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SchizophreniaPhase 1NCT02824055

A Study to Evaluate The Effects of RO5545965 in Participants With Negative Symptoms of Schizophrenia Treated With Antipsychotics

A Phase 1 study testing RO5545965 in people with Schizophrenia, run by Hoffmann-La Roche at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a multicenter, randomized, double-blind, placebo-controlled, three period crossover study to evaluate the effects of RO5545965 on the functioning of key brain circuitry involved in negative symptoms using functional magnetic resonance imaging (fMRI) and reward-based learning in stable participants with mild to… Read more about this study

Who is it for?
Ages 18 to 50 years
Conditions the study is for
Schizophrenia
What is being tested?
RO5545965
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
33 participants
Where
3 sitesUnited States
Study dates
27 Jun 2016to 24 Apr 2017
Phase
Phase 1
Are there results?
None posted in the registry

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 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • A diagnostic and statistical manual of mental disorders-5 (DSM-5) diagnosis of schizophrenia as established by structured clinical interview for DSM-5-clinical trial (SCID-5-CT) at screening
  • Participants with no hospitalization for worsening of schizophrenia within 3 months prior to screening
  • Male and female participants with no childbearing capacity; females must be either surgically sterile or postmenopausal for at least 1 year
  • Body mass index (BMI) greater than (>) 18.5 kilograms per square meter (kg/m^2) and less than (<) 35 kg/m^2
  • Fluent in English, even if English is not the primary language
  • Participants with clinical global impression-severity (CGI-S) score greater than or equal to (>/=) 3 (mildly ill)
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  • Participants with a score of less than or equal to (</=) 4 (moderate) on positive and negative syndrome scale (PANSS) items P7 (hostility), G8 (uncooperativeness) and G6 (depression)
  • Participants with PANSS negative symptom factor score >/=18
  • Participants with calgary depression rating scale for schizophrenia (CDSS) score </=8
  • Participants on stable treatment, that is 6 weeks without change, with no more than two antipsychotics prior to screening

Who cannot join

  • Moderate to severe substance use disorder within 6 months as defined by DSM-5
  • Positive urine drug screen for amphetamines, methamphetamines, opiates, buprenorphine, methadone, cannabinoids, cocaine and barbiturates
  • Participants at significant risk of suicide or harming him or herself or others according to the Investigator's judgment
  • History of neuroleptic malignant syndrome
  • A prior or current general medical condition that might be impairing cognition or other psychiatric functioning
  • A movement disorder due to antipsychotic treatment not currently controlled with anti-extrapyramidal symptoms (anti-EPS) treatment or another movement disorder which might affect the ratings on the EPS scales
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  • Participants with a score >2 (mild) in any of the four CGI-S items of the extrapyramidal symptom rating scale (ESRS-A)
  • History of human immunodeficiency virus (HIV) infection, Hepatitis B, or Hepatitis C infection
  • QTcF interval >450 milliseconds (msec) (470 msec for females) or other significant abnormality on screening electrocardiogram (ECG) based on centralized reading
  • Clinically significant abnormalities in laboratory safety test results
  • Significant or unstable physical condition
  • Receipt of an investigational drug within 90 days or 5 times the half-life of the investigational drug, whatever is longer, prior to screening
  • Previously received RO5545965
  • Electroconvulsive treatment (ECT) within 6 months prior to screening
  • Current or 6 months prior to screening treatment with olanzapine or clozapine
  • Change in benzodiazepine or sleep medication regimen within 2 weeks prior to screening
  • Change in anti-EPS medication within two weeks prior to screening
  • Use of prohibited medications taken within 14 days or within 5 times the elimination half-life of the medication before the first study drug administration
  • Use of any strong or moderate inhibitor of cytochrome P 450 3A (CYP3A) or CYP2C8 and any inducer of CYP3A within 14 days or within 5 times the elimination half-life of the medication (whichever is longer) before the first study drug administration
  • Use of any other nutrients known to modulate CYP3A activity within 1 week before the first study drug administration

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • CNS Network

    Garden Grove, California, 92845

  • Parexel California Clinical Trials Medical Group

    Glendale, California, 91206

  • St Louis Clinical Trials

    St Louis, Missouri, 63141

Other trials in United States

About this study

This is a multicenter, randomized, double-blind, placebo-controlled, three period crossover study to evaluate the effects of RO5545965 on the functioning of key brain circuitry involved in negative symptoms using functional magnetic resonance imaging (fMRI) and reward-based learning in stable participants with mild to moderate negative symptoms of schizophrenia treated with antipsychotics. Participants will be randomized to one of six different sequences during which each participant will receive three 3-week treatment courses with RO5545965 5 milligrams (mg), RO5545965 15 mg and placebo. Each treatment period will be separated by a washout period of 14 days. Total duration of study will be approximately 17 weeks.

Conditions
Schizophrenia
Being tested
Placebo, RO5545965
Medical subject headings
Schizophrenia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDrug

    Participants will receive placebo matched to RO5545965 capsules orally daily in any of the three intervention period.

  • RO5545965Drug

    Participants will receive RO5545965 5 mg capsules or RO5545965 15 mg capsules (5 mg for 3 days, 10 mg for 3 days and 15 mg for 15 days) orally daily in any of the three intervention period.

Study groups in NCT02824055
Study groupRoleWhat they receive
Placebo first; then RO5545965 15 mg; then RO5545965 5mgPlacebo comparatorParticipants will receive placebo matched to RO5545965 capsules orally daily from Weeks 1 to 3 in first intervention period; then RO5545965 15 mg capsules (5 mg for 3 days, 10 mg for 3 days and 15 mg for 15 days) orally daily from Weeks 6 to 8 in second intervention period; followed by RO5545965 5 mg capsules orally daily from Weeks 11 to 13 in third intervention period. A washout period of minimum 14 days will be maintained between each period.
Receives: Drug: Placebo; Drug: RO5545965
Placebo first; then RO5545965 5 mg; then RO5545965 15 mgPlacebo comparatorParticipants will receive placebo matched to RO5545965 capsules orally daily from Weeks 1 to 3 in first intervention period; then RO5545965 5 mg capsules orally daily from Weeks 6 to 8 in second intervention period; followed by RO5545965 15 mg capsules (5 mg for 3 days, 10 mg for 3 days and 15 mg for 15 days) orally daily from Weeks 11 to 13 in third intervention period. A washout period of minimum 14 days will be maintained between each period.
Receives: Drug: Placebo; Drug: RO5545965
RO5545965 15 mg first; then Placebo; then RO5545965 5 mgExperimentalParticipants will receive RO5545965 15 mg capsules (5 mg for 3 days, 10 mg for 3 days and 15 mg for 15 days) orally daily from Weeks 1 to 3 in first intervention period; then placebo matched to RO5545965 capsules orally daily from Weeks 6 to 8 in second intervention period; followed by RO5545965 5 mg capsules orally daily from Weeks 11 to 13 in third intervention period. A washout period of minimum 14 days will be maintained between each period.
Receives: Drug: Placebo; Drug: RO5545965
RO5545965 15 mg first; then RO5545965 5 mg; then PlaceboExperimentalParticipants will receive RO5545965 15 mg capsules (5 mg for 3 days, 10 mg for 3 days and 15 mg for 15 days) orally daily from Weeks 1 to 3 in first intervention period; then RO5545965 5 mg capsules orally daily from Weeks 6 to 8 in second intervention period; followed by placebo matched to RO5545965 capsules orally daily from Weeks 11 to 13 in third intervention period. A washout period of minimum 14 days will be maintained between each period.
Receives: Drug: Placebo; Drug: RO5545965
RO5545965 5 mg first; then Placebo; then RO5545965 15 mgExperimentalParticipants will receive RO5545965 5 mg capsules orally daily from Weeks 1 to 3 in first intervention period; then placebo matched to RO5545965 capsules orally daily from Weeks 6 to 8 in second intervention period; followed by RO5545965 15 mg capsules (5 mg for 3 days, 10 mg for 3 days and 15 mg for 15 days) orally daily from Weeks 11 to 13 in third intervention period. A washout period of minimum 14 days will be maintained between each period.
Receives: Drug: Placebo; Drug: RO5545965
RO5545965 5 mg first; then RO5545965 15 mg; then PlaceboExperimentalParticipants will receive RO5545965 5 mg capsules orally daily from Weeks 1 to 3 in first intervention period; then RO5545965 15 mg capsules (5 mg for 3 days, 10 mg for 3 days and 15 mg for 15 days) orally daily from Weeks 6 to 8 in second intervention period; followed by placebo matched to RO5545965 capsules orally daily from Weeks 11 to 13 in third intervention period. A washout period of minimum 14 days will be maintained between each period.
Receives: Drug: Placebo; Drug: RO5545965

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Apparent volume of distribution (Vz/F)

    Measured: Pre-dose on Days 8, 15, 22, 43, 50, 57, 78, 85 and 96; additional 2 hour post-dose on Days 15, 50, and 85

  2. Activity of the ventral striatum during reward expectation in a monetary incentive delay fMRI task as measured by blood oxygen level dependent (BOLD) activity

    Measured: Baseline (Day 1) up to end of study (up to 17 weeks)

  3. Performance in reward based learning tasks as measured by the working memory reinforcement learning task

    Measured: Day 22 up to Day 92

  4. Performance in reward based learning tasks as measured by the effort cost/benefit tradeoff task

    Measured: Day 22 up to Day 92

  5. Apparent oral clearance (CL/F)

    Measured: Pre-dose on Days 8, 15, 22, 43, 50, 57, 78, 85 and 96; additional 2 hour post-dose on Days 15, 50, and 85

Secondary outcomes (12)
  1. Activity in the dorsolateral prefrontal cortex in the N-back working memory task as measured by BOLD activity

    Measured: Baseline (Day 1) up to end of study (up to 17 weeks)

  2. Cerebral blood flow in key brain areas (ventral striatum, orbitofrontal cortex) implicated in the etiology of negative symptoms as measured by arterial spin labeling (ASL)

    Measured: Baseline (Day 1) up to end of study (up to 17 weeks)

  3. Overall symptoms score of schizophrenia based on total PANSS

    Measured: Baseline (Day 1), Days 22, 57, and 92

  4. Symptom domains of schizophrenia based on PANSS factor subscales

    Measured: Baseline (Day 1), Days 22, 57, and 92

  5. Negative symptoms score of schizophrenia based on brief negative symptom scale (BNSS)

    Measured: Baseline (Day 1), Days 22, 57, and 92

  6. Overall clinical status based on CGI-S scores

    Measured: Baseline (Day 1), Days 22, 57, and 92

  7. Overall clinical status based on CGI-Improvement (CGI-I) score

    Measured: Baseline (Day 1), Days 22, 57, and 92

  8. Overall global impression of negative symptoms based on CGI-S negative symptoms

    Measured: Baseline (Day 1), Days 22, 57, and 92

  9. Overall global impression of negative symptoms based on CGI-I negative symptoms

    Measured: Baseline (Day 1), Days 22, 57, and 92

  10. Area under the concentration-time curve (AUC)

    Measured: Pre-dose on Days 8, 15, 22, 43, 50, 57, 78, 85 and 96; additional 2 hour post-dose on Days 15, 50, and 85

  11. Maximum observed plasma concentration (Cmax)

    Measured: Pre-dose on Days 8, 15, 22, 43, 50, 57, 78, 85 and 96; additional 2 hour post-dose on Days 15, 50, and 85

  12. Number of participants with adverse events (AEs) and serious adverse events (SAEs)

    Measured: Screening (Day -15 to Day -1) up to end of study (up to 17 weeks)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Jul 2016 (estimated)
  2. Study start27 Jun 2016
  3. Primary completion24 Apr 2017
  4. Study completion24 Apr 2017

Resources

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02824055
Sponsor's protocol ID
BP29904
Status last verified
Jun 2017
First submitted
21 Jun 2016
Last updated
7 Jun 2017
Results posted
No

Publications

  • Omlor W, Cecere G, Huang GY, Spiller T, Misra AR, Rabe F, Kallen N, Kirschner M, Surbeck W, Burrer A, Garibaldi G, Holiga S, Dukart J, Umbricht D, Homan P. Exploratory analysis of the relationship between striatal connectivity and apathy during phosphodiesterase 10 inhibition in schizophrenia: findings from a randomized crossover trial. BMC Med. 2025 Mar 28;23(1):187. doi: 10.1186/s12916-025-04004-2.

    PubMed 40155941
  • Umbricht D, Cheng WY, Lipsmeier F, Bamdadian A, Lindemann M. Deep Learning-Based Human Activity Recognition for Continuous Activity and Gesture Monitoring for Schizophrenia Patients With Negative Symptoms. Front Psychiatry. 2020 Sep 16;11:574375. doi: 10.3389/fpsyt.2020.574375. eCollection 2020.

    PubMed 33192706

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing RO5545965 in people with Schizophrenia, run by Hoffmann-La Roche at 3 sites in United States.

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 10 inclusion and 20 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 7 Jun 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Apparent volume of distribution (Vz/F) (time frame: Pre-dose on Days 8, 15, 22, 43, 50, 57, 78, 85 and 96; additional 2 hour post-dose on Days 15, 50, and 85). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02824055, which also lists 2 linked publications.

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 7 Jun 2017.

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