AzTrials
AzTrials

SchizophreniaPhase 2NCT03751280

Study of Efficacy of PEAR-004 in Schizophrenia

A Phase 2 study testing PEAR-004 in people with Schizophrenia, run by Novartis Pharmaceuticals at 6 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

The purpose of the study was to determine in patients currently being administered antipsychotic pharmacotherapy whether PEAR-004 could further reduce symptoms of schizophrenia as measured by the Positive and Negative Syndrome Scale (PANSS). Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Schizophrenia
What is being tested?
PEAR-004
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
112 participants
Where
6 sitesUnited States
Study dates
10 Dec 2018to 26 Sep 2019
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed informed consent must be obtained prior to participation in the study.
  • Healthy male and female subjects 18 to 65 years of age, inclusive, and in good health as determined by medical history, physical examination, and vital signs at screening
  • SCID-based DSM-5 diagnosis of schizophrenia and a total PANSS score > 60
  • Proficient in English at 5th grade reading level or higher, in the judgement of the investigator
  • Capable of using a mobile device (compatible with PEAR-004) and using common applications, in the judgement of the investigator

Who cannot join

  • Major change in primary antipsychotic medication in the prior 4 weeks before screening (e.g., switching to a new agent or a dose adjustment within two weeks of randomization)
  • Planning to move out of the geographic area within 3 months
  • Unable to use English to participate in the consent process, the interventions or assessments
  • Inability to comply with study procedures, due to severe medical conditions or otherwise
  • Meet DSM-5 diagnosis for a current episode of major depression, mania, or hypomania in the past month
  • Meet DSM-5 diagnosis for a current moderate or severe alcohol or cannabis use disorder in the past 2 months
Show all 9Show fewer
  • Meet DSM-5 diagnosis for a current substance use disorder (other than alcohol or cannabis) in the past 2 months
  • Considered high risk for suicidal behavior based on ISST-Plus score at screening, or in the judgement of the investigator
  • Previously participated in a clinical study involving PEAR-004

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

United States6 sites
  • Novartis Investigative Site

    Albuquerque, New Mexico, 87102

  • Novartis Investigative Site

    Garden Grove, California, 92845

  • Novartis Investigative Site

    Grand Rapids, Michigan, 49548

  • Novartis Investigative Site

    Maitland, Florida, 32751

  • Novartis Investigative Site

    Oakland, California, 94607

  • Novartis Investigative Site

    Torrance, California, 90502

Other trials in United States

About this study

Official title: A Randomized, Sham-Controlled Study of PEAR-004 as an Adjunct to Standard-of-care Treatment for Schizophrenia

The purpose of the study was to determine in patients currently being administered antipsychotic pharmacotherapy whether PEAR-004 could further reduce symptoms of schizophrenia as measured by the Positive and Negative Syndrome Scale (PANSS).

The overall rationale for the study was to assess the first prescription digital therapeutic (PDT) in schizophrenia using a form of proven psychosocial intervention, cognitive behavioral therapy (CBT), to supplement standard of care with antipsychotic medications.

Read the detailed description

This was a randomized, sham-controlled, rater-blinded, parallel group trial. Overall, 112 subjects were randomized 1:1 in to the following groups:

  • Group A: Clinician-directed pharmacotherapy + PEAR-004
  • Group B: Clinician-directed pharmacotherapy + sham app An up to 28-day screening period included standard screening assessments as defined in the assessment schedule. Eligible subjects were randomized on Day 1 into one of the treatment groups.

Subjects in both groups continued to receive their clinician-directed standard-of-care treatment for schizophrenia, including pharmacotherapy. Subjects in Group A used PEAR 004 and subjects in Group B used a sham for a period of 12 weeks. Subjects returned to the clinic for outpatient visits at Week 4 (day 29), Week 8 (day 57), and Week 12 (day 85). At each visit, standard assessments were performed according to the assessment schedule, including PANSS, ISST-Plus, CGI, BMQ, MAP-SR, WHOQOL-BREF, BDI-II, ISI, and adverse events (AEs). A final follow-up visit was performed at Week 16 (day 115),

Conditions
Schizophrenia
Being tested
PEAR-004, Sham
Keywords
Schizophrenia, Digital Therapeutic, CBT, smartphone app, mental disorder, psychosis, acute psychotic reaction, chronic psychosis, failure to recognize what is real, false beliefs, unclear thinking,, confused thinking, auditory hallucinations, paranoia, reduced social engagement, reduced emotional expression
Medical subject headings
Schizophrenia, Mental Disorders, Psychotic Disorders, Hallucinations, Paranoid Disorders

What participants receive

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

  • PEAR-004Device

    PEAR-004 (an investigational digital therapeutic) or sham (control) was downloaded to the subject's phone and then the assigned application was unlocked using a prescription code provided by Pear Therapeutics. As this was a digital therapeutic device study, dose or mode of administration is not applicable.

  • ShamDevice

    PEAR-004 (an investigational digital therapeutic) or sham (control) was downloaded to the subject's phone and then the assigned application was unlocked using a prescription code provided by Pear Therapeutics. As this was a digital therapeutic device study, dose or mode of administration is not applicable.

Study groups in NCT03751280
Study groupRoleWhat they receive
PEAR-004ExperimentalEligible participants were able to access PEAR-004 (an investigational digital therapeutic) on a mobile device (iOS and Android based) as needed to receive suggestions about coping strategies to overcome difficulties in daily life.
Receives: Device: PEAR-004
ShamSham comparatorEligible participants were able to access a sham control downloaded on a mobile device (iOS and Android based) as needed to receive notifications prompting the participant to open the sham app, which displayed a prescription timer for the remaining duration of app availability.
Receives: Device: Sham

What is being measured

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

  1. Change From Baseline in Total Positive and Negative Syndrome Scale (PANSS) Score

    The Positive and Negative Syndrome Scale (PANSS) is a well validated, standardized method of evaluating and monitoring psychotic symptoms. The PANSS assesses: positive (hallucinations, delusions, thought disorder), negative (blunted affect, abstract thinking and general symptomatology. The positive and negative subscale each consist of 7 items rated from 1(absent) - 7(extreme) with a minimum score = 7, maximum score = 49. The general subscale consists of 16 items with a minimum score = 16, maximum score = 112. A Total PANSS score (positive+ negative + general scores) has a minimum of 30 and maximum of 210. Higher scores represent more severity in symptoms.

    Measured: Baseline, Day 29, Day 57, Day 85

  2. Percent of Dropout

    Dropout rate to evaluate retention to assigned study treatment

    Measured: Day 115

Secondary outcomes (12)
  1. Change From Baseline in the Positive PANSS Score

    The PANSS includes 3 scales and 30 items: 7 items that make up the Positive Scale (eg, delusions, conceptual disorganization, hallucinatory behavior); 7 items that make up the Negative Scale (eg, blunted affect, emotional withdrawal, poor rapport, passive/apathetic social withdrawal); and 16 items that make up the General Psychopathology Scale (eg, somatic concern, anxiety, guilt feelings, mannerisms and posturing, motor retardation, uncooperativeness, disorientation, poor impulse control, preoccupation). Individual items are scored with values ranging from 1 to 7. Total Negative and Positive Subscale scores each range from 7 to 49; higher score indicates greater severity.

    Measured: Baseline, Day 29, Day 57, Day 85

  2. Change From Baseline in the General Psychopathology PANSS Score

    The PANSS includes 3 scales and 30 items: 7 items that make up the Positive Scale (eg, delusions, conceptual disorganization, hallucinatory behavior); 7 items that make up the Negative Scale (eg, blunted affect, emotional withdrawal, poor rapport, passive/apathetic social withdrawal); and 16 items that make up the General Psychopathology Scale (eg, somatic concern, anxiety, guilt feelings, mannerisms and posturing, motor retardation, uncooperativeness, disorientation, poor impulse control, preoccupation). Individual items are scored with values ranging from 1 to 7. Total General Psychopathology Subscale score range from 16 to 112; higher score indicates greater severity.

    Measured: Baseline, Day 29, Day 57, Day 85

  3. Change From Baseline in the Negative PANSS Score

    The PANSS includes 3 scales and 30 items: 7 items that make up the Positive Scale (eg, delusions, conceptual disorganization, hallucinatory behavior); 7 items that make up the Negative Scale (eg, blunted affect, emotional withdrawal, poor rapport, passive/apathetic social withdrawal); and 16 items that make up the General Psychopathology Scale (eg, somatic concern, anxiety, guilt feelings, mannerisms and posturing, motor retardation, uncooperativeness, disorientation, poor impulse control, preoccupation). Individual items are scored with values ranging from 1 to 7. Total Negative and Positive Subscale scores each range from 7 to 49; higher score indicates greater severity.

    Measured: Baseline, Day 29, Day 57, Day 85

  4. Change From Baseline in the Motivation and Pleasure Self-report (MAP-SR) Score

    The MAP-SR is a 15-item self-report measure that provides a total score index of current motivation/pleasure negative symptoms. Responses are given on a 5-point scale where 0 = no pleasure or motivation and 4 = extreme pleasure or motivation. Total scores range from 0 to 60 and higher scores indicate greater motivation and pleasure during everyday activities.

    Measured: Baseline, Day 29, Day 57, Day 85

  5. Change From Baseline in the World Health Organization Quality of Life (WHOQOL-BREF) Scale

    The WHOQOL-BREF is a 26-item, self-report questionnaire and short version of WHOQOL-100, consisting of 4 domains: physical health (7 items) (Domain 1), psychological health (6 items) (Domian 2), social relationships (3 items) (Domain 3), and environmental health (8 items) (Domain 4); it also contains QOL and general health items. Domain scores are scaled in a positive direction (i.e. higher scores denote higher quality of life). The mean score of items within each domain is used to calculate the domain score. Each individual item of the WHOQOL-BREF is scored from 1=not at all to 5=completely on a response scale, which is stipulated as a 5-point ordinal scale. The scores are then transformed linearly to a scale of 0 (the worse quality of life) to 100 (the worse quality of life).

    Measured: Baseline, Day 29, Day 57, Day 85

  6. Change From Baseline in the Beck Depression Inventory, Second Ed. (BDI-II) Total Score

    Beck Depression Inventory (BDI) is a 21-items self reported inventory with a scale evaluating depressive symptoms and the changes in BDI after treatment compared to baseline. The range of scores is 0 to 63, with higher scores indicating greater severity of depression.

    Measured: Baseline, Day 29, Day 57, Day 85

  7. Percentage Change From Baseline in Total PANSS Score (Within Assigned Treatment Group)

    The Positive and Negative Syndrome Scale (PANSS) is a well validated, standardized method of evaluating and monitoring psychotic symptoms. The PANSS assesses: positive (hallucinations, delusions, thought disorder), negative (blunted affect, abstract thinking and general symptomatology. The positive and negative subscale each consist of 7 items rated from 1(absent) - 7(extreme) with a minimum score = 7, maximum score = 49. The general subscale consists of 16 items with a minimum score = 16, maximum score = 112. A Total PANSS score (positive+ negative + general scores) has a minimum of 30 and maximum of 210. Higher scores represent more severity in symptoms.

    Measured: Baseline, Day 29, Day 57, Day 85

  8. Percentage of Responders as Assessed by the Brief Medication Questionnaire (BMQ)

    The Brief Medication Questionnaire (BMQ) collects information about current schizophrenia medication use.

    Measured: Day 29, Day 57, and Day 85

  9. Percentage of Responders as Assessed by the Total PANSS Score

    A Response is defined as a reduction of at least 20% at day 85 or last visit in total PANSS score relative to Baseline.

    Measured: Day 85

  10. Number of Patients With Adverse Events

    Adverse events, serious adverse events, and adverse events leading to discontinuation throughout the study

    Measured: Day 115

  11. Number of Patients With Vital Sign Measurements

    Vital signs at baseline, day 85 or last visit

    Measured: Day 85

  12. InterSePT Scale for Suicidal Thinking-Plus (ISST-Plus) Score

    InterSePT Scale for Suicidal Thinking-Plus (ISST-Plus) score. Semi-structured interview to assess severity of suicidal ideation and behavior Part I: collects information on 7 days prior to visit; 13 items scored 0 (min) to 2 (max) for suicidality, with a higher score representing a worse outcome Part II: collects information on suicidal behavior since last visit, with nominal categories Yes / No / Unknown (NA) Part III: global rating of status at time of interview; scored 0 (min) to 5 (max) for suicidality, with a higher score representing a worse outcome.

    Please note that only part III score (severity of suicidal risk) was summarized and reported.

    Measured: Baseline, Day 29, 57, 85, and 115

Timeline

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

  1. First posted23 Nov 2018
  2. Study start10 Dec 2018
  3. Primary completion26 Sep 2019
  4. Study completion26 Sep 2019

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
Single blind
Who is masked
Outcomes assessor
Enrolment
112 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03751280
Sponsor's protocol ID
CPEA001A12201
Status last verified
Oct 2020
First submitted
8 Nov 2018
Last updated
5 Jan 2021
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Publications

  • Ghaemi SN, Sverdlov O, van Dam J, Campellone T, Gerwien R. A Smartphone-Based Intervention as an Adjunct to Standard-of-Care Treatment for Schizophrenia: Randomized Controlled Trial. JMIR Form Res. 2022 Mar 28;6(3):e29154. doi: 10.2196/29154.

    PubMed 35343910

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PEAR-004 in people with Schizophrenia, run by Novartis Pharmaceuticals at 6 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 5 inclusion and 9 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 5 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 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 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 23 Nov 2020). 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 Total Positive and Negative Syndrome Scale (PANSS) Score (time frame: Baseline, Day 29, Day 57, Day 85). The study lists 2 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 NCT03751280, 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 5 Jan 2021.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in