A Study of Bitopertin (RO4917838) in Combination With Selective Serotonin Reuptake Inhibitors (SSRIs) in Participants With Obsessive-Compulsive Disorder (OCD)

NCT ID: NCT01674361

Last Updated: 2017-08-02

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

99 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-31

Study Completion Date

2015-04-30

Brief Summary

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This multicenter, randomized, double-blind, parallel-group, placebo-controlled study will evaluate the efficacy and safety of bitopertin in combination with SSRI in participants with obsessive-compulsive disorder. Participants will be randomized to receive either bitopertin 30 milligrams (mg) or bitopertin 10 mg or placebo orally daily in addition to their background therapy with an SSRI. Participants will be allocated to one of two strata. Participants in Stratum 1 will start study drug on Day 1. Participants in Stratum 2 will receive placebo from Day 1 (placebo lead-in) and will then start study drug at the Week 2 visit. Participants in both strata will receive the study drug in addition to their background therapy with an SSRI until Week 16.

Detailed Description

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Conditions

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Obsessive-Compulsive Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Bitopertin 30 mg

Participants in Stratum 1 will receive bitopertin 30 mg from Day 1 to Week 16 in addition to their background therapy with an SSRI.

Participants in Stratum 2 will receive placebo from Day 1 and will then start bitopertin 30 mg at the Week 2 until Week 16 in addition to their background therapy with an SSRI.

Group Type EXPERIMENTAL

Bitopertin

Intervention Type DRUG

Bitopertin once daily orally.

Placebo

Intervention Type DRUG

Placebo matched to bitopertin once daily orally.

SSRI

Intervention Type DRUG

Participants will continue their background SSRI treatment as per standard of care at the same dose taken during the 8 weeks prior to Day 1. Protocol does not enforce any particular SSRI drug or regimen.

Bitopertin 10 mg

Participants in Stratum 1 will receive bitopertin 10 mg from Day 1 to Week 16 in addition to their background therapy with an SSRI.

Participants in Stratum 2 will receive placebo from Day 1 and will then start bitopertin 10 mg at the Week 2 until Week 16 in addition to their background therapy with an SSRI.

Group Type EXPERIMENTAL

Bitopertin

Intervention Type DRUG

Bitopertin once daily orally.

Placebo

Intervention Type DRUG

Placebo matched to bitopertin once daily orally.

SSRI

Intervention Type DRUG

Participants will continue their background SSRI treatment as per standard of care at the same dose taken during the 8 weeks prior to Day 1. Protocol does not enforce any particular SSRI drug or regimen.

Placebo

Participants (both Stratum 1 and Stratum 2) will receive placebo from Day 1 to Week 16 in addition to their background therapy with an SSRI.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo matched to bitopertin once daily orally.

SSRI

Intervention Type DRUG

Participants will continue their background SSRI treatment as per standard of care at the same dose taken during the 8 weeks prior to Day 1. Protocol does not enforce any particular SSRI drug or regimen.

Interventions

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Bitopertin

Bitopertin once daily orally.

Intervention Type DRUG

Placebo

Placebo matched to bitopertin once daily orally.

Intervention Type DRUG

SSRI

Participants will continue their background SSRI treatment as per standard of care at the same dose taken during the 8 weeks prior to Day 1. Protocol does not enforce any particular SSRI drug or regimen.

Intervention Type DRUG

Other Intervention Names

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RO4917838

Eligibility Criteria

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Inclusion Criteria

* Primary diagnosis of OCD as per Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR)
* On a stable dose of SSRI for at least 8 weeks prior to screening an between screening and Day 1
* An insufficient response to current treatment with an SSRI given at an adequate dose for at least 12 weeks prior to Day 1
* Females who are not postmenopausal or surgically sterile and who have (or may have) male sexual partners must agree to use two adequate methods of contraception as defined by protocol from the start of screening until 90 days after the last dose of study drug

Exclusion Criteria

* Primary OCD symptom of hoarding
* More than two unsatisfactory trials within the last 2 years with different serotonin reuptake inhibitors (not including the current treatment with an SSRI) given in an adequate dose for at least 12 weeks
* Failure of more than three augmentation therapies within the last 2 years
* Undergoing acute behavioral therapy or having acute behavioral therapy that was completed less than 4 weeks prior to Day 1
* Any primary DSM-IV-TR Axis I disorder other than OCD
* Current or prior history of bipolar disorder, schizophrenia or other psychotic disorders, schizoaffective disorder, autism or autistic spectrum disorders, borderline personality disorder, or Gilles de la Tourette syndrome if symptoms have persisted into adulthood
* Any eating disorder within the last 6 months
* History of DSM-IV-TR-defined substance dependence and/or substance abuse in the last 6 months, with the exception of nicotine
* Previous treatment with bitopertin or another Glycine transporter 1 inhibitor
* Positive urine drug screening for cannabis, amphetamines (including 3,4-methylenedioxymethamphetamine \[MDMA\]/ecstasy), cocaine, barbiturate, and/or opiates
* Prior or current general medical condition that may impair cognition or other neuropsychiatric functioning
* Body mass index less than (\<) 18.5 kilogram per square meter (kg/m\^2) or greater than (\>) 40 kg/m\^2
* Pregnant or lactating women
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Excell Research

Oceanside, California, United States

Site Status

Stanford University School of Medicine

Stanford, California, United States

Site Status

Yale University School of Medicine; Neuroscience Research Training Program

New Haven, Connecticut, United States

Site Status

Compass Research North, LLC

Leesburg, Florida, United States

Site Status

Medical Research Group of Central Florida

Orange City, Florida, United States

Site Status

University of South Florida

St. Petersburg, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

iResearch Atlanta

Decatur, Georgia, United States

Site Status

Carman Research

Smyrna, Georgia, United States

Site Status

Uni of Chicago; Centre For Advanced Medicine

Chicago, Illinois, United States

Site Status

Louisiana Research Associates

New Orleans, Louisiana, United States

Site Status

Massachusetts General Hospital - East

Boston, Massachusetts, United States

Site Status

Boston Clinical Trials

Boston, Massachusetts, United States

Site Status

Ambulatory Research Center (ARC), Department of Psychiatry

Minneapolis, Minnesota, United States

Site Status

Precise Research Centers

Flowood, Mississippi, United States

Site Status

St Louis Clinical Trials

St Louis, Missouri, United States

Site Status

Mount Sinai School of Medicine; Department of Psychiatry

New York, New York, United States

Site Status

Medical Research Network - New York

New York, New York, United States

Site Status

Finger Lakes Clinical Research

Rochester, New York, United States

Site Status

North Star Research

Middleburg Heights, Ohio, United States

Site Status

Ips Research Company

Oklahoma City, Oklahoma, United States

Site Status

Keystone Clinical Studies, LLC

Norristown, Pennsylvania, United States

Site Status

Butler Hospital - Department of Psychiatry and Human Behavior

Providence, Rhode Island, United States

Site Status

Clinical Neuroscience Solutions,Inc

Memphis, Tennessee, United States

Site Status

FutureSearch Trials, LP

Austin, Texas, United States

Site Status

Eastside Therapeutic Resource

Kirkland, Washington, United States

Site Status

Dean Foundation

Middleton, Wisconsin, United States

Site Status

Chokka Center for Integrative Health

Edmonton, Alberta, Canada

Site Status

Okanagan Clinical Trials

Kelowna, British Columbia, Canada

Site Status

True North Clinical Research-Halifax

Halifax, Nova Scotia, Canada

Site Status

True North Clinical Research Kentville

Kentville, Nova Scotia, Canada

Site Status

McMaster University - MacAnxiety Research Centre

Hamilton, Ontario, Canada

Site Status

Sunny Johnson Medical Research Associates Inc.; Medical Research Associates

Mississauga, Ontario, Canada

Site Status

START Clinic for Mood & Anxiety Disorders

Toronto, Ontario, Canada

Site Status

Countries

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United States Canada

References

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Bandeira ID, Lins-Silva DH, Cavenaghi VB, Dorea-Bandeira I, Faria-Guimaraes D, Barouh JL, Jesus-Nunes AP, Beanes G, Souza LS, Leal GC, Sanacora G, Miguel EC, Sampaio AS, Quarantini LC. Ketamine in the Treatment of Obsessive-Compulsive Disorder: A Systematic Review. Harv Rev Psychiatry. 2022 Mar-Apr 01;30(2):135-145. doi: 10.1097/HRP.0000000000000330.

Reference Type DERIVED
PMID: 35267254 (View on PubMed)

Other Identifiers

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WN28137

Identifier Type: -

Identifier Source: org_study_id

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