NBI-1117568 to prevent relapse in adults with schizophrenia
Official title: A Phase 3, Multicenter, Double-Blind, Placebo-Controlled, Randomized Withdrawal Study to Assess the Efficacy of NBI-1117568 in Preventing Relapse of the Symptoms of Schizophrenia and to Assess the Safety and Tolerability of NBI-1117568 in Adults With Schizophrenia
Run by Neurocrine Biosciences · NCT07227818 · Data updated 2026-11-12
This will test whether continuing NBI-1117568 helps prevent symptom relapse in adults with schizophrenia who showed a stable response during an initial open-label treatment.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 560 (estimated) |
| Sponsor | Neurocrine Biosciences Industry-sponsored |
| Locations | 25 sites (Garden Grove, California and 24 other locations) |
| Status | Recruiting |
| Started | December 16, 2025 |
| Main results expected | July 2029 |
| Study ends | July 2029 |
| Registry record updated | September 25, 2026 |
| Trial ID | NCT07227818 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with a DSM-5-TR diagnosis of schizophrenia for at least one year who achieve a stable response during open-label NBI-1117568 and do not require clozapine.
✕Probably not a fit
Patients with unstable or poorly controlled medical conditions, significant laboratory abnormalities, recent malignancy, or those who do not respond to the initial open-label NBI-1117568 are unlikely to benefit from participating.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3 interventional study gives adults with schizophrenia an open-label course of NBI-1117568 and then compares continued NBI-1117568 with placebo to measure time to relapse. Adults who show a stable response during the open-label period are randomized into a placebo-controlled continuation phase to see if ongoing treatment delays symptom return. Key inclusion criteria include a DSM-5-TR diagnosis of schizophrenia for at least one year and prior positive response to at least one antipsychotic (excluding clozapine), while participants with unstable medical conditions or significant laboratory abnormalities are excluded. The trial is conducted at Neurocrine Clinical Sites in Southern California and tracks relapse rates and safety during the randomized phase.
Why it matters
Potential benefit: If successful, it could provide a new maintenance option that reduces the risk of relapse for adults with schizophrenia who respond to NBI-1117568.
How similar studies have gone: Relapse-prevention trials of other antipsychotics have shown benefit for some drugs, but NBI-1117568 itself is a newer agent and has not yet been proven in phase 3 for relapse prevention.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * Participant has a primary diagnosis of schizophrenia established by a comprehensive psychiatric evaluation based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) criteria. * Participant had the initial diagnosis of schizophrenia ≥1 year before screening. * Participant has had a positive response to ≥1 antipsychotic therapy (other than clozapine) at a therapeutic dose. Key Exclusion Criteria: * Participant has an unstable or poorly controlled medical condition or chronic disease (including history of neurological \[including dementing illness, myasthenia gravis\], hepatic, renal, cardiovascular, gastrointestinal, pulmonary, autoimmune, or endocrine disease that may affect study participation or results) or malignancy within 30 days before Day 1. * Participant has any laboratory abnormalities suggestive of clinically significant, poorly managed, or unmanaged undiagnosed disease. * Participant has a history of clozapine treatment for treatment-resistant psychosis. * Participant has a history of a stay in a psychiatric inpatient facility for ≥30 consecutive days (other than for purely social reasons or due to participation in a different clinical trial) during the 90 days before screening. * Participant has initiated or increased intensity of nonpharmacological psychosocial therapeutic treatment within 3 weeks before screening or is expected to change throughout the length of the study. Note: Other protocol-defined Inclusion and Exclusion criteria may apply.
Where it's running
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Neurocrine Clinical Site
Garden Grove, California, United States Recruiting -
Neurocrine Clinical Site
La Habra, California, United States Recruiting -
Neurocrine Clinical Site
Lemon Grove, California, United States Recruiting -
Neurocrine Clinical Site
Oceanside, California, United States Recruiting -
Neurocrine Clinical Site
Torrance, California, United States Recruiting -
Neurocrine Clinical Site
Hollywood, Florida, United States Recruiting
Show 19 more locations
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Neurocrine Clinical Site
Maitland, Florida, United States Recruiting -
Neurocrine Clinical Site
Miami, Florida, United States Recruiting -
Neurocrine Clinical Site
Miami, Florida, United States Recruiting -
Neurocrine Clinical Site
Tampa, Florida, United States Recruiting -
Neurocrine Clinical Site
West Palm Beach, Florida, United States Recruiting -
Neurocrine Clinical Site
Atlanta, Georgia, United States Recruiting -
Neurocrine Clinical Site
Boston, Massachusetts, United States Recruiting -
Neurocrine Clinical Site
Flowood, Mississippi, United States Recruiting -
Neurocrine Clinical Site
Marlton, New Jersey, United States Recruiting -
Neurocrine Clinical Site
Cedarhurst, New York, United States Recruiting -
Neurocrine Clinical Site
New York, New York, United States Recruiting -
Neurocrine Clinical Site
The Bronx, New York, United States Recruiting -
Neurocrine Clinical Site
DeSoto, Texas, United States Recruiting -
Neurocrine Clinical Site
Bellevue, Washington, United States Recruiting -
Neurocrine Clinical Site
San Juan, Puerto Rico Recruiting -
Neurocrine Clinical Site
Gornja Toponica, Serbia Recruiting -
Neurocrine Clinical Site
Kragujevac, Serbia Recruiting -
Neurocrine Clinical Site
West Hills, California, United States Completed -
Neurocrine Clinical Site
New York, New York, United States Withdrawn
Study contacts
- Study coordinator: Neurocrine Medical Information Call Center
- Email: medinfo@neurocrine.com
- Phone: 1-877-641-3461
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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.