NCT05356013

Brief Summary

The primary objective of the proposed study is to evaluate the safety and efficacy of Caplyta (lumateperone) in adults with borderline personality disorder (BPD). Sixty subjects with BPD will be randomized in a 1:1 fashion to either Caplyta (42mg/day) or matching placebo for 8 weeks of active treatment. The hypothesis to be tested is that Caplyta will result in greater rates of reduction in symptoms of BPD compared to placebo (improvement in symptoms will be indicated by lower scores on established outcome measures of BPD symptoms that have been used in prior studies).

Trial Health

87
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started May 2023

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 26, 2022

Completed
6 days until next milestone

First Posted

Study publicly available on registry

May 2, 2022

Completed
1 year until next milestone

Study Start

First participant enrolled

May 10, 2023

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2025

Completed
4 months until next milestone

Results Posted

Study results publicly available

April 23, 2026

Completed
Last Updated

April 23, 2026

Status Verified

April 1, 2026

Enrollment Period

2.6 years

First QC Date

April 26, 2022

Results QC Date

April 1, 2026

Last Update Submit

April 1, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Zanarini Rating Scale for Borderline Personality Disorder (ZAN-BPD)

    A clinician-administered scale assessing borderline personality disorder symptom severity (total scores range from 0-36). Higher scores indicate more severe symptoms.

    8 weeks

Secondary Outcomes (10)

  • Modified Overt Aggression Scale

    8 Weeks

  • Young Mania Rating Scale

    8 Weeks

  • Self-Report Version of Zanarini Scale

    8 Weeks

  • Borderline Evaluation of Severity Over Time

    8 Weeks

  • Barratt Impulsiveness Scale (BIS)

    8 Weeks

  • +5 more secondary outcomes

Study Arms (2)

Placebo

PLACEBO COMPARATOR

All subjects who are randomized to Placebo will receive an identical placebo pill to the experimental drug starting the first week of the study. Subjects will be seen every two weeks for 8 weeks. After study conclusion (week 8), the dose will be discontinued.

Drug: Placebo

Caplyta

EXPERIMENTAL

All subjects who are randomized to Caplyta will receive 42mg/day starting the first week of the study. Subjects will be seen every two weeks for 8 weeks. Dosage changes and reductions will not be permitted. After study conclusion (week 8), the dose will be discontinued.

Drug: Caplyta

Interventions

Atypical antipsychotic

Also known as: lumateperone
Caplyta

Pill that contains no medicine.

Also known as: no other names
Placebo

Eligibility Criteria

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

You may qualify if:

  • Men and women age 18-65;
  • Primary diagnosis of BPD
  • Zanarini scale score of at least 9 at baseline
  • Currently receiving for at least the last 2 months prior to study entry some form of weekly cognitive behavioral therapy
  • Ability to understand and sign the consent form.

You may not qualify if:

  • Unstable medical illness based on history or clinically significant abnormalities on baseline physical examination
  • Subjects with schizophrenia or bipolar I disorder
  • Subjects with an active substance use disorder
  • Current pregnancy or lactation, or inadequate contraception in women of childbearing potential
  • Subjects considered an immediate suicide risk based on the Columbia Suicide Severity rating Scale (C-SSRS) (www.cssrs.columbia.edu/docs)
  • Illegal substance use based on urine toxicology screening (excluding marijuana given the high rates of marijuana use in BPD and the lack of interaction with Caplyta).
  • Use of any new psychotropic medication started within the last 3 months prior to study initiation
  • Previous treatment with Caplyta
  • Cognitive impairment that interferes with the capacity to understand and self-administer medication or provide written informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Chicago Medical Center

Chicago, Illinois, 60637, United States

Location

MeSH Terms

Conditions

Borderline Personality Disorder

Interventions

lumateperone

Condition Hierarchy (Ancestors)

Personality DisordersMental Disorders

Results Point of Contact

Title
Dr. Jon E. Grant
Organization
University of Chicago

Study Officials

  • Jon E Grant, MD, JD, MPH

    University of Chicago

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 26, 2022

First Posted

May 2, 2022

Study Start

May 10, 2023

Primary Completion

December 31, 2025

Study Completion

December 31, 2025

Last Updated

April 23, 2026

Results First Posted

April 23, 2026

Record last verified: 2026-04

Locations