Clinical Trial Results:
A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study to Assess the Efficacy and Safety of Lumateperone Monotherapy in the Treatment of Patients with Major Depressive Episodes Associated with Bipolar I or Bipolar II Disorder (Bipolar Depression) or Major Depressive Disorder
Summary
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EudraCT number |
2019-004440-29 |
Trial protocol |
BG |
Global end of trial date |
30 Nov 2022
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Results information
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Results version number |
v1(current) |
This version publication date |
27 Dec 2023
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First version publication date |
27 Dec 2023
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
ITI-007-403
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT04285515 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Intra-Cellular Therapies, Inc.
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Sponsor organisation address |
430 East 29th Street, New York, United States, 10016
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Public contact |
ITI Clinical Trials, Intra-Cellular Therapies, Inc., +1 646-440-9333, ITCIClinicalTrials@itci-inc.com
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Scientific contact |
ITI Clinical Trials, Intra-Cellular Therapies, Inc., +1 646-440-9333, ITCIClinicalTrials@itci-inc.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
15 Mar 2023
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
30 Nov 2022
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Global end of trial reached? |
Yes
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Global end of trial date |
30 Nov 2022
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
The primary objective of this study is to confirm the efficacy of lumateperone 42 mg administered orally once daily compared with that of placebo as measured by mean change from baseline to Day 43 in the Montgomery-Åsberg Depression Rating Scale (MADRS) total score in patients with bipolar depression with mixed features or major depressive disorder with mixed features.
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Protection of trial subjects |
The study was conducted in accordance with the ethical principles that have their origins in the Declaration of Helsinki. The study complied with the ICH Guidance on General Considerations for Clinical Trials and GCP, as well as CFR Part 312.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
07 Feb 2020
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Bulgaria: 167
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Country: Number of subjects enrolled |
United States: 167
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Country: Number of subjects enrolled |
Ukraine: 37
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Country: Number of subjects enrolled |
Russian Federation: 78
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Country: Number of subjects enrolled |
Serbia: 39
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Worldwide total number of subjects |
488
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EEA total number of subjects |
167
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
468
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From 65 to 84 years |
20
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85 years and over |
0
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Recruitment
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Recruitment details |
- | |||||||||||||||||||||||||||||||||
Pre-assignment
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Screening details |
The Screening phase begins once the Informed Consent Form is signed. Patients are evaluated during the screening period lasting up to 2 weeks. | |||||||||||||||||||||||||||||||||
Pre-assignment period milestones
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Number of subjects started |
731 [1] | |||||||||||||||||||||||||||||||||
Number of subjects completed |
488 | |||||||||||||||||||||||||||||||||
Pre-assignment subject non-completion reasons
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Reason: Number of subjects |
Screen Failure: 243 | |||||||||||||||||||||||||||||||||
Notes [1] - The number of subjects reported to have started the pre-assignment period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same. Justification: Pre-assignment period includes all pts that are screened. Worldwide number enrolled are those patients that have been randomized. |
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Period 1
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Period 1 title |
Overall Trial (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | |||||||||||||||||||||||||||||||||
Roles blinded |
Subject, Investigator, Monitor | |||||||||||||||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Lumateperone 42mg | |||||||||||||||||||||||||||||||||
Arm description |
- | |||||||||||||||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Lumateperone
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Investigational medicinal product code |
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Other name |
ITI-007
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Pharmaceutical forms |
Capsule
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Routes of administration |
Oral use
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Dosage and administration details |
Once daily oral administration
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Investigational medicinal product name |
Lumateperone
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Investigational medicinal product code |
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Other name |
ITI-007
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Pharmaceutical forms |
Capsule
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Routes of administration |
Oral use
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Dosage and administration details |
Once oral daily administration
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Arm title
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Placebo | |||||||||||||||||||||||||||||||||
Arm description |
- | |||||||||||||||||||||||||||||||||
Arm type |
Placebo | |||||||||||||||||||||||||||||||||
Investigational medicinal product name |
Placebo
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule
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Routes of administration |
Oral use
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Dosage and administration details |
Once daily oral administration
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Baseline characteristics reporting groups
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Reporting group title |
Lumateperone 42mg
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Lumateperone 42mg
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Reporting group description |
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Reporting group title |
Placebo
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Reporting group description |
- | ||
Subject analysis set title |
Intent-to Treat
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Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
• Intent-to-Treat (ITT) Analysis Set contains all patients who were randomized before Protocol Amendment 2.0 and all patients who were randomized after Protocol Amendment 2.0, who received at least 1 dose of study drug and who had a nonmissing (predose) baseline assessment and at least 1 nonmissing postbaseline assessment of MADRS total score
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End point title |
Change from baseline to Day 43 in the Montgomery-Asberg Depression Rating Scale (MADRS) total score | ||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
Baseline to Day 43
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Statistical analysis title |
Primary Efficacy Analysis | ||||||||||||
Comparison groups |
Lumateperone 42mg v Placebo
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Number of subjects included in analysis |
430
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
< 0.0001 | ||||||||||||
Method |
Mixed models analysis | ||||||||||||
Parameter type |
LS Mean Difference | ||||||||||||
Point estimate |
-5.6
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
-7.25 | ||||||||||||
upper limit |
-3.88 | ||||||||||||
Variability estimate |
Standard error of the mean
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Dispersion value |
0.86
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End point title |
Change from baseline to Day 43 in the Clinical Global Impression-Severity Scale (CGI-S) total score | ||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
Baseline to Day 43
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Statistical analysis title |
Key Secondary Efficacy Analysis | ||||||||||||
Comparison groups |
Placebo v Lumateperone 42mg
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Number of subjects included in analysis |
430
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
< 0.0001 | ||||||||||||
Method |
Mixed models analysis | ||||||||||||
Parameter type |
LS Mean Difference | ||||||||||||
Point estimate |
-0.6
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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lower limit |
-0.82 | ||||||||||||
upper limit |
-0.44 | ||||||||||||
Variability estimate |
Standard error of the mean
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Dispersion value |
0.1
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Adverse events information
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Timeframe for reporting adverse events |
From the time the subject gives study-specific informed consent until the end of study procedures being completed.
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Assessment type |
Systematic | |||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | |||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
22.1
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Reporting groups
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Reporting group title |
Lumateperone 42mg
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Reporting group description |
Includes patients randomized to the Lumateperone 42 mg group and who received at least 1 dose of study drug. | |||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Placebo
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Reporting group description |
Includes patients randomized to the Placebo group and who received at least 1 dose of study drug. | |||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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02 Nov 2020 |
-The addition of patients with major depressive disorder (MDD) to the study population and the addition of the inclusion criterion for all patients to meet the Diagnostic and Statistical Manual of Mental Disorder, 5th Edition (DSM-5) criteria for mixed features specific to the Bipolar I or II diagnosis or MDD diagnosis.
-Increase in sample size. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |