Open-label single dose trial to evaluate pharmacokinetics, safety, and acceptability/palatability of oveporexton in children from 6 years to less than 18 years of age with NT1

2025-522034-31-00 Protocol TAK-861-1012 Human pharmacology (Phase I) - Other Ended

Start 7 Jan 2026 · End 22 May 2026 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol TAK-861-1012

Overview

Sponsor-declared trial summary

Phase Human pharmacology (Phase I) - Other
Status Ended
Participants planned 16
Countries 1
Sites 1

Narcolepsy with Cataplexy (Narcolepsy Type 1)

To determine the plasma pharmacokinetic (PK) parameters of oveporexton in pediatric participants.

Key facts

Sponsor
Takeda Development Center Americas Inc.
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
7 Jan 2026 → 22 May 2026
Decision date (initial)
2025-11-27
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
Takeda Development Center Americas, Inc.

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Pharmacokinetic, Others

To determine the plasma pharmacokinetic (PK) parameters of oveporexton in pediatric participants.

Secondary objectives 2

  1. To evaluate the safety of oveporexton as measured by TEAE incidence.
  2. To evaluate the acceptability/palatability of the oveporexton tablet as assessed by the Acceptability/Palatability Questionnaire.

Conditions and MedDRA coding

Narcolepsy with Cataplexy (Narcolepsy Type 1)

VersionLevelCodeTermSystem organ class
20.0 PT 10028713 Narcolepsy 100000004852

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Study to evaluate PK, safety, and acceptability/palatability of oveporexton in children with NT1
Open-label single dose trial to evaluate pharmacokinetics, safety, and acceptability/palatability of oveporexton in children from 6 years to less than 18 years of age with NT1
Not Applicable None

Regulatory references

EMA paediatric investigation plan (PIP)
EMEA-003553-PIP01-23
Plan to share IPD
Yes
IPD plan description
Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. The participant has an ICSD-3 or ICSD-3-TR diagnosis of NT1.
  2. Male or female participants aged 6 to 17 years, inclusive, at the time of signing the ICF.
  3. The participant has a body mass index within the range 18 to 30 kg/m2
  4. The participant is positive for the human leukocyte antigen (HLA) genotype HLA-DQB1*06:02 or results from radioimmunoassay indicate the participant’s CSF OX/hypocretin-1 concentration is <110 pg/mL
  5. The participant is judged by the investigator to be sufficiently healthy to participate in the trial based on clinical evaluations including laboratory safety tests, medical history, physical examination, 12-lead ECG, and vital sign measurements performed at the screening visit and before the first dose of trial intervention.
  6. Parent or legal guardian – and participants old enough to understand - have expressed a willingness to participate in and complete the trial and signed and dated the ICF after getting acquainted with the participant’s information sheet, prior to beginning protocol-required procedures.

Exclusion criteria 4

  1. Participant is unable to refrain from using excluded medications
  2. The participant has a positive urine screen result for drugs of abuse and/or positive alcohol test result at screening or at Day -1.
  3. Participant has a positive pregnancy test result at screening or is breastfeeding.
  4. Participant has a known hypersensitivity to any component of the formulation of oveporexton or related compounds.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Maximum observed concentration (Cmax). Time to reach maximum observed concentration (tmax). Area under the concentration-time curve from time 0 to infinity (AUC∞), calculated using the observed value of the last quantifiable concentration.

Secondary endpoints 2

  1. Occurrence of at least 1 TEAE.
  2. Participants rating acceptability and palatability.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 3

TAK-861

PRD9897807 · Product

Active substance
N-2S3R-44-DIFLUORO-1-2-HYDROXY-2-METHYLPROPANOYL-2-235-TRIFLUORO11-BIPHENYL-3-YLMETHYLPYRROLIDIN-3-YLETHANESULFONAMIDE
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Authorisation status
Not Authorised
MA holder
TAKEDA DEVELOPMENT CENTER AMERICAS, INC.,
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/23/2851

TAK-861

PRD9886584 · Product

Active substance
N-2S3R-44-DIFLUORO-1-2-HYDROXY-2-METHYLPROPANOYL-2-235-TRIFLUORO11-BIPHENYL-3-YLMETHYLPYRROLIDIN-3-YLETHANESULFONAMIDE
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Authorisation status
Not Authorised
MA holder
TAKEDA DEVELOPMENT CENTER AMERICAS, INC.,
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/23/2851

TAK-861

PRD9897810 · Product

Active substance
N-2S3R-44-DIFLUORO-1-2-HYDROXY-2-METHYLPROPANOYL-2-235-TRIFLUORO11-BIPHENYL-3-YLMETHYLPYRROLIDIN-3-YLETHANESULFONAMIDE
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Authorisation status
Not Authorised
MA holder
TAKEDA DEVELOPMENT CENTER AMERICAS, INC.,
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/23/2851

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Takeda Development Center Americas Inc.

Sponsor organisation
Takeda Development Center Americas Inc.
Address
500 Kendall Street
City
Cambridge
Postcode
02142-1108
Country
United States

Scientific contact point

Organisation
Takeda Development Center Americas Inc.
Contact name
Takeda

Public contact point

Organisation
Takeda Development Center Americas Inc.
Contact name
Takeda

Third parties 6

OrganisationCity, countryDuties
Signant Health Global LLC
ORG-100040604
Blue Bell, United States Other
Cogstate Limited
ORG-100044403
Melbourne, Australia Other
PPD Development LP
ORG-100011560
Richmond, United States Other
Eresearchtechnology Inc.
ORG-100013039
Philadelphia, United States Other
Pharmaceutical Product Development LLC
ORG-100016999
Wilmington, United States On site monitoring, Code 12, Code 13, Code 5, Code 8
PPD Global Central Labs
ORG-100046496
Zaventem, Belgium Other, Laboratory analysis

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ended 16 1
Rest of world 0

Investigational sites

Italy

1 site · Ended
Azienda Unita Sanitaria Locale Di Bologna
UOC Neurological Clinic, Via Altura 3, 40139, Bologna

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2026-01-07 2026-05-21 2026-01-08 2026-04-23

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Serious breaches 1 · Art. 52 CTR

Serious breach SB-121053

Sponsor became aware
2026-02-19
Date of breach
2026-01-22
Submission date
2026-05-22
Member states concerned
Italy
Categories
Regulation
Areas impacted
Subject rights
Benefit-risk balance changed
No
Description
Please refer to Appendix IIIb, attached.
Sponsor actions
Please refer to Appendix IIIb, attached.
OrganisationCityCountryType
Takeda Development Center Americas Inc. Cambridge United States Sponsor (commercial)
Azienda Unita Sanitaria Locale Di Bologna Bologna Italy Clinical investigator

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-08-14 Italy Acceptable
2025-11-24
2025-11-27