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A Study of ORX142 in Healthy Adult Subjects, Including Subjects 18 to 80 Years of Age

A Randomized, Double-blind, Sponsor-open, Placebo-controlled Study of the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Food Effect of Single and Multiple Ascending Doses of ORX142 in Healthy Adults, Single Doses of ORX142 in Healthy Older Adults, and a Single Dose Crossover, Proof-of-concept Study of ORX142 in Acutely Sleep-deprived Healthy Subjects

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07082829
Enrollment
208
Registered
2025-07-24
Start date
2025-06-30
Completion date
2026-06-15
Last updated
2025-12-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Excessive Daytime Sleepiness

Keywords

Excessive Daytime Sleepiness, orexin-2 receptor agonist

Brief summary

Characterize the safety, tolerability and pharmacokinetics of ORX142 following single and multiple doses.

Interventions

DRUGORX142 Tablets

ORX142 Tablets

OTHERPlacebo Tablets

Placebo Tablets

Sponsors

Centessa Pharmaceuticals (UK) Limited
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Masking description

Double-blind (investigator- and subject-blinded)

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes

Inclusion criteria

Key Inclusion Criteria: 1. Healthy males or females as determined by assessments at the Screening Visit. For Parts A, B, C, and E: a. Participants must be at least 18 years of age and no more than 55 years of age at the Screening 2. For Part D: a .Participants must be at least 60 years of age and no more than 80 years of age at the Screening Key

Exclusion criteria

1. Presence of significant cardiac, pulmonary, gastrointestinal, hepatic, renal, hematological, malignancy, endocrine, neurological, or psychiatric disease, as determined by medical history, physical examination, and screening investigations. 2. History of seizure disorder, any other condition that increases the risk of seizure 3. Has a clinically significant sleep disorder, including insomnia or sleep apnea.

Design outcomes

Primary

MeasureTime frameDescription
Part E: Incidence and severity of Treatment-Emergent Adverse Events of oral of single oral doses of ORX142 in acutely sleep-deprived healthy adult subjectsFrom enrollment to the Follow-Up Visit 13 days post-dischargeSafety and Tolerability as assessed by AEs and SAEs
Part A: Incidence and severity of Treatment-Emergent Adverse Events of oral single ascending doses of ORX142 in healthy adult subjectsFrom enrollment to the Follow-Up Visit 13 days post-dischargeSafety and Tolerability as assessed by AEs and SAEs
Part B: Incidence and severity of Treatment-Emergent Adverse Events of oral single ascending doses of ORX142 in the fasted and fed statesFrom enrollment to the Follow-Up Visit 13 days post-dischargeSafety and Tolerability as assessed by AEs and SAEs
Part C: Incidence and severity of Treatment-Emergent Adverse Events of oral multiple ascending doses of ORX142 in healthy adult subjectsFrom enrollment to the Follow-Up Visit 13 days post-dischargeSafety and Tolerability as assessed by AEs and SAEs
Part D: Incidence and severity of Treatment-Emergent Adverse Events of oral single oral doses of ORX142 in healthy older adult subjectsFrom enrollment to the Follow-Up Visit 13 days post-dischargeSafety and Tolerability as assessed by AEs and SAEs

Secondary

MeasureTime frame
Tmax: Time of Maximum Concentration for ORX142 in subjects receiving ORX142 in the fast and fed statePre-dose and multiple post-dose timepoints, up to 48 hours
AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for ORX142 in subjects receiving ORX142 in the fast and fed statePre-dose and multiple post-dose timepoints, up to 48 hours
Cmax: Maximum Observed Plasma Concentration for ORX142 in subjects receiving ORX142Pre-dose and multiple post-dose timepoints, up to 48 hours
Mean sleep latency in the Maintenance of Wakefulness Test (MWT) for ORX142 versus placebo.Part E: Day 2
Karolinska Sleepiness Scale score for ORX142 versus placeboPart E: Day 1-2
T 1/2 (terminal elimination half-life): The time required for the terminal phase blood concentration of ORX142 to decrease by half in subjects receiving ORX142 in the fast and fed statePre-dose and multiple post-dose timepoints, up to 48 hours
Tmax: Time of Maximum Concentration for ORX142 in subjects receiving ORX142Pre-dose and multiple post-dose timepoints, up to 48 hours
AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for ORX142 in subjects receiving ORX142Pre-dose and multiple post-dose timepoints, up to 48 hours
T 1/2 (terminal elimination half-life): The time required for the terminal phase blood concentration of ORX142 to decrease by half in subjects receiving ORX142Pre-dose and multiple post-dose timepoints, up to 48 hours
Cmax: Maximum Observed Plasma Concentration for ORX142 in subjects receiving ORX142 in the fasted and fed state.Pre-dose and multiple post-dose timepoints, up to 48 hours

Countries

United States

Contacts

Primary ContactORX142 Centessa Program Lead
ORX142-0101study@centessa.com617-468-5770

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026