Evaluating NaBen® with Clozapine for Refractory Schizophrenia

An Adaptive Phase II/III, Double-Blind, Randomized, Placebo-controlled, Two-Part, Dose-Finding, Multi-center Study of the Safety and Efficacy of NaBen®,a D-Amino Acid Oxidase Inhibitor, as an Add-on Therapy With Clozapine, for Residual Symptoms of Refractory Schizophrenia in Adults

This study is testing if adding NaBen® to clozapine can help adults with tough-to-treat schizophrenia feel better.

Quick facts

• Phase: Phase2; Phase3
• Study type: Interventional
• Enrollment: 287 (estimated)
• Ages: 18 Years to 55 Years
• Sex: All
• Sponsor: SyneuRx International (Taiwan) Corp (Industry-sponsored)
• Locations: 1 site (Pasadena, California)
• Trial ID: NCT03094429 on ClinicalTrials.gov

What this trial studies

This clinical trial is an adaptive Phase II/III study designed to assess the safety and efficacy of NaBen® as an add-on therapy to clozapine for adults with refractory schizophrenia. The study consists of two parts: the first part focuses on dose-finding to determine the optimal dosage of NaBen® (1000 mg/day and 2000 mg/day) compared to a placebo, while the second part will test the efficacy of the selected dose. Participants will undergo an eight-week treatment period, and their responses will be evaluated using the PANSS score. An independent Data Safety and Monitoring Committee will oversee the interim analysis to ensure safety and efficacy trends are monitored throughout the study.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 to 55 who have refractory schizophrenia and are currently on clozapine therapy.

Not a fit: Patients who do not have refractory schizophrenia or are outside the age range of 18 to 55 may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could significantly improve the management of residual symptoms in patients with refractory schizophrenia.

How similar studies have performed: Other studies have shown promise in using adjunct therapies for refractory schizophrenia, but the specific use of NaBen® in this context is novel.

Eligibility criteria

Inclusion Criteria:

1. Male or female subjects who are between 18 and 55 years of age inclusive
2. Subject is capable of providing informed consent and is willing to sign the ICF prior to study Screening and agrees to comply with the study protocol requirements, or the subject has a Legally Authorized Representative (LAR) who can provide consent to be enrolled into the study
3. If female and not infertile (defined below), the subject must agree for the duration of the study to use one of the following forms of contraception 1) systemic hormonal treatment 2) an Intrauterine device (IUD) which was implanted at least 2 months prior to screening or 3) "double-barrier" contraception (condom, diaphragm and spermicide are each considered a barrier). Females are considered to be infertile if they are either a) surgically sterile or b) have had spontaneous amenorrhea for at least the last 2 years and at least 2 years after the onset of amenorrhea while not receiving hormone replacement therapy and had a Follicle-Stimulating Hormone (FSH) level greater than 40 mIU/mL and an estradiol level less than 30 pg/mL
4. The subject has Physician confirmed DSM-V diagnosis of schizophrenia for the past 2 years based on subject's recorded history and confirmed by psychiatric evaluation and MINI International Neuropsychiatric Interview For Schizophrenia and Psychotic Disorders, version 7.0 (MINI, Version 7.0)
5. The subjects should have refractory schizophrenia as defined below (should meet at least two: either a and b; or a and c; or a and b and c):

   1. Prior non-response to at least 2 antipsychotic drugs of two different chemical classes for at least 4-6 weeks each at doses ≥ 400 mg equivalents of chlorpromazine or 4 mg/day risperidone, AND
   2. No period of good functioning in previous 2 years; OR,
   3. Moderate to severe psychopathology (total PANSS score equal or more than 70): including persistent psychotic symptoms, recurrent mood symptoms, repeated suicide attempts or suicidal ideation, uncontrolled aggressive behavior, moderate to severe positive or negative symptoms or moderate-severe cognitive impairment
6. The subject has been receiving clozapine for a minimum of 6 months with the dose range of 200-900 mg/day. The dose should have remained unchanged for at least 3 months prior to Screening and not expected to change during the study
7. The subject is outpatient, and has been consistently symptomatic without significant fluctuation per the Investigator, with no hospitalization for worsening of schizophrenia within 3 months of the Screening. If the subject is hospitalized during the study for worsening of schizophrenia symptoms the subject will be withdrawn from the study
8. The subject has a minimum PANSS total score of 70 at the Screening and Baseline Visits (Visits 1 and 2)
9. Without clinically significant abnormalities in physical exam, neurological exam and laboratory assessments (urine/blood routine, biochemical tests and ECG) which would exclude the subject from the study in the opinion of the Investigator. For ALT and AST, clinically significant is defined as above two and a half times the upper limit of normal
10. Body Mass Index (BMI) between 17 and 38 inclusive
11. Subject has a negative routine urine illicit drug screening test (including heroin, amphetamines (including MDMA/ecstasy), cocaine, cannabis or PCP)
12. The subject has a caregiver or some other identified responsible person (e.g., family member, social worker, caseworker, or nurse) as determined by the Investigator and per the local regulations. The identified caregiver should be considered reliable by the Investigator and per the local regulations in providing support to the subject to help ensure compliance with study treatment, study visits and protocol procedures who preferably is also able to provide input helpful for completing study rating scales
13. The subject must not be a danger to themselves or others per the Investigator's judgment

Exclusion Criteria:

1. Meets the DSM-V criteria at Screening for intellectual disability, dissociative disorder, bipolar disorder, major depressive disorder, schizoaffective disorder, schizophreniform disorder, autistic disorder, primary substance-induced psychotic disorder, dementia, or any other comorbid mental disorders that in the opinion of the Investigator may interfere with study conduct and results interpretation
2. Initiation or dose change of lithium, antidepressant or other mood stabilizers within 16 weeks prior to Screening
3. Initiation or dose change of benzodiazepines or sleep medications, or any other psychotropic medications due to worsening of schizophrenia symptoms or medication side effects within four (4) weeks prior to Screening
4. The subject has previously received NaBen®
5. History of epilepsy, major head trauma, or any neurological illness other than Tourette's syndrome which might impair the subject's cognition or psychiatric functioning per the Investigator's judgment
6. History of allergic reaction to sodium benzoate
7. Serious medical illnesses such as end-stage renal disease, liver failure or heart failure that, in the opinion of the Investigator, may interfere with the conduct of the study
8. Any significant gastrointestinal disorders that, in the opinion of the Investigator, markedly alter the absorption, metabolism or elimination of sodium benzoate
9. Any movement disorders with a total score higher than 6 on SAS scale, or more than 2 on any items of the AIMS scale
10. Current substance abuse, or history of meeting criteria for moderate or severe substance abuse (including alcohol, but excluding nicotine and caffeine) in the past six (6) months prior to Screening
11. Female subjects who are pregnant (as confirmed by serum pregnancy test performed at Screening Visit) or are breast feeding
12. History of cancer not in remission for the last three (3) years except for basal cell carcinoma and squamous cell carcinoma
13. Participation in a clinical trial within 3 months prior to Screening or more than two clinical trials within 12 months
14. Electroconvulsive Therapy (ECT) within 6 months prior to Screening
15. The subject started a new non-medication treatment for schizophrenia or other psychiatric condition within the last 3 months prior to Screening (e.g. individual psychotherapy, cognitive behavioral therapy or rehabilitative therapy)
16. The subject's anti-EPS medications dose or regimen has changed within 2 weeks prior to Screening
17. The subject's PANSS total score has decreased more than 20 percent using PANSS score evaluations at Visit 1 and Visit 2

Where this trial is running

Pasadena, California

• For additional information regarding investigative sites for this trial, contact SyneuRx International Corp. — Pasadena, California, United States (Recruiting)

Study contacts

• Study coordinator: Yashar Salek, MD

Conditions Refractory Schizophrenia