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    Clinical Trial Results:
    An Open-label, Multicenter Trial to Assess the Safety and Tolerability of Lumateperone as Adjunctive Therapy in the Treatment of Patients with Major Depressive Disorder

    Summary
    EudraCT number
    2021-001172-41
    Trial protocol
    CZ   SK   HU   BG   PL   SE   FI  
    Global end of trial date
    23 Oct 2024

    Results information
    Results version number
    v1(current)
    This version publication date
    14 Nov 2025
    First version publication date
    14 Nov 2025
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    ITI-007-503
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT05061719
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Intra-Cellular Therapies, Inc.
    Sponsor organisation address
    135 Route 202/206, Suite 6, Bedminster, NJ, United States, 07921
    Public contact
    ITI Clinical Trials, Intra-Cellular Therapies, Inc., +1 646-440-9333, ITCIClinicalTrials@itci-inc.com
    Scientific contact
    ITI Clinical Trials, Intra-Cellular Therapies, Inc., +1 646-440-9333, ITCIClinicalTrials@itci-inc.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    09 Dec 2024
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    23 Oct 2024
    Global end of trial reached?
    Yes
    Global end of trial date
    23 Oct 2024
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the safety and tolerability of lumateperone 42 mg administered orally once daily for approximately 26 weeks as adjunctive treatment to antidepressant therapy (ADT) in patients with major depressive disorder (MDD).
    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.
    Background therapy
    Subjects continued to take one of the following antidepressants as monotherapy treatment that they had taken in the Lead-In Study: a. citalopram/escitalopram b. fluoxetine c. paroxetine d. sertraline e. duloxetine f. levomilnacipran/milnacipran (if locally approved for MDD) g. venlafaxine/desvenlafaxine h. bupropion i. vilazodone j. vortioxetine
    Evidence for comparator
    -
    Actual start date of recruitment
    26 Sep 2021
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    India: 53
    Country: Number of subjects enrolled
    Poland: 147
    Country: Number of subjects enrolled
    Slovakia: 32
    Country: Number of subjects enrolled
    Sweden: 2
    Country: Number of subjects enrolled
    Bulgaria: 159
    Country: Number of subjects enrolled
    Czechia: 95
    Country: Number of subjects enrolled
    Germany: 25
    Country: Number of subjects enrolled
    Hungary: 15
    Country: Number of subjects enrolled
    United States: 225
    Country: Number of subjects enrolled
    Argentina: 56
    Worldwide total number of subjects
    809
    EEA total number of subjects
    475
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    796
    From 65 to 84 years
    13
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    The Screening phase began once the Informed Consent Form was signed. Subjects enrolled in this open-label safety study had to have completed 1 of 2 double-blind lead-in studies.

    Pre-assignment period milestones
    Number of subjects started
    812 [1]
    Number of subjects completed
    809

    Pre-assignment subject non-completion reasons
    Reason: Number of subjects
    Consent withdrawn by subject: 2
    Reason: Number of subjects
    Lost to follow-up: 1
    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 subjects that are screened. Worldwide number enrolled are those subjects that have been enrolled.
    Period 1
    Period 1 title
    Overall Trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Lumateperone 42 mg + ADT
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Lumateperone
    Investigational medicinal product code
    Other name
    ITI-007
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Lumateperone 42 mg once daily oral administration

    Number of subjects in period 1
    Lumateperone 42 mg + ADT
    Started
    809
    Completed
    684
    Not completed
    125
         Adverse event, serious fatal
    1
         Consent withdrawn by subject
    41
         Adverse event, non-fatal
    60
         Pregnancy
    1
         Subjects discontinued due to site closure
    2
         Lost to follow-up
    5
         Lack of efficacy
    7
         Protocol deviation
    8

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Lumateperone 42 mg + ADT
    Reporting group description
    -

    Reporting group values
    Lumateperone 42 mg + ADT Total
    Number of subjects
    809 809
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    796 796
        From 65-84 years
    13 13
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    46.2 ( 12.22 ) -
    Gender categorical
    Units: Subjects
        Female
    549 549
        Male
    260 260

    End points

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    End points reporting groups
    Reporting group title
    Lumateperone 42 mg + ADT
    Reporting group description
    -

    Primary: The Number and Percentage of Subjects Reporting Treatment Emergent Adverse Events

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    End point title
    The Number and Percentage of Subjects Reporting Treatment Emergent Adverse Events [1]
    End point description
    548 out of 809 subjects (67.74%) reported at least 1 TEAE
    End point type
    Primary
    End point timeframe
    26 weeks
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: As this was an open-label safety study there was no comparison to placebo or other treatment. The Primary outcome was number and percentage of of subjects that reported a TEAE.
    End point values
    Lumateperone 42 mg + ADT
    Number of subjects analysed
    809
    Units: Number of subjects reporting TEAEs
        number (not applicable)
    548
    No statistical analyses for this end point

    Secondary: Change From Baseline in one of the 6 Week Double-blind Lead-in Studies to the End of the Open-Label Treatment Period in the Montgomery-Åsberg Depression Rating Scale

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    End point title
    Change From Baseline in one of the 6 Week Double-blind Lead-in Studies to the End of the Open-Label Treatment Period in the Montgomery-Åsberg Depression Rating Scale
    End point description
    End point type
    Secondary
    End point timeframe
    Up to 32 weeks
    End point values
    Lumateperone 42 mg + ADT
    Number of subjects analysed
    809
    Units: MADRS Total Score
        arithmetic mean (standard deviation)
    -21.7 ( 8.39 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in one of the 6 Week Double-blind Lead-in Studies to the End of the Open-Label Treatment Period in the Clinical Global Impression Scale-Severity

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    End point title
    Change From Baseline in one of the 6 Week Double-blind Lead-in Studies to the End of the Open-Label Treatment Period in the Clinical Global Impression Scale-Severity
    End point description
    End point type
    Secondary
    End point timeframe
    Up to 32 weeks
    End point values
    Lumateperone 42 mg + ADT
    Number of subjects analysed
    809
    Units: CGI-S Total Score
        arithmetic mean (standard deviation)
    -2.5 ( 1.19 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From signing ICF until end of study procedures (~28 weeks), including 26 weeks of open-label treatment.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.0
    Reporting groups
    Reporting group title
    Lumateperone 42 mg + ADT
    Reporting group description
    -

    Serious adverse events
    Lumateperone 42 mg + ADT
    Total subjects affected by serious adverse events
         subjects affected / exposed
    8 / 809 (0.99%)
         number of deaths (all causes)
    1
         number of deaths resulting from adverse events
    1
    Injury, poisoning and procedural complications
    Alcohol poisoning
         subjects affected / exposed
    1 / 809 (0.12%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Contusion
         subjects affected / exposed
    1 / 809 (0.12%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Spinal compression fracture
         subjects affected / exposed
    1 / 809 (0.12%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Reproductive system and breast disorders
    Postmenopausal haemorrhage
         subjects affected / exposed
    1 / 809 (0.12%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    Biliary colic
         subjects affected / exposed
    1 / 809 (0.12%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pulmonary embolism
         subjects affected / exposed
    2 / 809 (0.25%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    Infections and infestations
    Helicobacter gastritis
         subjects affected / exposed
    1 / 809 (0.12%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Lumateperone 42 mg + ADT
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    322 / 809 (39.80%)
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    86 / 809 (10.63%)
         occurrences all number
    91
    Headache
         subjects affected / exposed
    134 / 809 (16.56%)
         occurrences all number
    182
    Somnolence
         subjects affected / exposed
    58 / 809 (7.17%)
         occurrences all number
    60
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    50 / 809 (6.18%)
         occurrences all number
    62
    Dry mouth
         subjects affected / exposed
    65 / 809 (8.03%)
         occurrences all number
    65
    Nausea
         subjects affected / exposed
    62 / 809 (7.66%)
         occurrences all number
    84
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    42 / 809 (5.19%)
         occurrences all number
    46

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    23 Aug 2021
    Verified Clinical Trials (VCT) was used to monitor for patient participation in other clinical trials; Added Study Stopping Criteria and clarified study discontinuation and patient-level stopping criteria; Clarified the definition of TEAEs to be reported during the OLTP; Updated study drug supply and storage information.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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