Long-term Safety Study of Adjunctive Troriluzole in Subjects with Obsessive Compulsive Disorder

2024-512108-20-00 Therapeutic confirmatory (Phase III) Ended

Start 16 Mar 2022 · End 14 Feb 2026 · Status Ended · 2 EU/EEA countries · 9 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 1,200
Countries 2
Sites 9

Obsessive Compulsive Disorder

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 desvenlafaxine treatment.

Key facts

Sponsor
Biohaven Pharmaceuticals Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Psychiatry and Psychology [F] - Behavioral Disciplines and Activities [F04]
Trial duration
16 Mar 2022 → 14 Feb 2026
Decision date (initial)
2024-07-02
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Biohaven Pharmaceuticals, Inc.

External identifiers

EU CT number
2024-512108-20-00
EudraCT number
2020-004654-30
ClinicalTrials.gov
NCT04708834

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Dose response, Therapy, Safety

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 desvenlafaxine treatment.

Conditions and MedDRA coding

Obsessive Compulsive Disorder

VersionLevelCodeTermSystem organ class
20.0 LLT 10002860 Anxiety disorder NEC 10037175

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2020-004653-69 A Randomized, Double-Blind, Placebo-Controlled Trial of Adjunctive Troriluzole in Obsessive Compulsive Disorder, Een gerandomiseerd, dubbelblind, placebogecontroleerd onderzoek naar troriluzole als aanvulling bij behandeling van obsessief-compulsieve stoornis, Een gerandomiseerd, dubbelblind, placebogecontroleerd onderzoek naar troriluzole als aanvulling bij behandeling van obsessief-compulsieve stoornis, Een gerandomiseerd, dubbelblind, placebogecontroleerd onderzoek naar troriluzole als aanvulling bij behandeling van obsessief-compulsieve stoornis, Sperimentazione randomizzata, in doppio cieco, controllata con placebo, di troriluzolo aggiuntivo nel disturbo ossessivo compulsivo, Sperimentazione randomizzata, in doppio cieco, controllata con placebo, di troriluzolo aggiuntivo nel disturbo ossessivo compulsivo, Ensayo Aleatorizado, Doble Ciego y Controlado con Placebo de Troriluzol como Tratamiento Complementario en el Trastorno Obsesivo-Compulsivo

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Eligible subjects who complete study BHV4157-302 or BHV4157-303 and for whom the investigator believes open-label treatment offers an acceptable risk-benefit profile.
  2. Determined by the investigator to be medically stable at the final visit of BHV4157-302 or BHV4157-303, (the labs collected at the Week 10 visit for BHV4157-302 or BHV4157-303), as assessed by medical history, physical examination, laboratory test results, and electrocardiogram testing.
  3. Women of child bearing potential (WOCBP) and fertile men (including those vasectomized for less than 6 months) with female partners who are WOCBP (not having undergone bilateral tubal occlusion procedure and not post- menopausal) must agree to use highly effective birth control, including two methods of contraception, for the duration of the study.

Exclusion criteria 3

  1. Subjects who did not successfully complete randomization phase in BHV4157-302/BHV4157-303 study.
  2. Acute suicidality or suicide attempt or self injurious behavior in last 12 months.
  3. Patients who plan to receive non-biological or biological investigational agent in while enrolled in trial.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Safety and tolerability are assessed using the frequency of unique subjects with: SAE; AEs leading to discontinuation; AEs judged to be related to study medication; and clinically significant laboratory abnormalities that are observed over the course of treatment.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Troriluzole

PRD8836295 · Product

Active substance
Troriluzole
Pharmaceutical form
CAPSULE
Route of administration
ORAL
Max daily dose
140 mg milligram(s)
Max total dose
280 mg milligram(s)
Max treatment duration
144 Week(s)
Authorisation status
Not Authorised
MA holder
BIOHAVEN PHARMACEUTICALS, INC
Paediatric formulation
No
Orphan designation
No

Troriluzole

PRD8836296 · Product

Active substance
Troriluzole
Pharmaceutical form
CAPSULE
Route of administration
ORAL
Max daily dose
100 mg milligram(s)
Max total dose
200 mg milligram(s)
Max treatment duration
144 Week(s)
Authorisation status
Not Authorised
MA holder
BIOHAVEN PHARMACEUTICALS, INC
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Biohaven Pharmaceuticals Inc.

Sponsor organisation
Biohaven Pharmaceuticals Inc.
Address
215 Church Street
City
New Haven
Postcode
06510-1803
Country
United States

Scientific contact point

Organisation
Biohaven Pharmaceuticals Inc.
Contact name
Clinical Trial Lead

Public contact point

Organisation
Biohaven Pharmaceuticals Inc.
Contact name
Chief Compliance Officer

Third parties 6

OrganisationCity, countryDuties
Eresearchtechnology Inc.
ORG-100013039
Philadelphia, United States Code 13
PPD Development LP
ORG-100011560
Wilmington, United States Code 8
4g Clinical LLC
ORG-100042775
Wellesley, United States Interactive response technologies (IRT)
Rho Inc.
ORG-100048371
Durham, United States Code 10, Data management
Acm Medical Laboratory Inc.
ORG-100042792
Rochester, United States Other, Laboratory analysis
Accelsiors Kft.
ORG-100011457
Budapest XXII, Hungary On site monitoring, Code 12, Other, Code 8

Locations

2 EU/EEA countries · 9 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ended 25 4
Spain Ended 18 5
Rest of world
United States, Canada, United Kingdom
1,157

Investigational sites

Italy

4 sites · Ended
ASST Fatebenefratelli Sacco
Department of Biomedical and Clinical Sciences “L. Sacco”, Via Giovanni Battista Grassi 74, 20157, Milan
Azienda Ospedaliero-Universitaria San Luigi Gonzaga
Department of Neurosciences, Regione Gonzole 10, 10043, Orbassano
Azienda Ospedaliera Universitaria Federico II Di Napoli
Laboratory of Molecular Psychiatry at Department of Neuroscience, Via Sergio Pansini 5, 80131, Naples
Ospedale San Raffaele S.r.l.
Mood Disorder Unit, Via Stamira D'ancona 20, 20127, Milan

Spain

5 sites · Ended
Hospital Universitario Central De Asturias
Department of Psychiatry, Avenida De Roma S/n, 33011, Oviedo
Hospital Universitario Ramon Y Cajal
Department of Psychiatry and Psychology, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Hospital Alvaro Cunqueiro
Department of Psychiatry, Estrada Clara Campoamor No 341, 36312, Vigo
Hospital Universitario De Salamanca
Department of Psychiatry, Paseo De San Vicente 58-182, 37007, Salamanca
Bellvitge University Hospital
Department of Psychiatry, Carrer De La Feixa Llarga S/n, 08907, L'hospitalet De Llobregat

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2022-03-16 2022-03-16 2024-09-20
Spain 2022-04-21 2022-06-03 2025-04-17

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 18 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol administrative letter_2024-512108-20_FOR PUBLICATION 1.0
Protocol (for publication) D1_Protocol_2024-512108-20_FOR PUBLICATION 6.0_EU
Protocol (for publication) D4_Patient facing documents_CGI-S Scale_FOR PUBLICATION 1
Protocol (for publication) D4_Patient facing documents_CGI-S Scale_FOR PUBLICATION_ES 15
Protocol (for publication) D4_Patient facing documents_CGI-S Scale_FOR PUBLICATION_IT 15
Protocol (for publication) D4_Patient facing documents_Sheehan Disability Scale_SDS_FOR PUBLICATION N/A
Protocol (for publication) D4_Patient facing documents_Sheehan Disability Scale_SDS_FOR PUBLICATION_ES 3
Protocol (for publication) D4_Patient facing documents_Sheehan Disability Scale_SDS_FOR PUBLICATION_IT 3
Protocol (for publication) D4_Patient facing documents_Y-BOCS Scale_FOR PUBLICATION 1
Protocol (for publication) D4_Patient facing documents_Y-BOCS Scale_FOR PUBLICATION_ES 1
Protocol (for publication) D4_Patient facing documents_Y-BOCS Scale_FOR PUBLICATION_IT 1
Recruitment arrangements (for publication) Statement for minimum required documents 1
Subject information and informed consent form (for publication) L1_SIS and ICF_FOR PUBLICATION 9.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant partner_FOR PUBLICATION 2.0
Summary of Product Characteristics (SmPC) (for publication) Statement for minimum required documents 1
Synopsis of the protocol (for publication) D1_Protocol synopsis_EN_2024-512108-20_FOR PUBLICATION 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_ES_2024-512108-20_FOR PUBLICATION 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis_IT_2024-512108-20_FOR PUBLICATION 3

Application history

5 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-06-06 Italy Acceptable
2024-06-27
2024-07-01
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-08-23 Italy Acceptable
2024-06-27
2024-08-23
3 SUBSTANTIAL MODIFICATION SM-1 2024-10-28 Acceptable
2025-01-23
2025-01-27
4 SUBSTANTIAL MODIFICATION SM-2 2025-03-11 Acceptable
2025-04-30
2025-05-06
5 SUBSTANTIAL MODIFICATION SM-3 2025-09-09 Acceptable
2025-10-21
2025-10-29