- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00520923
A Study for Participants With Schizophrenia
A Multi-Center, Inpatient, Phase 2, Double-blind, Placebo-Controlled Dose Ranging Study of LY2140023 in Patients With DSM-IV Schizophrenia
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The primary objective of this study was to test the hypothesis that 1 or more dose levels of LY2140023 given orally to patients with schizophrenia twice daily for 4 weeks would demonstrate significantly greater efficacy than placebo. Efficacy was defined as clinical response measured by the Positive and Negative Syndrome Scale (PANSS) total score as assessed at 4 weeks.
This was a multi-center, randomized, double-blind, parallel, placebo- and active comparator-controlled trial with 4 study periods. Approximately 870 patients who met the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV, APA 2000) criteria for schizophrenia as defined by the modified Structured Clinical Interview for DSM-IV Diagnosis (SCID) were to be entered into the study so that approximately 550 patients would be considered evaluable (that is, randomized patients with a baseline and at least 1 postbaseline PANSS total score following study treatment). Male and female patients aged 18 to 65 years who qualified for enrollment into the study were randomized in a 2:2:2:2:2:1 ratio to receive 5 mg, 20 mg, 40 mg, or 80 mg twice daily LY2140023, placebo twice daily, or placebo once each morning and 15 mg olanzapine once each evening for approximately 28 days.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Banfield, Argentina, B1828CKR
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Buenos Aires, Argentina, C1424CAB
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Lanus, Argentina, B18241BR
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Munro, Argentina, 1605
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Graz, Austria, 8036
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Vienna, Austria, 1090
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Osijek, Croatia, HR-31000
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Split, Croatia, 21000
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Zagreb, Croatia, HR-10090
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Aachen, Germany, D-52057
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Bochum, Germany, 44791
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Dresden, Germany, 01307
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München, Germany, D-81675
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Mexico City, Mexico, 14420
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Monterrey, Mexico, 64000
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Lisbon, Portugal, 1350-190
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Porto, Portugal, 4200-272
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Bucharest, Romania, 73120
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Craiova, Romania, 200738
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Iași, Romania, 700282
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Târgu Mureş, Romania, 540139
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Kazan', Russia, 420012
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Khot'kovo, Russia, 127025
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Lipetsk, Russia, 399007
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Moscow, Russia, 123367
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Nikol’skoye, Russia, 188357
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Nizhny Novgorod, Russia, 603155
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Saint Petersburg, Russia, 190121
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Samara, Russia, 443016
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Bloemfontein, South Africa, 9300
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Cape Town, South Africa, 7530
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Durban, South Africa, 4000
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Johannesburg, South Africa, 2198
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Pretoria, South Africa, 0181
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Randburg, South Africa, 2125
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Some Inclusion Criteria:
- Participants must have a diagnosis of Schizophrenia as defined in Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) (Disorganized, 295.10; Catatonic, 295.20; Paranoid, 295.30; Residual, 295.60; or Undifferentiated, 295.90) and confirmed by the Structured Clinical Interview for DSM-IV (SCID).
- Participants must meet the following psychopathologic severity criteria at Visit 1: Brief Psychiatric Rating Scale (BPRS) total score, extracted from the Positive and Negative Syndrome Scale (PANSS), of at least 45 (18-item version, in which 1 indicates "absent" and 7 indicates "severe"). In addition, item scores of at least 4 (moderate) will be required on 2 of the following BPRS items: conceptual disorganization, suspiciousness, hallucinatory behavior, and/or unusual thought content.
- Participants must receive a rating of 4 (moderately ill) or greater on the Clinical Global Impression-Severity (CGI-S) scale at Visit 1.
- Participants in whom, in the opinion of the investigator, a switch to another antipsychotic medication or initiation of an antipsychotic medication is acutely indicated.
Some Exclusion Criteria:
- Participants in whom treatment with olanzapine or placebo is relatively or absolutely clinically contraindicated.
- Participants who have a history of inadequate response to an adequate treatment trial with olanzapine, in the opinion of the investigator.
- Participants who have received treatment with olanzapine within 6 weeks prior to Visit 1.
- Participants who have received treatment with clozapine at doses greater than 200 mg daily within 12 months prior to Visit 1, or who have received any clozapine at all during the month before Visit 1.
- Participants who have a history of an inadequate response, in the opinion of the investigator, to 2 or more adequate antipsychotic medication trials of at least 8 weeks duration in the past 12 months prior to Visit 1.
- Participants with acute, serious, or unstable medical conditions, including (but not limited to) inadequately controlled diabetes (hemoglobin A1c (HbA1c) 8%), severe hypertriglyceridemia (fasting triglycerides 5.6 millimoles per litre (mmol/L), recent cerebrovascular accidents, serious acute systemic infection or immunologic disease, unstable cardiovascular disorders (including ischemic heart disease), malnutrition, hepatic, renal, gastroenterologic, respiratory, endocrinologic, neurologic, or hematologic diseases.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Placebo Comparator: Placebo for LY2140023
Placebo for LY2140023 taken orally twice daily for up to 4 weeks.
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Administered orally
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Experimental: 10 mg LY2140023
10 milligram (mg) LY2140023 taken orally as 5 mg twice daily for up to 4 weeks.
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Administered orally
Other Names:
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Experimental: 40 mg LY2140023
40 mg LY2140023 taken orally as 20 mg twice daily for up to 4 weeks.
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Administered orally
Other Names:
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Experimental: 80 mg LY2140023
80 mg LY2140023 taken orally as 40 mg twice daily for up to 4 weeks.
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Administered orally
Other Names:
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Experimental: 160 mg LY2140023
160 mg LY2140023 taken orally as 80 mg twice daily for up to 4 weeks.
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Administered orally
Other Names:
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Active Comparator: Placebo/15 mg Olanzapine
Placebo: Taken orally every morning (QAM), followed by Olanzapine 15 mg taken orally every evening (QPM) for up to 4 weeks. Olanzapine: 10 mg PO (by mouth) QPM for the first 3 days, then 15mg PO QPM for up to 4 weeks. |
Administered orally
Administered orally
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Positive and Negative Syndrome Scale (PANSS) total score
Time Frame: over 4 weeks of treatment
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over 4 weeks of treatment
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
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PANSS subscores: positive subscore; negative subscore; general psychopathology subscore and cognitive subscore
Time Frame: over 4 weeks of treatment
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over 4 weeks of treatment
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Clinical Global Impression-Severity (CGI-S)
Time Frame: over 4 weeks of treatment
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over 4 weeks of treatment
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Drug Attitude Inventory-10 (DAI-10)
Time Frame: over 4 weeks of treatment
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over 4 weeks of treatment
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Response and Remission Rates
Time Frame: over 4 weeks of treatment
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over 4 weeks of treatment
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Assessment of Cognition in Schizophrenia (BACS) Symbol Coding Task
Time Frame: over 4 weeks of treatment
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over 4 weeks of treatment
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Montgomery-Asberg Depression RatingScale (MADRS)
Time Frame: over 4 weeks of treatment
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over 4 weeks of treatment
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Safety and Tolerability
Time Frame: over 4 weeks of treatment
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over 4 weeks of treatment
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Pharmacokinetics
Time Frame: over 4 weeks of treatment
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over 4 weeks of treatment
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 11757
- H8Y-MC-HBBI (Other Identifier: Eli Lilly and Company)
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