Efficacy, Safety, and Tolerability of TC-5619 as Augmentation Therapy to Improve Negative Symptoms and Cognition in Outpatients With Schizophrenia

NCT ID: NCT01488929

Last Updated: 2015-06-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

603 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-12-31

Study Completion Date

2013-11-30

Brief Summary

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Negative symptoms and cognitive dysfunction in schizophrenia (CDS) are core features of schizophrenia. These negative symptoms and cognitive deficits have a devastating impact on the function, employment, and social interactions of patients with schizophrenia. Medications used to treat schizophrenia (e.g. atypical antipsychotics) do not improve negative symptoms or CDS. TC-5619 is being developed for use as an add-on therapy in combination with atypical antipsychotics to treat patients with negative symptoms and CDS.

Detailed Description

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Conditions

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Schizophrenia Negative Symptoms Cognitive Dysfunction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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5 mg TC-5619

One tablet of 5 mg TC-5619 will be administered orally once a day.

Group Type EXPERIMENTAL

TC-5619

Intervention Type DRUG

50 mg TC-5619

One tablet of 50 mg TC-5619 will be administered orally once a day.

Group Type EXPERIMENTAL

TC-5619

Intervention Type DRUG

Placebo

One tablet of placebo will be administered orally once a day.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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TC-5619

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Diagnosis of schizophrenia, per DSM-IV-TR criteria, as aided by the MINI International Neuropsychiatric Interview
2. Controlled schizophrenia, on stable dose of an approved atypical antipsychotic for at least 2 months prior to screening. Approved refers to regulatory approval in the country of use.
3. Stable schizophrenia as documented by lack of psychiatric hospitalization for 2 months prior to Screening (social admissions for the convenience of the subject allowed)
4. Clinical history of stable psychotic symptoms for 1 month prior to Screening.
5. Stable positive symptoms of schizophrenia for 4 weeks prior to Day 1, as shown by score ≤ 4 on PANSS for items related to delusion, hallucination, conceptual disorganization, and unusual thought content, at Screening and at Day 1.
6. Sum \> 20 for the 7 items in the Negative Symptoms subscale of the PANSS.
7. Calgary Depression Schizophrenia Scale (CDSS) score \< 6.
8. Simpson Angus Scale score \< 12.
9. Outpatient with stable housing, and significant presence of an informant who is not a group home resident.

Exclusion Criteria

1. Diagnosis of schizoaffective or schizophreniform disorders within 1 year prior to Screening.
2. Significant risk of suicide or attempted suicide in the 12 months before screening, or of danger to themselves or others.
3. Change in dosing of atypical antipsychotic within 2 months of Screening.
4. Treatment with electroconvulsive therapy (ECT) within 12 months of Screening.
5. Treatment with mood stabilizers, antidepressants, anxiolytics (short-acting hypnotics permitted), anticholinergics, or more than 1 antipsychotic within 1 month prior to Screening.
6. Treatment within 1 month prior to Screening with cognition-affecting agents other than the above (e.g. CNS stimulants).
7. History within past 6 months of screening of alcohol or illicit drug abuse.
8. Use of smoking cessation therapy within 1 month prior to Screening.
9. Positive urine drug screen except when related to prescribed short-acting benzodiazepines and opiates recently prescribed for an episode of acute pain (e.g., dental extraction).
10. History of significant other major or unstable neurological, neurosurgical (e.g. head trauma), metabolic, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, or urological disorder.
11. History of myocardial infarction based on medical history or electrocardiogram (ECG) findings at screening.
12. History of seizure disorder.
13. Type 1 diabetes mellitus.
14. Type 2 diabetes mellitus that requires medication (diet-controlled allowed, with HbA1C \< 7.3).
15. Body Mass Index (BMI) \> 35.
16. Uncontrolled hypothyroidism, vitamin B12 or folic acid deficiency.
17. Current TB or known systemic infection (e.g., HBV, HCV, HIV).
18. Clinically significant lab or ECG abnormality that could be a safety issue in the study, including QTcF \> 450 for males and \>470 for females.
19. Men, or women of child-bearing potential, who are unwilling or unable to use accepted methods of birth control as specified in Section 4.4.4
20. Women with a positive pregnancy test, or who are lactating.
21. Participated in another clinical trial within 3 months prior to Screening.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Targacept Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David P Walling, PhD

Role: PRINCIPAL_INVESTIGATOR

Collaborative Neuroscience Network, Inc

Locations

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Collaborative Neuroscience Network, Inc

Garden Grove, California, United States

Site Status

Behavorial Research Specialists

Glendale, California, United States

Site Status

Apostle Clinical Trials, Inc

Long Beach, California, United States

Site Status

Synergy Clinical Research Center

National City, California, United States

Site Status

Excell Research, Inc.

Oceanside, California, United States

Site Status

Neuropsychiatric Research Center of Orange County

Orange, California, United States

Site Status

CNRI

San Diego, California, United States

Site Status

Segal Institute for Clinical Research

Lauderhill, Florida, United States

Site Status

Compass Research, LLC

Leesburg, Florida, United States

Site Status

Atlanta Center for Medical Research

Atlanta, Georgia, United States

Site Status

Alexian Brothers Behavioral Health Hospital

Hoffman Estates, Illinois, United States

Site Status

Precise Research Group

Flowood, Mississippi, United States

Site Status

St. Charles Psychiatric Associates - Midwest Reserch Group

Saint Charles, Missouri, United States

Site Status

PsychCare Consultants Research

St Louis, Missouri, United States

Site Status

CRI Worldwide, LLC

Marlton, New Jersey, United States

Site Status

Behavioral Medical Research

Brooklyn, New York, United States

Site Status

Finger Lakes Clinical Research

Rochester, New York, United States

Site Status

Neuro-Behavorial Clinic Research, Inc.

Canton, Ohio, United States

Site Status

Midwest Clinical Research Center

Dayton, Ohio, United States

Site Status

FutureSearch Trials of Dallas, L.P.

Dallas, Texas, United States

Site Status

InSite Clinical Research

DeSoto, Texas, United States

Site Status

Houston Clinical Trials, LLC

Houston, Texas, United States

Site Status

Semmelweis University, Department of Psychiatry

Budapest, , Hungary

Site Status

University of Debrecen, Medical and Health Science Centre, Department of Psychiatry

Debrecen, , Hungary

Site Status

Pharma4Trial Kft.

Gyöngyös, , Hungary

Site Status

University of Pecs, Department of Psychiatry

Pécs, , Hungary

Site Status

St. George Hospital, Department of Psychiatry

Székesfehérvár, , Hungary

Site Status

County Emergency Clinical Hospital of Arad

Arad, Arad, Romania

Site Status

CMDTA Neomed

Brasov, Brașov County, Romania

Site Status

Neuropsychiatry Clinical Hospital Craiova, Psychiatry Department

Craiova, Dolj, Romania

Site Status

SC Lorentina 2102 SRL

Târgovişte, Dâmbovița County, Romania

Site Status

University Emergency Central Military Hospital, Dept. of Psychiatry

Bucharest, , Romania

Site Status

Kemerovo Regional Clinical Psychiatric Hospital

Kemerovo, , Russia

Site Status

Moscow Research Institute of Psychiatry

Moscow, , Russia

Site Status

Menthal Health Research Center of the RAMS

Moscow, , Russia

Site Status

Nizhniy Novgorod Regional Psychoneurological Hospital # 1

Nizhny Novgorod, , Russia

Site Status

Saint-Petersburg State Public Healthcare Institution (City Psychiatric Hospital #7)

Saint Petersburg, , Russia

Site Status

Saint-Petersburg State Public Healthcare Institution (Saint Nicholas Psychiatric Hospital)

Saint Petersburg, , Russia

Site Status

Saint-Petersburg State Public Healthcare Institution (City Psychiatric Hospital #4)

Saint Petersburg, , Russia

Site Status

Saint-Petersburg Research Psychoneurogical Institute

Saint Petersburg, , Russia

Site Status

Saint-Petersburg State Healthcare Institution (City Psychiatric Hospital #6)

Saint Petersburg, , Russia

Site Status

Municiple Healthcare Institution (City Clinical Hospital #2)

Saratov, , Russia

Site Status

Institution of Russian Academy of Medical Sciences

Tomsk, , Russia

Site Status

Nizhny Novgorod Region State Budgetary Institution of Healthcare "Clinical Psychiatric Hospital #1 of Nizhny Novgorod"

Veliky Novgorod, , Russia

Site Status

Yaroslavl State Medical Academy, Department of Psychiatry

Yaroslavl, , Russia

Site Status

Regional State Healthcare Institution (Sverdlovsk Regional Clinical Psychiatric Hospital)

Yekaterinburg, , Russia

Site Status

Clinical Centre "Dr Dragisa Misovic", Clinic of Psychiatry

Belgrade, , Serbia

Site Status

Clinical Centre of Serbia, Clinic of Psychiatry

Belgrade, , Serbia

Site Status

Institute of Mental Health

Belgrade, , Serbia

Site Status

Clinical Centre Nis, Psychiatric Clinic

Gornja Toponica, , Serbia

Site Status

Clinical Centre Kragujevac, Psychiatric Clinic

Kragujevac, , Serbia

Site Status

Special Hospital for Psychiatric Diseases "Sveti Vracevi"

Vojvodina, , Serbia

Site Status

Crimean State Medical University (Dept. of Psychiatry)

Simferopol, Autonomous Republic of Crimea, Ukraine

Site Status

Odesa Regional Psychiatric Hospital #2

Odesa, Kominternivskyy District, Ukraine

Site Status

Dnipropetrovsk Regional Clinical Hospital

Dnipropetrovsk, , Ukraine

Site Status

Dnipropetrovsk State Medical Academy, Dept. of Psychiatry

Dnipropetrovsk, , Ukraine

Site Status

Donetsk National Medical University (Regional Clinical Psychiatric Hospital)

Donetsk, , Ukraine

Site Status

Institute of Neurology, Psychiatry and Narcology AMS of Ukraine

Kharkiv, , Ukraine

Site Status

Kharkiv Regional Clinical Psychiatric Hospital N 3

Kharkiv, , Ukraine

Site Status

Kyiv Station Railway Clinical Hospital # 1 of the STBA "South-Western Railway"

Kyiv, , Ukraine

Site Status

Lugansk State Medical University

Luhansk, , Ukraine

Site Status

Odesa Regional Psychoneurological Dispensary

Odesa, , Ukraine

Site Status

Ukrainian Medical Stomatological Academy, Dept. of Psychiatry

Poltava, , Ukraine

Site Status

Vinnytsya National Medical University, Dept. of Psychiatry & Narcology

Vinnytsia, , Ukraine

Site Status

Countries

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United States Hungary Romania Russia Serbia Ukraine

Other Identifiers

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TC-5619-23-CRD-003

Identifier Type: -

Identifier Source: org_study_id

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