ClinicalTrials.gg
RecruitingNCT07540897Updated Oct 7, 2026

A Study to Evaluate the Efficacy, Safety and Tolerability of ALKS 2680 in Adults With Narcolepsy Type 1 (Brilliance NT1 - 304)

A Phase 3 interventional study of ALKS 2680 Dose 1 and ALKS 2680 Dose 2 in Narcolepsy Type 1, sponsored by Alkermes, Inc.. Recruiting at 20 sites in 5 countries. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-10-07.

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

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Updated Oct 7, 2026First sites in Belgium and Japan3 sites addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The purpose of this study is to measure decreases in daytime sleepiness, cataplexy (sudden loss of muscle tone), and disease symptoms in participants with NT1 when taking ALKS 2680 tablets compared with placebo tablets.

02

Conditions studied

  • Narcolepsy Type 1

Keywords

  • Narcolepsy Type 1
  • NT1
  • Alixorexton
  • Sleepiness
  • Orexin-2
  • Orexin-2 receptor agonist
  • sleep disorder
  • excessive daytime sleepiness
03

In context

Sleepiness

92 studies on the registry are indexed under Sleepiness; 20 are open to participants now.

This study's planned enrollment of 150 is above the median of 62 across 62 interventional studies indexed under Sleepiness.

Browse Sleepiness 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

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

  • Meets the diagnostic criteria of NT1 according to ICSD-3-TR guidelines, confirmed by diagnostic evaluations (either PSG/MSLT* or CSF hypocretin-1 level)

Exclusion criteria

Exclusion Criteria:

  • Has another comorbid sleep disorder or condition that may influence the sleep-wake cycle.
  • Has a history or presence at Visit 1 of other (treated or untreated) illness, disease, abnormality, or surgical procedure that, in the opinion of the Investigator, might compromise participant safety, interfere with any study assessment, or affect the participant's ability to complete the study.
  • Is currently enrolled in another interventional clinical trial or has received any drug or used any interventional investigational device within 30 days prior to Visit 1. Participants previously enrolled in Study ALKS 2680-201 are not eligible for enrollment.
  • Is currently pregnant, breastfeeding, or is planning to become pregnant during the study.
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.

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.

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 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    ALKS 2680 Dose 1

    Drug: ALKS 2680 Dose 1

  • Experimental
    ALKS 2680 Dose 2

    Drug: ALKS 2680 Dose 2

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugALKS 2680 Dose 1

    Participants will receive ALKS 2680 tablets, daily, orally, for 12 weeks

    Also known as: Alixorexton

  • DrugALKS 2680 Dose 2

    Participants will receive ALKS 2680 tablets, daily, orally, for 12 weeks

    Also known as: Alixorexton

  • DrugPlacebo

    Participants will receive placebo tablets, daily, orally for 12 weeks

06

What researchers measure

Primary outcomes

  1. Change in mean sleep latency (MSL) on Maintenance of Wakefulness Test (MWT) from baseline to Week 12 by dose level

    Time frame: Baseline to Week 12

Secondary outcomes

  1. Change in Epworth Sleepiness Scale (ESS) from baseline to Week 12 by dose level

    Time frame: Baseline to Week 12

  2. Weekly cataplexy rate (WCR) at Week 12 by dose level

    Time frame: Week 12

  3. Percentage of participants who achieve a status of "none" or "mild" on Patient Global Impression- Severity (PGI-S) scale(general disease) at Week 12 by dose level

    Time frame: Week 12

  4. Change in British Columbia Cognitive Complaints Inventory (BC-CCI) from baseline to Week 12 by dose level

    Time frame: Baseline to Week 12

  5. Change in number of lapses on Psychomotor Vigilance Task (PVT) from baseline to Week 12 by dose level

    Time frame: Baseline to Week 12

  6. Change in Patient-Reported Outcomes Measurement Information System - Fatigue 6a (PROMIS Fatigue 6a) from baselineto Week 12 by dose level

    Time frame: Baseline to Week 12

  7. Percentage of participants who achieve a status of "normal, not ill at all", "borderline ill", or "mildly ill" on Clinical Global Impression-Severity (CGI-S) (general disease) at Week 12 by dose level

    Time frame: Week 12

  8. Change in Narcolepsy Severity Scale for Clinical Trials (NSS-CT) from baseline to Week 12 by dose level

    Time frame: Baseline to Week 12

  9. Incidence of treatment emergent adverse events

    Time frame: Baseline to Week 14

07

Study locations

20 of 20 sites 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
    Lansing, Michigan 48911, United States
    Recruiting
  • Alkermes Investigational Site
    St Louis, Missouri 63123, United States
    Recruiting
  • Alkermes Investigational Site
    Charlotte, North Carolina 28210, United States
    Recruiting
  • Alkermes Investigational Site
    Cincinnati, Ohio 45245, United States
    Recruiting
  • Alkermes Investigational Site
    Colombia, South Carolina 29201, United States
    Recruiting
  • Alkermes Investigational Site
    Dallas, Texas 75251, United States
    Recruiting
  • Alkermes Investigational Site
    Frisco, Texas 75033, 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
    Spokane, Washington 99202, United States
    Recruiting
  • Alkermes Investigational Site
    Diest, 3293, Belgium
    Recruiting
  • Alkermes Investigational Site
    Markham, Ontario L3R 1A3, Canada
    Recruiting
  • Alkermes Investigational Site
    Toronto, Ontario M5S 3A3, Canada
    Recruiting
  • Alkermes Investigational Site
    Kumamoto, 802-0084, Japan
    Recruiting
  • Alkermes Investigational Site
    Krakow, 30-105, Poland
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Aug 2026 (actual). Primary completion is estimated for Jun 2027, 10 months after the start.

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

Registered
Apr 15, 2026
First posted
Apr 21, 2026
StartActual
Aug 13, 2026
Primary completionEst.
Jun 2027
CompletionEst.
Jul 2027
Last update
Oct 7, 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.
Sites
3 sites added — first sites in Belgium and Japan
Show 3 added (1 United States, 1 Belgium, 1 Japan)
  • Alkermes Investigational Site · Spokane, United States
  • Alkermes Investigational Site · Diest, Belgium
  • Alkermes Investigational Site · Kumamoto, Japan
Oct 7, 2026
Show all 1 update
  1. Oct 7, 2026
    3 sites added — first sites in Belgium and Japan
    Show 3 added (1 United States, 1 Belgium, 1 Japan)
    • Alkermes Investigational Site · Spokane, United States
    • Alkermes Investigational Site · Diest, Belgium
    • Alkermes Investigational Site · Kumamoto, Japan
    + 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
NCT07540897
Lead sponsor
Alkermes, Inc.
Responsible party
Sponsor
First posted
Apr 21, 2026
Start date
Aug 13, 2026
Primary completion
Jun 2027 (estimated)
Completion
Jul 2027 (estimated)
Last update
Oct 7, 2026

Study contacts

Director, Clinical Trial Manager
Contact
clinicaltrials@alkermes.com
888-235-8008 (US Only)
Director, Clinical Trial Manager
Contact
clinicaltrials@alkermes.com
571-599-2702 (Global)
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 ↗

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