SchizophreniaPhase 3NCT04846868
Clinical Trial of Iclepertin Effect on Cognition and Functional Capacity in Schizophrenia (CONNEX-1)
A Phase 3 study testing Iclepertin in people with Schizophrenia, run by Boehringer Ingelheim at 116 sites in 17 countries.
Trial summary
This study is open to adults with schizophrenia. Schizophrenia can affect the way a person thinks, their memory and their mental functioning. Examples include struggling to remember things, or to read a book or pay attention to a movie. Read more about this study
- Who is it for?
- Ages 18 to 50 years
- Conditions the study is for
- Schizophrenia
- What is being tested?
- Iclepertin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 620 participants
- Where
- 116 sitesin 17 countries
- Study dates
- 8 Sep 2021to 1 Oct 2024
- Phase
- Phase 3
- 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 50 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patients must be capable of providing signed and dated written informed consent by date of Visit 1 in accordance with ICH Harmonized Tripartite Guideline for Good Clinical Practice (ICH-GCP) and the local legislation prior to the admission to the trial.
- Male or female patients who are 18-50 years (inclusive) of age at time of consent.
- Diagnosis of schizophrenia utilizing Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5) with the following clinical features:
- Outpatient, clinically stable and in the residual (non-acute) phase of their illness.
- No hospitalization or increase in level of psychiatric care due to worsening of schizophrenia within 12 weeks prior to randomization.
- Positive and Negative Syndrome Scale (PANSS) score: items P1, P3-P6 ≤ 5 and item P2 and P7 ≤ 4 at Visit 1, and confirmed at Visit 2.
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- Patients should have functional impairment in day-to-day activities such as difficulties following conversation or expressing themselves, difficulties to stay focused, difficulties to remember instructions, what to say or how to get to places, per investigator judgement.
- Patients maintained on current antipsychotic treatment (minimum 1 and maximum 2 antipsychotics, but clozapine is not allowed) for at least 12 weeks and on current dose for at least 35 days prior to randomization.
- -- For patients on two antipsychotics, at least one antipsychotic must be within the approved label dose range. The second antipsychotic must not exceed the maximum daily dose per local label.
- Note: If the total dose is stable, different dosage forms of the same antipsychotic treatment will be considered as one antipsychotic.
- Patients with any other concomitant psychoactive medications (except for anticholinergics) need to be maintained on same drug for at least 12 weeks and on current dose/ regimen for at least 35 days prior to randomization.
- Maximum daily benzodiazepine load of up to 1 mg lorazepam-equivalent.
- For any other psychoactive medications, doses cannot exceed the maximum daily dose per local label.
- Women of childbearing potential (WOCBP) must be ready and able to use highly effective methods of birth control per Non-Clinical Safety Studies for the Conduct of Human Clinical Trials and Marketing Authorization for Pharmaceuticals (ICH M3 (R2)) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria is provided in the protocol. Such methods should be used throughout the trial, and for a period of at least 35 days after last trial drug intake, and the patient must agree to periodic pregnancy testing during participation in the trial.
- Have a study partner, defined as any person either private or professional who knows the patient well, has been capable of interacting with the patient on regular basis, and preferably consistent throughout the study.
- The study partner must interact with the subject a minimum 1 hour per week and, preferably, at least 2 times a week. At least one interaction per week should be in person.
- The study partner must have educational achievement of minimum 8th grade.
- Professional study partners (e.g. study nurse, social worker etc.) are allowed if not involved in administration of any of the protocol assessments.
- Further inclusion criteria apply.
Who cannot join
- Participant with current DSM-5 diagnosis other than Schizophrenia, including but not limited to bipolar, schizoaffective, major depressive disorder etc. Mini International Neuropsychiatric Interview (M.I.N.I.) for Psychotic disorders should be used for guidance.
- Cognitive impairment due to developmental, neurological (e.g., epilepsy, stroke) or other disorders including head trauma, or patients with dementia or epilepsy.
- Severe movement disorders
- Leading to cognitive impairment (e.g. Parkinson dementia), or
- Interfering with the efficacy assessments, or
- Due to antipsychotic treatment that cannot be controlled with low dose anticholinergic treatment (equal to maximum 1 mg benztropine twice daily).
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- Any suicidal behavior in the past 1-year prior to screening and during the screening period.
- Suicidal ideation of type 5 in the Columbia Suicide Severity Rating Scale (C-SSRS) (i.e. active suicidal thought with plan and intent) in the past 3 months prior to screening and up to and including Visit 2.
- -- Patients with Suicidal Ideation type 4 in the C-SSRS (i.e. active suicidal thought with intent but without specific plan), within 3 months prior to screening and up to and including Visit 2, can be randomized in the study, if assessed and documented by a licensed mental health professional that there is no immediate risk of suicide.
- History of moderate or severe substance use disorder (other than caffeine and nicotine), as defined in DSM-5 within the last 12 months prior to informed consent.
- Positive urine drug screen at Visit 1 based on central lab test.
- Patients who were treated with any of the following within 6 months prior to randomization:
- Clozapine
- Stimulants (e.g. methylphenidate, dextroamphetamine, modafinil)
- Ketamine or esketamine
- Electroconvulsive therapy (ECT) or Modified ECT Further exclusion criteria apply.
Trial locations and contacts
116 sites in 17 countries.
116 sites in 17 countries
Japan30 sites
Hotei Hospital
Aichi, Konan, 483-8248
Japan Institute for Health Security National Kohnodai Medical Center
Chiba, Ichikawa, 272-8516
Mental Clinic Sakurazaka
Fukuoka, Fukuoka, 810-0023
Fukuoka University Hospital
Fukuoka, Fukuoka, 814-0180
Kuramitsu Hospital
Fukuoka, Fukuoka, 819-0037
Shiranui Hospital
Fukuoka, Omuta, 836-0004
Obihiro-Kosei General Hospital
Hokkaido, Obihiro, 080-0024
Hokkaido University Hospital
Hokkaido, Sapporo, 060-8648
St. Marianna University Hospital
Kanagawa, Kawasaki, 216-8511
Kitasato University Hospital
Kanagawa, Sagamihara, 252-0375
Yokohama Onoecho Clinic
Kanagawa, Yokohama, 231-0015
Hino Hospital
Kanagawa, Yokohama, 234-0051
Kochi Health Sciences Center
Kochi, Kochi, 781-8555
National Hospital Organization Maizuru Medical Center
Kyoto, Maizuru, 625-8502
Tohoku University Hospital
Miyagi, Sendai, 980-8574
Shounan Hospital
Nagano, Matsumoto, 390-0847
Niigata University Medical and Dental Hospital
Niigata, Niigata, 951-8520
National Hospital Organization Hizen Psychiatric Medical Center
Saga, Kanzaki-gun, 842-0192
Saitama Medical University Hospital
Saitama, Iruma-gun, 350-0495
Nishi Kumagaya Hospital
Saitama, Kumagaya, 360-0816
Sho Midori Hospital
Saitama, Saitama, 336-0022
Dokkyo Medical University Hospital
Tochigi, Shimotsuga-gun, 321-0293
Tokushima University Hospital
Tokushima, Tokushima, 770-8503
National Center of Neurology and Psychiatry
Tokyo, Kodaira, 187-8851
Asuka Hospital
Tokyo, Machida, 194-0005
Showa University Karasuyama Hospital
Tokyo, Setagaya, 157-8577
Shinjuku East Mental Clinic
Tokyo, Shinjuku-ku, 160-0021
Ohwa Mental Clinic
Tokyo, Toshima-ku, 170-0002
Yamaguchi University Hospital
Yamaguchi, Ube, 755-8505
University of Yamanashi Hospital
Yamanashi, Chuo, 409-3898
United States18 sites
Atlanta Center
Atlanta, Georgia, 30331
Community Clinical Research, Inc.
Austin, Texas, 78754
University at Buffalo, The State University of New York
Buffalo, New York, 14215
University of Cincinnati
Cincinnati, Ohio, 45219
InSite Clinical Research
DeSoto, Texas, 75115
PeaceHealth Medical Group
Eugene, Oregon, 97401
Core Clinical Research
Everett, Washington, 98201
North Texas Clinical Trials
Fort Worth, Texas, 76104
Collaborative Neuroscience Network, LLC (CNS)
Garden Grove, California, 92845
Institute of Living
Hartford, Connecticut, 06106
Houston Mind and Brain
Houston, Texas, 77055
Omega Clinical Trials,LLC
La Habra, California, 90631
San Marcus Research Clinic, Inc.
Miami, Florida, 33014
CCM Clinical Research Group, LLC-Miami-68482
Miami, Florida, 33133
Neuro-Behavioral Clinical Research
North Canton, Ohio, 44720
Artemis Institute for Clinical Research, LLC
San Diego, California, 92103
Velocity Clinical Research-Santa Ana-68902
Santa Ana, California, 92704
Richmond Behavioral Associates-Staten Island-68636
Staten Island, New York, 10314
China13 sites
The sixth People's Hospital of Hebei Province
Baoding, 71000
Peking University Sixth Hospital
Beijing, 100089
Beijing HuiLongGuan Hospital
Beijing, 100096
The Second People's Hospital of Hunan Province (Brain Hospital of Hunan Province)
Changsha, 410007
The Affiliated Brain Hospital of Guangzhou Medical University
Guangzhou, 510370
The Affiliated Hospital of Guizhou Medical University
Guiyang, 550004
Shandong Daizhuang Hospital
Jining, 272051
The First Affilliated Hospital Of Kunming of Medical College
Kunming, 650032
The Affilicated Kangning Hospital of Ningbo University
Ningbo, 315201
Shanghai Mental Health Center
Shanghai, 200030
Tongji Hospital, Tongji University
Shanghai, 200065
Wuxi mental health center
Wuxi, 214151
The Second Affiliated Hospital of Xinxiang Medical Univ.
Xinxiang, 453002
Brazil7 sites
CPN - Centro de Estudos em Neurociências
Belo Horizonte, 30150-270
Hospital das Clinicas da Universidade Federal de Minas Gerais (HCUFMG)
Belo Horizonte,Minas Gerais, 31270901
Hospital Sao Jose
Criciúma, 88811-000
Trial Tech- Tecnologia em pesquisa com medicamentos
Curitiba, 80.240-280
J A Serviços Médicos Ltda/ Instituto Goiano de Neuropisquiatria
Goiânia, 74093-040
Hospital de Base - Fac Med de Sao Jose do Rio Preto
São José do Rio Preto, 15090-000
BR Trials
São Paulo, 01236-030
Greece7 sites
Eginition Hospital
Athens, 11528
"Attikon" University General Hospital of Attica
Chaïdári, 12462
Psychiatric Hospital of Attica
Haidari, 12462
AX Mental Health Clinic
Heraklion, 71305
General Oncology Hospital "Agioi Anargyri"
Nea Kifissia, 14564
University General Hospital of Thessaloniki AHEPA
Thessaloniki, 54636
General Hospital of Thessaloniki "G. Papanikolaou"
Thessaloniki, 57 010
Mexico6 sites
Clinica Cemelli
Guadalajara, 44660
Medical Care & Research SA de CV
Mérida, 97070
GabiPros S.C.
Mexico City, 07000
Instituto Nacional de Neurologia y Neurocirugia
Mexico City, 14269
CIT-Neuropsique S.C
Monterrey, 64610
Instituto de Informacion e Investigacion en Salud Mental A.C. (INFOSAME).
Monterrey, 64710
Colombia5 sites
Centro de Investigación y Proyectos en neurociencia CIPNA
Barranquilla, 80020
E.S.E Hospital Mental de Antioquia
Bello, 51053
Instituto Colombiano del Sistema Nervioso- Clínica Montserrat
Bogotá, 110121
Centro de Investigaciones del Sistema Nervioso SAS- Grupo Cisne SAS
Bogotá, 111166
Psynapsis Salud Mental S.A.
Pereira, 660003
Italy5 sites
ASST degli Spedali Civili di Brescia
Brescia, 25123
A.O. Fatebenefratelli
Milan, 20121
Ist. San Raffaele Turro
Milan, 20127
Azienda Sanitaria Ospedale S. Luigi Gonzaga
Orbassano (TO), 10043
A.O.U. Senese
Siena, 53100
Poland5 sites
Podlassian Center of Psychogeriatry, Bialystok
Bialystok, 15-756
Central Teaching Hospital of the Medical University of Lodz
Lodz, 92-216
Individual Specialist Medical Practice Filip Rybakowski
Poznan, 60-744
Institute of Psychiatry and Neurology in Warsaw
Warsaw, 02-957
Clinhouse
Zabrze, 41-807
Turkey (Türkiye)5 sites
Hacettepe Universitesi Tip Fakultesi
Ankara, 06230
Ankara University Medical School
Ankara, 06590
Istanbul University
Istanbul, 34093
Dokuz Eylul Universitesi Psikiyatri A.B.D.
Izmir, 35340
Celal Bayar Universitesi Tip Fakultesi
Manisa, 45030
Germany4 sites
Zentrum für klinische Forschung Dr. med. I. Schöll GmbH
Bad Homburg, 61348
Praxis Dr. Hahn, Berlin
Berlin, 13187
Zentralinstitut für seelische Gesundheit
Mannheim, 68159
Neurologie und Psychiatrie / Psychotherapie
Westerstede, 26655
Canada3 sites
University of Calgary
Calgary, Alberta, T2N 4Z6
OCT Research ULC
Kelowna, British Columbia, V1Y 1Z9
Centre for Addiction and Mental Health (CAMH)
Toronto, Ontario, M6J 1H3
Norway2 sites
Sykehuset Østfold HF, avd. Moss
Moss, N-1535
Akershus Universitetssykehus HF
Oslo, N-0963
Philippines2 sites
St. Paul's Hospital-Iloilo City-40765
Iloilo City, 5000
Philippine General Hospital
Manila, Philippines, 1000
Sweden2 sites
Psykiatriska Kliniken
Helsingborg, 201 53
Akademiska sjukhuset
Uppsala, 751 85
Australia1 site
Monash Alfred Psychiatry Research Centre
Melbourne, Victoria, 3004
About this study
Official title: A Phase III Randomized, Double-blind, Placebo-controlled Parallel Group Trial to Examine the Efficacy and Safety of Iclepertin Once Daily Over 26 Week Treatment Period in Patients With Schizophrenia (CONNEX-1)
This study is open to adults with schizophrenia. Schizophrenia can affect the way a person thinks, their memory and their mental functioning. Examples include struggling to remember things, or to read a book or pay attention to a movie. Some people have difficulty calculating the right change or planning a trip so that they arrive on time. The purpose of this study is to find out whether a medicine called Iclepertin improves learning and memory in people with schizophrenia.
Participants are put into two groups randomly, which means by chance. One group takes Iclepertin tablets and the other group takes placebo tablets. Placebo tablets look like Iclepertin tablets but do not contain any medicine. Participants take a tablet once a day for 26 weeks. In addition, all participants take their normal medication for schizophrenia.
Read more
During this time, doctors regularly test learning and memory of the participants by use of questionnaires, interviews, and computer tests. The results of the mental ability tests are compared between the groups.
Participants are in the study for about 8 months and visit the study site about 14 times. During this time, doctors regularly check participants' health and take note of any unwanted effects.
- Conditions
- Schizophrenia
- Being tested
- Iclepertin, Placebo
- Medical subject headings
- Schizophrenia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IclepertinDrug
One 10 milligram (mg) tablet once a day.
PlaceboDrug
One tablet once a day.
| Study group | Role | What they receive |
|---|---|---|
| Iclepertin 10 mg | Experimental | Patients with schizophrenia took orally once a day one 10 milligram (mg) tablet of iclepertin. Receives: Drug: Iclepertin |
| Placebo-matching Iclepertin 10 mg | Placebo comparator | Patients with schizophrenia took orally once a day one tablet of placebo-matching iclepertin. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Overall Composite T-score of the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB) After 26 Weeks of Treatment
MCCB comprises 10 tests, which assess 7 cognitive domains, including speed of processing, attention vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition. The larger the MCCB overall composite T-score, the better patient cognition. A mean T-score of 50 and a standard deviation of 10 reflects the general population.
The estimated treatment effect included the effect of any concomitant therapies for all randomized patients on on-treatment periods. On-treatment is defined as the period of first drug administration/first resumed dose after interruption until last drug administration + REP (residual effect period).
The change from baseline was analyzed with a MMRM (mixed-effects model for repeated measures) with the fixed effects: treatment at each visit, stratification factor using the screening MCCB overall composite T-score, and baseline MCCB overall composite T-score at each visit. Visit was the repeated measure.
Measured: MMRM included measurements at baseline, Week 12, and Week 26. Change from baseline values at Week 26 is reported.
Secondary outcomes (6)
Key Secondary Endpoint: Change From Baseline in the Schizophrenia Cognition Rating Scale (SCoRS) Interviewer Total Score After 26 Weeks of Treatment
The SCoRS is an interview based- assessment tool to evaluate the cognitive function of individuals with schizophrenia that incorporates the input of the patient, the caregiver and the interviewer. It is composed of 20 items on a 7-point Likert scale, ranging from 20 to 140 points, where a higher score indicates a greater cognitive impairment.
The estimated treatment effect included the effect of any concomitant therapies and partner change in SCoR assessment for all randomized patients on-treatment. On-treatment is defined as the period of 1st drug administration/1st resumed dose after interruption until last drug administration + REP.
The change from baseline was analyzed with mixed-effects model for repeated measures (MMRM) with the fixed effects: treatment at each visit, stratification factor using the screening MCCB overall composite T-score, and baseline MCCB overall composite T-score at each visit. Visit was treated as the repeated measure.
Measured: MMRM included measurements at baseline, Week 12, and Week 26. Change from baseline values at Week 26 is reported.
Key Secondary Endpoint: Change From Baseline to Week 26 in the Adjusted Total Time T-score in the Virtual Reality Functional Capacity Assessment Tool (VRFCAT)
The VRFCAT is a computerized assessment measuring the functional capacity of an individual to perform everyday tasks. It generates a composite score based on the amount of time taken to complete the tasks. The lower the VRFCAT T-score, the better patient's functional capacity. A mean T-score of 50 and a standard deviation of 10 reflects the T-score in a general population.
The estimated treatment effect included the effect of any concomitant therapies for all randomized patients on-treatment. On-treatment is defined as the period of 1st drug administration/1st resumed dose after interruption until last drug administration + REP.
The change from baseline was analyzed with MMRM with the fixed effects: treatment at each visit, stratification factor using the screening MCCB overall composite T-score, and baseline MCCB overall composite T-score at each visit. Visit was treated as the repeated measure.
Measured: MMRM included measurements at baseline, Week 12, and Week 26. Change from baseline values at Week 26 is reported.
Change From Screening Visit 1a in Patient Reported Experience of Cognitive Impairment in Schizophrenia (PRECIS) Total Score at Week 24
The Patient Reported Experience of Cognitive Impairment in Schizophrenia (PRECIS) score evaluates how cognitive difficulties impact the daily life of individuals with schizophrenia. It is composed of 28 items on a 5-category Likert scale (1=not at all/not at all hard, 5=very much/very hard), and the total score was derived by calculating the average score of the first 26 items, where higher scores mean a worse patient experience.
The estimated treatment effect included the effect of any concomitant therapies for all randomized patients on-treatment. On-treatment is defined as the period of 1st drug administration/1st resumed dose after interruption until last drug administration + REP.
The change from baseline was analyzed with MMRM with the fixed effects: treatment at each visit, stratification factor using the screening MCCB overall composite T-score, and baseline MCCB overall composite T-score at each visit. Visit was treated as the repeated measure.
Measured: MMRM included measurements at Visit 1a (Week -2/Week -1), Week 15, and Week 24. Change from Visit 1a values at Week 24 is reported.
Change From Baseline in the T-score of the Number of Correct Responses on Tower of London at Week 26
The Tower of London (ToL) evaluates executive functioning, reasoning, problem-solving, and goal-directed behavior. It measures the number of correct responses in solving an exercise that consists on moving colored balls to match a target configuration. The higher the ToL T-score, the better patient's cognitive function. A mean T-score of 50 and a standard deviation of 10 reflects the T-score in a general population.
The estimated treatment effect included the effect of any concomitant therapies for all randomized patients on-treatment. On-treatment is defined as the period of 1st drug administration/1st resumed dose after interruption until last drug administration + REP.
The change from baseline comparing the groups was analyzed using analysis of covariance (ANCOVA) model including treatment, stratification factor of screening MCCB overall composite T-score, and baseline number of correct responses on Tower of London T-score.
Measured: At baseline and at Week 26.
Ocular Safety Sub-study: Humphrey Visual Field 24-2 Swedish Interactive Thresholding Algorithm (SITA) Standard
The Humphrey Visual Field 24-2 SITA Standard is a diagnostic test to measure visual fields, or perimetry. The Humphrey visual field test measures the entire area of peripheral vision that can be seen while the eye is focused on a central point. During this test, lights of varying intensities appear in different parts of the visual field while the patient's eye is focused on a central spot. The perception of these lights is charted and then compared to results of a healthy eye at the same age of the patient to determine if any damage has occurred. The tests ranks from 0 to 100%, where 0 means no vision and 100 means perfect vision.
Measured: At baseline and at Week 24.
Ocular Safety Sub-study: Central Retinal Thickness as Measured by Spectral Domain Optical Coherence Tomography (SD-OCT)
The central retinal thickness for both eyes was measured by high-definition optical coherence tomography (spectral domain OCT), which evaluates the retinal and sub-retinal structures of both eyes.
Measured: At baseline and at Week 24.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Apr 2021
- Study start8 Sep 2021
- Primary completion17 Sep 2024
- Study completion1 Oct 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.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for SchizophreniaStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 620 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04846868
- Sponsor's protocol ID
- 1346-0011
- Other IDs
- 2020-003760-11
- Status last verified
- Oct 2025
- First submitted
- 13 Apr 2021
- Last updated
- 5 Nov 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: After the study is completed and the primary manuscript is accepted for publishing, researchers can use this following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Also, Researchers can use the following link https://www.mystudywindow.com/msw/datasharing to find information in order to request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website. The data shared are the raw clinical study data sets.
Publications
Keefe RSE, Harvey PD, Correll CU, Falkai P, Hashimoto N, Klein H, Krystal JH, Marder S, Medalia A, Sumiyoshi T, Wang G, Zhang H, Blahova Z, Bichard-Sall I, English BA, Fu E, Gruenenfelder F, Groeschl M, Kimura K, Tang W, von der Goltz C, Fowler C. Efficacy and safety of iclepertin for cognitive impairment associated with schizophrenia (CONNEX programme): results from three phase 3 randomised controlled trials. Lancet Psychiatry. 2025 Dec;12(12):906-920. doi: 10.1016/S2215-0366(25)00296-2.
PubMed 41233083
Study at a glance
From the registry record, last updated by the sponsor on 5 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III Randomized, Double-blind, Placebo-controlled Parallel Group Trial to Examine the Efficacy and Safety of Iclepertin Once Daily Over 26 Week Treatment Period in Patients With Schizophrenia (CONNEX-1)
- ClinicalTrials.gov ID
- NCT04846868
- Acronym / sponsor ID
- 1346-0011
- Conditions
- Schizophrenia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 620 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- 8 Sep 2021 (actual)
- Primary completion
- 17 Sep 2024 (actual)
- Study completion
- 1 Oct 2024 (actual)
- First posted
- 15 Apr 2021 (actual)
- Results
- Posted 5 Nov 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is open to adults with schizophrenia. Schizophrenia can affect the way a person thinks, their memory and their mental functioning. Examples include struggling to remember things, or to read a book or pay attention to a movie. Some people have difficulty calculating the right change or planning a trip so that they arrive on time. The purpose of this study is to find out whether a medicine called Iclepertin improves learning and memory in people with schizophrenia.
Participants are put into two groups randomly, which means by chance. One group takes Iclepertin tablets and the other group takes placebo tablets. Placebo tablets look like Iclepertin tablets but do not contain any medicine. Participants take a tablet once a day for 26 weeks. In addition, all participants take their normal medication for schizophrenia.
During this time, doctors regularly test learning and memory of the participants by use of questionnaires, interviews, and computer tests. The results of the mental ability tests are compared between the groups.
Participants are in the study for about 8 months and visit the study site about 14 times. During this time, doctors regularly check participants' health and take note of any unwanted effects.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Iclepertin 10 mg | Experimental | Drug: IclepertinPatients with schizophrenia took orally once a day one 10 milligram (mg) tablet of iclepertin. |
| Placebo-matching Iclepertin 10 mg | Placebo comparator | Drug: PlaceboPatients with schizophrenia took orally once a day one tablet of placebo-matching iclepertin. |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (19 listed)
- Patients must be capable of providing signed and dated written informed consent by date of Visit 1 in accordance with ICH Harmonized Tripartite Guideline for Good Clinical Practice (ICH-GCP) and the local legislation prior to the admission to the trial.
- Male or female patients who are 18-50 years (inclusive) of age at time of consent.
- Diagnosis of schizophrenia utilizing Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5) with the following clinical features:
- Patients should have functional impairment in day-to-day activities such as difficulties following conversation or expressing themselves, difficulties to stay focused, difficulties to remember instructions, what to say or how to get to places, per investigator judgement.
- Patients maintained on current antipsychotic treatment (minimum 1 and maximum 2 antipsychotics, but clozapine is not allowed) for at least 12 weeks and on current dose for at least 35 days prior to randomization.
Key exclusion criteria (16 listed)
- Participant with current DSM-5 diagnosis other than Schizophrenia, including but not limited to bipolar, schizoaffective, major depressive disorder etc. Mini International Neuropsychiatric Interview (M.I.N.I.) for Psychotic disorders should be used for guidance.
- Cognitive impairment due to developmental, neurological (e.g., epilepsy, stroke) or other disorders including head trauma, or patients with dementia or epilepsy.
- Severe movement disorders
- Any suicidal behavior in the past 1-year prior to screening and during the screening period.
- Suicidal ideation of type 5 in the Columbia Suicide Severity Rating Scale (C-SSRS) (i.e. active suicidal thought with plan and intent) in the past 3 months prior to screening and up to and including Visit 2.
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 |
|---|---|---|
| IclepertinOne 10 milligram (mg) tablet once a day. | Drug | Iclepertin 10 mg |
| PlaceboOne tablet once a day. | Drug | Placebo-matching Iclepertin 10 mg |
Primary outcome
Change From Baseline in Overall Composite T-score of the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB) After 26 Weeks of Treatment
Time frame: MMRM included measurements at baseline, Week 12, and Week 26. Change from baseline values at Week 26 is reported.
MCCB comprises 10 tests, which assess 7 cognitive domains, including speed of processing, attention vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition. The larger the MCCB overall composite T-score, the better patient cognition. A mean T-score of 50 and a standard deviation of 10 reflects the general population. The estimated treatment effect included the effect of any concomitant therapies for all randomized patients on on-treatment periods. On-treatment is defined as the period of first drug administration/first resumed dose after interruption until last drug administration + REP (residual effect period). The change from baseline was analyzed with a MMRM (mixed-effects model for repeated measures) with the fixed effects: treatment at each visit, stratification factor using the screening MCCB overall composite T-score, and baseline MCCB overall composite T-score at each visit. Visit was the repeated measure.
6 secondary outcomes
Key Secondary Endpoint: Change From Baseline in the Schizophrenia Cognition Rating Scale (SCoRS) Interviewer Total Score After 26 Weeks of Treatment
Time frame: MMRM included measurements at baseline, Week 12, and Week 26. Change from baseline values at Week 26 is reported.
Key Secondary Endpoint: Change From Baseline to Week 26 in the Adjusted Total Time T-score in the Virtual Reality Functional Capacity Assessment Tool (VRFCAT)
Time frame: MMRM included measurements at baseline, Week 12, and Week 26. Change from baseline values at Week 26 is reported.
Change From Screening Visit 1a in Patient Reported Experience of Cognitive Impairment in Schizophrenia (PRECIS) Total Score at Week 24
Time frame: MMRM included measurements at Visit 1a (Week -2/Week -1), Week 15, and Week 24. Change from Visit 1a values at Week 24 is reported.
Change From Baseline in the T-score of the Number of Correct Responses on Tower of London at Week 26
Time frame: At baseline and at Week 26.
Ocular Safety Sub-study: Humphrey Visual Field 24-2 Swedish Interactive Thresholding Algorithm (SITA) Standard
Time frame: At baseline and at Week 24.
Ocular Safety Sub-study: Central Retinal Thickness as Measured by Spectral Domain Optical Coherence Tomography (SD-OCT)
Time frame: At baseline and at Week 24.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Nov 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41233083Keefe RSE, Harvey PD, Correll CU, Falkai P, Hashimoto N, Klein H, Krystal JH, Marder S, Medalia A, Sumiyoshi T, Wang G, Zhang H, Blahova Z, Bichard-Sall I, English BA, Fu E, Gruenenfelder F, Groeschl M, Kimura K, Tang W, von der Goltz C, Fowler C. Efficacy and safety of iclepertin for cognitive impairment associated with schizophrenia (CONNEX programme): results from three phase 3 randomised controlled trials. Lancet Psychiatry. 2025 Dec;12(12):906-920. doi: 10.1016/S2215-0366(25)00296-2.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. After the study is completed and the primary manuscript is accepted for publishing, researchers can use this following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Also, Researchers can use the following link https://www.mystudywindow.com/msw/datasharing to find information in order to request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website. The data shared are the raw clinical study data sets.
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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.
The record lists no contact. Use the official record to reach the sponsor.
116 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Iclepertin in people with Schizophrenia, run by Boehringer Ingelheim at 116 sites in 17 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 19 inclusion and 16 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 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 116 sites in Japan, United States, China, Brazil, Greece and 12 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 5 Nov 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 Overall Composite T-score of the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB) After 26 Weeks of Treatment (time frame: MMRM included measurements at baseline, Week 12, and Week 26. Change from baseline values at Week 26 is reported.). 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 NCT04846868, 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 Nov 2025.