A Study to Assess the Effects of RO6889450 (Ralmitaront) in Participants With Schizophrenia or Schizoaffective Disorder and Negative Symptoms

NCT ID: NCT03669640

Last Updated: 2024-08-12

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

131 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-04

Study Completion Date

2023-03-12

Brief Summary

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This study investigates the effects of RO6889450 on the negative symptoms associated with schizophrenia and schizoaffective disorder.

Detailed Description

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Conditions

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Schizophrenia, Schizoaffective Disorder

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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Part A: Monotherapy

Participants will receive RO6889450 or a dose-matched placebo. NOTE: Part A has completed enrollment.

Group Type EXPERIMENTAL

RO6889450

Intervention Type DRUG

Participants will receive a once-daily, oral dose of RO6889450 for 12 weeks.

Placebo

Intervention Type DRUG

Participants will receive a once-daily, oral dose of placebo matched to RO6889450 for 12 weeks.

Part B: Add-On Therapy

Participants will receive a low or high dose of RO6889450 or a dose-matched placebo in addition to their usual anti-psychotic treatment(s).

Group Type EXPERIMENTAL

RO6889450

Intervention Type DRUG

Participants will receive a once-daily, oral dose of RO6889450 for 12 weeks.

Placebo

Intervention Type DRUG

Participants will receive a once-daily, oral dose of placebo matched to RO6889450 for 12 weeks.

Interventions

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RO6889450

Participants will receive a once-daily, oral dose of RO6889450 for 12 weeks.

Intervention Type DRUG

Placebo

Participants will receive a once-daily, oral dose of placebo matched to RO6889450 for 12 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with a Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnosis of schizophrenia or schizoaffective disorder as confirmed by the Mini International Neuropsychiatric Interview (MINI)
* Part B only: Stable treatment with a dopamine/serotonin (D2/5HT2A) antagonist or pure D2 antagonist(s), or a D2 partial agonist for a minimum of 6 months and receiving no more than two antipsychotics
* Medically stable during the 3 months prior to study entry
* Participant is an outpatient with no psychiatric hospitalizations within the prior 6 months
* PANSS negative symptom factor score of 18 or higher
* The following rating on items of the PANSS: (a) less than 5 on G8 (uncooperativeness), P1 (delusions), P3 (hallucinations), P4 (excitement/hyperactivity), and P6 (suspiciousness/persecution); (b) less than 4 on P7 (hostility), and G14 (poor impulse control)
* Has an informant who is considered reliable by the Investigator
* Body mass index (BMI) between 18-40 kg/m2 inclusive
* Female participants are eligible to participate if not pregnant, not breastfeeding and agree to remain abstinent or use acceptable contraceptive methods during the treatment period and for at least 28 days after the last dose of study drug

Exclusion Criteria

* Moderate to severe substance use disorder within six months of study entry (excluding nicotine or caffeine) as defined by DSM-5
* Extrapyramidal symptom rating scale (ESRS-A CGI) subscore greater than or equal to 3
* Other current DSM-5 diagnosis (e.g., bipolar disorder, major depressive disorder)
* PANSS item G6 (depression) greater than or equal to 5
* Significant risk of suicide or harming him- or herself or others according to the Investigator's judgment
* A prior or current general medical condition that might be impairing cognition or other psychiatric functioning
* Positive result at screening for hepatitis B surface antigen (HBsAg), hepatitis C (HCV), or HIV-1 and HIV-2. HCV antibody positive participants are eligible if HCV RNA is negative
* Tardive dyskinesia that is moderate to severe or requires treatment
* History of neuroleptic malignant syndrome
* Average triplicate Fridericia's Correction Formula (QTcF) interval greater than 450 milliseconds (msec) for males and 470 msec for females or other clinically significant abnormality on screening electrocardiogram (ECG) based on centralized reading
* Clinically significant abnormalities in laboratory safety test results
* Significant or unstable physical condition that in the investigator's judgment might require a change in medication or hospitalization during the course of the study
* On more than one antidepressant, or if on one antidepressant, a change in dose within 28 days prior to screening
* History of clozapine treatment
* History of treatment with electroconvulsive therapy (ECT)
* Concomitant use of prohibited medications
* Positive urine drug screen for amphetamines, methamphetamines, opiates, buprenomorphine, methadone, cannabinoids, cocaine, and barbiturates
* Receipt of an investigational drug within 28 days or five times the half-life of the investigational drug (whichever is longer) before the first study drug administration
* Donation of blood over 400 mL within 3 months prior to screening
* Diagnosis of COVID-19 infection (confirmed or presumptive) 4 weeks prior to screening or during screening. Participants can be re-screened after 4 weeks of full recovery in addition to Investigator and/or institutional approval to enroll
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 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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CITrials, Inc.

Bellflower, California, United States

Site Status

Collaborative Neuroscience Network, Inc.

Garden Grove, California, United States

Site Status

California Clinical Trials

Glendale, California, United States

Site Status

Synergy San Diego

Lemon Grove, California, United States

Site Status

Catalina Research Institute LLC - MRA

Montclair, California, United States

Site Status

CITrials, Inc.

Riverside, California, United States

Site Status

California Neuropsychopharmacology Clinical Research Institute, LLC

San Diego, California, United States

Site Status

Stanford University School of Medicine

Stanford, California, United States

Site Status

Collaborative Neuroscience Network Inc.

Torrance, California, United States

Site Status

Yale School of Medicine - CT Mental Health Center (CMHC) - Schizophrenia Research Clinic

New Haven, Connecticut, United States

Site Status

Innovative Clinical Research, Inc.

Lauderhill, Florida, United States

Site Status

Lifestream Behavioral Center

Leesburg, Florida, United States

Site Status

Advanced Research Institute of Miami

Miami, Florida, United States

Site Status

Health Synergy Clinical Research

Okeechobee, Florida, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

CBH Health

Gaithersburg, Maryland, United States

Site Status

Precise Research Centers

Flowood, Mississippi, United States

Site Status

Psych Care Consultants Research

St Louis, Missouri, United States

Site Status

Millennium Psychiatric Associates, LLC

St Louis, Missouri, United States

Site Status

Manhattan Psychiatric Center; Psychopharmacology Research Unit

New York, New York, United States

Site Status

JPS Health Network

Fort Worth, Texas, United States

Site Status

Pillar Clinical Research LLC

Garland, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

University Hills Clinical Research

Irving, Texas, United States

Site Status

The Solace Center

Missouri City, Texas, United States

Site Status

Psychiatry & Behavioral Center

Richmond, Texas, United States

Site Status

@ Health Texas

Richmond, Texas, United States

Site Status

Kohnodai Hp., National Center for Global Health and Medicine

Chiba, , Japan

Site Status

National Hospital Organization Ryukyu Hospital

Kunigami, , Japan

Site Status

National Center of Neurology and Psychiatry

Tokyo, , Japan

Site Status

Seishinkai Okehazama Hospital Fujita Kokoro Care Center

Toyoake, , Japan

Site Status

Hiyoshi Hospital

Yokohama, , Japan

Site Status

Hospital Universitario Marques de Valdecilla

Santander, Cantabria, Spain

Site Status

Hospital Universitario Central de Asturias

Oviedo, Principality of Asturias, Spain

Site Status

C.H. Regional Reina Sofia - PPDS

Córdoba, , Spain

Site Status

Hosp Univ Fundacion Alcorcon

Madrid, , Spain

Site Status

Complejo Asistencial Universitario de Salamanca ? H. Clinico

Salamanca, , Spain

Site Status

CNCE Regional Clinical Psychiatric Hospital of Kirovohrad Regional Council

Nove, Katerynoslav Governorate, Ukraine

Site Status

Communal Non-Commercial Enterprise of Kharkiv RC Regional clinical psychiatric hospital #3

Kharkiv, Kharkiv Governorate, Ukraine

Site Status

Public NPE Kherson Regional Institution of Mental Care of Kherson RC

Kherson, Kherson Governorate, Ukraine

Site Status

Municipal Non-Commercial Enterprise Odesa RMC for Mental Health of Odessa Regional Council

Odesa, Kherson Governorate, Ukraine

Site Status

ME Dnipropetrovsk Regional Clinical Hospital n.a. I.I Mechnykov Dnipropetrovsk Regional Council

Dnipro, KIEV Governorate, Ukraine

Site Status

Zakarpattia Regional Clinical Hospital n.a. Andrii Novak

Uzhhorod, KIEV Governorate, Ukraine

Site Status

Communal NPE Vinnytsia Reg. Clin. Psychoneurolog. Hosp. n.a. O.I. Yushchenko of Vinnytsia RC

Vinnytsia, Podolia Governorate, Ukraine

Site Status

Countries

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United States Japan Spain Ukraine

References

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Halff EF, Rutigliano G, Garcia-Hidalgo A, Howes OD. Trace amine-associated receptor 1 (TAAR1) agonism as a new treatment strategy for schizophrenia and related disorders. Trends Neurosci. 2023 Jan;46(1):60-74. doi: 10.1016/j.tins.2022.10.010. Epub 2022 Nov 8.

Reference Type DERIVED
PMID: 36369028 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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BP40283

Identifier Type: -

Identifier Source: org_study_id

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