These narcolepsy figures cover the measurement periods and populations identified in the available source material. Estimates, surveys and forecasts retain their reported scope.
Key Narcolepsy Statistics
The main findings are:
- Overall narcolepsy prevalence was 37.7 per 100,000 U.S. adults in a representative population study (2002-2015 survey waves).
- NT1 prevalence was 0.0129% in males and 0.0120% in females (survey assessment; U.S. adult males and females).
- Japanese claims prevalence rose from 5.7 per 100,000 in 2010 to 18.5 per 100,000 in 2019 (2010 and 2019; Japan claims population).
- At diagnosis, narcolepsy was associated with anxiety at odds ratio 4.56 (95% CI 1.99-10.44) (community cohort at diagnosis; community narcolepsy cohort).
- In REST-ON, 72.0% receiving once-nightly sodium oxybate 9 g were rated much or very much improved versus 31.6% on placebo (13-week phase 3 treatment period; adults with narcolepsy).
- A systematic review found 31% of 84 working participants reported changing work because of narcolepsy (study summarized in 2021 systematic review; working people with narcolepsy).
- The study translated 37.7 per 100,000 into an estimated 126,191 affected people in the contemporary U.S. population (study population estimate).
- NT2 prevalence was 0.026% in males and 0.024% in females (survey assessment; U.S. adult males and females).
- Japanese male prevalence was 6.2 per 100,000 in 2010 (Japanese males in claims database).
- At diagnosis, thyroid disease odds were 3.07 times higher in the narcolepsy cohort (community cohort at diagnosis; community narcolepsy cohort).
- Mean sleep latency increased 10.8 minutes with 9 g once-nightly sodium oxybate versus 4.7 minutes with placebo (13-week phase 3 treatment period; adults with narcolepsy).
- Among those reporting work changes, 58% changed job type (study summarized in 2021 systematic review; working people with narcolepsy).
- Narcolepsy type 1 prevalence was 12.6 per 100,000 people (2002-2015 survey waves; United States adults).
- Combined NT1-or-NT2 prevalence was 0.039% in males and 0.036% in females (survey assessment; U.S. adult males and females).
- Japanese female prevalence was 4.9 per 100,000 in 2010 (Japanese females in claims database).
Contents
- Key Narcolepsy Statistics
- Narcolepsy prevalence statistics in the United States and population estimates
- Narcolepsy type 1 and type 2 prevalence by age, sex and diagnosis status
- Narcolepsy incidence and prevalence trends in Japan and other claims datasets
- Narcolepsy comorbidity statistics and associated health risks
- Narcolepsy treatment trial outcomes and medication-use statistics
- Narcolepsy quality-of-life, work and healthcare-burden statistics
Narcolepsy prevalence statistics in the United States and population estimates
- Overall narcolepsy prevalence was 37.7 per 100,000 U.S. adults in a representative population study (2002-2015 survey waves). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- The study translated 37.7 per 100,000 into an estimated 126,191 affected people in the contemporary U.S. population (study population estimate). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- Narcolepsy type 1 prevalence was 12.6 per 100,000 people (2002-2015 survey waves; United States adults). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- Narcolepsy type 2 prevalence was 25.1 per 100,000 people (2002-2015 survey waves; United States adults). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- Annual narcolepsy incidence was 2.6 per 100,000 people (approximately three-year follow-up; United States adults). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- The 95% confidence interval for NT1 prevalence was 0 to 30 per 100,000 (2002-2015 survey waves; United States adults). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- The follow-up wave included 10,931 completed interviews (second survey wave, about three years later; 8 U.S. states). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- Among Sleep-EVAL-identified narcolepsy cases, 66.7% reported already having a physician diagnosis (survey assessment; United States adults). (Prevalence and incidence of narcolepsy symptoms in the US general population)
Sleep-EVAL interview classification; not medical-record confirmation.
Population translation from the study prevalence; not a national case registry count.
NT1 defined as narcolepsy with cataplexy under ICSD-3.
NT2 defined as narcolepsy without cataplexy under ICSD-3.
Very rare outcome with a 95% CI of 0 to 11 per 100,000.
Wide interval reflects the rarity of the condition.
Follow-up participation differs from the initial wave.
Self-reported physician diagnosis; records were not requested.
Narcolepsy type 1 and type 2 prevalence by age, sex and diagnosis status
- NT1 prevalence was 0.0129% in males and 0.0120% in females (survey assessment; U.S. adult males and females). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- NT2 prevalence was 0.026% in males and 0.024% in females (survey assessment; U.S. adult males and females). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- Combined NT1-or-NT2 prevalence was 0.039% in males and 0.036% in females (survey assessment; U.S. adult males and females). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- NT1 prevalence was 0.0201% among adults aged 35-54 (survey assessment; U.S. adults aged 35-54). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- NT1 prevalence was 0.016% among adults aged 55 and older (survey assessment; U.S. adults aged 55+). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- NT2 prevalence was 0.040% among adults younger than 34 (survey assessment; U.S. adults younger than 34). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- NT2 prevalence was 0.016% among adults aged 35-54 (survey assessment; U.S. adults aged 35-54). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- NT2 prevalence was 0.021% among adults aged 55 and older (survey assessment; U.S. adults aged 55+). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- Previously physician-diagnosed narcolepsy prevalence was 0.0251% overall (survey assessment; U.S. adults). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- Previously diagnosed narcolepsy prevalence was 0.026% in males (survey assessment; U.S. adult males). (Prevalence and incidence of narcolepsy symptoms in the US general population)
- Previously diagnosed narcolepsy prevalence was 0.024% in females (survey assessment; U.S. adult females). (Prevalence and incidence of narcolepsy symptoms in the US general population)
Sex-stratified estimates were not statistically different.
Combined symptom-based classification.
Age-stratified estimate had a wide confidence interval.
Estimate was not statistically distinct across age groups.
Age-stratified estimate was not statistically distinct across groups.
Counts only self-reported diagnosed cases, not all symptom-defined cases.
Self-reported diagnosis.
Narcolepsy incidence and prevalence trends in Japan and other claims datasets
- Japanese claims prevalence rose from 5.7 per 100,000 in 2010 to 18.5 per 100,000 in 2019 (2010 and 2019; Japan claims population). (Prevalence, incidence, and medications of narcolepsy in Japan: a descriptive observational study using a health insurance claims database)
- Japanese male prevalence was 6.2 per 100,000 in 2010 (Japanese males in claims database). (Prevalence, incidence, and medications of narcolepsy in Japan: a descriptive observational study using a health insurance claims database)
- Japanese female prevalence was 4.9 per 100,000 in 2010 (Japanese females in claims database). (Prevalence, incidence, and medications of narcolepsy in Japan: a descriptive observational study using a health insurance claims database)
- Japanese male prevalence reached 21.7 per 100,000 in 2019 (Japanese males in claims database). (Prevalence, incidence, and medications of narcolepsy in Japan: a descriptive observational study using a health insurance claims database)
- Japanese female prevalence reached 14.5 per 100,000 in 2019 (Japanese females in claims database). (Prevalence, incidence, and medications of narcolepsy in Japan: a descriptive observational study using a health insurance claims database)
- Japanese prevalence among ages 20-29 was 37.5 per 100,000 in 2019 (Japan, ages 20-29). (Prevalence, incidence, and medications of narcolepsy in Japan: a descriptive observational study using a health insurance claims database)
- Japanese prevalence among ages 10-19 was 27.1 per 100,000 in 2019 (Japan, ages 10-19). (Prevalence, incidence, and medications of narcolepsy in Japan: a descriptive observational study using a health insurance claims database)
- Japanese prevalence among ages 20-29 rose from 9.7 to 37.5 per 100,000 over 2010-2019 (Japan, ages 20-29). (Prevalence, incidence, and medications of narcolepsy in Japan: a descriptive observational study using a health insurance claims database)
- Japanese annual incidence ranged from 0.4 to 2.2 per 100,000 during 2010-2019 (Japan claims population). (Prevalence, incidence, and medications of narcolepsy in Japan: a descriptive observational study using a health insurance claims database)
- A U.S. claims study cited in the Japanese report estimated annual incidence at approximately 5-8 per 100,000 (claims-study period cited by 2024 report). (Prevalence, incidence, and medications of narcolepsy in Japan: a descriptive observational study using a health insurance claims database)
Claims-based diagnosed prevalence; changing coverage and recognition may affect the trend.
Claims-based estimate.
Claims-based diagnosed prevalence.
Longitudinal claims trend; not a standardized incidence cohort.
Range reflects the study’s claims definitions and annual variation.
Different definitions and MSLT-claim requirements prevent direct comparison.
Narcolepsy comorbidity statistics and associated health risks
- At diagnosis, narcolepsy was associated with anxiety at odds ratio 4.56 (95% CI 1.99-10.44) (community cohort at diagnosis; community narcolepsy cohort). (Comorbidities in a community sample of narcolepsy)
- At diagnosis, thyroid disease odds were 3.07 times higher in the narcolepsy cohort (community cohort at diagnosis; community narcolepsy cohort). (Comorbidities in a community sample of narcolepsy)
- At diagnosis, hypertension odds were 2.69 times higher (community cohort at diagnosis; community narcolepsy cohort). (Comorbidities in a community sample of narcolepsy)
- At diagnosis, hyperlipidemia odds were 2.49 times higher (community cohort at diagnosis; community narcolepsy cohort). (Comorbidities in a community sample of narcolepsy)
- Obstructive sleep apnea odds were 69.25 at diagnosis and 13.55 after prolonged follow-up (diagnosis and prolonged follow-up; community narcolepsy cohort). (Comorbidities in a community sample of narcolepsy)
- Depression odds were 4.88 at diagnosis and 3.79 after prolonged follow-up (diagnosis and prolonged follow-up; community narcolepsy cohort). (Comorbidities in a community sample of narcolepsy)
- Obesity odds were 2.27 at diagnosis and 2.07 after prolonged follow-up (diagnosis and prolonged follow-up; community narcolepsy cohort). (Comorbidities in a community sample of narcolepsy)
- After prolonged follow-up, peripheral neuropathy odds were 11.21 times higher (end of observation period; community narcolepsy cohort). (Comorbidities in a community sample of narcolepsy)
- After prolonged follow-up, automobile-related trauma odds were 2.43 times higher (end of observation period; community narcolepsy cohort). (Comorbidities in a community sample of narcolepsy)
Association, not causation; confidence interval is wide.
Association versus matched comparison group.
Association, not causation.
Very wide confidence intervals; OSA ascertainment and follow-up differ.
Extremely wide confidence interval indicates imprecision.
Association; trauma was identified from emergency-department records.
Narcolepsy treatment trial outcomes and medication-use statistics
- In REST-ON, 72.0% receiving once-nightly sodium oxybate 9 g were rated much or very much improved versus 31.6% on placebo (13-week phase 3 treatment period; adults with narcolepsy). (Once-nightly sodium oxybate (FT218) demonstrated improvement of symptoms in a phase 3 randomized clinical trial in patients with narcolepsy)
- Mean sleep latency increased 10.8 minutes with 9 g once-nightly sodium oxybate versus 4.7 minutes with placebo (13-week phase 3 treatment period; adults with narcolepsy). (Once-nightly sodium oxybate (FT218) demonstrated improvement of symptoms in a phase 3 randomized clinical trial in patients with narcolepsy)
- The least-squares mean difference in sleep latency versus placebo was 6.13 minutes (95% CI 3.52-8.75) (13-week phase 3 treatment period; adults with narcolepsy). (Once-nightly sodium oxybate (FT218) demonstrated improvement of symptoms in a phase 3 randomized clinical trial in patients with narcolepsy)
- Weekly cataplexy attacks changed by –11.5 with 9 g once-nightly sodium oxybate versus -4.9 with placebo (13-week phase 3 treatment period; adults with narcolepsy). (Once-nightly sodium oxybate (FT218) demonstrated improvement of symptoms in a phase 3 randomized clinical trial in patients with narcolepsy)
- The treatment-placebo difference in weekly cataplexy change was –6.65 attacks (95% CI -9.32 to -3.98) (13-week phase 3 treatment period; adults with narcolepsy). (Once-nightly sodium oxybate (FT218) demonstrated improvement of symptoms in a phase 3 randomized clinical trial in patients with narcolepsy)
- Epworth Sleepiness Scale score changed by –6.5 with 9 g once-nightly sodium oxybate versus -2.7 with placebo (13-week phase 3 treatment period; adults with narcolepsy). (Once-nightly sodium oxybate (FT218) demonstrated improvement of symptoms in a phase 3 randomized clinical trial in patients with narcolepsy)
- The reported treatment-placebo ESS difference was –6.52 points (95% CI -5.47 to -2.26) (13-week phase 3 treatment period; adults with narcolepsy). (Once-nightly sodium oxybate (FT218) demonstrated improvement of symptoms in a phase 3 randomized clinical trial in patients with narcolepsy)
- In a surveillance study, 27.1% of 670 European patients on twice-nightly sodium oxybate did not follow the recommended second-dose schedule (European surveillance study; European patients with narcolepsy). (Once-nightly sodium oxybate (FT218) demonstrated improvement of symptoms in a phase 3 randomized clinical trial in patients with narcolepsy)
- A 6-g once-nightly dose was reported equivalent in systemic exposure to two 3-g immediate-release doses (pharmacokinetic equivalence study; narcolepsy treatment development). (Once-nightly sodium oxybate (FT218) demonstrated improvement of symptoms in a phase 3 randomized clinical trial in patients with narcolepsy)
Randomized trial result; treatment dose and eligibility limit generalization.
Trial outcome, not a population estimate.
Adjusted trial comparison.
Mean treatment-group changes; placebo response was substantial.
Adjusted comparison in one phase 3 trial.
Patient-reported scale in a selected trial population.
The abstract’s confidence interval is reproduced as reported.
Observational surveillance; nonadherence definition was timing-based.
Exposure equivalence is not the same as clinical outcome equivalence.
Narcolepsy quality-of-life, work and healthcare-burden statistics
- A systematic review found 31% of 84 working participants reported changing work because of narcolepsy (study summarized in 2021 systematic review; working people with narcolepsy). (Health-related quality of life in narcolepsy: A systematic review and meta-analysis)
- Among those reporting work changes, 58% changed job type (study summarized in 2021 systematic review; working people with narcolepsy). (Health-related quality of life in narcolepsy: A systematic review and meta-analysis)
- Among those reporting work changes, 31% lost or left their jobs without finding other employment (study summarized in 2021 systematic review; working people with narcolepsy). (Health-related quality of life in narcolepsy: A systematic review and meta-analysis)
- Among those reporting work changes, 11% changed their working schedule (study summarized in 2021 systematic review; working people with narcolepsy). (Health-related quality of life in narcolepsy: A systematic review and meta-analysis)
- Mean absenteeism cost was $12,839 for people with narcolepsy versus $7,631 for matched controls (economic analysis summarized in 2021 review; United States matched survey cohorts). (Health-related quality of life in narcolepsy: A systematic review and meta-analysis)
- Mean presenteeism cost was $7,013 for people with narcolepsy versus $4,987 for matched controls (economic analysis summarized in 2021 review; United States matched survey cohorts). (Health-related quality of life in narcolepsy: A systematic review and meta-analysis)
Single underlying study and self-reported work history.
Small subgroup; denominator is the review’s reported n=15.
Small subgroup; not a population unemployment rate.
Small subgroup; not a population employment estimate.
Cost estimates depend on wage and productivity assumptions in the underlying analysis.