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A Phase 2 Study to Evaluate the Safety and Efficacy of CTP-692 as an Adjunctive Treatment in Adults With Schizophrenia

Phase 2
Completed
Conditions
Schizophrenia
Interventions
Drug: Placebo
Registration Number
NCT04158687
Lead Sponsor
Concert Pharmaceuticals
Brief Summary

The objective of this study is to assess the safety and efficacy of 3 different doses of CTP-692 administered once daily (QD) for 12 weeks to adult participants with schizophrenia on stable dopaminergic antipsychotic medication.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
326
Inclusion Criteria
  • Physician confirmed diagnostic and statistical manual-version 5 (DSM-V5) diagnosis of schizophrenia for the past 2 years
  • Patients with clinically stable schizophrenia with residual symptoms defined as positive and negative syndrome scale (PANSS) total score of 70-110
  • Patients currently treated with one antipsychotic medication
Exclusion Criteria
  • Patients who, in the opinion of the Investigator, have a history of antipsychotic treatment resistance
  • Patients currently taking clozapine
  • History of meeting DSM-V5 criteria for moderate to severe alcohol or substance use disorder (other than nicotine or caffeine) within the 6 months before the first Screening Visit
  • Patients with positive blood screen for human immunodeficiency virus (HIV) antibody and/or hepatitis B virus surface antigen
  • Patients with history of renal disease or those taking medications to treat renal disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboParticipants received CTP-692 matched-placebo powder for oral solution, once daily (QD) for up to 12 weeks.
CTP-692 1 gram QDCTP-692Participants received CTP-692 1 gram powder for oral solution, QD for up to 12 weeks.
CTP-692 2 grams QDCTP-692Participants received CTP-692 2 grams powder for oral solution, QD for up to 12 weeks.
CTP-692 4 grams QDCTP-692Participants received CTP-692 4 grams powder for oral solution, QD for up to 12 weeks.
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 12Baseline, Week 12

PANSS measures symptom severity in participants with schizophrenia. PANSS includes 30 items (7 items for positive symptoms, 7 items for negative symptoms, and 16 items for general psychopathology symptoms), and each item is rated with 1 to 7 points. The PANSS is scored by summation of ratings across items such that the score ranges are 7 to 49 for each of the Positive and Negative Scales and 16 to 112 for the General Psychopathology Scale. The PANSS total score is a sum of scores from all the 30 items and the scores range from 30 to 210, where a higher score represents more severe symptoms, and lower scores represent a better quality of life in participants with schizophrenia. A negative change from baseline indicates low severity of symptoms.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Week 12Baseline, Week 12

The CGI-S rating scale is a commonly used measure of symptom severity and treatment response. CGI-S is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment and the score ranges from 1 to 7: 0 = not assessed; 1 = normal, not at all ill; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; 7 = among the most extremely ill participants. A higher score represents more severe symptoms. A negative change from baseline indicates low severity of symptoms.

Change From Baseline in Personal and Social Performance (PSP) Scale at Week 12Baseline, Week 12

PSP scale is a measure of the personal and social functioning of participants with psychiatric disorders within four domains: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. Each domain was assessed on a 6-point scale: 1 = absent, 2 = mild, 3 = manifest, 4 = marked, 5 = severe, and 6 = very severe. The final global score is defined according to a summary instruction table converting four domain scores into a single, overall rating from 1 to 100: 71 to 100 represent mild degree of difficulty; 31 to 70 represent varying degrees of disability, and 1 to 30 represent functioning so poorly as to require intensive supervision. Higher scores represent better personal and social function. A positive change from baseline indicates better personal and social function.

Trial Locations

Locations (21)

Synexus Clinical Research US, Inc.

🇺🇸

Jamaica, New York, United States

Atlanta Center for Medical Research

🇺🇸

Atlanta, Georgia, United States

Uptown Research Institute, LLC

🇺🇸

Chicago, Illinois, United States

Woodland International Research Group, LLC

🇺🇸

Little Rock, Arkansas, United States

Woodland Research Northwest, LLC

🇺🇸

Rogers, Arkansas, United States

ProScience Research Group

🇺🇸

Culver City, California, United States

Collaborative Neuroscience Network, LLC

🇺🇸

Torrance, California, United States

Synergy San Diego

🇺🇸

Lemon Grove, California, United States

Pacific Research Partners, LLC

🇺🇸

Oakland, California, United States

Innovative Clinical Research, Inc.

🇺🇸

Lauderhill, Florida, United States

Behavioral Clinical Research, Inc.

🇺🇸

North Miami, Florida, United States

Pillar Clinical Research, LLC

🇺🇸

Richardson, Texas, United States

CBH Health, LLC

🇺🇸

Gaithersburg, Maryland, United States

Arch Clinical Trials, LLC

🇺🇸

Saint Louis, Missouri, United States

Hassman Research Institute

🇺🇸

Marlton, New Jersey, United States

Altea Research Institute

🇺🇸

Las Vegas, Nevada, United States

Carolina Clinical Trials, Inc.

🇺🇸

Charleston, South Carolina, United States

Neurobehavioral Research, Inc.

🇺🇸

Cedarhurst, New York, United States

Donald J. Garcia Jr., MD, PA

🇺🇸

Austin, Texas, United States

Community Clinical Research, Inc.

🇺🇸

Austin, Texas, United States

InSite Clinical Research, LLC

🇺🇸

DeSoto, Texas, United States

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