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Schizophrenia, Schizoaffective DisorderPhase 2NCT03669640

A Study to Assess the Effects of RO6889450 (Ralmitaront) in Participants With Schizophrenia or Schizoaffective Disorder and Negative Symptoms

A Phase 2 study testing RO6889450 in people with Schizophrenia, Schizoaffective Disorder, run by Hoffmann-La Roche at 45 sites in 4 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study investigates the effects of RO6889450 on the negative symptoms associated with schizophrenia and schizoaffective disorder. Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Schizophrenia, Schizoaffective Disorder
What is being tested?
RO6889450
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
131 participants
Where
45 sitesin 4 countries
Study dates
4 Dec 2018to 12 Mar 2023
Phase
Phase 2
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 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patients with a Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnosis of schizophrenia or schizoaffective disorder as confirmed by the Mini International Neuropsychiatric Interview (MINI)
  • Part B only: Stable treatment with a dopamine/serotonin (D2/5HT2A) antagonist or pure D2 antagonist(s), or a D2 partial agonist for a minimum of 6 months and receiving no more than two antipsychotics
  • Medically stable during the 3 months prior to study entry
  • Participant is an outpatient with no psychiatric hospitalizations within the prior 6 months
  • PANSS negative symptom factor score of 18 or higher
  • The following rating on items of the PANSS: (a) less than 5 on G8 (uncooperativeness), P1 (delusions), P3 (hallucinations), P4 (excitement/hyperactivity), and P6 (suspiciousness/persecution); (b) less than 4 on P7 (hostility), and G14 (poor impulse control)
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  • Has an informant who is considered reliable by the Investigator
  • Body mass index (BMI) between 18-40 kg/m2 inclusive
  • Female participants are eligible to participate if not pregnant, not breastfeeding and agree to remain abstinent or use acceptable contraceptive methods during the treatment period and for at least 28 days after the last dose of study drug

Who cannot join

  • Moderate to severe substance use disorder within six months of study entry (excluding nicotine or caffeine) as defined by DSM-5
  • Extrapyramidal symptom rating scale (ESRS-A CGI) subscore greater than or equal to 3
  • Other current DSM-5 diagnosis (e.g., bipolar disorder, major depressive disorder)
  • PANSS item G6 (depression) greater than or equal to 5
  • Significant risk of suicide or harming him- or herself or others according to the Investigator's judgment
  • A prior or current general medical condition that might be impairing cognition or other psychiatric functioning
Show all 20Show fewer
  • Positive result at screening for hepatitis B surface antigen (HBsAg), hepatitis C (HCV), or HIV-1 and HIV-2. HCV antibody positive participants are eligible if HCV RNA is negative
  • Tardive dyskinesia that is moderate to severe or requires treatment
  • History of neuroleptic malignant syndrome
  • Average triplicate Fridericia's Correction Formula (QTcF) interval greater than 450 milliseconds (msec) for males and 470 msec for females or other clinically significant abnormality on screening electrocardiogram (ECG) based on centralized reading
  • Clinically significant abnormalities in laboratory safety test results
  • Significant or unstable physical condition that in the investigator's judgment might require a change in medication or hospitalization during the course of the study
  • On more than one antidepressant, or if on one antidepressant, a change in dose within 28 days prior to screening
  • History of clozapine treatment
  • History of treatment with electroconvulsive therapy (ECT)
  • Concomitant use of prohibited medications
  • Positive urine drug screen for amphetamines, methamphetamines, opiates, buprenomorphine, methadone, cannabinoids, cocaine, and barbiturates
  • Receipt of an investigational drug within 28 days or five times the half-life of the investigational drug (whichever is longer) before the first study drug administration
  • Donation of blood over 400 mL within 3 months prior to screening
  • Diagnosis of COVID-19 infection (confirmed or presumptive) 4 weeks prior to screening or during screening. Participants can be re-screened after 4 weeks of full recovery in addition to Investigator and/or institutional approval to enroll

Trial locations and contacts

45 sites in 4 countries.

45 sites in 4 countries

United States28 sites
  • Emory University

    Atlanta, Georgia, 30329

  • CITrials, Inc.

    Bellflower, California, 90706

  • Northwestern University

    Chicago, Illinois, 60611-2908

  • Precise Research Centers

    Flowood, Mississippi, 39232

  • JPS Health Network

    Fort Worth, Texas, 76104

  • CBH Health

    Gaithersburg, Maryland, 20877

  • Collaborative Neuroscience Network, Inc.

    Garden Grove, California, 92845

  • Pillar Clinical Research LLC

    Garland, Texas, 75042

  • California Clinical Trials

    Glendale, California, 91206

  • Baylor College of Medicine

    Houston, Texas, 77030

  • University Hills Clinical Research

    Irving, Texas, 75062

  • Innovative Clinical Research, Inc.

    Lauderhill, Florida, 33319

  • Lifestream Behavioral Center

    Leesburg, Florida, 34748

  • Synergy San Diego

    Lemon Grove, California, 91945

  • Advanced Research Institute of Miami

    Miami, Florida, 33135

  • The Solace Center

    Missouri City, Texas, 77459

  • Catalina Research Institute LLC - MRA

    Montclair, California, 91763

  • Yale School of Medicine - CT Mental Health Center (CMHC) - Schizophrenia Research Clinic

    New Haven, Connecticut, 06519

  • Manhattan Psychiatric Center; Psychopharmacology Research Unit

    New York, New York, 10035

  • Health Synergy Clinical Research

    Okeechobee, Florida, 34972

  • Psychiatry & Behavioral Center

    Richmond, Texas, 77406

  • @ Health Texas

    Richmond, Texas, 77407

  • CITrials, Inc.

    Riverside, California, 92506

  • California Neuropsychopharmacology Clinical Research Institute, LLC

    San Diego, California, 92102

  • Psych Care Consultants Research

    St Louis, Missouri, 63128

  • Millennium Psychiatric Associates, LLC

    St Louis, Missouri, 63132

  • Stanford University School of Medicine

    Stanford, California, 94305

  • Collaborative Neuroscience Network Inc.

    Torrance, California, 90502

Other trials in United States

Ukraine7 sites
  • ME Dnipropetrovsk Regional Clinical Hospital n.a. I.I Mechnykov Dnipropetrovsk Regional Council

    Dnipro, KIEV Governorate, 49005

  • Communal Non-Commercial Enterprise of Kharkiv RC Regional clinical psychiatric hospital #3

    Kharkiv, Kharkiv Governorate, 61068

  • Public NPE Kherson Regional Institution of Mental Care of Kherson RC

    Kherson, Kherson Governorate, 73488

  • CNCE Regional Clinical Psychiatric Hospital of Kirovohrad Regional Council

    Nove, Katerynoslav Governorate, 25491

  • Municipal Non-Commercial Enterprise Odesa RMC for Mental Health of Odessa Regional Council

    Odesa, Kherson Governorate, 65006

  • Zakarpattia Regional Clinical Hospital n.a. Andrii Novak

    Uzhhorod, KIEV Governorate, 88000

  • Communal NPE Vinnytsia Reg. Clin. Psychoneurolog. Hosp. n.a. O.I. Yushchenko of Vinnytsia RC

    Vinnytsia, Podolia Governorate, 21037

Other trials in Ukraine

Japan5 sites
  • Kohnodai Hp., National Center for Global Health and Medicine

    Chiba, 272-8516

  • National Hospital Organization Ryukyu Hospital

    Kunigami, 904-1201

  • National Center of Neurology and Psychiatry

    Tokyo, 187-8551

  • Seishinkai Okehazama Hospital Fujita Kokoro Care Center

    Toyoake, 470-1168

  • Hiyoshi Hospital

    Yokohama, 223-0062

Other trials in Japan

Spain5 sites
  • C.H. Regional Reina Sofia - PPDS

    Córdoba, 14004

  • Hosp Univ Fundacion Alcorcon

    Madrid, 28922

  • Hospital Universitario Central de Asturias

    Oviedo, Principality of Asturias, 33011

  • Complejo Asistencial Universitario de Salamanca ? H. Clinico

    Salamanca, 37007

  • Hospital Universitario Marques de Valdecilla

    Santander, Cantabria, 39008

Other trials in Spain

About this study

Official title: Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Effects of RO6889450 (Ralmitaront) in Patients With Schizophrenia or Schizoaffective Disorder and Negative Symptoms

This study investigates the effects of RO6889450 on the negative symptoms associated with schizophrenia and schizoaffective disorder.

Being tested
RO6889450, Placebo
Medical subject headings
Schizophrenia, Psychotic Disorders

What participants receive

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

  • RO6889450Drug

    Participants will receive a once-daily, oral dose of RO6889450 for 12 weeks.

  • PlaceboDrug

    Participants will receive a once-daily, oral dose of placebo matched to RO6889450 for 12 weeks.

Study groups in NCT03669640
Study groupRoleWhat they receive
Part A: MonotherapyExperimentalParticipants will receive RO6889450 or a dose-matched placebo. NOTE: Part A has completed enrollment.
Receives: Drug: RO6889450; Drug: Placebo
Part B: Add-On TherapyExperimentalParticipants will receive a low or high dose of RO6889450 or a dose-matched placebo in addition to their usual anti-psychotic treatment(s).
Receives: Drug: RO6889450; Drug: Placebo

What is being measured

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

  1. Brief Negative Symptoms Scale (BNSS) Avolition/Apathy Subscore and Total Score at Baseline and Week 12

    The BNSS is a 13-item instrument designed for clinical trials that measures the severity of the negative symptoms of schizophrenia in five domains. There are 13 items organized into 6 subscales (anhedonia, distress, asociality, avolition, blunted affect, and alogia), each rated on a 7-point scale (0-6) where 0 = absent symptoms and 6 = severe symptoms. The total score is calculated by summing the individual items (13) of each subscale and has a range of 0-78. The avolition/apathy subscale contains 2 items with a total score range of 0-12.

    Measured: Baseline to Week 12

Secondary outcomes (12)
  1. Clinical Global Impression Severity (CGI-S) Overall Scores

    The CGI-S is an absolute measure assessing how mentally ill the participant is at the time of the assessment on a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). On the scale, the value 0 corresponds to 'not assessed', which will be excluded from the analyses. The values 1 to 7 will be transformed into the 0 to 6 range prior to statistical analysis for the question on the measure ("Considering your total clinical experience with this particular population, how mentally ill is the patient at this time?"), making the total score range 0-6.

    Measured: Baseline to week 12

  2. CGI-S Negative Symptoms (NS) Scores

    The CGI-S-NS is similar to the CGI-S and is assessed on a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). On the scale, the value 0 corresponds to 'not assessed', which will be excluded from the analyses. The values 1 to 7 will be transformed into the 0 to 6 range prior to statistical analysis for the question on the measure, making the total score range 0-6.

    Measured: Baseline to week 12

  3. Clinical Global Impression - Improvement (CGI-I) Overall Scores

    The CGI-I assesses how much the participant's condition has changed at the time of the assessment in comparison to their condition at baseline. It uses a 7-point scale ranging from 1 (very much improved) to 7 (very much worse), where the value 0 corresponds to 'not assessed' and will be excluded from any analyses.

    Measured: Up to Week 12 (Day 84)

  4. CGI-I Negative Symptoms Scores

    The CGI-I NS is similar to the CGI-I and assesses how much the participant's condition has changed at the time of the assessment in comparison to their condition at baseline. It uses a 7-point scale, where:

    1. = Very much improved
    2. = Much improved
    3. = Minimally improved
    4. = No change
    5. = Minimally worse
    6. = Much worse
    7. = Very much worse

    Measured: Up to Week 12 (Day 84)

  5. Positive and Negative Syndrome Scale (PANSS) Total Scores

    The PANSS Marder factors examine schizophrenia symptoms in five domains: positive symptoms, negative symptoms, disorganized thought, uncontrolled hostility/excitement, and depression/anxiety. The Marder factor positive symptom score (range = 8-56) measures responses to 8 items (P1,P3,P5,P6,N7,G1,G9,G12) while the negative symptom factor score (range = 7-49) consists of 7 items (N1,N2,N3,N4,N6,G7,G16). Each item is scored on a scale of 1-7, where 1 = an absence of symptoms and 7 = extreme symptoms. The positive and negative syndrome scale total score is the sum of the scores from each domain (range = 15-105); higher scores indicate greater severity of symptoms.

    Measured: Baseline to week 12

  6. PANSS Symptom Factor Scores

    The PANSS Marder factors examine schizophrenia symptoms in five domains: positive symptoms, negative symptoms, disorganized thought, uncontrolled hostility/excitement, and depression/anxiety. The Marder factor positive symptom score (range = 8-56) measures responses to 8 items (P1,P3,P5,P6,N7,G1,G9,G12) while the negative symptom factor score (range = 7-49) consists of 7 items (N1,N2,N3,N4,N6,G7,G16). Each item is scored on a scale of 1-7, where 1 = an absence of symptoms and 7 = extreme symptoms.

    Measured: Baseline to week 12

  7. Brief Negative Symptom Scale (BNSS) Total Scores

    The BNSS is a 13-item instrument designed for clinical trials that measures the severity of the negative symptoms of schizophrenia in five domains. There are 13 items organized into 6 subscales (anhedonia, distress, asociality, avolition, blunted affect, and alogia), each rated on a 7-point scale (0-6) where 0 = absent symptoms and 6 = severe symptoms. The total score is calculated by summing the individual items (13) of each subscale and has a range of 0-78.

    Measured: Baseline to week 12

  8. Defeatist Performance Attitude Scale (DPAS) Scores

    The DPAS is a 15-item, patient-rated assessment that evaluates expectations of failures or self-defeating beliefs related to prior failed experiences as well as illness on a 7-point Likert scale (total range = 15-105) ranging from totally agree (1) to totally disagree (7).

    Measured: Baseline to week 12

  9. Number of Participants With Suicidal Ideation or Behavior, and Self-injurious Behavior Without Suicidal Intent on the Columbia Suicide Severity Rating Scale (C-SSRS)

    The C-SSRS is a suicide risk assessment tool used to help identify the risk of suicide.

    Measured: Baseline through Day 84

  10. Extrapyramidal Symptom Rating Scale, Abbreviated (ESRS-A)

    The ESRS-A is used to evaluate the presence and severity of extrapyramidal symptoms. Items are rated on a scale of 0 (no symptoms) to 5 (extreme symptoms).

    Measured: Baseline through Day 84

  11. Maximum Serum Concentration (Cmax) of RO6889450

    Measured: Day 42

  12. Area Under the Curve at Steady State (AUCss) of RO6889450

    Measured: Day 42

Timeline

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

  1. First posted13 Sep 2018
  2. Study start4 Dec 2018
  3. Primary completion12 Mar 2023
  4. Study completion12 Mar 2023

Why it stopped: This study was discontinued due to an interim analysis which indicated that ralmitaront was unlikely to meet its primary endpoint.

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
131 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03669640
Sponsor's protocol ID
BP40283
Status last verified
Aug 2024
First submitted
12 Sep 2018
Last updated
12 Aug 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Halff EF, Rutigliano G, Garcia-Hidalgo A, Howes OD. Trace amine-associated receptor 1 (TAAR1) agonism as a new treatment strategy for schizophrenia and related disorders. Trends Neurosci. 2023 Jan;46(1):60-74. doi: 10.1016/j.tins.2022.10.010. Epub 2022 Nov 8.

    PubMed 36369028

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing RO6889450 in people with Schizophrenia, Schizoaffective Disorder, run by Hoffmann-La Roche at 45 sites in 4 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 9 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: stopped early, as of the sponsor's last update on 12 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in United States, Ukraine, Japan, Spain. 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 12 Aug 2024). 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?

Brief Negative Symptoms Scale (BNSS) Avolition/Apathy Subscore and Total Score at Baseline and Week 12 (time frame: Baseline to Week 12). 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 NCT03669640, which also lists 1 linked publication.

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 12 Aug 2024.

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