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Multisenterstudie av Lumateperone for behandling av bipolar depresjon hos pediatriske pasienter

2. november 2026 oppdatert av: Intra-Cellular Therapies, Inc.

En randomisert, dobbeltblind, placebokontrollert, multisenterstudie for å evaluere effektiviteten og sikkerheten til Lumateperone for behandling av alvorlige depressive episoder (MDE) assosiert med bipolar I eller bipolar II lidelse (bipolar depresjon) hos pediatriske pasienter i alderen 10 til 17 år år

This is a multicenter, randomized, double-blind, placebo-controlled study in pediatric patients who are experiencing major depressive episodes (MDEs) associated with a primary diagnosis of bipolar I or bipolar II disorder as confirmed by Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL), according to criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5).

Studieoversikt

Status

Rekruttering

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

The study will be conducted in 3 phases:

  • Screening Period (up to 2 weeks) during which patient eligibility will be assessed
  • Double-blind Treatment Period (6 weeks) during which all patients will be randomized to receive lumateperone or placebo in 1:1 ratio.
  • Safety Follow-up Period (1 week) during which all patients will return to the clinic for a safety follow-up (SFU) visit approximately one week after the last dose of study drug.

Studietype

Intervensjonell

Registrering (Antatt)

384

Fase

  • Fase 3

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studiesteder

      • Barranquilla, Colombia, 080020
        • Rekruttering
        • Centro de Investigaciones y Proyectos en Neurociencias CIPNA
      • Bello, Colombia, 051053
        • Rekruttering
        • Empresa Social del Estado Hospital Mental de Antioquia Maria Upegui HOMO
      • Bogotá, Colombia, 111166
        • Fullført
        • Centro de Investigaciones del Sistema Nervioso Grupo Cisne Ltda.
      • Pereira, Colombia, 660002
        • Rekruttering
        • Psynapsis Salud Mental S.A.
    • Alabama
      • Dothan, Alabama, Forente stater, 36303
        • Rekruttering
        • Harmonex Neuroscience Research
    • Arkansas
      • Little Rock, Arkansas, Forente stater, 72204
        • Rekruttering
        • Pillar Clinical Research, LLC
    • California
      • Anaheim, California, Forente stater, 92805
        • Rekruttering
        • Advanced Research Center, Inc
      • Redlands, California, Forente stater, 92373
        • Rekruttering
        • Inland Psychiatric Medical Group Inc
      • Sacramento, California, Forente stater, 95817
        • Rekruttering
        • UC Davis Health System
      • San Diego, California, Forente stater, 92103
        • Fullført
        • University of California San Diego Medical Center
      • West Covina, California, Forente stater, 91790
        • Rekruttering
        • Next Level Clinical Trials, LLC
    • Colorado
      • Colorado Springs, Colorado, Forente stater, 80910
        • Fullført
        • MCB Clinical Research Centers LLC
    • Florida
      • Fort Myers, Florida, Forente stater, 33901
        • Suspendert
        • Royal Palm Clinical Research
      • Hialeah, Florida, Forente stater, 33012
        • Fullført
        • United Research Institute
      • Homestead, Florida, Forente stater, 33033
        • Suspendert
        • Advanced Research Institute of Miami
      • Miami, Florida, Forente stater, 33176
        • Rekruttering
        • Links Clinical Trials
      • Miami, Florida, Forente stater, 33125
        • Fullført
        • Columbus Clinical Services LLC
      • Miami, Florida, Forente stater, 33122
        • Suspendert
        • Vital Care Research
      • Miami, Florida, Forente stater, 33130
        • Rekruttering
        • Care Research Center Inc
      • Miami, Florida, Forente stater, 33165
        • Suspendert
        • AP Medical Research
      • Miami, Florida, Forente stater, 33134
        • Rekruttering
        • HealthMed Clinical Center Inc
      • Miami, Florida, Forente stater, 33144
        • Fullført
        • Ocean Blue Medical Research Center Inc.
      • Miami, Florida, Forente stater, 33166
        • Rekruttering
        • Envision Trials LLC
      • Miami, Florida, Forente stater, 33186
        • Fullført
        • SouthGen Clinical Research LLC
      • Miami, Florida, Forente stater, 33173
        • Fullført
        • GTL Medical and Research Group
      • Miami Gardens, Florida, Forente stater, 33056
        • Rekruttering
        • New Med Research Inc
      • Miami Gardens, Florida, Forente stater, 33169
        • Rekruttering
        • The Angel Medical Research Corporation
      • Miami Lakes, Florida, Forente stater, 33014
        • Rekruttering
        • Riveldi Biomedical Research
      • Orlando, Florida, Forente stater, 32803
        • Rekruttering
        • APG Research LLC
      • West Palm Beach, Florida, Forente stater, 33407
        • Rekruttering
        • Health Synergy Clinical Research
    • Georgia
      • Atlanta, Georgia, Forente stater, 30030
        • Rekruttering
        • CenExeli Research LLC
      • Atlanta, Georgia, Forente stater, 30318
        • Fullført
        • Advanced Discovery Research
      • Lawrenceville, Georgia, Forente stater, 30046
        • Fullført
        • Salveo Integrative Health Inc
      • Savannah, Georgia, Forente stater, 31405
        • Rekruttering
        • CenExeli Research LLC 1
    • Illinois
      • Chicago, Illinois, Forente stater, 60611
        • Rekruttering
        • Ann & Robert H. Lurie Children's Hospital of Chicago
      • Elgin, Illinois, Forente stater, 60123
        • Rekruttering
        • Revive Research Institute
    • Indiana
      • Indianapolis, Indiana, Forente stater, 46202
        • Fullført
        • Indiana University
    • Maryland
      • Baltimore, Maryland, Forente stater, 21229
        • Fullført
        • MTP Psychiatry LLC
    • Michigan
      • Bloomfield Hills, Michigan, Forente stater, 48302
        • Rekruttering
        • Neurobehavioral Medicine Group
    • Missouri
      • Saint Charles, Missouri, Forente stater, 63304
        • Rekruttering
        • Midwest Research Group
      • St Louis, Missouri, Forente stater, 63110
        • Fullført
        • Washington University School of Medicine Child and Adolescent Psychiatry Clinic
    • Nebraska
      • Lincoln, Nebraska, Forente stater, 68526
        • Rekruttering
        • Alivation Research LLC
    • New York
      • New York, New York, Forente stater, 10016
        • Rekruttering
        • NYU Child Study Center
    • Ohio
      • Avon Lake, Ohio, Forente stater, 44012
        • Fullført
        • Haidar Almhana Nieding
      • Cincinnati, Ohio, Forente stater, 45219
        • Rekruttering
        • University of Cincinnati Medical Center
      • Garfield Heights, Ohio, Forente stater, 44125
        • Rekruttering
        • Charak Center for Health and Wellness
      • Westlake, Ohio, Forente stater, 44145
        • Fullført
        • Westlake America Clinic
    • Oklahoma
      • Oklahoma City, Oklahoma, Forente stater, 73116
        • Fullført
        • Cutting Edge Research Group
      • Oklahoma City, Oklahoma, Forente stater, 73116
        • Rekruttering
        • Sooner Clinical Research
      • Oklahoma City, Oklahoma, Forente stater, 73112
        • Rekruttering
        • SP Research, PLLC (dba Rivus Wellness & Research Institute)
    • Texas
      • Austin, Texas, Forente stater, 78701
        • Rekruttering
        • The University of Texas at Austin
      • Austin, Texas, Forente stater, 78759
        • Fullført
        • BioBehavioral Research of Austin PC
      • Beaumont, Texas, Forente stater, 77701
        • Rekruttering
        • REX Clinical Trials LLC
      • Flower Mound, Texas, Forente stater, 76028
        • Fullført
        • North Pointe Psychiatry
      • Houston, Texas, Forente stater, 77090
        • Fullført
        • Red Oak Psychiatry Associates
      • Houston, Texas, Forente stater, 77089
        • Rekruttering
        • Kaleidoscope Clinical Research
      • Richmond, Texas, Forente stater, 77407
        • Rekruttering
        • Perceptive Pharma Research
    • Virginia
      • Richmond, Virginia, Forente stater, 23220
        • Rekruttering
        • Virginia Commonwealth University
    • Washington
      • Bellevue, Washington, Forente stater, 98007
        • Rekruttering
        • Northwest Clinical Research Center
      • Everett, Washington, Forente stater, 98201
        • Rekruttering
        • Core Clinical Research
      • Ahmedabad, India, 380008
        • Suspendert
        • Ratandeep Surgical Hospital And Endoscopy Clinic
      • Chhatrapati Sambhajinagar, India, 431005
        • Suspendert
        • Society for Psychiatric Update and Research Shanti Nursing Home
      • Nashik, India, 422005
        • Suspendert
        • Chopda Medicare & Research Centre
      • Varanasi, India, 221005
        • Suspendert
        • Deva Institute of Healthcare And Research Pvt Ltd
      • Belgrade, Serbia, 11000
        • Aktiv, ikke rekrutterende
        • Clinic of Neurology and Psychiatry for Children and Youth
      • Belgrade, Serbia, 11000
        • Aktiv, ikke rekrutterende
        • Institute of Mental Health Serbia
      • Niš, Serbia, 18000
        • Aktiv, ikke rekrutterende
        • University Clinical Center NIS
      • Novi Sad, Serbia, 21000
        • Suspendert
        • Clinical Center of Vojvodina

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

10 år til 17 år (Barn)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  1. Able to provide consent as follows:

    • The Legally Authorized Representative (LAR) must provide written, informed consent.
    • The patient must provide written assent;
  2. Male or female patients 10 to 17 years of age, inclusive;

  3. Have a Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Text Revision (DSM-5-TR) primary diagnosis of bipolar I or bipolar II disorder with a current MDE without psychosis as confirmed by Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL);

  4. Subject has a lifetime history of at least one manic or hypomanic episode.

  5. Subject's current major depressive episode is ≥ 4 weeks and less than 12 months in duration;

  6. CDRS-R total score ≥ 45 with ≥ 5 on Item 11 (depressed feelings) at Screening and Baseline;

  7. Young Mania Rating Scale (YMRS) score ≤ 15 (with YMRS Item 1 [elevated mood] score ≤ 2) at Screening and Baseline.

Exclusion Criteria:

  1. Has a primary psychiatric diagnosis other than bipolar I or bipolar II disorder. Exception includes:

    • Attention deficit hyperactivity disorder (ADHD). If a subject is taking medications for ADHD, they must have been on a stable treatment regimen of these medication(s) for 30 days prior to screening and the treatment regimen is expected to remain stable throughout the study.
  2. Intellectual disability based on Investigator opinion and DSM-5 criteria

  3. Patient has been hospitalized for a bipolar manic episode within the 30 days prior to randomization;

  4. Demonstrates a ≥ 25% decrease (improvement) in the CDRS-R total score between Screening and Baseline visits, or the CDRS-R is below 45 at Baseline;

  5. In the opinion of the Investigator, the patient has a significant risk for suicidal behavior during his/her participation in the study or

    1. At Screening, the patient scores "yes" on Suicidal Ideation Items 3, 4, or 5 of the Columbia-Suicide Severity Rating Scale (C-SSRS) within 6 months prior to Screening or, at Baseline, the patient scores "yes" on Suicidal Ideation Items 3, 4, or 5 since the Screening Visit;
    2. At Screening, the patient has had 1 or more suicidal attempts within the 2 years prior to Screening; or
    3. At Screening or Baseline, scores > 3 on Item 13 (suicidal ideation) on the CDRS-R; or
    4. The patient is considered to be an imminent danger to him/herself or others.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Firemannsrom

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Lumateperone

Lumateperone 42 mg for patient ages 13-17 years and Lumateperone 21 mg for patient ages 10-12 years.

Lumateperone administered orally, once daily.

Placebo komparator: Placebo

Matching placebo

Matching placebo administered orally, once daily.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Children's Depression Rating Scale-Revised (CDRS-R)
Tidsramme: Week 6

The Children's Depression Rating Scale-Revised is an observer-rated, 17-item semi-structured scale for pediatric patients. The scale comprises cognitive, somatic, affective, and psychomotor symptoms of depression. Items are rated for severity on a 7-point scale (1 to 7) for 14 items and on a 5-point scale (1 to 5) for three items. Total scores range from 7 to 113.

Week 6

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Clinical Global Impression Scale-Severity (CGI-S)
Tidsramme: Week 6

The CGI-S is a clinician-rated scale to assess a patient's overall mental health. The scale ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill patients).

Week 6

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Etterforskere

  • Studieleder: Intra-Cellular Therapies, Inc. Clinical Trial, Intra-Cellular Therapies, Inc.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

14. mai 2024

Primær fullføring (Antatt)

31. oktober 2031

Studiet fullført (Antatt)

31. oktober 2031

Datoer for studieregistrering

Først innsendt

15. april 2024

Først innsendt som oppfylte QC-kriteriene

15. april 2024

Først lagt ut (Faktiske)

18. april 2024

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

3. november 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

2. november 2026

Sist bekreftet

1. november 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • ITI-007-421
  • ITI-007-421 (Annen identifikator: Janssen Research & Development, LLC)

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Ja

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .