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SchizophreniaPhase 2NCT03929497

Flexible-dose Long-term Extension Study of Lu AF11167 in Patients With Schizophrenia With Prominent Negative Symptoms

A Phase 2 study testing Lu AF11167 in people with Schizophrenia, run by H. Lundbeck A/S at 30 sites in 7 countries.

Terminated

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

Official record
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Trial summary

A study to evaluate the long-term safety and tolerability of flexible doses of Lu AF11167 in patients with schizophrenia during the 24-week treatment period Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Schizophrenia
What is being tested?
Lu AF11167
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
96 participants
Where
30 sitesin 7 countries
Study dates
22 Apr 2019to 14 Sep 2020
Phase
Phase 2
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The patient completed Study 17972A.
  • The patient and the patient's caregiver or identified responsible person is able to read and understand the Informed Consent Form.
  • The patient has signed the Informed Consent Form specific for Study 17972B.
  • The patient can potentially benefit from 24 weeks of treatment with Lu AF11167 according to the investigator's clinical judgment.

Who cannot join

  • The patient has any current primary psychiatric disorder other than schizophrenia diagnosed during study 17972A
  • The patient, in the opinion of the investigator, is at significant risk of suicide
  • Other in- and exclusion criteria may apply

Trial locations and contacts

30 sites in 7 countries.

30 sites in 7 countries

Bulgaria10 sites
  • Mental Health Center Prof. Dr. Ivan Temkov EOOD (BG0001)

    Burgas

  • MHAT Dr. Hristo Stambolski (BG0007)

    Kazanlak

  • First Department for men with acute mental diseases-NPH Sv. Ivan Rilski (BG0010)

    Novi Iskar

  • UMHAT Dr.Georgi Stranski EAD (BG0006)

    Pleven, 5800

  • State Psychiatric Hospital - Sevlievo (BG0009)

    Sevlievo, 5400

  • Medical Center INTERMEDICA (BG0003)

    Sofia

  • DCC Mladost-M (BG0004)

    Varna, 9000

  • Med Centre Medical plus (BG0008)

    Varna, 9000

  • DCC Mladost-M Varna OOD (BG0005)

    Varna

  • Mental Health Center-Vratsa EOOD (BG0002)

    Vratsa

Other trials in Bulgaria

Ukraine9 sites
  • Si Inpn Namsu (Ua0003)

    Kharkiv, 61068

  • Si Inpn Namsu (Ua0008)

    Kharkiv

  • Kherson Regional Psychiatric Hospital (UA0009)

    Kherson

  • Kiev Regional Specialized Psycho-Narcological Medical Care (UA0005)

    Kiev

  • Regional Clinical Psychiatry Hospital of Kirovograd Regional Council, Donetsk National Medical University (UA0004)

    Kropyvnytskyi

  • "Kyiv Railway Clinical Hospital ¿1 of Branch ""Health Center"" of the Public joint stock company ""Ukrainian Railway"", psychoneurological department" (UA0007)

    Kyiv, 1030

  • Odessa Regional Medical Centre of Mental Health (UA0006)

    Odesa

  • Ukrainian Medical Stomatological Academy (UA0001)

    Poltava

  • Vinnitsa National Medical University (UA0002)

    Vinnytsia

Other trials in Ukraine

Hungary4 sites
  • Semmelweis Egyetem Neurologiai Klinika-Semmelweis University (HU0005)

    Budapest, 1083

  • Bugat Pal Hospital (HU0008)

    Gyöngyös, 3200

  • Dr Mathe es Tarsa Bt (HU0001)

    Kalocsa

  • Javorszky Odon Hospital (HU0004)

    Vác

Other trials in Hungary

Latvia3 sites
  • Hospital Gintermuiza (LV0001)

    Jelgava

  • Riga Centre Of Psychiatry And Addiction Disorders (LV0002)

    Riga

  • Sigulda Hospital Outpatient Clinic (LV0006)

    Sigulda

Other trials in Latvia

Estonia2 sites
  • Marienthali Kliinik (EE0001)

    Tallinn

  • OU Jaanson & Laane (EE0002)

    Tartu

Other trials in Estonia

Germany1 site
  • Office of Dr.Kirsten Hahn MD (DE0002)

    Berlin

Other trials in Germany

Poland1 site
  • Syntonia Sp. z o.o. (PL0002)

    Pruszcz Gdański, 83000

Other trials in Poland

About this study

Official title: Interventional, Open-label, Flexible-dose, Long-term Safety Extension Study of Lu AF11167 in Patients With Schizophrenia

A study to evaluate the long-term safety and tolerability of flexible doses of Lu AF11167 in patients with schizophrenia during the 24-week treatment period

Conditions
Schizophrenia
Being tested
Lu AF11167
Medical subject headings
Schizophrenia

What participants receive

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

  • Lu AF11167Drug

    Lu AF11167 - 2 or 4 mg/day; tablets, orally

Study groups in NCT03929497
Study groupRoleWhat they receive
Lu AF11167ExperimentalNot described
Receives: Drug: Lu AF11167

What is being measured

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

  1. Number of participants with Treatment-Emergent Adverse Events

    Safety and Tolerability based on the safety assessments (clinical safety laboratory tests, vital signs, BMI, waist, weight, ECG parameters)

    Measured: From baseline week 24

Secondary outcomes (6)
  1. Change in Brief Negative Symptom Scale (BNSS) total score

    The BNSS is a brief clinician rating scale, intended to measure negative symptoms. It consists of 13 items organized into 6 subscales: anhedonia, distress, asociality, avolition, blunted affect, and alogia. The items score the impairment. Items 1 to 4 are rated from 0 (Normal) to 6 (Extremely severe) and items 5 to 13 are rated from 0 (No impairment) to 6 (Severe deficit). The BNSS total score is calculated by summing the 13 individual items; subscale scores are calculated by summing the individual items within each subscale. Users of the BNSS should have training in psychiatric interview techniques and have clinical experience working with patients with schizophrenia and related psychotic disorders. The BNSS total scores ranges from 0 to 78.

    Measured: from baseline to Week 24

  2. Change in Positive and Negative Syndrome Scale (PANSS) Marder Negative Symptoms Factor Score

    The PANSS is a clinician rated scale designed to measure severity of psychopathology in adult patients with schizophrenia, schizoaffective disorders and other psychotic disorders. It emphasizes positive and negative symptoms. The PANSS includes 3 sub-scales and 30 items: 7 items make up the positive scale (for example: delusions, conceptual disorganization and hallucinatory behaviour), 7 items make up the negative scale (for example: blunted affect, emotional withdrawal and poor rapport) and 16 items make up the general psychopathology scale (for example: somatic concern, anxiety and guilt feelings). Each item is rated from 1 (symptom not present) to 7 (symptom extremely severe). The PANSS total score is the sum of all items, and ranges from 30 to 210. Subscale scores are the sum of items within each subscale.

    Measured: from baseline to Week 24

  3. Change in PANSS Negative subscale score

    The PANSS is a clinician rated scale designed to measure severity of psychopathology in adult patients with schizophrenia, schizoaffective disorders and other psychotic disorders. It emphasizes positive and negative symptoms. The PANSS includes 3 sub-scales and 30 items: 7 items make up the positive scale (for example: delusions, conceptual disorganization and hallucinatory behaviour), 7 items make up the negative scale (for example: blunted affect, emotional withdrawal and poor rapport) and 16 items make up the general psychopathology scale (for example: somatic concern, anxiety and guilt feelings). Each item is rated from 1 (symptom not present) to 7 (symptom extremely severe). The PANSS total score is the sum of all items, and ranges from 30 to 210. Subscale scores are the sum of items within each subscale.

    Measured: from baseline to Week 24

  4. Change in CGI-SCH-S negative symptoms score

    The CGI-SCH is a clinician-rated scale to assess global illness severity and degree of change in patients with schizophrenia. For both the global illness severity and degree of change, the CGI-SCH consists of four different groups of symptoms (positive, negative, cognitive, and depressive) and the overall severity of the disorder. The CGI-SCH-severity of illness symptoms and overall severity are rated on a 7-point scale ranging from 1 (normal - not ill) to 7 (Among the most severely ill). For the first four ratings (positive, negative, depressive, and cognitive symptoms), the assessment should focus on the severity of symptoms only. Additionally, for 'overall severity' rating, both severity of symptoms and interference with functioning should be considered.

    Measured: from baseline to Week 24

  5. CGI-SCH-DC negative symptoms score

    The CGI-SCH is a clinician-rated scale to assess global illness severity and degree of change in patients with schizophrenia. For both the global illness severity and degree of change, the CGI-SCH consists of four different groups of symptoms (positive, negative, cognitive, and depressive) and the overall severity of the disorder. The CGI-SCH-degree of change symptoms and overall severity are rated on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Each single rating (conditions of severity and degree of change) and overall ratings of severity and improvement are scored independently and no total score is derived.

    Measured: at Week 24

  6. CGI-SCH-DC negative symptoms response

    The CGI-SCH is a clinician-rated scale to assess global illness severity and degree of change in patients with schizophrenia. For both the global illness severity and degree of change, the CGI-SCH consists of four different groups of symptoms (positive, negative, cognitive, and depressive) and the overall severity of the disorder. The CGI-SCH-degree of change symptoms and overall severity are rated on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Each single rating (conditions of severity and degree of change) and overall ratings of severity and improvement are scored independently and no total score is derived.CGI-SCH-DC negative symptoms response is defined as a CGI-SCH-DC negative symptoms score of 1 or 2.

    Measured: at Week 24

Timeline

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

  1. First posted26 Apr 2019
  2. Study start22 Apr 2019
  3. Primary completion1 Sep 2020
  4. Study completion14 Sep 2020

Why it stopped: Lack of efficacy based on the interim analysis in the 17972A study

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
96 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03929497
Sponsor's protocol ID
17972B
Status last verified
Sep 2020
First submitted
24 Apr 2019
Last updated
23 Sep 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Meyer-Lindenberg A, Nielsen J, Such P, Lemming OM, Zambori J, Buller R, der Goltz CV. A double-blind, randomized, placebo-controlled proof of concept study of the efficacy and safety of Lu AF11167 for persistent negative symptoms in people with schizophrenia. Eur Neuropsychopharmacol. 2022 Aug;61:4-14. doi: 10.1016/j.euroneuro.2022.05.009. Epub 2022 Jun 12.

    PubMed 35704951

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Lu AF11167 in people with Schizophrenia, run by H. Lundbeck A/S at 30 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 4 inclusion and 3 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 23 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in Bulgaria, Ukraine, Hungary, Latvia, Estonia 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. 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?

The study was stopped early (reason given: Lack of efficacy based on the interim analysis in the 17972A study). Results are not available in the source record.

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?

Number of participants with Treatment-Emergent Adverse Events (time frame: From baseline week 24). 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 NCT03929497, 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 23 Sep 2020.

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