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Phase 2 N=60 Randomized Quadruple-blind Treatment

Caplyta in Borderline Personality Disorder

Borderline Personality Disorder

Enrolled (actual)
60
Serious AEs
1.7%
Results posted
Apr 2026
Primary outcome: Primary: Zanarini Rating Scale for Borderline Personality Disorder (ZAN-BPD) — 8.74; 5.80 Score on a scale

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Caplyta (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Chicago
Primary completion
Dec 2025

Outcome Measures

OutcomeResultp-value
PRIMARY
Zanarini Rating Scale for Borderline Personality Disorder (ZAN-BPD)
8.74; 5.80
SECONDARY
Modified Overt Aggression Scale
SECONDARY
Young Mania Rating Scale
SECONDARY
Self-Report Version of Zanarini Scale
SECONDARY
Borderline Evaluation of Severity Over Time
SECONDARY
Barratt Impulsiveness Scale (BIS)
SECONDARY
Minnesota Impulsive Disorders Interview (MIDI)
SECONDARY
Hamilton Depression Rating Scale
SECONDARY
Hamilton Anxiety Rating Scale
SECONDARY
Quality of Life Inventory
SECONDARY
Sheehan Disability Scale (SDS)

Summary

The primary objective of the proposed study is to evaluate the safety and efficacy of Caplyta (lumateperone) in adults with borderline personality disorder (BPD). Sixty subjects with BPD will be randomized in a 1:1 fashion to either Caplyta (42mg/day) or matching placebo for 8 weeks of active treatment. The hypothesis to be tested is that Caplyta will result in greater rates of reduction in symptoms of BPD compared to placebo (improvement in symptoms will be indicated by lower scores on established outcome measures of BPD symptoms that have been used in prior studies).

Eligibility Criteria

Inclusion Criteria

  • Men and women age 18-65;
  • Primary diagnosis of BPD
  • Zanarini scale score of at least 9 at baseline
  • Currently receiving for at least the last 2 months prior to study entry some form of weekly cognitive behavioral therapy
  • Ability to understand and sign the consent form.

Exclusion Criteria

  • Unstable medical illness based on history or clinically significant abnormalities on baseline physical examination
  • Subjects with schizophrenia or bipolar I disorder
  • Subjects with an active substance use disorder
  • Current pregnancy or lactation, or inadequate contraception in women of childbearing potential
  • Subjects considered an immediate suicide risk based on the Columbia Suicide Severity rating Scale (C-SSRS) (www.cssrs.columbia.edu/docs)
  • Illegal substance use based on urine toxicology screening (excluding marijuana given the high rates of marijuana use in BPD and the lack of interaction with Caplyta).
  • Use of any new psychotropic medication started within the last 3 months prior to study initiation
  • Previous treatment with Caplyta
  • Cognitive impairment that interferes with the capacity to understand and self-administer medication or provide written informed consent
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05356013). 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.

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