SchizophreniaPhase 3NCT01911429
Pediatric Schizophrenia Efficacy and Safety Study
A Phase 3 study testing Lurasidone 40 mg and Lurasidone 80 mg in people with Schizophrenia, run by Sumitomo Pharma America, Inc. at 90 sites in 17 countries.
Trial summary
Efficacy and Safety study of Lurasidone in pediatric patients. Read more about this study
- Who is it for?
- Ages 13 to 17 years
- Conditions the study is for
- Schizophrenia
- What is being tested?
- Lurasidone 40 mg and Lurasidone 80 mg
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 327 participants
- Where
- 90 sitesin 17 countries
- Study dates
- Aug 2013to Dec 2015
- 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 13 to 17 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Written informed consent from parent(s) or legal guardian(s) with sufficient intellectual capacity to understand the study and support subjects' adherence to the study procedures must be obtained for subjects who are not emancipated. In accordance with Institutional Review Board (IRB) requirements, the subject will complete an informed assent prior to study participation.
- Male or female subjects 13 to 17 years of age, inclusive, at the time of consent.
- DSM-IV-TR axis I primary diagnosis of schizophrenia (including disorganized (295.10), paranoid (295.30), undifferentiated (295.90) subtypes) and confirmation of the schizophrenia diagnosis by an adequately trained clinician at the time of screening, by means of the Schedule for Affective Disorders and Schizophrenia for School-age Children (K-SADS-PL).
- PANSS total score ≥ 70 at screening and Baseline.
- CGI-S ≥ 4 at screening and Baseline.
- Within 5th to 95th percentile for gender specific weight-for-age and height-for-age Growth Charts from National Center for Health Statistics.
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- In good physical health on the basis of medical history, physical examination, and laboratory screening.
- Females who participate in this study:
- are unable to become pregnant (eg, premenarchal, surgically sterile, etc.); -OR-
- practices true abstinence (consistent with lifestyle) and must agree to remain abstinent from signing informed consent to at least 30 days after the last dose of study drug has been taken;
- -OR-
- are sexually active and willing to use a medically effective method of birth control (e.g., male using condom and female using condom, diaphragm, contraceptive sponge, spermicide, contraceptive pill, or intrauterine device) from signing informed consent to at least 7 days after the last dose of study drug has been taken.
- Males must be willing to remain sexually abstinent (consistent with lifestyle) or use an effective method of birth control (eg, male using condom and female using condom, diaphragm, contraceptive sponge, spermicide, contraceptive pill, or intrauterine device) from signing informed consent to at least 30 days after the last dose of study drug has been taken.
- In the judgement of the clinician, the subject has an acute exacerbation of psychotic symptoms (no longer than 2 months in duration) and marked deterioration of function from baseline (by history) or, the subject has been hospitalized for the purpose of treating an acute psychotic exacerbation for 2 consecutive weeks or less immediately before screening.
- In the judgment of the investigator, the subject is able to swallow the size and number of study drug tablets specified per protocol.
- Willing and able to adhere to protocol-specified meal requirements during dosing.
Who cannot join
- Has an Axis I or Axis II diagnosis other than schizophrenia that has been the primary focus of treatment within 3 months of screening.
- Has a history or current diagnosis of mental retardation, neuroleptic malignant syndrome, or any neurologic disorder, or severe head trauma.
- Lifetime history of human immunodeficiency virus (HIV) positive or acquired immune deficiency syndrome (AIDS), or history of Hepatitis B or C.
- Any of the following:
- Documented history of chromosomal disorder with developmental impairment (ie, trisomy chromosome 21; 22q11 deletion syndrome).
- Evidence of any chronic organic disease of the CNS such as tumors, inflammation, active seizure disorder, vascular disorder, potential CNS related disorders that might occur in childhood- eg, Duchenne Muscular dystrophy, myasthenia gravis, or other neurologic or serious neuromuscular disorders. In addition, subjects must not have a history of persistent neurological symptoms attributable to serious head injury. Past history of febrile seizure, drug-induced seizure, or alcohol withdrawal seizure is not exclusionary.
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- PANSS total scores ≥ 120 at screening or Baseline.
- Exhibits evidence of moderate or severe extrapyramidal symptoms, dystonia, tardive dyskinesia, or any other moderate or severe movement disorder. Severity to be determined by the investigator.
- Lifetime history of electroconvulsive therapy (ECT).
- Resistant to antipsychotic treatment based on at least two different prior adequate trials (ie, adequate dose and duration) of an antipsychotic agent within the current episode of schizophrenia.
- Clinically significant neurological, metabolic (including type 1 diabetes), hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, carcinoma, and/or urological disorder that would pose a risk to the subjects if they were to participate in the study or that might confound the results of the study.
- 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 during screening.
- Has a history of malignancy < 5 years prior to signing the informed consent.
- Clinically significant finding(s) on physical examination determined by the investigator to pose a health concern to the subject while on study.
- Clinically relevant abnormal laboratory values or abnormal vital sign values/findings.
- Note: If any laboratory results are outside the normal range, the site may have the subject retested. If upon retesting the value remains outside the normal range, the significance of this value must be discussed with the Medical Monitor for enrollment consideration.
- A history or presence of abnormal ECG, which in the investigator's opinion is clinically significant. Abnormal screening ECGs will be centrally over-read, and eligibility will be determined based on the over-read.
- Presence or history (within the last year) of a medical or surgical condition (eg, gastrointestinal disease) that might interfere with the absorption, metabolism, or excretion of orally administered lurasidone.
- Clinically significant alcohol abuse/dependence or drug abuse/dependence based on DSM-IV-TR criteria within the last 6 months prior to screening.
- Positive test results at screening or Baseline for:
- Urine drugs of abuse (amphetamines, barbiturates, benzodiazepines, cocaine, opiates, phencyclidine, cannabinoids, and methadone). A positive test for amphetamines, barbiturates, opiates, benzodiazepines or methadone may not result in exclusion of subjects if the investigator determines that the positive test is as a result of taking prescription medicine(s) as prescribed. In the event a subject tests positive for cannabinoids (tetrahydrocannabinol) or alcohol, the investigator will evaluate the subject's ability to abstain from prohibited substances during the study. If in the investigator's clinical judgment the subject will abstain, the subject may be enrolled after consultation with the Medical Monitor.
- Pregnancy test.
- Females who are pregnant, lactating, or likely to become pregnant during the study.
- Participated in another interventional clinical trial or receiving an investigational product within 30 days prior to randomization.
- Donation of whole blood within 60 days prior to randomization.
- Known history or presence of clinically significant intolerance to any antipsychotic medications including but not limited to angioedema, serotonin or neuroleptic malignant syndromes.
- Clinically relevant history of drug hypersensitivity to lurasidone or any components in the formulation.
- Use of concomitant medications that consistently prolong the QT/QTc interval within 28 days prior to randomization.
- Received depot neuroleptics unless the last injection was at least 1 month or 1 treatment cycle prior to screening, whichever is longer.
- Received treatment with antidepressants, stimulants, or atomoxetine within 3 days prior to randomization, fluoxetine hydrochloride within 21 days of randomization, monoamine oxidase (MAO) inhibitor within 28 days of randomization, or clozapine within 120 days of randomization.
- Use of any antipsychotic medication (other than study drug), carbamazepine, oxcarbazepine, eslicarbazepine acetate, or fluvoxamine, within 3 days prior to randomization (7 days prior to randomization for aripiprazole) and until follow-up.
- Has a prolactin concentration ≥ 100 ng/mL at screening, or has a history of pituitary adenoma.
- At screening or Baseline the subject answers "yes" to "Suicidal Ideation" Items 4 or 5 on the C-SSRS.
- Subject is considered by the investigator to be at imminent risk of suicide or injury to self, others, or property during the study. Subject has a history of one or more serious suicide attempts (based on the investigator's judgment) in the 3 months prior to screening. Subjects determined to be at risk of suicide or injury, as assessed by the investigator at screening, will be referred for further psychiatric evaluation.
- Adhering to a special diet for the 28 days prior to drug administration (eg, liquid, protein, raw food diet).
- Subject is planning to move during the study, is chronically homeless, or is unable to attend all planned study visits. The Medical Monitor will be consulted for individual cases, as needed.
- Demonstrates a decrease (improvement) of > 25% in the PANSS score between screening and Baseline visits.
- Subject with newly diagnosed Type 2 diabetes during screening. A subject with Type 2 diabetes is eligible for study inclusion if considered clinically stable, which is defined as:
- Random (non-fasting) screening glucose is < 200 mg/dl (11.1 mmol/L); and If ≥ 200 mg/dL (11.1 mmol/L) must be retested in a fasted state. Retested fasted value cannot be ≥ 126 mg/dL.
- HbA1c ≤ 6.5%; and 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 required hospitalization for diabetes or related complications in the past 12 months.
- Subject requires use of concomitant medications that are potent inducers or inhibitors of the cytochrome P450 (CYP) 3A4 enzyme system (Appendix C) from signing informed consent until follow-up.
- Clinically significant orthostatic hypotension (ie., a drop in systolic blood pressure of 20 mmHg or more and/or drop in diastolic blood pressure of 10 mmHg or more within 4 minutes of standing up).
Trial locations and contacts
90 sites in 17 countries.
90 sites in 17 countries
United States36 sites
California Pharmaceutical Research Institute, Inc
Anaheim, California, 92804
Atlanta Center for Medical Research
Atlanta, Georgia, 30308
BioBehavioral Research of Austin
Austin, Texas, 78759
Central Valley Medical Research
Bakersfield, California, 93311
Kennedy Krieger Institute
Baltimore, Maryland, 21205
Neurobehavioral Medicine Group, PLLC
Bloomfield Hills, Michigan, 48302
Florida Clinical Research Center, LLC
Bradenton, Florida, 34201
University of Virginia
Charlottesville, Virginia, 22903
University of Cincinnati Medical Center
Cincinnati, Ohio, 45219
University Hospitals Case Medical Center
Cleveland, Ohio, 44106
ProScience Research Group
Culver City, California, 90230
Pillar Clinical Research, LLC
Dallas, Texas, 75243
Harmonex Neuroscience Research
Dothan, Alabama, 36303
Diligent Clinical Trials, Inc
Downey, California, 90241
BioBehavioral Research of Austin
El Campo, Texas, 77437
Sarkis Clinical Trials - Parent
Gainesville, Florida, 32607
Collaborative Neuroscience Network, LLC
Garden Grove, California, 92845
Hartford Hospital
Hartford, Connecticut, 06106
Global Clinical Trials, LLC
Irvine, California, 92614
Lake Charles Clinical Trials, LLC
Lake Charles, Louisiana, 70629
Research Strategies of Memphis, LLC
Memphis, Tennessee, 38119
Baber Research Group
Naperville, Illinois, 60563
Jersey Shore University Medical Center
Neptune City, New Jersey, 07753
Manhattan Behavioral Medicine, LLC
New York, New York, 10022
Cutting Edge Research Group
Oklahoma City, Oklahoma, 73116
Neuropsychiatric Research Center of Orange County
Orange, California, 92868
Aspen Clinical Research
Orem, Utah, 84058
APG Research, LLC
Orlando, Florida, 32803
Asclepes Research
Panorama City, California, 91402
CITrials, Inc. - Riverside & San Bernardino County
Riverside, California, 92506
Finger Lakes Clinical Research
Rochester, New York, 14618
Medical Research Group of Central Florida
Sanford, Florida, 32771
Institute for Behavioral Medicine, LLC
Smyrna, Georgia, 30080
Richmond Behavioral Associates
Staten Island, New York, 10312
Family Psychiatry of The Woodlands, P.A.
The Woodlands, Texas, 77381
Children's National Medical Center
Washington D.C., District of Columbia, 20010
Ukraine10 sites
RPsH #3 Сhildren Dept SHEI Ivano-Frankivsk SMU
Ivano-Frankivsk, 76014
SI Institute of Neurology, Psychiatry and Narcology of NAMSU
Kharkiv, 61068
SI Institute of Children and Adolescents Healthcare of NAMSU
Kharkiv, 61153
CI Kherson Regional Psychiatric Hospital of Kherson RC
Kherson,Vil. Stepanivka, 73488
TMA Psychiatry in Kyiv Center of NT & Rehabilitation of Psychotic Conditions
Kyiv, 04080
CI Lviv Regional Clinical Psychiatric Hospital
Lviv, 79021
CI Odesa Regional Medical Center of Mental Health
Odesa, 65006
O.F. Maltcev Poltava RCPsH Children Dept Ukrainian Medical Stomatological Academy
Poltava, 36006
Ternopil RCCPH Dept of Psychiatry #9 (adolescent)& #8 (pediatric) Ternopil I.Ya. Gorbachevskyi SMU
Ternopil, 46020
M.I. Pyrogov VNMU Ch of Psych&Nar BO CI O.I. Yuschenko VRPsH
Vinnytsia, 21005
Russia7 sites
Regional Government Institution Kipetsk Regional Psychoneurology Hospital
Lipetsk, 399083
St. Petersburg State Healthcare Institution (SPSHI)
Saint Petersburg, 190005
FSBI "Bekhterev Psychoneurological Research Institute SPb Russia"
Saint Petersburg, 192019
SHI Regional Clinical Psychiatry Hospital of St. Sofia
Saratov, 410060
FSBSI "Scientific Research Institute of Mental Health"
Tomsk, 634014
Nizhny Novgorod Regional State Institution of Healthcare
Velikiy Novgorod, 603155
Sverdlov regional Psychiatric Clinical Hospital
Yekaterinburg, 620030
Bulgaria4 sites
MHC - Ruse, EOOD
Rousse, 7003
UMHAT "Alexandrovska" EAD
Sofia, 1431
MHAT-Targovishte, AD
Targovishte, 7700
MHAT 'Sv. Marina', EAD
Varna, 9003
Philippines4 sites
Alexian Brothers Health and Wellness Center
Daveo City, 8000
West Visayas State University Medical Center
Iloilo City, 5000
National Center for Mental Health
Mandaluyong, 1553
Veterans Memorial Medical Center
Quezon City, 1101
Colombia3 sites
Centro de Investigaciones y Proyectos en Neurociencias CIPNA
Barranquilla
E.S.E. Hospital Mental de Antioquia
Bello, 0000
Centro de Investigaciones del Sistema Nervioso Limitada - Grupo CISNE Ltda
Bogotá, 00000
Mexico3 sites
Centro para el Desarrollo de la Medicina y de Asistencia Medica Especializada S.C.
Culiacán, 80020
Accelerium S. de R.L. de C.V.
Monterrey, 64000
Instituto de Informacion de Investigacion en Salud Mental
Monterrey, 64710
Poland3 sites
Wojewodzki Szpital Zespolony im. L. Rydygiera w Toruniu
Torun, 87-100
NZOZ Poradnia Zdrowia Psychicznego
Tyniec Mały, 55-040
Instytut Psychiatrii i Neurologii
Warsaw, 02-957
Puerto Rico3 sites
Centro de Investigacion Clinica Psiquiatrica
Caguas, 00725
Centro de Investigacion Clinica Psiquiatrica
Ponce, 00731
INSPIRA Clinical Research
San Juan, 00918
Romania3 sites
Spitalul Clinic de Psihiatrie Prof. Dr. Alexandru Obregia
Bucharest, 041914
Spitalul Clinic de Psihiatrie Socola
Iași, 700282
Spitalul Clinic de Urgenta pentru Copii "Louis Turcanu" Timisoara
Timișoara, 300239
South Korea3 sites
Inha University Hospital
Incheon, 400-711
Chonbuk National University Hospital
Jeonju, 561-712
Severance Hospital, Yonsei University Health System
Seoul, 120-752
United Kingdom3 sites
Royal Cornhill Hospital
Aberdeen, Strathclyde, AB25 2ZH
Northcroft
Birmingham, B23 6DW
Royal Edinburgh Hospital
Edinburgh, EH10 5HF
France2 sites
CHU Nantes - Hôpital Mère-Enfant
Nantes, Loire Atlantique, 44093
Hôpitaux Pédiatriques de Nice CHU-Lenval
Nice, 06200
Hungary2 sites
Vadaskert Alapitvany a Gyermekek Lelki Egeszsegeert
Budapest, 1021
Bekes Megyei Pandy Kalman Korhaz
Gyula, 5700
Spain2 sites
Hospital Sant Joan de Deu
Barcelona, 08950
Hospital Marítimo de Torremolinos
Torremolinos, Málaga, 29620
Malaysia1 site
University Malaya Medical Centre
Lembah Pantai, Kuala Lumpur, 59100
About this study
Official title: A 6-Week Randomized, Parallel, Double-Blind, Placebo-Controlled, Fixed-Dose, Multicenter Study To Evaluate The Efficacy and Safety of Lurasidone in Adolescent Subjects With Schizophrenia
Efficacy and Safety study of Lurasidone in pediatric patients.
Read the detailed description
To evaluate the efficacy of lurasidone (40 mg/day and 80 mg/day) compared with placebo in adolescent subjects with schizophrenia (diagnosed by Diagnostic and Statistical Manual of Mental Disorders, 4th Ed., Text Revision [DSM-IV-TR] criteria) as measured by the change from Baseline in the Positive and Negative Syndrome Scale (PANSS) total score at Week 6.
- Conditions
- Schizophrenia
- Being tested
- Lurasidone 40 mg, Lurasidone 80 mg, Placebo 40 or 80 mg
- 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.
Lurasidone 40 mgDrug
Also called Latuda
Lurasidone 40 mg once daily
Lurasidone 80 mgDrug
Also called Latuda
Lurasidone 80 mg once daily
Placebo 40 or 80 mgDrug
Placebo 40 or 80 mg once daily
| Study group | Role | What they receive |
|---|---|---|
| Lurasidone 40 mg | Experimental | Lurasidone 40 mg once daily Receives: Drug: Lurasidone 40 mg |
| Lurasidone 80 mg | Experimental | Lurasidone 80 mg once daily Arm received the Lurasidone 40mg dose first, from Days 1-3, and then received the Lurasidone 80 mg dose from day 4 to Week 6 Receives: Drug: Lurasidone 80 mg |
| Placebo | Placebo comparator | Placebo 40 or 80 mg once daily Receives: Drug: Placebo 40 or 80 mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at Week 6.
PANNS total score: Changes from baseline over time - mixed model for repeated measures at week 6 -PANSS total score may range from 30 to 210- Higher values of PANSS total score represent greater severity of illness
LS Mean and SE for change from baseline are based on Mixed Model for Repeated Measures with fixed effects terms for treatment, visit (as a categorical variable), pooled country, age strata, PANSS total score at baseline, and treatment-by-visit interaction.
Measured: Baseline to 6 weeks
Secondary outcomes (8)
Change From Baseline in Clinical Global Impression Severity (CGI-S) Scale
Clinical Global Impression severity (CGI-S): Changes from baseline over time-mixed model for repeated measures- scale from 1-7 - 1=normal, not at all ill; 7=among the most extremely ill patients.
LS Mean and SE for change from baseline are based on Mixed Model for Repeated Measures with fixed effects terms for treatment, visit (as a categorical variable), pooled country, age strata, CGIS at baseline, and treatment-by-visit interaction.
Measured: baseline, week 6
Change From Baseline in PANSS Positive Subscale Scores
PANSS positive subscale score: changes from baseline over time - mixed model for repeated measures -Positive subscale (range 7-49): sum of Items P1 to P7 in the positive subscale - Higher values of PANSS Positive Subscale Score represent greater severity of illness
LS Mean and SE for change from baseline are based on Mixed Model for Repeated Measures with fixed effects terms for treatment, visit (as a categorical variable), pooled country, age strata, corresponding PANSS subscale score at baseline, and treatment-by-visit interaction.
Measured: baseline, week 6
Change From Baseline in PANSS Positive, Negative Subscale Scores
PANSS Negative subscale score: changes form baseline over time - Mixed model for repeated measures - - Negative subscale (range 7-49): sum of Items N1 to N7 in the negative subscale - Higher values of PANSS Negative Subscale Score represent greater severity of illness
LS Mean and SE for change from baseline are based on Mixed Model for Repeated Measures with fixed effects terms for treatment, visit (as a categorical variable), pooled country, age strata, corresponding PANSS subscale score at baseline, and treatment-by-visit interaction.
Measured: baseline, week 6
Proportion of Responders, Where Response is Based on ≥ 20% Improvement From Baseline in PANSS Total Score at Week 6
PANSS responder analysis over time: achieving >= 20% reduction from baseline
Measured: week 6
Change From Baseline in Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q)
PQ-LES-Q percentage maximum possible score: summary statistics over time - PQ-LES-Q % maximum possible score can range from 0% to 100%. Higher scores indicate better quality of life.
LS Mean and SE for change from baseline are from an ANCOVA model including factors of treatment, pooled country and age group (stratification factor), and corresponding Baseline score as covariate and LOCF approach.
Measured: baseline, week 6
Change From Baseline in Clinician-rated Children's Global Assessment Scale (CGAS)
Clinician-rated Children's Global Assessment Scale (CGAS) score: summary statistics over time - CGAS is a numeric scale (1 through 100) , where 1 represents the most impaired functioning and 100, superior functioning
LS Mean and SE for change from baseline are from an ANCOVA model including factors of treatment, pooled country and age group (stratification factor), and corresponding Baseline score as covariate and LOCF approach.
Measured: baseline, week 6
Change From Baseline in PANSS General Psychopathology Subscale Scores
PANSS general psychopathology subscale score: changes from baseline over time - mixed model for repeated measures -- General psychopathology (range 16-112): sum of Items G1 to G16 in the general psychopathology subscale -Higher values of PANSS General Psychopathology Subscale Score represent greater severity of illness
LS Mean and SE for change from baseline are based on Mixed Model for Repeated Measures with fixed effects terms for treatment, visit (as a categorical variable), pooled country, age strata, corresponding PANSS subscale score at baseline, and treatment-by-visit interaction.
Measured: baseline, week 6
Change From Baseline in PANSS Excitability Subscale Scores
Excitability subscale scores (range 4-28): consists of the following four items from the PANSS: excitement, hostility, uncooperativeness, and poor impulse control
- Higher values of PANSS Excitability Subscale Score represent greater severity of illness
LS Mean and SE for change from baseline are based on Mixed Model for Repeated Measures with fixed effects terms for treatment, visit (as a categorical variable), pooled country, age strata, corresponding PANSS subscale score at baseline, and treatment-by-visit interaction.
Measured: baseline, week 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Jul 2013 (estimated)
- Study startAug 2013
- Primary completionDec 2015
- Study completionDec 2015
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
- 327 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sumitomo Pharma America, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Lurasidone Medical Director, Study director, Sumitomo Pharma America, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01911429
- Sponsor's protocol ID
- D1050301
- Other IDs
- 2013-001695-38
- Status last verified
- Mar 2017
- First submitted
- 22 Jul 2013
- Last updated
- 18 Apr 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 18 Apr 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 6-Week Randomized, Parallel, Double-Blind, Placebo-Controlled, Fixed-Dose, Multicenter Study To Evaluate The Efficacy and Safety of Lurasidone in Adolescent Subjects With Schizophrenia
- ClinicalTrials.gov ID
- NCT01911429
- Acronym / sponsor ID
- D1050301
- Conditions
- Schizophrenia
- Keywords
- schizophrenia, Lurasidone, Latuda
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 327 participants (actual)
- Lead sponsor
- Sumitomo Pharma America, Inc.Industry (pharma, biotech, devices)
- Study start
- Aug 2013
- Primary completion
- Dec 2015 (actual)
- Study completion
- Dec 2015 (actual)
- First posted
- 30 Jul 2013 (estimated)
- Results
- Posted 22 Mar 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Efficacy and Safety study of Lurasidone in pediatric patients.
Detailed description
To evaluate the efficacy of lurasidone (40 mg/day and 80 mg/day) compared with placebo in adolescent subjects with schizophrenia (diagnosed by Diagnostic and Statistical Manual of Mental Disorders, 4th Ed., Text Revision [DSM-IV-TR] criteria) as measured by the change from Baseline in the Positive and Negative Syndrome Scale (PANSS) total score at Week 6.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Lurasidone 40 mg | Experimental | Drug: Lurasidone 40 mgLurasidone 40 mg once daily |
| Lurasidone 80 mg | Experimental | Drug: Lurasidone 80 mgLurasidone 80 mg once daily Arm received the Lurasidone 40mg dose first, from Days 1-3, and then received the Lurasidone 80 mg dose from day 4 to Week 6 |
| Placebo | Placebo comparator | Drug: Placebo 40 or 80 mgPlacebo 40 or 80 mg once daily |
Who may qualify
- Ages
- 13 to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (16 listed)
- Written informed consent from parent(s) or legal guardian(s) with sufficient intellectual capacity to understand the study and support subjects' adherence to the study procedures must be obtained for subjects who are not emancipated. In accordance with Institutional Review Board (IRB) requirements, the subject will complete an informed assent prior to study participation.
- Male or female subjects 13 to 17 years of age, inclusive, at the time of consent.
- DSM-IV-TR axis I primary diagnosis of schizophrenia (including disorganized (295.10), paranoid (295.30), undifferentiated (295.90) subtypes) and confirmation of the schizophrenia diagnosis by an adequately trained clinician at the time of screening, by means of the Schedule for Affective Disorders and Schizophrenia for School-age Children (K-SADS-PL).
- PANSS total score ≥ 70 at screening and Baseline.
- CGI-S ≥ 4 at screening and Baseline.
Key exclusion criteria (43 listed)
- Has an Axis I or Axis II diagnosis other than schizophrenia that has been the primary focus of treatment within 3 months of screening.
- Has a history or current diagnosis of mental retardation, neuroleptic malignant syndrome, or any neurologic disorder, or severe head trauma.
- Lifetime history of human immunodeficiency virus (HIV) positive or acquired immune deficiency syndrome (AIDS), or history of Hepatitis B or C.
- Any of the following:
- Documented history of chromosomal disorder with developmental impairment (ie, trisomy chromosome 21; 22q11 deletion syndrome).
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 |
|---|---|---|
| Lurasidone 40 mgAlso: LatudaLurasidone 40 mg once daily | Drug | Lurasidone 40 mg |
| Lurasidone 80 mgAlso: LatudaLurasidone 80 mg once daily | Drug | Lurasidone 80 mg |
| Placebo 40 or 80 mgPlacebo 40 or 80 mg once daily | Drug | Placebo |
Primary outcome
Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at Week 6.
Time frame: Baseline to 6 weeks
PANNS total score: Changes from baseline over time - mixed model for repeated measures at week 6 -PANSS total score may range from 30 to 210- Higher values of PANSS total score represent greater severity of illness LS Mean and SE for change from baseline are based on Mixed Model for Repeated Measures with fixed effects terms for treatment, visit (as a categorical variable), pooled country, age strata, PANSS total score at baseline, and treatment-by-visit interaction.
8 secondary outcomes
Change From Baseline in Clinical Global Impression Severity (CGI-S) Scale
Time frame: baseline, week 6
Change From Baseline in PANSS Positive Subscale Scores
Time frame: baseline, week 6
Change From Baseline in PANSS Positive, Negative Subscale Scores
Time frame: baseline, week 6
Proportion of Responders, Where Response is Based on ≥ 20% Improvement From Baseline in PANSS Total Score at Week 6
Time frame: week 6
Change From Baseline in Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q)
Time frame: baseline, week 6
Change From Baseline in Clinician-rated Children's Global Assessment Scale (CGAS)
Time frame: baseline, week 6
Change From Baseline in PANSS General Psychopathology Subscale Scores
Time frame: baseline, week 6
Change From Baseline in PANSS Excitability Subscale Scores
Time frame: baseline, week 6
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Apr 2017.
- 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.
Lurasidone Medical Director study director
Sumitomo Pharma America, Inc.
90 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Lurasidone 40 mg and Lurasidone 80 mg in people with Schizophrenia, run by Sumitomo Pharma America, Inc. at 90 sites in 17 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 16 inclusion and 43 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 18 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 90 sites in United States, Ukraine, Russia, Bulgaria, Philippines and 12 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 22 Mar 2017). 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?
Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at Week 6. (time frame: Baseline to 6 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 18 Apr 2017.