202 (Vibrance-2) and ALKS 2680-203 (Vibrance-3), ALKS 2680-302 (Brilliance NT1) , ALKS 2680-303 (Brilliance NT2) , ALKS 2680-304 (Brilliance NT 1)
    Primary outcomes 1 time frame changed
    What changed in the outcomes
    • Time frameIncidence of Treatment-Emergent Adverse EventsUp to 100 Weeks → Up to 248 Weeks
    Secondary outcomes 1 time frame changed, 2 added
    What changed in the outcomes
    • AddedChange in weekly cataplexy rate (WCR)Time frame: Baseline up to week 240
    • AddedChange in Idiopathic Hypersomnia Severity Scale (IHSS)Time frame: Baseline up to week 240
    • Time frameChange in Epworth Sleepiness Scale (ESS)Baseline to 96 Weeks → Baseline to up to week 240
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06767683
Lead sponsor
Alkermes, Inc.
Responsible party
Sponsor
First posted
Jan 10, 2025
Start date
Jan 27, 2025
Primary completion
Jun 2030 (estimated)
Completion
Jun 2030 (estimated)
Last update
Oct 9, 2026

Study contacts

Director, Global Clinical Services
Contact
clinicaltrials@alkermes.com
888-235-8008 (US Only)
Director, Global Clinical Services
Contact
clinicaltrials@alkermes.com
571-599-2702 (Global)
Medical Director
study director · Alkermes, Inc.

Oversight

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

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