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Flexible-dose, Long-term Safety Study of Lu AF35700 in Adult Patients With Schizophrenia (Debut)

Primary Purpose

Schizophrenia

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Lu AF35700
Sponsored by
H. Lundbeck A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Schizophrenia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

- For 16159A-patients

  • The patient has completed Study 16159A.
  • The patient is able to read and understand the Informed Consent Form.
  • The patient has signed the Informed Consent Form specific for Study 16159B.
  • The patient can potentially benefit from 52-week treatment with Lu AF35700 according to the investigator's clinical judgement.

For 16323A-patients

  • The patient has completed the dosing period of Study 16323A.
  • The patient is able to read and understand the Informed Consent Form.
  • The patient has signed the Informed Consent Form specific Study 16159B.
  • The patient has a confirmed diagnosis of schizophrenia according to DSM-5™.
  • The patient can potentially benefit from 52-week treatment with Lu AF35700 according to the investigator's clinical judgement.

For Other Patients

  • The patient has schizophrenia, diagnosed according to DSM-5™.
  • The patient is a man or woman, aged ≥18 years.
  • The patient has been prescribed oral antipsychotic treatment at the recommended dose range as stated in the summary of product characteristics or equivalent label for 6 weeks prior to the Screening Visit.
  • The patient has a PANSS total score ≥60 and ≤90 at Screening and Baseline Visits.
  • The patient has a Clinical Global Impression - Severity of Illness (CGI-S) score ≤4.
  • The patient is in need of a change in the current antipsychotic treatment and, according to the investigator's clinical judgement, the patient can potentially benefit from a switch to another treatment including, but not limited to, any of the following reasons:

    • lack of adequate response to his or her current antipsychotic medication;
    • poor tolerability to his or her current antipsychotic medication;
    • unwillingness of the patient to adhere to his or her current antipsychotic medication.

Exclusion Criteria:

- For 16159A-patients

  • The patient has been diagnosed with a primary psychiatric disorder other than schizophrenia during Study 16159A.
  • The patient, in the opinion of the investigator, is at significant risk of suicide, or: Answers "Yes" to any question on the Suicidal Behaviour section of the Columbia-Suicide Severity Rating Scale (C-SSRS), OR Answers "Yes" to questions 4 and 5 on the Suicidal Ideation section of the C-SSRS

For 16323A-patients

  • The patient has been diagnosed with a primary psychiatric disorder other than schizophrenia during Study 16323A.
  • The patient, in the opinion of the investigator, is at significant risk of suicide, or: Answers "Yes" to any question on the Suicidal Behaviour section of the C-SSRS, OR Answers "Yes" to questions 4 and 5 on the Suicidal Ideation section of the C-SSRS

For Other Patients

  • The patient has any current psychiatric disorder (DSM-5™ criteria) other than schizophrenia established as the primary diagnosis.
  • The patient is experiencing acute exacerbation of psychotic symptoms at the Screening Visit, between the Screening and Baseline Visits or at the Baseline Visit.
  • The patient is treated with clozapine at the time of the Screening Visit.
  • The patient has a substance use disorder (except nicotine) which according to the investigator's judgment may compromise the patient's ability to comply with the study procedures, or preclude the benefits of the study medication.
  • The patient, in the opinion of the investigator, is at significant risk of suicide, or: Answers "Yes" to any question on the Suicidal Behaviour section of the C-SSRS, OR Answers "Yes" to questions 4 and 5 on the Suicidal Ideation section of the C-SSRS

Other protocol defined inclusion and exclusion criteria may apply

Sites / Locations

  • US1018
  • US1062
  • US1463
  • US1399
  • US1104
  • US1114
  • US1459
  • US1368
  • US1391
  • US1392
  • US1318
  • US1130
  • US1129
  • US1402
  • US1403
  • US1009
  • US1046
  • US1423
  • US1398
  • US1404
  • US1086
  • US1444
  • US1426
  • US1244
  • US1394
  • US1416
  • US1171
  • US1190
  • US1390
  • US1124
  • US1451
  • US1065
  • BG1030
  • BG1028
  • BG1003
  • BG1008
  • BG1024
  • BG1026
  • BG1034
  • BG1029
  • BG1027
  • CA1029
  • CZ1023
  • CZ1032
  • CZ1013
  • CZ1038
  • EE1007
  • MX1024
  • MX1011
  • MX1021
  • MX1022
  • MX1020
  • MX1005
  • MX1007
  • MX1015
  • PL1043
  • PL1058
  • PL1059
  • PL1051
  • PL1060
  • RO1024
  • RU1009
  • RU1021
  • RU1006
  • RU1051
  • RU1055
  • RU1053
  • RU1023
  • RU1028
  • RU1030
  • RU1031
  • RU1049
  • RU1052
  • RU1056
  • RU1050
  • RS1008
  • RS1010
  • RS1012
  • RS1001
  • RS1011
  • RS1016
  • RS1017
  • RS1009
  • SK1014
  • SK1024
  • SK1026
  • ES1047
  • ES1008
  • ES1048
  • UA1017
  • UA1035
  • UA1029
  • UA1027
  • UA1028
  • UA1030
  • UA1031
  • UA1033
  • UA1020
  • UA1019
  • UA1032
  • UA1001
  • UA1036

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Flexible-dose of Lu AF35700

Arm Description

Outcomes

Primary Outcome Measures

Number of Participants With Treatment-Emergent Adverse Events (Safety and Tolerability)
Based on the safety assessments (e.g. clinical safety laboratory tests, vital signs, weight, waist circumference and ECG)

Secondary Outcome Measures

Full Information

First Posted
August 29, 2016
Last Updated
September 30, 2020
Sponsor
H. Lundbeck A/S
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1. Study Identification

Unique Protocol Identification Number
NCT02892422
Brief Title
Flexible-dose, Long-term Safety Study of Lu AF35700 in Adult Patients With Schizophrenia
Acronym
Debut
Official Title
Interventional, Open-label, Flexible-dose, Long-term Safety Study of Lu AF35700 in Adult Patients With Schizophrenia
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
August 2016 (Actual)
Primary Completion Date
October 10, 2019 (Actual)
Study Completion Date
October 10, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
H. Lundbeck A/S

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To evaluate the safety and tolerability of the long-term treatment with Lu AF35700.
Detailed Description
Safety study in patients with schizophrenia who have participated and completed a study investigating Lu AF35700 including Studies 16159A and 16323A. Or in patients with schizophrenia for whom a switch of antipsychotic treatment can be potentially beneficial according to the investigator's clinical judgement.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Schizophrenia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
528 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Flexible-dose of Lu AF35700
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Lu AF35700
Intervention Description
Flexible-dose of Lu AF35700, 10 or 20 mg/day, tablets, orally. From Day 8, the daily dose can be increased to 20mg. Thereafter, the daily dose can be adjusted (decreased to 10mg or following a decrease, increased to 20mg/day) Patients who completed the 16159A study, only, can be switched to a weekly 70 mg Lu AF35700 dosing regimen (tablets, orally, once weekly) after 8 weeks in this study
Primary Outcome Measure Information:
Title
Number of Participants With Treatment-Emergent Adverse Events (Safety and Tolerability)
Description
Based on the safety assessments (e.g. clinical safety laboratory tests, vital signs, weight, waist circumference and ECG)
Time Frame
From dosing to end of study (57 weeks)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: - For 16159A-patients The patient has completed Study 16159A. The patient is able to read and understand the Informed Consent Form. The patient has signed the Informed Consent Form specific for Study 16159B. The patient can potentially benefit from 52-week treatment with Lu AF35700 according to the investigator's clinical judgement. For 16323A-patients The patient has completed the dosing period of Study 16323A. The patient is able to read and understand the Informed Consent Form. The patient has signed the Informed Consent Form specific Study 16159B. The patient has a confirmed diagnosis of schizophrenia according to DSM-5™. The patient can potentially benefit from 52-week treatment with Lu AF35700 according to the investigator's clinical judgement. For Other Patients The patient has schizophrenia, diagnosed according to DSM-5™. The patient is a man or woman, aged ≥18 years. The patient has been prescribed oral antipsychotic treatment at the recommended dose range as stated in the summary of product characteristics or equivalent label for 6 weeks prior to the Screening Visit. The patient has a PANSS total score ≥60 and ≤90 at Screening and Baseline Visits. The patient has a Clinical Global Impression - Severity of Illness (CGI-S) score ≤4. The patient is in need of a change in the current antipsychotic treatment and, according to the investigator's clinical judgement, the patient can potentially benefit from a switch to another treatment including, but not limited to, any of the following reasons: lack of adequate response to his or her current antipsychotic medication; poor tolerability to his or her current antipsychotic medication; unwillingness of the patient to adhere to his or her current antipsychotic medication. Exclusion Criteria: - For 16159A-patients The patient has been diagnosed with a primary psychiatric disorder other than schizophrenia during Study 16159A. The patient, in the opinion of the investigator, is at significant risk of suicide, or: Answers "Yes" to any question on the Suicidal Behaviour section of the Columbia-Suicide Severity Rating Scale (C-SSRS), OR Answers "Yes" to questions 4 and 5 on the Suicidal Ideation section of the C-SSRS For 16323A-patients The patient has been diagnosed with a primary psychiatric disorder other than schizophrenia during Study 16323A. The patient, in the opinion of the investigator, is at significant risk of suicide, or: Answers "Yes" to any question on the Suicidal Behaviour section of the C-SSRS, OR Answers "Yes" to questions 4 and 5 on the Suicidal Ideation section of the C-SSRS For Other Patients The patient has any current psychiatric disorder (DSM-5™ criteria) other than schizophrenia established as the primary diagnosis. The patient is experiencing acute exacerbation of psychotic symptoms at the Screening Visit, between the Screening and Baseline Visits or at the Baseline Visit. The patient is treated with clozapine at the time of the Screening Visit. The patient has a substance use disorder (except nicotine) which according to the investigator's judgment may compromise the patient's ability to comply with the study procedures, or preclude the benefits of the study medication. The patient, in the opinion of the investigator, is at significant risk of suicide, or: Answers "Yes" to any question on the Suicidal Behaviour section of the C-SSRS, OR Answers "Yes" to questions 4 and 5 on the Suicidal Ideation section of the C-SSRS Other protocol defined inclusion and exclusion criteria may apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Email contact via H. Lundbeck A/S
Organizational Affiliation
LundbeckClinicalTrials@Lundbeck.com
Official's Role
Study Director
Facility Information:
Facility Name
US1018
City
Bellflower
State/Province
California
Country
United States
Facility Name
US1062
City
Costa Mesa
State/Province
California
ZIP/Postal Code
92626
Country
United States
Facility Name
US1463
City
Culver City
State/Province
California
Country
United States
Facility Name
US1399
City
Escondido
State/Province
California
ZIP/Postal Code
91945
Country
United States
Facility Name
US1104
City
Garden Grove
State/Province
California
ZIP/Postal Code
92845
Country
United States
Facility Name
US1114
City
National City
State/Province
California
ZIP/Postal Code
91950
Country
United States
Facility Name
US1459
City
Oceanside
State/Province
California
Country
United States
Facility Name
US1368
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
US1391
City
San Bernardino
State/Province
California
ZIP/Postal Code
92408-3332
Country
United States
Facility Name
US1392
City
Torrance
State/Province
California
ZIP/Postal Code
90502-4432
Country
United States
Facility Name
US1318
City
Lauderhill
State/Province
Florida
ZIP/Postal Code
33319
Country
United States
Facility Name
US1130
City
Miami
State/Province
Florida
ZIP/Postal Code
33122
Country
United States
Facility Name
US1129
City
North Miami
State/Province
Florida
ZIP/Postal Code
33161-5834
Country
United States
Facility Name
US1402
City
Oakland Park
State/Province
Florida
ZIP/Postal Code
33334-4400
Country
United States
Facility Name
US1403
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30328
Country
United States
Facility Name
US1009
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30331
Country
United States
Facility Name
US1046
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60640
Country
United States
Facility Name
US1423
City
Hoffman Estates
State/Province
Illinois
ZIP/Postal Code
60169-1067
Country
United States
Facility Name
US1398
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71101-4603
Country
United States
Facility Name
US1404
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71104-2136
Country
United States
Facility Name
US1086
City
Flowood
State/Province
Mississippi
ZIP/Postal Code
39232
Country
United States
Facility Name
US1444
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89102-1943
Country
United States
Facility Name
US1426
City
Berlin
State/Province
New Jersey
ZIP/Postal Code
08009
Country
United States
Facility Name
US1244
City
Fresh Meadows
State/Province
New York
ZIP/Postal Code
11432
Country
United States
Facility Name
US1394
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
US1416
City
New York
State/Province
New York
ZIP/Postal Code
10035-6000
Country
United States
Facility Name
US1171
City
Rochester
State/Province
New York
ZIP/Postal Code
14618
Country
United States
Facility Name
US1190
City
Staten Island
State/Province
New York
ZIP/Postal Code
10312-6501
Country
United States
Facility Name
US1390
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28204-3110
Country
United States
Facility Name
US1124
City
Norristown
State/Province
Pennsylvania
ZIP/Postal Code
19403
Country
United States
Facility Name
US1451
City
Austin
State/Province
Texas
ZIP/Postal Code
78754-5122
Country
United States
Facility Name
US1065
City
Dallas
State/Province
Texas
ZIP/Postal Code
75243
Country
United States
Facility Name
BG1030
City
Burgas
Country
Bulgaria
Facility Name
BG1028
City
Kazanlak
Country
Bulgaria
Facility Name
BG1003
City
Lovech
Country
Bulgaria
Facility Name
BG1008
City
Plovdiv
Country
Bulgaria
Facility Name
BG1024
City
Sofia
Country
Bulgaria
Facility Name
BG1026
City
Sofia
Country
Bulgaria
Facility Name
BG1034
City
Varna
Country
Bulgaria
Facility Name
BG1029
City
Veliko Tŭrnovo
Country
Bulgaria
Facility Name
BG1027
City
Vratsa
Country
Bulgaria
Facility Name
CA1029
City
Penticton
Country
Canada
Facility Name
CZ1023
City
Brno
Country
Czechia
Facility Name
CZ1032
City
Brno
Country
Czechia
Facility Name
CZ1013
City
Lnáře
Country
Czechia
Facility Name
CZ1038
City
Praha
Country
Czechia
Facility Name
EE1007
City
Tallinn
Country
Estonia
Facility Name
MX1024
City
Durango
Country
Mexico
Facility Name
MX1011
City
Guadalajara
Country
Mexico
Facility Name
MX1021
City
Guadalajara
Country
Mexico
Facility Name
MX1022
City
Guadalajara
Country
Mexico
Facility Name
MX1020
City
Mexico City
Country
Mexico
Facility Name
MX1005
City
Monterrey
Country
Mexico
Facility Name
MX1007
City
Monterrey
Country
Mexico
Facility Name
MX1015
City
Monterrey
Country
Mexico
Facility Name
PL1043
City
Bialystok
Country
Poland
Facility Name
PL1058
City
Pruszcz Gdanski
Country
Poland
Facility Name
PL1059
City
Toruń
Country
Poland
Facility Name
PL1051
City
Wrocław
Country
Poland
Facility Name
PL1060
City
Łódź
Country
Poland
Facility Name
RO1024
City
Bucharest
Country
Romania
Facility Name
RU1009
City
Arkhangel'sk
Country
Russian Federation
Facility Name
RU1021
City
Gatchina
Country
Russian Federation
Facility Name
RU1006
City
Moscow
Country
Russian Federation
Facility Name
RU1051
City
Moscow
Country
Russian Federation
Facility Name
RU1055
City
Moscow
Country
Russian Federation
Facility Name
RU1053
City
Roshchino
Country
Russian Federation
Facility Name
RU1023
City
Saint Petersburg
Country
Russian Federation
Facility Name
RU1028
City
Saint Petersburg
Country
Russian Federation
Facility Name
RU1030
City
Saint Petersburg
Country
Russian Federation
Facility Name
RU1031
City
Saint Petersburg
Country
Russian Federation
Facility Name
RU1049
City
Saint Petersburg
Country
Russian Federation
Facility Name
RU1052
City
Saint Petersburg
Country
Russian Federation
Facility Name
RU1056
City
Saint Petersburg
Country
Russian Federation
Facility Name
RU1050
City
Yaroslavl
Country
Russian Federation
Facility Name
RS1008
City
Belgrade
Country
Serbia
Facility Name
RS1010
City
Belgrade
Country
Serbia
Facility Name
RS1012
City
Belgrad
Country
Serbia
Facility Name
RS1001
City
Kovin
Country
Serbia
Facility Name
RS1011
City
Kragujevac
Country
Serbia
Facility Name
RS1016
City
Kragujevac
Country
Serbia
Facility Name
RS1017
City
Kragujevac
Country
Serbia
Facility Name
RS1009
City
Novi Kneževac
Country
Serbia
Facility Name
SK1014
City
Bratislava
Country
Slovakia
Facility Name
SK1024
City
Bratislava
Country
Slovakia
Facility Name
SK1026
City
Zlaté Moravce
Country
Slovakia
Facility Name
ES1047
City
Barcelona
Country
Spain
Facility Name
ES1008
City
Málaga
Country
Spain
Facility Name
ES1048
City
Oviedo
Country
Spain
Facility Name
UA1017
City
Kharkiv
Country
Ukraine
Facility Name
UA1035
City
Kharkiv
Country
Ukraine
Facility Name
UA1029
City
Kherson
Country
Ukraine
Facility Name
UA1027
City
Kiev
Country
Ukraine
Facility Name
UA1028
City
Kiev
Country
Ukraine
Facility Name
UA1030
City
Kiev
Country
Ukraine
Facility Name
UA1031
City
Kiev
Country
Ukraine
Facility Name
UA1033
City
Lviv
Country
Ukraine
Facility Name
UA1020
City
Odesa
Country
Ukraine
Facility Name
UA1019
City
Odessa
Country
Ukraine
Facility Name
UA1032
City
Oleksandrivka
Country
Ukraine
Facility Name
UA1001
City
Poltava
Country
Ukraine
Facility Name
UA1036
City
Vinnitsa
Country
Ukraine

12. IPD Sharing Statement

Citations:
PubMed Identifier
36115192
Citation
Kane JM, Kinon BJ, Forray C, Such P, Mittoux A, Lemming OM, Hertel P, Howes OD; DayBreak and Debut study investigators. Efficacy and safety of Lu AF35700 in treatment-resistant schizophrenia: A randomized, active-controlled trial with open-label extension. Schizophr Res. 2022 Oct;248:271-278. doi: 10.1016/j.schres.2022.09.012. Epub 2022 Sep 14.
Results Reference
derived

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Flexible-dose, Long-term Safety Study of Lu AF35700 in Adult Patients With Schizophrenia

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