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Pitolisant

Phase 3

Prader-Willi Syndrome | Small molecule | Other |Harmony Biosciences Holdings, Inc.|Last Updated: May 12, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials3
Total Enrollment349
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07219485A Study of Pitolisant in Participants With Prader-Willi SyndromePHASE3 ENROLLING BY_INVITATION 150Aug 20, 2025Aug 1, 2030Mar 17, 20261 United States
NCT06366464A Study of Pitolisant in Patients With Prader-Willi SyndromePHASE3 RECRUITING 134May 28, 2024Jul 1, 2027Mar 17, 202654 United States, Australia +11
NCT04257929A Phase 2 Study to Evaluate the Safety and Efficacy of Pitolisant in Patients With Prader-Willi Syndrome, Followed by an Open Label ExtensionPHASE2 COMPLETED 65Dec 9, 2020Jan 21, 2026May 12, 202613 United States
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Study Endpoints
Primary Endpoints
Percentage of participants reporting Treatment-Emergent Adverse Events (TEAEs)
From the end of the EOT visit of the parent study through 30 days after the final dose of study drug.

A treatment-emergent adverse event (TEAE) is any adverse event reported during treatment with study drug in this study and up to 30 days after final dose of study drug, or any worsening of a pre-existing condition reported during treatment with study drug and up to 30 days after final dose of study drug.

Change in severity of EDS as measured by Patient-Reported Outcomes Measurement Information System Bank v1.0 - Sleep-Related Impairment (PROMIS-SRI) T-score
Baseline and end of the Double Blind Treatment Period (Day 77)

The PROMIS-SRI item bank consists of 13 items with a 5-point rating scale.

Excessive Daytime Sleepiness
Baseline to Week 11

Change in Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD) (parent/caregiver version) score from Baseline to Week 11 for pitolisant compared with placebo. The score of the ESS-CHAD ranges from 0 to 24. A decrease in score represents an improvement in excessive daytime sleepiness.

Secondary Endpoints
Change in severity of irritable and disruptive behaviors as measured by the Aberrant Behavior Checklist-Community, Second Edition (ABC-C) Irritability domain
Baseline and end of the Double Blind Treatment Period (Day 77)
Change in overall severity of EDS as measured by the Caregiver Global Impression of Severity for Excessive Daytime Sleepiness (CaGI-S for EDS)
Baseline and end of the Double Blind Treatment Period (Day 77)
Change in overall severity of EDS as measured by the Clinical Global Impression of Severity for Excessive Daytime Sleepiness (CGI-S for EDS)
Baseline and end of the Double Blind Treatment Period (Day 77)
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PitolisantEXPERIMENTALAll participants receive pitolisant administered orally once daily in the morning upon awakening.
Double-Blind Treatment Period PitolisantEXPERIMENTALPitolisant tablets administered once daily in the morning upon wakening
Double-Blind Treatment Period PlaceboPLACEBO_COMPARATORMatching placebo administered tablets once daily in the morning upon wakening
Open-Label Extension Period PitolisantOTHERPitolisant tablets administered once daily in the morning upon wakening
Double-Blind Treatment Phase Lower Dose PitolisantACTIVE_COMPARATORPediatric patients (6 to less than 12 years of age): Week 1: 4.45 mg pitolisant administered once daily in the morning; Week 2: 8.9 mg pitolisant administered once daily in the morning; Weeks 3 through 11: 8.9 mg pitolisant administered once daily in the morning. Adolescent patients (12 to less than 18 years of age): Week 1: 4.45 mg pitolisant administered once daily in the morning; Week 2: 8.9 mg pitolisant administered once daily in the morning; Weeks 3 through 11: 13.35 mg pitolisant administered once daily in the morning. Adult patients (18 to 65 years of age): Week 1: 4.45 mg pitolisant administered once daily in the morning; Week 2: 8.9 mg pitolisant administered once daily in the morning; Weeks 3 through 11: 17.8 mg pitolisant administered once daily in the morning.
Double-Blind Treatment Phase Higher Dose PitolisantACTIVE_COMPARATORPediatric patients (6 to less than 12 years of age): Week 1: 4.45 mg pitolisant administered once daily in the morning; Week 2: 8.9 mg pitolisant administered once daily in the morning; Weeks 3 through 11: 17.8 mg pitolisant administered once daily in the morning. Adolescent patients (12 to less than 18 years of age): Week 1: 8.9 mg pitolisant administered once daily in the morning; Week 2: 17.8 mg pitolisant administered once daily in the morning; Weeks 3 through 11: 26.7 mg pitolisant administered once daily in the morning. Adult patients (18 to 65 years of age): Week 1: 8.9 mg pitolisant administered once daily in the morning; Week 2: 17.8 mg pitolisant administered once daily in the morning; Weeks 3 through 11: 35.6 mg pitolisant administered once daily in the morning.
Double-Blind Treatment Phase PlaceboPLACEBO_COMPARATORPediatric patients (6 to less than 12 years of age): Week 1: Matching placebo tablets; Week 2: Matching placebo tablets; Weeks 3 through 11: Matching placebo tablets Adolescent patients (12 to less than 18 years of age): Week 1: Matching placebo tablets; Week 2: Matching placebo tablets; Weeks 3 through 11: Matching placebo tablets Adult patients (18 to 65 years of age): Week 1: Matching placebo tablets; Week 2: Matching placebo tablets; Weeks 3 through 11: Matching placebo tablets
Open-Label PitolisantOTHERAge-based dosing (prior to implementation of amendment 6) or weight-based dosing (after implementation of amendment 6)
Interventions
NameTypeDescription
PitolisantDRUG* Pitolisant 4.45 mg tablets * Pitolisant 17.8 mg tablets
Pitolisant tabletDRUGPitolisant tablet
Placebo tabletOTHERPlacebo tablet
Pitolisant oral tabletsDRUGPitolisant 4.45 mg or 17.8 mg tablets
Placebo oral tabletDRUGMatching placebo tablets
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Eligibility Criteria
Age Range7 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: Each participant must meet the following criteria to be enrolled in this study: 1. Ability to provide voluntary, written informed consent (participant, if applicable, or parent\[s\]/legal guardian\[s\]) and, where applicable, voluntary, written assent (participant, as appropria...

Countries:United StatesAustraliaBelgiumCanadaDenmarkFranceGermanyItalyPolandRomaniaSpainSwedenUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06366464primaryCompletionDate: changed
LOWMay 26, 2026NCT07219485primaryCompletionDate: changed
HIGHMay 26, 2026NCT04257929Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWMay 24, 2026NCT06366464studyFirstPostDate: changed
LOWMay 24, 2026NCT07219485studyFirstPostDate: changed
LOWMay 24, 2026NCT04257929studyFirstPostDate: changed