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Study to Assess the Safety, Tolerability and Pharmacokinetics of Oral Brexpiprazole (OPC- 34712) in Adolescents With Schizophrenia

Primary Purpose

Schizophrenia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Brexpiprazole (OPC-34712)
Sponsored by
Otsuka Pharmaceutical Development & Commercialization, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Schizophrenia focused on measuring Adolescent, Otsuka,, Brexpiprazole

Eligibility Criteria

13 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female subjects 13 to 17 years of age, inclusive, at the time of informed consent.
  • Subjects with a current diagnosis of primary schizophrenia spectrum or bipolar spectrum disorder, as defined by DSM-IV-TR criteria, and confirmed by K-SADS-PL.
  • No psychiatric hospitalizations within the past 12 weeks.
  • Subjects require treatment with antipsychotic medications.
  • Subjects who have received previous outpatient antipsychotic treatment at an adequate dose for an adequate duration (at least 6 weeks) and who showed a previous good response to such antipsychotic treatment (other than clozapine) in the last 12 months.
  • Subjects with a body weight at Screening greater than or equal to 30 kg.

Exclusion Criteria:

  • Sexually active females of childbearing potential and male subjects who are not practicing two different methods of birth control with their partner (or abstinence) during the trial and for 30 days after the last dose of trial medication
  • Females who are breast-feeding and/or who have a positive pregnancy test result prior to receiving trial drug.
  • Subjects who have received continuous medication therapy to treat schizophrenia and schizophrenia spectrum diagnosis for less than six months prior to first dose of study medication AND subjects who have received continuous medication therapy to treat bipolar and bipolar spectrum disorder for less than two months in the past three years; or subjects who require more than one antipsychotic..
  • Subjects with a current DSM-IV-TR diagnosis other than schizophrenia spectrum , bipolar spectrum, including any Axis I or Axis II (DSM-IV-TR) disorder.
  • Subjects with a clinical presentation and/or history of any neurodevelopmental disorder
  • Subjects who have met DSM-IV-TR criteria for substance abuse or dependence within the past 180 days.
  • Subjects who currently have clinically significant neurological, hepatic, renal, metabolic, hematological, immunological, cardiovascular, pulmonary, or gastrointestinal disorders such as any history of myocardial infarction, congestive heart failure, HIV seropositive status/acquired immunodeficiency syndrome, or chronic hepatitis B or C.
  • Subjects with IDDM (ie, any subjects using insulin) are excluded. Subjects with non-IDDM may be eligible for the trial if their condition is stable.
  • Subjects with epilepsy or a history of seizures.
  • Any major surgery or blood transfusion within 30 days prior to first dose of trial medication.
  • Subjects with a positive drug screen for cocaine or other illicit drugs, or alcohol are excluded and may not be retested or re-screened.
  • Prohibited concomitant medications used within the exclusionary period prior to Day 1 of the Dose Escalation Phase or anticipated need for such medications during the trial.
  • Subjects who participated in a clinical trial and were exposed to IMP within the last 30 days or who participated in more than two interventional clinical trials within the past year.
  • Subjects with a history of true allergic response (ie, not intolerance) to more than one class of medications.
  • Inability to tolerate oral medication or swallow tablets.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Cohort 3

Cohort 4

Cohort 5

Arm Description

0.5 mg, Brexpipraxzole (OPC-34712)

1mg, Brexpipraxzole (OPC-34712)

2mg, Brexpipraxzole (OPC-34712)

3 mg, Brexpipraxzole (OPC-34712)

4mg, Brexpipraxzole (OPC-34712)

Outcomes

Primary Outcome Measures

Reported Adverse Events (AEs) at 30 day Follow-Up
Change from Baseline to Day 17 in Vital Signs
Change from Baseline to Day 17 ECGs
Change from Baseline to Day 17 Hematology
Change from Baseline to Day 14 Physical examination
Change from Baseline to Day 17 Body weight
Change from Baseline to Day 17 Serum chemistry
Including Prolactin concentrations
Change from Baseline to Day 17 Urinalysis
Maximal peak steady-state plasma concentration
Minimum trough steady-state plasma concentration
Time to maximum peak steady-state plasma concentration
Area under the concentration-time curve during the dosing interval at steady-state
Terminal elimination half-life
For Brex only, apparent cleanse and apparent volume of distribution

Secondary Outcome Measures

Mean change in CGI-S score
Mean change in CGI-I score
Glycosylated haemoglobin [HbA1c]
Change from Baseline to Day 17 Adrenocorticotropic hormone [ACTH]
Change from Baseline to Day 17 Cortisol
Change from Baseline to Day 17 Thyroid stimulating hormone [TSH]
Change from Baseline to Day 17 Prothrombin time [PT]
Change from Baseline to Day 17 Activated partial thromboplastin time [aPTT]
Change from Baseline to Day 17 International normalized ratio [INR]
For subjects with a current primary schizophrenia spectrum diagnosis, mean change in Positive and Negative Syndrom Scale (PANSS)
For subjects with a current diagnosis of bipolar spectrum disorder, mean change in Young Mania Rating Scale (YMRS)

Full Information

First Posted
May 30, 2014
Last Updated
February 14, 2017
Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Collaborators
H. Lundbeck A/S
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1. Study Identification

Unique Protocol Identification Number
NCT02411695
Brief Title
Study to Assess the Safety, Tolerability and Pharmacokinetics of Oral Brexpiprazole (OPC- 34712) in Adolescents With Schizophrenia
Official Title
A Phase 1, Multicenter, Open-label, Dose-Escalation Trial to Assess the Safety, Tolerability and Pharmacokinetics of Oral Brexpiprazole (OPC- 34712) in Adolescents With Schizophrenia
Study Type
Interventional

2. Study Status

Record Verification Date
February 2017
Overall Recruitment Status
Completed
Study Start Date
March 2015 (undefined)
Primary Completion Date
January 2017 (Actual)
Study Completion Date
January 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Collaborators
H. Lundbeck A/S

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the safety, tolerability and pharmacokinetics (PK) of oral brexpipirazole in adolescent subjects with schizophrenia or Other Related Psychiatric Disorders.
Detailed Description
Schizophrenia is a severely delibitating mental illness that affects approximately 1% of the world population. The onset of schizophrenia symptoms typically peaks in late adolescence and early adulthood. In a minority of cases, the initial episode may occur during childhood or early adolescence. Patients who experience this "early-onset schizophrenia" exhibit symptoms that are more severe and follow a more chronic course; adolescents with schizophrenia may never achieve full remission of the initial episode. The prognosis for early-onset schizophrenia tends to be poor, and cognitive impairment is greater compared with individuals whose onset of schizophrenia occurs later in life. Several antipsychotics have been investigated for the treatment of adolescent schizophrenia, however, there is a particular challenge because developing bodies are more sensitive to side effects of antipsychotics, particularly with respect to weight gain. In order to enroll a population that includes the younger ages, adolescents with other related psychiatric disorders are also included in this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Schizophrenia
Keywords
Adolescent, Otsuka,, Brexpiprazole

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
0.5 mg, Brexpipraxzole (OPC-34712)
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
1mg, Brexpipraxzole (OPC-34712)
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
2mg, Brexpipraxzole (OPC-34712)
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
3 mg, Brexpipraxzole (OPC-34712)
Arm Title
Cohort 5
Arm Type
Experimental
Arm Description
4mg, Brexpipraxzole (OPC-34712)
Intervention Type
Drug
Intervention Name(s)
Brexpiprazole (OPC-34712)
Intervention Description
Subjects who are deemed eligible for the trial will be assigned to a dosing cohort and will enter a Dose Titration Phase during which they will receive a starting dose of brexpiprazole for 2 to 10 days based on their assigned titration schedule. The Dose Titration Phase may be extended up to a maximum of 14 days, based on the observed safety and tolerability profile of the previous cohort's Dose Titration Phase. Following the Dose Titration Phase, subjects will enter the Fixed Dose Phase and will be administered the assigned dose for that cohort for 14 days.
Primary Outcome Measure Information:
Title
Reported Adverse Events (AEs) at 30 day Follow-Up
Time Frame
30 day Follow-Up
Title
Change from Baseline to Day 17 in Vital Signs
Time Frame
Baseline to Day 17
Title
Change from Baseline to Day 17 ECGs
Time Frame
Baseline to Day 17
Title
Change from Baseline to Day 17 Hematology
Time Frame
Baseline to Day 17
Title
Change from Baseline to Day 14 Physical examination
Time Frame
Baseline to Day 14
Title
Change from Baseline to Day 17 Body weight
Time Frame
Baseline to Day 17
Title
Change from Baseline to Day 17 Serum chemistry
Description
Including Prolactin concentrations
Time Frame
Baseline to Day 17
Title
Change from Baseline to Day 17 Urinalysis
Time Frame
Baseline to Day 17
Title
Maximal peak steady-state plasma concentration
Time Frame
At Day 14
Title
Minimum trough steady-state plasma concentration
Time Frame
At Day 14
Title
Time to maximum peak steady-state plasma concentration
Time Frame
At Day 14
Title
Area under the concentration-time curve during the dosing interval at steady-state
Time Frame
At Day 14
Title
Terminal elimination half-life
Time Frame
At Day 14
Title
For Brex only, apparent cleanse and apparent volume of distribution
Time Frame
At Day 14
Secondary Outcome Measure Information:
Title
Mean change in CGI-S score
Time Frame
Day -1 of Dose Titration Phase to Day 7 and Day 14 of Fixed Dose Phase
Title
Mean change in CGI-I score
Time Frame
Day 7 and Day 14
Title
Glycosylated haemoglobin [HbA1c]
Time Frame
Baseline to Day 17
Title
Change from Baseline to Day 17 Adrenocorticotropic hormone [ACTH]
Time Frame
Baseline to Day 17
Title
Change from Baseline to Day 17 Cortisol
Time Frame
Baseline to Day 17
Title
Change from Baseline to Day 17 Thyroid stimulating hormone [TSH]
Time Frame
Baseline to Day 17
Title
Change from Baseline to Day 17 Prothrombin time [PT]
Time Frame
Baseline to Day 17
Title
Change from Baseline to Day 17 Activated partial thromboplastin time [aPTT]
Time Frame
Baseline to Day 17
Title
Change from Baseline to Day 17 International normalized ratio [INR]
Time Frame
Baseline to Day 17
Title
For subjects with a current primary schizophrenia spectrum diagnosis, mean change in Positive and Negative Syndrom Scale (PANSS)
Time Frame
Day-1 to Day 15
Title
For subjects with a current diagnosis of bipolar spectrum disorder, mean change in Young Mania Rating Scale (YMRS)
Time Frame
Day -1 to Day 15

10. Eligibility

Sex
All
Minimum Age & Unit of Time
13 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects 13 to 17 years of age, inclusive, at the time of informed consent. Subjects with a current diagnosis of primary schizophrenia spectrum or bipolar spectrum disorder, as defined by DSM-IV-TR criteria, and confirmed by K-SADS-PL. No psychiatric hospitalizations within the past 12 weeks. Subjects require treatment with antipsychotic medications. Subjects who have received previous outpatient antipsychotic treatment at an adequate dose for an adequate duration (at least 6 weeks) and who showed a previous good response to such antipsychotic treatment (other than clozapine) in the last 12 months. Subjects with a body weight at Screening greater than or equal to 30 kg. Exclusion Criteria: Sexually active females of childbearing potential and male subjects who are not practicing two different methods of birth control with their partner (or abstinence) during the trial and for 30 days after the last dose of trial medication Females who are breast-feeding and/or who have a positive pregnancy test result prior to receiving trial drug. Subjects who have received continuous medication therapy to treat schizophrenia and schizophrenia spectrum diagnosis for less than six months prior to first dose of study medication AND subjects who have received continuous medication therapy to treat bipolar and bipolar spectrum disorder for less than two months in the past three years; or subjects who require more than one antipsychotic.. Subjects with a current DSM-IV-TR diagnosis other than schizophrenia spectrum , bipolar spectrum, including any Axis I or Axis II (DSM-IV-TR) disorder. Subjects with a clinical presentation and/or history of any neurodevelopmental disorder Subjects who have met DSM-IV-TR criteria for substance abuse or dependence within the past 180 days. Subjects who currently have clinically significant neurological, hepatic, renal, metabolic, hematological, immunological, cardiovascular, pulmonary, or gastrointestinal disorders such as any history of myocardial infarction, congestive heart failure, HIV seropositive status/acquired immunodeficiency syndrome, or chronic hepatitis B or C. Subjects with IDDM (ie, any subjects using insulin) are excluded. Subjects with non-IDDM may be eligible for the trial if their condition is stable. Subjects with epilepsy or a history of seizures. Any major surgery or blood transfusion within 30 days prior to first dose of trial medication. Subjects with a positive drug screen for cocaine or other illicit drugs, or alcohol are excluded and may not be retested or re-screened. Prohibited concomitant medications used within the exclusionary period prior to Day 1 of the Dose Escalation Phase or anticipated need for such medications during the trial. Subjects who participated in a clinical trial and were exposed to IMP within the last 30 days or who participated in more than two interventional clinical trials within the past year. Subjects with a history of true allergic response (ie, not intolerance) to more than one class of medications. Inability to tolerate oral medication or swallow tablets.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Eva Kohegyi, MD
Organizational Affiliation
Otsuka Pharmaceutical Development & Commercialization
Official's Role
Study Director
Facility Information:
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72211
Country
United States
City
Culver City
State/Province
California
ZIP/Postal Code
90230
Country
United States
City
Orange
State/Province
California
ZIP/Postal Code
92858
Country
United States
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20016
Country
United States
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30331
Country
United States
City
Marlton
State/Province
New Jersey
ZIP/Postal Code
08053
Country
United States
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
City
The Woodlands
State/Province
Texas
ZIP/Postal Code
77381
Country
United States
City
Orem
State/Province
Utah
ZIP/Postal Code
84058
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study to Assess the Safety, Tolerability and Pharmacokinetics of Oral Brexpiprazole (OPC- 34712) in Adolescents With Schizophrenia

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