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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
629
Placebo will be administered orally QD for 56 weeks
RO4917838 will be administered orally at 20 or 10 mg QD for 56 weeks.
Participants will continue to receive their stable antipshychotic as standard of care based on their prescription up to Week 56.
K&S Professional Research Services LLC
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Anaheim, California, United States
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Cerritos, California, United States
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Downey, California, United States
Care Research Center
La Palma, California, United States
Change From Baseline in the Positive and Negative Symptoms Scales (PANSS) Negative Symptoms Factor Score at Week 24 (All-Participant Population)
Time frame: Baseline, Week 24
Percentage of Participants With Adverse Events (All-Participant Population)
Time frame: Week 24
Change From Baseline in the PANSS Negative Symptoms Factor Score at Week 24 (Complement Factor H Related Protein 1 High [CFHR1-High] Subgroup Population)
Time frame: Baseline, Week 24
Change From Baseline in the Personal and Social Performance (PSP) Total Score at Week 24 (All-Participant Population)
Time frame: Baseline, Week 24
Change From Baseline in the PSP Total Score at Week 24 (CFHR1-High Subgroup Population)
Time frame: Baseline, Week 24
Change From Baseline in the PANSS Total Score at Week 24 (All-Participant Population)
Time frame: Baseline, Week 24
Change From Baseline in the PANSS Total Score at Week 24 (CFHR1-High Subgroup Population)
Time frame: Baseline, Week 24
Change From Baseline in the PANSS Factor Score at Week 24 (All-Participant Population)
Time frame: Baseline, Week 24
Change From Baseline in the PANSS Factor Score at Week 24 (CFHR1-High Subgroup Population)
Time frame: Baseline, Week 24
Change From Baseline in the PANSS Subscale Scores at Week 24 (All-Participant Population)
Time frame: Baseline, Week 24
Change From Baseline in the PANSS Subscale Scores at Week 24 (CFHR1-High Subgroup Population)
Time frame: Baseline, Week 24
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)
Time frame: Baseline, Week 24
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)
Time frame: Baseline, Week 24
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)
Time frame: Baseline up to Week 24
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)
Time frame: Baseline up to Week 24
Percentage of Participants With Improvement From Baseline in the Overall Clinical Status Based on Clinical Global Impression - Improvement (CGI-I) Score (All-Participant Population)
Time frame: Baseline, Week 24
Percentage of Participants With Improvement From Baseline in the Overall Clinical Status Based on CGI-I Score (CFHR1 Subgroup Population)
Time frame: Baseline, Week 24
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)
Time frame: Baseline up to Week 24
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)
Time frame: Baseline up to Week 24
Percentage of Participants With Improvement From Baseline in the Negative Symptoms Based on CGI-I Negative Symptoms Score (All-Participant Population)
Time frame: Baseline, Week 24
Percentage of Participants With Improvement From Baseline in the Negative Symptoms Based on CGI-I Negative Symptoms Score (CFHR1 Subgroup Population)
Time frame: Baseline, Week 24
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)
Time frame: Baseline up to Week 24
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)
Time frame: Baseline up to Week 24
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)
Time frame: Baseline, Week 24
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)
Time frame: Baseline, Week 24
Change From Baseline in Severity of Illness Based on Clinical Global Impression - Severity (CGI-S) Overall Score (All-Participant Population)
Time frame: Baseline, Week 24
Change From Baseline in Severity of Illness Based on CGI-S Overall Score (CFHR1 Subgroup Population)
Time frame: Baseline, Week 24
Change From Baseline in Severity of Illness Based on CGI-S Negative Symptoms Score (All-Participant Population)
Time frame: Baseline, Week 24
Change From Baseline in Severity of Illness Based on CGI-S Negative Symptoms Score (CFHR1 Subgroup Population)
Time frame: Baseline, Week 24
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Pasadena Research Institute
Pasadena, California, United States
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Pico Rivera, California, United States
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