Pharmacokinetics, Safety, Tolerability and Efficacy of a Subcutaneous Long-Acting Injection of Cariprazine (Cariprazine Depot) in Subjects Eligible for Treatment With Oral Cariprazine

NCT ID: NCT07185815

Last Updated: 2025-12-03

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

PHASE1/PHASE2

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-01

Study Completion Date

2027-06-03

Brief Summary

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The purpose of this study is to assess the PK, Safety, Tolerability (all cohorts) and Efficacy (cohort 3), of once-a-month long-acting SC injection of dose escalating Cariprazine Depot in subjects eligible for treatment with oral Cariprazine.

Detailed Description

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Conditions

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Major Depressive Disorder (MDD) Bipolar 1 Disorder Schizophrenia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1

Group Type EXPERIMENTAL

Cariprazine Depot

Intervention Type DRUG

One single dose of 22 mg

Cohort 2

Group Type EXPERIMENTAL

Cariprazine Depot

Intervention Type DRUG

One single dose of 44 mg

Cohort 3

Group Type EXPERIMENTAL

Cariprazine Depot MTD

Intervention Type DRUG

Three monthly doses of MTD (maximum tolerated dose)

Oral Cariprazine 3 mg/day

Intervention Type DRUG

Oral Cariprazine 3 mg/day for three months

Interventions

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Cariprazine Depot

One single dose of 22 mg

Intervention Type DRUG

Cariprazine Depot

One single dose of 44 mg

Intervention Type DRUG

Cariprazine Depot MTD

Three monthly doses of MTD (maximum tolerated dose)

Intervention Type DRUG

Oral Cariprazine 3 mg/day

Oral Cariprazine 3 mg/day for three months

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subjects who meet DSM-5-TR diagnostic criteria for schizophrenia, bipolar I disorder or major depressive disorder (this inclusion criterion relates to cohorts 1 and 2 only).
* Clinically stable subjects (with no evidence of deterioration and on a stable dose of oral antipsychotic or antidepressant medication(s) other than Cariprazine for at least 4 weeks, prior to screening), receiving antipsychotic/s or antidepressant/s other than oral Cariprazine and eligible for treatment with Cariprazine 3 mg/day, with CGI-S score of 0-4.
* Men and women aged 18-64 years (inclusive).
* Body mass index (BMI) 18.5-35.
* Able to sign an informed consent form.
* Adult subjects with a current diagnosis of schizophrenia, who meet DSM-5-TR diagnostic criteria for schizophrenia, naïve to or treated with antipsychotics (this inclusion criterion relates to cohort 3 only).

Exclusion Criteria

* Subjects with schizophrenia with PANSS item scores of \> 4 on any of the following: P4 Excitement/Hyperactivity; P6 Suspiciousness/persecution; P7 Hostility; G8 Uncooperativeness; G14 Poor impulse control.
* Subjects with schizoaffective disorder, delirium, dementia, amnestic, or other cognitive disorders or severe personality disorders.
* Use of an investigational drug, and/or participation in clinical studies with an investigational product within 3 months prior to screening.
* History or current cardiovascular or cerebrovascular disease.
* History of seizures or conditions that lower the seizure threshold.
* Use of concomitant administration of strong or moderate CYP3A4 inhibitors.
* Use of concomitant medication of strong or moderate CYP3A4 inducers is contraindicated.
* Subjects with Suicidal Thoughts and Behaviors or has a history of suicidal ideation in the past year, or made a suicide attempt in the past 5 years.
* Subjects with a history of orthostatic hypotension and/or syncope.
* Subjects clinically stable on any dose of oral Cariprazine or add-on treatment (cohorts 1-2 only).
* Subjects with CGI-S score of 5-7.
* Subjects previously treated with partial D2 agonists, aripiprazole and brexipiprazole, and suffered from clinically relevant akathisia.
* For cohort 3 only: Subjects treated with oral Clozapine.
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mapi Pharma Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Clinical Research Center

Ness Ziona, , Israel

Site Status RECRUITING

Israeli Medical Center for Alzheimer

Ramat Gan, , Israel

Site Status RECRUITING

Tel Aviv, Israel

Tel Aviv, , Israel

Site Status RECRUITING

Countries

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Israel

Central Contacts

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Mark Weiser, Prof.

Role: CONTACT

97236973776

Facility Contacts

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Clinical Research Center

Role: primary

Clinical Research Center

Role: primary

Clinical Research Center

Role: primary

Other Identifiers

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Cariprazine Depot I/IIa - 001

Identifier Type: -

Identifier Source: org_study_id

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