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A Clinical Study to Investigate the Effect of an Investigational Drug on Electrocardiogram Intervals in Adults With Schizophrenia.

Primary Purpose

Schizophrenia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
SEP363856 150 mg
Placebo
moxifloxacin 400 mg
Sponsored by
Sumitomo Pharma America, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Schizophrenia focused on measuring schizophrenia

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female subject between 18 and 65 years of age, inclusive, at the time of informed consent
  • Subject must give written informed consent and privacy authorization prior to participation in the study
  • Subject meets DSM-5 criteria for a primary diagnosis of schizophrenia as established by clinical interview
  • Subject must have a CGI S score ≤ 4 at Screening
  • Subject must have a PANSS total score ≤ 80 at Screening
  • Subject must have a score of ≤ 4 on the following PANSS items at Screening:

    • P7 (hostility)
    • G8 (uncooperativeness)
  • Subject must have normal to mild symptoms on all individual items of the SAS (< 2), AIMS (< 3) and BARS (< 3) at Screening
  • Subject must be clinically stable for the past three months in the opinion of the Investigator
  • Subject has been taking an antipsychotic for at least six weeks prior to Screening and has had no change in antipsychotic medication(s) for at least six weeks prior to Screening
  • Subject is, in the opinion of the Investigator, generally healthy based on Screening medical history, physical examination, neurological examination, vital sign measurement, electrocardiogram and clinical laboratory values

Exclusion Criteria:

  • Subject has a DSM 5 diagnosis or presence of symptoms consistent with a DSM 5 diagnosis other than schizophrenia. Exclusionary disorders include but are not limited to alcohol use disorder (within past 12 months), substance (other than nicotine or caffeine) use disorder within past 12 months, major depressive disorder, bipolar I or II disorder, schizoaffective disorder, obsessive compulsive disorder and posttraumatic stress disorder. Symptoms of mild to moderate mood dysphoria or anxiety are allowed so long as these symptoms are not the primary focus of treatment
  • Subject tests positive for drugs of abuse or alcohol at Screening
  • Subject is at significant risk of harming him/herself or others (passive or active) according to the Investigator's judgment.
  • Subject has any clinically significant unstable medical condition or any clinically significant chronic disease that in the opinion of the Investigator, would limit the subject's ability to complete and/or participate in the study
  • Female subject who is pregnant or lactating
  • Subject has any clinically significant abnormal laboratory value(s) at Screening as judged by the Investigator
  • Subject has an abnormal, clinically significant 12-lead ECG at screening
  • Subject has experienced significant blood loss (≥ 473 mL) or donated blood within 60 days prior to first dose of study drug; has donated plasma within 72 hours prior to the first dose of study drug or intends to donate plasma or blood or undergo elective surgery during study participation or within 60 days after the last study visit.
  • Subject has an abnormal, clinically significant 12-lead ECG at screening
  • Subject has a history of sick sinus syndrome, first, second, or third-degree AV block,myocardial infarction, NYHA Class II-IV heart failure, cardiomyopathy, pulmonary congestion, cardiac arrhythmia, prolonged QT interval, congenital long QT syndrome, family history of long QT, or moderate to severe hypokalemia

Sites / Locations

  • Woodland International Research Group
  • Collaborative Neuroscience Research, LLC
  • California Neuropsychopharmacology Clinical Research Institute-LA, LLC (CNRI-LA, LLC)
  • California Neuropsychopharmacology Clinical Research Institute-San Diego, LLC (CNRI-SD, LLC)
  • Research Centers of America, LLC
  • Hassman Research Institute
  • Community Clinical Research Inc. Austin, TX 78754

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Active Comparator

Arm Label

SEP363856 150 mg

Placebo

moxifloxacin 400 mg

Arm Description

SEP363856 tablet 150 mg

matched placebo

moxifloxacin tablet 400 mg

Outcomes

Primary Outcome Measures

Placebo-adjusted change-from-baseline QTc interval (ΔΔQTc)

Secondary Outcome Measures

Change from baseline in heart rate, QTcF, pulse rate, and QRS intervals (∆HR, ΔQTcF, ΔPR, and ∆QRS)
If a substantial heart rate (HR) effect is observed: Change from baseline in QTcS, QTcI, and QTcP (ΔQTcS, ΔQTcI, and ΔQTcP)
Placebo-adjusted change from baseline in heart rate, pulse rate, and QRS intervals (ΔΔHR, ΔΔPR, and ΔΔQRS)
If a substantial heart rate (HR) effect is observed: Placebo-adjusted ΔQTcS, and/or ΔQTcI, and/or ΔQTcP, and/or ΔQTcF (ΔΔQTcS, ΔΔQTcI, ΔΔQTcP, ΔΔQTcF) if not selected as the primary endpoint
Categorical summary for QTcF, heart rate, pulse rate, and QRS intervals
If a substantial heart rate (HR) effect is observed: Categorical summary for QTcS, QTcI, and QTcP
Frequency of treatment-emergent changes of T-wave morphology and U-waves presence.

Full Information

First Posted
April 27, 2020
Last Updated
November 30, 2020
Sponsor
Sumitomo Pharma America, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04369391
Brief Title
A Clinical Study to Investigate the Effect of an Investigational Drug on Electrocardiogram Intervals in Adults With Schizophrenia.
Official Title
A Randomized, Single-dose, Crossover Study of the Effects of SEP-363856 on Electrocardiogram (ECG) Intervals in Subjects With Schizophrenia
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
June 18, 2020 (Actual)
Primary Completion Date
November 10, 2020 (Actual)
Study Completion Date
November 10, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sumitomo Pharma America, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
A clinical study to investigate the effect of an investigational drug in adults with schizophrenia by using Electrocardiogram (Picture of the electrical action of the heart). This study is accepting male and female participants between 18 years old -65 years old who have been diagnosed with schizophrenia. This study will be conducted in approximately 7 locations in the US. The study will last approximately 7 weeks.
Detailed Description
This is a Phase 1, randomized, single-dose, active and placebo controlled, 3-period crossover study of the effect of SEP-363856 150 mg on electrocardiogram (ECG) intervals in subjects with schizophrenia. SEP-363856 and matching placebo will be utilized in a double-blind fashion. Moxifloxacin will be utilized as an active control in an open-label fashion. The primary analysis will be based on concentration-QTc modeling of the relationship between plasma concentrations of SEP-363856 or its metabolite SEP-363854 and change-from baseline QTc.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Model Description
Subjects will be randomized using a double Williams design in equal ratio to six possible sequences of receiving the three treatments being studied: SEP-363856 150mg, Matched Placebo, moxifloxacin 400mg.
Masking
ParticipantInvestigatorOutcomes Assessor
Masking Description
Blinded
Allocation
Randomized
Enrollment
150 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SEP363856 150 mg
Arm Type
Experimental
Arm Description
SEP363856 tablet 150 mg
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
matched placebo
Arm Title
moxifloxacin 400 mg
Arm Type
Active Comparator
Arm Description
moxifloxacin tablet 400 mg
Intervention Type
Drug
Intervention Name(s)
SEP363856 150 mg
Intervention Description
SEP363856 tablet 150 mg
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo tablet
Intervention Type
Drug
Intervention Name(s)
moxifloxacin 400 mg
Intervention Description
moxifloxacin tablet 400 mg
Primary Outcome Measure Information:
Title
Placebo-adjusted change-from-baseline QTc interval (ΔΔQTc)
Time Frame
24 Hours
Secondary Outcome Measure Information:
Title
Change from baseline in heart rate, QTcF, pulse rate, and QRS intervals (∆HR, ΔQTcF, ΔPR, and ∆QRS)
Time Frame
24 Hours
Title
If a substantial heart rate (HR) effect is observed: Change from baseline in QTcS, QTcI, and QTcP (ΔQTcS, ΔQTcI, and ΔQTcP)
Time Frame
24 Hours
Title
Placebo-adjusted change from baseline in heart rate, pulse rate, and QRS intervals (ΔΔHR, ΔΔPR, and ΔΔQRS)
Time Frame
24 Hours
Title
If a substantial heart rate (HR) effect is observed: Placebo-adjusted ΔQTcS, and/or ΔQTcI, and/or ΔQTcP, and/or ΔQTcF (ΔΔQTcS, ΔΔQTcI, ΔΔQTcP, ΔΔQTcF) if not selected as the primary endpoint
Time Frame
24 Hours
Title
Categorical summary for QTcF, heart rate, pulse rate, and QRS intervals
Time Frame
24 Hours
Title
If a substantial heart rate (HR) effect is observed: Categorical summary for QTcS, QTcI, and QTcP
Time Frame
24 Hours
Title
Frequency of treatment-emergent changes of T-wave morphology and U-waves presence.
Time Frame
24 Hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female subject between 18 and 65 years of age, inclusive, at the time of informed consent Subject must give written informed consent and privacy authorization prior to participation in the study Subject meets DSM-5 criteria for a primary diagnosis of schizophrenia as established by clinical interview Subject must have a CGI S score ≤ 4 at Screening Subject must have a PANSS total score ≤ 80 at Screening Subject must have a score of ≤ 4 on the following PANSS items at Screening: P7 (hostility) G8 (uncooperativeness) Subject must have normal to mild symptoms on all individual items of the SAS (< 2), AIMS (< 3) and BARS (< 3) at Screening Subject must be clinically stable for the past three months in the opinion of the Investigator Subject has been taking an antipsychotic for at least six weeks prior to Screening and has had no change in antipsychotic medication(s) for at least six weeks prior to Screening Subject is, in the opinion of the Investigator, generally healthy based on Screening medical history, physical examination, neurological examination, vital sign measurement, electrocardiogram and clinical laboratory values Exclusion Criteria: Subject has a DSM 5 diagnosis or presence of symptoms consistent with a DSM 5 diagnosis other than schizophrenia. Exclusionary disorders include but are not limited to alcohol use disorder (within past 12 months), substance (other than nicotine or caffeine) use disorder within past 12 months, major depressive disorder, bipolar I or II disorder, schizoaffective disorder, obsessive compulsive disorder and posttraumatic stress disorder. Symptoms of mild to moderate mood dysphoria or anxiety are allowed so long as these symptoms are not the primary focus of treatment Subject tests positive for drugs of abuse or alcohol at Screening Subject is at significant risk of harming him/herself or others (passive or active) according to the Investigator's judgment. Subject has any clinically significant unstable medical condition or any clinically significant chronic disease that in the opinion of the Investigator, would limit the subject's ability to complete and/or participate in the study Female subject who is pregnant or lactating Subject has any clinically significant abnormal laboratory value(s) at Screening as judged by the Investigator Subject has an abnormal, clinically significant 12-lead ECG at screening Subject has experienced significant blood loss (≥ 473 mL) or donated blood within 60 days prior to first dose of study drug; has donated plasma within 72 hours prior to the first dose of study drug or intends to donate plasma or blood or undergo elective surgery during study participation or within 60 days after the last study visit. Subject has an abnormal, clinically significant 12-lead ECG at screening Subject has a history of sick sinus syndrome, first, second, or third-degree AV block,myocardial infarction, NYHA Class II-IV heart failure, cardiomyopathy, pulmonary congestion, cardiac arrhythmia, prolonged QT interval, congenital long QT syndrome, family history of long QT, or moderate to severe hypokalemia
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
CNS Medical Director
Organizational Affiliation
Sumitomo Pharma America, Inc.
Official's Role
Study Chair
Facility Information:
Facility Name
Woodland International Research Group
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72211
Country
United States
Facility Name
Collaborative Neuroscience Research, LLC
City
Long Beach
State/Province
California
ZIP/Postal Code
90806
Country
United States
Facility Name
California Neuropsychopharmacology Clinical Research Institute-LA, LLC (CNRI-LA, LLC)
City
Pico Rivera
State/Province
California
ZIP/Postal Code
90660
Country
United States
Facility Name
California Neuropsychopharmacology Clinical Research Institute-San Diego, LLC (CNRI-SD, LLC)
City
San Diego
State/Province
California
ZIP/Postal Code
92101
Country
United States
Facility Name
Research Centers of America, LLC
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33024
Country
United States
Facility Name
Hassman Research Institute
City
Marlton
State/Province
New Jersey
ZIP/Postal Code
08053
Country
United States
Facility Name
Community Clinical Research Inc. Austin, TX 78754
City
Austin
State/Province
Texas
ZIP/Postal Code
78754
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
IPD for this study may be made available upon request via the Clinical Study Data Request site.
IPD Sharing Time Frame
IPD will be made available upon request within 12 months of posting the study results on ct.gov.
IPD Sharing Access Criteria
Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.
IPD Sharing URL
http://clinicalstudydatarequest.com

Learn more about this trial

A Clinical Study to Investigate the Effect of an Investigational Drug on Electrocardiogram Intervals in Adults With Schizophrenia.

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