A Trial of TAK-861 for the Treatment of Narcolepsy With Cataplexy
Start Date
1/29/2026
Completion Date
10/2/2026
Summary
The main aim of this study is to assess how effective TAK-861 is for treating narcolepsy type 1 and if this effect is maintained over time. Participants will take TAK-861 for a few months and if they meet certain criteria, they will be randomly assigned (by chance, like flipping a coin) to continue taking TAK-861 or take placebo (fake medicine) for up to 4 weeks to see if their narcolepsy symptoms return.
Detailed Description
The drug being tested in this study is called TAK-861. This study will look at how effective TAK-861 is for the treatment of narcolepsy type 1 and how well this effect is maintained over time. This study also evaluates how safe TAK-861 is and what adverse events may be associated with taking the drug and stopping the drug in participants with NT1. The study will enroll approximately 88 participants. All participants will take TAK-861 during the open-label (OL) treatment period. Participants who meet certain criteria at the end of the OL Treatment Period will be randomized to one of two treatment groups for the up to 4-week double-blind randomized withdrawal (RW) Period. Participants will be randomized to one of the following treatment groups during the Double-blind RW Period: 1. TAK-861 (same dose participant was taking at the end of the OL Treatment Period) 2. Placebo The randomized withdrawal period may last up to 4 weeks. Participants whose NT1 symptoms get worse during the RW period and whose Epworth Sleepiness Scale score rises above a certain score will stop the treatment and be invited to continue in a separate long term extension study. Participants who choose not to take part in the extension study will be followed-up for 4 weeks after their last dose of study drug. This multi-center trial will be conducted globally.
Eligibility Criteria
Age Range: 16 years to 70 years
Interventions
TAK-861
Placebo
Conditions
Locations
Takeda Site 15
Redwood City, California 94063
United States
Takeda Site 19
Brandon, Florida 33511
United States
Takeda Site 22
Miami, Florida 33155
United States
Takeda Site 23
Southfield, Michigan 48075
United States
Takeda Site 20
Middletown, New Jersey 07748
United States
Takeda Site 24
Durham, North Carolina 27710-4000
United States
Takeda Site 25
Winston-Salem, North Carolina 27103
United States
Takeda Site 16
Cincinnati, Ohio 45245
United States
Takeda Site 18
Cleveland, Ohio 44195
United States
Takeda Site 17
Columbia, South Carolina 29201
United States
Takeda Site 21
Austin, Texas 78731
United States
Takeda Site 1
Montpellier, 34295
France
Takeda Site 2
Paris, 75013
France
Takeda Site 3
Toulouse, 31059
France
Takeda Site 4
Schwerin, Mecklenburg-Vorpommern 19053
Germany
Takeda Site 5
Berlin, 10117
Germany
Takeda Site 6
Bologna, Emilia-Romagna 40139
Italy
Takeda Site 7
Rome, Lazio 00133
Italy
Takeda Site 8
Heemstede, 2103 SW
Netherlands
Takeda Site 12
Vitoria-Gasteiz, Alava 01004
Spain
Takeda Site 11
Alzira, Valencia 46600
Spain
Takeda Site 10
Barcelona, 08036
Spain
Takeda Site 9
Madrid, 28043
Spain
Takeda Site 13
Barmelweid, Canton of Aargau 5017
Switzerland
Takeda Site 14
Bern, 3010
Switzerland