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临床试验/NCT07191483
NCT07191483招募中2 期

A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy, Safety, Pharmacokinetics (PK), and Pharmacodynamics (PD) of KYN-5356 as Adjunctive Treatment in Adults With Cognitive Impairment Associated With Schizophrenia

Kynexis B.V.28 个研究点 分布在 1 个国家目标入组 150 人开始时间: 2025年8月27日最近更新:
干预措施
相关药物

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
150
试验地点
28
主要终点
To evaluate the efficacy of KYN-5356 treatment on cognitive function in adults with cognitive impairment associated with schizophrenia (CIAS)

研究概览

简要总结

This is a Phase 2, randomized, double-blind, placebo-controlled study to evaluate the efficacy, safety, Pharmacokinetic (PK) and Pharmacodynamic (PD) effects of 3 different dose regiments of KYN-5356 and placebo for 28 days.

Participants will be randomized to one of 4 treatment groups: placebo, KYN-5356 low dose, KYN-5356 medium dose, KYN-5356 high dose.

Participants will be admitted to the clinic on Day -3 and will remain in residence at the clinic for 32 days, from baseline through the treatment period.

Participants will be administered investigational medicinal product on Days 1 through 28. Efficacy, safety, PK and exploratory PD assessments will be performed throughout the dosing period. Participants will be discharged on Day 29 after safety assessments are completed and return for a follow-up visit on Day 42.

A subset of participants from selected sites will undergo electrophysiological assessments to evaluate the effect of KYN-5356 on neurophysiological measures of brain function.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 55 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Has an established primary psychiatric diagnosis of schizophrenia
  • Clinically stable and in the residual (nonacute) phase of their illness for at least 8 weeks before screening in the judgement of the investigator
  • Diagnosis of schizophrenia for at least 1 year before screening
  • Must be in ongoing maintenance antipsychotic monotherapy on a stable medication treatment regimen for ≥ 2 months before screening, including concomitant psychotropic medications.
  • Male or female, aged ≥18 and ≤55 years
  • Has a body mass index (BMI) between 18 and 40 kg/m2 Inclusive
  • Must exhibit capability to comply with all protocol procedures in the judgement of the investigator
  • Signed and dated written informed consent before screening in accordance with Good Clinical Practice.

排除标准

  • Currently being treated with more than 1 antipsychotic at the time of screening,
  • A score of 2 or higher on any of the individual items of the Modified Simpson-Angus Scale (mSAS) at screening
  • Moderate to severe substance use disorder (other than nicotine or caffeine, but including alcohol)
  • Evidence of unstable medical condition

研究组 & 干预措施

KYN-5356 low dose

Experimental

KYN-5356 low dose, oral tablet for 28 days

干预措施: KYN-5356 low dose (Drug)

KYN-5356 medium dose

Experimental

KYN-5356 medium dose, oral tablet for 28 days

干预措施: KYN-5356 Medium Dose (Drug)

Placebo

Placebo Comparator

Placebo, oral tablet for 28 days

干预措施: Placebo (Other)

KYN-5356 high dose

Experimental

KYN-5356 high dose, oral tablet for 28 days

干预措施: KYN-5356 High Dose (Drug)

结局指标

主要结局

To evaluate the efficacy of KYN-5356 treatment on cognitive function in adults with cognitive impairment associated with schizophrenia (CIAS)

时间窗: 28 days

Change from Baseline at Day 28 in the digital version of the Brief Assessment of Cognition for Schizophrenia (BAC App) composite T-score

次要结局

  • Cmax(28 days)
  • AUCtau(28 Days)
  • Tmax(28 Days)
  • Ctrough(28 Days)
  • Terminal half-life (t1/2)(28 Days)

研究者

发起方
Kynexis B.V.
申办方类型
Industry
责任方
Sponsor

研究点 (28)

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Kynexis Extends Series A to €97 Million to Advance First-in-Class KAT-II Inhibitor for Cognitive Impairment in Schizophrenia- Kynexis closed a €40 million Series A extension led by Novartis Venture Fund, bringing total Series A financing to €97 million ($110 million). - The financing supports Phase 2 close-out and registrational preparation for KYN-5356, a potential first-in-class oral KAT-II inhibitor for cognitive impairment associated with schizophrenia (CIAS). - The company has completed enrollment in its Phase 2 proof-of-concept study and remains on track to report topline results by the end of 2026. - KYN-5356 targets elevated kynurenic acid, which disrupts NMDA and alpha-7 nicotinic receptor signaling implicated in learning, memory, and executive function deficits.27 days agoKynexis Initiates Phase 2 Trial of First-in-Class KAT-II Inhibitor for Schizophrenia-Associated Cognitive Impairment- Kynexis has dosed the first patient in a Phase 2 clinical trial evaluating KYN-5356, a first-in-class KAT-II inhibitor, for cognitive impairment associated with schizophrenia. - The randomized, double-blind, placebo-controlled trial will enroll approximately 150 adults with schizophrenia across 13 U.S. clinical sites over a 28-day treatment period. - KYN-5356 demonstrated excellent safety, adequate CNS penetration, and dose-dependent reductions in cerebrospinal fluid kynurenic acid in Phase 1 trials. - Topline results from this proof-of-concept study are expected by Q4 2026, addressing an unmet medical need with no currently approved treatments for CIAS.11 months ago
A Study to Evaluate KYN-5356 in Adults With... | 临床试验