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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01192867
Registration number
NCT01192867
Ethics application status
Date submitted
30/08/2010
Date registered
1/09/2010
Date last updated
26/06/2017
Titles & IDs
Public title
A Study of RO4917838 in Participants With Persistent, Predominant Negative Symptoms of Schizophrenia (NN25310)
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Scientific title
A Phase III, Multi-Center, Randomized, 24 Week, Double-Blind, Parallel-Group, Placebo-Controlled Study to Evaluate Efficacy and Safety of RO4917838 in Stable Patients With Persistent, Predominant Negative Symptoms of Schizophrenia Treated With Antipsychotics Followed by a 28 Week, Double-Blind Treatment Period
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Secondary ID [1]
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2010-020370-42
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Secondary ID [2]
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NN25310
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Schizophrenia
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Condition category
Condition code
Mental Health
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Schizophrenia
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Placebo
Treatment: Drugs - RO4917838
Treatment: Drugs - Antipshychotics (Standard of Care)
Experimental: RO4917838 20 milligrams (mg) - Participants, on stable antipsychotics, will receive RO4917838 orally at 20 mg once daily (QD) up to 56 weeks followed by an optional treatment extension for up to 3 years.
Experimental: RO4917838 10 mg - Participants, on stable antipsychotics, will receive RO4917838 orally at 10 mg QD up to 56 weeks followed by an optional treatment extension for up to 3 years.
Placebo comparator: Placebo - Participants, on stable antipsychotics, will receive RO4917838 matching placebo orally QD up to 56 weeks.
Treatment: Drugs: Placebo
Placebo will be administered orally QD for 56 weeks
Treatment: Drugs: RO4917838
RO4917838 will be administered orally at 20 or 10 mg QD for 56 weeks.
Treatment: Drugs: Antipshychotics (Standard of Care)
Participants will continue to receive their stable antipshychotic as standard of care based on their prescription up to Week 56.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change From Baseline in the Positive and Negative Symptoms Scales (PANSS) Negative Symptoms Factor Score at Week 24 (All-Participant Population)
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Assessment method [1]
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Timepoint [1]
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Baseline, Week 24
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Primary outcome [2]
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Percentage of Participants With Adverse Events (All-Participant Population)
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Assessment method [2]
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Timepoint [2]
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Week 24
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Secondary outcome [1]
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Change From Baseline in the PANSS Negative Symptoms Factor Score at Week 24 (Complement Factor H Related Protein 1 High [CFHR1-High] Subgroup Population)
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Assessment method [1]
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Timepoint [1]
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Baseline, Week 24
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Secondary outcome [2]
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Change From Baseline in the Personal and Social Performance (PSP) Total Score at Week 24 (All-Participant Population)
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Assessment method [2]
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Timepoint [2]
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Baseline, Week 24
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Secondary outcome [3]
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Change From Baseline in the PSP Total Score at Week 24 (CFHR1-High Subgroup Population)
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Assessment method [3]
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Timepoint [3]
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Baseline, Week 24
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Secondary outcome [4]
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Change From Baseline in the PANSS Total Score at Week 24 (All-Participant Population)
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Assessment method [4]
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Timepoint [4]
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Baseline, Week 24
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Secondary outcome [5]
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Change From Baseline in the PANSS Total Score at Week 24 (CFHR1-High Subgroup Population)
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Assessment method [5]
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0
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Timepoint [5]
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Baseline, Week 24
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Secondary outcome [6]
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Change From Baseline in the PANSS Factor Score at Week 24 (All-Participant Population)
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Assessment method [6]
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Timepoint [6]
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Baseline, Week 24
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Secondary outcome [7]
0
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Change From Baseline in the PANSS Factor Score at Week 24 (CFHR1-High Subgroup Population)
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Assessment method [7]
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0
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Timepoint [7]
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Baseline, Week 24
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Secondary outcome [8]
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Change From Baseline in the PANSS Subscale Scores at Week 24 (All-Participant Population)
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Assessment method [8]
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0
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Timepoint [8]
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Baseline, Week 24
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Secondary outcome [9]
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Change From Baseline in the PANSS Subscale Scores at Week 24 (CFHR1-High Subgroup Population)
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Assessment method [9]
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0
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Timepoint [9]
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Baseline, Week 24
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Secondary outcome [10]
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Percentage of Participants Who Have at least 20 Percent (%) Improvement From Baseline in the PANSS Negative Symptom Factor Score at Week 24 (All-Participant Population)
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Assessment method [10]
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0
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Timepoint [10]
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0
Baseline, Week 24
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Secondary outcome [11]
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Percentage of Participants Who Have at least 20% Improvement From Baseline in the PANSS Negative Symptom Factor Score at Week 24 (CFHR1-High Subgroup Population)
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Assessment method [11]
0
0
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Timepoint [11]
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Baseline, Week 24
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Secondary outcome [12]
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Percentage of Participants Who Have at least 20% Improvement From Baseline in the PANSS Negative Symptom Factor Score for Two out of Three Assessments During 24 Weeks (All-Participant Population)
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Assessment method [12]
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0
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Timepoint [12]
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Baseline up to Week 24
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Secondary outcome [13]
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Percentage of Participants Who Have at least 20% Improvement From Baseline in the PANSS Negative Symptom Factor Score for Two out of Three Assessments During 24 Weeks (CFHR1-High Subgroup Population)
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Assessment method [13]
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0
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Timepoint [13]
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Baseline up to Week 24
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Secondary outcome [14]
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Percentage of Participants With Improvement From Baseline in the Overall Clinical Status Based on Clinical Global Impression - Improvement (CGI-I) Score (All-Participant Population)
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Assessment method [14]
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Timepoint [14]
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Baseline, Week 24
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Secondary outcome [15]
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Percentage of Participants With Improvement From Baseline in the Overall Clinical Status Based on CGI-I Score (CFHR1 Subgroup Population)
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Assessment method [15]
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Timepoint [15]
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Baseline, Week 24
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Secondary outcome [16]
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Percentage of Participants With Improvement From Baseline in the Overall Clinical Status Based on CGI-I Score for Two out of Three Assessments During 24 Weeks (All-Participant Population)
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Assessment method [16]
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Timepoint [16]
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Baseline up to Week 24
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Secondary outcome [17]
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Percentage of Participants With Improvement From Baseline in the Overall Clinical Status Based on CGI-I Score for Two out of Three Assessments During 24 Weeks (CFHR1 Subgroup Population)
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Assessment method [17]
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0
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Timepoint [17]
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Baseline up to Week 24
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Secondary outcome [18]
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Percentage of Participants With Improvement From Baseline in the Negative Symptoms Based on CGI-I Negative Symptoms Score (All-Participant Population)
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Assessment method [18]
0
0
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Timepoint [18]
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0
Baseline, Week 24
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Secondary outcome [19]
0
0
Percentage of Participants With Improvement From Baseline in the Negative Symptoms Based on CGI-I Negative Symptoms Score (CFHR1 Subgroup Population)
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Assessment method [19]
0
0
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Timepoint [19]
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0
Baseline, Week 24
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Secondary outcome [20]
0
0
Percentage of Participants With Improvement From Baseline in the Negative Symptoms Based on CGI-I Negative Symptoms Score for Two out of Three Assessments During 24 Weeks (All-Participant Population)
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Assessment method [20]
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0
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Timepoint [20]
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0
Baseline up to Week 24
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Secondary outcome [21]
0
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Percentage of Participants With Improvement From Baseline in the Negative Symptoms Based on CGI-I Negative Symptoms Score for Two out of Three Assessments During 24 Weeks (CFHR1 Subgroup Population)
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Assessment method [21]
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0
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Timepoint [21]
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Baseline up to Week 24
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Secondary outcome [22]
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Percentage of Participants Who Have at least 20% Improvement From Baseline in the PANSS Negative Symptom Factor Score at Week 24 and Improvement in the Negative Symptoms Based on CGI-I Negative Symptoms Score (All-Participant Population)
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Assessment method [22]
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0
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Timepoint [22]
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Baseline, Week 24
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Secondary outcome [23]
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Percentage of Participants Who Have at least 20% Improvement From Baseline in the PANSS Negative Symptom Factor Score at Week 24 and Improvement in the Negative Symptoms Based on CGI-I Negative Symptoms Score (CFHR1 Subgroup Population)
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Assessment method [23]
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0
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Timepoint [23]
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Baseline, Week 24
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Secondary outcome [24]
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Change From Baseline in Severity of Illness Based on Clinical Global Impression - Severity (CGI-S) Overall Score (All-Participant Population)
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Assessment method [24]
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0
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Timepoint [24]
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0
Baseline, Week 24
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Secondary outcome [25]
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Change From Baseline in Severity of Illness Based on CGI-S Overall Score (CFHR1 Subgroup Population)
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Assessment method [25]
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0
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Timepoint [25]
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0
Baseline, Week 24
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Secondary outcome [26]
0
0
Change From Baseline in Severity of Illness Based on CGI-S Negative Symptoms Score (All-Participant Population)
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Assessment method [26]
0
0
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Timepoint [26]
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0
Baseline, Week 24
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Secondary outcome [27]
0
0
Change From Baseline in Severity of Illness Based on CGI-S Negative Symptoms Score (CFHR1 Subgroup Population)
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Assessment method [27]
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0
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Timepoint [27]
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Baseline, Week 24
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Eligibility
Key inclusion criteria
* Diagnosis of schizophrenia of paranoid, disorganized, residual, undifferentiated or catatonic subtype
* Predominant negative symptoms
* With the exception of clozapine, participants are on any of the available marketed atypical or typical antipsychotics (treatment with a maximum of two antipsychotics)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Evidence that participant has clinically significant, uncontrolled and unstable disorder (e.g. cardiovascular, renal, hepatic disorder)
* Body Mass Index (BMI) of less than (<) 17 or greater than (>) 40 kilograms per meter square (kg/m^2)
* Depressive symptoms, defined as a score of 9 or greater on the Calgary Depression Rating Scale for Schizophrenia (CDSS)
* A severity score of 3 or greater on the Parkinsonism item of the Exrapyramidal Symptoms Rating Scale-Abbreviated (ESRS-A) (Clinical Global Impression, Parkinsonism)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
11/12/2010
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
26/05/2014
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Sample size
Target
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Accrual to date
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Final
629
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Westmead Hospital; Department of Psychiatry - Westmead
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Recruitment hospital [2]
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Monash Medical Centre-Clayton Campus; School of Psychology and Psychiatry - Clayton
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Recruitment hospital [3]
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Frankston Hospital; Mental Health Service - Frankston
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Recruitment hospital [4]
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The Alfred Hospital; Monash Alfred Psychiatry Research Centre (MAP-RC) - Melbourne
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Recruitment postcode(s) [1]
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2145 - Westmead
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Recruitment postcode(s) [2]
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3168 - Clayton
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Recruitment postcode(s) [3]
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3199 - Frankston
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Recruitment postcode(s) [4]
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3004 - Melbourne
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Recruitment outside Australia
Country [1]
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United States of America
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Arkansas
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United States of America
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California
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United States of America
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Florida
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United States of America
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Georgia
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Illinois
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Iowa
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Maryland
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Missouri
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New Jersey
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New Mexico
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New York
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North Carolina
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Ohio
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Pennsylvania
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Texas
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Washington
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Argentina
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Buenos Aires
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Argentina
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Caba
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Argentina
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Argentina
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Ciudad de Mendoza
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Argentina
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Cordoba
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Argentina
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La Plata
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Argentina
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Mendoza
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Argentina
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Rosario
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Argentina
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Santiago del Estero
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Colombia
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Barranquilla
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Colombia
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Bello
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Balassagyarmat
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Budapest
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Gyor
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Gyula
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India
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India
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India
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India
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India
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Incheon
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Arad
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Targouiste
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Russian Federation
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Kemerovo
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Russian Federation
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Lipetsk
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Russian Federation
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Russian Federation
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Moscow
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Russian Federation
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Nizhny Novgorod
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Russian Federation
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Saint Petersburg
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Russian Federation
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Samara
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Russian Federation
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St Petersbourg
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Russian Federation
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St Petersburg
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Russian Federation
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St. Petersburg
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Russian Federation
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Talagi
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Russian Federation
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Tomsk
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Sweden
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Malmö
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Sweden
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Stockholm
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Sweden
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Uppsala
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United Kingdom
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Edinburgh
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United Kingdom
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London
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United Kingdom
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Oxford
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Hoffmann-La Roche
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This multi-center, randomized, double-blind, parallel-group, placebo-controlled study will evaluate the efficacy and safety of RO4917838 in participants with persistent, predominant negative symptoms of schizophrenia. Participants, on stable treatment with antipsychotics, will be randomized to receive daily oral doses of RO4917838 or matching placebo for 56 weeks (treatment period 1 of 24 weeks and treatment period 2 of 32 weeks), followed by an optional treatment extension for up to 3 years. After 52 weeks, participants who were originally randomized to an active treatment will be randomly assigned to receive either placebo or continue on the originally assigned study treatment for 4 weeks washout period (Week 52 to Week 56) for the assessment of potential withdrawal effects in a blinded manner using participants staying on active treatment as a control. Participants initially randomized to placebo will remain on placebo. After 56 weeks, participants who were switched to placebo in the washout period will return to their blinded, active treatment arm.
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Trial website
https://clinicaltrials.gov/study/NCT01192867
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Trial related presentations / publications
Georgiades A, Davis VG, Atkins AS, Khan A, Walker TW, Loebel A, Haig G, Hilt DC, Dunayevich E, Umbricht D, Sand M, Keefe RSE. Psychometric characteristics of the MATRICS Consensus Cognitive Battery in a large pooled cohort of stable schizophrenia patients. Schizophr Res. 2017 Dec;190:172-179. doi: 10.1016/j.schres.2017.03.040. Epub 2017 Apr 20. Bugarski-Kirola D, Blaettler T, Arango C, Fleischhacker WW, Garibaldi G, Wang A, Dixon M, Bressan RA, Nasrallah H, Lawrie S, Napieralski J, Ochi-Lohmann T, Reid C, Marder SR. Bitopertin in Negative Symptoms of Schizophrenia-Results From the Phase III FlashLyte and DayLyte Studies. Biol Psychiatry. 2017 Jul 1;82(1):8-16. doi: 10.1016/j.biopsych.2016.11.014. Epub 2016 Dec 15.
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Public notes
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Contacts
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Hoffmann-La Roche
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https://clinicaltrials.gov/study/NCT01192867
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