Clinical trial • Phase III • Psychiatry

Cariprazine hydrochloride for Schizophrenia

Phase III trial of Cariprazine hydrochloride for Schizophrenia. open-label, none/not specified-controlled. 39 participants.

Overview

Trial Therapeutic Area
Psychiatry
Trial Disease
Schizophrenia
Trial Stage
Phase III
Drug Modality
Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
10-06-2024
First CTIS Authorization Date
16-07-2024

Trial design

open-label, none/not specified-controlled Phase III trial across 6 sites in Germany, Bulgaria, Romania.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
39
Trial Duration For Participant
728

Eligibility

Recruits 39 paediatric patients.

Pregnancy Exclusion
Patients must agree to sexual abstinence or to use a highly effective contraceptive method (see Section 16.1) during the study and for 10 weeks after the last dose of the IMP. Male patients must agree to refrain from donating sperm during this period. Women using systematically acting hormonal contraceptives should add a second barrier method (e.g. male condom, diaphragm or cervical cap)
Vulnerable Population
Adolescents aged 13 to <18 years are identified as a vulnerable population. Informed consent must be given by the parent(s) or legal representative and assent of the patient must be obtained prior to any study procedures; patients who turn 18 during the trial are permitted to continue.

Inclusion criteria

  • {"criterion_text":"- In addition to the informed consent given by the parent(s) or legal representative assent of the patient must be obtained for participating in the study prior to any study related procedures\n- Male or female patients must be 13 to <18 years of age at the time of obtaining the patient's informed consent or assent. Patients who turn 18 during RGH-MD-20 are permitted to continue in this trial. De novo patients are required to be <18 years of age at screening.\n- Patients with a DSM-5 primary diagnosis of schizophrenia, which has been confirmed by the K-SADS-PL administered by a trained clinician\n- PANSS total score ≤ 60 at Screening and Baseline\n- Score of ≤ 4 on each of the following 7 PANSS items: P1, P2, P3, P6, P7, G8 and G14 at Screening and Baseline\n- CGI-S score ≤ 4 at Screening and Baseline\n- Patients must agree to sexual abstinence or to use a highly effective contraceptive method (see Section 16.1) during the study and for 10 weeks after the last dose of the IMP. Male patients must agree to refrain from donating sperm during this period. Women using systematically acting hormonal contraceptives should add a second barrier method (e.g. male condom, diaphragm or cervical cap)"}

Exclusion criteria

  • {"criterion_text":"- Current diagnosis of bipolar disorder, schizoaffective disorder, schizophreniform disorder, brief psychotic disorder, or psychotic disorder due to another medical condition\n- Patient has a history of meeting DSM-5 diagnosis for any substancerelated disorder (except caffeine- and tobaccorelated) within the 3 months before Screening\n- Patient with acute or unstable medical condition, including (but not limited to) inadequately controlled diabetes, hepatic insufficiency (specifically any degree of jaundice), uncorrected hyper- or hypothyroidism, acute systemic infection, renal, gastrointestinal, respiratory, or cardiovascular disease.\n- Treatment-resistant schizophrenia over the last 2 years, defined as little or no symptomatic response to at least 2 antipsychotic trials of an adequate duration (at least 6 weeks) and at a therapeutic dose (according to the drug's package insert)\n- Patient requires concomitant treatment with moderate or strong cytochrome P450 (CYP) 3A4 inhibitors or inducers. If applicable and the patient's condition allows without risk, these drugs must be discontinued 7 days or at least 5 half-lives of the drug (whichever is longer) prior to Baseline (Visit 2)."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Primary Outcome Measures: adverse events, clinical laboratory assessments including HbA1c, prolactin, FSH and LH, menstrual cycle assessment, vital signs, weight, physical examination, ECG, C-SSRS, CDSS, AIMS, BARS, SAS, UKU and Tanner staging","definition_or_measurement_approach":"Safety and tolerability endpoints measured by adverse event reporting, clinical laboratory assessments (including HbA1c, prolactin, FSH, LH), menstrual cycle assessment, vital signs, weight, physical examinations, ECG, and standardized rating scales (C-SSRS, CDSS, AIMS, BARS, SAS, UKU) and Tanner staging."}

Secondary endpoints

  • {"endpoint_text":"- \"Additional Outcome Measures: Effectiveness measures: PANSS, CGI-S, CGI-I, C-GAS, CDR system Health-related outcome measures: CGSQ, PQ-LES-Q Per p Additional Outcome Measures: Effectiveness measures: PANSS, CGI-S, CGI-I, C-GAS, CDR system Health-related outcome measures: CGSQ, PQ-LES-Q Per p\"","definition_or_measurement_approach":"Effectiveness assessed using PANSS, CGI-S, CGI-I, C-GAS, CDR system; health-related outcomes assessed by CGSQ and PQ-LES-Q."}

Recruitment

Planned Sample Size
39
Recruitment Window Months
5
Consent Approach
Informed consent must be given by parent(s) or legal representative and patient assent must be obtained prior to any study procedures. Age-specific subject information and informed consent forms are available (documents for Child, Parents/Legal Representative, Caregiver, Adult, Pregnant Partner). Documents are available in English, Bulgarian and Romanian as indicated in the submitted materials.

Geography

Total Number Of Sites
6
Total Number Of Participants
39

Germany

Earliest CTIS Part Ii Submission Date
27-06-2024
Latest Decision Or Authorization Date
22-07-2024
Processing Time Days
25
Number Of Sites
2
Number Of Participants
1

Sites

Site Name
Zentralinstitut Fuer Seelische Gesundheit
Department Name
Psychiatrie und Psychotherapie des Kindes- und Jugendalters
Contact Person Name
Alexander Häge
Contact Person Email
alexander.haege@zi-mannheim.de
Site Name
Charite Universitaetsmedizin Berlin KöR
Department Name
Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters
Contact Person Name
Christoph Correll
Contact Person Email
christoph.correll@charite.de

Bulgaria

Earliest CTIS Part Ii Submission Date
27-06-2024
Latest Decision Or Authorization Date
02-06-2025
Processing Time Days
340
Number Of Sites
3
Number Of Participants
30

Sites

Site Name
Medical Center Sanamedik EOOD
Contact Person Name
Petar Petrov
Contact Person Email
pmdown@abv.bg
Site Name
Alexandrovska University Hospital
Department Name
Clinic of Child Psychiatry “Saint Nikolas”
Contact Person Name
Nadia Polnareva
Contact Person Email
polnareva@gmail.com
Site Name
Multiprofile Hospital For Active Treatment - Targovishte AD
Department Name
Department of Psychiatry
Contact Person Name
Veselka Vasileva
Contact Person Email
vesi_vasileva2002@yahoo.com

Romania

Earliest CTIS Part Ii Submission Date
27-06-2024
Latest Decision Or Authorization Date
14-07-2025
Processing Time Days
382
Number Of Sites
1
Number Of Participants
8

Sites

Site Name
Spitalul Clinic De Urgenta Pentru Copii Louis Turcanu Timisoara
Department Name
Pediatric Psychiatry
Contact Person Name
Laura Nussbaum
Contact Person Email
nussbaumlaura@yahoo.com

Sponsor

Primary sponsor

Full Name
Gedeon Richter Plc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
Hungary

Contract research organisations

Name
Labcorp Central Laboratory Services SARL
Responsibilities
Clinical haematology, Serology/ endocrinology, Analytical chemistry
Name
Suvoda LLC
Name
Signant Health Global LLC
Responsibilities
Scales and Rater Certification & Supply
Name
Medidata Solutions Inc.
Name
eResearchTechnology GmbH
Responsibilities
ECG analysis/ review

Third parties

  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"Clinical haematology, Serology/ endocrinology, Analytical chemistry","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Signant Health Global LLC","duties_or_roles":"Scales and Rater Certification & Supply","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Germany","full_name":"eResearchTechnology GmbH","duties_or_roles":"ECG analysis/ review","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Cariprazine 0.5 mg capsules, hard
Active Substance
Cariprazine hydrochloride
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Starting Dose
1.5 mg/day
Dose Levels
0.5 mg | 1.5 mg | 3 mg | 4.5 mg | 6 mg
Frequency
Daily
Maximum Dose
6 mg/day
Dose Escalation Increase
Initial 1.5 mg/day to 6.0 mg/day flexible-dose
Investigational Product Name
Reagila 6 mg hard capsules
Active Substance
Cariprazine
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (marketing authorisation number: EU/1/17/1209/030)
Starting Dose
1.5 mg/day
Dose Levels
0.5 mg | 1.5 mg | 3 mg | 4.5 mg | 6 mg
Frequency
Daily
Maximum Dose
6 mg/day
Dose Escalation Increase
Initial 1.5 mg/day to 6.0 mg/day flexible-dose
Investigational Product Name
Reagila 4.5 mg hard capsules
Active Substance
Cariprazine
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (marketing authorisation number: EU/1/17/1209/021)
Starting Dose
1.5 mg/day
Dose Levels
0.5 mg | 1.5 mg | 3 mg | 4.5 mg | 6 mg
Frequency
Daily
Maximum Dose
6 mg/day
Dose Escalation Increase
Initial 1.5 mg/day to 6.0 mg/day flexible-dose
Investigational Product Name
Reagila 3 mg hard capsules
Active Substance
Cariprazine
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (marketing authorisation number: EU/1/17/1209/011)
Starting Dose
1.5 mg/day
Dose Levels
0.5 mg | 1.5 mg | 3 mg | 4.5 mg | 6 mg
Frequency
Daily
Maximum Dose
6 mg/day
Dose Escalation Increase
Initial 1.5 mg/day to 6.0 mg/day flexible-dose
Investigational Product Name
Reagila 1.5 mg hard capsules
Active Substance
Cariprazine
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (marketing authorisation number: EU/1/17/1209/001)
Starting Dose
1.5 mg/day
Dose Levels
0.5 mg | 1.5 mg | 3 mg | 4.5 mg | 6 mg
Frequency
Daily
Maximum Dose
6 mg/day
Dose Escalation Increase
Initial 1.5 mg/day to 6.0 mg/day flexible-dose

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