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Orexin drugs spark a new multibillion-dollar race to control wakefulness

on August 31, 2026

agonists Alkermes analogy Centessa Eli Glucagon-Like Peptide 1 HCRTR2 gene Narcolepsy Neuroscience discipline orexins ORX750 Orzeyful oveporexton Sleep medicine specialist Takeda wakefulness drugs

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bofanglutide bolt-on bone lesion prevention bonus boom boost booth bortezomib brain drug delivery brain fluid brain organoids brain shuttles brain volume brain-penetrant brain-penetrant delivery brand-name brand-name drugs brand-name prescriptions branded medicines brelovitug brengitecan bridging study briefing briefing documents brimonidine broaden bulks list bullishness business development priority business options business plan business practices business split business strategy business unit butyrophilin superfamily buying spree cAMPfield cDNA display proteolysis cGAS inhibitor cUTI cUTIs cabotegravir cagrilintide calcific aortic valve stenosis calcium camlipixant campaign campaigns campus relocation camrelizumab canakinumab cancellations cancer antigen therapy cancer biotech cancer blood test cancer combination therapies cancer diagnostics cancer drug sales cancer drug trials cancer funding cancer intelligence cancer medicines cancer meds cancer prediction cancer proteins cancer research trends cancer testing cancer therapeutics cancer treatments cancer trials capacity management capacity quadruple capital constraints capital investment capivasertib capivasertib PIK3CA AKT pathway capsid delivery capsid delivery platform car-treg cell therapy carbachol cardiac imaging cardiac myosin inhibitor cardiac remodeling cardiac research cardiac safety cardiac safety signal cardiac sarcomere modulator cardiac signals cardioendocrine diseases cardiometabolic care cardiopulmonary complications cardiorenal medicine cardiotoxicity screening cardiovascular asset cardiovascular benefits cardiovascular conditions cardiovascular deaths cardiovascular gene therapy cardiovascular inflammation cardiovascular program cardiovascular safety cardiovascular screening cardiovascular trial care coordination career cargo receptor ligand activity cartilage degradation carve-out casdatifan case accrual cash balance cash dividend cash payment cash-paying cccDNA cell analysis cell 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RCC cleavage-inducing tiny RNAs clemidsogene lanparvovec cleminorexton click clinESSDAI clinic entry clinical adoption clinical dataset clinical diagnostics clinical documentation clinical failures clinical holds clinical improvement clinical intelligence clinical interoperability clinical proof-of-concept clinical queries clinical reproducibility clinical research services clinical results clinical seizure clinical terminology clinical trial conduct clinical trial halt clinical trial oversight clinical trial pathway clinical trial results clinical trial review clinical trial safety clinical trial update clinical update clinical utility clinical validity clinical visualization clinical worsening clinical-stage AI startups clinical-stage biopharma clinical-stage biopharmaceutical clinical-stage biotech clinical-stage biotechnology company clinical-stage company clinical-stage immunotherapy clinical-stage oncology pipeline clinical-stage pharmaceutical clinical-trial automation 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computational power computational protein design computational protocol concealment concerns safety concessions conditional approval pathway conditioning regimens confident confidentiality confirmation hearing confirmatory study confirmatory study failure conflict of conservative criticism conspiracy constitutional challenge constitutionality consultation process consumables consumer marketing consumer relationship content intelligence contextual errors contingent value continuous continuous trial contract cancellation contract extension contract manufacturer contract research controllable controlled-rate freezing controversy conversation conversational AI conversion factor convertible convertible loans cooperation copper histidinate copper isotopes core vaccines corn starch cornea surgeon corneal endothelial disease coronary imaging coronary trial corporate development cortisol modulator cost of care cost reduction cost-cutting initiatives cost-effective cost-effectiveness 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innovation daxdilimab de novo miniproteins deal activity deal termination death risk reduction debt maturity extension debt obligations decade-long safety test deceptive deceptive marketing decision day decision science declaratory judgment defactinib deficiencies degrader degree of relationship - exchange delayed readout delgocitinib delist delivery options demerger demyelination dencatistat depression drug deprioritization deputy commissioner deruxtecan-nxki deucrictibant XR developmental restoration device regulation dexmedetomidine diabetes drugs diagnostic kit diagnostics industry diazoxide choline difficult-to-treat psoriasis digestive health startup digital coaching digital cognitive assessments digital dermatology digital enablement digital endpoints digital health ecosystem digital health records digital health regulation digital health screener digital infrastructure digital marketing digital medicine digital microfluidics digital pathology prognostic test digital quality systems digital solutions digital therapeutic digital tools digital twin diluted cardiomyopathy dimethylethylsilylimidazole direct-to-consumer ( DTC ) direct-to-patient model director director firing directors disability services disciplined discounts discovery engine discovery market disease activity disease awareness disease clinical trials disease control rate disease drug disease flexibility disease program disease research disease sales disease therapies disease treatment disease vouchers disease-modifying treatment disorder control (procedure) disordered proteins disparagement dissolvable distributor network divestiture divestitures domestic pharmaceutical industry domestic production domestic supply chain dopamine doravirine doravirine/islatravir dose-response dotatate doubt downsides downsizing downturn draft report drinking levels drug activity drug ads drug affordability drug application drug approval outlook drug candidates drug collaboration drug combo drug competition drug conjugates drug delivery innovation drug delivery platform drug developability drug development pipeline drug development sentiment drug discontinuation drug discount program drug establishment registration drug failure drug import duties drug import plan drug importation drug imports drug ingredients drug innovation drug lag drug launch drug licensing drug manufacturers drug markups drug optimization drug price discounts drug price negotiation drug prices fall abroad drug pricing lawsuit drug pricing plan drug pricing policy drug production drug quality drug rebates drug rejection letters drug rejections drug relabeling drug review reforms drug reviews drug sales drug supply chain drug trial setbacks drug-development candidates drug-device drug-resistant drug-resistant TB drug-resistant focal seizures drug-substance drug-to-data pivot drug-trial dual pathway inhibition dual-agonist dual-masked T-cell engagers dual-payload ADC dual-payload technology dual-targeting dulaglutide 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equity financing equity line equity upside ersodetug escape velocity esreboxetine estate estrogens etalanetug etanercept etisparvovec etisparvovec-hopf etrolizumab evaluation event cycle everolimus evidence-based exagamglogene autotemcel exclusivity extension executive actions executive chair executive changes executive compensation executive exits executive survey executive team executive vice president existential threats expanded label expansions expedited pathway experts booted expirations exploitation external control group external controls external partnerships extrahepatic RNAi eye disease trial eye treatment facilities facility closure facility consolidation factor XIIa factory closure fam-trastuzumab fantasy-romance farabursen farm-to-hospital faster fat loss fat reduction federal AI federal agencies federal courts federal directives federal grants federal workers fee structure fentanyl fesoterodine fibroblast immunology fibrodysplasia fibrosing fibrotic diseases fidrisertib field ablation figures filing checklist final analysis financial compliance financial guidance suspension financial outlook financial recovery financial strategy financial struggles financial troubles financing strategy findings aspects finerenone firi-cel firing firmonertinib first-half first-in-class antibiotic first-in-class drugs first-line maintenance fiscal five-year five-year follow-up flagship office flaws flu/COVID-19 focal seizures foreclosure proceedings foreign companies foreign direct investment foreign drug manufacturing foreign factories foreign investment formula update formulary exclusion formulation viscosity formulations four-letter suffix franchise frataxin frataxin protein fratricide-resistant free trial frontline AML frontline therapy front‑line treatment fruit-flavored vapes full-year guidance full-year sales fulvestrant fumaric acid function functional testing funding agreement funding bill funding cut funding environment funding lapse funding round funding rounds fungal prophylaxis furosemide future-proofing gRED gallium gamma secretase inhibitor gamma-linolenic acid garadacimab-gxii garetosmab-grts gastric inhibitory polypeptide receptor gastroenteropancreatic neuroendocrine tumors gastrointestinal gemcitabine intravesical system gemcitabine releasing system gene delivery process gene editing trial gene editor gene modulation gene synthesis gene therapy platforms gene variants gene writing gene-editing therapy gene-silencing general practice (field) general-purpose generative generative design generative models generic competition generic manufacturing generic medications generic semaglutide generic tirzepatide generics revenue generics slump genetic cell genetic diagnosis genetic dilated cardiomyopathy genetic epilepsies genital lesion reduction genome engineering genome screening genomic analysis genomic drug discovery genomic medicines genomics AI genotoxicity geographic population geopolitical factors geopolitical risk glatiramer 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hands-free harassment head-to-head psoriasis head-to-head trial headcount health coverage health data privacy health industry health information health officials health prediction health records health system partnerships health systems health tech venture health tracking health workers healthcare IPO healthcare IT healthcare agencies healthcare analytics healthcare appointments healthcare artificial intelligence healthcare benchmark healthcare budget healthcare changes healthcare data healthcare executive healthcare finance healthcare financial performance healthcare infrastructure healthcare innovation healthcare interoperability healthcare legislation healthcare marketing trends healthcare marketplace healthcare operational healthcare operations healthcare payments healthcare specialist healthcare spending healthcare startup healthcare startups healthcare trends healthcare venture healthcare workflow healthspan healthy lifespan healthy longevity heart drug heart events heart risk-benefit debate guidelines heavy drinking height velocity hematologic cancers hematologic care hematoxylin and eosin ( H&E ) stained hemophilia A program hep C pill hepatitis B functional cure hepatitis B policy change heroin herpesvirus 2, human heterozygous high-dose high-dose neurotherapy high-dose regimen high-performance computing high-profile high-risk patients high-throughput higher risk higher-value reagents highest-paid pharmaceutical CEOs hindrance hiring challenges hiring rebound histologic remission hold-and-kill homegrown hormone receptor-positive hospital apps hospital base hospital intervention hospital nutrition hospital operations host disease hpDNA https://lnkd.in/gYKjeQ3n human care navigators human-relevant models huntingtin-lowering hyaluronidase hyaluronidase, human recombinant hybrid intelligence hydroxyurea hyper-personalized engagement hyperscaled data iMTP iNHL iPSC-derived iPSCs iSCIB1 + iSCIB1 + melanoma immunotherapy icatyde idiopathic Parkinson 's disease ifosfamide illegal immigration iloperidone iluzanebart image management imaging AI imaging biomarker immune compromise immune disorder therapy immune mapping immune profiling immune protection immune reset immune signaling pathways immune system reprogramming immune-based cancer cell therapies immune-related adverse events immuno-dermatology immuno-fibrosis immunocytokine immunoglobulin G immunology drug development immunotherapy drugs implantable device implementing import rules import taxes impression (attitude) impurity in situ in vivo studies in vivo therapy in-office inaxaplin incidents inclacumab incretin secretagogue incretin therapy indictment individual choice individual-based decision-making induction trials ineffective efforts infant infestation inflammatory biomarkers influenza prevention information session inhaled drugs inhaled lung disease inhaled therapies inidascamine initiation protocol injectable obesity therapy injectables innovate innovation centre innovation grants innovation pipeline innovation strategy innovative drugs innovative trial inorganic pyrophosphate inpatient input insider insider trading insolvency insulin delivery insulin efsitora insulin icodec-abae insulin production insulin resistance trends integrated decision-making integrated solutions interferon pathway interleukin-11 interleukin-23 receptor activity interleukin-3 interleukin-4 intermediate-risk internal disagreement internal rate internal tensions international drug international drug benchmarks international operations international pricing international reference pricing international trade internet phrase internship intestinal growth intisemeran intra-abdominal infections intracortical microstimulation intraoperative guidance intrathecal delivery intrathecal formulation intravenous delivery intravenous formula investigator-initiated trials investment cutback investment grants investor appetite investor rescue investor scrutiny investor sentiment ion channel program irAE isatuximab isolator technology issuance itolizumab itraconazole ixekizumab ixovec iza-bren izalontamab judgment jumping gene jumping genes juniper tar jurisdiction jury kickback scheme kidney drug kidney therapeutics kilobase pairs kinase inhibitor [EPC] kininogenase knockoffs kynurenic acid kyron.bio lab results label extension label update labeling change labeling changes laboratory modernization laboratory reform programme lack of lack of transparency lackluster data lanifibranor large-scale manufacture laromestrocel late recurrence risk late-stage assets late-stage clinical development late-stage pipeline late-stage testing launch expenses launch sequencing lawmakers layoff leaders leadership shake-up league lean muscle lecanemab-irmb legacy cancer legacy operations legal concerns legal victory legality lenacapavir weekly lenalidomide lender takeover lentiviral vectors letrozole leuprolide levacetylleucine levodopa levosimendan levy liability frameworks license suspension licensing dispute licensing restrictions lidERA life science incubator life sciences companies life sciences fund life sciences real estate life-extension life-saving medicine lifonebart likeability lincomycin linezolid linoserpaturev liquidation lirafugratinib live event liver enzyme elevation liver mRNA medicine liver safety liver survival lixudebart loan financing localization locally advanced locally advanced head locally advanced risk long-acting injectable long-acting protection long-acting therapies long-acting therapy long-term care longevity science lorlatinib loss of function loss treatment lotiglipron low low-cost lower dose lower-risk myelodysplastic syndromes lunbotinib fumarate lung scarring lunsekimig lupus skin drug lurbinectedin lutetium lymph nodes lymphocyte immune globulin, anti-thymocyte globulin lymphocyte-activation gene 3 protein lymphocyte-activation gene 3 protein, human mAbxience mCSPC mCombriax mFARS mFlusiva mGnP mHSPC mNEXSPIKE mRESVIA mRNA contracts mRNA degrader mRNA misinformation mRNA production mRNA therapy mRNA-1083 mRNA-1283 mRNA-1647 cytomegalovirus vaccine mRNA-4359 mRNA-based mRNA-based Personalized Cancer Vaccine mRNA-4157 mRNAs mTNBC mTORC1/2 inhibitor machine learning model macrocycles macrocyclic drugs macroeconomic macrophage-based programmes macular maintenance phase malignancy risk malignant haematology management layers management technique mandates manifestation manufacturing challenges manufacturing closure manufacturing company manufacturing consolidation manufacturing jobs manufacturing license manufacturing organization manufacturing practice manufacturing problems manufacturing process manufacturing shutdown manufacturing uncertainty maralixibat maridebart cafraglutide marketing approval marketing approval milestones marketing authorisation marketing officer marketplace marstacimab mast cell therapy match Eylea maternal-fetal monitoring mazdutide measles, mumps, rubella, varicella vaccine measurable outcomes mechanistic trials mechanoporation med-tech median employee medical advancements medical affairs reputation medical benchmarks medical breakthroughs medical data medical device company medical documentation AI medical freedom medical groups medical jargon medical leadership medical loss ratio medical review medical spas medical supplies medical supply chain medical technology exemptions medical wearables medical-device AI medtech industry meeting cancellation mega depots megadeal megascale melanin-concentrating hormone member membranoproliferative glomerulonephritis men 's health menen inhibitor mental health innovation mepolizumab merger cancellation merger termination mesothelin metabolic dysfunction-associated steatohepatitis metabolic medicines metagenomic sequencing metastasis-free metastatic solid tumors metastatic triple-negative breast cancer mezigdomide mezigitamab mice studies microcystic lymphatic malformations microdosing microneedle patches microneedles microparticle technology microservices mid-2030s mid-stage middle dose middle-income countries middlemen midline glioma midterm migraine prevention milestone payment milsaperidone mini-proteins miniPDX minimis exemption minimization miniprotein design suite mirror peptides missed doses missed milestone mitazalimab miv-cel mivelsiran modular modular integrase platform molecular AI molecular design molecular entities molecular modalities molecular point-of-care moments monogenic kidney diseases month most-favored motor fluctuations motor milestones mouse models movers mucosal healing multi-agent system multi-agent systems multi-agonists multi-cancer screening multi-cancer tests multi-domain proteins multi-institutional research multi-medicine platforms multi-modal multi-omic strategies multi-payload multi-program collaboration multi-sensor multi-specific antibodies multi-target collaboration multi-year collaboration multibillion-dollar market multiforme multimodal approach multimodal data multiple disease areas multiplex test multiport surgery multispecific antibody multispecific proteins muscle disease therapy muscle health muscle loss muscle mass muscle strength endpoint muscle-invasive musculoskeletal conditions mutation testing myQA StarTrack myelin repair myosin inhibitor myostatin antibody myostatin inhibitor nAMD nChroma Bio nGen platform nHCM naloxegol naltrexone-bupropion naming convention nano-in-micro delivery nanobody nanodelivery nanosecond naproxen-n-butyl nitrate narcolepsy drug narrow sales narsoplimab natalizumab nation policy national dementia registry national priorities national priority review voucher national priority review vouchers national sector growth nations natural orifice surgery naturalX nature-inspired drug discovery navacaprant navenibart navtemadlin needle-free vaccines negative adcomm negative opinion negotiators nemolizumab neo-epitope cancer vaccine neoantigen therapy neon neosubstrate neuro injury neuro pipeline neuro-metabolic diseases neuro-rare diseases neuro-specialty diseases neurobehavioral symptoms neurodegeneration therapy neurodegenerative neurofibroma neuroimmune disorders neuroinflammatory neurological imaging neurological therapies neuropathic corneal pain neuroplastogens neuroprotective neuropsychiatric adverse events neuropsychiatric disorders neuropsychiatric drugs neuroreparative therapeutics neuroscience division neuroscience portfolio neurotechnology neurovascular AI neutrophil-mediated disease new product newco nexiguran nexiguran ziclumeran next generation viral vectors next-gen brain therapies next-gen pneumonia next-generation Covid vaccine next-generation RNAi next-generation drugs next-generation vaccine nimodipine nintedanib ninth nipocalimab-aahu nirsevimab nizubaglustat nmHSPC nodularis nomination committee non-European ancestry non-FDA non-antipsychotic non-competitive profile non-cystic fibrosis bronchiectasis non-dilutive non-dilutive financing non-dilutive funding non-generic 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expert oncology licensing deal oncology market oncology overlap oncology pivot oncology portfolio oncology studies oncology supply oncology therapeutics oncology trials oncolytic immunotherapy online Laboratory Animal Science MS online program online sellers ontunisertib onvuzosiran open innovation open science open-label extension open-source AI open-source dataset openFDA operating costs operating expenses operating profit margin operational efficiency operational transformation opportunities optimisation programme opto-acoustic imaging oral FASN oral PCSK9 oral asthma therapy oral biologics oral carbapenem oral cholesterol pill oral formulations oral hair loss oral inhibitors oral minoxidil oral obesity oral obesity drug oral peptide oral pill oral pill vaccine oral presentation oral regimen oral small molecule RNA degrader oral small-molecule therapeutics oral small-molecule therapy oral targeted therapy oral weight loss drug orbital manufacturing orchestration orelabrtuinib orexin 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patient-ventilator asynchrony patritumab pattern hair loss pause recommendation pay-for-delay payer paying payload payors peak sales pediatric brain cancer pediatric diseases pediatric dosage pediatric drug designation peer pelareorep penicillin recall pent-up demand peptide therapeutics peptide therapy performers perioperative therapy permanent role personal data personal genome service personalized cancer therapy personalized care personalized health services personalized healthcare personalized neuromodulation personalized treatment personnel change perspectives pertuzumab petition pharma TV ads pharma biggest company pharma brand engagement pharma companies pharma consolidation pharma directors pharma division pharma industry pharma investment pharma investments pharma marketing pharma packaging pharma patent expirations pharma policy pharma reforms pharma reshoring pharma response pharma silos pharma skills shortage pharma tech pharma trade group pharmaceutical AI pharmaceutical 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