Phase 2
N=213
A Study to Evaluate the Effects of Basmisanil in Participants With Cognitive Impairment Associated With Schizophrenia (CIAS) Treated With Antipsychotics
Schizophrenia
Bottom Line
View on ClinicalTrials.gov: NCT02953639 ↗Enrolled (actual)
213
Serious AEs
4.2%
Results posted
Feb 2021
Primary outcome: Primary: Change From Baseline to Week 24 in MATRICS Consensus Cognitive Battery (MCCB) Neurocognitive Composite Score — 32.50; 32.36; -0.17; -0.28 Composite T-Score — p=0.730
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Basmisanil (Drug); Placebo (Drug)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Hoffmann-La Roche
- Primary completion
- Dec 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline to Week 24 in MATRICS Consensus Cognitive Battery (MCCB) Neurocognitive Composite Score |
32.50; 32.36; -0.17; -0.28; 1.08; 1.36 | 0.730 |
| SECONDARY Change From Baseline to Week 24 in MCCB Cognitive Domain Scores |
40.75; 39.66; -0.16; -0.14; 0.63; 0.51 | 0.556 |
| SECONDARY Change From Baseline to Week 24 in Wechsler Memory Scale Fourth Edition, Verbal Paired Associates (WMS IV-PAL) Score |
31.14; 32.30; 2.14; 0.36; 4.42; 5.09 | 0.211 |
| SECONDARY Change From Baseline to Week 24 in Wechsler Memory Scale Fourth Edition, Logical Memory Test (WMS IV-LM) Score |
16.55; 16.22; -2.60; -0.83; -3.02; -2.29 | 0.164 |
| SECONDARY Change From Baseline to Week 24 in Ratio Between Trail Making Test (TMT)- Part B and TMT- Part A Scores |
3.27; 3.12; -0.37; -0.12; -0.23; -0.06 | 0.527 |
| SECONDARY Change From Baseline to Week 24 in Personal and Social Performance (PSP) Total Score |
59.82; 60.88; 3.13; 2.26; 3.75; 4.14 | 0.323 |
| SECONDARY Change From Baseline to Week 24 in Schizophrenia Cognition Rating Scale (SCoRS) Total Score |
37.07; 36.53; -2.91; -3.66; -3.71; -4.02 | 0.493 |
| SECONDARY Change From Baseline to Week 24 in Clinical Global Impression Severity (CGI-S) Rating |
2.45; 2.39; -0.21; -0.24; -0.19; -0.29 | 0.839 |
| SECONDARY Change From Baseline to Week 24 in Clinical Global Impression Improvement (CGI-I) Rating |
-0.45; -0.45; -0.62; -0.64 | 0.865 |
| SECONDARY Change From Baseline to Week 24 in Schizophrenia Quality of Life Scale (SQLS) |
33.81; 34.21; -2.26; 0.21; -0.78; -4.32 | 0.142 |
| SECONDARY Percentage of Participants With Adverse Events (AEs) |
39.5; 46.3; 48.7 | — |
| SECONDARY Apparent Clearance of Basmisanil at Steady State (CL/F,ss) |
— | — |
| SECONDARY Apparent Volume of Distribution of Basmisanil at Steady State (Vz/F,ss) |
— | — |
| SECONDARY Area Under the Curve of Basmisanil at Steady State (AUC,ss) |
41640; 87624 | — |
| SECONDARY Maximum Plasma Concentration of Basmisanil at Steady State (Cmax,ss) |
2079; 4374 | — |
Summary
This multicenter study assessed the effects of 24 weeks of basmisanil treatment on cognition and functioning of stable schizophrenia participants treated with antipsychotics.
Eligibility Criteria
Inclusion Criteria
- Diagnosis of schizophrenia of any type utilizing the Mini International Neuropsychiatric Interview and diagnostic and statistical manual of mental disorders, fifth edition (DSM-5) direct clinical assessments, family informants and past medical records
- Evidence of stability of symptoms for 3 months at screening, that is, without hospitalizations for schizophrenia or increase in level of psychiatric care due to worsening of symptoms of schizophrenia
- Participants with schizophrenia clinical symptom severity defined by the following: hallucinatory behavior item score less than or equal to (</=) 5 and a delusion item score </= 5 of the PANSS
- Participants on a stable regimen of antipsychotic therapy for at least 3 months at screening and receiving no more than two antipsychotics
Exclusion Criteria
- Participants with current DSM-5 diagnosis other than schizophrenia including bipolar disorder, schizoaffective disorder and major depressive disorder
- Clinically significant neurological illness or significant head trauma that affects cognitive function, in the judgment of the principal investigator
- Full scale intelligence quotient </=65 on the Wechsler Abbreviated Scale of Intelligence at screening
- Positive result at screening for hepatitis B, hepatitis C, or human immunodeficiency virus-1 and 2
- Moderate to severe substance use disorder (other than nicotine or caffeine), as defined by the DSM-5, within the last 12 months
- Suicide attempt within 1 year or currently at risk of suicide in the opinion of the Investigator
Data sourced from ClinicalTrials.gov (NCT02953639). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.