Safety, Tolerability, and Pharmacokinetics of Lumateperone in Pediatric Patients With Schizophrenia or Schizoaffective Disorder
Primary Purpose
Schizophrenia, Pediatric
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Lumateperone 42 mg
Lumateperone 28 mg
Sponsored by
About this trial
This is an interventional treatment trial for Schizophrenia
Eligibility Criteria
Main Inclusion Criteria:
- Male or female patients between 13 and 17 years of age, inclusive
- Clinical diagnosis of schizophrenia or schizoaffective disorder according to Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
- Free from acute exacerbation of their psychosis for at least 3 months prior to Screening
- Clinical Global Impression - Severity (CGI-S) score ≤ 4
- Body mass index (BMI) within 2 standard deviations of, age- and gender-specific body measurements (based on CDC Clinical Growth Chart, 2000)
- Ability to swallow capsules
Main Exclusion Criteria:
- Has a primary psychiatric diagnosis other than schizophrenia or schizoaffective disorder
- Reports having experienced suicidal ideation within 6 months prior to Screening, any suicidal behavior within 2 years prior to Screening based on the Columbia-Suicide Severity Rating Scale (C-SSRS), and/or the investigator assesses the patient to be a safety risk to him/herself or others
- Clinically significant abnormality within 2 years of Screening that in the Investigator's opinion may place the patient at risk or interfere with study outcome variables
- History of a clinically significant cardiac disorder and/or abnormal screening electrocardiogram (ECG) or a QT interval corrected for heart rate using Fridericia formula > 450 msec in males or > 470 msec in females
Sites / Locations
- Clinical Site
- Clinical Site
- Clinical Site
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Lumateperone 42 mg once daily for 5 days
Lumateperone 28 mg once daily for 5 days
Arm Description
Outcomes
Primary Outcome Measures
Pharmacokinetics: Cmax
Maximum plasma concentration of lumateperone and metabolites
Pharmacokinetics: Tmax
Time of maximum concentration of lumateperone and metabolites in plasma
Pharmacokinetics: AUC0-t
Area under the plasma concentration time curve from time zero to the last measurable of concentration of lumateperone and metabolites
Pharmacokinetics: AUC0-tau
Area under the plasma concentration (lumateperone and metabolites) time curve from time zero to the end of dosing (tau)
Pharmacokinetics: t1/2
Terminal elimination half-life of lumateperone and metabolites
Pharmacokinetics: CL/F
Apparent oral clearance of lumateperone
Secondary Outcome Measures
Percentage of subjects with treatment-emergent adverse events
Change from baseline in systolic and diastolic blood pressure
Change from baseline in ECG QT interval
Change from baseline in hemoglobin
Change from baseline in white blood cell count
Change from baseline in aspartate aminotransferase
Change from baseline in alanine aminotransferase
Change from baseline in Abnormal Involuntary Movement Scale (AIMS)
unabbreviated scale title: Abnormal Involuntary Movement Scale. AIMS is a measure of facial and oral movements, extremity movements and trunk movements. Items are rated on a scale from none (0) to severe (4).
Full Information
NCT ID
NCT04779177
First Posted
February 26, 2021
Last Updated
December 1, 2022
Sponsor
Intra-Cellular Therapies, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT04779177
Brief Title
Safety, Tolerability, and Pharmacokinetics of Lumateperone in Pediatric Patients With Schizophrenia or Schizoaffective Disorder
Official Title
An Open-label Multiple Oral Dose Study to Determine the Safety, Tolerability, and Pharmacokinetics of Lumateperone in Patients, Ages 13 to 17 Years, Diagnosed With Schizophrenia or Schizoaffective Disorder
Study Type
Interventional
2. Study Status
Record Verification Date
December 2022
Overall Recruitment Status
Completed
Study Start Date
March 12, 2021 (Actual)
Primary Completion Date
July 30, 2022 (Actual)
Study Completion Date
July 30, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Intra-Cellular Therapies, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
Study ITI-007-020 is a Phase 1b, multicenter, open-label study to evaluate the safety, tolerability, and PK of lumateperone as treatment for adolescent patients with schizophrenia or schizoaffective disorder.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Schizophrenia, Pediatric
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
26 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Lumateperone 42 mg once daily for 5 days
Arm Type
Experimental
Arm Title
Lumateperone 28 mg once daily for 5 days
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Lumateperone 42 mg
Intervention Description
Lumateperone 42 mg, oral administration
Intervention Type
Drug
Intervention Name(s)
Lumateperone 28 mg
Intervention Description
Lumateperone 28 mg, oral administration
Primary Outcome Measure Information:
Title
Pharmacokinetics: Cmax
Description
Maximum plasma concentration of lumateperone and metabolites
Time Frame
predose and multiple timepoints up to 24 hours postdose on Day 1 and Day 5
Title
Pharmacokinetics: Tmax
Description
Time of maximum concentration of lumateperone and metabolites in plasma
Time Frame
predose and multiple timepoints up to 24 hours postdose on Day 1 and Day 5
Title
Pharmacokinetics: AUC0-t
Description
Area under the plasma concentration time curve from time zero to the last measurable of concentration of lumateperone and metabolites
Time Frame
predose and multiple timepoints up to 24 hours postdose on Day 1 and Day 5
Title
Pharmacokinetics: AUC0-tau
Description
Area under the plasma concentration (lumateperone and metabolites) time curve from time zero to the end of dosing (tau)
Time Frame
predose and multiple timepoints up to 24 hours postdose on Day 1 and Day 5
Title
Pharmacokinetics: t1/2
Description
Terminal elimination half-life of lumateperone and metabolites
Time Frame
predose and multiple timepoints up to 24 hours postdose on Day 1 and Day 5
Title
Pharmacokinetics: CL/F
Description
Apparent oral clearance of lumateperone
Time Frame
predose and multiple timepoints up to 24 hours postdose on Day 1 and Day 5
Secondary Outcome Measure Information:
Title
Percentage of subjects with treatment-emergent adverse events
Time Frame
up to 30 days after last dose
Title
Change from baseline in systolic and diastolic blood pressure
Time Frame
up to Day 20
Title
Change from baseline in ECG QT interval
Time Frame
up to Day 6
Title
Change from baseline in hemoglobin
Time Frame
screening, Day 6
Title
Change from baseline in white blood cell count
Time Frame
screening, Day 6
Title
Change from baseline in aspartate aminotransferase
Time Frame
screening, Day 6
Title
Change from baseline in alanine aminotransferase
Time Frame
screening, Day 6
Title
Change from baseline in Abnormal Involuntary Movement Scale (AIMS)
Description
unabbreviated scale title: Abnormal Involuntary Movement Scale. AIMS is a measure of facial and oral movements, extremity movements and trunk movements. Items are rated on a scale from none (0) to severe (4).
Time Frame
up to Day 6
10. Eligibility
Sex
All
Minimum Age & Unit of Time
13 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Main Inclusion Criteria:
Male or female patients between 13 and 17 years of age, inclusive
Clinical diagnosis of schizophrenia or schizoaffective disorder according to Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Free from acute exacerbation of their psychosis for at least 3 months prior to Screening
Clinical Global Impression - Severity (CGI-S) score ≤ 4
Body mass index (BMI) within 2 standard deviations of, age- and gender-specific body measurements (based on CDC Clinical Growth Chart, 2000)
Ability to swallow capsules
Main Exclusion Criteria:
Has a primary psychiatric diagnosis other than schizophrenia or schizoaffective disorder
Reports having experienced suicidal ideation within 6 months prior to Screening, any suicidal behavior within 2 years prior to Screening based on the Columbia-Suicide Severity Rating Scale (C-SSRS), and/or the investigator assesses the patient to be a safety risk to him/herself or others
Clinically significant abnormality within 2 years of Screening that in the Investigator's opinion may place the patient at risk or interfere with study outcome variables
History of a clinically significant cardiac disorder and/or abnormal screening electrocardiogram (ECG) or a QT interval corrected for heart rate using Fridericia formula > 450 msec in males or > 470 msec in females
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Site
Organizational Affiliation
Atlanta, Georgia, United States, 30331
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Clinical Site
Organizational Affiliation
Decatur, Georgia, United States, 30030
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Clinical Site
Organizational Affiliation
Hollywood, Florida, United States, 33024
Official's Role
Principal Investigator
Facility Information:
Facility Name
Clinical Site
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33024
Country
United States
Facility Name
Clinical Site
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30331
Country
United States
Facility Name
Clinical Site
City
Decatur
State/Province
Georgia
ZIP/Postal Code
30030
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Safety, Tolerability, and Pharmacokinetics of Lumateperone in Pediatric Patients With Schizophrenia or Schizoaffective Disorder
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