The main purpose of this study is to evaluate the safety, tolerability, and pharmacokinetics of once weekly dosing of zicronapine, compared to daily dosing of zicronapine.
The study includes 2 treatment periods. The open-label run-in period will begin at patient enrolment and continue for 3 weeks, during which all patients will receive once daily treatment with zicronapine. The double-blind period will begin at patient randomization and continue for 5 weeks, during which the patients will be assigned to one group receiving once daily treatment with zicronapine and 3 groups receiving once weekly treatment with zicronapine.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
46
Encapsulated tablet ,10 mg, once daily, open-label
Encapsulated tablet, 10 mg, once daily, double-blind
Encapsulated tablet, 20 mg, once weekly (on day 1 of each 7 day cycle), double-blind
US002
Garden Grove, California, United States
US003
National City, California, United States
US004
San Diego, California, United States
US001
Rockville, Maryland, United States
Number of Patients With Adverse Events as a Measure of Safety and Tolerability
Number of patients with treatment-emergent adverse events during each of the two study periods plus corresponding safety follow-up period. Open-label period: 3 weeks post-baseline plus 8 weeks safety follow-up (11 weeks total); Double-blind period: 5 weeks post-randomization plus 8 weeks safety follow-up (13 weeks total)
Time frame: 11 weeks for open-label period; 13 weeks for double-blind period
Positive and Negative Syndrome Scale (PANSS) Total and Subscales Change From Baseline
The PANSS consisted of three subscales that contained a total of 30 symptom constructs. For each symptom construct, severity was rated on a 7-point scale, with a score of 1 that indicated the absence of symptoms and a score of 7 indicated extremely severe symptoms. The PANSS total score was the sum of the rating scores for 7 positive subscale items, 7 negative subscale items, and 16 general psychopathology subscale items from the PANSS panel. PANSS Total Score ranged from 30 (best possible outcome) to 210 (worst possible outcome).
Time frame: 8 weeks post-baseline (3 weeks open-label period plus 5 weeks double-blind period)
Clinical Global Impression Severity Scale (CGI-S) Change From Baseline
The CGI-S provides the clinician's impression of the patient's current state of mental illness. The clinician uses their clinical experience of this patient population to rate the severity of the patient's current mental illness on a 7-point scale ranging from 1 (normal - not at all ill) to 7 (among the most extremely ill patients).
Time frame: 8 weeks post-baseline (3 weeks open-label period plus 5 weeks double-blind period)
Clinical Global Impression Improvement Scale (CGI-I)
The CGI-I provides the clinician's impression of the patient's improvement (or worsening). The clinician assesses the patient's condition relative to a baseline on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). In all cases, the assessment is made independent of whether the rater believes the improvement is drug-related or not.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Encapsulated tablet, 30 mg, once weekly (on day 1 of each 7 day cycle), double-blind
Encapsulated tablet, 45 mg, once weekly (on day 1 of each 7 day cycle), double-blind
Time frame: 8 weeks post-baseline (3 weeks open-label period plus 5 weeks double-blind period)