Safety Study of ACP-104: To Demonstrate the Safety, Tolerability, and Pharmacokinetics - Full Text View

Sponsors and Collaborators:	University of Texas Southwestern Medical Center Stanley Medical Research Institute ACADIA Pharmaceuticals Inc.
Information provided by:	University of Texas Southwestern Medical Center
ClinicalTrials.gov Identifier:	NCT00628420

Purpose

To determine the safety and tolerability of ACP-104 after oral administration of single doses in comparison with placebo to schizophrenia or other psychotic disorders.

Condition	Intervention	Phase
Schizophrenia	Drug: ACP-104 Drug: Placebo	Phase I

MedlinePlus related topics: Psychotic Disorders Schizophrenia

Drug Information available for: Starch Clozapine

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title:	A Randomized, Double Blind, Placebo Controlled, Single Oral Dose Study to Demonstrate the Safety, Tolerability, and Pharmacokinetics of ACP-104 (N-Desmethylclozapine) in Schizophrenia, or Other Psychotic Disorders.

Further study details as provided by University of Texas Southwestern Medical Center:

Enrollment:	45
Study Start Date:	January 2005
Study Completion Date:	October 2007
Primary Completion Date:	November 2006 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
1 Patients recieved single low dose of ACP-104	Drug: ACP-104 25mg, 75mg, 125mg, 175mg, 225mg, or 275mg once a day for 2 weeks
2 Patients recieved a high dose of ACP-104	Drug: ACP-104 Patient will be given either 50mg, 100mg, 150mg, 200mg, 250mg, or 300mg daily for 2 weeks
3 Patients recieved a placebo	Drug: Placebo patients will be given a placebo: 25mg, 50mg, 75mg, 100mg, 125mg, 150mg, 175mg, 200mg, 225mg, 250mg, 275mg, or 300mg (to match the doses given) daily for 2 weeks.

Detailed Description:

Thirty-six healthy patients with schizophrenia or psychotic disorders, each of whom will be drug-free at study initiation, will be admitted to the hospital and will each receive two doses of ACP-104, and one dose of placebo, orally every 3-5 days over a two-week period. The patients will be divided into six groups of up to six and minimum of 3 patients each. Group 1 will consist of six patients who will receive single 25mg and 50mg doses of ACP-104 and placebo in random, but rising dose, order over a two-week period. Data from group one will be collected to determine ACP-104's safety, tolerability, and pharmacokinetics. Group 2 will be enrolled in the study once study data from Group 1 has demonstrated the safety of ACP-104. Group 2 will receive a 25mg pre-conditioning dose of ACP-104. Following the pre-conditioning dose, 75mg and 100mg single doses of ACP-104 will be administered in random, but rising dose, order, over a two-week period. Group 3 will be enrolled in the study once study data from Group 2 has demonstrated the safety of ACP-104. Group 3 will receive a 25mg pre-conditioning dose of ACP-104. Following the pre-conditioning dose, 125mg and 150mg single doses of ACP-104 will be administered in random, but rising dose, order, over a two-week period. Group 4 will be enrolled in the study once study data from Group 3 has demonstrated the safety of ACP-104. Group 4 will receive a 25mg pre-conditioning dose of ACP-104. Following the pre-conditioning dose, 175mg and 200mg single doses of ACP-104 will be administered in random, but rising dose, order, over a two-week period. Group 5 will be enrolled in the study once study data from Group 4 has demonstrated the safety of ACP-104. Group 5 will receive a 25mg pre-conditioning dose of ACP-104. Following the pre-conditioning dose, 225mg and 250mg single doses of ACP-104 will be administered in random, but rising dose, order, over a two week period. Group 6 will be enrolled in the study once study data from Group 5 has demonstrated the safety of ACP-104. Group 6 will receive a 25mg pre-conditioning dose of ACP-104. Following the pre-conditioning dose, 275mg and 300mg single doses of ACP-104 will be administered in random, but rising dose, order, over a two-week period. Groups 1-6 will be monitored closely and safety procedures and evaluations will be performed on all medication days. Safety assessments will include: physical examinations, vital signs (3-positional blood pressure and pulse rate, respiration rate, and oral body temperature), clinical laboratory tests, ECGs (Electrocardiogram), coordination tests, questions about symptoms and side effects. Once all medication days have been completed, the condition of the patient will be assessed, and, at that time, it will be determined whether the patient's condition is suitable for release from the hospital or whether further monitoring of the patient's condition as an inpatient is needed.

Eligibility

Ages Eligible for Study:	20 Years to 50 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Males and females, who have been surgically sterilized or at least 1 year post menopausal, in good health (based on medical history, physical examination, electrocardiograms, and clinical laboratory tests)
Between 20 and 50 years old (inclusive)
History of schizophrenia, schizoaffective disorder, bipolar with psychosis, major depression with psychosis, PTSD with psychosis, or psychosis NOS and not experiencing an acute exacerbation of severe psychosis
Able to execute informed written consent
Willing to follow dietary restrictions as outlined in Section 6.2 General and dietary restrictions,
Willing to remain hospitalized for the in-patient portion of the study and return for follow up visit(s) as required by the protocol and as deemed necessary by principal investigator,
Will be in need of treatment with an antipsychotic medication,
Fluent and literate in English

Exclusion Criteria:

Any patient that has received clozapine within the last three months, or any depot antipsychotic within the last six months,
Likely allergy or insensitivity to ACP-104 or clozapine based on known allergies to drugs of the same class, or which in the opinion of the principle investigator, suggests an increased potential for an adverse hypersensitivity to ACP-104
Any prior history of drug-induced leukopenia or neutropenia,
Any prior history of neuroleptic malignant syndrome
History of seizure, epilepsy, severe head injury, multiple sclerosis, or other known neurological condition
Prior history of cardiovascular disease, including arrhythmia or myocarditis
Abnormal pre-admission vital signs or clinical laboratory evaluations
Any patient with a history, within the last three months, of alcohol and/or drug dependency or alcohol and/or drug abuse in the last month
History of hepatic or renal disease
Any patient scheduled to undergo any surgical procedure during the duration of the study,
Any patient taking any concurrent medications for a major medical illness
Any patient who has donated plasma or blood within 30 days before the first dose of study medication,
Any patient who has received any known hepatic or renal clearance altering agents (e.g., erythromycin, cimetidine, barbiturates, phenothiazines, etc.) for a period of 3 months before the first dose of study medication
Ingestion or use of any investigational medication or device within 3 months before the first dose of study medication
Acute illness within 5 days before the first dose of study medication
Mental capacity is limited to the extent that the patient cannot provide legal consent or understand information regarding the side effects or tolerance of the study drug
Any patient judged by the principal investigator to be inappropriate for the study.
- We do not have the resources necessary to properly study non-English speaking patients in this study. The need to provide such resources would be prohibitive to the successful completion of the study.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00628420

Locations

United States, Texas
The University of Texas Southwestern Medical Center
Dallas, Texas, United States, 75390
Veteran's Affairs Medical Center
Dallas, Texas, United States, 75216

Sponsors and Collaborators

University of Texas Southwestern Medical Center

Stanley Medical Research Institute

ACADIA Pharmaceuticals Inc.

More Information

Responsible Party:	UT Southwestern Medical Center ( Carol A. Tamminga, MD, Professor )
Study ID Numbers:	082004-051
Study First Received:	February 24, 2008
Last Updated:	February 24, 2008
ClinicalTrials.gov Identifier:	NCT00628420
Health Authority:	United States: Food and Drug Administration

Keywords provided by University of Texas Southwestern Medical Center:

Schizophrenia
N-desmethylclozapine
clozapine

psychosis
randomized
placebo studies

Study placed in the following topic categories:

Schizophrenia
Mental Disorders
Clozapine
Psychotic Disorders
Schizophrenia and Disorders with Psychotic Features

ClinicalTrials.gov processed this record on January 16, 2009