Efficacy and Safety of MK-8189 in Participants With an Acute Episode of Schizophrenia (MK-8189-008)
Schizophrenia
About this trial
This is an interventional treatment trial for Schizophrenia
Eligibility Criteria
Inclusion Criteria:
The main inclusion criteria include, but are not limited to the following:
- Meet the diagnostic criteria for schizophrenia according to the DSM-5
- Have an illness duration for schizophrenia of at least 1 year
- Be confirmed to be experiencing an acute episode of schizophrenia as evidenced by ALL of the following: (a) onset of the current acute episode is ≤6 weeks before screening (b) current symptoms represent a marked and substantial worsening compared with the participant's usual symptomatic state prior to the current acute episode, and are associated with diminished functional ability (c) in need of increased psychiatric attention to treat worsening acute episode symptoms
- Have a CGI-S score of ≥4 (moderately ill) at screening and baseline
- Have an identified responsible person referred to as the "external contact person" who has agreed to provide information about the participant's location if needed during outpatient portion of the study. The site personnel must consider this identified responsible person a reliable contact person, and the contact person must have regular contact with the participant (defined at screening as direct contact no fewer than 3 times per week), and with the expectation that this frequency of contact would continue (either in person or via other contact method), throughout duration of the study, including the follow-up period)
Exclusion Criteria:
The main exclusion criteria include, but are not limited to the following:
- Has a primary current diagnosis other than schizophrenia or a comorbid diagnosis that is primarily responsible for the current symptoms and functional impairment
- Meets criteria for moderate to severe substance use disorder within past 6 months prior to screening (excluding those related to caffeine or nicotine)
- Has a known history of the following: (a) borderline personality disorder, anti-social personality disorder, or bipolar disorder (b) traumatic brain injury causing ongoing cognitive difficulties, Alzheimer's Disease, or another form of dementia, or any chronic organic disease of the central nervous system (c) intellectual disability of a severity that would impact ability to participate in the study
- Has a current diagnosis of a psychotic disorder other than schizophrenia or a behavioral disturbance thought to be due to substance abuse
- Is or was under involuntary commitment for the acute episode, because the participant is considered a danger to themselves or others
- Has a history of treatment resistance exhibited by any of the following: (a) no or minimal response to at least 2 periods of treatment lasting 6 weeks or longer, with antipsychotic agents at the maximally tolerated dose. Participants who have responded to antipsychotics only when paired with clozapine are considered treatment-resistant (b) history of electroconvulsive therapy (ECT) treatment for treatment-resistant schizophrenia within the past 6 months (c) past or current use of clozapine as single or adjunctive therapy for schizophrenia within the past 3 months
- Is currently participating in or has participated in another clinical study and received an experimental or investigational drug agent within 3 months prior to screening visit of this current study and has participated in no more than 2 studies in the past 2 years
Sites / Locations
- Pillar Clinical Research ( Site 1047)Recruiting
- Woodland International Research Group, LLC ( Site 1002)Recruiting
- Woodland Research Northwest, LLC ( Site 1036)Recruiting
- CITRIALS ( Site 1010)Recruiting
- ProScience Research Group ( Site 1046)Recruiting
- Collaborative Neuroscience Research, LLC ( Site 1041)Recruiting
- Behavioral Research Specialists, LLC ( Site 1032)
- CITRIALS ( Site 1016)Recruiting
- Artemis Institute for Clinical Research ( Site 1019)
- California Neuropsychopharmacology Clinical Research Institute, LLC (CNRI-San Diego, LLC) ( Site 103Recruiting
- Schuster Medical Research Institute ( Site 1023)Recruiting
- Behavioral Clinical Research ( Site 1058)Recruiting
- Behavioral Clinical Research , Inc ( Site 1013)
- Premier Clinical Research Institute ( Site 1049)Recruiting
- Fort Lauderdale Behavioral Health Center ( Site 1028)
- Research Centers of America ( Fort Lauderdale ) ( Site 1065)Recruiting
- Health Synergy Clinical Research ( Site 1051)Recruiting
- Atlanta Center For Medical Research ( Site 1022)Recruiting
- iResearch Atlanta ( Site 1039)Recruiting
- Ascension Saint Elizabeth ( Site 1000)Recruiting
- Uptown Research Institute ( Site 1052)Recruiting
- Pillar Clinical Research, LLC ( Site 1038)Recruiting
- Benchmark Research ( Site 1054)Recruiting
- CBH Health ( Site 1044)Recruiting
- Massachusetts General Hospital ( Site 1035)
- Arch Clinical Trials ( Site 1048)Recruiting
- Altea Research Institute ( Site 1012)
- Hassman Research Institute Marlton Site ( Site 1040)Recruiting
- Richmond Behavioral Associates ( Site 1064)Recruiting
- New Hope Clinical Research ( Site 1050)
- Midwest Clinical Research ( Site 1059)Recruiting
- Midwest Clinical Research Center ( Site 1033)
- Neuro-Behavioral Clinical Research ( Site 1055)Recruiting
- Community Clinical Research ( Site 1057)Recruiting
- Pillar Clinical Research, LLC ( Site 1004)Recruiting
- State Psychiatric Hospital "Sv. Ivan Rilski", Novi Iskar ( Site 3001)Recruiting
- Mental Health Center Prof. Dr. Ivan Temkov - Burgas EOOD ( Site 3002)Recruiting
- State Psychiatric Hospital - Kardzhali ( Site 3005)Recruiting
- Mental Health Center - Ruse, EOOD ( Site 3003)Recruiting
- Center for Mental Health Prof. Nikola Shipkovenski Ltd ( Site 3000)Recruiting
- Mental Health Center - Veliko Tarnovo ( Site 3006)Recruiting
- Klinika za psihijatriju Vrapce ( Site 4000)Recruiting
- Klinika za psihijatriju Vrapce ( Site 4001)Recruiting
- Klinicki bolnicki centar Rijeka ( Site 4005)Recruiting
- Klinika za psihijatriju Sveti Ivan ( Site 4003)Recruiting
- Seishinkai Okehazama Hospital Fujita Kokoro Care Center ( Site 2011)Recruiting
- Kohnodai Hospital, National Center for Global Health and Medicine ( Site 2005)Recruiting
- Wakato Hospital ( Site 2031)
- Shiranui Hospital ( Site 2043)Recruiting
- Seimou Hospital ( Site 2004)Recruiting
- Soushu Hospital ( Site 2008)
- Tanzawa Hospital ( Site 2037)Recruiting
- Kanagawa Psychiatric Center ( Site 2035)Recruiting
- Komoro Kogen Hospital ( Site 2046)Recruiting
- National Hospital Organization Ryukyu Hospital ( Site 2019)
- Amekudai Hospital ( Site 2020)Recruiting
- National Hospital Organization Hizen Psychiatric Medical Center ( Site 2017)Recruiting
- Rainbow and Sea Hospital ( Site 2016)Recruiting
- Ongata Hospital ( Site 2007)
- Nishigahara Hospital ( Site 2042)
- National Center of Neurology and Psychiatry ( Site 2023)Recruiting
- Chiba University Hospital ( Site 2024)Recruiting
- Inokuchi Noma Hospital ( Site 2030)Recruiting
- Kuramitsu Hospital ( Site 2014)Recruiting
- Yuge Hospital ( Site 2018)
- Seijin Hospital ( Site 2026)Recruiting
- Narimasu Kosei Hospital ( Site 2006)Recruiting
- Inje University Busan Paik Hospital ( Site 0604)Recruiting
- Kyungpook National University Hospital ( Site 0601)Recruiting
- Seoul National University Hospital ( Site 0600)
- Daugavpils Psihoneirologiska Slimnica ( Site 8005)
- Piejuras Slimnica Psihiatriska Klinika ( Site 8001)
- Specjal. Psychiatryczny ZOZ w Lodzi, Szpital im. Babinskiego ( Site 0905)Recruiting
- Klinika Psychiatryczna Wydzialu Nauki o Zdrowiu WUM ( Site 0900)Recruiting
- Samodzielny Wojewódzki Zespół Publicznych Zakładów Psychiatrycznej Opieki Zdrowotnej w Warszawie ( SRecruiting
- Uniwersyteckie Centrum Kliniczne ( Site 0902)Recruiting
- Centrum Medyczne HCP ( Site 0913)Recruiting
- Prof. Dr. Alexandru Obregia Psychiatry Hospital ( Site 0815)Recruiting
- Prof. Dr. Alexandru Obregia Psychiatry Hospital ( Site 0816)Recruiting
- Prof. Dr. Alexandru Obregia Psychiatry Hospital ( Site 0817)Recruiting
- Prof. Dr. Alexandru Obregia Psychiatry Hospital ( Site 0818)Recruiting
- Institutul de Psihiatrie Socola ( Site 0810)Recruiting
- Institutul de Psihiatrie Socola ( Site 0814)Recruiting
- Arkhangelsk Regional Psychiatric Clinical Hospital ( Site 6020)
- SGHI Leningrad Region Psyconeurology Dispensary ( Site 6017)
- Lipetsk Regional Psychoneurology Hospital ( Site 6021)
- Moscow Scientific Research Institute for Psychiatry ( Site 6013)
- Psychiatric Clinical Hospital 4 named after PB Gannushkin ( Site 6016)
- Psychiatric Clinical Hospital 4 named after PB Gannushkin-Psychiatric department 4 ( Site 6023)
- Central Moscow Regional Clinical Psychiatric Hospital ( Site 6018)
- Bekhterev Research Institute for Psychoneurology ( Site 6008)
- SPb City Psychiatric Hospital #3 na II Skvortsov-Stepanov ( Site 6000)
- SPb City Psychiatric Hospital #3 na II Skvortsov-Stepanov ( Site 6001)
- SPb City Psychiatric Hospital #3 na II Skvortsov-Stepanov ( Site 6002)
- Stavropol Region Psychiatric Hospital #2 ( Site 6005)
- Federal State Scientific Institution Research Institute of Mental Health ( Site 6014)
- Yaroslavl Regional Clinical Psychiatry Hospital ( Site 6022)
- Clinical Center Kragujevac ( Site 5100)Recruiting
- Clinical Center Kragujevac ( Site 5102)Recruiting
- Clinical Center Kragujevac ( Site 5106)Recruiting
- Special Hospital for Psychiatric Diseases Kovin ( Site 5108)Recruiting
- Special Hospital for Psychiatric Diseases Kovin ( Site 5109)Recruiting
- China Medical University Hospital ( Site 9006)
- National Taiwan University Hospital ( Site 9001)Recruiting
- Taipei City Hospital, Songde Branch ( Site 9004)
- Taipei Veterans General Hospital ( Site 9000)
- Chang Gung Memorial Hospital - Linkou Branch ( Site 9002)
- CNE Cherkasy reg. psychiatric hospital of Cherkasy regional council ( Site 7009)
- Dnepropetrovsk Regional Clinical Hospital Mechnikov-Regional Centre of Psychosomatic Disorders base
- CNE "Precarpathian Regional Clinical Center of Mental Health of Ivano-Frankivsk Regional Council"" (
- CNE of Kharkiv Reg. Council Reg. Clinical Psychiatric Hospital Nub 3 ( Site 7012)
- Institute of Neurology,Psychiatry and Narcology AMS Ukraine ( Site 7011)
- CNE. Kherson Regional Psychiatric Hospital ( Site 7004)
- Kyiv City Psychoneurological Hospital 2 ( Site 7008)
- CNE Clinical Hospital PSYCHIATRY of executive body of Kyiv City Council -Kyiv City State Admin ( Sit
- MNE of KRC-Regional psychiatric and narcological medical association ( Site 7005)
- Reg. Psych. Hosp. n.a. O. Yuschenko, Dept #21, VNMU n.a. M.Pirogov ( Site 7001)
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Experimental
Active Comparator
Experimental
MK-8189 8 mg (Acute) - MK-8189 8 mg (Extension)
MK-8189 16 mg (Acute) - MK-8189 16 mg (Extension)
MK-8189 24 mg (Acute) - MK-8189 24 mg (Extension)
Risperidone 6 mg (Acute) - Risperidone 6 mg (Extension)
Placebo to MK-8189 (Acute) - MK-8189 24 mg (Extension)
Participants will be treated for a total of 12 weeks. Participants will receive MK-8189 8 mg once daily (QD) in the acute treatment period from Week 1-6 followed by MK-8189 8 mg QD in the extension treatment period from Week 7-12 and participants will simultaneously receive risperidone-matching placebo QD from Week 1-12. Enrollment of participants in the MK-8189 8 mg arm was closed with Amendment 4. Participants enrolled before Amendment 4 that have been assigned to 8 mg MK-8189 will remain on 8 mg MK-8189 per protocol.
Participants will be treated for a total of 12 weeks. Participants will receive MK-8189 16 mg QD in the acute treatment period from Week 1-6 followed by MK-8189 16 mg QD in the extension treatment period from Week 7-12 and participants will simultaneously receive risperidone-matching placebo QD from Week 1-12.
Participants will be treated for a total of 12 weeks. Participants will receive MK-8189 24 mg QD in the acute treatment period from Week 1-6 followed by MK-8189 24 mg QD in the extension treatment period from Week 7-12 and participants will simultaneously receive risperidone-matching placebo QD from Week 1-12.
Participants will be treated for a total of 12 weeks. Participants will receive risperidone 6 mg QD in the acute treatment period from Week 1-6 followed by risperidone 6 mg QD in the extension treatment period from Week 7-12 and participants will simultaneously receive MK-8189-matching placebo QD from Week 1-12.
Participants will be treated for a total of 12 weeks. Participants will receive MK-8189-matching placebo QD in the acute treatment period from Week 1-6 followed by MK-8189 24 mg QD in the extension treatment period from Week 7-12 and participants will simultaneously receive risperidone-matching placebo QD from Week 1-12.