Denver

This research focuses on participants with narcolepsy type 1, narcolepsy type 2, and idiopathic hypersomnia. It is a long-term extension study following a previous trial, aiming to evaluate the long-term safety, tolerability, and effectiveness of the drug ORX750 in these conditions. The study is part of a Phase 2 clinical trial program specifically involving participants who completed the initial parent study. Participants will receive oral ORX750 during the long-term extension period. This open-label study continues treatment with ORX750, allowing researchers to observe its effects over an extended time without a placebo comparison. The study builds upon prior treatment to assess ongoing outcomes and safety. During the study, participants will be closely monitored for any treatment-emergent adverse events, serious adverse events, abnormal lab tests, changes in vital signs, abnormal ECG results, and any signs of suicidal thoughts or behavior up to day 70. The study requires participants to adhere to protocol requirements and will assess their continued safety and response to ORX750 throughout the treatment period.

Researchers are evaluating the long-term safety, tolerability, and lasting effects of ALKS 2680 tablets in adults aged 18 to 70 years with Narcolepsy Type 1, Narcolepsy Type 2, or Idiopathic Hypersomnia. This study continues from earlier trials and aims to monitor how well the treatment works and how safe it is over an extended period. Participants receive daily oral doses of ALKS 2680 tablets in varying strengths ranging from 4 mg to 18 mg. The study is an open-label, long-term extension, meaning all participants know they are receiving ALKS 2680 as they continue treatment after completing a prior parent study. The dose is administered once daily, and the study focuses on ongoing monitoring rather than comparing to a placebo. During the study, participants are regularly assessed for any treatment-emergent adverse events up to 100 weeks. Safety evaluations include clinical assessments, laboratory tests, and monitoring for any new health issues. Researchers track the ability to tolerate the medication and the durability of its effect on symptoms. This long-term follow-up helps ensure comprehensive understanding of the treatment's impact over time.

Narcolepsy Type 1 (NT1), Narcolepsy Type 2 (NT2), and Idiopathic Hypersomnia (IH) are rare sleep disorders causing excessive daytime sleepiness, making it difficult for people to stay alert during daily activities like school, work, or driving. NT1 often includes sudden muscle weakness called cataplexy triggered by strong emotions, while NT2 does not have cataplexy. People with IH feel tired even after long sleep and may have trouble waking up. This study aims to evaluate the safety, tolerability, and effects of ORX750, a drug designed to mimic orexin, a brain protein that helps keep people awake, in individuals with NT1, NT2, and IH. Participants will be randomly assigned to receive either ORX750 capsules or matching placebo capsules in this Phase 2a trial. The study will compare the drug against placebo to learn about its safety, how the body processes it, and its potential to reduce sleepiness and improve symptoms in these conditions. Participants must stop all other narcolepsy or hypersomnia medications and follow study requirements throughout the trial. During the study, researchers will monitor participants for treatment-related side effects, changes in laboratory tests, vital signs, heart electrical activity (ECG), and any suicidal thoughts or behaviors up to day 35. The main outcomes focus on safety and tolerability of ORX750. The study includes adults aged 18 to 65 years with specific diagnoses of NT1, NT2, or IH and tracks their response and health closely during the trial period.

Idiopathic Hypersomnia (IH) is a condition where adults feel very sleepy during the day, especially in the morning, even after getting plenty of sleep at night. They may find it hard to wake up and stay alert, affecting their ability to focus, think clearly, and carry out daily activities. This study is designed to evaluate the safety and tolerability of TAK-360, a drug that mimics orexin, a brain chemical that helps keep people awake, in adults with IH. Researchers also want to find out if TAK-360 helps improve wakefulness and determine the appropriate dose needed. Participants will be randomly assigned to receive either TAK-360 tablets or matching placebo tablets, which look the same but contain no active medicine. This study is a Phase 2 trial with a double-blind design, meaning neither the participants nor the researchers know who receives TAK-360 or placebo, to fairly assess the treatment's effects. The study focuses on finding the right dose of TAK-360 and monitoring its safety and tolerability. During the study, researchers will track treatment-emergent adverse events up to week 8 to evaluate safety. Participants will be monitored closely for how well they tolerate TAK-360 and any side effects. The study includes adults aged 18 to 70 years with a diagnosis of IH. Researchers will collect various health information to understand the drug's effects and ensure participant safety throughout the trial.

Narcolepsy Type 2 (NT2), also known as narcolepsy without cataplexy, is a lifelong condition causing excessive daytime sleepiness despite normal nighttime sleep. People with NT2 may suddenly fall asleep, struggle to stay awake, or have poor nighttime sleep, leading to problems with attention, memory, and daily activities like driving or working. This research evaluates the safety, tolerability, and effectiveness of TAK-360, a drug that mimics orexin, a brain chemical that helps maintain wakefulness, in adults with NT2. Participants in this phase 2 trial are randomly assigned to receive either TAK-360 tablets or matching placebo tablets. The study uses a double-blind design, meaning neither participants nor researchers know who receives the drug or placebo during the treatment period. The goal is to find the proper dose of TAK-360 and assess how well adults with NT2 tolerate it compared to placebo. During the study, researchers will monitor the number of participants who experience any treatment-related side effects over up to 15 weeks. They will also evaluate safety and tolerability throughout the study. Participants' responses to treatment will provide insights into TAK-360's potential to help people with NT2 stay awake and improve their quality of life.

Researchers are evaluating the safety and tolerability of TAK-861 in people with narcolepsy type 1 (NT1) who have already been exposed to TAK-861 in earlier studies. The study also aims to observe improvements in symptoms such as excessive daytime sleepiness and the frequency of cataplexy episodes. This long-term extension trial continues from previous phase 2 and phase 3 trials and includes participants who completed those earlier studies. All participants in this trial will receive TAK-861 tablets. Those who were previously given a placebo in parent trials will be randomly assigned to a dose of TAK-861. The study plans to enroll up to 500 participants worldwide and will last approximately 5 years, or until the study is stopped or the drug is approved and launched. Participants will visit clinics multiple times, with some visits possibly done at home, and will have a follow-up check 4 weeks after their last dose. During the study, participants will be monitored for treatment-emergent adverse events from the time they consent until 4 weeks after their final dose, covering up to about 5 years. Researchers will assess safety and tolerability regularly through these visits and follow-ups. The focus is on identifying any side effects and understanding the long-term effects of TAK-861 in people with NT1.

Researchers are evaluating the safety and effectiveness of astegolimab compared to a placebo in adults aged 40 to 80 years who have chronic obstructive pulmonary disease (COPD). The study focuses on participants who are former or current smokers with a history of frequent COPD flare-ups. This phase III trial aims to determine how well astegolimab reduces moderate and severe COPD exacerbations over one year. Participants will be randomly assigned to receive either subcutaneous astegolimab every two or four weeks or a placebo every two weeks. All participants will continue their optimized COPD maintenance treatments, which may include combinations of inhaled corticosteroids, long-acting beta-agonists, and long-acting muscarinic antagonists. Study treatments will be administered over a 52-week period. Throughout the study, researchers will monitor the annual rate of moderate and severe COPD exacerbations. Participants will undergo lung function tests, chest imaging, and assessments of breathlessness and lung health. The study will also carefully track the safety of the treatments, including any infections or heart-related problems. The total participation time is 52 weeks, during which the effectiveness and safety of astegolimab will be evaluated.

Researchers are evaluating the optimal doses of E2086, an oral tablet, compared to a matching placebo in adults with narcolepsy to reduce excessive daytime sleepiness. This phase 2 randomized, double-blind, placebo-controlled trial focuses on measuring sleepiness using the Mean Sleep Latency (MSL) from four maintenance of wakefulness tests (MWTs). Participants include adults diagnosed with narcolepsy type 1 or type 2, with specific clinical and diagnostic criteria based on the 2023 International Classification of Sleep Disorders. Participants receive either E2086 or placebo tablets during the study. The treatment period lasts four weeks, during which participants complete the MWTs to assess changes in sleep latency. The study monitors the effect of the drug on daytime sleepiness compared to placebo and evaluates safety and tolerability. During the trial, participants will undergo assessments including sleep diaries, clinical history reviews, and MWTs at baseline and week 4. Researchers will measure changes in mean sleep latency to evaluate treatment effect. Safety monitoring includes tracking adverse events and clinical observations throughout the study. The total participation time includes screening, treatment, and follow-up assessments as required by the protocol.

This research aims to evaluate the long-term safety and explore the effectiveness of astegolimab in people with chronic obstructive pulmonary disease (COPD) who have already completed a 52-week treatment in previous studies GB43311 or GB44332. The study focuses on participants aged 40 to 90 years and is a Phase III open-label extension trial designed to continue monitoring patients after their initial treatment period. Participants will receive astegolimab as a subcutaneous injection every two weeks during this extension study. This treatment continues from the prior placebo-controlled phase, allowing researchers to observe any ongoing effects and safety concerns over a longer period. The study does not include a placebo group during this extension phase, and all participants receive the active treatment. Throughout the study, researchers will closely monitor participants for any adverse events up to 12 weeks after the last dose of astegolimab. Participants will be assessed regularly to ensure their safety and to gather data on the treatment's long-term impact. The total duration of participant involvement depends on when they completed the parent studies but involves continued monitoring during and after the treatment period.

Researchers are evaluating the safety and effectiveness of ALKS 2680 tablets in adults with Idiopathic Hypersomnia, a sleep disorder causing excessive daytime sleepiness. This Phase 2 study compares ALKS 2680 with placebo tablets to see if it can reduce daytime sleepiness. Participants will take oral tablets once daily, either ALKS 2680 or a placebo, during the study. The study is designed to find the appropriate dose level while monitoring safety and effectiveness. During up to 8 weeks of treatment, participants will be assessed for changes in daytime sleepiness using the Epworth Sleepiness Scale. Researchers will also monitor safety and participants' adherence to treatment and lifestyle requirements throughout the study.