LTX-001 in adults with acute worsening of schizophrenia
Official title: A Phase 1b, Multicenter, Randomized, Double-Blind, Dose-Escalation, Placebo-Controlled Study to Evaluate Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, And Early Signs of Efficacy of Orally Administered LTX-001 As Monotherapy in Adult Participants With Acute Exacerbation of Schizophrenia
Run by Leal Therapeutics, Inc · NCT07734493 · Data updated 2026-11-12
This study tests whether the drug LTX-001 is safe and tolerable in adults experiencing a recent flare of schizophrenia and sees how it behaves in the body and affects symptoms compared with a placebo.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 55 Years |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | Leal Therapeutics, Inc Industry-sponsored |
| Locations | 10 sites (Little Rock, Arkansas and 9 other locations) |
| Status | Recruiting |
| Started | August 3, 2026 |
| Main results expected | March 2027 |
| Study ends | March 2027 |
| Registry record updated | September 17, 2026 |
| Trial ID | NCT07734493 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with a DSM-5-TR diagnosis of schizophrenia experiencing a recent acute exacerbation and who are not currently on antipsychotics or willing to discontinue prohibited psychotropic meds.
✕Probably not a fit
Individuals with organ dysfunction, other major DSM-5-TR diagnoses, or antipsychotic treatment resistance may not benefit and are excluded.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 1 trial evaluates the safety, tolerability, pharmacokinetics, and pharmacodynamics of LTX-001 in adults with acute exacerbation of schizophrenia. Participants are randomized to receive LTX-001 at one of two doses or placebo for a short period, with careful monitoring and overnight stays in a research unit. Assessments include physical exams, ECGs, blood and urine tests, and psychiatric scales such as PANSS, CGI-S, MINI, and additional cognitive, EPS, suicidality, and qEEG measures. The study aims to determine dose-related effects and how the drug changes in the body and blood markers, to inform future trials.
Why it matters
Potential benefit: Participants may experience stabilization of symptoms or insights into how LTX-001 could help related to schizophrenia, though direct benefit is not guaranteed.
How similar studies have gone: Previous early-phase trials in similar mechanisms have shown safety signals but this exact approach with LTX-001 is an initial evaluation in acute schizophrenia.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * BMI \> 17.5 and \< 38.0 kg/m2 and a total body weight \> 50.0 kg (110 lbs) * Primary diagnosis of schizophrenia per the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5-TR) * Experiencing an acute exacerbation or relapse of symptoms, with onset less than 2 months prior to screening for the study * PANSS total score ≥ 80 at the time of screening for the study * Not currently on antipsychotic medication, or is willing to discontinue all prohibited psychotropic medications prior to and during the trial period * Sexually active adults must be willing to use an acceptable contraceptive method throughout the study Exclusion Criteria: * Evidence of organ dysfunction or any clinically significant abnormal finding at physical examination * History of treatment resistance (e.g., failure to respond to ≥ 2 adequate antipsychotic trials) or failure to respond to use of clozapine * Current DSM-5-TR diagnosis other than schizophrenia * Pregnant or lactating female * Substance use disorder within 1 year prior to screening or recreational use of drugs within 3 months prior to screening * Moderate to severe alcohol use disorder as per DSM-5-TR within the past year or excessive use of alcohol within 12 months prior to screening * Positive testing for human immunodeficiency virus (HIV)-1 and -2 antibody, hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV) antibody at screening
Where it's running
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Pillar Clinical Research, LLC
Little Rock, Arkansas, United States Recruiting -
Collaborative Neuroscience Research, LLC
Los Alamitos, California, United States Recruiting -
University Clinical Research-DeLand, LLC d/b/a Accel Research Sites - DeLand Clinical Research Unit
DeLand, Florida, United States Recruiting -
Behavioral Clinical Research, Inc.
Hollywood, Florida, United States Recruiting -
CenExel Hollywood FL
Hollywood, Florida, United States Recruiting -
Innovative Clinical Research, Inc.
Miami Lakes, Florida, United States Recruiting
Show 4 more locations
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CenExel iResearch, LLC
Decatur, Georgia, United States Recruiting -
CBH Health LLC., dba CenExel Gaithersburg MD
Gaithersburg, Maryland, United States Recruiting -
Hassman Research Institute, LLC
Marlton, New Jersey, United States Recruiting -
Pillar Clinical Research, LLC
Richardson, Texas, United States Recruiting
Study contacts
- Study coordinator: Clinical Trials Information Medical Monitor
- Email: clinical.trials@lealtx.com
- Phone: 267-503-4800
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.