A Study of TAK-861 for the Treatment of Narcolepsy Type 1

NCT ID: NCT06470828

Last Updated: 2025-07-01

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

168 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-02

Study Completion Date

2025-06-03

Brief Summary

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The main aim of this study is to learn how effective TAK-861 is in improving excessive sleepiness during the day (called excessive daytime sleepiness or EDS) after 3 months of treatment. Other aims are to learn how effective TAK-861 is in lowering the number of sudden, unexpected attacks of muscle weakness while staying conscious (cataplexy) in a week; to learn the effect TAK-861 has on participants' ability to maintain attention, participant's overall quality of life, the spectrum of narcolepsy symptoms, and daily life functions; and to learn about the safety 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 evaluate its efficacy and safety in people with narcolepsy type 1 (NT1).

The study will enroll approximately 152 patients. Participants will be randomly assigned (by chance, like flipping a coin) to one of the three treatment groups:

1. TAK-861 Dose 1
2. TAK-861 Dose 2
3. Placebo

The study drug will be administered for 12 weeks. This multi-center trial will be conducted globally.

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 tablets at dose 1, orally, for 12 weeks.

Group Type EXPERIMENTAL

TAK-861

Intervention Type DRUG

Oral tablet.

TAK-861 Dose 2

Participants will receive TAK-861 tablets at dose 2, orally, for 12 weeks.

Group Type EXPERIMENTAL

TAK-861

Intervention Type DRUG

Oral tablet.

Placebo

Participants will receive TAK-861-matching placebo tablets, orally, for 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

TAK-861-matching placebo tablet.

Interventions

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TAK-861

Oral tablet.

Intervention Type DRUG

Placebo

TAK-861-matching placebo tablet.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. The participant has a body mass index (BMI) within the range 18 to 40 kilograms per meter square (kg/m\^2).
2. The participant has an International Classification of Sleep Disorders, Third Edition (ICSD-3) or International Classification of Sleep Disorders, Third Edition, Text Revision (ICSD-3-TR) diagnosis of NT1.
3. The participant has greater than or equal to (≥)4 partial or complete episodes of cataplexy/week (WCR).
4. The participant is positive for the human leukocyte antigen (HLA) genotype HLA-DQB1\*06:02 or results from radioimmunoassay indicate the participant's cerebrospinal fluid (CSF) orexin (OX)/hypocretin-1 concentration is less than or equal to (≤)110 picograms per milliliter (pg/mL) \[or less than one-third of the mean values obtained in normal participants within the same standardized assay\].

Exclusion Criteria

1. The participant has a current medical disorder, other than narcolepsy with cataplexy, associated with EDS.
2. The participant: (a) has a history of myocardial infarction; (b) has a history of clinically significant hepatic disease, thyroid disease, coronary artery disease, cardiac rhythm abnormality or heart failure; or (c) has any medical condition (such as unstable cardiovascular, pulmonary, renal or gastrointestinal disease).
3. The participant has current or recent (within 6 months) gastrointestinal disease that is expected to influence the absorption of drugs.
4. The participant has a history of cancer in the past 5 years.
5. The participant has a clinically significant history of head injury or head trauma.
6. The participant has a history of epilepsy, seizure, or convulsion.
7. The participant has a history of cerebral ischemia, transient ischemic attack (\<5 years from screening), intracranial aneurysm, or arteriovenous malformation.
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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Takeda Site 48

Phoenix, Arizona, United States

Site Status

Takeda Site 39

Redwood City, California, United States

Site Status

Takeda Site 31

Santa Ana, California, United States

Site Status

Takeda Site 18

Upland, California, United States

Site Status

Takeda Site 4

Orlando, Florida, United States

Site Status

Takeda Site 3

Atlanta, Georgia, United States

Site Status

Takeda Site 45

Boston, Massachusetts, United States

Site Status

Takeda Site 5

St Louis, Missouri, United States

Site Status

Takeda Site 2

Denver, North Carolina, United States

Site Status

Takeda Site 6

Cincinnati, Ohio, United States

Site Status

Takeda Site 42

Cleveland, Ohio, United States

Site Status

Takeda Site 49

Danville, Pennsylvania, United States

Site Status

Takeda Site 1

Columbia, South Carolina, United States

Site Status

Takeda Site 44

Dallas, Texas, United States

Site Status

Takeda Site 10

Norfolk, Virginia, United States

Site Status

Takeda Site 21

Ottawa, Ontario, Canada

Site Status

Takeda Site 11

Toronto, Ontario, Canada

Site Status

Takeda Site 50

Montreal, Quebec, Canada

Site Status

Takeda Site 25

Montpellier, Herault, France

Site Status

Takeda Site 43

Toulouse, Midi-Pyrenees, France

Site Status

Takeda Site 40

Lyon, , France

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Takeda Site 29

Paris, , France

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Takeda Site 47

Regensberg, Bavaria, Germany

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Takeda Site 34

Berlin, , Germany

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Takeda Site 26

Schwerin, , Germany

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Takeda Site 32

Rome, Lazio, Italy

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Takeda Site 30

Bologna, , Italy

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Takeda Site 16

Kurume-shi, Fukuka-Ken, Japan

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Takeda Site 13

Kitakyushu-shi, Fukuoka, Japan

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Takeda Site 14

Fukuoka, Fukuoka-Shi Hakata-Ku, Japan

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Takeda Site 9

Kohoku, Kanagawa, Japan

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Takeda Site 7

Kumamoto, Kumamoto, Japan

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Takeda Site 17

Isahaya-shi, Nagasaki, Japan

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Takeda Site 15

Urasoe-Shi, Okinawa, Japan

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Takeda Site 12

Yodogawa, Osaka, Japan

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Takeda Site 8

Bunkyo-ku, Tokyo, Japan

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Takeda Site 19

Kodaira-shi, Tokyo, Japan

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Takeda Site 20

Shibuya-ku, Tokyo, Japan

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Takeda Site 28

Zwolle, , Netherlands

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Takeda Site 27

Bergen, Hordaland, Norway

Site Status

Takeda Site 33

Oslo, , Norway

Site Status

Takeda Site 37

Vitoria-Gasteiz, Alava, Spain

Site Status

Takeda Site 38

Castellon, Castellon, Spain

Site Status

Takeda Site 35

Barcelona, , Spain

Site Status

Takeda Site 36

Barcelona, , Spain

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Takeda Site 24

Madrid, , Spain

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Takeda Site 41

Valencia, , Spain

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Takeda Site 22

Barmelweid, Canton of Aargau, Switzerland

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Takeda Site 23

Bern, , Switzerland

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Takeda Site 51

Lugano, , Switzerland

Site Status

Takeda Site 46

Cambridge, , United Kingdom

Site Status

Takeda Site 52

London, , United Kingdom

Site Status

Takeda Site 53

London, , United Kingdom

Site Status

Countries

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United States Canada France Germany Italy Japan Netherlands Norway Spain Switzerland United Kingdom

Related Links

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https://clinicaltrials.takeda.com/study-detail/7c9baa5c098c4dcc??page=1&idFilter=TAK-861-3001

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

Other Identifiers

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2023-508465-32-00

Identifier Type: CTIS

Identifier Source: secondary_id

jRCT2051240083

Identifier Type: REGISTRY

Identifier Source: secondary_id

TAK-861-3001

Identifier Type: -

Identifier Source: org_study_id

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