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A Study of ORX489 in Healthy Adult Participants, Aged 18 to 60 Years

A Safety, Tolerability, Pharmacokinetic, Food Effect, and Proof-of-Concept Study of Single and Multiple Doses of ORX489 in Healthy Adults

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07413666
Enrollment
212
Registered
2026-02-17
Start date
2026-02-25
Completion date
2027-06-30
Last updated
2026-02-25

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

Conditions

Healthy Adult Male and Female Volunteers

Keywords

Healthy Volunteers orexin-2 receptor agonist

Brief summary

Characterize the safety, tolerability and pharmacokinetics of ORX489 following single and multiple doses.

Interventions

DRUGORX489 Tablets

ORX489 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 60 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy males or females as determined by assessments at the Screening Visit. * For Parts A, B, C, and D: Participants must be at least 18 years of age and no more than 60 years of age at the Screening

Exclusion criteria

* 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. * History of seizure disorder, any other condition that increases the risk of seizure * Has a clinically significant sleep disorder, including insomnia or sleep apnea

Design outcomes

Primary

MeasureTime frameDescription
Part BFrom enrollment to the Follow-Up Visit 7 days post-discharge]Incidence and severity of Treatment-Emergent Adverse Events \[Safety and Tolerability\] as assessed by AEs and SAEs of oral single ascending doses of ORX489 in the fasted and fed states
Part CFrom enrollment to the Follow-Up Visit 7 days post-discharge]Incidence and severity of Treatment-Emergent Adverse Events \[Safety and Tolerability\] as assessed by AEs and SAEs of oral multiple ascending doses of ORX489 in healthy adult participants
Part D:From enrollment to the Follow-Up Visit 7 days post-dischargeIncidence and severity of Treatment-Emergent Adverse Events \[Safety and Tolerability\] as assessed by AEs and SAEs of oral single oral doses of ORX489 in sleep-deprived healthy adult participants
Part AFrom enrollment to the Follow-Up Visit 7 days post-dischargeIncidence and severity of Treatment-Emergent Adverse Events \[Safety and Tolerability\] as assessed by AEs and SAEs of oral single ascending doses of ORX489 in healthy adult participants.

Secondary

MeasureTime frameDescription
Mean sleep latency in the Maintenance of Wakefulness Test (MWT)Part D: Day 1-2Mean sleep latency in the Maintenance of Wakefulness Test (MWT) for ORX489 versus placebo: MWT sleep latency ranges from 0 to 40 minutes, with higher scores indicating greater ability to stay awake
T 1/2 (terminal elimination half-life)Pre-dose and multiple post-dose timepoints, up to 48 hoursThe time required for the terminal phase blood concentration of ORX489 to decrease by half in participants receiving ORX489
Karolinska Sleepiness Scale scorePart D: Day 1-2Karolinska Sleepiness Scale score for ORX489 versus placebo: 9-point scale, ranging from "extremely alert" (1) to "very sleepy, great effort keeping awake, fighting sleep
CmaxPre-dose and multiple post-dose timepoints, up to 48 hoursMaximum Observed Plasma Concentration for ORX489 in participants receiving ORX489
TmaxPre-dose and multiple post-dose timepoints, up to 48 hoursTime of Maximum Concentration for ORX489 in participants receiving ORX489
AUClastPre-dose and multiple post-dose timepoints, up to 48 hoursArea Under the Plasma Concentration-time Curve from Time 0 to the Time of the Last Quantifiable Concentration for ORX489 in participants receiving ORX489

Countries

United States

Contacts

CONTACTORX489 Centessa Program Lead ORX489 Centessa Program Lead
ORX489-101study@centessa.com617-468-5770
CONTACTCelerion Program Lead CA49982 United States, Nebraska [Recruiting]

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 26, 2026