Efficacy and Safety of Pimavanserin as Adjunctive Treatment for the Negative Symptoms of Schizophrenia (ADVANCE-2)
Schizophrenia
About this trial
This is an interventional treatment trial for Schizophrenia
Eligibility Criteria
Inclusion Criteria:
- Male or female, ≥18 and ≤55 years of age at the time of Screening
- Has a caregiver or some other identified responsible person (e.g., family member, social worker, caseworker, or nurse) considered reliable by the Investigator in providing support to the subject to help ensure compliance with study treatment, study visits, and protocol procedures, and who is also able to provide input helpful for completing study rating scales
- Diagnosis of schizophrenia made ≥1 year prior to Screening
Is being treated must be one of the antipsychotics listed below:
Aripiprazole
- Aripiprazole long-acting injectables
- Abilify Maintena®
- Aristada®
- Asenapine
- Brexpiprazole
- Cariprazine
- Lurasidone
- Olanzapine
- Paliperidone extended release (ER) (≤9 mg)
Paliperidone palmitate
- Invega Sustenna® (≤156 mg)
- Invega Trinza® (≤546 mg)
- Trevicta® (≤350 mg)
- Xeplion® (≤100 mg)
- Risperidone
- Risperidone long-acting injection
- Must be medically stable (including no recent hospitalization for exacerbation of psychiatric disorder) and has been medically stable for at least 12 weeks prior to Screening, in the opinion of the Investigator
Exclusion Criteria:
- Has a current comorbid psychiatric disorder other than schizophrenia or a disorder that would interfere with the ability to complete study assessments
- Is at a significant risk of suicide, in the opinion of the Investigator
- Has a significant risk of violent behavior in the opinion of the Investigator
- A confirmed urine drug screen (UDS) result at Baseline that indicates the presence of any tested prohibited substance of potential abuse, including marijuana
- Is taking a medication or drug or other substance that is prohibited according to this protocol, including medications that prolong the QT interval, strong cytochrome P450 (CYP) 3A4 enzyme (CYP3A4) inhibitors and inducers
- Known family or personal history or symptoms of long QT syndrome or risk factors for torsade de pointes and/or sudden death, including symptomatic bradycardia, hypokalemia or hypomagnesemia, and the presence of congenital prolongation of the QT interval
- Current evidence, or history within the previous 12 weeks prior to Screening, of a serious and/or unstable psychiatric, neurologic, cardiovascular, respiratory, gastrointestinal, renal, hepatic, hematologic, or other medical disorder, including cancer or malignancies that in the judgment of the Investigator would jeopardize the safe participation of the subject in the study
- Has moderate to severe congestive heart failure
- Has a history of myocardial infarction within 6 months prior to enrollment
- Has a body mass index (BMI) <19 or ≥35 at Screening
Additional inclusion/exclusion criteria apply. Patients will be evaluated at screening to ensure that all criteria for study participation are met. Patients may be excluded from the study based on these assessments (and specifically, if it is determined that their baseline health and condition do not meet all prespecified entry criteria).
Sites / Locations
- 610-Clinica Privada Banfield S.A.
- 601-CENydET- Centro Neurobiologico y de Estres Traumatico-Biopsychomedical Research Group SRL
- 602-FunDamoS
- 603-Fundación para el Estudio y Tratamiento de las Enfermedades Mentales - FETEM
- 625-NOVAIN Neurociencias Group
- 607-Resolution Psicopharmacology Research Institute
- 624-Centro Especializado en Neurociencias CEN
- 622-Instituto Medico Damic Srl
- 626-Sanatorio Prof. Leon S. Morra S.A.
- 617-INSA Instituto de Neurociencias San Agustin S.A.
- 623-Clinica Privada de Salud Mental Santa Teresa de Avila
- 532-MHAT "Dr. Hristo Stambolski", EOOD
- 454-Mental Health Center Prof. Dr. Ivan Temkov - Burgas EO Burgas; Department for Treatment of Emergency Psychiatric Conditions
- 533-State Psychiatric Hospital - Kardzhali, EOOD
- 569-State Psychiatric Hospital - Lovech
- 535-UMHAT 'Dr. Georgi Stranski', EAD
- 586-Medical Center Mentalcare OOD
- 563-MC-Hipokrat-N E00D
- 592-Medical center Spectar - Plovdiv EOOD
- 570-Medical Centre "Sveti Naum"
- 526-DCC "Sv. Vrach and Sv. Sv. Kuzma and Damyan", OOD
- 405-"UMHAT Alexandrovska EAD, Sofia; Clinic of Psychiatry, First Department of Psychiatry "
- 568-Medical Center Hera EOOD
- 528-Medical Center Intermedica, OOD
- 590-State Psychiatric Hospital - Tzarev Brod
- 498-DCC "Mladost M" - Varna, OOD
- 455-Mental Health Center - Veliko Tarnovo EOOD,
- 401-Mental Health Center - Vratsa EOOD, Vratsa; Department of Psychiatry
- 536-Clinic for psychiatry Vrapce
- 537-Clinic for psychiatry Vrapce
- 550-Clinic for psychiatry Vrapce
- 557-Clinic for psychiatry Vrapce
- 594-klinika za psihijatriju Sveti Ivan, n/p Igor Filipčić or Marija Zelenika
- 512-NeuropsychiatrieHK s.r.o.
- 583-Narodni ustav dusevniho zdravi
- 519-A-SHINE s.r.o.
- 513-CLINTRIAL s.r.o.
- 499-MUDr. Tibor Miklos
- 410-Mathe es Tarsa Bt.
- 456-Semmelweis University Department of Psychiatry and Psychotherapy
- 520-Nyiro Gyula Korhaz - Orszagos Pszichiatriai es Addiktologiai Intezet
- 440-PsychoTech Kft.
- 580-AOU Consorziale Policlinico di Bari
- 539-"Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico U.O.C. Psichiatria - Padiglione Alfieri, primo piano"
- 566-Ospedale San Raffaele (San Raffaele Turro)
- 553-AO Città della Salute e della Scienza di Torino
- 516-Neuromeda, JSC
- 483-Romuvos klinika, UAB
- 518-Kaunas City Outpatient Clinic, Public Institution
- 484-Medical Center Puriena JSC
- 525-Podlaskie Centrum Psychogeriatrii
- 502-Przychodnia Srodmiescie Sp. z o. o.
- 579-Centrum Badan Klinicznych P.I. House Sp. z o.o.
- 541-Care Clinic centrum Medyczne
- 501-Specjalistyczna Praktyka Lekarska Marek Domański
- 578-MSCZ im. prof. J. Mazurkiewicza
- 540-Ośr. Badań Klin. CLINSANTE S.C.
- 417-State budget healthcare Institution of Stavropol region "Regional specialized psychiatric hospital #2".
- 505-GUZ Lipetsk Regional psychoneurological Hospital #1
- 573-"SBIH of Moscow ""Psychiatric Clinical Hospital # 4 n.a. P.B. Gannushkin"" Short name: PCH N4 n.a. P.B.Gannushkin"
- 581-SBIH of Moscow "Psych Clinical Hospital #1 N.A. Alekseev"
- 415-Saint-Petersburg state healthcare institution "Saint Nicolas wonderworker psychiatric hospital"
- 451-V. M. Bekhterev National Research Medical Center For Psychiatry and Neurology
- 465-"Saint-Petersburg Scientific Research Psychoneurological Institute n.a. V.M. Bekhterev
- 495-"FSBI "National medical scientific center of psychiatry and neurology n.a. V.M. Bekhterev" MoH Short name: NMSC of Psy&Neuro n.a. Bekhterev, 12 dep."
- 464-Saint Petersburg State Budget Healthcare Institution "City Psychiatric Hospital No. 6 (Inpatient Department with Treatment Center)
- 452-Saint Petersburg State Public Institution of Healthcare "City Psychiatric Hospital #3 n.a. I. I. Skvortsov-Stepanov",
- 571-St. Petersburg SHI "Psychoneurological Dispensary #10"
- 453-"Saint-Petersburg Scientific Research Psychoneurological Institute n.a. V.M. Bekhterev"
- 444-SPHI "City Mental Hospital #3 n.a. I.I.Skvortsov-Stepanov"
- 496-SPHI "City Mental Hospital #3 n.a. I.I.Skvortsov-Stepanov"
- 458-State Budget Healthcare Institution "Samara Psychiatric Hospital
- 416-FSBEI HE "Smolensk State Medical University" of the MoH of the RF (Clinical Research Centre of diagnostics and medicines)
- 572-Klinika StoLet" Ltd.
- 422-State Budget healthcare Institution of Yaroslavl region "Yaroslavl region clinical psychiatric hospital"
- 424-Institute of Mental health
- 425-Clinical Hospital Center "Dr. Dragisa Misovic-Dedinje", Clinic of Psychiatry
- 584-Clinic for Psychiatry, Clinical Canter of Serbia
- 587-Institute of Mental health
- 472-Special Neuropsychiatric Hospital Kovin
- 430-Psychiatric Clinic, Clinical Center Kragujevac
- 423-Clinical Center Kragujevac, Clinic of Psychiatry
- 427-Clinical Center Nis, Mental Health Protection Clinic
- 585-Special Hospital for Psychiatric Diseases "Gornja Toponica"
- 593-Specialized Hospital for Neuropsychiatric Diseases "Sveti Vracevi"
- 574-Hospital Clinic de Barcelona
- 576-Hospital Universitari Vall d'Hebron
- 588-Institucion Hospitalaria Hestia Palau - Ensayos clinicos
- 475-Hospital Gregorio Marañon
- 575-Hospital Universitario 12 de Octubre
- 494-CSM La Corredoria
- 431-Hospital Psiquiátrico Provincial Doctor Villacian
- 529-Hospital Provincial de Zamora
- 508-CI Cherkasy Regional Psychiatric Hospital of ChRC
- 564-Regional Clinical Psychiatric Hospital
- 460-Kyiv City Psychoneurological Hospital #3 General Psychiatry Department No. 2
- 434-State Institution "Institute of Neurology, Psychiatry and Narcology of NAMS of Ukraine", Department of Urgent Psychiatry and Narcology
- 567-"CIH Kharkiv Regional Clinical Psychiatric Hospital #3 Psychiatric Department of Primary Psychotic Episod Short Site name: CIH KRCPH #3 PD of PPE "
- 582-SI Institute of Neurology,Psychiatry&Narcology of NAMSU
- 435-Kyiv Regional Medical Incorporation "Psychiatry". Center of Novel Treatment and Rehabilitation of Psychotic disorders, build 5, Department #30
- 565-"Kyiv CH on Railway Transport #2 of Branch Center of Healthcare Public Company Ukr Railway Short site name: Kyiv Railway Clinical Hospital № 2"
- 509-CI Odesa Regional Medical Centre of Mental Health
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Drug - Pimavanserin
Placebo
Pimavanserin 34 mg taken as two tablets + background antipsychotic, once daily by mouth
Placebo + background antipsychotic, taken as two tablets, once daily by mouth