Biomarkers in clozapine-responding schizophrenia

2024-515338-34-01 Protocol BICS2019 Therapeutic use (Phase IV) Ongoing, recruiting

Start 10 Oct 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol BICS2019

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 200
Countries 1
Sites 1

Schizophrenia

biomarkers predicting clozapine response

Key facts

Sponsor
Region Hovedstaden
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Nervous System Diseases [C10]
Trial duration
10 Oct 2024 → ongoing
Decision date (initial)
2024-10-23
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-515338-34-01
EudraCT number
2019-003128-19
ClinicalTrials.gov
NCT05316883

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Others, Pharmacokinetic, Pharmacodynamic

biomarkers predicting clozapine response

Conditions and MedDRA coding

Schizophrenia

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-515338-34-00 Biomarkers in clozapine-responding schizophrenia Psykiatrisk Center Glostrup

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. According to ICD-10 fulfill diagnostic criteria of schizophrenia (F20.x), chronical paranoid psychoses (F22), Schizoaffective psychoses (F25) or other non-organic psychoses (F28/29)
  2. Age 18-64 years
  3. Legally competent
  4. Stable antipsychotic treatment during the last month
  5. Being treatment refractory according to TRIPP-guidelines (Howes et al. 2017) defined as having tried at least two antipsychotic drugs in sufficient dosage (≥600 mg clorpromazine equivalent) for a sufficient time (≥ 6 weeks) without sufficient symptom improvement (still a moderate level of positive symptoms).
  6. Recreational use of substances is allowed as long as it does not interfere with compliance
  7. Fertile females must use safe contraception (spiral or any hormonal contraception).

Exclusion criteria 8

  1. Involuntarily psychiatric admittance during the study
  2. Substance abuse that interfere with compliance
  3. Any condition that interfere with compliance for obtaining bloodsamples weekly
  4. Pregnancy (will be verified by urine-HCG-test in fertile females)
  5. Females who are breastfeeding
  6. Toxic or idiosyncratic agranulocytosis in the past
  7. Reduced bone marrow function according to blood samples (normal function defined as leucocytes > 3.3*109/l and neutrophil > 2.0*109/l)
  8. According to information from patient and available files, no o Current uncontrolled epilepsy o Current circulatory collapse and / or CNS depression for any cause o Current severe kidney, heart or liver disease o Current paralytic ileus

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Permeability of the blood-brain barrier blood and CSF inflammatory cytokines

Investigational products

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

Test 1

Clozapine

SCP1158876 · ATC

Active substance
Clozapine
Route of administration
ORAL USE
Max daily dose
900 mg milligram(s)
Max total dose
75600 mg milligram(s)
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
N05AH02 — CLOZAPINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Region Hovedstaden

Sponsor organisation
Region Hovedstaden
Address
Nordstjernevej 41
City
Glostrup
Postcode
2600
Country
Denmark

Scientific contact point

Organisation
Psykiatrisk Center Glostrup
Contact name
Jimmi Nielsen

Public contact point

Organisation
Psykiatrisk Center Glostrup
Contact name
Jimmi Nielsen

Third parties 1

OrganisationCity, countryDuties
Frederiksberg Hospital
ORG-100028217
Frederiksberg, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruiting 200 1
Rest of world 0

Investigational sites

Denmark

1 site · Ongoing, recruiting
Region Hovedstadens Psykiatriske
Enhed for kompliceret skizofreni, Nordre Ringvej 69, 2600, Glostrup

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2024-10-10 2024-10-10

Results and documents

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

Documents 6 files

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

TypeTitleVersion
Protocol (for publication) Protocol EU CT 2024-515338-34-01 4
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF - adults -Informed consent 2
Subject information and informed consent form (for publication) L1_SIS and ICF - adults -Subject information 3
Summary of Product Characteristics (SmPC) (for publication) G2_ SmPC Leponex tabletter 25 mg og 100 mg 1
Synopsis of the protocol (for publication) Protocol Synopsis _DK EU CT 2024-515338-34-01 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-10 Denmark Acceptable
2024-10-22
2024-10-23
2 SUBSTANTIAL MODIFICATION SM-4 2025-09-13 Denmark Acceptable
2025-09-30
2025-10-01