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Xywav

Phase 3

Narcolepsy | Small molecule | Other |Jazz Pharmaceuticals plc|Last Updated: Jun 4, 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_CONTROLLED
Total Trials1
Total Enrollment108
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07625280A Study Evaluating the Efficacy and Safety of Xywav Expanded Dosing vs Placebo in Participants With Narcolepsy or IHPHASE3 NOT YET_RECRUITING 108Jun 30, 2026Jan 6, 2028Jun 4, 20261 United States
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Study Endpoints
Primary Endpoints
Change in Epworth Sleepiness Scale (ESS) scores
End of stable dose visit (up to Week 14), up to end of Double-Blind Randomized-Withdrawal Period (up to Week 16)

ESS is a self-administered questionnaire with 8 questions. Each question is scored on a scale ranging from 0 (would never fall asleep) to 3 (high chance of falling asleep). It has a total score ranging from 0 to 24, with a higher score representing increased daytime sleepiness.

Secondary Endpoints
Clinical Global Impression of Change (CGIc) scores
At the end of Double-Blind Randomized-Withdrawal Period (up to Week 16)
Patient Global Impression of Change (PGIc) scores
At the end of Double-Blind Randomized-Withdrawal Period (up to Week 16)
Change in IHSS scores in participants with IH
End of stable dose visit (up to Week 14), up to end of Double-Blind Randomized-Withdrawal Period (up to Week 16)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Once-nightly stable dose Xywav groupACTIVE_COMPARATORParticipants assigned to cohort 1 will receive once-nightly dosing of Xywav for up to 14 weeks until they reach a stable dose. Once stable dose is achieved, participants will continue taking their stable dose of Xywav for 2 additional weeks.
Once-nightly placebo groupPLACEBO_COMPARATORParticipants assigned to cohort 1 will receive once-nightly dosing of Xywav for up to 14 weeks until they reach a stable dose. Once stable dose is achieved, participants will take placebo for 2 additional weeks.
Twice nightly stable dose Xywav groupACTIVE_COMPARATORParticipants assigned to cohort 2 will receive twice-nightly dosing of Xywav for up to 14 weeks until they reach a stable dose. Once stable dose is achieved, participants will continue taking their stable dose of Xywav for 2 additional weeks.
Twice nightly placebo groupPLACEBO_COMPARATORParticipants assigned to cohort 2 will receive twice-nightly dosing of Xywav for up to 14 weeks until they reach a stable dose. Once stable dose is achieved, participants will take placebo for 2 additional weeks.
Interventions
NameTypeDescription
XywavDRUG0.5 g/ml calcium, magnesium, potassium, and sodium oxybates solution taken by mouth
PlaceboOTHERPlacebo solution taken by mouth
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Has a primary diagnosis of IH or narcolepsy Type 1 or Type 2 (NT1 or NT2) 2. If not currently treated with oxybate, has clinically significant symptoms of excessive daytime sleepiness (EDS) with an Epworth Sleepiness Scale (ESS) score \> 11 at screening. 3. If currently treat...

Countries:United States
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Recent Changes (Last 90 Days)
LOWJun 4, 2026NCT07625280NEW_TRIAL: changed
LOWJun 4, 2026NCT07625280NEW_TRIAL: changed
LOWJun 4, 2026NCT07625280NEW_TRIAL: changed
LOWJun 4, 2026NCT07625280NEW_TRIAL: changed