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Schizophrenia, Acute EpisodePhase 2NCT03055338

An Active-Controlled Early Phase Study of Elpipodect (MK-8189) in Adults With Schizophrenia (MK-8189-005)

A Phase 2 study testing Elpipodect and Risperidone in people with Schizophrenia, Acute Episode, run by Merck Sharp & Dohme LLC at 28 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This will be a randomized, placebo-controlled, parallel-group, multi-site, double-blind trial of elpipodect compared with placebo, using Risperidone as an active control. The participants will be adult subjects experiencing an acute episode of schizophrenia, according to the criteria specified in the Diagnostic and… Read more about this study

Who is it for?
Ages 18 to 50 years
Conditions the study is for
Schizophrenia, Acute Episode
What is being tested?
Elpipodect and Risperidone
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
224 participants
Where
28 sitesUnited States
Study dates
8 Mar 2017to 9 Jan 2018
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • 18 to 50 years of age at Screening
  • Male
  • Female not of reproductive potential (e.g., postmenopausal or has had a hysterectomy), or agrees to practice abstinence or use acceptable contraception
  • Meets the diagnostic criteria for schizophrenia according to the DSM-5 criteria, or has a past diagnosis of schizophrenia with the onset of the first episode being >=1 year prior to study entry, and has illness duration of <=20 years
  • Is confirmed to be experiencing an acute episode of schizophrenia
  • Minimum PANSS score >= 80 at Screening
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  • Has a score of >=4 in 3 or more of the following items (delusions, conceptual disorganization, hallucinatory behavior, grandiosity, suspiciousness/persecution) in the positive subscale of the PANSS at Screening
  • Has a CGI-S score >= 4 at Screening
  • Is able to taper off psychotropic medications without significant destabilization or increased suicidality
  • Has responded positively to an antipsychotic medication other than clozapine in a prior psychotic episode
  • Has an identified responsible external contact person who has regular contact (no less than once per week) with the participant

Who cannot join

  • Is currently under involuntary commitment because he/she is considered a danger to himself/herself or others
  • Is unwilling to remain hospitalized for the duration of trial treatment
  • Is currently participating in or has participated in an interventional clinical research study <=6 months prior to Screening, or has participated in more than one interventional clinical trial research study within 12 months prior to Screening
  • Is unwilling to allow audio/video taping of the Mini International Neuropsychiatric Interview for Schizophrenia and Psychotic Disorders (MINI) and/or PANSS interview at Screening and Baseline
  • Is currently being treated with and benefiting from medications with a moderate or strong inhibiting or inducing effect on Cytochrome P450 (CYP) 3A and/or CYP2C9 and/or sensitive substrates of CYP2B6
  • Has a history of malignancy <= 5 years except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer
Show all 17Show fewer
  • Has a body mass index <18.5 or >40 kg/m˄2
  • Has a history of treatment-resistant schizophrenia
  • Has a prolactin laboratory value of >= 5 times the upper limit of normal at Screening
  • Has a known history or clinical evidence of clinically significant hepatic, cardiovascular, or renal disease, or of untreated narrow-angle glaucoma- Has ever been diagnosed with epilepsy or had any seizure disorder beyond one childhood febrile seizure
  • Has known serological evidence of human immunodeficiency virus (HIV) antibody
  • Has a history of neuroleptic malignant syndrome
  • Has a current diagnosis other than schizophrenia, or a comorbid diagnosis primarily responsible for current symptoms and functional impairment
  • Has a known history of borderline personality disorder, antisocial personality disorder, or bipolar disorder
  • Has a known history of traumatic brain injury, or Alzheimer's disease or another form of dementia
  • Currently meets DSM-5 criteria for substance abuse or alcohol use disorder
  • Is at imminent risk of self-harm or harm to others

Trial locations and contacts

28 sites in 1 country.

28 sites in 1 country

United States28 sites
  • Radiant Research - Atlanta ( Site 0008)

    Atlanta, Georgia, 30328

  • Atlanta Center For Medical Research ( Site 0056)

    Atlanta, Georgia, 30331

  • CITRIALS ( Site 0013)

    Bellflower, California, 90706

  • Comprehensive Clinical Development ( Site 0049)

    Cerritos, California, 90703

  • Midwest Clinical Research Unit ( Site 0041)

    Dayton, Ohio, 45417

  • InSite Clinical Research ( Site 0033)

    DeSoto, Texas, 75115

  • Precise Research Centers ( Site 0018)

    Flowood, Mississippi, 39232

  • CBH Health, LLC ( Site 0022)

    Gaithersburg, Maryland, 20877

  • Collaborative Neuroscience Network, LLC ( Site 0057)

    Garden Grove, California, 92845

  • Behavioral Research Specialists, LLC ( Site 0006)

    Glendale, California, 91206

  • Alexian Center for Psychiatric Research ( Site 0015)

    Hoffman Estates, Illinois, 60169

  • Larkin Community Hospital Behavioral Health Services ( Site 0020)

    Hollywood, Florida, 33021

  • Lake Charles Clinical Trials, LLC ( Site 0040)

    Lake Charles, Louisiana, 70629

  • Altea Research Institute ( Site 0017)

    Las Vegas, Nevada, 89102

  • Synergy East ( Site 0003)

    Lemon Grove, California, 91945

  • Woodland International Research Group, LLC ( Site 0001)

    Little Rock, Arkansas, 72211

  • Radiant Research -CliniLabs ( Site 0037)

    New York, New York, 10019

  • Clinical Research Centers of America, LLC ( Site 0038)

    Oakland Park, Florida, 33334

  • NRC Research Institute ( Site 0043)

    Orange, California, 92868

  • Aspire Health Partners ( Site 0016)

    Orlando, Florida, 32810

  • CNRI - Los Angeles, LLC ( Site 0026)

    Pico Rivera, California, 90660

  • Pillar Clinical Research, LLC ( Site 0004)

    Richardson, Texas, 75080

  • Woodland Research Northwest, LLC ( Site 0014)

    Rogers, Arkansas, 72758

  • Artemis Institute for Clinical Research ( Site 0027)

    San Diego, California, 92103

  • Schuster Medical Research Institute ( Site 0032)

    Sherman Oaks, California, 91403

  • Psych Care Consultants Research ( Site 0025)

    St Louis, Missouri, 63128

  • St. Louis Clinical Trials, LLC ( Site 0012)

    St Louis, Missouri, 63141

  • Collaborative Neuroscience Network, LLC ( Site 0046)

    Torrance, California, 90502

Other trials in United States

About this study

Official title: A Phase IIa, Randomized, Double-Blind, Placebo-Controlled Clinical Trial of the Efficacy and Safety of MK-8189 Using Risperidone as an Active Control in Subjects Experiencing an Acute Episode of Schizophrenia

This will be a randomized, placebo-controlled, parallel-group, multi-site, double-blind trial of elpipodect compared with placebo, using Risperidone as an active control. The participants will be adult subjects experiencing an acute episode of schizophrenia, according to the criteria specified in the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5). This study will be up to 7 weeks in duration, with up to 7 site visits for each participant. The study will consist of a Screening/tapering period (up to one week long), a 4-week treatment period, and a 14-day follow-up period. The primary objective will be to assess symptoms of schizophrenia at 4 weeks, and to assess safety and tolerability during treatment and post-treatment follow-up. The secondary objective will be to assess the severity of schizophrenia at 4 weeks. The primary hypothesis is that elpipodect is superior to placebo in reducing the overall symptoms of schizophrenia as assessed by the mean change from baseline in the Positive and Negative Syndrome Scale (PANSS) total score after 4 weeks of treatment.

Being tested
Elpipodect, Risperidone, Placebo matching MK-8189, Placebo matching risperidone
Keywords
Schizophrenia, acute episode, Schizophrenia Spectrum and Other Psychotic Disorders, Mental Disorders
Medical subject headings
Schizophrenia, Schizophrenia Spectrum and Other Psychotic Disorders, Mental Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ElpipodectDrug

    Also called MK-8189

    Oral CR tablets (4 mg) administered QD at the following dose strengths: 4 mg (1 tablet); 8 mg (2 tablets); 12 mg (3 tablets)

  • RisperidoneDrug

    Oral capsules (2 mg) administered QD at the following dose strengths: 2 mg (1 capsule); 4 mg (2 capsules); 6 mg (3 capsules)

  • Placebo matching MK-8189Drug

    Oral placebo tablet(s) matching the MK-8189 tablet, administered QD.

  • Placebo matching risperidoneDrug

    Oral placebo capsule(s) matching the risperidone capsule, administered QD.

Study groups in NCT03055338
Study groupRoleWhat they receive
ElpipodectExperimentalParticipants receive elpipodect (4 mg controlled release [CR] oral tablet[s]) in combination with placebo matching risperidone (oral capsule[s]) once daily (QD) for 4 weeks. Over the initial 7 treatment days, elpipodect is titrated from 4 mg to 12 mg as follows: 4 mg (1 tablet; Day 1); 8 mg (2 tablets; Day 4); and 12 mg (3 tablets; Day 7). Placebo matching risperidone is also titrated as follows: 1 capsule (Day 1), 2 capsules (Day 4), and 3 capsules (Day 7). After Day 7, elpipodect is maintained at 12 mg (3 tablets) in combination with placebo matching risperidone (3 capsules), QD for 3 weeks.
Receives: Drug: Elpipodect; Drug: Placebo matching risperidone
RisperidoneActive comparatorParticipants receive risperidone (2 mg oral capsule[s]) in combination with placebo matching elpipodect (oral tablet[s]), QD for 4 weeks. Over the initial 7 treatment days, risperidone is titrated from 2 mg to 6 mg as follows: 2 mg (1 capsule; Day 1); 4 mg (2 capsules; Day 4); and 6 mg (3 capsules; Day 7). Placebo matching elpipodect is also titrated as follows: 1 tablet (Day 1), 2 tablets (Day 4), and 3 tablets (Day 7). After Day 7, risperidone is maintained at 6 mg (3 capsules) in combination with placebo matching elpipodect (3 tablets), QD for 3 weeks.
Receives: Drug: Risperidone; Drug: Placebo matching MK-8189
PlaceboPlacebo comparatorParticipants receive both placebo matching elpipodect (oral tablet[s]) as well as placebo matching Risperidone (oral capsule[s]), QD for 4 weeks. Over the initial 7 treatment days, placebo matching both elpipodect and risperidone are respectively titrated as follows: 1 tablet/1 capsule (Day 1); 2 tablets/2 capsules (Day 4); and 3 tablets/3 capsules (Day 7). After Day 7, placebo matching both elpipodect and risperidone are respectively maintained at 3 tablets/3 capsules, QD for 3 weeks.
Receives: Drug: Placebo matching MK-8189; Drug: Placebo matching risperidone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Least Squares Mean (LSM) Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at Week 4

    The LSM change from baseline at week 4 was assessed for PANSS total score. The PANSS assesses the severity of schizophrenia symptoms through a clinician-rated inventory of 30 items organized in 3 subscales: 1) positive subscale (7 items); 2) negative subscale (7 items); and 3) general psychopathology subscale (16 items). For each item, symptoms are scored from 1 (absent) to 7 (extreme) and sum to a total PANSS score (range: 30-210). Higher scores reflect more severe symptoms of schizophrenia. Further, reduced symptom severity over time is reflected by decreases in score.

    Measured: Baseline and Week 4

  2. Percentage of Participants Experiencing an Adverse Event (AE)

    The percentage of participants experiencing an AE was assessed. An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE.

    Measured: Up to 6 weeks

  3. Percentage of Participants Discontinuing Study Treatment Due to an Adverse Event

    The percentage of participants discontinuing study treatment due to an AE was assessed. An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE.

    Measured: Up to 4 weeks

Secondary outcomes (1)
  1. Least Squares Mean (LSM) Change From Baseline in the Clinical Global Impression-Severity of Illness (CGI-S) Score at Week 4

    The LSM change from baseline at week 4 was assessed for CGI-S score. The CGI-S is a 7-point clinician-rated scale for assessing the global severity of the participant's illness. Possible CGI-S scores range from 1 (participant normal, not ill) to 7 (participant extremely ill). Further, a decrease in CGI-S score indicates reduced severity of the participant's illness.

    Measured: Baseline and Week 4

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Feb 2017
  2. Study start8 Mar 2017
  3. Primary completion9 Jan 2018
  4. Study completion9 Jan 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomly assigned to one of three groups in parallel for the duration of the study.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
224 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03055338
Sponsor's protocol ID
8189-005
Other IDs
MK-8189-005
Status last verified
Apr 2026
First submitted
14 Feb 2017
Last updated
29 Apr 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Mukai Y, Lupinacci R, Marder S, Snow-Adami L, Voss T, Smith SM, Egan MF. Effects of PDE10A inhibitor MK-8189 in people with an acute episode of schizophrenia: A randomized proof-of-concept clinical trial. Schizophr Res. 2024 Aug;270:37-43. doi: 10.1016/j.schres.2024.05.019. Epub 2024 Jun 8.

    PubMed 38851166

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Elpipodect and Risperidone in people with Schizophrenia, Acute Episode, run by Merck Sharp & Dohme LLC at 28 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Dec 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Least Squares Mean (LSM) Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at Week 4 (time frame: Baseline and Week 4). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03055338, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Apr 2026.

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