SchizophreniaPhase 3NCT01435928
PEARL Schizophrenia Maintenance
A Phase 3 study testing Lurasidone in people with Schizophrenia, run by Sumitomo Pharma America, Inc. at 75 sites in 7 countries.
Trial summary
Lurasidone HCI is a compound that is FDA-approved for the treatment of schizophrenia. This clinical study is designed to test the hypothesis that Lurasidone is effective in the long term maintenance treatment of schizophrenia. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Schizophrenia
- What is being tested?
- Lurasidone
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 676 participants
- Where
- 75 sitesin 7 countries
- Study dates
- Sep 2011to Aug 2013
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Open Label:
- Subject provides written informed consent and is willing and able to comply with the protocol in the opinion of the Investigator.
- Subject is ≥ 18 and ≤ 75 years of age, on the day of signing the informed consent.
- Subject meets DSM-IV-TR criteria for a primary diagnosis of schizophrenia [including disorganized (295.10), paranoid (295.30), undifferentiated (295.90) subtypes as established by clinical interview (using the DSM-IV-TR as a reference and confirmed using the SCID-CT)]. The duration of the subject's illness whether treated or untreated must be ≥ 1 year.
- Subject has had at least one prior episode of psychotic exacerbation as judged by the Investigator in the two years preceding screening.
- Subject has a PANSS Total score ≥ 80 with a score ≥ 4 on 1 or more of any PANSS Positive subscale items at screening and open-label baseline (Visit 2).
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- Subject has a CGI-S score of ≥ 4 at screening and open-label baseline (Visit 2).
- Subject is not pregnant (must have a negative serum pregnancy test at screening) or nursing (must not be lactating) and is not planning pregnancy within the projected duration of the study.
- Female subject of reproductive potential agrees to remain abstinent or use adequate and reliable contraception throughout the study and for at least 30 days after the last dose of lurasidone has been taken. In the Investigator's judgment, the subject will adhere to this requirement.
- Adequate contraception is defined as continuous use of either two barrier methods (e.g., condom and spermicide or diaphragm with spermicide) or a hormonal contraceptive. Acceptable hormonal contraceptives include the following: a) contraceptive implant (such as Norplant®) implanted at least 90 days prior to screening; b) injectable contraception (such as medroxyprogesterone acetate injection) given at least 14 days prior to screening; or c) oral contraception taken as directed for at least 30 days prior to screening.
- Subjects who are of non-reproductive potential, i.e., subject who is surgically sterile, has undergone tubal ligation, or is postmenopausal (defined as at least 12 months of spontaneous amenorrhea or between 6 and 12 months of spontaneous amenorrhea with follicle stimulating hormone (FSH) concentrations within postmenopausal range as determined by laboratory analysis) are not required to remain abstinent or use adequate contraception.
- Subject is able and agrees to remain off prior antipsychotic medication for the duration of the study.
- Subject has had a stable living arrangement at the time of screening and agrees to return to a similar living arrangement after discharge, if hospitalized. This criterion is not meant to exclude subjects who have temporarily left a stable living arrangement (e.g., due to psychosis). Such subjects remain eligible to participate in this protocol. Chronically homeless subjects should not be enrolled.
- Subject is in good physical health on the basis of medical history, physical examination, and laboratory screening.
- Subject who requires concomitant medication treatment with the following agents may be included if they have been on stable doses (i.e., minor adjustments only) for the specified times: 1) antidepressant agents (except fluvoxamine) and/or mood stabilizers (except carbamazepine or oxcarbazepine) must be stable for at least 30 days prior to open-label baseline, 2) oral hypoglycemics must be stable for at least 30 days prior to screening, 3) antihypertensive agents must be stable for at least 30 days prior to screening, and 4) thyroid hormone replacement must be stable for at least 90 days prior to screening. (Note: CYP3A4 inducers and inhibitors will not be allowed).
- Subject is willing and able to comply with the protocol assessments and visits, in the opinion of the study nurse/coordinator and the Investigator.
- Double-blind -
- Subject must achieve and maintain clinical stability for a total of at least 12 weeks in the open label phase, defined as:
- a PANSS Total score ≤ 70, a CGI-S score < 4 and a PANSS item score of ≤ 4 (moderate or less) on all PANSS Positive subscale items over at least 12 weeks with the allowance of two excursions (except during the last 4 weeks of the open-label phase) assessed at weekly study visits:
- An excursion is defined as a PANSS total score up to a maximum of 80 and/or a CGI-S score up to a maximum of 4 and/or a PANSS Positive subscale item score up to a maximum of 5.
- a PANSS item score of ≤ 4 (moderate or less) on item G8 (uncooperativeness)
- taking a stable dose of lurasidone for the last 4 weeks of the open-label phase.
Who cannot join
- Open Label - Subject has a DSM-IV Axis I or Axis II diagnosis other than schizophrenia that has been the primary focus of treatment within 3 months of screening.
- Subject answers "yes" to "Suicidal Ideation" item 4 (active suicidal ideation with some intent to act, without specific plan) or item 5 (active suicidal ideation with specific plan and intent) on the C-SSRS assessment at screening (in the past month) or baseline.
- Subject has attempted suicide within 3 months prior to the screening phase. Subject currently has a clinically significant medical condition including the following: neurological, metabolic (including Type 1 diabetes), hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, and/or urological disorder such as unstable angina, congestive heart failure (uncontrolled), or central nervous system (CNS) infection that would pose a risk to the subject if they were to participate in the study or that might confound the results of the study. Subjects with human immunodeficiency virus (HIV) seropositivity (or history of seropositivity) will be excluded.
- Note: Active medical conditions that are minor or well-controlled are not exclusionary if they do not affect risk to the subject or the study results. In cases in which the impact of the condition upon risk to the subject or study results is unclear, the Medical Monitor should be consulted. Any subject with a known cardiovascular disease or condition (even if controlled) must be discussed with the Medical Monitor before being screened.
- Subject has evidence of any chronic organic disease of the CNS such as tumors, inflammation, and active seizure disorder, vascular disorder, Parkinson's disease, Alzheimer's disease or other forms of dementia, myasthenia gravis, or other degenerative processes. In addition, subject must not have a history of mental retardation or persistent neurological symptoms attributable to serious head injury. Note: Past history of febrile seizures, drug-induced seizures, or alcohol withdrawal seizures is not exclusionary.
- Note: Past history of febrile seizures, drug-induced seizures, or alcohol withdrawal seizures is not exclusionary.
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- Subject demonstrates evidence of acute hepatitis, clinically significant chronic hepatitis, or evidence of clinically significant impaired hepatic function through clinical and laboratory evaluation.
- Note: Subjects with serum alanine transaminase (ALT) or aspartate transaminase (AST) levels ≥ 3 times the upper limit of the reference ranges provided by the central laboratory require retesting. If on retesting, the laboratory value remains ≥ 3 times the upper limit, such subjects will be discussed with the Medical Monitor for enrollment consideration.
- Subject has a history of stomach or intestinal surgery or any other condition that could interfere with or is judged by the Investigator to interfere with absorption, distribution, metabolism, or excretion of study drug.
- Subject with Type 1 or Type 2 insulin-dependent diabetes.
- Subject with newly diagnosed Type 2 diabetes during screening. Subject with Type 2 diabetes is eligible for study inclusion if the following condition is met at screening:
- if a subject is currently being treated with oral anti-diabetic medication(s), the dose must have been stable for at least 4 weeks prior to screening. Such medication may be adjusted or discontinued during the study, as clinically indicated.
- Subject has any abnormal laboratory parameter at screening that indicates a clinically significant medical condition as determined by the Investigator. Subjects with a fasting blood glucose at screening ≥ 126 mg/dL (7.0 mmol/L) or HbA1c ≥ 7.0% will be excluded.
- Note: Subjects with random (non-fasting) blood glucose at screening ≥ 200 mg/dL (11.1 mmol/L) must be retested in a fasted state.
- Subject has a prolactin concentration > 100 ng/mL at screening or has a history of pituitary adenoma.
- Subject has a history of malignancy < 5 years prior to signing the informed consent, except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer. Pituitary tumors of any duration are excluded.
- Subject is judged to be resistant to antipsychotic treatment defined as any one of the following:
- failure to respond to > 2 marketed antipsychotic agents, given at an adequate dose and for an adequate duration (within the past 2 years)
- history of treatment with clozapine for refractory psychosis Subject is unlikely to achieve a stable condition for ≥ 12 weeks during the open-label lurasidone phase based on the totality of evidence from the psychiatric history and/or the current presentation.
- Subject is receiving an antipsychotic medication above the maximum recommended (country-specific) dose at or prior to screening and, in the judgment of the Investigator, is unlikely to respond to standard doses of lurasidone.
- Subject has received depot antipsychotics unless the last injection was at least one treatment cycle or at least 30 days (whichever is longer) prior to the screening phase.
- Subject has received treatment with MAO inhibitors within 14 days prior to the screening phase.
- Subject requires treatment with any potent CYP3A4 inhibitors or inducers during the study (see Appendix 3).
- Subject has received electroconvulsive therapy treatment within the 3 months prior to screening or is expected to require electroconvulsive therapy (ECT) during the study.
- Subject has a history of neuroleptic malignant syndrome. Subject exhibits evidence of severe tardive dyskinesia, severe dystonia, or any other severe movement disorder. Severity will be determined by the Investigator.
- Subject has a history of alcohol or substance abuse (DSM-IV-TR criteria) within 3 months prior to screening or alcohol or substance dependence (DSM-IV-TR criteria) within 12 months prior to screening. The only exceptions include caffeine or nicotine abuse/dependence.
- Subject tests positive for drugs of abuse at screening. In the event a subject tests positive for cannabinoids (tetrahydrocannabinol), the Investigator will evaluate the subject's ability to abstain from using this drug during the study. This information will be discussed with the Medical Monitor prior to study enrollment.
- Subject had a history or presence of an abnormal electrocardiogram (ECG), which in the Investigator's opinion is clinically significant (Medical Monitor may be consulted to determine clinical significance).
- Subject has poor peripheral venous access that will limit the ability to draw blood as judged by the Investigator.
- Subject has a history of hypersensitivity to more than 2 distinct chemical classes of drug (e.g., sulfas and penicillins).
- Subject was screened or washed out previously more than three times for this study.
- Subject is currently participating, or has participated in, a study with an investigational or marketed compound or device within 3 months prior to signing the informed consent, or has participated in 2 or more studies within 12 months prior to signing the informed consent.
- Subject is homeless or did not have a stable residence for the 3 months prior to the screening phase.
- Subject is unable to cooperate with any study procedures, unlikely to adhere to the study procedures and keep appointments, in the opinion of the Investigator, or was planning to relocate during the study.
- Subject requires guardianship under the laws of his/her country.
- Double-blind - Subjects who in the Investigator's judgment have not been compliant with study medication during the open-label stabilization phase.
Trial locations and contacts
75 sites in 7 countries.
75 sites in 7 countries
United States45 sites
Atlanta Center for Medical Research
Atlanta, Georgia, 30308
Comprehensive NeuroScience, Inc.
Atlanta, Georgia, 30328
Community Clinical Research, Inc.
Austin, Texas, 78754
FutureSearch Clinical Trials LP
Austin, Texas, 78756
Florida Clinical Research Center, LLC
Bradenton, Florida, 34208
University of New York, Dept. of Psychiatry
Buffalo, New York, 14218
Neurobehavioral Research, Inc.
Cedarhurst, New York, 11516
Comprehensive Clinical Development Inc.
Cerritos, California, 90703
FutureSearch Clinical Trials, LP
Dallas, Texas, 75231
Pillar Clinical Research LLC
Dallas, Texas, 75243
Diligent Clinical Trials
Downey, California, 90241
Synergy Escondido
Escondido, California, 92025
Comprehensive Clinical Development, Inc
Fresh Meadows, New York, 11366
Collaborative Neuroscience Network, Inc.
Garden Grove, California, 92845
Accurate Clinical Trials
Kissimme, Florida, 34742
Lake Charles Clinical Trials
Lake Charles, Louisiana, 70629
Horne Research
Las Vegas, Nevada, 89102
Center for Psychiatry and Behavioral Medicine, Inc.
Las Vegas, Nevada, 89128
Lincoln Research
Lincoln, Rhode Island, 02865
K&S Professional Research
Little Rock, Arkansas, 72201
Woodland International Research Group
Little Rock, Arkansas, 72211
Axis Clinical Trials
Los Angeles, California, 90036
Florida Clinical Research Center, LLC
Maitland, Florida, 32751
Galiz Research
Miami Springs, Florida, 33166
Synergy Clinical Research Center
National City, California, 91950
Psychiatric Care and Research Center
O'Fallon, Missouri, 63368
Excell Clinical Trials
Oceanside, California, 92056
Cutting Edge Research Group
Oklahoma City, Oklahoma, 73116
Oklahoma Clinical Research
Oklahoma City, Oklahoma, 73116
Medical Research Group of Central Florida
Orange City, Florida, 32763
CRI Worldwide LLC at Kirkbride
Philadelphia, Pennsylvania, 19139
CNRI - Los Angeles LLC,8309 Telegraph Road
Pico Rivera, California, 90660
Finger Lakes Clinical Research
Rochester, New York, 14618
CBH Health LLC
Rockville, Maryland, 20850
Department of Psychiatry, University of Utah Health Sciences Center
Salt Lake City, Utah, 84132
California Neuropsychopharmacology Clinical Research Instit
San Diego, California, 92102
Neuropsychiatric Research Center of Orange County
Santa Ana, California, 92701
Lousiana Clinical Research, LLC
Shreveport, Louisiana, 71104
Frontier Institute
Spokane, Washington, 99204
Woodland Research Northwest
Springdale, Arizona, 72764
Psych Care Consultants Research
St Louis, Missouri, 63128
Behavioral Medical Research of Staten Island
Staten Island, New York, 10305
Family Psychiatry of the Woodlands
The Woodlands, Texas, 77381
Collaborative Neuroscience Network Inc.
Torrance, California, 90502
CRI Worldwide LLC
Willingboro, New Jersey, 08046
Slovakia7 sites
Nemonnica s poliklinikou v Prievidzi so sidlom v Bojniciach, Psychiatricke oddelenie
Bojnice, 972 01
Psychiatricka ambulancia Mentum, s.r.o.
Bratislava, 82007
Psychiatricka nemocnica Michalovce
Michalovce, 071 01
PsychoLine s.r.o. Psychiatricka ambulancia
Rimavská Sobota, 97901
Psychiaticke oddelenie Vseobecna nemocnica Riimavska Sobota, NaP n.o.
Rimavská Sobota, 97912
Psychiatricke oddelenie, Nemocnica s poliklinikou sv. Barbory Roznava, a.s.
Rožňava, 048 01
Centrum zdravia R. B.K. s.r.o. Psychiatricka ambulancia
Svidník, 08901
Russia6 sites
Regional Government Institution Kipetsk Regional Psychoneurology Hospital
Lipetsk, 399083
Limited Liability Company (LLC) Research Center for Treatment and rehabilitation "Phoenix"
Rostov-on-Don, 344000
City Psychoneurological Dispensary #7 (with Hospital)
Saint Petersburg, 190005
St. Petersburg State Budgetary Healthcare Institution City Psychoneurology Dispensary #7 (with in-patient dept.) (SPb SBHI CPNDD-7), at daycare facility #1
Saint Petersburg, 19005
St. Petersburg State Healthcare Institution (SPbSH) "City Psychiatric Hospital #6"
Saint Petersburg, 191167
St. Petersburg State Government Healthcare Institution City Psychiatric Hospital #4 (St. Petersburg Insane Asylum Distributor)
Saint Petersburg, 19119
Serbia6 sites
Institute of Mental Health
Belgrade, 11000
Military Medical Academy, Clinic for Psychiatry
Belgrade, 11000
Clinical Centre Kragujevac, Clinic for Psychiatry
Kragujevac, 34000
Clinical Centre Nis, Clinic for mental health protection
Niš, 18000
Specialized Hospital for psychiatric diseases "Sveti Vracevi"
Novi Kneževac, 23330'
Clinical Centre Vojvodina, Clinic for Psychiatry
Novi Sad, 21000
France5 sites
CHU Clermont-Ferrand - CMP B
Clermont-Ferrand, 63003
Centre Hospitalier Specialise du Jura - Centre Medico Psychiatric
Dole, 39100
Centre Hospitalier Guillaume Regnier
Rennes, 35703
Hopital Chalucet, Centre hospitalier intercommunal de toulon la Seyne sur mer (CHITS)
Toulon, 83000
Cabinet Medical
Toulouse, 31200
Italy3 sites
SC SPDC-Edificio n. 7, Ospedale S. Andrea
La Spezia, 19123
Dipartimento Salute Mentale ASL 1
Massa, 54100
A.O.U. Santa Chiara, U.O di Psichiatria 1 building n.4
Pisa, 56100
South Africa3 sites
Research Unit, Department of Psychiatry Free State Psychiatric Complex
Bloemfontein, 9300
Cape Trial Centre
Cape Town, W. Cape, 7530
Denmar Hospital Consulting Rooms
Pretoria, 0081
About this study
Official title: A Double-Blind, Placebo-Controlled, Randomized Withdrawal Study Of Lurasidone For The Maintenance Treatment Of Subjects With Schizophrenia
Lurasidone HCI is a compound that is FDA-approved for the treatment of schizophrenia. This clinical study is designed to test the hypothesis that Lurasidone is effective in the long term maintenance treatment of schizophrenia.
- Conditions
- Schizophrenia
- Being tested
- Lurasidone, Matching Placebo
- Keywords
- Schizophrenia, Lurasidone, Latuda
- Medical subject headings
- Schizophrenia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LurasidoneDrug
Also called Latuda
Lurasidone 40 and 80 mg, once daily in the evening with a meal or 30 minutes after eating
Matching PlaceboDrug
Matching placebo once daily in the evening with a meal or 30 minutes after eating
| Study group | Role | What they receive |
|---|---|---|
| Lurasidone | Experimental | Lurasidone 40 and 80 mg, once daily in the evening with a meal or 30 minutes after eating Receives: Drug: Lurasidone |
| Placebo | Placebo comparator | Matching placebo once daily in the evening with a meal or 30 minutes after eating Receives: Drug: Matching Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to First Relapse Event During Double-blind Phase
The Kaplan-Meier method is used for the estimation.
Measured: Double-blind phase - 28 Weeks
Secondary outcomes (9)
Time to All-cause Discontinuation
The Kaplan-Meier method was used for estimation.
Measured: Double-blind phase - 28 weeks
Change From Double-blind Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score
The PANSS is an interview-based measure of the severity of psychopathology in adults with psychotic disorders. The measure is comprised of 30 items and three scales: the Positive scale contains seven questions to assess delusions, conceptual disorganization, hallucinations behavior, excitement, grandiosity, suspiciousness/persecution, and hostility; the Negative scale contains seven questions to assess blunted effect, emotional withdrawal, poor rapport, passive/apathetic social withdrawal, lack of motivation, and similar symptoms; and the General Psychopathology subscale addresses other symptoms such as anxiety, somatic concern, and disorientation. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. The PANSS total score is the sum of all 30 items and ranges from 30 through 210. A higher score is associated with greater illness severity.
Measured: Double-Blind phase - 28 Weeks
Change From Double-blind Baseline in Clinical Global Impression - Severity of Illness Scale (CGI-S) Score
The CGI-S score is a single value, clinician-rated assessment of illness severity and ranges from 1= 'Normal, not at all ill' to 7= 'Among the most extremely ill patients'. A higher score is associated with greater illness severity.
Measured: Double-blind phase - 28 Weeks
Change From Double-blind Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
The MADRS consists of 10 items, each rated on a Likert scale, from 0="Normal" to 6="Most Severe". The MADRS total score is calculated as the sum of the 10 items. The MADRS total score ranges from 0 to 60. Higher scores are associated with greater severity.
Measured: Double-blind phase - 28 Weeks
Change From Double-blind Baseline in Short Form-12v2 Health Survey (SF-12v2) Physical Component Score
The SF-12v2 is a self-administered, multipurpose short-form (SF) generic measure of health status. It was developed to be a shorter, yet valid, alternative to the SF-36 for use in large surveys of general and specific populations as well as in large longitudinal studies of health outcomes. The 12 items in the SF-12v2 are a subset of those in the SF-36; SF-12v2 includes one or two items from each of the eight health concepts with higher scores indicative of higher functioning and better health. The Physical Component Score is a composite of the Physical Functioning, Role Functioning, Bodily Pain and General Health scales.
Physical Composite Scores (PCS) is computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
Measured: Double-blind phase - 28 Weeks
Change From Double-blind Baseline in Modified Specific Levels of Functioning (SLOF) Total Score
The modified SLOF scale is designed to measure directly observable behavioral functioning and daily living skills of patients with chronic mental illness. The modified SLOF consists of 24 items divided into two subscales: Social functioning (comprised of 7 items from interpersonal relationships section) and Community Living Skills (comprised of 17 items from activities and work skills sections). Each item is rated on a 5-point scale and mapped to 0 to 4 with a higher score indicating worse condition. The total score will be the sum of all 24 items and ranges from 0 to 96.
Measured: Double-blind phase - 28 Weeks
Brief Adherence Rating Scale
The Brief Adherence Rating Scale (BARS) is a clinician-administered adherence assessment instrument that consists of four items including three questions and a visual analog rating scale (VAS) to assess the percentage (0 - 100%) of doses taken by the subject in the previous month.
Measured: Double-blind phase - 28 Weeks
Smoking Questionnaire (Average Number of Cigarettes Per Day) at Week 28 (LOCF)
Smoking history and frequency were assessed during the study by a research staff member. During the study, smoked subjects were asked about the average number of cigarettes per day they smoked over the last week.
Measured: 28 Weeks - Double Blind Phase
Intent to Attend (ITA) Assessment at Open-label Baseline
The ITA assessment will be administered by a research staff member. The response is recorded on a 10-point scale, with 0 = "Not at all" and 9 = "Extremely". The ITA allowed the site to capture data regarding dropout risk. The following question was completed at the screening visit: "How likely is it that you will complete the study?"
Measured: Open Label Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Sep 2011 (estimated)
- Study startSep 2011
- Primary completionAug 2013
- Study completionAug 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for SchizophreniaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 676 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sumitomo Pharma America, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, MD, Study director, Sumitomo Pharma America, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01435928
- Sponsor's protocol ID
- D1050238
- Status last verified
- Mar 2016
- First submitted
- 15 Sep 2011
- Last updated
- 8 Apr 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 8 Apr 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Double-Blind, Placebo-Controlled, Randomized Withdrawal Study Of Lurasidone For The Maintenance Treatment Of Subjects With Schizophrenia
- ClinicalTrials.gov ID
- NCT01435928
- Acronym / sponsor ID
- D1050238
- Conditions
- Schizophrenia
- Keywords
- Schizophrenia, Lurasidone, Latuda
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 676 participants (actual)
- Lead sponsor
- Sumitomo Pharma America, Inc.Industry (pharma, biotech, devices)
- Study start
- Sep 2011
- Primary completion
- Aug 2013 (actual)
- Study completion
- Aug 2013 (actual)
- First posted
- 19 Sep 2011 (estimated)
- Results
- Posted 25 Sep 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Lurasidone HCI is a compound that is FDA-approved for the treatment of schizophrenia. This clinical study is designed to test the hypothesis that Lurasidone is effective in the long term maintenance treatment of schizophrenia.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Lurasidone | Experimental | Drug: LurasidoneLurasidone 40 and 80 mg, once daily in the evening with a meal or 30 minutes after eating |
| Placebo | Placebo comparator | Drug: Matching PlaceboMatching placebo once daily in the evening with a meal or 30 minutes after eating |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (22 listed)
- Subject provides written informed consent and is willing and able to comply with the protocol in the opinion of the Investigator.
- Subject is ≥ 18 and ≤ 75 years of age, on the day of signing the informed consent.
- Subject meets DSM-IV-TR criteria for a primary diagnosis of schizophrenia [including disorganized (295.10), paranoid (295.30), undifferentiated (295.90) subtypes as established by clinical interview (using the DSM-IV-TR as a reference and confirmed using the SCID-CT)]. The duration of the subject's illness whether treated or untreated must be ≥ 1 year.
- Subject has had at least one prior episode of psychotic exacerbation as judged by the Investigator in the two years preceding screening.
- Subject has a PANSS Total score ≥ 80 with a score ≥ 4 on 1 or more of any PANSS Positive subscale items at screening and open-label baseline (Visit 2).
Key exclusion criteria (36 listed)
- Open Label - Subject has a DSM-IV Axis I or Axis II diagnosis other than schizophrenia that has been the primary focus of treatment within 3 months of screening.
- Subject answers "yes" to "Suicidal Ideation" item 4 (active suicidal ideation with some intent to act, without specific plan) or item 5 (active suicidal ideation with specific plan and intent) on the C-SSRS assessment at screening (in the past month) or baseline.
- Subject has attempted suicide within 3 months prior to the screening phase. Subject currently has a clinically significant medical condition including the following: neurological, metabolic (including Type 1 diabetes), hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, and/or urological disorder such as unstable angina, congestive heart failure (uncontrolled), or central nervous system (CNS) infection that would pose a risk to the subject if they were to participate in the study or that might confound the results of the study. Subjects with human immunodeficiency virus (HIV) seropositivity (or history of seropositivity) will be excluded.
- Note: Active medical conditions that are minor or well-controlled are not exclusionary if they do not affect risk to the subject or the study results. In cases in which the impact of the condition upon risk to the subject or study results is unclear, the Medical Monitor should be consulted. Any subject with a known cardiovascular disease or condition (even if controlled) must be discussed with the Medical Monitor before being screened.
- Subject has evidence of any chronic organic disease of the CNS such as tumors, inflammation, and active seizure disorder, vascular disorder, Parkinson's disease, Alzheimer's disease or other forms of dementia, myasthenia gravis, or other degenerative processes. In addition, subject must not have a history of mental retardation or persistent neurological symptoms attributable to serious head injury. Note: Past history of febrile seizures, drug-induced seizures, or alcohol withdrawal seizures is not exclusionary.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LurasidoneAlso: LatudaLurasidone 40 and 80 mg, once daily in the evening with a meal or 30 minutes after eating | Drug | Lurasidone |
| Matching PlaceboMatching placebo once daily in the evening with a meal or 30 minutes after eating | Drug | Placebo |
Primary outcome
Time to First Relapse Event During Double-blind Phase
Time frame: Double-blind phase - 28 Weeks
The Kaplan-Meier method is used for the estimation.
9 secondary outcomes
Time to All-cause Discontinuation
Time frame: Double-blind phase - 28 weeks
Change From Double-blind Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score
Time frame: Double-Blind phase - 28 Weeks
Change From Double-blind Baseline in Clinical Global Impression - Severity of Illness Scale (CGI-S) Score
Time frame: Double-blind phase - 28 Weeks
Change From Double-blind Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
Time frame: Double-blind phase - 28 Weeks
Change From Double-blind Baseline in Short Form-12v2 Health Survey (SF-12v2) Physical Component Score
Time frame: Double-blind phase - 28 Weeks
Change From Double-blind Baseline in Modified Specific Levels of Functioning (SLOF) Total Score
Time frame: Double-blind phase - 28 Weeks
Brief Adherence Rating Scale
Time frame: Double-blind phase - 28 Weeks
Smoking Questionnaire (Average Number of Cigarettes Per Day) at Week 28 (LOCF)
Time frame: 28 Weeks - Double Blind Phase
Intent to Attend (ITA) Assessment at Open-label Baseline
Time frame: Open Label Baseline
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Apr 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director, MD study director
Sumitomo Pharma America, Inc.
75 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Lurasidone in people with Schizophrenia, run by Sumitomo Pharma America, Inc. at 75 sites in 7 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 22 inclusion and 36 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Apr 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 75 sites in United States, Slovakia, Russia, Serbia, France and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 25 Sep 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to First Relapse Event During Double-blind Phase (time frame: Double-blind phase - 28 Weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Apr 2016.