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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