A Study of TAK-360 in People With Narcolepsy or Idiopathic Hypersomnia

Last updated: September 17, 2026
Sponsor: Takeda
Overall Status: Active - Recruiting

Phase

2/3

Condition

Sleep Disorders

Idiopathic Hypersomnia

Treatment

TAK-360

Placebo

Clinical Study ID

NCT07646678
TAK-360-2003
2025
2025-522833-68-01
2025-522833-68-00
jRCT2031260198
  • Ages 18-71
  • All Genders

Study Summary

Central hypersomnia conditions are a group of sleeping disorders where the brain has trouble keeping a person awake during the day (called excessive daytime sleepiness or EDS). These conditions usually include narcolepsy (type 1 and 2) and idiopathic hypersomnia (IH). Narcolepsy type 1 (NT1) includes sudden muscle weakness while you stay awake, called cataplexy, often triggered by strong emotions. Narcolepsy type 2 (NT2) does not include cataplexy. People with narcolepsy typically feel refreshed by short naps. People with IH feel extremely sleepy during the day, and do not feel refreshed by sleep. Waking up from sleep is difficult. This is common in the morning and also when waking up from long naps.

The study wants to learn about TAK-360 when taken over a long time period; this is called a long-term extension or LTE study. The main aim of this LTE study is to find out how well participants with NT1, NT2, and IH tolerate TAK-360 over a longer period (long-term tolerability) and to learn how safe TAK-360 is when given over a longer period of time (long-term safety).

Participants who completed one of the TAK-360 parent studies can join this study if they meet the study rules. Parent studies include TAK-360-2001(NCT06952699), TAK-360-2002 (NCT06812078), or other TAK-360 studies that evaluate the TAK-360 medicine. All participants will receive TAK-360 in this study. They will either receive the same dose as they did in the parent study, or the closest dose available in this LTE study. Participants who received placebo (the placebo looks just like TAK-360 but does not have any medicine in it) in their parent study will receive one of the TAK-360 doses available in this study. Placebo will only be used to not reveal the dose of TAK-360 from parent studies to investigator, participants, and sponsor. Sponsor, investigators and participants will not know which TAK-360 dose was used in the LTE study as long as the parent study is ongoing.

The participants will have to visit the clinic multiple times during this study.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Participant is willing and able to understand and fully comply with trial proceduresand requirements.

  2. Participant has a confirmed diagnosis of either NT1, NT2, or IH, and has completedthe treatment period of a parent TAK-360 trial.

  3. Participant has provided informed consent (that is, in writing, documented via asigned and dated informed consent form (ICF) and any required privacy authorizationbefore the initiation of any trial procedures.

Exclusion

Key Exclusion Criteria:

  1. Participant has a positive pregnancy test or is lactating/breastfeeding.

  2. Participant has a risk of suicide according to endorsement of item 4 or 5 on theColumbia Suicide Severity Rating Scale (C-SSRS).

  3. The participant has developed a new medical disorder associated with excessivedaytime sleep (EDS).

  4. Participant has developed (within the last 6 months) gastrointestinal disease thatis expected to influence the absorption of drugs.

  5. Participant has developed a new history of seizures.

  6. Participant has experienced clinically significant head injury, per investigatoropinion.

  7. Participant has developed a history of cerebral ischemia, transient ischemic attack (less than [<] 5 years ago), or cerebral haemorrhage.

  8. Participant has developed a history of myocardial infarction, clinically significantcoronary artery disease, clinically significant angina, clinically significantcardiac rhythm abnormality, or heart failure.

  9. The participant has been diagnosed with medically significant thyroid disease, knownfunctional hepatic impairment, or other severe chronic medical condition other thanthe central hypersomnolence disorder.

  10. Participant has developed a history of cancer in the past 5 years.

Study Design

Total Participants: 500
Treatment Group(s): 2
Primary Treatment: TAK-360
Phase: 2/3
Study Start date:
June 11, 2026
Estimated Completion Date:
June 15, 2031

Connect with a study center

  • Takeda Site 15

    Macquarie Park, New South Wales 2113
    Australia

    Active - Recruiting

  • Takeda Site 12

    Xicheng, Beijing Municipality 100053
    China

    Active - Recruiting

  • Takeda Site 5

    Guangzhou, Guangdong 510515
    China

    Active - Recruiting

  • Takeda Site 16

    Zhenzhou, Henan 450003
    China

    Active - Recruiting

  • Takeda Site 13

    Kumamoto, Kumamoto 162-0851
    Japan

    Active - Recruiting

  • Takeda Site 1

    Shinjuku-ku, Tokyo 162-0851
    Japan

    Active - Recruiting

  • Takeda Site 17

    Daegu, Daegu Gwang'yeogsi 42601
    South Korea

    Active - Recruiting

  • Takeda Site 23

    Chula Vista, California 91910
    United States

    Active - Recruiting

  • Takeda Site 14

    Colorado Springs, Colorado 80918
    United States

    Active - Recruiting

  • Takeda Site 11

    Brandon, Florida 33511
    United States

    Active - Recruiting

  • Takeda Site 7

    Miami, Florida 33176
    United States

    Active - Recruiting

  • Takeda Site 18

    Winter Park, Florida 32789
    United States

    Active - Recruiting

  • Takeda Site 6

    Atlanta, Georgia 30328
    United States

    Active - Recruiting

  • Takeda Site 21

    Southfield, Michigan 48075
    United States

    Active - Recruiting

  • Takeda Site 9

    St Louis, Missouri 63123
    United States

    Active - Recruiting

  • Takeda Site 19

    Middletown, New Jersey 07748
    United States

    Active - Recruiting

  • Takeda Site 24

    Denver, North Carolina 28037
    United States

    Active - Recruiting

  • Takeda Site 10

    Huntersville, North Carolina 28078
    United States

    Active - Recruiting

  • Takeda Site 22

    Winston-Salem, North Carolina 27103
    United States

    Active - Recruiting

  • Takeda Site 2

    Cincinnati, Ohio 45245
    United States

    Active - Recruiting

  • Takeda Site 4

    Cincinnati, Ohio 45245
    United States

    Active - Recruiting

  • Takeda Site 8

    Columbia, South Carolina 29021
    United States

    Active - Recruiting

  • Takeda Site 20

    Austin, Texas 78731
    United States

    Active - Recruiting

  • Takeda Site 3

    San Antonio, Texas 78229
    United States

    Active - Recruiting

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