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Serdexmethylphenidate

Phase 2

Idiopathic Hypersomnia | Small molecule | Neurology |Zevra Therapeutics, Inc.|Trials Updated: Jun 30, 2026

Serdexmethylphenidate development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since Dec 2022

Serdexmethylphenidate target and mechanism

Molecular targetSLC6A3, SLC6A2
Target classInhibitor
ModalitySmall molecule

Also known as SDX

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment66

FDA Designations

No designations recorded

Serdexmethylphenidate clinical trials

Serdexmethylphenidate · 1 trial · 1 indication

Phase 2 1
NCT05668754Study of SDX in Patients With Idiopathic Hypersomnia (IH)Idiopathic Hypersomnia
COMPLETED66 Analytics
PHASE2COMPLETED
Study of SDX in Patients With Idiopathic Hypersomnia (IH)
Idiopathic HypersomniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Epworth Sleepiness Scale (ESS) Score
Start to end of DBWP (2 weeks)

Scores level of daytime sleepiness ranging from 0 to 24, with a higher score indicating worsened sleepiness

Secondary Endpoints

Change From Baseline in Epworth Sleepiness Scale (ESS) Score
Changes from Titration Baseline to Week 5 (5 weeks)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Experimental: SDXEXPERIMENTALSDX capsules at the optimized daily dose, once in the evening daily (qd pm) or twice per day (bid), for 2 weeks (Double-Blind Withdrawal Period)
Placebo ComparatorPLACEBO_COMPARATORPlacebo capsules once in the evening daily (qd pm) or twice per day (bid), for 2 weeks (Double-Blind Withdrawal Period)

Interventions

NameTypeDescription
SerdexmethylphenidateDRUGParticipants randomized to active drug will receive their optimized dose according to a dosing regimen set by randomization at the start of the OLTP. The 4 possible oral SDX doses are 80, 160, 240, or 320 mg/day. The optimal SDX dose will be determined during the 5-week OLTP preceding the 2-week DBWP.
PlaceboOTHERParticipants randomized to placebo will receive matching placebo capsules to the optimized dose established at the end of the OLTP, according to a dosing regimen set by randomization at the start of the OLTP.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites41

Inclusion Criteria: 1. At least 18 years of age at the time of consent 2. Body Mass Index (BMI) ≤35 kg/m2 3. Documented primary diagnosis of IH according to the International Classification of Sleep Disorders (ICSD-3) criteria 4. At the Screening Visit and Baseline Visit (start of OLTP), Epworth Sl...

Countries:United States
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Recent Changes (Last 90 Days)

MEDIUMJul 31, 2026NCT05668754TRIAL_REMOVED: changed
MEDIUMJul 31, 2026NCT05668754TRIAL_REMOVED: changed
MEDIUMJul 31, 2026NCT05668754TRIAL_REMOVED: changed

Frequently asked questions about Serdexmethylphenidate

What is Serdexmethylphenidate?

Serdexmethylphenidate is an investigational small molecule being developed by Zevra Therapeutics, Inc. for idiopathic hypersomnia, a neurological sleep disorder. It is a Phase 2 candidate and has been studied in a completed placebo-controlled trial. It is not approved for any indication.

What is Serdexmethylphenidate used for in idiopathic hypersomnia?

Serdexmethylphenidate is being studied as a treatment for idiopathic hypersomnia, a condition characterized by excessive daytime sleepiness despite adequate sleep. The Phase 2 trial NCT05668754 evaluated it in adults with this disorder. It remains investigational and is not approved for idiopathic hypersomnia or any other use.

What does Serdexmethylphenidate target?

Serdexmethylphenidate targets the dopamine transporter SLC6A3 and the norepinephrine transporter SLC6A2. It acts as an inhibitor of these transporters. By inhibiting SLC6A3 and SLC6A2, it is designed to increase dopamine and norepinephrine signaling in the central nervous system.

Who is developing Serdexmethylphenidate?

Serdexmethylphenidate is being developed by Zevra Therapeutics, Inc., which trades on the Nasdaq under the ticker ZVRA. The company is advancing the candidate for idiopathic hypersomnia. Zevra is the sole developer named for this asset.

What phase is Serdexmethylphenidate in?

Serdexmethylphenidate is in Phase 2 development. The only listed trial, NCT05668754, is a completed Phase 2 study. There are no active trials for this drug. It is investigational and has not been approved by the FDA for any indication.

What clinical trials is Serdexmethylphenidate in?

Serdexmethylphenidate has been studied in one completed clinical trial, NCT05668754, titled Study of SDX in Patients With Idiopathic Hypersomnia (IH). This Phase 2 trial enrolled 66 adults in the United States. It was randomized, double-blind, and placebo-controlled. No active trials are listed.