A Study of Lurasidone HCl in Subjects With Schizophrenia
Primary Purpose
Schizophrenia
Status
Completed
Phase
Phase 4
Locations
Taiwan
Study Type
Interventional
Intervention
Lurasidone
Sponsored by
About this trial
This is an interventional treatment trial for Schizophrenia
Eligibility Criteria
Inclusion Criteria:
- Males or female aged at 20-75 years old
- Subjects who are diagnosed with schizophrenia based on Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria
- CGI-S≦4 (at both screening and baseline)
- Subject is judged by the investigator to have been clinically stable for at least 4 weeks prior to baseline and in need for a switch from their current antipsychotic treatment due to insufficient clinical response or poor tolerability (side effects, metabolic complications, etc.).
- If the subject recruits from OPD, the subject should be intolerant to the AE or is insufficient in current antipsychotics treatment by investigator's judgment.
- Childbearing potential women who consented to the consistent use of the acceptable contraception (oral contraceptive, contraceptive injection, intrauterine device, double barrier method and contraceptive patch)
- Subject is able and agrees to remain off (or stable dosage) prior antipsychotic medication during the study period as defined by this protocol.
- In the Investigator's opinion, the ability to understand the nature of the study and any hazards of participation, and to communicate satisfactorily with the investigator and to participate in, and to comply with, the requirements of the entire protocol.
- Subject is willing and able to comply with the protocol.
Exclusion Criteria:
- Subject has clinically substantial risk of suicide or violent behavior as judged by the investigator.
- Subject with the past history of neuroleptic malignant syndrome, water intoxication, paralytic ileus or dementia related psychosis
- Subjects is active pregnancy (must have a negative pregnancy test at screening) or nursing (must not be lactating).
- Subject has received treatment with MAO inhibitors within 14 days prior to the screening (Visit 1).
- Subject is currently participating, or has participated in, a study with an investigational or marketed compound or device within 1 month prior to signing the informed consent.
- Subject is unstable or critical untreated medical illness by the judgment of investigators.
- Subject who is otherwise considered ineligible for the study by investigator. For example, subjects experienced serious medical condition including known clinically relevant laboratory abnormalities, and hypersensitivity to Lurasidone.
- Subjects who were considered resistance to treatment for psychotic symptoms by the investigator.
- Total daily dose of pre-switch antipsychotic was exceeded the equivalent of haloperidol 12 mg/day.
- Subjects have received long depot neuroleptics within 4 weeks prior to enrollment. Or, subject was treated with clozapine for refractory psychosis within 1 month of enrollment.
- Subject requires treatment with any potent CYP3A4 inhibitors or inducers during the study. Subject requires treatment with a drug that consistently prolongs the QTc interval.
Sites / Locations
- Taipei City Hospital, Songde Branch
- Tri-Service General Hospital
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Lurasidone 40-160 mg
Arm Description
Lurasidone 40-160 mg
Outcomes
Primary Outcome Measures
time to treatment failure.
Treatment failure is defined as any occurrence of: Insufficient clinical response Exacerbation of underlying disease Discontinuation due to adverse event
Secondary Outcome Measures
Positive and Negative Syndrome Scale(PANSS) total scores
" Mean Change from baseline at week 6" in Positive and Negative Syndrome Scale total scores.
The PANSS is an interview-based measure of the severity of psychopathology in adults with psychotic disorders. The measure is comprised of 30 items. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item.The PANSS total score is the sum of all 30 items and ranges from 30 through 210. A higher score is associated with greater illness severity
Clinical Global Impression-Improvement (CGI-I) Scale
" Mean Change from baseline at week 6" in Clinical Global Impression-Improvement.
The CGI-I Score is a clinician-rated assessment of the subject's overall clinical condition. The CGI-I score obtained at the baseline (initiation) visit serves as a good basis for making this assessment. This subject's condition is: 1=very much improved since the initiation of treatment; 2=much improved; 3=minimally improved; 4=no change from baseline (the initiation of treatment); 5=minimally worse; 6= much worse; 7=very much worse since the initiation of treatment.
Clinical Global Impression-Severity (CGI-S)
" Mean Change from baseline at week 6" in Clinical Global Impression-Severity.
The CGI-S Score is a clinician-rated assessment of the subject's current illness state on a 7-point scale (1-7), where a higher score is associated with greater illness severity. Following a clinical interview, the CGI-S can be completed in 1-2 minutes.
Full Information
NCT ID
NCT03393026
First Posted
December 20, 2017
Last Updated
February 2, 2020
Sponsor
Standard Chem. & Pharm. Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT03393026
Brief Title
A Study of Lurasidone HCl in Subjects With Schizophrenia
Official Title
A Multi-Center, Open-Label, Single Arm and Flexible Dose Study of the Effectiveness and Safety of Oral Use Lurasidone HCl Tablet (LATUDA®) for 40-160 mg/Day in Subjects With Schizophrenia
Study Type
Interventional
2. Study Status
Record Verification Date
February 2020
Overall Recruitment Status
Completed
Study Start Date
January 3, 2018 (Actual)
Primary Completion Date
September 17, 2019 (Actual)
Study Completion Date
September 17, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Standard Chem. & Pharm. 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 study evaluates the effectiveness and safety of Lurasidone in subjects with schizophrenia over a period of 6 weeks.
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 4
Interventional Study Model
Single Group Assignment
Model Description
Lurasidone 40-160 mg/day
Masking
None (Open Label)
Allocation
N/A
Enrollment
54 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Lurasidone 40-160 mg
Arm Type
Experimental
Arm Description
Lurasidone 40-160 mg
Intervention Type
Drug
Intervention Name(s)
Lurasidone
Intervention Description
Lurasidone 40-160 mg/day for 6 weeks
Primary Outcome Measure Information:
Title
time to treatment failure.
Description
Treatment failure is defined as any occurrence of: Insufficient clinical response Exacerbation of underlying disease Discontinuation due to adverse event
Time Frame
6 weeks
Secondary Outcome Measure Information:
Title
Positive and Negative Syndrome Scale(PANSS) total scores
Description
" Mean Change from baseline at week 6" in Positive and Negative Syndrome Scale total scores.
The PANSS is an interview-based measure of the severity of psychopathology in adults with psychotic disorders. The measure is comprised of 30 items. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item.The PANSS total score is the sum of all 30 items and ranges from 30 through 210. A higher score is associated with greater illness severity
Time Frame
6 weeks
Title
Clinical Global Impression-Improvement (CGI-I) Scale
Description
" Mean Change from baseline at week 6" in Clinical Global Impression-Improvement.
The CGI-I Score is a clinician-rated assessment of the subject's overall clinical condition. The CGI-I score obtained at the baseline (initiation) visit serves as a good basis for making this assessment. This subject's condition is: 1=very much improved since the initiation of treatment; 2=much improved; 3=minimally improved; 4=no change from baseline (the initiation of treatment); 5=minimally worse; 6= much worse; 7=very much worse since the initiation of treatment.
Time Frame
6 weeks
Title
Clinical Global Impression-Severity (CGI-S)
Description
" Mean Change from baseline at week 6" in Clinical Global Impression-Severity.
The CGI-S Score is a clinician-rated assessment of the subject's current illness state on a 7-point scale (1-7), where a higher score is associated with greater illness severity. Following a clinical interview, the CGI-S can be completed in 1-2 minutes.
Time Frame
6 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Males or female aged at 20-75 years old
Subjects who are diagnosed with schizophrenia based on Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria
CGI-S≦4 (at both screening and baseline)
Subject is judged by the investigator to have been clinically stable for at least 4 weeks prior to baseline and in need for a switch from their current antipsychotic treatment due to insufficient clinical response or poor tolerability (side effects, metabolic complications, etc.).
If the subject recruits from OPD, the subject should be intolerant to the AE or is insufficient in current antipsychotics treatment by investigator's judgment.
Childbearing potential women who consented to the consistent use of the acceptable contraception (oral contraceptive, contraceptive injection, intrauterine device, double barrier method and contraceptive patch)
Subject is able and agrees to remain off (or stable dosage) prior antipsychotic medication during the study period as defined by this protocol.
In the Investigator's opinion, the ability to understand the nature of the study and any hazards of participation, and to communicate satisfactorily with the investigator and to participate in, and to comply with, the requirements of the entire protocol.
Subject is willing and able to comply with the protocol.
Exclusion Criteria:
Subject has clinically substantial risk of suicide or violent behavior as judged by the investigator.
Subject with the past history of neuroleptic malignant syndrome, water intoxication, paralytic ileus or dementia related psychosis
Subjects is active pregnancy (must have a negative pregnancy test at screening) or nursing (must not be lactating).
Subject has received treatment with MAO inhibitors within 14 days prior to the screening (Visit 1).
Subject is currently participating, or has participated in, a study with an investigational or marketed compound or device within 1 month prior to signing the informed consent.
Subject is unstable or critical untreated medical illness by the judgment of investigators.
Subject who is otherwise considered ineligible for the study by investigator. For example, subjects experienced serious medical condition including known clinically relevant laboratory abnormalities, and hypersensitivity to Lurasidone.
Subjects who were considered resistance to treatment for psychotic symptoms by the investigator.
Total daily dose of pre-switch antipsychotic was exceeded the equivalent of haloperidol 12 mg/day.
Subjects have received long depot neuroleptics within 4 weeks prior to enrollment. Or, subject was treated with clozapine for refractory psychosis within 1 month of enrollment.
Subject requires treatment with any potent CYP3A4 inhibitors or inducers during the study. Subject requires treatment with a drug that consistently prolongs the QTc interval.
Facility Information:
Facility Name
Taipei City Hospital, Songde Branch
City
Taipei
Country
Taiwan
Facility Name
Tri-Service General Hospital
City
Taipei
Country
Taiwan
12. IPD Sharing Statement
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A Study of Lurasidone HCl in Subjects With Schizophrenia
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