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NCT05816382PHASE2, PHASE3Recruiting

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

Takeda

Start Date

4/5/2023

Completion Date

2/28/2028

Summary

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

Detailed Description

The drug being tested in this trial is called TAK-861. TAK-861 is being tested to treat people who have narcolepsy type 1 (NT1). This trial 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 trial was initiated in parallel with the parent phase 2 trials, 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) trial enrolled participants with both diagnoses from the two phase 2 trials. As the TAK-861-2002 trial did not meet prespecified criteria, all participants with NT2 were discontinued, and moving forward this extension study only includes participants with NT1 who previously completed a parent trial. Parent trials include all TAK-861 phase 3 trials in addition to the phase 2 trial participants from TAK-861-2001. The trial will enroll up to 500 participants. All participants in the trial will receive TAK-861. Participants who were previously on a placebo dose will be assigned to one of the TAK-861 doses randomly. This multi-center trial will be conducted worldwide. Study period is approximately 5 years or until the study is stopped at the sponsor's discretion, or the product is approved and launched. 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 trial intervention.

Eligibility Criteria

Age Range: 16 years to 70 years

Inclusion criteria: 1\. Participant with a diagnosis of NT1 who has completed a controlled trial 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 trial intervention from the parent trial or discontinued because of TEAEs in the parent trial. 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) and aspartate aminotransferase (AST) values greater than (\>) 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 (less than (\<) 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.

Interventions

DRUG

TAK-861

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Conditions

Narcolepsy Type 1

Locations

Sleep Disorders Center of Alabama

Birmingham, Alabama 35213

United States

Stanford Center for Sleep Sciences and Medicine

Redwood City, California 94063

United States

SDS Clinical Trials, Inc.

Santa Ana, California 92705

United States

Delta Waves LLC - Hunt - PPDS

Colorado Springs, Colorado 80918

United States

Florida Pediatric Research Institute

Orlando, Florida 32803

United States

Neurotrials Research

Atlanta, Georgia 30342

United States

Georgia Neuro Center

Gainesville, Georgia 30501

United States

Neurocare Inc

Newton, Massachusetts 02459

United States

Henry Ford Medical Center - Columbus

Novi, Michigan 48377

United States

Research Carolina Elite

Denver, North Carolina 28037

United States

ARSM Research, LLC

Huntersville, North Carolina 28078

United States

CTI Research Center

Cincinnati, Ohio 45212

United States

Intrepid Research

Cincinnati, Ohio 45227

United States

The Cleveland Clinic Foundation

Cleveland, Ohio 44195

United States

Ohio Sleep Medicine Institute

Dublin, Ohio 43017

United States

Medical University of South Carolina - PPDS

Charleston, South Carolina 29425

United States

Bogan Sleep Consultants, LLC

Columbia, South Carolina 29201

United States

Sleep Therapy and Research Center

San Antonio, Texas 78229

United States

Children's Specialty Group

Norfolk, Virginia 23510

United States

Woolcock Institute of Medical Research

Glebe, New South Wales 2037

Australia

Terveystalo Helsinki Sleep Clinic

Helsinki, Uusimaa 00380

Finland

Hopital Pierre-Paul Riquet

Toulouse, Haute-Garonne 31000

France

CHU Gui De Chauliac

Montpellier, Herault 34090

France

CHU de Grenoble

La Tronche, Isere 38700

France

Hopital de la Pitie Salpetriere

Paris, 75013

France

Universitaet Regensburg am Bezirksklinikum

Regensburg, Bavaria 93053

Germany

Somni Bene Institut fur Medizinische Forschung und Schlafmedizin Schwerin GmbH

Schwerin, Mecklenburg-Vorpommern 19053

Germany

Charite - Universitatsmedizin Berlin

Berlin, 10117

Germany

Klinische Forschung Hamburg

Hamburg, 20253

Germany

Fondazione PTV Policlinico Tor Vergata

Rome, Lazio 00133

Italy

Istituto Neurologico Mediterraneo Neuromed

Pozzilli, Molise 86077

Italy

Ospedale Bellaria

Bellaria, 40139

Italy

Kurume University Hospital

Kurume-Shi, Hukuoka 830-0011

Japan

Howakai Kuwamizu Hospital

Kumamoto, Kumamoto 862-0954

Japan

YOU ARIYOSHI Sleep Clinic

Nagasaki, Nagasaki 850-0045

Japan

Gokeikai Osaka Kaisei Hospital

Osaka, Osaka 532-0003

Japan

Koishikawa Tokyo Hospital

Bunkyo-Ku, Tokyo 112-0012

Japan

Aichi Medical University Hospital

Nagakute, 480-1195

Japan

Kempenhaeghe - PPDS

Heeze, North Brabant 5591 VE

Netherlands

Slaap-Waakcentrum SEIN Heemstede

Heemstede, North Holland 2103 SW

Netherlands

University of Oslo

Oslo, 0450

Norway

Hospital Universitario Araba Santiago

Vitoria-Gasteiz, Alava 01009

Spain

Hospital General de Castello

Castellon, Castellon 12004

Spain

Hospital de La Ribera

Alzira, Valencia 46600

Spain

Hospital Universitario Vall d'Hebron - PPDS

Barcelona, 08035

Spain

Hospital Clinic de Barcelona

Barcelona, 08036

Spain

Instituto de Investigaciones del Sueno

Madrid, 28036

Spain

Hospital Vithas Madrid Arturo Soria

Madrid, 28046

Spain

Sahlgrenska University Hospital

Gothenburg, Västra Götaland County 413 46

Sweden

Klinik Barmelweid AG

Barmelweid, Aargau (de) 5017

Switzerland

Neurocenter of Southern Switzerland

Lugano, Ticino (it) 6900

Switzerland

Universitaetsspital Bern - Inselspital

Bern, 43017-3521

Switzerland