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Alkermes Announces Initiation of Vibrance-1 Phase 2 Study Evaluating ALKS 2680 for the Treatment of Narcolepsy Type 1

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Alkermes plc has initiated the Vibrance-1 phase 2 study to evaluate the safety and efficacy of ALKS 2680 for the treatment of narcolepsy type 1. ALKS 2680 is an oral orexin 2 receptor agonist developed as a once-daily treatment for narcolepsy. The study aims to address the loss of orexin signaling common in NT1 patients and assess the potential of ALKS 2680 in reducing sleepiness. The study will enroll approximately 80 patients and evaluate primary and secondary endpoints related to sleep latency, cataplexy rate, and adverse events.
Alkermes plc ha avviato lo studio di fase 2 Vibrance-1 per valutare la sicurezza e l'efficacia di ALKS 2680 nel trattamento della narcolessia di tipo 1. ALKS 2680 è un agonista del recettore 2 della orexina somministrato per via orale e sviluppato come trattamento giornaliero per la narcolessia. Lo studio mira a indagare la perdita di segnalazione dell'orexina, comune nei pazienti con NT1, e valutare la capacità di ALKS 2680 di ridurre la sonnolenza. Lo studio recluterà circa 80 pazienti e valuterà endpoint primari e secondari relativi alla latenza del sonno, alla frequenza di catalessia e agli eventi avversi.
Alkermes plc ha iniciado el estudio de fase 2 Vibrance-1 para evaluar la seguridad y eficacia de ALKS 2680 en el tratamiento de la narcolepsia tipo 1. ALKS 2680 es un agonista oral del receptor de orexina 2 desarrollado como un tratamiento diario para la narcolepsia. El estudio tiene como objetivo abordar la pérdida de señalización de orexina, que es común en los pacientes con NT1, y evaluar el potencial de ALKS 2680 para reducir la somnolencia. El estudio inscribirá aproximadamente a 80 pacientes y evaluará los puntos finales primarios y secundarios relacionados con la latencia del sueño, la tasa de cataplejía y los eventos adversos.
Alkermes plc는 나르콜렙시 1형 치료를 위한 ALKS 2680의 안전성 및 효능을 평가하기 위해 Vibrance-1 2상 연구를 시작했습니다. ALKS 2680은 경구용 오렉신2 수용체 작용제로, 매일 한 번의 치료로 개발되었습니다. 이 연구는 NT1 환자들에게 흔한 오렉신 신호의 손실을 다루고 ALKS 2680이 졸음을 줄일 수 있는 잠재력을 평가할 것입니다. 연구는 약 80명의 환자를 등록하고 수면 잠복기, 강직 발생률, 부작용 등의 1차 및 2차 평가 지표를 평가할 예정입니다.
Alkermes plc a lancé l'étude de phase 2 Vibrance-1 pour évaluer la sécurité et l'efficacité d'ALKS 2680 dans le traitement de la narcolepsie de type 1. ALKS 2680 est un agoniste oral du récepteur à orexine 2 développé comme traitement quotidien pour la narcolepsie. L'étude vise à aborder la perte de signalisation de l'orexine commune chez les patients NT1 et à évaluer le potentiel d'ALKS 2680 pour réduire la somnolence. L'étude recrutera environ 80 patients et évaluera les critères d'évaluation primaires et secondaires liés à la latence du sommeil, au taux de cataplexie et aux événements indésirables.
Alkermes plc hat die Phase-2-Studie Vibrance-1 eingeleitet, um die Sicherheit und Wirksamkeit von ALKS 2680 zur Behandlung von Narkolepsie Typ 1 zu bewerten. ALKS 2680 ist ein oraler Orexin-2-Rezeptor-Agonist, der als tägliche Behandlung für Narkolepsie entwickelt wurde. Die Studie zielt darauf ab, den Verlust der Orexin-Signalgebung, der bei NT1-Patienten üblich ist, zu adressieren und das Potenzial von ALKS 2680 zur Reduzierung der Schläfrigkeit zu bewerten. Die Studie wird etwa 80 Patienten einschreiben und primäre und sekundäre Endpunkte im Zusammenhang mit der Einschlafzeit, der Kataplexie-Rate und unerwünschten Ereignissen bewerten.
Positive
  • Initiation of the Vibrance-1 study marks a significant milestone for Alkermes in the development of ALKS 2680 for narcolepsy type 1.
  • ALKS 2680 is a novel oral compound designed to target the orexin system, addressing the deficiency in orexin levels seen in NT1 patients.
  • The phase 2 study will involve three doses of ALKS 2680 and a placebo group, focusing on improvements in sleepiness and cataplexy rates.
  • The primary endpoint of the study is the change in mean sleep latency on the maintenance of wakefulness test (MWT), with secondary endpoints including ESS score and adverse events.
  • Participants will have the opportunity to continue in an open-label safety extension portion of the study after the double-blind phase.
  • Alkermes plans to initiate Vibrance-2, a phase 2 study for narcolepsy type 2 patients, in the second half of 2024.
Negative
  • None.

DUBLIN, April 24, 2024 /PRNewswire/ -- Alkermes plc (Nasdaq: ALKS) today announced initiation of the Vibrance-1 study, a phase 2 clinical trial evaluating the safety and efficacy of ALKS 2680 compared to placebo in patients with narcolepsy type 1 (NT1). ALKS 2680 is the company's novel, investigational, oral orexin 2 receptor (OX2R) agonist in development as a once-daily treatment for narcolepsy, a chronic, neurological disorder characterized by excessive daytime sleepiness. NT1 is associated with an absence or significant deficiency in orexin levels, and the presence of cataplexy, a sudden loss of muscle tone triggered by strong emotions.

"ALKS 2680 offers the potential to harness the orexin system, the master regulator of wakefulness, by addressing the loss of orexin signaling common in people with narcolepsy type 1. Based on data from our phase 1, proof-of-concept study, we are excited to advance this novel oral compound to phase 2," said Craig Hopkinson, M.D., Chief Medical Officer and Executive Vice President, Research & Development at Alkermes. "Initiation of the Vibrance-1 study is a significant milestone for the ALKS 2680 development program, and we look forward to further characterizing ALKS 2680's safety and efficacy profile throughout this phase 2 study."

Vibrance-1 is a phase 2, randomized, double-blind, dose-range-finding, placebo-controlled study evaluating the safety and efficacy of ALKS 2680 in people with NT1. Participants will be randomized to receive one of three doses of ALKS 2680 (4 mg, 6 mg or 8 mg) or placebo to be taken once-daily for six weeks. The primary endpoint will assess whether participants taking ALKS 2680 experience a greater decrease in sleepiness compared to participants taking placebo alone, as measured by the change in mean sleep latency on the maintenance of wakefulness test (MWT). Secondary endpoints include change in Epworth Sleepiness Scale (ESS) score, mean weekly cataplexy rate (WCR) and incidence of adverse events. The study is expected to enroll approximately 80 patients with NT1 across sites in the U.S., Australia and Europe. All participants in the double-blind portion of the study will be eligible to continue in the open-label safety extension portion of the study.

More information can be found at www.clinicaltrials.gov (identifier: NCT06358950) and www.vibrancestudies.com (for U.S. audiences only).

The company expects to initiate Vibrance-2, a planned phase 2 study in patients with narcolepsy type 2, in the second half of 2024.

About ALKS 2680

ALKS 2680 is a novel, investigational, oral, selective orexin 2 receptor (OX2R) agonist in development as a once-daily treatment for narcolepsy. Orexin neuropeptides are important regulators of the sleep/wake cycle through OX2R activation, and loss of orexinergic neurons in the brain is associated with excessive daytime sleepiness and cataplexy in narcolepsy.1 ALKS 2680 was designed to address the underlying pathology of narcolepsy with the goal of improving duration of wakefulness and providing cataplexy control. Once-daily oral administration of ALKS 2680 was previously evaluated in a phase 1 study in healthy volunteers and people living with narcolepsy type 1, narcolepsy type 2 and idiopathic hypersomnia.

About Alkermes plc

Alkermes plc is a global biopharmaceutical company that seeks to develop innovative medicines in the field of neuroscience. The company has a portfolio of proprietary commercial products for the treatment of alcohol dependence, opioid dependence, schizophrenia and bipolar I disorder, and a pipeline of clinical and preclinical candidates in development for neurological disorders. Headquartered in Dublin, Ireland, Alkermes has a research and development center in Waltham, Massachusetts; a research and manufacturing facility in Athlone, Ireland; and a manufacturing facility in Wilmington, Ohio. For more information, please visit Alkermes' website at www.alkermes.com

Note Regarding Forward-Looking Statements

Certain statements set forth in this press release constitute "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, but not limited to, statements concerning: the potential therapeutic value of ALKS 2680 for the treatment of narcolepsy; and the company's expectations regarding plans and timelines for clinical development activities for ALKS 2680, including study design and initiation of a phase 2 study in patients with narcolepsy type 2. The company cautions that forward-looking statements are inherently uncertain. Although the company believes that such statements are based on reasonable assumptions within the bounds of its knowledge of its business and operations, the forward-looking statements are neither promises nor guarantees and they are necessarily subject to a high degree of uncertainty and risk. Actual performance and results may differ materially from those expressed or implied in the forward-looking statements due to various risks and uncertainties. These risks and uncertainties include, among others: whether ALKS 2680 could be shown to be ineffective or unsafe; potential changes in the cost, scope and duration of the ALKS 2680 development program; whether preclinical and initial clinical results for ALKS 2680 will be predictive of results of future clinical studies or real-world results; whether future clinical trials or future stages of ongoing clinical trials for ALKS 2680 will be initiated or completed on time or at all; and those risks and uncertainties described under the heading "Risk Factors" in the company's Annual Report on Form 10-K for the year ended Dec. 31, 2023 and in subsequent filings made by the company with the U.S. Securities and Exchange Commission (SEC), which are available on the SEC's website at www.sec.gov. Existing and prospective investors are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. Except as required by law, the company disclaims any intention or responsibility for updating or revising any forward-looking statements contained in this press release.

 1 Nagahara T, Saitoh T, Kutsumura N, Irukayama-Tomobe Y, Ogawa Y, Kuroda D, Gouda H, Kumagai H, Fujii H, Yanagisawa M, Nagase H. Design and Synthesis of Non-Peptide, Selective Orexin Receptor 2 Agonists. J Med Chem. 2015 Oct 22;58(20):7931-7. doi: 10.1021/acs.jmedchem.5b00988. Epub 2015 Aug 26. PMID: 26267383.

Alkermes Contacts:

For Investors:

Sandy Coombs,    +1 781 609 6377

For Media:

Gretchen Murphy,  +1 781 609 6419

 

Alkermes plc Logo (PRNewsfoto/Alkermes plc)

 

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SOURCE Alkermes plc

FAQ

What is the purpose of the Vibrance-1 study initiated by Alkermes?

The Vibrance-1 study aims to evaluate the safety and efficacy of ALKS 2680 for the treatment of narcolepsy type 1.

What is ALKS 2680?

ALKS 2680 is an oral orexin 2 receptor (OX2R) agonist developed by Alkermes for once-daily treatment of narcolepsy.

What is narcolepsy type 1?

Narcolepsy type 1 is a chronic neurological disorder characterized by excessive daytime sleepiness, orexin deficiency, and cataplexy.

What are the primary endpoints of the Vibrance-1 study?

The primary endpoint is the change in mean sleep latency on the maintenance of wakefulness test (MWT).

How many patients are expected to be enrolled in the Vibrance-1 study?

Approximately 80 patients with narcolepsy type 1 are expected to be enrolled.

What is the expected timeline for the initiation of Vibrance-2 study?

Alkermes plans to initiate Vibrance-2, a phase 2 study for narcolepsy type 2 patients, in the second half of 2024.

Alkermes Inc. plc

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About ALKS

alkermes plc is a fully integrated, global biopharmaceutical company developing innovative medicines for the treatment of central nervous system (cns) diseases. the company has a diversified commercial product portfolio and a substantial clinical pipeline of product candidates for chronic diseases that include schizophrenia, depression, addiction and multiple sclerosis. headquartered in dublin, ireland, alkermes plc has an r&d center in waltham, massachusetts; a research and manufacturing facility in athlone, ireland; and a manufacturing facility in wilmington, ohio. for more information, please visit alkermes’ website at www.alkermes.com.