Clinical trial Recruiting at 10 sites Phase 1 Interventional Ages 18 to 55

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.

More Schizophrenia trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 55 Years
SexAll
Enrollment90 (estimated)
SponsorLeal Therapeutics, Inc
Industry-sponsored
Locations10 sites (Little Rock, Arkansas and 9 other locations)
StatusRecruiting
StartedAugust 3, 2026
Main results expectedMarch 2027
Study endsMarch 2027
Registry record updatedSeptember 17, 2026
Trial IDNCT07734493 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.