A Study of TAK-861 for the Treatment of Selected Central Hypersomnia Conditions

NCT ID: NCT05816382

Last Updated: 2025-12-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-05

Study Completion Date

2028-02-28

Brief Summary

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The main aim is to evaluate the safety and tolerability of TAK-861 on participants with type 1 narcolepsy, who were exposed to previously tested doses of TAK-861.

Detailed Description

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The drug being tested in this study is called TAK-861. TAK-861 is being tested to treat people who have narcolepsy type 1 (NT1). This study will look at the safety of TAK-861 along with improvement in narcolepsy symptoms, including excessive daytime sleepiness (EDS) and number of cataplexy episodes.

This study was initiated in parallel with the parent phase 2 studies, TAK-861-2001 (NCT05687903) and TAK-861-2002 (NCT05687916), which included participants with NT1 and narcolepsy type 2 (NT2), respectively. This long-term extension (LTE) study enrolled participants with both diagnoses from the two phase 2 studies. As the TAK-861-2002 study did not meet prespecified criteria, all participants with NT2 have been discontinued, and this extension study will only include participants with NT1 who previously completed a parent study. Additional parent studies include all TAK-861 phase 3 studies.

The study will enroll up to 500 patients. Participants will be assigned to one of the treatment groups according to the dose assigned to them in their parent study. Similarly, participants who were previously on a placebo dose will also be assigned to one of the treatment groups randomly. All participants in the study will receive TAK-861.

Participants with NT1 will receive the following dose from the parent study:

* TAK-861 Dose 1
* TAK-861 Dose 2

This multi-center trial will be conducted worldwide. The overall time to participate in this study is up to approximately 5 years. Participants will make multiple visits to the clinic (with some visits optionally conducted by home health) and will have a follow-up assessment 4 weeks after the last dose of study drug.

Conditions

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Narcolepsy Type 1

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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TAK-861 Dose 1

Participants will receive TAK-861 dose 1 for up to approximately 5 years.

Group Type EXPERIMENTAL

TAK-861

Intervention Type DRUG

TAK-861 tablets

TAK-861 Dose 2

Participants will receive TAK-861 dose 2 for up to approximately 5 years.

Group Type EXPERIMENTAL

TAK-861

Intervention Type DRUG

TAK-861 tablets

Interventions

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TAK-861

TAK-861 tablets

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1\. Participant with a diagnosis of NT1 who has completed a controlled study with TAK-861, and for whom the investigator has no clinical objection to their enrollment.

Exclusion Criteria

1. Participant has a treatment-emergent adverse event (TEAE) that remains severe at the time of rollover related to the study drug from the parent study or discontinued because of TEAEs in the parent study.
2. Participant has a risk of suicide according to endorsement of item 4 or 5 on the Columbia Suicide Severity Rating Scale (C-SSRS).
3. The participant has alanine aminotransferase (ALT) or aspartate aminotransferase (AST) values \>1.5 times the upper limit of normal (ULN).
4. Participant has a current medical disorder, other than narcolepsy with or without cataplexy, associated with excessive daytime sleepiness (EDS).
5. Participant has current active major depressive episode (MDE) or has had an active MDE in the past 6 months.
6. Participant has developed (within the last 6 months) gastrointestinal disease that is expected to influence the absorption of drugs.
7. Participant has epilepsy or history of seizure.
8. Participant has any other medical condition, such as anxiety, depression, heart disease, or significant hepatic, pulmonary, or renal disease, that requires them to take excluded medications.
9. Participant has a history of cerebral ischemia, transient ischemic attack (\<5 years ago), or cerebral hemorrhage.
10. Participant has a history of myocardial infarction, clinically significant coronary artery disease, clinically significant angina, clinically significant cardiac rhythm abnormality, or heart failure.
11. Participant has a history of cancer in the past 5 years.
Minimum Eligible Age

16 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Takeda

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Takeda

Locations

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Sleep Disorders Center of Alabama

Birmingham, Alabama, United States

Site Status RECRUITING

Stanford Center for Sleep Sciences and Medicine

Redwood City, California, United States

Site Status RECRUITING

SDS Clinical Trials, Inc.

Santa Ana, California, United States

Site Status RECRUITING

Delta Waves LLC - Hunt - PPDS

Colorado Springs, Colorado, United States

Site Status RECRUITING

Florida Pediatric Research Institute

Orlando, Florida, United States

Site Status RECRUITING

Neurotrials Research

Atlanta, Georgia, United States

Site Status RECRUITING

Georgia Neuro Center

Gainesville, Georgia, United States

Site Status RECRUITING

Neurocare Inc

Newton, Massachusetts, United States

Site Status RECRUITING

Henry Ford Medical Center - Columbus

Novi, Michigan, United States

Site Status RECRUITING

Research Carolina Elite

Denver, North Carolina, United States

Site Status RECRUITING

ARSM Research, LLC

Huntersville, North Carolina, United States

Site Status RECRUITING

CTI Research Center

Cincinnati, Ohio, United States

Site Status RECRUITING

Intrepid Research

Cincinnati, Ohio, United States

Site Status RECRUITING

The Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status RECRUITING

Ohio Sleep Medicine Institute

Dublin, Ohio, United States

Site Status RECRUITING

Medical University of South Carolina - PPDS

Charleston, South Carolina, United States

Site Status RECRUITING

Bogan Sleep Consultants, LLC

Columbia, South Carolina, United States

Site Status RECRUITING

Sleep Therapy and Research Center

San Antonio, Texas, United States

Site Status RECRUITING

Children's Specialty Group

Norfolk, Virginia, United States

Site Status RECRUITING

Woolcock Institute of Medical Research

Glebe, New South Wales, Australia

Site Status RECRUITING

Terveystalo Helsinki Sleep Clinic

Helsinki, Uusimaa, Finland

Site Status RECRUITING

Hopital Pierre-Paul Riquet

Toulouse, Haute-Garonne, France

Site Status RECRUITING

CHU Gui De Chauliac

Montpellier, Herault, France

Site Status RECRUITING

CHU de Grenoble

La Tronche, Isere, France

Site Status RECRUITING

Hopital de la Pitie Salpetriere

Paris, , France

Site Status RECRUITING

Universitaet Regensburg am Bezirksklinikum

Regensburg, Bavaria, Germany

Site Status RECRUITING

Somni Bene Institut fur Medizinische Forschung und Schlafmedizin Schwerin GmbH

Schwerin, Mecklenburg-Vorpommern, Germany

Site Status RECRUITING

Charite - Universitatsmedizin Berlin

Berlin, , Germany

Site Status RECRUITING

Klinische Forschung Hamburg

Hamburg, , Germany

Site Status RECRUITING

Fondazione PTV Policlinico Tor Vergata

Rome, Lazio, Italy

Site Status RECRUITING

Istituto Neurologico Mediterraneo Neuromed

Pozzilli, Molise, Italy

Site Status RECRUITING

Ospedale Bellaria

Bellaria, , Italy

Site Status RECRUITING

Kurume University Hospital

Kurume-Shi, Hukuoka, Japan

Site Status RECRUITING

Howakai Kuwamizu Hospital

Kumamoto, Kumamoto, Japan

Site Status RECRUITING

YOU ARIYOSHI Sleep Clinic

Nagasaki, Nagasaki, Japan

Site Status RECRUITING

Gokeikai Osaka Kaisei Hospital

Osaka, Osaka, Japan

Site Status RECRUITING

Koishikawa Tokyo Hospital

Bunkyo-Ku, Tokyo, Japan

Site Status RECRUITING

Aichi Medical University Hospital

Nagakute, , Japan

Site Status RECRUITING

Kempenhaeghe - PPDS

Heeze, North Brabant, Netherlands

Site Status RECRUITING

Slaap-Waakcentrum SEIN Heemstede

Heemstede, North Holland, Netherlands

Site Status RECRUITING

University of Oslo

Oslo, , Norway

Site Status RECRUITING

Hospital Universitario Araba Santiago

Vitoria-Gasteiz, Alava, Spain

Site Status RECRUITING

Hospital General de Castello

Castellon, Castellon, Spain

Site Status RECRUITING

Hospital de La Ribera

Alzira, Valencia, Spain

Site Status RECRUITING

Hospital Universitario Vall d'Hebron - PPDS

Barcelona, , Spain

Site Status RECRUITING

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status RECRUITING

Instituto de Investigaciones del Sueno

Madrid, , Spain

Site Status RECRUITING

Hospital Vithas Madrid Arturo Soria

Madrid, , Spain

Site Status RECRUITING

Sahlgrenska University Hospital

Gothenburg, Västra Götaland County, Sweden

Site Status RECRUITING

Klinik Barmelweid AG

Barmelweid, Aargau (de), Switzerland

Site Status RECRUITING

Neurocenter of Southern Switzerland

Lugano, Ticino (it), Switzerland

Site Status RECRUITING

Universitaetsspital Bern - Inselspital

Bern, , Switzerland

Site Status RECRUITING

Countries

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United States Australia Finland France Germany Italy Japan Netherlands Norway Spain Sweden Switzerland

Central Contacts

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Takeda Contact

Role: CONTACT

+1-877-825-3327

Related Links

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https://clinicaltrials.takeda.com/study-detail/5daa86dd644c4a8c?idFilter=%5B%22TAK-861-2003%22%5D

To obtain more information on the study, click here/on this link.

Other Identifiers

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U1111-1283-1888

Identifier Type: OTHER

Identifier Source: secondary_id

jRCT2031230135

Identifier Type: REGISTRY

Identifier Source: secondary_id

2023-508462-15

Identifier Type: OTHER

Identifier Source: secondary_id

TAK-861-2003

Identifier Type: -

Identifier Source: org_study_id

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