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The Effect of JNJ-39393406 on Event Related Potentials in Stable Schizophrenic Patients

Primary Purpose

Schizophrenia, Alzheimer's Disease, Cognition Disorders

Status
Terminated
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
JNJ-39393406
placebo
JNJ-39393406
JNJ-39393406
JNJ-39393406
JNJ-39393406
Sponsored by
Janssen Pharmaceutica N.V., Belgium
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Schizophrenia focused on measuring symptomatic treatment, cognition, cognitive deficits, schizophrenia, Alzheimer's Disease

Eligibility Criteria

18 Years - 55 Years (Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Male between 18 and 55 years of age, inclusive
  • A known history of schizophrenia of at least 12 months by the referring psychiatrist
  • DSM-IV criteria for Schizophrenia (including all subtypes)
  • Stable treatment for at least 3 months (minor changes are acceptable upon confirmation by the sponsor representative)
  • Medically stable on the basis of physical examination, medical history, vital signs, and 12-lead ECG performed at screening. If there are abnormalities, they must be consistent with the underlying illness in the study population
  • Medically stable on the basis of clinical laboratory tests performed at screening. If the results of the serum chemistry panel, hematology, or urinalysis are outside the normal reference ranges, the subject may be included only if the investigator judges the abnormalities or deviations from normal to be not clinically significant or to be appropriate and reasonable for the population under study. This determination must be recorded in the subject source documents and initialed by the investigator
  • BMI between 18 and 35 kg/m² inclusive (BMI = weight/height²)
  • For the pharmacogenomic component of this study subjects must have signed a separate written informed consent indicating willingness to participate in Part 1 genetic testing (mandatory), and indicate either consent or refusal for Part 2 DNA storage. Subject participation in the genetic testing component of the study (Part 1) is mandatory. Participation in the DNA storage component (Part 2) is voluntary and refusal to participate will not result in ineligibility for the main part of the study

Exclusion Criteria:

  • A DSM-IV axis I diagnosis other than schizophrenia
  • Clinically significant abnormal values for clinical chemistry, hematology or urinalysis at screening or admission. It is expected that laboratory values will generally be within the normal range for the laboratory, though minor deviations, which are not considered to be of clinical significance to the investigator, are acceptable. Values of ALT/AST < 2 fold the upper limit of normal will be allowed
  • Clinically significant abnormal physical examination, vital signs or 12 lead ECG at screening. Minor deviations in ECG, which are not considered to be of clinical significance to the investigator, are acceptable
  • QTcb >470ms
  • A DSM-IV diagnosis of substance dependence within 6 months prior to screening evaluation (caffeine dependence is not exclusionary. Patients with a positive drug screen at screening may be included provided use does not lead to a DSM-IV diagnosis of substance dependence and patients consents to abstain from illegal drugs within 3 days prior to Day -1 and at any time during the study)
  • Treatment-resistant subjects (failure to respond to two different antipsychotic drugs in the past)
  • PANSS scores > 70
  • Suicidal risk (assessed by the investigator such as, prior attempts to suicide, command hallucinations and / or hopelessness)
  • Use of clozapine within 3 months before screening until follow-up
  • Use of more than two antipsychotic drugs within 3 months before dosing until follow up

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

001

002

003

004

005

006

Arm Description

JNJ-39393406 10mg nanosuspension (sort of liquid formulation) once daily (single dose)

JNJ-39393406 30mg nanosuspension (sort of liquid formulation) once daily (single dose)

JNJ-39393406 50mg nanosuspension (sort of liquid formulation) once daily (single dose)

JNJ-39393406 100mg nanosuspension (sort of liquid formulation) once daily (single dose)

JNJ-39393406 200mg nanosuspension (sort of liquid formulation) once daily (single dose)

placebo Once daily (single dose)

Outcomes

Primary Outcome Measures

Improvement of deficits (i.e. sensory gating deficits) in event related potentials like Auditory Evoked Potentials P50 and P300 and Mismatch Negativity.

Secondary Outcome Measures

Improvement in continuous performance testing
Plasma concentrations of JNJ-39393406 (PK blood samples)
Number of patients with clinical significant changes in vitals signs
Number of patients with clinical significant changes in ECG parameters
Number of patients with clinical clinical significant changes in clinical laboratory parameters

Full Information

First Posted
June 3, 2010
Last Updated
November 7, 2012
Sponsor
Janssen Pharmaceutica N.V., Belgium
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1. Study Identification

Unique Protocol Identification Number
NCT01137799
Brief Title
The Effect of JNJ-39393406 on Event Related Potentials in Stable Schizophrenic Patients
Official Title
A Double-Blind, Placebo-Controlled, Randomized, Four-Way Cross-Over Study To Investigate Effect Of Single Oral Doses Of JNJ-39393406 On Event-Related Potentials In Subjects With Stable Schizophrenia
Study Type
Interventional

2. Study Status

Record Verification Date
November 2012
Overall Recruitment Status
Terminated
Why Stopped
Efficacy signals were insufficiently strong to justify recruitment of additional patients.
Study Start Date
August 2009 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
March 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Janssen Pharmaceutica N.V., Belgium

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study in patients with stable schizophrenia will investigate the effect of JNJ-39393406 on Event Related Potentials (Auditory Evoked Potential [AEP] P50, AEP P300 and Mismatch Negativity [MMN]) after single dose administration.
Detailed Description
This is a double-blind (neither physician nor patient knows the name of the assigned drug), placebo-controlled, randomized (study drug assigned by chance), four-way-crossover trial (participants may receive different interventions sequentially during the trial) in patients with stable schizophrenia. The four-way-crossover treatment phase will consist of four blinded treatment periods separated by a wash out period (the period allowed for the entire administered drug to be eliminated from the body) of 6 to 14 days. The study duration for each patient will be approximately 12 weeks. Each patient enrolled will receive 3 (out of 5) dose levels of JNJ-39393406 and one dose of placebo. Part A of the study will include smoking patients with schizophrenia and will precede part B which will include non-smoking patients with schizophrenia. Safety evaluations include adverse event monitoring, vital signs and clinical laboratory tests. The study drug will be given as a single dose on Day 1 of each treatment period as a kind of liquid formulation with 240 mL non-carbonated water between 7:00 AM and 10:30 AM. Before dosing patients will be given a standard breakfast. The proposed dose levels for this study (Part A and Part B) will range from 10 to 200 mg.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Schizophrenia, Alzheimer's Disease, Cognition Disorders
Keywords
symptomatic treatment, cognition, cognitive deficits, schizophrenia, Alzheimer's Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
47 (Actual)

8. Arms, Groups, and Interventions

Arm Title
001
Arm Type
Experimental
Arm Description
JNJ-39393406 10mg nanosuspension (sort of liquid formulation) once daily (single dose)
Arm Title
002
Arm Type
Experimental
Arm Description
JNJ-39393406 30mg nanosuspension (sort of liquid formulation) once daily (single dose)
Arm Title
003
Arm Type
Experimental
Arm Description
JNJ-39393406 50mg nanosuspension (sort of liquid formulation) once daily (single dose)
Arm Title
004
Arm Type
Experimental
Arm Description
JNJ-39393406 100mg nanosuspension (sort of liquid formulation) once daily (single dose)
Arm Title
005
Arm Type
Experimental
Arm Description
JNJ-39393406 200mg nanosuspension (sort of liquid formulation) once daily (single dose)
Arm Title
006
Arm Type
Placebo Comparator
Arm Description
placebo Once daily (single dose)
Intervention Type
Drug
Intervention Name(s)
JNJ-39393406
Intervention Description
50mg nanosuspension (sort of liquid formulation) once daily (single dose)
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Once daily (single dose)
Intervention Type
Drug
Intervention Name(s)
JNJ-39393406
Intervention Description
200mg nanosuspension (sort of liquid formulation) once daily (single dose)
Intervention Type
Drug
Intervention Name(s)
JNJ-39393406
Intervention Description
100mg nanosuspension (sort of liquid formulation) once daily (single dose)
Intervention Type
Drug
Intervention Name(s)
JNJ-39393406
Intervention Description
10mg nanosuspension (sort of liquid formulation) once daily (single dose)
Intervention Type
Drug
Intervention Name(s)
JNJ-39393406
Intervention Description
30mg nanosuspension (sort of liquid formulation) once daily (single dose)
Primary Outcome Measure Information:
Title
Improvement of deficits (i.e. sensory gating deficits) in event related potentials like Auditory Evoked Potentials P50 and P300 and Mismatch Negativity.
Time Frame
Predose and 2 and 5 hours post dose during each treatment period.
Secondary Outcome Measure Information:
Title
Improvement in continuous performance testing
Time Frame
Predose, 2h and 5 post dosing during each treatment period
Title
Plasma concentrations of JNJ-39393406 (PK blood samples)
Time Frame
Predose, 1h, 1h45, 3h, 4h45 and 6h postdose during each treatment period
Title
Number of patients with clinical significant changes in vitals signs
Time Frame
Baseline, predose and 6h post dose during each treatment period and follow up visit.
Title
Number of patients with clinical significant changes in ECG parameters
Time Frame
baseline, predose and 6h post dose during each treatment period and follow up
Title
Number of patients with clinical clinical significant changes in clinical laboratory parameters
Time Frame
baseline, predose and 6h post dose during each treatment period and Follow Up

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male between 18 and 55 years of age, inclusive A known history of schizophrenia of at least 12 months by the referring psychiatrist DSM-IV criteria for Schizophrenia (including all subtypes) Stable treatment for at least 3 months (minor changes are acceptable upon confirmation by the sponsor representative) Medically stable on the basis of physical examination, medical history, vital signs, and 12-lead ECG performed at screening. If there are abnormalities, they must be consistent with the underlying illness in the study population Medically stable on the basis of clinical laboratory tests performed at screening. If the results of the serum chemistry panel, hematology, or urinalysis are outside the normal reference ranges, the subject may be included only if the investigator judges the abnormalities or deviations from normal to be not clinically significant or to be appropriate and reasonable for the population under study. This determination must be recorded in the subject source documents and initialed by the investigator BMI between 18 and 35 kg/m² inclusive (BMI = weight/height²) For the pharmacogenomic component of this study subjects must have signed a separate written informed consent indicating willingness to participate in Part 1 genetic testing (mandatory), and indicate either consent or refusal for Part 2 DNA storage. Subject participation in the genetic testing component of the study (Part 1) is mandatory. Participation in the DNA storage component (Part 2) is voluntary and refusal to participate will not result in ineligibility for the main part of the study Exclusion Criteria: A DSM-IV axis I diagnosis other than schizophrenia Clinically significant abnormal values for clinical chemistry, hematology or urinalysis at screening or admission. It is expected that laboratory values will generally be within the normal range for the laboratory, though minor deviations, which are not considered to be of clinical significance to the investigator, are acceptable. Values of ALT/AST < 2 fold the upper limit of normal will be allowed Clinically significant abnormal physical examination, vital signs or 12 lead ECG at screening. Minor deviations in ECG, which are not considered to be of clinical significance to the investigator, are acceptable QTcb >470ms A DSM-IV diagnosis of substance dependence within 6 months prior to screening evaluation (caffeine dependence is not exclusionary. Patients with a positive drug screen at screening may be included provided use does not lead to a DSM-IV diagnosis of substance dependence and patients consents to abstain from illegal drugs within 3 days prior to Day -1 and at any time during the study) Treatment-resistant subjects (failure to respond to two different antipsychotic drugs in the past) PANSS scores > 70 Suicidal risk (assessed by the investigator such as, prior attempts to suicide, command hallucinations and / or hopelessness) Use of clozapine within 3 months before screening until follow-up Use of more than two antipsychotic drugs within 3 months before dosing until follow up
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Janssen Pharmaceutica N.V. Clinical Trial
Organizational Affiliation
Janssen Pharmaceutica N.V.
Official's Role
Study Director
Facility Information:
City
Berlin
Country
Germany
City
Erlangen
Country
Germany
City
München
Country
Germany
City
Neuss
Country
Germany

12. IPD Sharing Statement

Citations:
PubMed Identifier
22766391
Citation
Winterer G, Gallinat J, Brinkmeyer J, Musso F, Kornhuber J, Thuerauf N, Rujescu D, Favis R, Sun Y, Franc MA, Ouwerkerk-Mahadevan S, Janssens L, Timmers M, Streffer JR. Allosteric alpha-7 nicotinic receptor modulation and P50 sensory gating in schizophrenia: a proof-of-mechanism study. Neuropharmacology. 2013 Jan;64:197-204. doi: 10.1016/j.neuropharm.2012.06.040. Epub 2012 Jul 2.
Results Reference
derived

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The Effect of JNJ-39393406 on Event Related Potentials in Stable Schizophrenic Patients

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