ITI-007 (Lumateperone Tosylate) for Schizophrenia
Primary Purpose
Schizophrenia
Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
ITI-007
Sponsored by
About this trial
This is an interventional treatment trial for Schizophrenia
Eligibility Criteria
Inclusion Criteria:
- Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) diagnosis of schizophrenia or schizoaffective disorder
- Has capacity to provide informed consent
- Medically stable for study participation
- Judged clinically not to be at significant suicide or violence risk
- Inadequate response or tolerability to previously antipsychotic therapy, as defined by at least one of the following: prior clozapine failure, a PANSS>80 despite at least six weeks of a current antipsychotic therapy, a Clinical Global Impressions scale-Improvement (CGI-I) of 4 after at least two six week trials of antipsychotics (retrospective assessment) or failure to tolerate an adequate dose of at least antipsychotics (as defined by the Physicians Desk Reference)
Exclusion Criteria:
- Substance abuse within last 90 days
- ECG abnormality that is clinically significant
- Pregnancy, lactation, or lack of use of effective birth control
- Presence or positive history of significant unstable medical or neurological illness (including any history of seizure disorder, hepatitis, renal insufficiency or mental retardation), history of HIV
- Clinically significant abnormal laboratory tests, positive for hepatitis B or C or liver function tests (LFTs) > 2x Upper Limit of Normal, use of strong CYP3A4 inhibitors or inducers
- History or presence of concomitant major psychiatric illness.
- Use of other antipsychotic medications at baseline.
- Use of another investigational medication in the previous 4 weeks
Sites / Locations
- New York State Psychiatric Institute
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
ITI-007
Arm Description
Open-Label ITI-007 40-60 mg
Outcomes
Primary Outcome Measures
Schizophrenia Symptoms
schizophrenia symptoms will be measures using the Positive and Negative Symptom Scale (PANSS) Total PANSS score (range: 30-210). Individual items scored from 1(absent) to 7 (extremely severe). Total PANSS score is sum of the 30 individual items with lowest score (30) indicating all symptoms absent and the maximum score (210) indicating all symptoms rated as extremely severe.
Secondary Outcome Measures
Full Information
NCT ID
NCT03817528
First Posted
November 30, 2018
Last Updated
November 2, 2021
Sponsor
New York State Psychiatric Institute
Collaborators
Intra-Cellular Therapies, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT03817528
Brief Title
ITI-007 (Lumateperone Tosylate) for Schizophrenia
Official Title
ITI-007 (Lumateperone Tosylate) for Schizophrenia
Study Type
Interventional
2. Study Status
Record Verification Date
November 2021
Overall Recruitment Status
Terminated
Why Stopped
ITI-007 approved by FDA
Study Start Date
March 1, 2019 (Actual)
Primary Completion Date
September 23, 2020 (Actual)
Study Completion Date
September 23, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
New York State Psychiatric Institute
Collaborators
Intra-Cellular Therapies, 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
The purpose of this study is to offer open label ITI-007 treatment to patients who poorly respond or poorly tolerate approved medications.
Detailed Description
Patients will be started on ITI-007 and current medication will be slowly discontinued within the first 7 days of starting ITI-007, with some flexibility allowed if clinically indicated. No patients will be left unmedicated because of this study.
Patients will be seen weekly for the first 4 weeks, biweekly for the second month and then monthly for six months. Patients will be monitored by clinical and safety rating scales, and will be required to show improvement after 3 months to remain in this study. Patients not improving at this time will be assessed for the risks/benefits of continuing.
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 2
Interventional Study Model
Single Group Assignment
Model Description
open-label
Masking
None (Open Label)
Masking Description
None (open label)
Allocation
N/A
Enrollment
4 (Actual)
8. Arms, Groups, and Interventions
Arm Title
ITI-007
Arm Type
Experimental
Arm Description
Open-Label ITI-007 40-60 mg
Intervention Type
Drug
Intervention Name(s)
ITI-007
Other Intervention Name(s)
Lumateperone tosylate
Intervention Description
ITI-007 (Lumateperone tosylate)dosed 40-60 mg based on efficacy/adverse events
Primary Outcome Measure Information:
Title
Schizophrenia Symptoms
Description
schizophrenia symptoms will be measures using the Positive and Negative Symptom Scale (PANSS) Total PANSS score (range: 30-210). Individual items scored from 1(absent) to 7 (extremely severe). Total PANSS score is sum of the 30 individual items with lowest score (30) indicating all symptoms absent and the maximum score (210) indicating all symptoms rated as extremely severe.
Time Frame
Change from baseline in Total PANSS score after 6 month treatment
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) diagnosis of schizophrenia or schizoaffective disorder
Has capacity to provide informed consent
Medically stable for study participation
Judged clinically not to be at significant suicide or violence risk
Inadequate response or tolerability to previously antipsychotic therapy, as defined by at least one of the following: prior clozapine failure, a PANSS>80 despite at least six weeks of a current antipsychotic therapy, a Clinical Global Impressions scale-Improvement (CGI-I) of 4 after at least two six week trials of antipsychotics (retrospective assessment) or failure to tolerate an adequate dose of at least antipsychotics (as defined by the Physicians Desk Reference)
Exclusion Criteria:
Substance abuse within last 90 days
ECG abnormality that is clinically significant
Pregnancy, lactation, or lack of use of effective birth control
Presence or positive history of significant unstable medical or neurological illness (including any history of seizure disorder, hepatitis, renal insufficiency or mental retardation), history of HIV
Clinically significant abnormal laboratory tests, positive for hepatitis B or C or liver function tests (LFTs) > 2x Upper Limit of Normal, use of strong CYP3A4 inhibitors or inducers
History or presence of concomitant major psychiatric illness.
Use of other antipsychotic medications at baseline.
Use of another investigational medication in the previous 4 weeks
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jeffrey A Lieberman, MD
Organizational Affiliation
New York State Psychiatric Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
New York State Psychiatric Institute
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
12. IPD Sharing Statement
Learn more about this trial
ITI-007 (Lumateperone Tosylate) for Schizophrenia
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