NCT02717195

Brief Summary

To evaluate the efficacy of 10 and 20 mg/day of Lu AF35700 on schizophrenia symptoms in patients with treatment-resistant schizophrenia (TRS)

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
1,098

participants targeted

Target at P75+ for phase_3 schizophrenia

Timeline
Completed

Started Apr 2016

Typical duration for phase_3 schizophrenia

Geographic Reach
13 countries

142 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 11, 2016

Completed
12 days until next milestone

First Posted

Study publicly available on registry

March 23, 2016

Completed
9 days until next milestone

Study Start

First participant enrolled

April 1, 2016

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2018

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

October 8, 2018

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

November 25, 2019

Completed
Last Updated

November 25, 2019

Status Verified

October 1, 2019

Enrollment Period

2.4 years

First QC Date

March 11, 2016

Results QC Date

August 30, 2019

Last Update Submit

October 30, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change From Randomization to Week 10 in Positive and Negative Syndrome Scale (PANSS) Total Score

    PANSS total score administered by the investigator. It included 3 sub-scales with a total of 30 items that evaluated the Positive Symptoms subscale, the Negative Symptoms subscale, the General Psychopathology subscale. Each item is rated from 1 (symptom not present) to 7 (symptom extremely severe). PANSS total score was calculated as sum of all the items on the scale and ranged from 30 to 210. A higher score corresponded to a worse severity of schizophrenia.

    From Randomization to Week 10

Secondary Outcomes (7)

  • Change From Randomization to Week 10 in PSP Total Personal and Social Performance (PSP) Total Score

    From Randomization to Week 10

  • Change From Randomization to Week 10 in Global Clinical Impression - Severity of Illness (CGI-S) Score

    From Randomization to Week 10

  • Response at Week 10, Defined as ≥20% Reduction in PANSS Total Score, PANSS (Positive and Negative Syndrome Scale) Total Score ≤70, CGI-S (Clinical Global Impression Scale - Severity of Illness) Score <4

    From Randomization to Week 10

  • Response at Week 10, Defined as ≥20% Reduction in Positive and Negative Syndrome Scale (PANSS) Total Score From Randomization

    From Randomization to Week 10

  • Response at Week 10, Defined as ≥30% Reduction in PANSS Total Score From Randomization

    From Randomization to Week 10

  • +2 more secondary outcomes

Study Arms (4)

Prospective Confirmation (PC) Period

EXPERIMENTAL

Single (patient)-blinded treatment period with risperidone or olanzapine for 6 weeks

Drug: RisperidoneDrug: Olanzapine

Double-blind Treatment (DBT) Period, Lu AF35700 10 mg

EXPERIMENTAL

Eligible patients from PC Period (based on criteria to which investigator and patient are blinded), will be randomly assigned (1:1:1) double-blind treatment in DBT Period, 10 weeks

Drug: Lu AF35700

DBT Period, Lu AF35700 20 mg

EXPERIMENTAL

Eligible patients from PC Period (based on criteria to which investigator and patient are blinded), will be randomly assigned (1:1:1) double-blind treatment in DBT Period, 10 weeks

Drug: Lu AF35700

DBT Period, Continued treatment from PC Period

EXPERIMENTAL

Eligible patients from PC Period (based on criteria to which investigator and patient are blinded), will be randomly assigned (1:1:1) double-blind treatment in DBT Period,10 weeks. Patients in this arm will continue with same the treatment and dose as at last visit of PC Period

Drug: RisperidoneDrug: Olanzapine

Interventions

4-6 mg/day, encapsulated tablets, orally

DBT Period, Continued treatment from PC PeriodProspective Confirmation (PC) Period

15-20 mg/day, encapsulated tablets, orally

DBT Period, Continued treatment from PC PeriodProspective Confirmation (PC) Period

10 mg/day, encapsulated tablets, orally

Double-blind Treatment (DBT) Period, Lu AF35700 10 mg

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • The patient has schizophrenia, diagnosed according to DSM-5(TM) (Diagnostic and Statistical Manual of Mental Disorders) and confirmed by the Mini International Neuropsychiatric Interview for Schizophrenia and Psychotic Disorders
  • The patient is either an inpatient at a psychiatric setting or outpatient consulting a psychiatrist.
  • Patients should be treated with adequate dose(s) and agent(s) of antipsychotic treatment for at least 2 weeks prior to Screening
  • The patient has failed to show an adequate response in the level of psychotic symptoms despite at least one documented treatment trial with an adequate dose of an antipsychotic agent prescribed for an adequate time (at least lasting for 6 weeks) during 2 years prior to Screening. The failure to respond to the current antipsychotic treatment trial may be considered a retrospective failed treatment, if the patient was treated for 6 weeks with adequate dose(s) and agent(s)
  • The patient has a PANSS total score of ≥80 and a score of ≥4 on at least 2 of the following PANSS items (at Screening and at the first visit of Period A)
  • The patient has a CGI-S score of ≥4 at Screening and at the first visit of Period A

You may not qualify if:

  • The patient has any current primary psychiatric disorder other than schizophrenia as assessed by the Mini International Neuropsychiatric Interview (MINI)
  • The patient is experiencing an acute exacerbation of his/her psychotic symptoms
  • The patient has not responded to treatment with clozapine

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (147)

US1018

Bellflower, California, 90706, United States

Location

US1041

Cerritos, California, 90703, United States

Location

US1062

Costa Mesa, California, 92626, United States

Location

US1463

Culver City, California, 90230, United States

Location

US1104

Garden Grove, California, 92845, United States

Location

US1118

Glendale, California, 91206, United States

Location

US1114

National City, California, 91950, United States

Location

US1452

Oceanside, California, 92056-4509, United States

Location

US1459

Oceanside, California, 92056-4515, United States

Location

US1399

Orange, California, 91945, United States

Location

US1368

Orange, California, 92868, United States

Location

US1391

San Bernardino, California, 92408-3332, United States

Location

US1464

Santa Ana, California, 92705-3610, United States

Location

US1384

Sherman Oaks, California, 91403-1747, United States

Location

US1392

Torrance, California, 90502-4432, United States

Location

US1396

Washington D.C., District of Columbia, 20016, United States

Location

US1395

Bradenton, Florida, 32751, United States

Location

US1253

Jacksonville, Florida, 32256, United States

Location

US1130

Miami, Florida, 33122, United States

Location

US1318

North Miami, Florida, 33161, United States

Location

US1129

North Miami, Florida, 33162, United States

Location

US1402

Oakland Park, Florida, 33334-4400, United States

Location

US1229

Orange City, Florida, 32763, United States

Location

US1453

Tampa, Florida, 33609-2231, United States

Location

US1403

Atlanta, Georgia, 30328, United States

Location

US1009

Atlanta, Georgia, 30331, United States

Location

US1442

Decatur, Georgia, 30030, United States

Location

US1046

Chicago, Illinois, 60640, United States

Location

US1423

Hoffman Estates, Illinois, 60169-1067, United States

Location

US1398

Shreveport, Louisiana, 71101-4603, United States

Location

US1404

Shreveport, Louisiana, 71104-2136, United States

Location

US1086

Flowood, Mississippi, 39232, United States

Location

US1444

Las Vegas, Nevada, 89102-1943, United States

Location

US1426

Berlin, New Jersey, 08009, United States

Location

US1454

Marlton, New Jersey, 08053, United States

Location

US1405

Glen Oaks, New York, 11004, United States

Location

US1244

Jamaica, New York, 11432, United States

Location

US1394

New York, New York, 10032, United States

Location

US1416

New York, New York, 10035-6000, United States

Location

US1171

Rochester, New York, 14618, United States

Location

US1190

Staten Island, New York, 10312, United States

Location

US1390

Charlotte, North Carolina, 28204-3110, United States

Location

US1401

Charlotte, North Carolina, 28211-1064, United States

Location

US1441

Hickory, North Carolina, 28601-5045, United States

Location

US1124

Norristown, Pennsylvania, 19403, United States

Location

US1319

Charleston, South Carolina, 29407, United States

Location

US1451

Austin, Texas, 78754-5122, United States

Location

US1065

Dallas, Texas, 75243, United States

Location

US1443

Fort Worth, Texas, 76104, United States

Location

BG1030

Burgas, Bulgaria

Location

BG1028

Kazanlak, Bulgaria

Location

BG1003

Lovech, Bulgaria

Location

BG1032

Pazardzhik, Bulgaria

Location

BG1008

Plovdiv, Bulgaria

Location

BG1024

Sofia, Bulgaria

Location

BG1026

Sofia, Bulgaria

Location

BG1022

Tserova Koria, Bulgaria

Location

BG1033

Varna, Bulgaria

Location

BG1034

Varna, Bulgaria

Location

BG1029

Veliko Tarnovo, Bulgaria

Location

BG1027

Vratsa, Bulgaria

Location

CA1017

Chatham, Canada

Location

CA1034

Kingston, Canada

Location

CA1003

Montreal, Canada

Location

CA1033

Montreal, Canada

Location

CA1029

Penticton, Canada

Location

CA1039

Québec, Canada

Location

CZ1023

Brno, Czechia

Location

CZ1032

Brno, Czechia

Location

CZ1037

Hostivice, Czechia

Location

CZ1013

Lnáře, Czechia

Location

CZ1038

Prague, Czechia

Location

EE1016

Pärnu, Estonia

Location

EE1007

Tallinn, Estonia

Location

EE1017

Viljandi, Estonia

Location

FI1032

Espoo, Finland

Location

FI1030

Kuopio, Finland

Location

FI1027

Turku, Finland

Location

MX1024

Durango, Mexico

Location

MX1011

Guadalajara, Mexico

Location

MX1021

Guadalajara, Mexico

Location

MX1022

Guadalajara, Mexico

Location

MX1020

México, Mexico

Location

MX1005

Monterrey, Mexico

Location

MX1007

Monterrey, Mexico

Location

MX1015

Monterrey, Mexico

Location

MX1016

Monterrey, Mexico

Location

MX1018

San Luis Potosí City, Mexico

Location

PL1025

Bełchatów, Poland

Location

PL1043

Bialystok, Poland

Location

PL1026

Gorlice, Poland

Location

PL1060

Lodz, Poland

Location

PL1027

Lublin, Poland

Location

PL1058

Pruszcz Gdański, Poland

Location

PL1061

Pruszków, Poland

Location

PL1059

Torun, Poland

Location

PL1051

Wroclaw, Poland

Location

RO1024

Bucharest, Romania

Location

RO1022

Campulung Muscel, Romania

Location

RO1025

Sibiu, Romania

Location

RO1004

Târgu Mureş, Romania

Location

RU1021

Nikol’skoye, Gatchinckiy District, Russia

Location

RU1009

Arkhangelsk, Russia

Location

RU1006

Moscow, Russia

Location

RU1051

Moscow, Russia

Location

RU1055

Moscow, Russia

Location

RU1023

Saint Petersburg, Russia

Location

RU1028

Saint Petersburg, Russia

Location

RU1030

Saint Petersburg, Russia

Location

RU1031

Saint Petersburg, Russia

Location

RU1049

Saint Petersburg, Russia

Location

RU1052

Saint Petersburg, Russia

Location

RU1053

Saint Petersburg, Russia

Location

RU1056

Saint Petersburg, Russia

Location

RU1050

Yaroslavl, Russia

Location

RS1008

Belgrade, Serbia

Location

RS1010

Belgrade, Serbia

Location

RS1012

Belgrade, Serbia

Location

RS1011

Kragujevac, Serbia

Location

RS1016

Kragujevac, Serbia

Location

RS1017

Kragujevac, Serbia

Location

RS1003

Niš, Serbia

Location

RS1009

Novi Kneževac, Serbia

Location

SK1014

Bratislava, Slovakia

Location

SK1024

Bratislava, Slovakia

Location

SK1015

Rožňava, Slovakia

Location

SK1025

Svidník, Slovakia

Location

SK1026

Zlaté Moravce, Slovakia

Location

ES1047

Barcelona, Spain

Location

ES1012

Madrid, Spain

Location

ES1008

Málaga, Spain

Location

ES1048

Oviedo, Spain

Location

ES1049

Zamora, Spain

Location

UA1019

Dnipropetrovsk, Ukraine

Location

UA1017

Kharkiv, Ukraine

Location

UA1022

Kharkiv, Ukraine

Location

UA1031

Kharkiv, Ukraine

Location

UA1035

Kharkiv, Ukraine

Location

UA1028

Kherson, Ukraine

Location

UA1029

Kherson, Ukraine

Location

UA1027

Kiev, Ukraine

Location

UA1030

Kiev, Ukraine

Location

UA1033

Lviv, Ukraine

Location

UA1020

Odesa, Ukraine

Location

UA1032

Odesa, Ukraine

Location

UA1001

Poltava, Ukraine

Location

UA1036

Vinnitsa, Ukraine

Location

Related Publications (1)

  • Kane JM, Kinon BJ, Forray C, Such P, Mittoux A, Lemming OM, Hertel P, Howes OD; DayBreak and Debut study investigators. Efficacy and safety of Lu AF35700 in treatment-resistant schizophrenia: A randomized, active-controlled trial with open-label extension. Schizophr Res. 2022 Oct;248:271-278. doi: 10.1016/j.schres.2022.09.012. Epub 2022 Sep 14.

MeSH Terms

Conditions

Schizophrenia

Interventions

RisperidoneOlanzapineLu AF35700

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic DisordersMental Disorders

Intervention Hierarchy (Ancestors)

PyrimidinonesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsBenzodiazepinesBenzazepinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-Ring

Results Point of Contact

Title
Email contact via
Organization
H. Lundbeck A/S

Study Officials

  • Email contact via H. Lundbeck A/S

    LundbeckClinicalTrials@Lundbeck.com

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 11, 2016

First Posted

March 23, 2016

Study Start

April 1, 2016

Primary Completion

August 30, 2018

Study Completion

October 8, 2018

Last Updated

November 25, 2019

Results First Posted

November 25, 2019

Record last verified: 2019-10

Locations