New sleepiness drug could change lives for narcolepsy and hypersomnia patients
NCT ID NCT06752668
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new drug called ORX750 (cleminorexton) in 248 adults with narcolepsy type 1, type 2, or idiopathic hypersomnia—conditions that cause severe daytime sleepiness. The drug mimics a natural brain protein that helps keep people awake. The main goals are to check safety and see if it reduces sleepiness and improves daily function.
Why investors are watching
Centessa Pharmaceuticals plc is running a phase 2a trial of its drug ORX750, called CRYSTAL-1, in people with narcolepsy and idiopathic hypersomnia, conditions that cause severe daytime sleepiness. The trial tests whether the drug, which mimics a brain protein called orexin, is safe and helps ease symptoms. For a small company like Centessa, this readout matters because ORX750 could become its main product, and a clear result will show whether the drug works in a broad group of sleep disorders.
If it works: If the trial shows ORX750 is safe and reduces daytime sleepiness, Centessa could move the drug into later-stage testing and potentially bring a new treatment to patients who have few options. A positive result could also strengthen the company's position with partners or investors.
If it fails: Trials often fail, and this one could show the drug is not effective or has safety problems, which would set the program back. A delay or unclear result could also hurt Centessa, since the company's value depends heavily on this drug's success.
AI-written from the trial record. Speculative, and not investment advice.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 248 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2024
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 18-65 years of age * BMI ≥17 and ≤37 kg/m2 * Meets the diagnostic criteria of Narcolepsy Type 1 (NT1), Type 2 (NT2) or Idiopathic Hypersomnia (IH) according to ICSD-3-TR criteria * Is willing and able to discontinue all medications used for the treatment of narcolepsy or idiopathic hypersomnia * Is willing and able to adhere to additional protocol requirements Exclusion Criteria: * A medical disorder other than NT1, NT2, or IH that is associated with excessive daytime sleepiness (EDS). * Presence of significant cardiovascular, pulmonary, gastrointestinal, hepatic, renal, hematological, malignancy, endocrine, neurological or psychiatric disease
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
37 sites in 5 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Atlanta, Georgia
RECRUITINGAtlanta, Georgia, 30281, United States
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Atlanta, Georgia
RECRUITINGAtlanta, Georgia, 30328, United States
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Auburn, Alabama
RECRUITINGAuburn, Alabama, 36832, United States
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Austin, Texas
RECRUITINGAustin, Texas, 78731, United States
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Bologna, Italy
RECRUITINGBologna, 40139, Italy
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Brandon, Florida
RECRUITINGBrandon, Florida, 33511, United States
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Chandler, Arizona
RECRUITINGChandler, Arizona, 85224, United States
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Cincinnati, Ohio
RECRUITINGCincinnati, Ohio, 45245, United States
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Cleveland, OH
RECRUITINGCleveland, Ohio, 44106, United States
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Columbia, South Carolina
RECRUITINGColumbia, South Carolina, 29201, United States
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Denver, North Carolina
RECRUITINGDenver, North Carolina, 28037, United States
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Dublin, Ohio
RECRUITINGDublin, Ohio, 43017, United States
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El Paso, TX
RECRUITINGEl Paso, Texas, 79912, United States
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Henderson, Nevada
RECRUITINGHenderson, Nevada, 89052, United States
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Huntersville, North Carolina
RECRUITINGHuntersville, North Carolina, 28078, United States
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Leon, France
RECRUITINGLéon, Bordeaux, 33000, France
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Long Beach, California
RECRUITINGLong Beach, California, 90805, United States
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Madrid, Spain
RECRUITINGMadrid, 28036, Spain
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Madrid, Spain
RECRUITINGMadrid, 28043, Spain
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Miami, Florida
RECRUITINGMiami, Florida, 33155, United States
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Miami, Florida
RECRUITINGMiami, Florida, 33176, United States
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New Orleans, Louisiana
RECRUITINGNew Orleans, Louisiana, 70127, United States
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Newton, Massachusetts
RECRUITINGNewton, Massachusetts, 02459, United States
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North Charleston, South Carolina
RECRUITINGNorth Charleston, South Carolina, 29406, United States
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Orlando, FL
RECRUITINGOrlando, Florida, 32807, United States
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Pozzilli, Italy
RECRUITINGPozzilli, 86077, Italy
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Riverdale, Georgia
RECRUITINGRiverdale, Georgia, 30274, United States
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San Antonio, Texas
RECRUITINGSan Antonio, Texas, 78229, United States
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Santa Ana, California
RECRUITINGSanta Ana, California, 92705, United States
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Scottsdale, Arizona
RECRUITINGScottsdale, Arizona, 85253, United States
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Southfield, Michigan
RECRUITINGSouthfield, Michigan, 48075, United States
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Sterling Heights, Michigan
RECRUITINGSterling Heights, Michigan, 48314, United States
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Toronto, Ontario
RECRUITINGToronto, Ontario, M5S 3A3, Canada
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Verona, Italy
RECRUITINGVerona, 37134, Italy
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Vitoria-Gasteiz, Spain
RECRUITINGVitoria-Gasteiz, 01009, Spain
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Willow Grove, Pennsylvania
RECRUITINGWillow Grove, Pennsylvania, 19090, United States
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Winter Park, Florida
RECRUITINGWinter Park, Florida, 32789, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Awake but asleep: brain waves may explain crushing daytime sleepiness
- Can a new pill tame Narcolepsy's sudden sleep and muscle weakness?
- Can a Low-Sodium sleep drug ease daytime sleepiness in two sleep disorders?
- Can melatonin and morning light reset the body clock to fight excessive sleepiness?
- Do current sleepiness tests work for kids? a new study puts them to the test
- Could a common antibiotic wake up the sleepy brain?