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A Clinical Pharmacology Trial of Brexpiprazole Long Acting Injectable (LAI) Administered as a Single Dose in Patients With Schizophrenia

Primary Purpose

Schizophrenia

Status
Withdrawn
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Brexpiprazole LAI: Dose 1
Brexpiprazole LAI: Dose 2
Brexpiprazole LAI: Dose 3
Brexpiprazole LAI: Dose 4
Sponsored by
Otsuka Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Schizophrenia

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Japanese patients who are between 18 and 64 years of age, inclusive, at the time of informed consent
  • Patients with a diagnosis of schizophrenia as defined by the DSM-5® criteria
  • Patients who are able to remain at the trial site for the protocol-defined hospitalization period
  • Patients with a body mass index [BMI = body weight (kg) / height (m)2] of no less than 18.5 kg/m2 and less than 35.0 kg/m2 at screening
  • Patients who are able to provide written informed consent (if the patient is a minor or is hospitalized for medical protection, his or her legally acceptable representative must also give informed consent) prior to commencement of any trial procedure and are judged by the investigator or subinvestigator to be able to meet all protocol-defined requirements

Exclusion Criteria:

  • Patients with a diagnosis of a concurrent mental disorder besides schizophrenia (eg, schizoaffective disorder, major depressive disorder, bipolar I disorder, bipolar II disorder, general anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, dementia or mild neurocognitive disorder, and personality disorder) as defined by the DSM-5® criteria. However, this exclusion does not apply to caffeine- or tobacco-related disorders.
  • Patients who fail to meet the mandatory washout periods for the prohibited concomitant drugs and foods before commencement of IMP administration, or patients who are anticipated to take any of the drugs or foods during the trial period
  • Patients who have received electroconvulsive therapy (ECT) within 60 days prior to the administration of IMP
  • Patients with clinically significant nervous, hepatic, renal, metabolic, blood, immune, cardiovascular, respiratory, or digestive system disorders However, such patients may be enrolled if the condition is mild or well controlled and is considered to not affect safety or PK evaluations.
  • Patients who have met the DSM-5® diagnostic criteria for substance-related or addictive disorder, including alcohol and benzodiazepines but excluding caffeine and tobacco, within 180 days prior to the administration of IMP
  • Patients with a positive drug test at screening (according to the results from the central laboratory). However, such patients may be enrolled if their condition is not diagnosed as a substance-related or addictive disorder, according to the DSM-5® diagnostic criteria.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    Brexpiprazole LAI: Dose 1

    Brexpiprazole LAI: Dose 2

    Brexpiprazole LAI: Dose 3

    Brexpiprazole LAI: Dose 4

    Arm Description

    Outcomes

    Primary Outcome Measures

    Plasma concentrations of brexpiprazole

    Secondary Outcome Measures

    Full Information

    First Posted
    November 12, 2021
    Last Updated
    April 20, 2022
    Sponsor
    Otsuka Pharmaceutical Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05119894
    Brief Title
    A Clinical Pharmacology Trial of Brexpiprazole Long Acting Injectable (LAI) Administered as a Single Dose in Patients With Schizophrenia
    Official Title
    A Multicenter, Open-label, Clinical Pharmacology Trial to Determine the Pharmacokinetics, Tolerability, and Safety of Brexpiprazole Long Acting Injectable (LAI) Administered as a Single Dose in Patients With Schizophrenia
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2022
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Sponsor decision:Change the Development plan
    Study Start Date
    November 22, 2021 (Actual)
    Primary Completion Date
    December 6, 2021 (Actual)
    Study Completion Date
    December 6, 2021 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Otsuka Pharmaceutical Co., Ltd.

    4. Oversight

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

    5. Study Description

    Brief Summary
    The purpose of this study is to determine the pharmacokinetics (PK), tolerability and safety of brexpiprazole LAI following a single administration in subjects with schizophrenia.

    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 1
    Interventional Study Model
    Sequential Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Brexpiprazole LAI: Dose 1
    Arm Type
    Experimental
    Arm Title
    Brexpiprazole LAI: Dose 2
    Arm Type
    Experimental
    Arm Title
    Brexpiprazole LAI: Dose 3
    Arm Type
    Experimental
    Arm Title
    Brexpiprazole LAI: Dose 4
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    Brexpiprazole LAI: Dose 1
    Intervention Description
    Cohort 1: Single Dose Intramuscular Injection: Brexpiprazole LAI Dose 1
    Intervention Type
    Drug
    Intervention Name(s)
    Brexpiprazole LAI: Dose 2
    Intervention Description
    Cohort 2: Single Dose Intramuscular Injection:Brexpiprazole LAI Dose 2
    Intervention Type
    Drug
    Intervention Name(s)
    Brexpiprazole LAI: Dose 3
    Intervention Description
    Cohort 3: Single Dose Intramuscular Injection:Brexpiprazole LAI Dose 3
    Intervention Type
    Drug
    Intervention Name(s)
    Brexpiprazole LAI: Dose 4
    Intervention Description
    Cohort 4: Single Dose Intramuscular Injection:Brexpiprazole LAI Dose 4
    Primary Outcome Measure Information:
    Title
    Plasma concentrations of brexpiprazole
    Time Frame
    Blood Sampling for plasma drug measurement Day 1 (predose and 4, 8, 12 hours postdose), 2, 3, 5,7,9,11,13,15,17,19, 21, 25, 28, 35, 42, 49, 56, 63, 70, 77, 84, 91, 98, 112, 126, 154, 182

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    64 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Japanese patients who are between 18 and 64 years of age, inclusive, at the time of informed consent Patients with a diagnosis of schizophrenia as defined by the DSM-5® criteria Patients who are able to remain at the trial site for the protocol-defined hospitalization period Patients with a body mass index [BMI = body weight (kg) / height (m)2] of no less than 18.5 kg/m2 and less than 35.0 kg/m2 at screening Patients who are able to provide written informed consent (if the patient is a minor or is hospitalized for medical protection, his or her legally acceptable representative must also give informed consent) prior to commencement of any trial procedure and are judged by the investigator or subinvestigator to be able to meet all protocol-defined requirements Exclusion Criteria: Patients with a diagnosis of a concurrent mental disorder besides schizophrenia (eg, schizoaffective disorder, major depressive disorder, bipolar I disorder, bipolar II disorder, general anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, dementia or mild neurocognitive disorder, and personality disorder) as defined by the DSM-5® criteria. However, this exclusion does not apply to caffeine- or tobacco-related disorders. Patients who fail to meet the mandatory washout periods for the prohibited concomitant drugs and foods before commencement of IMP administration, or patients who are anticipated to take any of the drugs or foods during the trial period Patients who have received electroconvulsive therapy (ECT) within 60 days prior to the administration of IMP Patients with clinically significant nervous, hepatic, renal, metabolic, blood, immune, cardiovascular, respiratory, or digestive system disorders However, such patients may be enrolled if the condition is mild or well controlled and is considered to not affect safety or PK evaluations. Patients who have met the DSM-5® diagnostic criteria for substance-related or addictive disorder, including alcohol and benzodiazepines but excluding caffeine and tobacco, within 180 days prior to the administration of IMP Patients with a positive drug test at screening (according to the results from the central laboratory). However, such patients may be enrolled if their condition is not diagnosed as a substance-related or addictive disorder, according to the DSM-5® diagnostic criteria.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Takehisa Matsumaru
    Organizational Affiliation
    Otsuka Pharmaceutical Co., Ltd.
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    Anonymized Individual participant data (IPD) that underlie the results of this study will be shared with researchers to achieve aims pre-specified in a methodologically sound research proposal.
    IPD Sharing Time Frame
    Data will be available after marketing approval in global markets, or beginning 1-3 years following article Publication. There is no end date to the availability of the data.
    IPD Sharing Access Criteria
    Otsuka will share data on an Otsuka-owned remotely accessible data sharing platform with Python and R analytical software. Research requests should be directed to clinicaltransparency@Otsuka-us.com.

    Learn more about this trial

    A Clinical Pharmacology Trial of Brexpiprazole Long Acting Injectable (LAI) Administered as a Single Dose in Patients With Schizophrenia

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