Study to Evaluate Weight Gain as Assessed by Change in BMI Z-score in Pediatric Subjects With Schizophrenia or Bipolar I Disorder

NCT ID: NCT05303064

Last Updated: 2025-10-10

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-30

Study Completion Date

2026-09-30

Brief Summary

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To compare changes in body mass index (BMI) Z-score following treatment with OLZ/SAM vs olanzapine

Detailed Description

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Conditions

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Schizophrenia Bipolar I 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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Group 1 OLZ/SAM

Fixed dose combination of olanzapine and samidorphan

Group Type EXPERIMENTAL

OLZ/SAM

Intervention Type DRUG

OLZ/SAM refers to the fixed dose combination of olanzapine and samidorphan. The starting dose of olanzapine will be 2.5 mg/day or 5 mg/day at the discretion of the Investigator with a maximum daily dose of 20mg/day. The starting dose of samidorphan will be 5 or 10 mg.

Group 2 Olanzapine

Fixed dose of olanzapine

Group Type ACTIVE_COMPARATOR

Olanzapine

Intervention Type DRUG

The starting dose of olanzapine will be 2.5 mg/day or 5 mg/day at the discretion of the Investigator with a maximum daily dose of 20mg/day

Interventions

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OLZ/SAM

OLZ/SAM refers to the fixed dose combination of olanzapine and samidorphan. The starting dose of olanzapine will be 2.5 mg/day or 5 mg/day at the discretion of the Investigator with a maximum daily dose of 20mg/day. The starting dose of samidorphan will be 5 or 10 mg.

Intervention Type DRUG

Olanzapine

The starting dose of olanzapine will be 2.5 mg/day or 5 mg/day at the discretion of the Investigator with a maximum daily dose of 20mg/day

Intervention Type DRUG

Other Intervention Names

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ALKS 3831, LYBALVI

Eligibility Criteria

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Inclusion Criteria

* Subjects aged 13 to 17 years with schizophrenia or aged 10 to 17 years with bipolar I disorder, diagnosed according to Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria
* Subject is an outpatient or will be able to be treated on an outpatient basis (per Investigator judgement) by study Week 2
* Subject has reliable family/legal guardian support available for outpatient management
* Subject is either currently treated with olanzapine, or if treated with another antipsychotic, the subject has had an inadequate response (eg, unsatisfactory clinical response, AEs, or nonadherence to current medication) based on Investigator judgment
* Subject must not be a danger to self or others (per Investigator judgement)

Exclusion Criteria

* Subject presents with a major depressive episode(bipolar I disorder) or other neuropsychiatric diagnosis (according to DSM-5 criteria) including schizoaffective disorder, current major depressive disorder that is untreated and/or unstable, or any other psychiatric condition that could interfere with participation in the study
* Subject has a history of seizure disorder (exception: history of febrile seizures), severe head trauma with loss of consciousness within the 12 months prior to Screening, or other clinically significant neurological condition within the 12 months prior to Screening
* Subject poses a current suicide risk as assessed by the Investigator or as confirmed by the baseline Columbia-Suicide Severity Rating Scale (C-SSRS)
* Subject has received olanzapine for \>= 14 days during the month prior to screening, or has a history of poor or inadequate response to treatment with olanzapine
* Subject has taken opioid agonists within 14 days prior to Screening, or within 30 days prior to Screening (for long-acting opioid agonists)
* Subject anticipates needing to take opioid medication during the study period (eg, planned surgery, including oral surgery)
* Subject has taken opioid antagonists including naltrexone (any formulation) or naloxone within 60 days prior to Screening
* Subject has used a long-acting injectable antipsychotic medication within 3 injection cycles prior to Screening
* Subject has a BMI percentile \>98th or \<5th
* Subject has a diagnosis of diabetes mellitus or presents with prediabetes lab results at Screening (hemoglobin A1c \[HbA1c\] \>= 6%)
* Subject has started a smoking cessation program within the 6 months prior to Screening or has joined a weight management program or has had significant changes in diet or exercise regimen within 6 weeks prior to Screening
* Subject has participated in a clinical study of an investigational product within the last 30 days prior to Screening
Minimum Eligible Age

10 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alkermes, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David McDonnell, MD

Role: STUDY_DIRECTOR

Alkermes, Inc.

Locations

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Alkermes Investigator Site

Dothan, Alabama, United States

Site Status RECRUITING

Alkermes Investigator Site

Little Rock, Arkansas, United States

Site Status RECRUITING

Alkermes Investigator Site

Encino, California, United States

Site Status WITHDRAWN

Alkermes Investigator Site

Stanford, California, United States

Site Status RECRUITING

Alkermes Investigator Site

Upland, California, United States

Site Status WITHDRAWN

Alkermes Investigator Site

Colorado Springs, Colorado, United States

Site Status WITHDRAWN

Alkermes Investigator Site

Denver, Colorado, United States

Site Status RECRUITING

Alkermes Investigator Site

Hartford, Connecticut, United States

Site Status WITHDRAWN

Alkermes Investigator Site

Washington D.C., District of Columbia, United States

Site Status RECRUITING

Alkermes Investigator Site

Miami, Florida, United States

Site Status WITHDRAWN

Alkermes Investigator Site

Miami Lakes, Florida, United States

Site Status RECRUITING

Alkermes Investigator Site

Decatur, Georgia, United States

Site Status RECRUITING

Alkermes Investigator Site

Chicago, Illinois, United States

Site Status RECRUITING

Alkermes Investigator Site

Indianapolis, Indiana, United States

Site Status RECRUITING

Alkermes Investigator Site

Saint Charles, Missouri, United States

Site Status RECRUITING

Alkermes Investigator Site

Lincoln, Nebraska, United States

Site Status RECRUITING

Alkermes Investigator Site

Omaha, Nebraska, United States

Site Status WITHDRAWN

Alkermes Investigator Site

Paramus, New Jersey, United States

Site Status NOT_YET_RECRUITING

Alkermes Investigator Site

New York, New York, United States

Site Status NOT_YET_RECRUITING

Alkermes Investigational Site

Kinston, North Carolina, United States

Site Status WITHDRAWN

Alkermes Investigator Site

Cincinnati, Ohio, United States

Site Status RECRUITING

Alkermes Investigator Site

West Chester, Ohio, United States

Site Status RECRUITING

Alkermes Investigator Site

DeSoto, Texas, United States

Site Status TERMINATED

Alkermes Investigator Site

Fort Worth, Texas, United States

Site Status RECRUITING

Alkermes Investigational Site

Richmond, Virginia, United States

Site Status RECRUITING

Alkermes Investigator Site

Everett, Washington, United States

Site Status RECRUITING

Alkermes Investigator Site

La Plata, Buenos Aires, Argentina

Site Status RECRUITING

Alkermes Investigator Site

La Plata, Buenos Aires, Argentina

Site Status RECRUITING

Alkermes Investigator Site

Buenos Aires, , Argentina

Site Status RECRUITING

Alkermes Investigator Site

Córdoba, , Argentina

Site Status RECRUITING

Alkermes Investigator Site

Mendoza, , Argentina

Site Status RECRUITING

Alkermes Investigator Site

Fortaleza, Ceará, Brazil

Site Status RECRUITING

Alkermes Investigator Site

Curitiba, Paraná, Brazil

Site Status RECRUITING

Alkermes Investigator Site

Goiânia, , Brazil

Site Status RECRUITING

Alkermes Investigator Site

Rio de Janeiro, , Brazil

Site Status RECRUITING

Alkermes Investigator Site

São Paulo, , Brazil

Site Status RECRUITING

Alkermes Investigator Site

São Paulo, , Brazil

Site Status RECRUITING

Alkermes Investigator Site

Barranquilla, , Colombia

Site Status RECRUITING

Alkermes Investigator Site

Bello, , Colombia

Site Status RECRUITING

Alkermes Investigator Site

Bogotá, , Colombia

Site Status RECRUITING

Alkermes Investigator Site

Bogotá, , Colombia

Site Status RECRUITING

Alkermes Investigator Site

Pereira, , Colombia

Site Status RECRUITING

Alkermes Investigator Site

Culiacán, , Mexico

Site Status RECRUITING

Alkermes Investigator Site

Estado de México, , Mexico

Site Status RECRUITING

Alkermes Investigator Site

León, , Mexico

Site Status RECRUITING

Alkermes Investigator Site

Monterrey, , Mexico

Site Status RECRUITING

Alkermes Investigator Site

Monterrey, , Mexico

Site Status RECRUITING

Countries

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United States Argentina Brazil Colombia Mexico

Central Contacts

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Global Clinical Services

Role: CONTACT

888-235-8008 (US Only)

Global Clinical Services

Role: CONTACT

1-571-599-2702 (Global)

Other Identifiers

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ALKS 3831-A312

Identifier Type: -

Identifier Source: org_study_id

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