NCT04578756

Brief Summary

The purpose of this study is to evaluate the long-term safety and tolerability of cariprazine in the treatment of pediatric participants with schizophrenia, bipolar I disorder, or autism spectrum disorder (ASD) and to establish the benefit-risk profile of long-term treatment in this population.

Trial Health

90
On Track

Trial Health Score

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

Enrollment
310

participants targeted

Target at P50-P75 for phase_3 schizophrenia

Timeline
Completed

Started Feb 2021

Longer than P75 for phase_3 schizophrenia

Geographic Reach
2 countries

42 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

October 1, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

October 8, 2020

Completed
4 months until next milestone

Study Start

First participant enrolled

February 1, 2021

Completed
4.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 6, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 6, 2025

Completed
Last Updated

October 27, 2025

Status Verified

October 1, 2025

Enrollment Period

4.7 years

First QC Date

October 1, 2020

Last Update Submit

October 23, 2025

Conditions

Keywords

SchizophreniaBipolar I DisorderCariprazineAutism Spectrum Disorder (ASD)

Outcome Measures

Primary Outcomes (9)

  • Number of Participants With Treatment-emergent Adverse Events (TEAEs) in the Treatment Period

    An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (i.e. laboratory value), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. A TEAE is an AE that occurs or worsens after receiving study drug.

    Baseline Day 1 to Week 59

  • Number of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory Parameters

    Clinical laboratory parameters included tests of hematology, chemistry, urinalysis and prolactin. The investigator assessed the results for clinical significance.

    Baseline Day 1 to Week 52

  • Number of Participants With Clinically Significant Changes From Baseline in Vital Sign Parameters

    Vital sign parameters included blood pressure, pulse rate, body mass index (BMI), weight, and waist circumference. The investigator assessed the results for clinical significance.

    Baseline Day 1 to Week 59

  • Number of Participants With Clinically Significant Changes From Baseline in Electrocardiograms (ECG)

    A standard 12-lead ECG was performed. The investigator determined the clinical significance of the ECG findings using the central ECG interpretation laboratory report.

    Baseline Day 1 to Week 52

  • Number of Participants With Suicidal Ideation or Suicidal Behavior as Recorded on the Columbia-Suicide Severity Rating (C-SSRS) Scale

    C-SSRS is a clinician-rated scale that reports the severity of both suicidal ideation and behavior. Suicidal ideation is classified on a 5-item scale: 1 "wish to be dead," and 5 "active suicidal ideation with specific plan and intent". Suicidal behavior is classified on a 5-item scale: 0 "no suicidal behavior, and 4 "actual attempt".

    Baseline Day 1 to Week 52

  • Change From Baseline in Abnormal Involuntary Movement Scale (AIMS)

    AIMS assesses abnormal involuntary movements, such as tardive dyskinesia, associated with antipsychotic drugs; it measures facial, oral, extremities, and trunk movements, as well as the participant's awareness of abnormal movements. The first 10 items are rated on a none (0) to severe (4) scale. There are an additional 2 items on dental status that are answered yes or no.

    Baseline Day 1 to Week 52

  • Change From Baseline in Barnes Akathisia Rating Scale (BARS)

    BARS is a 4-item rating scale used to assess drug-induced akathisia. The scale comprises items for rating the observable restless movements that characterize the condition, the subjective awareness of restlessness, and any distress associated with the akathisia (each on a 4-point scale from normal \[0\] to severe \[3\]). In addition, there is a global severity for akathisia rated on a 6-point scale (absent \[0\] to severe akathisia \[5\]).

    Baseline Day 1 to Week 52

  • Change From Baseline in Simpson-Angus Scale (SAS)

    SAS is a 10-item rating scale for assessment of antipsychotic-induced parkinsonism in both clinical practice and research settings. Each item ranges from 0 (normal) to 4 (extreme symptoms). The scale consists of 1 item measuring gait (hypokinesia), 6 items measuring rigidity, and 3 items measuring glabella tap, tremor, and salivation, respectively.

    Baseline Day 1 to Week 52

  • Number of Participants With Clinically Significant Changes From Baseline in Opthalmologic Parameters

    Ocular examination parameters included Intraocular pressure (IOP) measurement, Best-corrected visual acuity (BCVA), color fundus photography, color vision testing using Hardy Rand and Rittler (HRR) plates, and assessment of Optical coherence tomography (OCT) and cataracts. The investigator assessed the results for clinical significance.

    Baseline Day 1 to Week 52

Study Arms (11)

Cariprazine Dose 1

EXPERIMENTAL

Participants with Schizophrenia (age 13 to 17 years and \< 40 kg body weight) will receive cariprazine.

Drug: Cariprazine Flexible Dose

Cariprazine Dose 2

EXPERIMENTAL

Participants with Schizophrenia (age 13 to 17 years and \>= 40 kg body weight) will receive cariprazine.

Drug: Cariprazine Flexible Dose

Cariprazine Dose 3

EXPERIMENTAL

Participants with Bipolar I Disorder (age 10 to 12 years and \<40 kg body weight) will receive cariprazine.

Drug: Cariprazine Flexible Dose

Cariprazine Dose 4

EXPERIMENTAL

Participants with Bipolar I Disorder (age 10 to 12 years and \>= 40 kg body weight) will receive cariprazine.

Drug: Cariprazine Flexible Dose

Cariprazine Dose 5

EXPERIMENTAL

Participants with Bipolar I Disorder (age 13 to 17 years and \< 40 kg body weight) will receive cariprazine.

Drug: Cariprazine Flexible Dose

Cariprazine Dose 6

EXPERIMENTAL

Participants with Bipolar I Disorder (age 13 to 17 years and \>= 40 kg body weight) will receive cariprazine.

Drug: Cariprazine Flexible Dose

Cariprazine Dose 7

EXPERIMENTAL

Participants with Autism Spectrum Disorder ( age 5 to 9 years) will receive cariprazine.

Drug: Cariprazine Flexible Dose

Cariprazine Dose 8

EXPERIMENTAL

Participants with Autism Spectrum Disorder (age 10 to 12 years and \<40 kg weight) will receive cariprazine.

Drug: Cariprazine Flexible Dose

Cariprazine Dose 9

EXPERIMENTAL

Participants with Autism Spectrum Disorder (age 10 to 12 years and \>=40 kg body weight) will receive cariprazine.

Drug: Cariprazine Flexible Dose

Cariprazine Dose 10

EXPERIMENTAL

Participants with Autism Spectrum Disorder (age 13 to 17 years and \<40 kg weight) will receive cariprazine.

Drug: Cariprazine Flexible Dose

Cariprazine Dose 11

EXPERIMENTAL

Participants with Autism Spectrum Disorder (age 13 to 17 years and \>= 40 kg body weight) will receive cariprazine.

Drug: Cariprazine Flexible Dose

Interventions

1 capsule to be taken orally at approximately the same time of day (morning or evening)

Cariprazine Dose 1Cariprazine Dose 10Cariprazine Dose 11Cariprazine Dose 2Cariprazine Dose 3Cariprazine Dose 4Cariprazine Dose 5Cariprazine Dose 6Cariprazine Dose 8Cariprazine Dose 9

Eligibility Criteria

Age5 Years - 17 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Participants with Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Text Revision (DSM-5-TR) primary diagnosis of schizophrenia or bipolar I disorder, or autism spectrum disorder as confirmed by Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL) at the Screening Visit 1 (for de novo subjects, or as previously confirmed in parent study for subjects who completed Study 3112-301-001 or M21-465).
  • De novo participants must have normal physical examination findings, clinical laboratory test results, and electrocardiogram (ECG) results at Screening Visit 1. Abnormal results must not be clinically significant as determined by the investigator. Participants enrolling after completion of Study M21-465 or 3112-301-001 have had monitoring of laboratory tests, physical examinations, and ECGs at the completion visit of the parent studies.
  • Participant must have a caregiver (parent or legally authorized representative) who is willing and able to be responsible for safety monitoring of the participant, provide information about the participant's condition, oversee administration of study intervention, and accompany the participant to all study visits.

You may not qualify if:

  • Participants with DSM-5-TR diagnosis of major depressive disorder, schizoaffective disorder, schizophreniform disorder, brief psychotic disorder, or psychotic disorder due to another medical condition. Participants with ASD that is associated with Rett disorder, fragile-X syndrome, or childhood disintegrative disorder.
  • Prior DSM-5-TR diagnosis of intellectual disability (IQ \< 70) for schizophrenia and bipolar I disorder participants. Prior DSM-5-TR diagnosis of profound intellectual disability (IQ \< 25) for ASD participants.
  • Participant has a condition or is in a situation, which, in the investigator's opinion, may put the participant at significant risk, may confound the study results, or may interfere significantly with the participant's participation in the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (42)

Harmonex Neuroscience Research /ID# 234938

Dothan, Alabama, 36303, United States

Location

Pillar Clinical Research /ID# 236434

Bentonville, Arkansas, 72712, United States

Location

Advanced Research Center /ID# 241903

Anaheim, California, 92805, United States

Location

Duplicate_Alliance for Research - Long Beach /ID# 236261

Long Beach, California, 90807, United States

Location

CHOC Children's Hospital /ID# 251019

Orange, California, 92868-4203, United States

Location

ATP Clinical Research- Orange /ID# 257095

Orange, California, 92868, United States

Location

Prospective Research Innovations Inc /ID# 236098

Rancho Cucamonga, California, 91730, United States

Location

University of California, San Diego Department of Psychiatry /ID# 236466

San Diego, California, 92103-8229, United States

Location

Pacific Clinical Research Management Group /ID# 234377

Upland, California, 91786, United States

Location

D&H Doral Research Center-Doral /ID# 255459

Doral, Florida, 33122, United States

Location

Sarkis Clinical Trials /ID# 236893

Gainesville, Florida, 32607, United States

Location

Galiz Research- Palmetto Medical Plaza /ID# 236277

Hialeah, Florida, 33016, United States

Location

Advanced Research Institute of Miami /ID# 242505

Homestead, Florida, 33030-4613, United States

Location

Duplicate_Sandhill Research LLC /ID# 251239

Lake Mary, Florida, 32746, United States

Location

Columbus Clinical Services, Llc /Id# 234281

Miami, Florida, 33125, United States

Location

G+C Research Group, LLC /ID# 261398

Miami, Florida, 33126-2018, United States

Location

Florida Research Center, Inc. /ID# 236515

Miami, Florida, 33174, United States

Location

Links Clinical Trials /ID# 240975

Miami, Florida, 33176-3227, United States

Location

South Florida Research Ph I-IV /ID# 237453

Miami Springs, Florida, 33166-7225, United States

Location

K2 Medical Research - Orlando - South Orlando Avenue /ID# 257528

Orlando, Florida, 32751, United States

Location

APG Research, LLC /ID# 251153

Orlando, Florida, 32803, United States

Location

D&H Tamarac Research Center /ID# 250435

Tamarac, Florida, 33321-2979, United States

Location

Atlanta Center for Medical Research /ID# 234698

Atlanta, Georgia, 30331, United States

Location

CenExcel iResearch LLC /ID# 237391

Decatur, Georgia, 30030, United States

Location

Atlanta Behavioral Research, LLC /ID# 236374

Dunwoody, Georgia, 30338, United States

Location

Ascension Illinois /ID# 235857

Hoffman Estates, Illinois, 60169, United States

Location

Med Clinical Research Partners LLC /ID# 236071

Irvington, New Jersey, 07111, United States

Location

Erie County Medical Center /ID# 237204

Buffalo, New York, 14215, United States

Location

New Dawn Psychiatric Services PLLC /ID# 236597

Kinston, North Carolina, 28501-1603, United States

Location

Quest Therapeutics of Avon Lake /ID# 235956

Avon Lake, Ohio, 44012, United States

Location

University of Cincinnati /ID# 236913

Cincinnati, Ohio, 45219, United States

Location

Cincinnati Children's Hospital /ID# 251020

Cincinnati, Ohio, 45229, United States

Location

CincyScience /ID# 236390

West Chester, Ohio, 45069, United States

Location

Cutting Edge Research Group /ID# 236664

Oklahoma City, Oklahoma, 73116-1423, United States

Location

BioBehavioral Research of Austin /ID# 236479

Austin, Texas, 78759, United States

Location

Cedar Health Research /ID# 259364

Dallas, Texas, 75251-2202, United States

Location

Red Oak Psychiatry Associates /ID# 236602

Houston, Texas, 77090-2641, United States

Location

AIM Trials /ID# 236368

Plano, Texas, 75093, United States

Location

Family Psychiatry of The Woodlands /ID# 236426

The Woodlands, Texas, 77381, United States

Location

Core Clinical Research /ID# 236409

Everett, Washington, 98201, United States

Location

Dr. Samuel Sanchez PSC /ID# 246047

Caguas, 00727, Puerto Rico

Location

GCM Medical Group PSC /ID# 246048

San Juan, 00917-3104, Puerto Rico

Location

Related Links

MeSH Terms

Conditions

SchizophreniaAutism Spectrum Disorder

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic DisordersMental DisordersChild Development Disorders, PervasiveNeurodevelopmental Disorders

Study Officials

  • ABBVIE INC.

    AbbVie

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 1, 2020

First Posted

October 8, 2020

Study Start

February 1, 2021

Primary Completion

October 6, 2025

Study Completion

October 6, 2025

Last Updated

October 27, 2025

Record last verified: 2025-10

Data Sharing

IPD Sharing
Will share

AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/
Access Criteria
To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/
More information

Locations