A Prospective, Observational, Single-Arm, Multicenter Real-World Study Evaluating the Treatment Pattern, Safety and Effectiveness of Xanomeline and Trospium Chloride Capsules (KarXT) in the Treatment of Chinese Adult Participants With Schizophrenia
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Typ studie
Typ studie
Zápis (Odhadovaný)
Zápis
Kontakty a umístění
Studijní kontakt
Studijní kontakt
- Jméno: Hua Shi WANG
- Telefonní číslo: +8618601287374
- E-mail: shihua.wang@zailaboratory.com
Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
Metoda odběru vzorků
Studijní populace
Popis
Inclusion Criteria:
- Adult participants (age: ≥18 and ≤65 years) who meet the ICD-10 diagnostic criteria for schizophrenia.
- The participant is capable of providing written informed consent in the study, agrees to receive KarXT monotherapy, is willing to follow the protocol-specified follow-up schedule, and signs the informed consent form, or, where applicable, both the participant and the participant's legal guardian sign the informed consent form.
Exclusion Criteria:
- Participants who have contraindications listed in the prescribing information: urinary retention, moderate or severe hepatic impairment, gastric retention, history of hypersensitivity to this product or trospium chloride, or untreated narrow-angle glaucoma.
- Participants who have conditions not recommended in the prescribing information, such as moderate or severe renal impairment, mild hepatic impairment, or active biliary disease (e.g., symptomatic gallstones).
- Participants diagnosed with treatment-resistant schizophrenia (TRS), defined as having previously received at least two courses of treatment with different antipsychotic medications, with each course administered at an adequate dose, as determined by the investigator based on clinical judgment, for at least 4 weeks, but without response.
- Participants with severe suicidal ideations. Risk for suicidal behavior during the study as determined by the investigator's clinical assessment and C-SSRS as confirmed by the following: Answers "Yes" on items 4 or 5 (C -SSRS ideation) with the most recent episode occurring within the 2 months before screening, or answers "Yes" to any of the 5 items (C-SSRS behavior) with an episode occurring within the 12 months before screening. Non-suicidal self-injurious behavior is not exclusionary.
- Participants who are pregnant, planning to become pregnant, or breastfeeding.
- Participants who have any medical conditions that in the investigator's opinion should exclude them from starting KarXT or participate in this study.
Studijní plán
Jak je studie koncipována?
Detaily designu
Počet skupin / kohort
Kohorty a intervence
Skupina / kohortaSkupina / kohorta |
Intervence / LéčbaIntervence / Léčba |
|---|---|
|
KarXT Treatment Cohort
The participant is capable of providing written informed consent in this study, agrees to receive KarXT monotherapy
|
Participants will receive KarXT for a treatment/observation period of 17 weeks. The recommended dosage and administration of KarXT should refer to the prescribing information: The recommended starting dosage is one 50 mg/20 mg capsule orally twice daily for at least two days, then increase to one 100 mg/20 mg capsule orally twice daily for at least five days, the dosage may be increased to one 125 mg/30 mg capsule orally twice daily based on participant tolerability and response. All participants who are increased to 125 mg/30 mg, depending on clinician's decision, will have the option to return to 100 mg/20 mg for the remainder of the treatment/observation period. Maintenance doses may be set at 125 mg/30 mg or 100 mg/20 mg twice daily. |
Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
KarXTtreatment pattern according to clinicians'decision
Časové okno: through Week 17
|
Treatment duration (days)for each doseof KarXT (50 mg/20 mg, 100 mg/20 mg, or 125 mg/30 mg) through Week 17
|
through Week 17
|
|
KarXTtreatment pattern according to clinicians'decision
Časové okno: Week 17
|
Proportion(%)of participants on each dose of KarXT (50 mg/20 mg, 100 mg/20 mg, or 125 mg/30 mg) at Week 17
|
Week 17
|
Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
KarXT Safety Profile
Časové okno: through Week 17
|
Proportion (%)of KarXT-related adverse events (TRAEs) through Week 17
|
through Week 17
|
|
KarXT Treatment PatternAccording to Clinicians'Decision
Časové okno: through Week 5
|
Treatment duration (days) for each dose of KarXT (50 mg/20 mg, 100 mg/20 mg, or 125 mg/30 mg) through Week 5
|
through Week 5
|
|
KarXT Safety Profile
Časové okno: through Week 17
|
Proportion (%)of serious adverse events (SAEs) through Week 17
|
through Week 17
|
|
KarXT Treatment Effectiveness
Časové okno: Week 17
|
Change from baseline in the Positive and Negative Syndrome Scale (PANSS) total score at Week 17
|
Week 17
|
|
KarXT Treatment Effectiveness
Časové okno: Week 17
|
Change from baseline in the Clinical Global Impression-Severity (CGI-S) score at Week 17
|
Week 17
|
|
Schizophrenia Treatment Decisions and Compliance in the Real-world Setting
Časové okno: through Week 17
|
Proportion (%) of participants discontinuing KarXT treatment along with the documented reasons for the decision from baseline through Week 17
|
through Week 17
|
|
KarXT Treatment PatternAccording to Clinicians'Decision
Časové okno: through Week 5
|
Proportion (%) of participants on each dose of KarXT (50 mg/20 mg, 100 mg/20 mg, or 125 mg/30 mg) through Week 5
|
through Week 5
|
Další výstupní opatření
Další výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Change from baseline in social functional recovery metrics captured via continuous wearable wristband device
Časové okno: Baseline and Week 17
|
Change from baseline in social functional recovery metrics captured via continuous wearable wristband device (sleep onset time, wake time, total sleep duration, heart rate, heart rate variability, total daily step count, sedentary duration, and activity interruptions)
|
Baseline and Week 17
|
|
Change from baseline in the proportion of patient-reported outcome in the surveys in binary states across four Ecological Momentary Assessment (EMA) dimensions
Časové okno: Baseline and Week 17
|
Observed Ecological Momentary Assessment (EMA) patient-reported outcomes (PRO) in participants with schizophrenia: Change from baseline in the proportion of patient-reported outcome in the surveys in binary states across four Ecological Momentary Assessment (EMA) dimensions: location (at home vs. outdoors), sociality context (alone vs. with others), activity type (productive vs. non-productive), and affect profile (positive vs. negative) at Week 17
|
Baseline and Week 17
|
|
Change From Baseline in the Zarit Caregiver Burden Interview (ZBI) Score
Časové okno: Baseline and Week 17
|
Change from baseline in caregiver burden, assessed by the Zarit Caregiver Burden Interview (ZBI)
|
Baseline and Week 17
|
|
Change From Baseline in the PANSS Marder Negative Factor Score
Časové okno: Baseline and Week 17
|
Change from baseline in the PANSS Marder negative factor score
|
Baseline and Week 17
|
|
Change From Baseline in the Personal and Social Performance Scale (PSP) Score
Časové okno: Baseline and Week 17
|
Change from baseline in the Personal and Social Performance Scale (PSP) score
|
Baseline and Week 17
|
|
Change From Baseline in the Medication Satisfaction Questionnaire (MSQ) Score
Časové okno: Baseline and Week 17
|
Change from baseline in participant treatment satisfaction measured by the Medication Satisfaction Questionnaire (MSQ)
|
Baseline and Week 17
|
Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Odhadovaný)
Začátek studia
Primární dokončení (Odhadovaný)
Primární dokončení
Dokončení studie (Odhadovaný)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další relevantní podmínky MeSH
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