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RecruitingNCT07500090Updated Sep 14, 2026

A Phase 3 Efficacy and Safety Study of HBS-301 in Participants With Idiopathic Hypersomnia (IH)

A Phase 3 interventional study of HBS-301 tablet and Placebo in Idiopathic Hypersomnia, sponsored by Harmony Biosciences Management, Inc.. Recruiting at 42 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-14.

Sponsored by Harmony Biosciences Management, Inc. (part of Harmony Biosciences Holdings, Inc.) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 7 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
248
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 3, multicenter, randomized, double-blind, parallel-group, placebo-controlled clinical study to assess the efficacy and safety of HBS-301 in adult participants (ages ≥18 years) with idiopathic hypersomnia (IH).

Read the detailed description

Approximately 248 participants are planned for randomization in the study. The study will consist of a Screening/Baseline Period (up to 28 days), a Double-blind Treatment Period (8 weeks), an optional Open-label Extension (OLE) Period (1 year), and 30 days of safety follow-up.

02

Conditions studied

  • Idiopathic Hypersomnia

Keywords

  • pitolisant
  • HBS-301
  • idiopathic hypersomnia
  • excessive daytime sleepiness
  • sleep inertia
  • fatigue
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 248 is above the median of 82 across 40 interventional studies indexed under Idiopathic Hypersomnia.

Browse Idiopathic Hypersomnia studies →

Lead sponsor

Harmony Biosciences Management, Inc. is the lead sponsor of 16 studies on the registry; 6 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 4 (50%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
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

  • Has a current documented diagnosis of IH per the International Classification of Sleep Disorders, Third Edition (ICSD-3) or Text Revision (ICSD-3-TR) criteria with confirmatory polysomnogram (PSG) with multiple sleep latency test (MSLT; and if applicable, a 24-hour PSG report or an actigraphy report with sleep log) on file that led to the diagnosis and was completed within the last 10 years.
  • Has EDS.
  • Has moderate to very severe symptoms of IH.
  • If taking a permitted chronic concomitant medication or supplement, including nonprohibited antidepressants or wake-promoting agents, must be on a stable dose for at least 3 months prior to Screening and agree to continue at that stable dose for the Double-blind Treatment Period of the study. As-needed use of any treatment that could affect daytime sleepiness (including but not limited to stimulants, modafinil, and armodafinil) used on an as-needed basis is not permitted.

Exclusion criteria

Exclusion Criteria:

  • Has hypersomnia due to another medical disorder.
  • Has a history of pitolisant use within 5 half-lives prior to Screening.
  • Has a primary diagnosis of psychiatric illness, including depression, that is not well controlled.
  • Has a history of moderate or severe hepatic impairment.
  • Has a body surface area (BSA)-corrected estimated (eGFR) \<60 mL/min.
  • Has a known history of long syndrome or any significant history of a serious abnormality of the (ECG).
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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
248 participants (estimated)

Study arms

  • Experimental
    Double-Blind Treatment Period HBS-301

    HBS-301 tablets administered once daily in the morning upon wakening

    Drug: HBS-301 tablet

  • Placebo comparator
    Double-blind Treatment Period Placebo

    Matching placebo tablets administered once daily in the morning upon wakening

    Drug: Placebo

  • Experimental
    Open-label Extension Period HBS-301

    HBS-301 tablets administered once daily in the morning upon wakening

    Drug: HBS-301 tablet

Interventions

  • HBS-301 tablet

    Also known as: pitolisant delayed-release

  • DrugPlacebo

    Placebo tablet

06

What researchers measure

Primary outcomes

  1. Change in severity of EDS as measured by the Epworth Sleepiness Scale (ESS)

    The ESS is an 8-item, 4-point rating scale.

    Time frame: Baseline to the end of the Double-blind Treatment Period (8 weeks)

Secondary outcomes

  1. Change in severity of IH symptoms as measured by the Idiopathic Hypersomnia Severity Scale (IHSS)

    The IHSS is a 14-item questionnaire designed to measure IH symptoms.

    Time frame: Baseline to the end of the Double-blind Treatment Period (8 weeks)

  2. Change in sleep inertia as measured by the Sleep Inertia Questionnaire (SIQ)

    The SIQ is a 22-item questionnaire that measures aspects of night and day sleep symptoms and the sleep inertia related to each.

    Time frame: Baseline to the end of the Double-blind Treatment Period (8 weeks)

  3. Change in fatigue as measured by the Patient-Reported Outcomes Measurement Information System Fatigue Short Form 7a

    The PROMIS-Fatigue-SF-7a is a 7-question, 5-point scale used to assess fatigue.

    Time frame: Baseline to the end of the Double-blind Treatment Period (8 weeks)

  4. Change in severity of EDS as measured by the Epworth Sleepiness Scale

    The ESS is an 8-item, 4-point rating scale.

    Time frame: Baseline through Week 1 and Week 2 of the Titration Period (1 week and 2 weeks)

  5. Change in severity of IH symptoms as measured by the IHSS

    The ESS is an 8-item, 4-point rating scale.

    Time frame: Baseline through Week 1 and Week 2 of the Titration Period (1 week and 2 weeks)

  6. Change in severity of EDS as measured by the Clinical Global Impression of Severity (EDS)

    The Clinical Global Impression of Severity (EDS) is a 5-item observer-rated scale that gauges the severity of a participant's EDS symptoms.

    Time frame: Baseline to end of Double-blind Treatment Period (8 weeks)

  7. Change in severity of EDS as measured by the Patient Global Impression of Severity (EDS)

    The Patient Global Impression of Severity (EDS) is a participant-reported assessment that gauges the severity of a participant's EDS symptoms.

    Time frame: Baseline to the end of the Double-blind Treatment Period (8 weeks)

  8. Improvement in severity of EDS as measured by the Patient Global Impression of Change (EDS)

    The Patient Global Impression of Change (EDS) is a participant-reported outcome used to evaluate the effectiveness of a treatment on their EDS symptoms.

    Time frame: End of the Double-blind Treatment Period (8 weeks)

  9. Change in severity of IH symptoms as measured by the Clinical Global Impression of Severity (IH)

    The Clinical Global Impression of Severity (IH) is a 3-item observer-rated scale used to track IH symptom changes.

    Time frame: Baseline to end of Double-blind Treatment Period (8 weeks)

  10. Change in severity of IH symptoms as measured by the Patient Global Impression of Severity (IH)

    The Patient Global Impression of Severity (IH) is a participant-reported assessment that gauges the severity of a participant's IH symptoms.

    Time frame: Baseline to end of Double-blind Treatment Period (8 weeks)

  11. Improvement in severity of IH symptoms as measured by the Patient Global Impression of Change (IH)

    The Patient Global Impression of Change (IH) is a participant-reported outcome used to evaluate the effectiveness of a treatment on their IH symptoms.

    Time frame: Baseline to end of Double-blind Treatment Period (8 weeks)

  12. Change in severity of sleep inertia as measured by the Patient Global Impression of Severity (Sleep Inertia)

    The Patient Global Impression of Severity (Sleep Inertia) is a participant-reported assessment that gauges the severity of a participant's sleep inertia symptoms.

    Time frame: Baseline to end of Double-blind Treatment Period (8 weeks)

  13. Improvement in severity of sleep inertia as measured by the Patient Global Impression of Change (Sleep Inertia)

    The Patient Global Impression of Change (Sleep Inertia) is a participant-reported outcome used to evaluate the effectiveness of a treatment on their sleep inertia symptoms.

    Time frame: End of the Double-blind Treatment Period (8 weeks)

  14. Change in severity of fatigue as measured by the Patient Global Impression of Severity (Fatigue)

    The Patient Global Impression of Severity (Fatigue) is a participant-reported assessment that gauges the severity of a participant's fatigue symptoms.

    Time frame: Baseline of the end of the Double-blind Treatment Period (8 weeks)

  15. Improvement in severity of fatigue as measured by the Patient Global Impression of Change (Fatigue)

    The Patient Global Impression of Change (Fatigue) is a participant-reported outcome used to evaluate the effectiveness of a treatment on their fatigue symptoms.

    Time frame: End of the Double-blind Treatment Period (8 weeks)

  16. Change in cognitive complaints as measured by the British Columbia Cognitive Complaints Inventory

    The British Columbia Cognitive Complaints Inventory is a participant-reported, 6-item, 4-point scale that assesses perceived cognitive difficulties.

    Time frame: Baseline to the end of the Double-blind Treatment Period (8 weeks)

  17. Change in health-related quality of life as measured by the Short Form Health Survey-36 physical and mental component summaries

    The Short Form-36 includes 36 questions across 8 health domains to measure a participant's functional health and well-being.

    Time frame: Baseline to the end of the Double-blind Treatment Period (8 weeks)

  18. Change in work productivity as measured by the Work Productivity and Activity Impairment: Idiopathic Hypersomnia Work Productivity loss score

    The Work Productivity and Activity Impairment: Idiopathic Hypersomnia questionnaire is a 6-item scale used to measure impairments over 7 days.

    Time frame: Baseline to the end of the Double-blind Treatment Period (8 weeks)

  19. Incidence of treatment-emergent adverse events

    A treatment-emergent adverse event is any adverse event reported after the first dose of study drug and up to 30 days after final dose of study drug, or any worsening of a pre-existing condition reported after first dose of study drug and up to 30 days after final dose of study drug.

    Time frame: Throughout study (16 months including OLE)

07

Study locations

42 of 42 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07500090
Responsible party
Sponsor
First posted
Mar 30, 2026
Start date
Mar 16, 2026
Primary completion
Oct 2027 (estimated)
Completion
Oct 2028 (estimated)
Last update
Sep 14, 2026

Study contacts

Katie Wilmsen
Contact
clinicaltrials@harmonybiosciences.com
443-309-5556
Michelle Manuel
Contact
clinicaltrials@harmonybiosciences.com
847-903-4610
David Seiden, MD
study director · Harmony Biosciences Management, Inc.

Oversight

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

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Studies of the drug tested here: HBS-301

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