AzTrials
AzTrials

SchizophreniaPhase 2NCT03793712

Study With Lu AF11167 for the Treatment of Negative Symptoms in Patients With Schizophrenia

A Phase 2 study testing Lu AF11167 (1-2 mg/day) and Lu AF11167 (3-4 mg/day) in people with Schizophrenia, run by H. Lundbeck A/S at 53 sites in 8 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

A study to evaluate the efficacy of 2 fixed-flexible doses of Lu AF11167 on negative symptoms in patients with schizophrenia Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Schizophrenia
What is being tested?
Lu AF11167 (1-2 mg/day) and Lu AF11167 (3-4 mg/day)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
168 participants
Where
53 sitesin 8 countries
Study dates
27 Dec 2018to 3 Sep 2020
Phase
Phase 2
Are there results?
None posted in the registry

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 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • The patient has schizophrenia, diagnosed according to DSM-5® as confirmed by the Mini-International Neuropsychiatric Interview for Schizophrenia and Psychotic Disorders Studies (MINI-Schz).
  • The patient has been known to the site or investigator and treated by the site or investigator for at least the last 6 months prior to Screening Visit 1.
  • The patient has suffered from persistent prominent negative symptoms for the last 6 months prior to the Screening Visit 1, in the opinion of the investigator and recorded in medical records.
  • The patient has been treated for schizophrenia with stable doses of an oral antipsychotic within the approved dose range and without any dose increase during the last 6 months prior to Screening Visit 1 (dose reductions are acceptable). Combination therapy of two antipsychotics is only allowed with the written approval of the Medical Monitor in cases where the second antipsychotic is a low-potency first generation antipsychotic drug (e.g., chlorpromazine, promazine or chlorprothixene at low doses) or quetiapine at a dose of ≤150 mg, given in the evening for sleep problems and where both can be discontinued during the washout phase without endangering the patient's safety. Both antipsychotics will be withdrawn during the washout phase and need to be discontinued before Screening Visit 2. Combination therapy of more than 2 antipsychotic medications is not allowed during the previous 6 months prior to Screening Visit 1.
  • The patient has had no psychiatric admissions/hospitalization due to a clinical deterioration during the last 6 months prior to Screening Visit 1, this excludes ambulatory visits to ask for advice from the psychiatry team.Patients hospitalized during the last 6 months for social reasons only or patients who are currently hospitalized for social reasons can be included with the Medical Monitor's approval.
  • The patient is in a clinically stable phase of schizophrenia and has not more than moderate severity on relevant positive symptoms, that is a score of ≤4 (moderate) out of score of 7 on each of the following PANSS items: Delusions (P1), Hallucinatory behaviour (P3), Suspiciousness / persecution (P6), Uncooperativeness (G8), Unusual thought content (G9) at Screening Visit 1, Washout Visit(s), Screening Visit 2, and Baseline Visit and a score ≤5 on Conceptual disorganization (P2).
Show all 12Show fewer
  • The patient currently has no clinically significant acute extrapyramidal side effects (acute EPS) or tardive dyskinesia (TD) based upon the protocol-specified clinical examination.
  • The patient has prominent negative symptoms as demonstrated by a PANSS Marder Negative Symptom Factor Score (NSFS) ≥20 at Screening Visit 1, Washout Visit(s) and Screening Visit 2. NSFS is the sum of scores of the following PANSS items: Blunted affect (N1), Emotional withdrawal (N2), Poor rapport (N3), Passive/apathetic social withdrawal (N4), Lack of spontaneity \& flow of conversation (N6), Motor retardation (G7) and Active social avoidance (G16).
  • The patient has a Clinical Global Impression-Schizophrenia Severity of Illness (CGI-SCH-S) overall severity score ≤4 at Screening Visit 1.
  • The patient does not currently have a diagnosis of Major Depressive Disorder or have depressive symptoms rated with a total score ≥5 on the Calgary Depression Scale for Schizophrenia (CDSS).
  • The patient has no history of violent behaviour for the last 12 months prior to Screening Visit 1.
  • The patient has a caregiver or an identified responsible person (for example, partner, family member, social worker, case worker, or nurse) considered reliable by the investigator in providing support to the patient to ensure compliance with study treatment, outpatient visits, and protocol procedures.

Who cannot join

  • The patient has had an acute exacerbation requiring hospitalization within the last 6 months prior to Screening Visit 1.
  • The patient has had an acute exacerbation requiring change in antipsychotic medication (with reference to drug or dose) within the last 6 months prior to Screening Visit 1.
  • The patient has a current diagnosis or a history of substance use disorder according to DSM-5® criteria within 6 months prior to Screening Visit 1 with the exception of tobacco, or mild cannabis or mild alcohol use disorder (occasional - but not weekly recreational cannabis use is acceptable). Patients with a positive drug screen test for opiates, methadone, cocaine, amphetamines [including ecstasy], barbiturates, verified by repeated testing, are excluded from the study.
  • The patient is at significant risk of harming himself/herself or others in the investigator's opinion.
  • The patient has tested positive for hepatitis A virus antibody (anti-HAV IgM), hepatitis B surface antigen (HBsAg), or hepatitis C virus antibody (anti-HCV). If the anti-HCV test result is positive, but acute/chronic infection is excluded with a negative HCV RNA test patient can be included in the study.
  • The patient has tested positive for human immunodeficiency virus (HIV).
Show all 9Show fewer
  • The patient has a present condition that might compromise liver function (for example, alcohol abuse, hepatitis, hepatic insufficiency, cholestasis, haemachromatosis, deficit in alpha 1 antitrypsine, Wilson's Disease, autoimmune diseases, cirrhosis).
  • The patient has any other disorder for which the treatment takes priority over treatment of schizophrenia or is likely to interfere with the study treatment or impair treatment compliance.
  • Other in- and exclusion criteria may apply.

Trial locations and contacts

53 sites in 8 countries.

53 sites in 8 countries

Bulgaria13 sites
  • Mental Health Center Prof. Dr. Ivan Temkov EOOD (BG0001)

    Burgas

  • MHAT Dr. Hristo Stambolski (BG0007)

    Kazanlak

  • State Psychiatric Hospital Lovech (BG0012)

    Lovech, 5500

  • First Department for men with acute mental diseases-NPH Sv. Ivan Rilski (BG0010)

    Novi Iskar

  • UMHAT Dr.Georgi Stranski EAD (BG0006)

    Pleven

  • Dr.Svetlozar Georgiev MD, Office of Office of Ambulatory for Group Practice for Specialized Psychiartic Help ¿ PHILIPOPOLIS OOD (BG0014)

    Plovdiv, 4000

  • State Psychiatric Hospital - Sevlievo (BG009)

    Sevlievo

  • Medical Center INTERMEDICA (BG0003)

    Sofia

  • DCC Mladost-M (BG0004)

    Varna

  • DCC Mladost-M Varna OOD (BG0005)

    Varna

  • Med Centre Medical plus (BG008)

    Varna

  • Center for Mental Health Veliko Tarnovo (BG0013)

    Veliko Tarnovo, 5000

  • Mental Health Center-Vratsa EOOD (BG0002)

    Vratsa

Other trials in Bulgaria

Ukraine9 sites
  • Si Inpn Namsu (Ua0003)

    Kharkiv

  • Si Inpn Namsu (Ua0008)

    Kharkiv

  • Kherson Regional Psychiatric Hospital (UA0009)

    Kherson

  • Kiev Regional Specialized Psycho-Narcological Medical Care (UA0005)

    Kiev

  • Communal Institution Kirovograd Regional Psychiatric Hospital. Donetsk National Medical University, Chair of psychiatry, psychotherapy, narcology and medical psychology (UA0004)

    Kropyvnytskyi

  • Railway Clinical Hospital #1, Ukr Research Institute, Social And Forensic Psychatriy And Drug Abuse (UA0007)

    Kyiv

  • Odessa Regional Medical Centre of Mental Health (UA0006)

    Odesa

  • Ukrainian Medical Stomatological Academy, Chair Of Psychiatry, Narcology And Medical Psychology Based On O.F. Maltsev Poltava Regional Clinical Psychiatric Hospital (UA0001)

    Poltava

  • Vinnitsa National Medical University (UA0002)

    Vinnitsa

Other trials in Ukraine

Hungary7 sites
  • Nyiro Gyula Hospital - OPAI (HU0006)

    Budapest

  • Semmelweis Egyetem-Neurologiai Klinika (HU0005)

    Budapest

  • Bugat Pal Hospital (HU0008)

    Gyöngyös

  • Dr Mathe es Tarsa Bt (HU0001)

    Kalocsa

  • Somogy Megyei Kaposi Mor Oktato Korhaz (HU0003)

    Kaposvár

  • Szabolcs-Szatmar-Bereg megyei Korhazak es Egyetemi Oktatokorhaz, Josa Andras Oktatokorhaz, Pszichiatriai es Pszichoterapias Osztaly (HU0002)

    Nyíregyháza

  • Javorszky Odon Hospital (HU0004)

    Vác

Other trials in Hungary

Czechia6 sites
  • Dr.Jan Holan MD, Office of (CZ0003)

    Brno, 61500

  • Meditrine s.r.o. - Psychiatricka Ambulance, Lecebne Centrum (CZ0005)

    Havířov, 73601

  • Clinline services s.r.o. (CZ0006)

    Hostivice, 25301

  • Neuropsychiatrie HK, s.r.o. (CZ0004)

    Hradec Králové, 50009

  • A-Shine s.r.o. (CZ0001)

    Pilsen, 31200

  • Institute of Neuropsychiatric Care (INEP) (CZ0007)

    Prague, 18600

Other trials in Czechia

Poland6 sites
  • Gabinet Lekarski Psychiatryczny Ireneusz Kaczorowski (PL0012)

    Bełchatów, 97400

  • Wlokiennicza Med Specjalistyczna Praktyka Lekarska dr n. med. Tomasz Markowski (PL0005)

    Bialystok

  • Med-Ars (Pl0010)

    Bydgoszcz

  • Centrum Zdrowia Psychicznego Biomed - Jan Latala (PL0006)

    Kielce

  • Przychodnia Syntonia Izabela Chojnowska-Cwiakala (PL0011)

    Kielce

  • Syntonia Sp. z o.o. (PL0002)

    Pruszcz Gdański

Other trials in Poland

Germany5 sites
  • Medical Pratice For Neurology/Psychiatry (DE0003)

    Berlin

  • Office of Dr.Kirsten Hahn (DE0002)

    Berlin

  • Zentralinstitut fur Seelische Gesundheit (ZI)-Leitung Abteilung Molekulares Neuroimaging (DE0004)

    Mannheim

  • Dr. Frank Kuehn MD, Office Of (DE001)

    Oranienburg

  • Klinikum der Eberhard-Karls-Universitaet Tuebingen (DE0007)

    Tübingen

Other trials in Germany

Latvia5 sites
  • Daugavpils Psychoneurological Hospital (LV0005)

    Daugavpils

  • Hospital Gintermuiza (LV0001)

    Jelgava

  • Jsc Piejuras Slimnica Psychiatry Clinic (LV0003)

    Liepāja

  • Riga Centre Of Psychiatry And Addiction Disorders (LV0002)

    Riga

  • Sigulda Hospital Outpatient Clinic (LV0006)

    Sigulda

Other trials in Latvia

Estonia2 sites
  • Marienthali Kliinik (EE0001)

    Tallinn, 11315

  • OU Jaanson & Laane (EE0002)

    Tartu

Other trials in Estonia

About this study

Official title: Interventional, Randomized, Double-blind, Parallel-group, Placebo-controlled, Fixed-flexible-dose Study of Lu AF11167 for the Treatment of Persistent Prominent Negative Symptoms in Patients With Schizophrenia

A study to evaluate the efficacy of 2 fixed-flexible doses of Lu AF11167 on negative symptoms in patients with schizophrenia

Conditions
Schizophrenia
Being tested
Lu AF11167 (1-2 mg/day), Lu AF11167 (3-4 mg/day), Placebo
Medical subject headings
Schizophrenia

What participants receive

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

  • Lu AF11167 (1-2 mg/day)Drug

    Fixed-flexible oral dose, tablets. Once daily. 12 weeks.

  • Lu AF11167 (3-4 mg/day)Drug

    Fixed-flexible oral dose, tablets. Once daily. 12 weeks.

  • PlaceboDrug

    Placebo oral dose, tablets. Once daily. 12 weeks.

Study groups in NCT03793712
Study groupRoleWhat they receive
Lu AF11167 low doseExperimentalNot described
Receives: Drug: Lu AF11167 (1-2 mg/day)
Lu AF11167 high doseExperimentalNot described
Receives: Drug: Lu AF11167 (3-4 mg/day)
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Change in Negative Symptom Scale (BNSS) total score

    The BNSS is a brief clinician rating scale, intended to measure negative symptoms. It consists of 13 items organized into 6 subscales: anhedonia, distress, asociality, avolition, blunted affect and alogia. The items score the impairment. Items 1 to 4 are rated from 0 (Normal) to 6 (Extremely severe) and items 5 to 13 are rated from 0 (No impairment) to 6 (Severe deficit). The BNSS total score is calculated by summing the 13 individual items; subscale scores are calculated by summing the individual items within each subscale. Users of the BNSS should have training in psychiatric interview techniques and have clinical experience working with patients with schizophrenia and related psychotic disorders. The BNSS total scores ranges from 0 to 78.

    Measured: from baseline to Week 12

Secondary outcomes (12)
  1. Change in Personal and Social Performance (PSP) score

    The PSP is a clinician-rated scale designed and validated to measure a patient's current level of social functioning. The PSP consists of 4 items: socially useful activities (including work and study), personal and social relationships, self-care, and disturbing and aggressive behaviours. The 4 items are assessed on a 6-point scale, from absent to very severe. Based on these assessments and their combination, individual scores are converted into a global score ranging from 1 to 100.

    Measured: from baseline to Week 12

  2. Change in Positive and Negative Syndrome Scale (PANSS) total score

    The PANSS is a clinician rated scale designed to measure severity of psychopathology in adult patients with schizophrenia, schizoaffective disorders and other psychotic disorders. It emphasizes positive and negative symptoms. The PANSS includes 3 sub-scales and 30 items

    Measured: from baseline to Week 12

  3. Change in PANSS Marder Negative Symptom Factor score: negative symptoms

    The PANSS is a clinician rated scale designed to measure severity of psychopathology in adult patients with schizophrenia, schizoaffective disorders and other psychotic disorders. It emphasizes positive and negative symptoms. The PANSS includes 3 sub-scales and 30 items

    Measured: from baseline to Week 12

  4. Change in PANSS Negative subscale score

    The PANSS is a clinician rated scale designed to measure severity of psychopathology in adult patients with schizophrenia, schizoaffective disorders and other psychotic disorders. It emphasizes positive and negative symptoms. The PANSS includes 3 sub-scales and 30 items

    Measured: from baseline to Week 12

  5. Change in Clinical Global Impression - Schizophrenia (CGI-SCH-S) negative symptoms score

    The CGI-SCH is a clinician-rated scale to assess global illness severity and degree of change in patients with schizophrenia. For both the global illness severity and degree of change, the CGI-SCH consists of four different groups of symptoms (positive, negative, cognitive and depressive) and the overall severity of the disorder. The CGI-SCH-S severity of illness category symptoms and overall severity are rated on a 7-point scale ranging from 1 (normal - not ill) to 7 (Among the most severely ill). For the first four ratings (positive, negative, depressive, and cognitive symptoms), the assessment should focus on the severity of symptoms only. Additionally, for 'overall severity' rating, both severity of symptoms and interference with functioning should be considered.

    Measured: from baseline to Week 12

  6. Clinical Global Impression - Schizophrenia (CGI-SCH-DC) negative symptoms score

    The CGI-SCH is a clinician-rated scale to assess global illness severity and degree of change in patients with schizophrenia. For both the global illness severity and degree of change, the CGI-SCH consists of four different groups of symptoms (positive, negative, cognitive and depressive) and the overall severity of the disorder. In the CGI-SCH-DC degree of change category symptoms and overall severity are rated on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Each single rating (conditions of severity and degree of improvement) and overall ratings of severity and improvement are scored independently and no total score is derived.

    Measured: at Week 12

  7. CGI-SCH-DC negative symptoms response

    The CGI-SCH is a clinician-rated scale to assess global illness severity and degree of change in patients with schizophrenia. For both the global illness severity and degree of change, the CGI-SCH consists of four different groups of symptoms (positive, negative, cognitive and depressive) and the overall severity of the disorder. In the CGI-SCH-DC degree of change category symptoms and overall severity are rated on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Each single rating (conditions of severity and degree of improvement) and overall ratings of severity and improvement are scored independently and no total score is derived. Response defined as CGI-SCH-DC negative symptoms = 1 or 2

    Measured: at Week 12

  8. BNSS response

    The BNSS is a brief clinician rating scale, intended to measure negative symptoms. It consists of 13 items organized into 6 subscales: anhedonia, distress, asociality, avolition, blunted affect and alogia. The items score the impairment. Items 1 to 4 are rated from 0 (Normal) to 6 (Extremely severe) and items 5 to 13 are rated from 0 (No impairment) to 6 (Severe deficit). The BNSS total score is calculated by summing the 13 individual items; subscale scores are calculated by summing the individual items within each subscale. Users of the BNSS should have training in psychiatric interview techniques and have clinical experience working with patients with schizophrenia and related psychotic disorders. The BNSS total scores ranges from 0 to 78. Response criteria defined as 20,30 or 40% decrease in BNSS total score.

    Measured: at Week 12

  9. Change in PANSS -Positive subscale score

    The PANSS is a clinician rated scale designed to measure severity of psychopathology in adult patients with schizophrenia, schizoaffective disorders and other psychotic disorders. It emphasizes positive and negative symptoms. The PANSS includes 3 sub-scales and 30 items

    Measured: from baseline to Week 12

  10. Change in Clinical Global Impression - Schizophrenia (CGI-SCH-S) severity of illness overall severity score

    The CGI-SCH is a clinician-rated scale to assess global illness severity and degree of change in patients with schizophrenia. For both the global illness severity and degree of change, the CGI-SCH consists of four different groups of symptoms (positive, negative, cognitive and depressive) and the overall severity of the disorder. The CGI-SCH-S severity of illness category symptoms and overall severity are rated on a 7-point scale ranging from 1 (normal - not ill) to 7 (Among the most severely ill). For the first four ratings (positive, negative, depressive, and cognitive symptoms), the assessment should focus on the severity of symptoms only. Additionally, for 'overall severity' rating, both severity of symptoms and interference with functioning should be considered.

    Measured: from baseline to Week 12

  11. Clinical Global Impression - Schizophrenia (CGI-SCH-DC) degree of change in overall severity score

    The CGI-SCH is a clinician-rated scale to assess global illness severity and degree of change in patients with schizophrenia. For both the global illness severity and degree of change, the CGI-SCH consists of four different groups of symptoms (positive, negative, cognitive and depressive) and the overall severity of the disorder. In the CGI-SCH-DC degree of change category symptoms and overall severity are rated on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Each single rating (conditions of severity and degree of improvement) and overall ratings of severity and improvement are scored independently and no total score is derived.

    Measured: at Week 12

  12. Change in Calgary Depression Scale for Schizophrenia (CDSS) total score

    The CDSS is a 9-item clinician rated scale specifically developed for the assessment of depression in patients with schizophrenia. The items on the CDSS are all typical depressive symptoms and do not appear to overlap with the negative symptoms of schizophrenia. All items are rated on a 4-point scale from 0 (absent) to 3 (severe)

    Measured: from baseline to Week 12

Timeline

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

  1. First posted4 Jan 2019
  2. Study start27 Dec 2018
  3. Primary completion20 Aug 2020
  4. Study completion3 Sep 2020

Why it stopped: Lack of efficacy based on interim analysis

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
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
168 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03793712
Sponsor's protocol ID
17972A
Status last verified
Sep 2020
First submitted
3 Jan 2019
Last updated
23 Sep 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Meyer-Lindenberg A, Nielsen J, Such P, Lemming OM, Zambori J, Buller R, der Goltz CV. A double-blind, randomized, placebo-controlled proof of concept study of the efficacy and safety of Lu AF11167 for persistent negative symptoms in people with schizophrenia. Eur Neuropsychopharmacol. 2022 Aug;61:4-14. doi: 10.1016/j.euroneuro.2022.05.009. Epub 2022 Jun 12.

    PubMed 35704951

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Lu AF11167 (1-2 mg/day) and Lu AF11167 (3-4 mg/day) in people with Schizophrenia, run by H. Lundbeck A/S at 53 sites in 8 countries.

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 12 inclusion and 9 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: stopped early, as of the sponsor's last update on 23 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 53 sites in Bulgaria, Ukraine, Hungary, Czechia, Poland and 3 more countries. 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?

The study was stopped early (reason given: Lack of efficacy based on interim analysis). Results are not available in the source record.

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?

Change in Negative Symptom Scale (BNSS) total score (time frame: from baseline to Week 12). 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 NCT03793712, 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 23 Sep 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in