ClinicalTrials.gg
CompletedNCT04461119Updated May 20, 2021

Study to Determine the Safety, Tolerability, and Efficacy of Evenamide in Patients With Chronic Schizophrenia

A Phase 2 interventional study of Evenamide and Placebo in Schizophrenia, sponsored by Newron Pharmaceuticals SPA. Completed at 14 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-05-20.

Sponsored by Newron Pharmaceuticals SPA · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Feb 2021, 5 years 8 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
138
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This 4-week study will evaluate the safety, tolerability and preliminary evidence of efficacy of evenamide (7.5,and 15 mg and placebo, bid) treatment in outpatients with chronic schizophrenia.

Read the detailed description

This is a prospective, 4-week, randomized, double-blind, placebo-controlled, study designed to evaluate the safety, tolerability, EEG effects, and preliminary efficacy of two fixed oral doses of evenamide of 7.5 mg and 15 mg bid (15 and 30 mg/day) in outpatients with chronic schizophrenia who are receiving treatment at constant doses of one of the following atypical antipsychotics: aripiprazole, clozapine, quetiapine, olanzapine, paliperidone or risperidone. Approximately 120 patients will be randomized in a 1:1:1 ratio to receive either evenamide 7.5 or 15 mg, or placebo, given bid.

02

Conditions studied

  • Schizophrenia

Browse trials for

03

In context

Schizophrenia

3,563 studies on the registry are indexed under Schizophrenia; 491 are open to participants now.

This study's enrollment of 138 is above the median of 71 across 2,944 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Newron Pharmaceuticals SPA is the lead sponsor of 22 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Demographics

  • Age - 18 years, or older
  • Sex - male, or non- female unless practicing adequate

Psychiatric

  • Has a current diagnosis of schizophrenia in accordance with .
  • Has been treated with antipsychotics for at least 2 years.
  • Has a total score on the PANSS \< 80.
  • Has a Clinical Global Impression - Severity of disease (CGI-S) rating of mildly, moderately or moderately severely ill (score of 3, 4 or 5).
  • Needs antipsychotic treatment and is currently receiving a stable dose (minimally for 4 weeks prior to screening) of aripiprazole, clozapine, quetiapine, olanzapine, paliperidone, or risperidone (at least 2 mg risperidone dose-equivalent)
  • Current symptoms have been stably present for at least one month

Procedural

  • Patient resides at home or in a residential care facility
  • If taking clozapine, patient agrees to blood monitoring

Exclusion criteria

Exclusion Criteria:

Psychiatric

  • Severity of current episode of psychosis requires that the patient be hospitalized. Patients who are chronically hospitalized or in psychiatric day-care, whose hospitalization is for logistic reasons and not due to the severity of their illness, will be eligible for the study.
  • Severity of psychosis is rated severe or higher (CGI-S of 6 or greater).
  • Known suicidal risk. A "yes" response on the C-SSRS Suicidal Ideation Item 4 or Item 5, or a "yes" response on any of the five C-SSRS Suicidal Behavior items, at screening, or a suicide attempt within the past 6 months, excludes the patient from the study.
  • Patients with a diagnosis of Treatment resistance
  • History of neuroleptic malignant syndrome, priapism.
  • Current moderate or severe tardive dyskinesia.

Medical Status

  • Abnormal epileptiform phenomena (3 per second spike and slow wave discharges) observed on screening EEG. History or current diagnosis of epilepsy or seizure disorder (other than febrile seizures in childhood)
  • Insulin-dependent diabetes mellitus
  • History or current diagnosis of any neurodegenerative illnesses
  • Loss of 500 ml or more of blood during the 3-month period before study enrollment, e.g. as a donor

Cardiovascular

  • A current diagnosis of severe or unstable cardiovascular disease
  • Any abnormality
  • Abnormal vital signs

Laboratory abnormalities

  • Clinically significant abnormalities in routine laboratory examinations
  • History and/or presence of and/or C
  • Positive results from the serology.
  • Positive results of the drug and alcohol tests
  • Clinically significant or unstable hypothyroidism or hyperthyroidism

Concomitant therapy

  • Treatment with SSRIs that are moderate/potent inhibitors of CYP2D6 (e.g. fluoxetine)
  • Treatment with drugs capable of inducing/inhibiting hepatic enzyme metabolism
  • Current treatment with sodium channel blockers
  • Exposure to any drug within 5 weeks or 5 half-lives (whichever is longer) prior to screening
  • A known exaggerated pharmacological sensitivity or to drugs similar to evenamide (e.g. lamotrigine, carbamazepine, oxcarbazepine, topiramate, etc.), or any components of the evenamide or matching placebo capsules
  • Treatment with a drug or treatment known to cause major organ system toxicity, e.g. tamoxifen, within 4 weeks, or received radiation therapy or a drug with cytotoxic potential, e.g. chemotherapy, during the past year
  • Electroconvulsive therapy (ECT) or treatment with a transcranial magnetic stimulation (TMS) device within 6 months prior to screening
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
138 participants (actual)

Study arms

  • Experimental
    Evenamide 7.5 mg bid

    Evenamide capsules 7.5 mg BID for a total of 28 dosing days

    Drug: Evenamide

  • Experimental
    Evenamide 15 mg bid

    Evenamide capsules 15.0 mg BID for a total of 28 dosing days

    Drug: Evenamide

  • Placebo comparator
    Placebo

    Matching placebo capsules BID for a total of 28 dosing days

    Drug: Placebo

Interventions

  • oral capsules for 4 weeks of treatment

    Also known as: NW-3509

  • DrugPlacebo

    oral capsules for 4 weeks of treatment

06

What researchers measure

Primary outcomes

  1. Safety and tolerability - incidence of Treatment-Emergent Adverse Events [TEAEs], Serious Adverse Events [AEs], and Adverse Events leading to discontinuation [ADOs]

    Comparison will be made between the evenamide and placebo groups in the proportion of patients experiencing Serious Adverse Events \[SAEs\], Adverse Events leading to discontinuation \[ADOs\] and, Treatment-Emergent Adverse Events \[TEAEs\].

    Time frame: 4 Week study

  2. Change from baseline in Positive and Negative Syndrome Scale [PANSS] total score

    Efficacy measure of mean change from baseline to endpoint of Positive and Negative Syndrome Scale \[PANSS\] total score: this is a 30-item scale that was designed to assess various symptoms of schizophrenia each rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology).

    Time frame: 4 Week study

Secondary outcomes

  1. Key secondary - Change from baseline in clinical global impression severity of Illness [CGI-S] score

    Efficacy measure by mean change from baseline top endpoint of the Clinical Global Impression Severity of Illness \[CGI-S\]: the investigator rates the severity of a subject's condition on a 7-point scale ranging from 1 (no symptoms) to 7 (very severe).

    Time frame: 4 Week study

  2. Rating at endpoint on the CGI - Change from baseline (CGI-C)

    Efficacy measured by Clinical Global Impression of Change \[CGI-C\]: 7-point scale requiring the clinician to rate how much the patient's illness has improved at endpoint relative to the baseline state (score of 1, 2, 3); CGI-C ranges from 1 (very much improved) to 7 (very much worse), with a score of 4 indicating "no change".

    Time frame: 4 Week study

  3. Evaluate plasma drug concentrations over time for evenamide and its major metabolite, (3-butoxy-phenyl)-acetic acid

    Determine the multiple-dose plasma concentrations of evenamide and its major metabolite, (3-butoxy-phenyl)-acetic acid, at the doses tested. Doses of evenamide to be evaluated in this study, compared to placebo, will be 7.5 mg bid, and 15 mg bid, with key information being collected at or near the time of the predicted maximal plasma concentration (Tmax) for evenamide.

    Time frame: 4 Week study

  4. Comparison of plasma drug concentrations over time for evenamide and its major metabolite, (3-butoxy-phenyl)-acetic acid between the dosing arms 7.5 mg BID and 15.0 mg BID

    Determine if the PK parameters are dose proportional. Doses of evenamide to be evaluated in this study, compared to placebo, will be 7.5 mg bid, and 15 mg bid, with key information being collected at or near the time of the predicted maximal plasma concentration (Tmax) for evenamide.

    Time frame: 4 Week study

  5. Efficacy - changes in daily functioning

    Determine the effect of evenamide, compared to placebo, on daily functioning, based on changes on the Strauss-Carpenter Level of Functioning (LOF) scale; The LOF is a semi-structured, clinician-administered scale of nine items. The individual items fall into four domains, with higher scores on a 5-point scale (0 - 4) reflecting better functioning. The subscales are Social Contacts (frequency and quality of social contacts), Work (quantity and quality of useful work), Symptomatology (absence of symptoms and recent hospitalization), and Function (ability to meet basic needs, fullness of life, and overall level of function). A total score is calculated as the sum of the raw scores across the nine items.

    Time frame: 4 Week study

  6. Efficacy - rating score of patient satisfaction with the study medication

    Determine the patient's satisfaction with the study medication, compared to their previous treatment, based on improvements on the Medication Satisfaction Questionnaire (MSQ) which is a single-item, 7-point Likert-type scale for patients with schizophrenia to rate their satisfaction with their antipsychotic medication. The patient's response to the question "Overall, how satisfied are you with your current antipsychotic medication(s)?" is rated by the clinician as follows: 1 = extremely dissatisfied, 2 = very dissatisfied, 3 = somewhat dissatisfied, 4 = neither satisfied nor dissatisfied, 5 = somewhat satisfied, 6 = very satisfied, and 7 = extremely satisfied

    Time frame: 4 Week study

07

Study locations

14 sites
  • Behavioral Research Specialists, LLC
    Glendale, California 91206, United States
  • CBH Health, LLC
    Gaithersburg, Maryland 20877, United States
  • Community Clinical Research CCR
    Austin, Texas 78754, United States
  • Help Hospitals Clinical Research Department
    Vijayawada, Andhra Pradesh 520002, India
  • St. John's Medical College Hospital
    Koramangala, Karnataka, India
  • Mangala Hospital and Mangala Kidney Foundation, Department of Psychiatry
    Mangalore, Karnataka, India
  • IQRAA Psychiatry Care and Rehabilitation Centre
    Kozhikode, Kerala, India
  • Deenanath Mangeshkar Hospital Research Center
    Pune, Maharashtra, India
  • Sujata Birla Hospital
    Pune, Maharashtra, India
  • Post Graduate Institute of Medical Education and Research
    Chandigarh, Punjab 160012, India
  • Dayanand Medical College & Hospital
    Ludhiana, Punjab, India
  • Sri Ramachandra Medical College, Department of Psychiatry
    Chennai, Tamil Nadu 600116, India
  • Ahana Hospital LLP
    Madurai, TamilNadu, India
  • Asha Hospital
    Hyderabad, Telangana 500034, India
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2020 to primary completion in Feb 2021, 8 months.

Of 57 industry-sponsored phase 2 interventional studies under Schizophrenia, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 32. This study's 8 months is below that.

Counting every sponsor, half of 101 studies reached it within 25 months; a quarter within 15 and three quarters within 42.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 19, 2020
First posted
Jul 8, 2020
StartActual
Jun 16, 2020
Primary completionActual
Feb 20, 2021
CompletionActual
Mar 13, 2021
Last update
May 20, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 20, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04461119
Responsible party
Sponsor
First posted
Jul 8, 2020
Start date
Jun 16, 2020
Primary completion
Feb 20, 2021
Completion
Mar 13, 2021
Last update
May 20, 2021

Study contacts

Ravi Anand, MD
study director · Newron Pharmaceuticals

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Evenamide

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