Obsessive Compulsive DisorderPhase 3NCT04708834
Long-term Safety Study of Adjunctive Troriluzole in Subjects With Obsessive Compulsive Disorder
A Phase 3 study testing Troriluzole (BHV-4157) in people with Obsessive Compulsive Disorder, run by Biohaven Pharmaceuticals, Inc. at 175 sites in 6 countries.
Trial summary
The purpose of the study is to evaluate the long term safety and tolerability of troriluzole as adjunctive therapy in subjects with obsessive compulsive disorder (OCD). Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Obsessive Compulsive Disorder
- What is being tested?
- Troriluzole (BHV-4157)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 772 participants
- Where
- 175 sitesin 6 countries
- Study dates
- 30 Mar 2021to 13 Feb 2026
- Phase
- Phase 3
- 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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Eligible subjects are those subjects who complete study BHV4157-302 or BHV4157-303 and for whom the investigator believes open-label treatment offers an acceptable risk-benefit profile.
- Determined by the investigator to be medically stable at the week 10 visit of BHV4157-302 or BHV4157-303, as assessed by medical history, physical examination, laboratory test results, and electrocardiogram testing.
- It is required that all women of child-bearing potential (WOCBP) who are sexually active agree to use two methods of contraception for the duration of the study
Who cannot join
- Subjects who did not successfully complete 10 weeks of treatment in the BHV4157-302 or BHV4157-303 study.
- Acute suicidality or suicide attempt or self injurious behavior in the last 12 months.
- Patients who may have received a non-biological investigational agent in any clinical trial within 30 days or a biological agent within 90 days prior to entry, other than what was received in BHV4157-302 or BHV4157-303;
Trial locations and contacts
175 sites in 6 countries.
175 sites in 6 countries
United States147 sites
Lehigh Center for Clinical Research
Allentown, Pennsylvania, 18104
Advanced Research Center, Inc.
Anaheim, California, 92805
Michigan Clinical Research Institute PC
Ann Arbor, Michigan, 48105
Topaz Clinical Research
Apopka, Florida, 32703
NeuroTrials Research Inc
Atlanta, Georgia, 30328
BioBehavioral Research of Austin
Austin, Texas, 78759
Northern Light Acadia Hospital
Bangor, Maine, 04401
Inquest Clinical Research
Baytown, Texas, 77521
Clinical Inquest Center, Ltd
Beavercreek, Ohio, 45431
Northwest Clinical Research Center
Bellevue, Washington, 98007
CITrials (Clinical Innovations)
Bellflower, California, 90706
Hassman Research Institute
Berlin, New Jersey, 08009
Southern California Research, LLC
Beverly Hills, California, 90210
Boca Raton Medical Institute
Boca Raton, Florida, 33431
Northwest Clinical Trials
Boise, Idaho, 83704
Massachusetts General Hospital
Boston, Massachusetts, 02114
Boston Clinical Trials
Boston, Massachusetts, 02131
Integrative Clinical Trials, LLC
Brooklyn, New York, 11229
SPRI Clinical Trials, LLC
Brooklyn, New York, 11235
DiscoveResearch, Inc. (DRI)
Bryan, Texas, 77802
NeuroScience Research Center, LLC.
Canton, Ohio, 44718
Neurobehavioral Research, Inc
Cedarhurst, New York, 11516
Metropolitan Neuro Behavioral Institute
Chandler, Arizona, 85226
Center for Emotional Fitness
Cherry Hill, New Jersey, 08002
Uptown Research Institute
Chicago, Illinois, 60640
University of Chicago Department of Psychiatry & Behavioral Neuroscience
Chicago, Illinois, 91786
CTI Clinical Research Center
Cincinnati, Ohio, 45212
Axiom Research, LLC
Colton, California, 92324
Advanced Clinical Research Network
Coral Gables, Florida, 33134
CNS Research of Coral Springs
Coral Springs, Florida, 33067
Global Clinical Trials
Costa Mesa, California, 92627
ProScience Research Group
Culver City, California, 90230
FutureSearch Trials of Dallas, LP
Dallas, Texas, 75231
Relaro Medical Trials
Dallas, Texas, 75243
Midwest Clinical Research Center
Dayton, Ohio, 45417
iResearch Atlanta, LLC
Decatur, Georgia, 30030
Mountain View Clinical Research
Denver, Colorado, 80209
InSite Clinical Research
DeSoto, Texas, 75115
Revive Research Institute
Elgin, Illinois, 60123
WR-PRI, LLC (Encino)
Encino, California, 91316
Carolina Institute for Clinical Research
Fayetteville, North Carolina, 28303
Precise Research Centers
Flowood, Mississippi, 39232
Gulfcoast Clinical Research Center
Fort Myers, Florida, 33912
North Texas Clinical Trials
Fort Worth, Texas, 76104
University of Florida Department of Psychiatry
Gainesville, Florida, 32606
CBH Health
Gaithersburg, Maryland, 20877
Behavioral Research Specialists, LLC
Glendale, California, 91206
Bio Behavioral Institute
Great Neck, New York, 11021
Institute of Living / Hartford Hospital
Hartford, Connecticut, 06106
Qway Research, LLC
Hialeah, Florida, 33010
Research in Miami Inc
Hialeah, Florida, 33013
Health Care Family Rehab & Research
Hialeah, Florida, 33015
Galiz Research
Hialeah, Florida, 33016
Baylor College of Medicine
Houston, Texas, 77030
Clinical Trial Network
Houston, Texas, 77074
Texas Center for Drug Development, Inc.
Houston, Texas, 77081
Sun Valley Research Center, Inc.
Imperial, California, 92251
Clinical Neuroscience Solutions, Inc
Jacksonville, Florida, 90024
Accel Research Sites (formerly Meridien Research)
Lakeland, Florida, 33803
Om Research LLC
Lancaster, California, 93534
Altea Research
Las Vegas, Nevada, 89102
Innovative Clinical Research, Inc.
Lauderhill, Florida, 33319
Synergy Research San Diego
Lemon Grove, California, 91945
Capstone Clinical Research
Libertyville, Illinois, 60048
Atria Clinical Research
Little Rock, Arkansas, 72209
Alliance for Research
Long Beach, California, 90807
Pharmacology Research Institute
Los Alamitos, California, 90720
CalNeuro Research Group
Los Angeles, California, 90024
Clarity Clinical Research
Los Angeles, California, 90064
Pharmaceutical Research Center, Inc.
Lutz, Florida, 33548
ClinCloud, LLC
Maitland, Florida, 32751
Meridien Research
Maitland, Florida, 32751
Suburban Research Associates
Media, Pennsylvania, 19063
SMS Clinical Research
Mesquite, Texas, 75149
ActivMed Practices and Research
Methuen, Massachusetts, 01844
Central Miami Medical Institute
Miami, Florida, 33125
Clintex Research
Miami, Florida, 33135
Sanchez Clinical Research Inc
Miami, Florida, 33157
Med-Care Research
Miami, Florida, 33165
FIRC
Miami, Florida, 33173
Florida Research Center, Inc.
Miami, Florida, 33174
Ezy Medical Research, Co.
Miami, Florida, 33175
Miami Dade Medical Research Institute
Miami, Florida, 33176
Pro-Care Research Center
Miami Gardens, Florida, 33014
South Florida Research Phase I-IV, Inc.
Miami Springs, Florida, 33166
Boeson Research
Missoula, Montana, 59804
Mt.Olympus Medical Research LLC
Missouri City, Texas, 77459
Bioscience Research, LLC
Mount Kisco, New York, 10549
Coastal Carolina Research Center
Mt. Pleasant, South Carolina, 29464
AMR-Baber Research, Inc
Naperville, Illinois, 60563
Advanced Research for Health Improvement
Naples, Florida, 34102
Yale University
New Haven, Connecticut, 06519
Coastal Connecticut Research, LLC
New London, Connecticut, 06320
Bayside Clinical Research, LLC
New Port Richey, Florida, 34655
Hapworth Research
New York, New York, 10019
New York State Psychiatric Institute
New York, New York, 10032
Manhattan Behavioral Medicine, PLLC
New York, New York, 10036
Pharmacology Research Institute (WR-PRI, LLC)
Newport Beach, California, 92660
Bravo Health Care Center
North Bay Village, Florida, 33141
Behavioral Clinical Research
North Miami, Florida, 33161
Harmony Clinical Research
North Miami Beach, Florida, 33162
Comprehensive Psychiatric Care
Norwich, Connecticut, 06360
Psychiatric Care and Research Center
O'Fallon, Missouri, 63368
Pacific Research Partners
Oakland, California, 94607
North County Clinical Research
Oceanside, California, 92054
Excell Research, Inc
Oceanside, California, 92056
IPS Research
Oklahoma City, Oklahoma, 73106
NRC Research Institute
Orange, California, 92688
Medical Research Group of Central Florida
Orange City, Florida, 32763
APG Research, LLC
Orlando, Florida, 32803
Combined Research Orlando Phase I-IV
Orlando, Florida, 32807
Omega Research Consultants
Orlando, Florida, 32808
IMIC Inc
Palmetto Bay, Florida, 33157
MedBio Trials
Pembroke Pines, Florida, 33026
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Alea Research
Phoenix, Arizona, 85012
NoeisisPharma, LLC
Phoenix, Arizona, 85016
Pharmasite Research, Inc.
Pikesville, Maryland, 21208
DMI Research
Pinellas Park, Florida, 33782
AIM Trials
Plano, Texas, 75093
Collective Medical Research
Prairie Village, Kansas, 66208
Anderson Clinical Research
Redlands, California, 92374
CI Trials
Riverside, California, 92506
Finger Lakes Clinical Research
Rochester, New York, 14618
Clinical Trials of Texas, Inc.
San Antonio, Texas, 78229
ACRC Studies
San Diego, California, 92119
Lumos Clinical Research Center, LLC
San Jose, California, 95124
National Research Institute
Santa Ana, California, 92704
iResearch Savannah
Savannah, Georgia, 31405
California Neuroscience Research Medical Group, Inc
Sherman Oaks, California, 91403
Renew Health Clinical Research, LLC
Snellville, Georgia, 30078
Sisu at RMG
Springfield, Massachusetts, 01103
PsychCare Consultants Research
St Louis, Missouri, 63128
Stanford University
Stanford, California, 94305
Richmond Behavioral Associates
Staten Island, New York, 10312
Lenus Research & Medical Group, LLC
Sweetwater, Florida, 33172
Stedman Clinical Trials
Tampa, Florida, 33613
Olympian Clinical Research
Tampa, Florida, 33614
Bio Behavioral Health
Toms River, New Jersey, 08755
Collaborative Neuroscience Research
Torrance, California, 90502
Continental Clinical Solutions, LLC
Towson, Maryland, 21204
Central States Research, LLC
Tulsa, Oklahoma, 74136
Pacific Clinical Research Medical Group
Upland, California, 91786
Adams Clinical
Watertown, Massachusetts, 02472
Grayline Research Center
Wichita Falls, Texas, 76309
Conquest Research LLC
Winter Park, Florida, 32789
Woodstock Research Center
Woodstock, Vermont, 05091
United Kingdom8 sites
MAC Clinical Research-Lancashire
Blackpool, FY2 0JH
Surrey and Borders Partnership NHS Foundation Trust
Chertsey, KT16 0AE
MAC Clinical Research -- Merseyside
Liverpool, L34 1BH
South West London and St George's Mental Health NHS Trust Springfield University Hospital
London, SW17 7DJ
MAC Clinical Research-Greater Manchester
Manchester, M13 9NQ
Greater Manchester Mental Health NHS Foundation Trust
Manchester, M25 3BL
Bioluminux Ltd
Milton Keynes, MK15 0DU
MAC Clinical Research-- South Yorkshire
Tankersley, S75 3DL
Canada7 sites
University of Calgary
Calgary, Alberta, T2N 4Z6
Chatham-Kent Clinical Trials Research Centre
Chatham, Ontario, N7L 1C1
McMaster University, Hamilton Health Sciences
Hamilton, Ontario, L8S 1B7
Queen's University
Kingston, Ontario, K7L 5G2
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
START Clinic for Mood and Anxiety Disorders
Toronto, Ontario, M4W 2N4
University of Toronto / Centre for Addiction and Mental Health (CAMH)
Toronto, Ontario, M6J 1H4
Spain6 sites
Hospital Universitario de Bellvitge
Barcelona, 08907
Hospital Universitario Ramón y Cajal
Madrid, 28034
Hospital Clínico San Carlos
Madrid, 28040
Centro de Salud Mental La Corredoria
Oviedo, 33011
Centro de Salud San Juan
Salamanca, 37005
Hospital Álvaro Cunqueiro
Vigo, 36312
Italy5 sites
Institute of Neuroscience, University of Firenze
Florence, 50121
ASST FBF SACCO - Ospedale Universitario Luigi Sacco
Milan, 20157
University School of Medicine of Napoli Federico II
Naples, 80131
University of Pisa
Pisa, 56126
University of Turin - university hospital san luigi gonzaga
Turin, 10043
Netherlands2 sites
Amsterdam UMC, locatie AMC
Amsterdam, 1100
Leiden University Medical Center (LUMC)
Leiden, 2333
About this study
Official title: A Multicenter, Long-Term Open-Label Safety Study of Adjunctive Troriluzole in Subjects With Obsessive Compulsive Disorder
The purpose of the study is to evaluate the long term safety and tolerability of troriluzole as adjunctive therapy in subjects with obsessive compulsive disorder (OCD).
- Conditions
- Obsessive Compulsive Disorder
- Being tested
- Troriluzole (BHV-4157)
- Keywords
- Obsessive compulsive disorder, OCD, troriluzole, Biohaven
- Medical subject headings
- Obsessive-Compulsive Disorder
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Troriluzole (BHV-4157)Drug
200 mg daily first 2 weeks, 280 daily following first 2 weeks
| Study group | Role | What they receive |
|---|---|---|
| Troriluzole (BHV-4157) | Experimental | 200 mg daily first 2 weeks, 280 daily following first 2 weeks Receives: Drug: Troriluzole (BHV-4157) |
What is being measured
The primary outcome is the main question the study is designed to answer.
To evaluate the long term safety and tolerability of troriluzole as adjunctive therapy in subjects with OCD who have had an inadequate response to SSRI, clomipramine, venlafaxine or desvenfaxine treatment
Percent change in treatment emergent adverse events, and clinical significant abnormalities in ECG's and lab values after Baseline.
Measured: Change from Baseline to week 240
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jan 2021
- Study start30 Mar 2021
- Primary completion13 Feb 2026
- Study completion13 Feb 2026
Why it stopped: Sponsor Decision
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Obsessive Compulsive DisorderStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 772 participants (actual)
Sponsor and investigators
- Lead sponsor
- Biohaven Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04708834
- Sponsor's protocol ID
- BHV4157-209
- Status last verified
- Feb 2026
- First submitted
- 11 Jan 2021
- Last updated
- 25 Feb 2026
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Long-Term Open-Label Safety Study of Adjunctive Troriluzole in Subjects With Obsessive Compulsive Disorder
- ClinicalTrials.gov ID
- NCT04708834
- Acronym / sponsor ID
- BHV4157-209
- Conditions
- Obsessive Compulsive Disorder
- Keywords
- Obsessive compulsive disorder, OCD, troriluzole, Biohaven
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Sponsor Decision
- Enrolment
- 772 participants (actual)
- Lead sponsor
- Biohaven Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Study start
- 30 Mar 2021 (actual)
- Primary completion
- 13 Feb 2026 (actual)
- Study completion
- 13 Feb 2026 (actual)
- First posted
- 14 Jan 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to evaluate the long term safety and tolerability of troriluzole as adjunctive therapy in subjects with obsessive compulsive disorder (OCD).
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Troriluzole (BHV-4157) | Experimental | Drug: Troriluzole (BHV-4157)200 mg daily first 2 weeks, 280 daily following first 2 weeks |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Eligible subjects are those subjects who complete study BHV4157-302 or BHV4157-303 and for whom the investigator believes open-label treatment offers an acceptable risk-benefit profile.
- Determined by the investigator to be medically stable at the week 10 visit of BHV4157-302 or BHV4157-303, as assessed by medical history, physical examination, laboratory test results, and electrocardiogram testing.
- It is required that all women of child-bearing potential (WOCBP) who are sexually active agree to use two methods of contraception for the duration of the study
Key exclusion criteria (3 listed)
- Subjects who did not successfully complete 10 weeks of treatment in the BHV4157-302 or BHV4157-303 study.
- Acute suicidality or suicide attempt or self injurious behavior in the last 12 months.
- Patients who may have received a non-biological investigational agent in any clinical trial within 30 days or a biological agent within 90 days prior to entry, other than what was received in BHV4157-302 or BHV4157-303;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Troriluzole (BHV-4157)200 mg daily first 2 weeks, 280 daily following first 2 weeks | Drug | Troriluzole (BHV-4157) |
Primary outcome
To evaluate the long term safety and tolerability of troriluzole as adjunctive therapy in subjects with OCD who have had an inadequate response to SSRI, clomipramine, venlafaxine or desvenfaxine treatment
Time frame: Change from Baseline to week 240
Percent change in treatment emergent adverse events, and clinical significant abnormalities in ECG's and lab values after Baseline.
Results and safety
The study was stopped early (reason given: Sponsor Decision). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Feb 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
175 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Troriluzole (BHV-4157) in people with Obsessive Compulsive Disorder, run by Biohaven Pharmaceuticals, Inc. at 175 sites in 6 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 3 inclusion and 3 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 25 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 175 sites in United States, United Kingdom, Canada, Spain, Italy and 1 more country. 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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: Sponsor Decision). 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?
To evaluate the long term safety and tolerability of troriluzole as adjunctive therapy in subjects with OCD who have had an inadequate response to SSRI, clomipramine, venlafaxine or desvenfaxine treatment (time frame: Change from Baseline to week 240). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 25 Feb 2026.