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TAK-861

Generic Name
TAK-861

Overview

No overview information available.

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Research Report

Published: Sep 25, 2025

Oveporexton (TAK-861): A First-in-Class Orexin Receptor 2 Agonist Poised to Revolutionize the Treatment of Narcolepsy Type 1

Executive Summary

Oveporexton, also known by its developmental code TAK-861, is an investigational, orally administered, first-in-class selective orexin receptor 2 (OX2R) agonist developed by Takeda Pharmaceuticals. It represents a paradigm shift in the therapeutic strategy for Narcolepsy Type 1 (NT1), a debilitating chronic neurological disorder characterized by a profound deficiency of the neuropeptide orexin. Unlike current standard-of-care treatments, which offer only symptomatic relief by modulating downstream neurotransmitter systems, oveporexton is designed to address the root pathophysiological cause of the disease by directly replacing the missing orexin signal.

The clinical development program for oveporexton has yielded exceptionally robust and consistent results. Across a comprehensive series of studies, including two pivotal, global Phase 3 trials (FirstLight and RadiantLight), the agent demonstrated statistically significant and clinically meaningful improvements across the full spectrum of NT1 symptoms. Treatment with oveporexton resulted in profound enhancements in objective and subjective measures of wakefulness, a marked reduction in cataplexy events, and significant improvements in patient-reported quality of life and daily functioning. Notably, a substantial proportion of treated participants achieved levels of wakefulness and sleepiness within the normative range for healthy individuals.

Continue reading the full research report

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