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A Long-term Extension Study of ORX750 in Participants With Narcolepsy and Idiopathic Hypersomnia

A Phase 2, Long-term Extension Study of the Safety and Efficacy of ORX750 in Participants With Narcolepsy and Idiopathic Hypersomnia Who Completed a Sponsored ORX750 Clinical Trial

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07096674
Enrollment
90
Registered
2025-07-31
Start date
2025-08-12
Completion date
2026-04-30
Last updated
2026-04-16

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

Conditions

Idiopathic Hypersomnia, Narcolepsy Type 1, Narcolepsy Type 2

Keywords

NT1, NT2, IH, Narcolepsy, Narcolepsy Type 1, Narcolepsy Type 2, Idiopathic Hypersomnia, Excessive Daytime Sleepiness, Orexin Receptor 2 agonist

Brief summary

This study is a long-term extension (LTE) of the parent Study ORX750 0201, and will provide long-term open-label safety, tolerability, and efficacy of ORX750 in participants with narcolepsy type 1 (NT1), narcolepsy type 2 (NT2), and idiopathic hypersomnia (IH).

Interventions

DRUGORX750

Oral ORX750

Sponsors

Centessa Pharmaceuticals (UK) Limited
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Open Label Long Term Extension Study

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Diagnosis of narcolepsy (NT1 or NT2) or IH who was eligible for and completed the full treatment period in the eligible parent study ORX750-0201 (CRYSTAL-1) * Is willing and able to adhere to additional protocol requirements

Exclusion criteria

* Development of any new disease/disorder that in the opinion of the investigator would make the participant unable to continue the study * Unable to refrain from excluded medications, including those used for treatment of narcolepsy or idiopathic hypersomnia

Design outcomes

Primary

MeasureTime frameDescription
Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsUp to day 70Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs
Abnormal Laboratory TestsUp to day 70Number of Participants With Abnormal Changes From Baseline in Laboratory Tests
Abnormal Vital SignsUp to day 70Number of Participants With Abnormal Change From Baseline in Vital Signs
Abnormal ECGUp to day 70Number of Participants With Abnormal Change From Baseline in Electrocardiograms (ECG)
Suicidal Ideation or BehaviorUp to day 70Number of Participants With Suicidal Ideation or Suicidal Behavior as Measured Using Columbia-Suicide Severity Rating Scale (C-SSRS)

Secondary

MeasureTime frameDescription
CmaxUp to day 63Cmax: Maximum Observed Plasma Concentration for ORX750
TmaxUp to day 63Tmax: Time of Maximum Concentration for ORX750
AUClastUp to day 63AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for ORX750
Cmax,ssUp to day 63Cmax,ss: Maximum Observed Concentration at Steady State for ORX750
AUCτUp to day 63AUCτ: Area Under the Concentration-time Curve During a Dosing Interval at Steady State for ORX750
Maintenance of Wakefulness TestUp to day 63Change From Baseline in Mean sleep latency (average of the first 4 trials) in the Maintenance of Wakefulness Test (MWT)
Epworth Sleepiness ScaleUp to day 63Change From Baseline in Epworth Sleepiness Scale (ESS)

Countries

Canada, Italy, Spain, United States

Contacts

CONTACTOrexin Centessa Program Lead
ORX750-LTE@centessa.com617-468-5770

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 17, 2026