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RecruitingNCT07096674Updated Apr 16, 2026

A Long-term Extension Study of ORX750 in Participants With Narcolepsy and Idiopathic Hypersomnia

A Phase 2 interventional study of ORX750 and ORX750 in Narcolepsy Type 1, Narcolepsy Type 2 and Idiopathic Hypersomnia, sponsored by Centessa Pharmaceuticals (UK) Limited. Recruiting at 24 sites in 4 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-04-16.

Sponsored by Centessa Pharmaceuticals (UK) Limited · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Apr 2026, 6 months ago, but the record still lists the study as recruiting.
  • Started Aug 2025; still recruiting 1 year 2 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
90
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study is a long-term extension (LTE) of the parent Study ORX750 0201, and will provide long-term open-label safety, tolerability, and efficacy of ORX750 in participants with narcolepsy type 1 (NT1), narcolepsy type 2 (NT2), and idiopathic hypersomnia (IH).

02

Conditions studied

  • Narcolepsy Type 1
  • Narcolepsy Type 2
  • Idiopathic Hypersomnia

Keywords

  • NT1
  • NT2
  • IH
  • Narcolepsy
  • Narcolepsy Type 1
  • Narcolepsy Type 2
  • Idiopathic Hypersomnia
  • Excessive Daytime Sleepiness
  • Orexin Receptor 2 agonist
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 90 is close to the median of 82 across 40 interventional studies indexed under Idiopathic Hypersomnia.

Browse Idiopathic Hypersomnia studies →

Lead sponsor

Centessa Pharmaceuticals (UK) Limited is the lead sponsor of 6 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 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

  • Diagnosis of narcolepsy (NT1 or NT2) or IH who was eligible for and completed the full treatment period in the eligible parent study ORX750-0201 (CRYSTAL-1)
  • Is willing and able to adhere to additional protocol requirements

Exclusion criteria

Exclusion Criteria:

  • Development of any new disease/disorder that in the opinion of the investigator would make the participant unable to continue the study
  • Unable to refrain from excluded medications, including those used for treatment of narcolepsy or idiopathic hypersomnia
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    Narcolepsy Type 1

    Narcolepsy Type 1 (Open Label)

    Drug: ORX750

  • Experimental
    Narcolepsy Type 2

    Narcolepsy Type 2 (Open Label)

    Drug: ORX750

  • Experimental
    Idiopathic Hypersomnia

    Idiopathic Hypersomnia (Open Label)

    Drug: ORX750

Interventions

  • DrugORX750

    Oral ORX750

  • DrugORX750

    Oral ORX750

  • DrugORX750

    Oral ORX750

06

What researchers measure

Primary outcomes

  1. Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs

    Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs

    Time frame: Up to day 70

  2. Abnormal Laboratory Tests

    Number of Participants With Abnormal Changes From Baseline in Laboratory Tests

    Time frame: Up to day 70

  3. Abnormal Vital Signs

    Number of Participants With Abnormal Change From Baseline in Vital Signs

    Time frame: Up to day 70

  4. Abnormal ECG

    Number of Participants With Abnormal Change From Baseline in Electrocardiograms (ECG)

    Time frame: Up to day 70

  5. Suicidal Ideation or Behavior

    Number of Participants With Suicidal Ideation or Suicidal Behavior as Measured Using Columbia-Suicide Severity Rating Scale (C-SSRS)

    Time frame: Up to day 70

Secondary outcomes

  1. Cmax

    Cmax: Maximum Observed Plasma Concentration for ORX750

    Time frame: Up to day 63

  2. Tmax

    Tmax: Time of Maximum Concentration for ORX750

    Time frame: Up to day 63

  3. AUClast

    AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for ORX750

    Time frame: Up to day 63

  4. Cmax,ss

    Cmax,ss: Maximum Observed Concentration at Steady State for ORX750

    Time frame: Up to day 63

  5. AUCτ

    AUCτ: Area Under the Concentration-time Curve During a Dosing Interval at Steady State for ORX750

    Time frame: Up to day 63

  6. Maintenance of Wakefulness Test

    Change From Baseline in Mean sleep latency (average of the first 4 trials) in the Maintenance of Wakefulness Test (MWT)

    Time frame: Up to day 63

  7. Epworth Sleepiness Scale

    Change From Baseline in Epworth Sleepiness Scale (ESS)

    Time frame: Up to day 63

07

Study locations

24 of 24 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07096674
Lead sponsor
Centessa Pharmaceuticals (UK) Limited
Responsible party
Sponsor
First posted
Jul 31, 2025
Start date
Aug 12, 2025
Primary completion
Apr 30, 2026 (estimated)
Completion
Apr 30, 2026 (estimated)
Last update
Apr 16, 2026

Study contacts

Orexin Centessa Program Lead
Contact
ORX750-LTE@centessa.com
617-468-5770

Oversight

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

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