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Completed

NCT Number: NCT04709224

Pharmacokinetics, Safety, and Tolerability of Lumateperone Long-Acting Injectable in Patients With Schizophrenia

This is an open-label study to determine the pharmacokinetics, safety and tolerability of single ascending doses of lumateperone long-acting injectable formulation in patients with schizophrenia. Patients will be enrolled in one of up to four cohorts. All patients will receive oral lumateperone for 5 days, followed by a 5-day washout of oral lumateperone, then followed by a single dose of lumateperone LAI.

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Key information

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Clinical Site, Long Beach, California, United States

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Male or female patients aged 18 to 50 years, inclusive
  • Clinical diagnosis of schizophrenia according to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
  • Clinically stable and free from acute exacerbation of psychosis for at least 3 months prior to Screening per Investigator assessment
  • On a stable dose of antipsychotic medication, including lumateperone, for at least 3 months prior to the Screening Visit
  • Clinical Global Impression - Severity (CGI-S) score ≤ 3

Key Exclusion Criteria:

  • Clinically significant abnormality within 2 years of Screening that, in the Investigator's opinion, may place the patient at risk or interfere with study outcome variables
  • History of psychiatric condition other than schizophrenia that, in the Investigator's opinion, may be detrimental to participation in the study
  • Any suicidal ideation within the 6 months prior to Screening, any suicidal behavior within 2 years prior to Screening based on the Columbia-Suicide Severity Rating Scale (C-SSRS) (excluding self-injurious, non-suicidal behavior), and/or Investigator assessment that the patient is a safety risk to him/herself or others
  • Surgical or medical condition (active or chronic) that in the Investigator's opinion may interfere with drug absorption, distribution, metabolism, or excretion of the study drug or any other condition that may place the patient at risk; history of gastric bypass or sleeve gastrectomy; history of severe dystonic reaction on antipsychotics such as laryngeal spasm

Treatment and study plan

Lumateperone Long-Acting Injectable

Drug

Lumateperone Long-Acting Injectable

Primary outcomes

  1. Pharmacokinetics: Maximum observed plasma concentration (Cmax) of lumateperone and metabolites

    Time frame: predose and at multiple timepoints up to 7 weeks postdose

  2. Pharmacokinetics: Time of maximum observed plasma concentration (Tmax) of lumateperone and metabolites

    Time frame: predose and at multiple timepoints up to 7 weeks postdose

  3. Pharmacokinetics: Area under the plasma concentration-time curve from time zero to the last measurable concentration (AUC0-t) of lumateperone and metabolites

    Time frame: predose and at multiple timepoints up to 7 weeks postdose

  4. Pharmacokinetics: Area under the plasma concentration-time curve from time zero extrapolated to infinity (AUC0-inf) of lumateperone and metabolites

    Time frame: predose and at multiple timepoints up to 7 weeks postdose

  5. Pharmacokinetics: Terminal elimination half-life (T1/2) of lumateperone and metabolites

    Time frame: predose and at multiple timepoints up to 7 weeks postdose

  6. Pharmacokinetics: Maximum observed plasma concentration (Cmax,BR) of lumateperone and metabolites during burst-release phase

    Time frame: predose and at multiple timepoints up to 7 weeks postdose

  7. Pharmacokinetics: Time of maximum observed plasma concentration (Tmax,BR) of lumateperone and metabolites during burst-release phase

    Time frame: predose and at multiple timepoints up to 7 weeks postdose

  8. Pharmacokinetics: Area under the plasma concentration-time curve (AUC0-t,BR) of lumateperone and metabolites during burst-release phase

    Time frame: predose and at multiple timepoints up to 7 weeks postdose

  9. Pharmacokinetics: Maximum observed plasma concentration (Cmax,SR) of lumateperone and metabolites during sustained-release phase

    Time frame: predose and at multiple timepoints up to 7 weeks postdose

  10. Pharmacokinetics: Time of maximum observed plasma concentration (Tmax,SR) of lumateperone and metabolites during sustained-release phase

    Time frame: predose and at multiple timepoints up to 7 weeks postdose

  11. Pharmacokinetics: Area under the plasma concentration-time curve (AUC0-t,SR) of lumateperone and metabolites during sustained-release phase

    Time frame: predose and at multiple timepoints up to 7 weeks postdose

Secondary outcomes

  1. Percentage of participants with treatment-emergent AEs

    Time frame: up to 7 weeks postdose

  2. Change from baseline in Systolic and Diastolic Blood Pressure

    Time frame: up to 7 weeks postdose

  3. Change from baseline in hemoglobin

    Time frame: up to 7 weeks postdose

  4. Change from baseline in platelet count

    Time frame: up to 7 weeks postdose

  5. Change from baseline in white blood cell count

    Time frame: up to 7 weeks postdose

  6. Change from baseline in aspartate aminotransferase

    Time frame: up to 7 weeks postdose

  7. Change from baseline in alanine aminotransferase

    Time frame: up to 7 weeks postdose

  8. Change from baseline in glucose

    Time frame: up to 7 weeks postdose

  9. Change from baseline in creatine kinase

    Time frame: up to 7 weeks postdose

  10. Change from baseline in ECG QT Interval

    Time frame: up to 7 weeks postdose

  11. Change from baseline in Abnormal Involuntary Movement Scale

    Time frame: up to 7 weeks postdose

    AIMS is a measure of facial and oral movements, extremity movements and trunk movements. Items are rated on a scale from none (0) to severe (4).

Sponsors and collaborators

Lead sponsor

Intra-Cellular Therapies, Inc.

Industry

Registry information

Official study title

An Open-label Study to Determine the Pharmacokinetics, Safety and Tolerability of Single Ascending Doses of a Subcutaneous Injection of Lumateperone Long-Acting Injectable (LAI) Formulation in Patients With Schizophrenia

Important dates

Study start
2020
Primary completion
2022
Study completion
2022
First posted
Jan 14, 2021
Registry last updated
Dec 5, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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