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Clinical Trials List

Protocol NumberD4904020
NCT Number(ClinicalTrials.gov Identfier)NCT02287584

2014-10-09 - 2018-12-31

Phase III

Terminated6

ICD-10F20.9

Schizophrenia, unspecified

Confirmatory Study of DSP-5423P in Patients with Schizophrenia

  • Trial Applicant

    COVANCE TAIWAN SERVICES LIMITED

  • Sponsor

    Sumitomo Dainippon Pharma. Co., Ltd.

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator Tzung-Jeng Hwang

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

3 Stop recruiting

Principal Investigator Ya-Mei Bai

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Chia-Yi Liu

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator 林清華

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator Yen-Kwuan Yang

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator 林式穀

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Condition/Disease

Schizophrenia

Objectives

Primary Objective The primary objective of the study is to evaluate the efficacy of DSP-5423P (40 and 80 mg/day) compared with placebo in patients with schizophrenia by assessing the mean change in Positive and Negative Syndrome Scale (PANSS) total score from baseline at Week 6. Secondary Objectives The secondary objectives are to evaluate the safety of DSP-5423P compared with placebo for 6-week treatment, the long-term safety and efficacy of DSP-5423P, and the pharmacokinetics of DSP-5423P in patients with schizophrenia.

Test Drug

DSP-5423P

Active Ingredient

Blonanserin

Dosage Form

Patch

Dosage

20mg/40mg transdermal patch

Endpoints

Primary Endpoint
The primary endpoint is the change in PANSS total score from baseline at Week 6.
Secondary Endpoints
-Change in PANSS subscale scores from baseline at Week 6
-Change in PANSS five-factor modelNote scores from baseline at Week 6
-Change in Clinical Global Impressions– Severity of Illness (CGI-S) score from baseline at Week 6
-Change in PANSS total score from the last evaluation before the initial application of DSP-5423P at each visit
-Change in PANSS subscales from the last evaluation before the initial application of DSP-5423P at each visit
-Change in PANSS five-factor models from the last evaluation before the initial application of DSP-5423P at each visit
-Proportion of subjects who achieve a response, defined as 20% or greater improvement from baseline in PANSS total score at Week 6
-Change in CGI-S score from the last evaluation before the initial application of DSP-5423P at each visit
-Time to treatment discontinuation from the initial application in the open-label treatment phase

Inclution Criteria

Inclusion Criteria at screening
<The procedure in Japan is described in the Japan Appendix.>
Patients who meet all the following criteria at screening will be included in the study:
1.Patients who have schizophrenia diagnosed by Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5), diagnostic criteria
2.Patients who have psychiatric symptoms (eg, aggravated delusions) with schizophrenia showing exacerbation within 2 months (60 days) before screening
3.Patients with a PANSS score of 4 (moderate) or higher for 2 or more of the following 5 items: delusions (P1), conceptual disorganization (P2), hallucinations (P3), suspiciousness (P6), and unusual thought content (G9)
4.Patients with a total PANSS score of 80 or higher
5.Patients who can be hospitalized from screening until the scheduled date of Visit 4
6.Patients who are aged 18 years or older at informed consent
7.Patients who are fully informed of and understand the objectives, procedures, and possible benefits and risks of the study and who voluntarily provide written consent to participate in the study. If the patient is a minor at informed consent, written consent will be obtained from a legally acceptable representative
Note in addition to that obtained from the patient.
Note: A legally acceptable representative is defined as a person within the second degree of kinship, in principle, who can act in the patient’s best interest in the context of daily lifestyle and the existing mental relationship between the two parties.
8.Female patients, who are premenopausal and of childbearing potential, with negative pregnancy test (urine) results at screening
9.Patients who agree to practice appropriate contraception, when the patients or their partners are of childbearing potential

Exclusion Criteria

Exclusion Criteria at screening
Patients who meet any of the following criteria will be excluded from the study.
1.Patients in a coma
2.Patients under the strong influence of central nervous system depressants such as barbituric acid derivatives
3.Patients receiving treatment with adrenaline, azole antifungals (excluding drugs for external use), or human immunodeficiency virus (HIV) protease inhibitors
4.Patients with a history of or current neuroleptic malignant syndrome, tardive dyskinesia, or water intoxication
5.Patients with Parkinson’s disease
6.Patients with active suicidal ideation or those with a suicide attempt history who are considered ineligible for the study by the Investigator
7.Patients with HbA1c (NGSP) of 8.4% or higher
8.Patients with physical exhaustion accompanied by conditions such as dehydration and malnutrition

The Estimated Number of Participants

  • Taiwan

    102 participants

  • Global

    500 participants