A Trial of Brexpiprazole in the Treatment of Borderline Personality Disorder

NCT ID: NCT04100096

Last Updated: 2024-07-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

332 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-17

Study Completion Date

2021-06-27

Brief Summary

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There are currently no pharmacological treatments approved to treat borderline personality disorder (BPD). This trial will be conducted to evaluate the efficacy and safety of brexpiprazole for the treatment of participants diagnosed with BPD to provide a pharmacological treatment for BPD.

Detailed Description

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Conditions

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Borderline Personality 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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Brexpiprazole 2-3 Milligrams Per Day

Participants received brexpiprazole, 2-3 milligrams per day (mg/day) tablets, orally, up to Week 12 during the treatment phase.

Group Type EXPERIMENTAL

Brexpiprazole

Intervention Type DRUG

Tablet

Placebo

Participants received brexpiprazole-matching placebo tablets, orally, up to Week 12 during the treatment phase.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Tablet

Interventions

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Brexpiprazole

Tablet

Intervention Type DRUG

Placebo

Tablet

Intervention Type OTHER

Other Intervention Names

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Rexulti®

Eligibility Criteria

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Inclusion Criteria

* Male or female participants, ages 18 to 65, inclusive, at the time of informed consent
* Participants with a primary Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) diagnosis of BPD confirmed by the Structured Clinical Interview for DSM-5 Personality Disorders (SCID-5-PD) at screening.
* At screening and Day 0, participants must have a total score ≥ 12 on the Zanarini Rating Scale for BPD (ZAN-BPD) scale.
* Participants who, in the investigator's judgment, require treatment with a medication for BPD.
* Participants willing to discontinue all prohibited medications to meet protocol-required washouts prior to and during the trial period.

Exclusion Criteria

* Sexually active males or females of childbearing potential who do not agree to practice 2 different methods of birth control or remain abstinent during the trial and for 30 days after the last dose of investigational medicinal product (IMP). Consensual sexual activity that cannot biologically result in pregnancy may not be participant to required birth control methods, following discussion with the medical monitor. Male participants must also agree not to donate sperm from trial screening through 30 days after the last dose of IMP.
* Women who are breastfeeding and/or who have a positive pregnancy test result prior to receiving IMP.
* Participants with a concurrent DSM-5 diagnosis of schizophrenia or schizoaffective disorder. Also, participants with a concurrent diagnosis of bipolar I disorder, bipolar II disorder, delirium, dementia, amnesia, eating disorder, antisocial personality disorder, or other cognitive disorders.
* Participants with a current diagnosis of substance or alcohol use disorder within 90 days prior to screening visit.
* Participants who fulfill the following criteria related to suicide and/or suicidal ideation are excluded:

* Participants who have a significant risk of committing violent acts, serious self-harm, or suicide based on history or routine psychiatric status examination, or those who are homicidal or considered to be a high risk to others, or participants with a response of "yes" on the Columbia-suicide severity rating scale (C-SSRS) Suicidal Ideation Item 5, OR
* Participants with a response of "yes" on the C-SSRS Suicidal Behavior Items, OR
* Participants who have had 3 suicide attempts, OR,
* Participants who have had 3 or more hospitalizations due to suicidal behavior.
* Participants who received brexpiprazole in any prior clinical trial or participants who have taken or are taking commercially available brexpiprazole (Rexulti®).
* Participants who are currently either inpatient or partially hospitalized.
* Participants who participated in a clinical trial within 90 days prior to screening or who participated in more than 2 clinical trials within a year 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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Otsuka Pharmaceutical Development & Commercialization, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Pillar Clinical Research

Bentonville, Arkansas, United States

Site Status

CI Trials

Bellflower, California, United States

Site Status

Care Access Research Beverly Hills

Beverly Hills, California, United States

Site Status

OM Research LLC

Lancaster, California, United States

Site Status

CalNeuro Research Group

Los Angeles, California, United States

Site Status

Excell Research

Oceanside, California, United States

Site Status

PCSD - Feighner Research

San Diego, California, United States

Site Status

SF-Care Inc.

San Rafael, California, United States

Site Status

CI Trials

Santa Ana, California, United States

Site Status

Viking Clinical Research

Temecula, California, United States

Site Status

Pacific Clinical Research Management Group

Upland, California, United States

Site Status

Mountain View Clinical Research, Inc.

Denver, Colorado, United States

Site Status

University of Connecticut

Farmington, Connecticut, United States

Site Status

Institute of Living Hartford Hospital

Hartford, Connecticut, United States

Site Status

Comprehensive Psychiatric Care

Norwich, Connecticut, United States

Site Status

Mindful Behavioral Health

Boca Raton, Florida, United States

Site Status

CNS Clinical Research of Coral Springs

Coral Springs, Florida, United States

Site Status

Gulfcoast Clinical Research Center

Fort Myers, Florida, United States

Site Status

Sarkis Clinical Trials

Gainesville, Florida, United States

Site Status

New Life Medical Research Center

Hialeah, Florida, United States

Site Status

Galiz Research

Hialeah, Florida, United States

Site Status

Clinical Neuroscience Solutions Inc.

Jacksonville, Florida, United States

Site Status

Innovative Clinical Research, Inc

Lauderhill, Florida, United States

Site Status

Clinical Neuroscience Solutions dba CNS Healthcare

Orlando, Florida, United States

Site Status

APG Research

Orlando, Florida, United States

Site Status

Institute for Advanced Medical Research

Alpharetta, Georgia, United States

Site Status

iResearch Atlanta

Decatur, Georgia, United States

Site Status

The University of Chicago Hospitals

Chicago, Illinois, United States

Site Status

AMR Conventions Research

Naperville, Illinois, United States

Site Status

Neuroscience Research Institute Inc.

Winfield, Illinois, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

McLean Hospital

Belmont, Massachusetts, United States

Site Status

Copley Clinical

Boston, Massachusetts, United States

Site Status

Adams Clinical

Watertown, Massachusetts, United States

Site Status

Rochester Center for Behavioral Medicine

Rochester Hills, Michigan, United States

Site Status

Advanced Clinical Research Center, LLC

Bridgeton, Missouri, United States

Site Status

Psychiatric Care and Research Center

O'Fallon, Missouri, United States

Site Status

St. Charles Psychiatric Associates dba Midwest Research Group

Saint Charles, Missouri, United States

Site Status

Arch Clinical Trials LLC

St Louis, Missouri, United States

Site Status

PsychCare Consultants Research

St Louis, Missouri, United States

Site Status

Hassman Research Institute, LLC

Berlin, New Jersey, United States

Site Status

Center for Emotional Fitness

Cherry Hill, New Jersey, United States

Site Status

Integrative Clinical Trials

Brooklyn, New York, United States

Site Status

SPRI Clinical Trials LLC

Brooklyn, New York, United States

Site Status

Bioscience Research, LLC

Mount Kisco, New York, United States

Site Status

Manhattan Behavioral Medicine PLLC

New York, New York, United States

Site Status

The Medical Research Network, LLC

New York, New York, United States

Site Status

Finger Lakes Clinical Research

Rochester, New York, United States

Site Status

New Hope Clinical Research

Charlotte, North Carolina, United States

Site Status

MindPath Care Centers

Raleigh, North Carolina, United States

Site Status

Quest Therapeutics of Avon Lake

Avon Lake, Ohio, United States

Site Status

Lindner Center of Hope

Mason, Ohio, United States

Site Status

North Star Medical Research LLC

Middleburg Heights, Ohio, United States

Site Status

Sooner Clinical Research

Oklahoma City, Oklahoma, United States

Site Status

Paradigm Research Professionals

Oklahoma City, Oklahoma, United States

Site Status

Carolina Clinical Trials Inc.

Charleston, South Carolina, United States

Site Status

Relaro Medical Trials, LLC

Dallas, Texas, United States

Site Status

Earle Research

Houston, Texas, United States

Site Status

Red Oak Psychiatric Associates

Houston, Texas, United States

Site Status

Pillar Clinical Research

Richardson, Texas, United States

Site Status

The University of Texas Heath Science Center at San Antonio

San Antonio, Texas, United States

Site Status

Grayline Research Center

Wichita Falls, Texas, United States

Site Status

Psychiatric Behavioral Solutions

Salt Lake City, Utah, United States

Site Status

Cedar Psychiatry

Springville, Utah, United States

Site Status

Woodstock Research Center

Woodstock, Vermont, United States

Site Status

Eastside Therapeutic Resource Inc dba Core Clinical Research

Everett, Washington, United States

Site Status

Hospital Parc Taul Parc Tauli 1

Sabadell, Barcelona, Spain

Site Status

Institut Hospital del Mar d'Investigacions Mèdiques - IMIM

Barcelona, , Spain

Site Status

Consultoria i Projectes Sanitaris S.L. Clinic: Hestia Palau

Barcelona, , Spain

Site Status

Hospital de la Santa Creu i Sant Pau Carrer de Sant Quint

Barcelona, , Spain

Site Status

Hospital Universitario Infanta Leonor

Madrid, , Spain

Site Status

Hospital Provincial de Zamora

Zamora, , Spain

Site Status

Institute of Neurology, Psychiatry and Narcology of NAMS of Ukraine

Kharkiv, , Ukraine

Site Status

Kyiv railway clinical hospital 1

Kyiv, , Ukraine

Site Status

Odessa Regional Medical Centre of Mental Health

Odesa, , Ukraine

Site Status

Communal Enterprise-Regional Institution of Mental Psychiatric Care of the Poltava Regional Council

Poltava, , Ukraine

Site Status

Vinnitsa National Medical University

Vinnytsia, , Ukraine

Site Status

Countries

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United States Spain Ukraine

References

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Rothman B, Brewer C, Chang D, Hobart M, Hefting N, McQuade RD, Grant JE. A randomised study and an extension study of brexpiprazole in patients with borderline personality disorder. Acta Neuropsychiatr. 2024 Nov 19;37:e39. doi: 10.1017/neu.2024.31.

Reference Type DERIVED
PMID: 39558901 (View on PubMed)

Stoffers-Winterling JM, Storebo OJ, Pereira Ribeiro J, Kongerslev MT, Vollm BA, Mattivi JT, Faltinsen E, Todorovac A, Jorgensen MS, Callesen HE, Sales CP, Schaug JP, Simonsen E, Lieb K. Pharmacological interventions for people with borderline personality disorder. Cochrane Database Syst Rev. 2022 Nov 14;11(11):CD012956. doi: 10.1002/14651858.CD012956.pub2.

Reference Type DERIVED
PMID: 36375174 (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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331-201-00242

Identifier Type: -

Identifier Source: org_study_id

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