SchizophreniaPhase 2NCT04624243
Efficacy and Safety of Elpipodect (MK-8189) in Participants With an Acute Episode of Schizophrenia (MK-8189-008)
A Phase 2 study testing Elpipodect and Risperidone in people with Schizophrenia, run by Merck Sharp & Dohme LLC at 121 sites in 12 countries.
Trial summary
The purpose of this study was to evaluate the efficacy and safety of elpipodect at a range of doses (8 mg, 16 mg, and 24 mg once daily [QD]) in adult participants who have an acute episode of schizophrenia according to Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5) criteria. Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Schizophrenia
- What is being tested?
- Elpipodect and Risperidone
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 499 participants
- Where
- 121 sitesin 12 countries
- Study dates
- 15 Dec 2020to 21 Jun 2024
- 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
- The main inclusion criteria include, but are not limited to the following:
- Meet the diagnostic criteria for schizophrenia according to the DSM-5
- Have an illness duration for schizophrenia of at least 1 year
- Be confirmed to be experiencing an acute episode of schizophrenia as evidenced by ALL of the following: (a) onset of the current acute episode is ≤6 weeks before screening (b) current symptoms represent a marked and substantial worsening compared with the participant's usual symptomatic state prior to the current acute episode, and are associated with diminished functional ability (c) in need of increased psychiatric attention to treat worsening acute episode symptoms
- Have a CGI-S score of ≥4 (moderately ill) at screening and baseline
- Have an identified responsible person referred to as the "external contact person" who has agreed to provide information about the participant's location if needed during outpatient portion of the study. The site personnel must consider this identified responsible person a reliable contact person, and the contact person must have regular contact with the participant (defined at screening as direct contact no fewer than 3 times per week), and with the expectation that this frequency of contact would continue (either in person or via other contact method), throughout duration of the study, including the follow-up period)
Who cannot join
- The main exclusion criteria include, but are not limited to the following:
- Has a primary current diagnosis other than schizophrenia or a comorbid diagnosis that is primarily responsible for the current symptoms and functional impairment
- Meets criteria for moderate to severe substance use disorder within past 6 months prior to screening (excluding those related to caffeine or nicotine)
- Has a known history of the following: (a) borderline personality disorder, anti-social personality disorder, or bipolar disorder (b) traumatic brain injury causing ongoing cognitive difficulties, Alzheimer's Disease, or another form of dementia, or any chronic organic disease of the central nervous system (c) intellectual disability of a severity that would impact ability to participate in the study
- Has a current diagnosis of a psychotic disorder other than schizophrenia or a behavioral disturbance thought to be due to substance abuse
- Is or was under involuntary commitment for the acute episode, because the participant is considered a danger to themselves or others
- Has a history of treatment resistance exhibited by any of the following: (a) no or minimal response to at least 2 periods of treatment lasting 6 weeks or longer, with antipsychotic agents at the maximally tolerated dose. Participants who have responded to antipsychotics only when paired with clozapine are considered treatment-resistant (b) history of electroconvulsive therapy (ECT) treatment for treatment-resistant schizophrenia within the past 6 months (c) past or current use of clozapine as single or adjunctive therapy for schizophrenia within the past 3 months
- Is currently participating in or has participated in another clinical study and received an experimental or investigational drug agent within 3 months prior to screening visit of this current study and has participated in no more than 2 studies in the past 2 years
Trial locations and contacts
121 sites in 12 countries.
121 sites in 12 countries
United States35 sites
Atlanta Center For Medical Research ( Site 1022)
Atlanta, Georgia, 30331
Community Clinical Research ( Site 1057)
Austin, Texas, 78754
CITRIALS ( Site 1010)
Bellflower, California, 90706
Pillar Clinical Research ( Site 1047)
Bentonville, Arkansas, 72712-3873
Massachusetts General Hospital ( Site 1035)
Boston, Massachusetts, 02114
New Hope Clinical Research ( Site 1050)
Charlotte, North Carolina, 28211
Ascension Saint Elizabeth ( Site 1000)
Chicago, Illinois, 60622
Uptown Research Institute ( Site 1052)
Chicago, Illinois, 60640
Pillar Clinical Research, LLC ( Site 1038)
Chicago, Illinois, 60641
ProScience Research Group ( Site 1046)
Culver City, California, 90230
Midwest Clinical Research ( Site 1059)
Dayton, Ohio, 45417
Midwest Clinical Research Center ( Site 1033)
Dayton, Ohio, 45417
CenExel iResearch, LLC ( Site 1039)
Decatur, Georgia, 30030
CBH Health ( Site 1044)
Gaithersburg, Maryland, 20877
Collaborative Neuroscience Research, LLC ( Site 1041)
Garden Grove, California, 92845
Behavioral Research Specialists, LLC ( Site 1032)
Glendale, California, 91206
Behavioral Clinical Research ( Site 1058)
Hollywood, Florida, 33021
Research Centers of America ( Hollywood )-Central Nervous System (CNS) ( Site 1065)
Hollywood, Florida, 33024
Altea Research Institute ( Site 1012)
Las Vegas, Nevada, 89102
Woodland International Research Group, LLC ( Site 1002)
Little Rock, Arkansas, 72211
Hassman Research Institute Marlton Site ( Site 1040)
Marlton, New Jersey, 08053
Premier Clinical Research Institute ( Site 1049)
Miami, Florida, 33122
Behavioral Clinical Research , Inc ( Site 1013)
Miami Lakes, Florida, 33016
Neuro-Behavioral Clinical Research ( Site 1055)
North Canton, Ohio, 44720
Fort Lauderdale Behavioral Health Center ( Site 1028)
Oakland Park, Florida, 33334
Pillar Clinical Research, LLC ( Site 1004)
Richardson, Texas, 75080
CITRIALS ( Site 1016)
Riverside, California, 92506
Woodland Research Northwest, LLC ( Site 1036)
Rogers, Arkansas, 72758
Artemis Institute for Clinical Research ( Site 1019)
San Diego, California, 92103
California Neuropsychopharmacology Clinical Research Institute, LLC (CNRI-San Diego, LLC) ( Site 103
San Diego, California, 92123
Schuster Medical Research Institute ( Site 1023)
Sherman Oaks, California, 91403
Benchmark Research ( Site 1054)
Shreveport, Louisiana, 71101
Arch Clinical Trials ( Site 1048)
St Louis, Missouri, 63141
Richmond Behavioral Associates ( Site 1064)
Staten Island, New York, 10314
Health Synergy Clinical Research ( Site 1051)
Stuart, Florida, 34997
Japan22 sites
Soushu Hospital ( Site 2008)
Atsugi, Kanagawa, 243-0201
Chiba University Hospital ( Site 2024)
Chiba, 260-8677
Inokuchi Noma Hospital ( Site 2030)
Fukuoka, 815-0074
Kuramitsu Hospital ( Site 2014)
Fukuoka, 819-0037
Ongata Hospital ( Site 2007)
Hachiōji, Tokyo, 192-0153
Tanzawa Hospital ( Site 2037)
Hadano, Kanagawa, 259-1304
Kohnodai Hospital, National Center for Global Health and Medicine ( Site 2005)
Ichikawa, Chiba, 272-8516
National Hospital Organization Hizen Psychiatric Medical Center ( Site 2017)
Kanzaki-gun, Saga-ken, 8420192
Rainbow and Sea Hospital ( Site 2016)
Karatsu, Saga-ken, 847-0031
Nishigahara Hospital ( Site 2042)
Kita-ku, Tokyo, 114-0024
Wakato Hospital ( Site 2031)
Kitakyushu, Fukuoka, 808-0139
National Center of Neurology and Psychiatry ( Site 2023)
Kodaira, Tokyo, 187-8551
Komoro Kogen Hospital ( Site 2046)
Komoro, Nagano, 384-8540
Yuge Hospital ( Site 2018)
Kumamoto, 861-8002
National Hospital Organization Ryukyu Hospital ( Site 2019)
Kunigamigun, Okinawa, 904-1201
Amekudai Hospital ( Site 2020)
Naha, Okinawa, 900-0005
Shiranui Hospital ( Site 2043)
Omuta, Fukuoka, 8360004
Seijin Hospital ( Site 2026)
Tokyo, 121-8515
Narimasu Kosei Hospital ( Site 2006)
Tokyo, 175-0091
Seimou Hospital ( Site 2004)
Tomioka, Gunma, 3702455
Seishinkai Okehazama Hospital Fujita Kokoro Care Center ( Site 2011)
Toyoake, Aichi-ken, 470-1168
Kanagawa Psychiatric Center ( Site 2035)
Yokohama, Kanagawa, 233-0006
Russia14 sites
Arkhangelsk Regional Psychiatric Clinical Hospital ( Site 6020)
Arkhangelsk, Arkhangelskaya oblast, 163530
SGHI Leningrad Region Psyconeurology Dispensary ( Site 6017)
Leningrad Region, Leningradskaya Oblast', 188820
Lipetsk Regional Psychoneurology Hospital ( Site 6021)
Lipetsk, Lipetsk Oblast, 399083
Moscow Scientific Research Institute for Psychiatry ( Site 6013)
Moscow, Moscow, 107076
Psychiatric Clinical Hospital 4 named after PB Gannushkin ( Site 6016)
Moscow, Moscow, 107076
Psychiatric Clinical Hospital 4 named after PB Gannushkin-Psychiatric department 4 ( Site 6023)
Moscow, Moscow, 107076
Central Moscow Regional Clinical Psychiatric Hospital ( Site 6018)
Moscow, Moscow, 127083
Bekhterev Research Institute for Psychoneurology ( Site 6008)
Saint Petersburg, Sankt-Peterburg, 192019
SPb City Psychiatric Hospital #3 na II Skvortsov-Stepanov ( Site 6000)
Saint Petersburg, Sankt-Peterburg, 197341
SPb City Psychiatric Hospital #3 na II Skvortsov-Stepanov ( Site 6001)
Saint Petersburg, Sankt-Peterburg, 197341
SPb City Psychiatric Hospital #3 na II Skvortsov-Stepanov ( Site 6002)
Saint Petersburg, Sankt-Peterburg, 197341
Stavropol Region Psychiatric Hospital #2 ( Site 6005)
Stavropol, Stavropol Kray, 357034
Federal State Scientific Institution Research Institute of Mental Health ( Site 6014)
Tomsk, Tomsk Oblast, 634014
Yaroslavl Regional Clinical Psychiatry Hospital ( Site 6022)
Yaroslavl, Yaroslavl Oblast, 150003
Ukraine10 sites
Dnepropetrovsk Regional Clinical Hospital Mechnikov-Regional Centre of Psychosomatic Disorders base
Dnipro, Dnipropetrovsk Oblast, 49005
CNE "Precarpathian Regional Clinical Center of Mental Health of Ivano-Frankivsk Regional Council"" (
Ivano-Frankivsk, Ivano-Frankivsk Oblast, 76014
CNE of Kharkiv Reg. Council Reg. Clinical Psychiatric Hospital Nub 3 ( Site 7012)
Kharkiv, Kharkiv Oblast, 61068
Institute of Neurology,Psychiatry and Narcology AMS Ukraine ( Site 7011)
Kharkiv, Kharkiv Oblast, 61068
CNE. Kherson Regional Psychiatric Hospital ( Site 7004)
Kherson, Kherson Oblast, 73488
Kyiv City Psychoneurological Hospital 2 ( Site 7008)
Kyiv, Kyivska Oblast, 02192
CNE Clinical Hospital PSYCHIATRY of executive body of Kyiv City Council -Kyiv City State Admin ( Sit
Kyiv, Kyivska Oblast, 04080
MNE of KRC-Regional psychiatric and narcological medical association ( Site 7005)
Kyiv, Kyivska Oblast, 08631
CNE Cherkasy reg. psychiatric hospital of Cherkasy regional council ( Site 7009)
Smila, Cherkasy Oblast, 20708
CNE "Vinnytsia Regional Clinical Psycho-neurological hospita-Mixed (men and women) department #2 ( S
Vinnytsia, Vinnytsia Oblast, 21037
Serbia9 sites
Clinical Center of Serbia ( Site 5101)
Belgrade, Beograd, 11000
Clinical Center of Serbia ( Site 5107)
Belgrade, Beograd, 11000
Institut za mentalno zdravlje ( Site 5105)
Belgrade, Beograd, 11000
University Clinical Hospital Center "Dr. Dragisa Misovic - Dedinje" ( Site 5104)
Belgrade, Beograd, 11000
Special Hospital for Psychiatric Diseases Kovin ( Site 5108)
Kovin, Vojvodina, 26220
Special Hospital for Psychiatric Diseases Kovin ( Site 5109)
Kovin, Vojvodina, 26220
Clinical Center Kragujevac ( Site 5100)
Kragujevac, Sumadijski Okrug, 34000
Clinical Center Kragujevac ( Site 5102)
Kragujevac, Sumadijski Okrug, 34000
Clinical Center Kragujevac ( Site 5106)
Kragujevac, Sumadijski Okrug, 34000
Bulgaria6 sites
Mental Health Center Prof. Dr. Ivan Temkov - Burgas EOOD ( Site 3002)
Burgas, 8001
State Psychiatric Hospital - Kardzhali ( Site 3005)
Kardzhali, 6600
State Psychiatric Hospital "Sv. Ivan Rilski", Novi Iskar ( Site 3001)
Novi Iskar, Sofia, 1282
Mental Health Center - Ruse, EOOD ( Site 3003)
Rousse, 7000
Center for Mental Health Prof. Nikola Shipkovenski Ltd ( Site 3000)
Sofia, 1000
Mental Health Center - Veliko Tarnovo ( Site 3006)
Veliko Tarnovo, 5000
Romania6 sites
Prof. Dr. Alexandru Obregia Psychiatry Hospital ( Site 0815)
Bucharest, Bucharest, 041914
Prof. Dr. Alexandru Obregia Psychiatry Hospital ( Site 0816)
Bucharest, Bucharest, 041914
Prof. Dr. Alexandru Obregia Psychiatry Hospital ( Site 0817)
Bucharest, Bucharest, 041914
Prof. Dr. Alexandru Obregia Psychiatry Hospital ( Site 0818)
Bucharest, Bucharest, 041914
Institutul de Psihiatrie Socola ( Site 0810)
Iași, Iaşi, 700282
Institutul de Psihiatrie Socola ( Site 0814)
Iași, Iaşi, 700282
Poland5 sites
Uniwersyteckie Centrum Kliniczne ( Site 0902)
Gdansk, Pomeranian Voivodeship, 80-211
Specjal. Psychiatryczny ZOZ w Lodzi, Szpital im. Babinskiego ( Site 0905)
Lodz, Łódź Voivodeship, 91-229
Centrum Medyczne HCP ( Site 0913)
Poznan, Greater Poland Voivodeship, 61-485
Klinika Psychiatryczna Wydzialu Nauki o Zdrowiu WUM ( Site 0900)
Pruszków, Masovian Voivodeship, 05-802
Samodzielny Wojewódzki Zespół Publicznych Zakładów Psychiatrycznej Opieki Zdrowotnej w Warszawie ( S
Warsaw, Masovian Voivodeship, 00-665
Taiwan5 sites
China Medical University Hospital ( Site 9006)
Taichung, 404
National Taiwan University Hospital ( Site 9001)
Taipei, 100
Taipei City Hospital, Songde Branch ( Site 9004)
Taipei, 110
Taipei Veterans General Hospital ( Site 9000)
Taipei, 11217
Chang Gung Memorial Hospital - Linkou Branch ( Site 9002)
Taoyuan, 333
Croatia4 sites
Klinicki bolnicki centar Rijeka ( Site 4005)
Rijeka, Primorje-Gorski Kotar County, 51000
Klinika za psihijatriju Vrapce ( Site 4000)
Zagreb, City of Zagreb, 10090
Klinika za psihijatriju Vrapce ( Site 4001)
Zagreb, City of Zagreb, 10090
Klinika za psihijatriju Sveti Ivan ( Site 4003)
Zagreb, Zagreb County, 10090
South Korea3 sites
Inje University Busan Paik Hospital ( Site 0604)
Busan, Pusan-Kwangyokshi, 47392
Kyungpook National University Hospital ( Site 0601)
Daegu, Taegu-Kwangyokshi, 41944
Seoul National University Hospital ( Site 0600)
Seoul, 03080
Latvia2 sites
Daugavpils Psihoneirologiska Slimnica ( Site 8005)
Daugavpils, 5417
Piejuras Slimnica Psihiatriska Klinika ( Site 8001)
Liepāja, 3401
About this study
Official title: A Phase 2B Randomized, Double-Blind, Placebo- and Active-Controlled Trial of the Efficacy and Safety of MK-8189 in Participants Experiencing an Acute Episode of Schizophrenia
The purpose of this study was to evaluate the efficacy and safety of elpipodect at a range of doses (8 mg, 16 mg, and 24 mg once daily [QD]) in adult participants who have an acute episode of schizophrenia according to Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5) criteria. The primary hypotheses were the following: (1) that elpipodect 24 mg is superior to placebo in reducing the Week 6 mean change from baseline in Positive and Negative Syndrome Scale (PANSS) total score, and (2) that elpipodect 16 mg is superior to placebo in reducing the Week 6 mean change from baseline in PANSS total score.
With Amendment 4, enrollment was changed to approximately 500 participants with removal of the elpipodect 8 mg treatment arm. Participants enrolled before Amendment 4 who were assigned to elpipodect 8 mg QD remained on that dose regimen per protocol.
- Conditions
- Schizophrenia
- Being tested
- Elpipodect, Risperidone, Placebo to MK-8189, Placebo to risperidone
- Medical subject headings
- Schizophrenia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ElpipodectDrug
Also called MK-8189
MK-8189 administered QD at a dose of 8 mg, 16 mg, or 24 mg via oral tablet.
RisperidoneDrug
Risperidone administered QD at a dose of 6 mg via oral capsule.
Placebo to MK-8189Drug
MK-8189-matching placebo administered QD via oral tablet.
Placebo to risperidoneDrug
Risperidone-matching placebo administered QD via oral capsule.
| Study group | Role | What they receive |
|---|---|---|
| Elpipodect 8 mg | Experimental | Participants received elpipodect 8 mg QD from Weeks 1 to 12, with 2 weeks of follow-up Receives: Drug: Elpipodect; Drug: Placebo to risperidone |
| Elpipodect 16 mg | Experimental | Participants received elpipodect 16 mg QD from Weeks 1 to 12, with 2 weeks of follow-up. Receives: Drug: Elpipodect; Drug: Placebo to risperidone |
| Elpipodect 24 mg | Experimental | Participants received elpipodect 24 mg QD from Weeks 1 to 12, with 2 weeks of follow-up. Receives: Drug: Elpipodect; Drug: Placebo to risperidone |
| Risperidone 6 mg | Active comparator | Participants will be treated for a total of 12 weeks. Participants will receive risperidone 6 mg QD in the acute treatment period from Week 1-6 followed by risperidone 6 mg QD in the extension treatment period from Week 7-12. Receives: Drug: Risperidone; Drug: Placebo to MK-8189 |
| Placebo and Elpipodect 24 mg | Experimental | Participants received placebo QD from Weeks 1 to 6 and elpipodect 24 mg from Weeks 7 to 12, with 2 weeks of follow-up. Receives: Drug: Elpipodect; Drug: Placebo to MK-8189; Drug: Placebo to risperidone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 6
The PANSS assesses the severity of schizophrenia symptoms through a 30-item clinician-rated inventory organized into a positive subscale (7 items), a negative subscale (7 items) and a general psychopathology subscale (16 items). For each item, symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme). The PANSS total score for each participant was calculated as the sum of the rating assigned to each of the 30 PANSS items, and ranges from 30 (lowest total score) to 210 (highest total score). Higher and lower change scores reflect symptom worsening and improvement, respectively. Risperidone and placebo were active and inactive controls, respectively.
Measured: Baseline and Week 6
Number of Participants Who Experience One or More Adverse Events (AEs)
An AE is any untoward medical occurrence in a clinical study participant, temporarily associated with the use of study intervention, whether or not considered related to the study intervention. Per protocol, events were assessed for the first 6 weeks of treatment.
Measured: Up to Week 6
Number of Participants Who Discontinued From Study Intervention Due to AE
An AE is any untoward medical occurrence in a clinical study participant, temporarily associated with the use of study intervention, whether or not considered related to the study intervention. Per protocol, events were assessed for the first 6 weeks of treatment.
Measured: Up to Week 6
Secondary outcomes (6)
Change From Baseline in PANSS Positive Subscale (PSS) Score at Week 6
The PANSS Positive Subscale (PSS) assesses the severity of schizophrenia symptoms. The PANSS PSS score was calculated as the sum of the rating assigned to each of the 7 PSS items and ranges from 7 (lowest total score) to 49 (highest total score). Higher and lower change scores reflect symptom worsening and improvement, respectively. Risperidone and placebo were active and inactive controls, respectively.
Measured: Baseline and Week 6
Change From Baseline in Clinical Global Impression-Severity of Illness (CGI-S) Score at Week 6
The CGI-S is a single item 7-point clinician rated scale for assessing the global severity of the participant's illness. CGI-S scores range from 1 (participant normal, not ill) to 7 (participant extremely ill); higher and lower change from baseline scores indicate symptom worsening and improvement, respectively. Risperidone and placebo were active and inactive controls, respectively.
Measured: Baseline and Week 6
Change From Baseline in Body Weight at Week 12
The change from baseline in body weigh was determined at Week 12. Negative and positive values represent body weight loss and gain from baseline, respectively. Weight was measured using a standardized scale. Risperidone and placebo were active and inactive controls, respectively.
Measured: Baseline and Week 12
Change From Baseline in Body Weight at Week 6
The change from baseline in body weigh was determined at Week 6. Negative and positive values represent body weight loss and gain from baseline, respectively. Weight was measured using a standardized scale. Risperidone and placebo were active and inactive controls, respectively.
Measured: Baseline and Week 6
Change From Baseline in Body Weight at Week 12: Model-based Analysis
The change from baseline in body weigh was determined at Week 12. Negative and positive values represent body weight loss and gain from baseline, respectively. Weight was measured using a standardized scale. Risperidone and placebo were active and inactive controls, respectively.
Measured: Baseline and Week 12
Change From Baseline in Body Weight at Week 6: Model-based Analysis
The change from baseline in body weigh was determined at Week 6. Negative and positive values represent body weight loss and gain from baseline, respectively. Weight was measured using a standardized scale. Risperidone and placebo were active and inactive controls, respectively.
Measured: Baseline and Week 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Nov 2020
- Study start15 Dec 2020
- Primary completion21 Jun 2024
- Study completion21 Jun 2024
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.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 499 participants (actual)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04624243
- Sponsor's protocol ID
- 8189-008
- Other IDs
- MK-8189-008, jRCT2071200096, 2020-000094-24
- Status last verified
- Apr 2026
- First submitted
- 5 Nov 2020
- Last updated
- 29 Apr 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
Study at a glance
From the registry record, last updated by the sponsor on 29 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2B Randomized, Double-Blind, Placebo- and Active-Controlled Trial of the Efficacy and Safety of MK-8189 in Participants Experiencing an Acute Episode of Schizophrenia
- ClinicalTrials.gov ID
- NCT04624243
- Acronym / sponsor ID
- 8189-008
- Conditions
- Schizophrenia
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 499 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 15 Dec 2020 (actual)
- Primary completion
- 21 Jun 2024 (actual)
- Study completion
- 21 Jun 2024 (actual)
- First posted
- 10 Nov 2020 (actual)
- Results
- Posted 22 Aug 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study was to evaluate the efficacy and safety of elpipodect at a range of doses (8 mg, 16 mg, and 24 mg once daily [QD]) in adult participants who have an acute episode of schizophrenia according to Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5) criteria. The primary hypotheses were the following: (1) that elpipodect 24 mg is superior to placebo in reducing the Week 6 mean change from baseline in Positive and Negative Syndrome Scale (PANSS) total score, and (2) that elpipodect 16 mg is superior to placebo in reducing the Week 6 mean change from baseline in PANSS total score.
With Amendment 4, enrollment was changed to approximately 500 participants with removal of the elpipodect 8 mg treatment arm. Participants enrolled before Amendment 4 who were assigned to elpipodect 8 mg QD remained on that dose regimen per protocol.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Elpipodect 8 mg | Experimental | Drug: Elpipodect, Drug: Placebo to risperidoneParticipants received elpipodect 8 mg QD from Weeks 1 to 12, with 2 weeks of follow-up |
| Elpipodect 16 mg | Experimental | Drug: Elpipodect, Drug: Placebo to risperidoneParticipants received elpipodect 16 mg QD from Weeks 1 to 12, with 2 weeks of follow-up. |
| Elpipodect 24 mg | Experimental | Drug: Elpipodect, Drug: Placebo to risperidoneParticipants received elpipodect 24 mg QD from Weeks 1 to 12, with 2 weeks of follow-up. |
| Risperidone 6 mg | Active comparator | Drug: Risperidone, Drug: Placebo to MK-8189Participants will be treated for a total of 12 weeks. Participants will receive risperidone 6 mg QD in the acute treatment period from Week 1-6 followed by risperidone 6 mg QD in the extension treatment period from Week 7-12. |
| Placebo and Elpipodect 24 mg | Experimental | Drug: Elpipodect, Drug: Placebo to MK-8189, Drug: Placebo to risperidoneParticipants received placebo QD from Weeks 1 to 6 and elpipodect 24 mg from Weeks 7 to 12, with 2 weeks of follow-up. |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Meet the diagnostic criteria for schizophrenia according to the DSM-5
- Have an illness duration for schizophrenia of at least 1 year
- Be confirmed to be experiencing an acute episode of schizophrenia as evidenced by ALL of the following: (a) onset of the current acute episode is ≤6 weeks before screening (b) current symptoms represent a marked and substantial worsening compared with the participant's usual symptomatic state prior to the current acute episode, and are associated with diminished functional ability (c) in need of increased psychiatric attention to treat worsening acute episode symptoms
- Have a CGI-S score of ≥4 (moderately ill) at screening and baseline
- Have an identified responsible person referred to as the "external contact person" who has agreed to provide information about the participant's location if needed during outpatient portion of the study. The site personnel must consider this identified responsible person a reliable contact person, and the contact person must have regular contact with the participant (defined at screening as direct contact no fewer than 3 times per week), and with the expectation that this frequency of contact would continue (either in person or via other contact method), throughout duration of the study, including the follow-up period)
Key exclusion criteria (8 listed)
- Has a primary current diagnosis other than schizophrenia or a comorbid diagnosis that is primarily responsible for the current symptoms and functional impairment
- Meets criteria for moderate to severe substance use disorder within past 6 months prior to screening (excluding those related to caffeine or nicotine)
- Has a known history of the following: (a) borderline personality disorder, anti-social personality disorder, or bipolar disorder (b) traumatic brain injury causing ongoing cognitive difficulties, Alzheimer's Disease, or another form of dementia, or any chronic organic disease of the central nervous system (c) intellectual disability of a severity that would impact ability to participate in the study
- Has a current diagnosis of a psychotic disorder other than schizophrenia or a behavioral disturbance thought to be due to substance abuse
- Is or was under involuntary commitment for the acute episode, because the participant is considered a danger to themselves or others
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 |
|---|---|---|
| ElpipodectAlso: MK-8189MK-8189 administered QD at a dose of 8 mg, 16 mg, or 24 mg via oral tablet. | Drug | Elpipodect 16 mg, Elpipodect 24 mg, Elpipodect 8 mg, Placebo and Elpipodect 24 mg |
| RisperidoneRisperidone administered QD at a dose of 6 mg via oral capsule. | Drug | Risperidone 6 mg |
| Placebo to MK-8189MK-8189-matching placebo administered QD via oral tablet. | Drug | Placebo and Elpipodect 24 mg, Risperidone 6 mg |
| Placebo to risperidoneRisperidone-matching placebo administered QD via oral capsule. | Drug | Elpipodect 16 mg, Elpipodect 24 mg, Elpipodect 8 mg, Placebo and Elpipodect 24 mg |
Primary outcome
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 6
Time frame: Baseline and Week 6
The PANSS assesses the severity of schizophrenia symptoms through a 30-item clinician-rated inventory organized into a positive subscale (7 items), a negative subscale (7 items) and a general psychopathology subscale (16 items). For each item, symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme). The PANSS total score for each participant was calculated as the sum of the rating assigned to each of the 30 PANSS items, and ranges from 30 (lowest total score) to 210 (highest total score). Higher and lower change scores reflect symptom worsening and improvement, respectively. Risperidone and placebo were active and inactive controls, respectively.
Number of Participants Who Experience One or More Adverse Events (AEs)
Time frame: Up to Week 6
An AE is any untoward medical occurrence in a clinical study participant, temporarily associated with the use of study intervention, whether or not considered related to the study intervention. Per protocol, events were assessed for the first 6 weeks of treatment.
Number of Participants Who Discontinued From Study Intervention Due to AE
Time frame: Up to Week 6
An AE is any untoward medical occurrence in a clinical study participant, temporarily associated with the use of study intervention, whether or not considered related to the study intervention. Per protocol, events were assessed for the first 6 weeks of treatment.
6 secondary outcomes
Change From Baseline in PANSS Positive Subscale (PSS) Score at Week 6
Time frame: Baseline and Week 6
Change From Baseline in Clinical Global Impression-Severity of Illness (CGI-S) Score at Week 6
Time frame: Baseline and Week 6
Change From Baseline in Body Weight at Week 12
Time frame: Baseline and Week 12
Change From Baseline in Body Weight at Week 6
Time frame: Baseline and Week 6
Change From Baseline in Body Weight at Week 12: Model-based Analysis
Time frame: Baseline and Week 12
Change From Baseline in Body Weight at Week 6: Model-based Analysis
Time frame: Baseline and Week 6
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Apr 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Plain Language SummaryLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
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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.
Medical Director study director
Merck Sharp & Dohme LLC
121 sites in 12 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Elpipodect and Risperidone in people with Schizophrenia, run by Merck Sharp & Dohme LLC at 121 sites in 12 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 6 inclusion and 8 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 29 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 121 sites in United States, Japan, Russia, Ukraine, Serbia and 7 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?
Yes. Results are posted in the registry (first posted 22 Aug 2025). 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 Positive and Negative Syndrome Scale (PANSS) Total Score at Week 6 (time frame: Baseline and Week 6). The study lists 3 primary outcomes in all. 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 29 Apr 2026.