Lurasidone Low-Dose - High-Dose Study Study

NCT ID: NCT01821378

Last Updated: 2016-07-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

412 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-05-31

Study Completion Date

2014-06-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The primary purpose of this study is to evaluate the efficacy of lurasidone 20 mg/day in subjects with an acute exacerbation of schizophrenia.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

The primary purpose of this study is to evaluate the efficacy of lurasidone 20 mg/day in subjects with an acute exacerbation of schizophrenia. This study will also evaluate the efficacy and safety of lurasidone 80 mg/day and160 mg/day versus placebo in subjects who are early non-responders (operationally defined per protocol) to lurasidone 80 mg/day.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Schizophrenia

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Lurasidone 20 mg

Lurasidone 20 mg once daily

Group Type EXPERIMENTAL

Lurasidone

Intervention Type DRUG

Lurasidone 20 mg once daily

Lurasidone 80 mg once daily initially rerandomized either to 80 mg or 160 mg at week 2

Intervention Type DRUG

Lurasidone 80 mg once daily

Placebo

Intervention Type DRUG

Once Daily

Lurasidone 80 mg

Lurasidone 80 mg once daily initially rerandomized either to 80 mg or 160 mg at week 2

Group Type EXPERIMENTAL

Lurasidone

Intervention Type DRUG

Lurasidone 20 mg once daily

Lurasidone 80 mg once daily initially rerandomized either to 80 mg or 160 mg at week 2

Intervention Type DRUG

Lurasidone 80 mg once daily

Placebo

Intervention Type DRUG

Once Daily

Placebo

Placebo Comparator 20 or 80 mg once daily

Group Type PLACEBO_COMPARATOR

Lurasidone

Intervention Type DRUG

Lurasidone 20 mg once daily

Lurasidone 80 mg once daily initially rerandomized either to 80 mg or 160 mg at week 2

Intervention Type DRUG

Lurasidone 80 mg once daily

Placebo

Intervention Type DRUG

Once Daily

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Lurasidone

Lurasidone 20 mg once daily

Intervention Type DRUG

Lurasidone 80 mg once daily initially rerandomized either to 80 mg or 160 mg at week 2

Lurasidone 80 mg once daily

Intervention Type DRUG

Placebo

Once Daily

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Latuda Latuda

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

Subject provides written informed consent and is willing and able to comply with the protocol in the opinion of the Investigator.

* Subject is ≥ 18 and ≤ 75 years of age, on the day of signing the informed consent.
* Subject meets DSM-IV-TR criteria for a primary diagnosis of schizophrenia \[including disorganized (295.10), paranoid (295.30), undifferentiated (295.90) subtypes\] as established by clinical interview (using the DSM-IV-TR as a reference and confirmed using the SCID-CT). The duration of the subject's illness whether treated or untreated must be ≥ 6 months.
* Subject has a PANSS total score ≥ 80 and a PANSS subscale score ≥ 4 (moderate) on 2 or more of the following PANSS subscale items: delusions, conceptual disorganization, hallucinations, and unusual thought content at screening and baseline.
* Subject has a CGI-S score of ≥ 4 at screening and baseline.
* Subject has an acute exacerbation of psychotic symptoms (no longer than 2 months) and marked deterioration of function from baseline (by history) or subject has been hospitalized for the purpose of treating an acute psychotic exacerbation for 2 consecutive weeks or less immediately before screening.

Subjects who have been hospitalized for more than 2 weeks for reasons unrelated to acute exacerbation can be included with concurrence from the Medical Monitor that such hospitalization was for a reason other than acute relapse. For example, subjects in a long term hospital setting who have an acute exacerbation and are transferred to an acute unit are eligible for study entry.

* Subject is not pregnant (must have a negative serum pregnancy test at screening) or nursing (must not be lactating) and is not planning pregnancy within the projected duration of the study.
* Female subject of reproductive potential agrees to remain abstinent or use adequate and reliable contraception throughout the study and for at least 30 days after the last dose of lurasidone has been taken. In the Investigator's judgment, the subject will adhere to this requirement.

Adequate contraception is defined as continuous use of either two barrier methods (eg, condom and spermicide or diaphragm with spermicide) or a hormonal contraceptive. Acceptable hormonal contraceptives include the following: a) contraceptive implant (such as Norplant®) implanted at least 90 days prior to screening; b) injectable contraception (such as medroxyprogesterone acetate injection) given at least 14 days prior to screening; or c) oral contraception taken as directed for at least 30 days prior to screening.

Subjects who are of non-reproductive potential, ie, subject who is surgically sterile, has undergone tubal ligation, or is postmenopausal (defined as at least 12 months of spontaneous amenorrhea or between 6 and 12 months of spontaneous amenorrhea with follicle stimulating hormone (FSH) concentrations within postmenopausal range as determined by laboratory analysis) are not required to remain abstinent or use adequate contraception.

* Subject is able and agrees to remain off prior antipsychotic medication for the duration of the study
* Subject has had a stable living arrangement at the time of screening and agrees to return to a similar living arrangement after discharge. This criterion is not meant to exclude subjects who have temporarily left a stable living arrangement (eg, due to psychosis). Such subjects remain eligible to participate in this protocol. Chronically homeless subjects should not be enrolled.
* Subject is in good physical health on the basis of medical history, physical examination, and laboratory screening.
* Subject who requires concomitant medication treatment with the following agents may be included if they have been on stable doses (ie, minor adjustments only) for the specified times: 1) oral hypoglycemics must be stable for at least 30 days prior to screening, 2) antihypertensive agents must be stable for at least 30 days prior to screening, and 3) thyroid hormone replacement must be stable for at least 90 days prior to screening. (Note: CYP3A4 inducers and inhibitors will not be allowed).
* Subject is willing and able to comply with the protocol assessments and visits, in the opinion of the study nurse/coordinator and the Investigator.

Exclusion Criteria

Subject has a DSM-IV Axis I or Axis II diagnosis, other than schizophrenia, that has been the primary focus of treatment within 3 months of screening.

* Subject answers "yes" to "Suicidal Ideation" item 4 (active suicidal ideation with some intent to act, without specific plan) or item 5 (active suicidal ideation with specific plan and intent) on the C-SSRS assessment at screening (ie, in the past one month) or baseline (ie, since last visit).
* Subject is considered by the Investigator to be at imminent risk of suicide or injury to self, others, or property.
* Subject has attempted suicide within 3 months prior to the screening phase.
* Subject currently has a clinically significant medical condition including the following: neurological, metabolic (including Type 1 diabetes), hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, and/or urological disorder such as unstable angina, congestive heart failure (uncontrolled), or central nervous system (CNS) infection that would pose a risk to the subject if they were to participate in the study or that might confound the results of the study. Subjects with known human immunodeficiency virus (HIV) seropositivity will be excluded.

Note:Active medical conditions that are minor or well-controlled are not exclusionary if they do not affect risk to the subject or the study results. In cases in which the impact of the condition upon risk to the subject or study results is unclear, the Medical Monitor should be consulted. Any subject with a known cardiovascular disease or condition (even if controlled) must be discussed with the Medical Monitor during screening.

* Subject has evidence of any chronic organic disease of the CNS such as tumors, inflammation, and active seizure disorder, vascular disorder, Parkinson's disease, Alzheimer's disease or other forms of dementia, myasthenia gravis, or other degenerative processes. In addition, subject must not have a history of mental retardation or persistent neurological symptoms attributable to serious head injury. Note: Past history of febrile seizures, drug-induced seizures, or alcohol withdrawal seizures is not exclusionary.
* Subject demonstrates evidence of acute hepatitis, clinically significant chronic hepatitis, or evidence of clinically significant impaired hepatic function through clinical and laboratory evaluation.

Note: Subjects with serum alanine transaminase (ALT) or aspartate transaminase (AST) levels greater than or equal to 3 times the upper limit of the reference ranges provided by the central laboratory require retesting. If on retesting the laboratory value remain greater than or equal to 3 times the upper limit, the subject will be excluded.

* Subject has a history of stomach or intestinal surgery or any other condition that could interfere with or is judged by the Investigator to interfere with absorption, distribution, metabolism, or excretion of study drug.
* Subject with Type 1 or Type 2 insulin-dependent diabetes.
* Subject with newly diagnosed Type 2 diabetes during screening. Subject with Type 2 diabetes is eligible for study inclusion if the following condition is met at screening:

if a subject is currently being treated with oral anti-diabetic medication(s), the dose must have been stable for at least 4 weeks prior to screening. Such medication may be adjusted or discontinued during the study, as clinically indicated.

-Subject has any abnormal laboratory parameter at screening that indicates a clinically significant medical condition as determined by the Investigator. Subjects with a fasting blood glucose at screening ≥ 126 mg/dL (7.0 mmol/L) or HbA1c ≥ 6.5% will be excluded.

Note: Subjects with random (non-fasting) blood glucose at screening ≥ 200 mg/dL (11.1 mmol/L) must be retested in a fasted state.

* Subject has a prolactin concentration \> 100 ng/mL at screening or has a history of pituitary adenoma.
* Subject has a history of malignancy \< 5 years prior to signing the informed consent, except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer. Pituitary tumors of any duration are excluded.
* Subject is judged to be resistant to antipsychotic treatment defined as any one of the following:

1. failure to respond to \> 2 marketed antipsychotic agents, given at an adequate dose and for an adequate duration (within the past 2 years)
2. history of treatment with clozapine for refractory psychosis
* Subject is receiving an antipsychotic medication above the maximum recommended (country-specific) dose at or prior to screening and, in the judgment of the Investigator, is unlikely to respond to standard doses of lurasidone.
* Subject has received depot antipsychotics unless the last injection was at least one treatment cycle or at least 30 days (whichever is longer), prior to the screening phase.
* Subject has received treatment with antidepressants within 7 days (fluoxetine hydrochloride within 28 days, MAO inhibitors within 14 days) or clozapine within 120 days prior to the double-blind baseline.
* Subject requires treatment with any potent CYP3A4 inhibitors or inducers during the study (Appendix 3).
* Subject has received electroconvulsive therapy treatment within the 3 months prior to screening or is expected to require ECT during the study.
* Subject has a history of neuroleptic malignant syndrome.
* Subject exhibits evidence of severe tardive dyskinesia, severe dystonia, or any other severe movement disorder. Severity will be determined by the Investigator.
* Subject has a history of alcohol or substance abuse (DSM-IV-TR criteria) within 3 months prior to screening or alcohol or substance dependence (DSM-IV-TR criteria) within 12 months prior to screening. The only exceptions include caffeine or nicotine abuse/dependence.
* Subject tests positive for drugs of abuse at screening, however, a positive test for amphetamines, barbiturates, opiates, benzodiazepines or methadone may not result in exclusion of subjects if the investigator determines that the positive test is as a result of prescription medicine(s). In the event a subject tests positive for cannabinoids (tetrahydrocannabinol), the Investigator will evaluate the subject's ability to abstain from using this substance during the study. This information will be discussed with the Medical Monitor prior to study enrollment.
* Subject had a history or presence of an abnormal electrocardiogram (ECG), which in the Investigator's opinion is clinically significant (Medical Monitor may be consulted to determine clinical significance).
* Subject has poor peripheral venous access that will limit the ability to draw blood as judged by the Investigator.
* Subject has a history of hypersensitivity to more than 2 distinct chemical classes of drug (eg, sulfas and penicillins).
* Subject was screened or washed out previously more than three times for this study.
* Subject is currently participating, or has participated in, a study with an investigational or marketed compound or device within 3 months prior to signing the informed consent, or has participated in 2 or more studies within 12 months prior to signing the informed consent.
* Subject is homeless or did not have a stable residence for the 3 months prior to the screening phase.
* Subject is unable to cooperate with any study procedures, unlikely to adhere to the study procedures and keep appointments, in the opinion of the Investigator, or was planning to relocate during the study.
* Subject demonstrates a decrease (improvement) of ≥ 20% in the PANSS total score between screening and baseline visits (use Appendix 6 for calculation), or the PANSS total score falls below 80 at baseline.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Sumitomo Pharma America, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Lurasidone Medical Director

Role: STUDY_DIRECTOR

Sumitomo Pharma America, Inc.

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Woodland International Research Group, Inc.

Little Rock, Arkansas, United States

Site Status

Comprehensive Clinical Development

Cerritos, California, United States

Site Status

Synergy Clinical Research of Escondido

Escondido, California, United States

Site Status

Apostle Clinical Trials, Inc.

Long Beach, California, United States

Site Status

Cnri, Llc

Los Angeles, California, United States

Site Status

Pasadena Research Institute

Pasadena, California, United States

Site Status

Cnri, Llc

San Diego, California, United States

Site Status

University of California San Diego Medical Center

San Diego, California, United States

Site Status

Collaborative Neuroscience Network, Inc.

Torrance, California, United States

Site Status

Western Affiliated Research Institute

Denver, Colorado, United States

Site Status

Florida Clinical Research Center, LLC - PARENT

Maitland, Florida, United States

Site Status

University of Miami Medical Center

Miami, Florida, United States

Site Status

Florida Clinical Research Center, LLC

Orlando, Florida, United States

Site Status

Atlanta Center for Medical Research

Atlanta, Georgia, United States

Site Status

iResearch Atlanta, LLC

Decatur, Georgia, United States

Site Status

Via Christi Research, a division of Via Christi Hospitals Wichita, Inc.

Wichita, Kansas, United States

Site Status

Lake Charles Clinical Trials, LLC

Lake Charles, Louisiana, United States

Site Status

Center for Behavioral Health, LLC

Rockville, Maryland, United States

Site Status

St. Charles Psychiatric Associates

Saint Charles, Missouri, United States

Site Status

Midwest Research Group

Saint Charles, Missouri, United States

Site Status

Neurobehavioral Research, Inc.

Cedarhurst, New York, United States

Site Status

Comprehensive Clinical Development- Holliswood Hospital

Holliswood, New York, United States

Site Status

Midwest Clinical Research Center, LLC

Dayton, Ohio, United States

Site Status

CRILifetree

Philadelphia, Pennsylvania, United States

Site Status

FutureSearch Clinical Trials, L.P.

Austin, Texas, United States

Site Status

FutureSearch Trials of Dallas, LP

Dallas, Texas, United States

Site Status

Pillar Clinical Research, LLC

Dallas, Texas, United States

Site Status

Bayou Clinical Research, Ltd.

Houston, Texas, United States

Site Status

E.S.E. Hospital Mental de Antioquia

Bello, , Colombia

Site Status

Centro de Investigaciones del Sistema Nervioso Limitada - Grupo CISNE Ltda

Bogotá, , Colombia

Site Status

Instituto Colombiano del Sistema Nervioso - Clinica Montserrat

Bogotá, , Colombia

Site Status

Spitalul Universitar de Urgenta Militar Central "Dr Carol Davila"

Bucharest, , Romania

Site Status

Spitalul de Psihiatrie Titan "Dr Constantin Gorgos"

Bucharest, , Romania

Site Status

Spitalul Clinic de Psihiatrie Prof. Dr. Alexandru Obregia

Bucharest, , Romania

Site Status

Spitalul Clinic de Neuropsihiatrie Craiova

Craiova, , Romania

Site Status

Spitalul Judetean de Urgenta "Sf. Pantelimon" Focsani

Focşani, , Romania

Site Status

Spitalul de Psihiatrie "Elisabeta Doamna"

Galati, , Romania

Site Status

Spitalul Clinic de Psihiatrie Socola

Iași, , Romania

Site Status

Spitalul Judetean de Urgenta Pitesti

Piteşti, , Romania

Site Status

Spitalul Judetean de Urgenta Targoviste

Târgovişte, , Romania

Site Status

SHI Arkhangelsk Regional Clinical Psychiatric Hospital

Arkhangelsk, , Russia

Site Status

SHI Reg Clinical Specialized Psychoneurological Hospital #1

Chelyabinsk, , Russia

Site Status

Kemerovo Regional Clinical Psychiatric Hospital

Kemerovo, , Russia

Site Status

GUZ Lipetsk Regional psychoneurological Hospital #1

Lipetsk Region, , Russia

Site Status

Moscow Region Psychiatric Hospital #5

Moscow Region, , Russia

Site Status

City Psychiatric Hospital of St. Nikolay Chudotvorets

Saint Petersburg, , Russia

Site Status

City Psychiatric Hospital #4

Saint Petersburg, , Russia

Site Status

FSBI "Bekhterev Psychoneurological Research Institute SPb Russia"

Saint Petersburg, , Russia

Site Status

SPHI "City Mental Hospital #3 n.a. I.I.Skvortsov-Stepanov"

Saint Petersburg, , Russia

Site Status

SBHI "Samara Psychiatric Clinic"

Samara, , Russia

Site Status

MHI City Clinical Hospital #2 named after V.I. Razumovsky

Saratov, , Russia

Site Status

FSBI "Research Institute for Mental Health" of Siberian branch of RAMS

Tomsk, , Russia

Site Status

Nemocnica s poliklinikou Prievidza so sidlom v Bojniciach

Bojnice, , Slovakia

Site Status

Univerzitna nemocnica Bratislava, Nemocnica Ruzinov

Brastislava, , Slovakia

Site Status

Psychiatricka nemocnica Hronovce

Domaša, , Slovakia

Site Status

Psychiatricka nemocnica Michalovce, n.o.

Michalovce, , Slovakia

Site Status

Vseobecna nemocnica Rimavska Sobota

Rimavská Sobota, , Slovakia

Site Status

Nemocnica s poliklinikou sv. Barbory Roznava a.s.

Rožňava, , Slovakia

Site Status

Donetsk M. Gorkyi NMU Ch of Psychiatry, Narcology and MP CT&PI RCPsH

Donetsk, , Ukraine

Site Status

Regional Psychoneurological Hospital #3

Ivano-Frankivsk, , Ukraine

Site Status

SMPI Central Clinical Hospital of Ukrzaliznytsia

Kharkiv, , Ukraine

Site Status

CI Kherson Regional Psychiatric Hospital of Kherson RC

Kherson,Vil. Stepanivka, , Ukraine

Site Status

Kyiv City Clinical Psychoneurological Hospital #1

Kyiv, , Ukraine

Site Status

Odesa Regional Psychoneurogical Dispensary

Odesa, , Ukraine

Site Status

SI S.I. Heorhievskyi CSMU Ch of PPN with the Course of G&MP CRI CPH #1

Simferopol, , Ukraine

Site Status

M.I. Pyrogov VNMU Ch of Psych&Nar BO CI O.I. Yuschenko VRPsH

Vinnytsia, , Ukraine

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Colombia Romania Russia Slovakia Ukraine

References

Explore related publications, articles, or registry entries linked to this study.

Loebel A, Silva R, Goldman R, Watabe K, Cucchiaro J, Citrome L, Kane JM. Lurasidone Dose Escalation in Early Nonresponding Patients With Schizophrenia: A Randomized, Placebo-Controlled Study. J Clin Psychiatry. 2016 Dec;77(12):1672-1680. doi: 10.4088/JCP.16m10698.

Reference Type DERIVED
PMID: 27454547 (View on PubMed)

Loebel A, Citrome L, Correll CU, Xu J, Cucchiaro J, Kane JM. Treatment of early non-response in patients with schizophrenia: assessing the efficacy of antipsychotic dose escalation. BMC Psychiatry. 2015 Oct 31;15:271. doi: 10.1186/s12888-015-0629-0.

Reference Type DERIVED
PMID: 26521019 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2012-005271-14

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D1050303

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

A Study in Schizophrenia Patients
NCT01086748 COMPLETED PHASE2