Clinical trial Recruiting at 23 sites Phase 3 Interventional Ages 18 to 65

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.

More Schizophrenia trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment560 (estimated)
SponsorNeurocrine Biosciences
Industry-sponsored
Locations25 sites (Garden Grove, California and 24 other locations)
StatusRecruiting
StartedDecember 16, 2025
Main results expectedJuly 2029
Study endsJuly 2029
Registry record updatedSeptember 25, 2026
Trial IDNCT07227818 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

  • 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
  • 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

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.