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Evaluating TAK-861 for Treating Narcolepsy Type 1 with Cataplexy Assessing Effectiveness and Safety in a Double-Blind Randomized Withdrawal Study
Led by Takeda · Updated on 2026-07-08
88
Participants Needed
25
Research Sites
N/A
Total Duration
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AI-Summary
What this Trial Is About
Researchers are studying TAK-861 to evaluate its effectiveness and safety for treating narcolepsy type 1 with cataplexy. This phase 3 trial aims to determine whether TAK-861 helps control symptoms and if its benefits last over time, as well as to monitor any side effects related to taking or stopping the drug. Participants will first take TAK-861 openly for several months during the open-label treatment period. Those who meet certain criteria will then be randomly assigned to continue TAK-861 at the same dose or switch to placebo for up to 4 weeks in a double-blind randomized withdrawal period. If symptoms worsen during this period, participants may stop treatment and join a long-term extension study or be followed for 4 weeks after their last dose. During the study, participants will undergo assessments including the Epworth Sleepiness Scale, Maintenance of Wakefulness Test, cataplexy rate tracking, cognitive tests, and patient-reported outcomes. Safety will be monitored throughout the trial, which lasts approximately 31 weeks from screening to study end. The study is conducted at multiple centers worldwide.
CONDITIONS
Brief Title
A Trial of TAK-861 for the Treatment of Narcolepsy With Cataplexy
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Body mass index (BMI) between 18 and 40 kg/m²
- Diagnosed with narcolepsy type 1 according to ICSD-3 or ICSD-3-TR
- Positive for HLA-DQB1*06:02 gene or cerebrospinal fluid hypocretin-1 concentration ≤110 pg/mL
- Age between 16 and 70 years
You will not qualify if you...
- Presence of any other medical disorder causing excessive daytime sleepiness
- History of myocardial infarction, significant liver, thyroid, heart rhythm, coronary artery or heart failure conditions
- Unstable cardiovascular, pulmonary, renal, or gastrointestinal disease
- Recent (within 6 months) gastrointestinal disease affecting drug absorption
- History of cancer within the past 5 years
- Significant history of head injury or trauma
- History of epilepsy, seizure, or convulsion except a single febrile seizure in childhood
- History of cerebral ischemia, transient ischemic attack (less than 5 years), intracranial aneurysm, or arteriovenous malformation
Research Team
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