CClinicalTrials.gg
CompletedNCT04566601Updated Jan 30, 2024Results posted

A Study to Test Different Doses of BI 1358894 and Find Out Whether They Reduce Symptoms in People With Borderline Personality Disorder

A Phase 2 interventional study of BI 1358894 and Placebo in Borderline Personality Disorder, sponsored by Boehringer Ingelheim. Completed at 67 sites in 15 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-01-30.

Sponsored by Boehringer Ingelheim · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
390
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study is open to adults with borderline personality disorder. The purpose of this study is to find out whether a medicine called BI 1358894 helps to reduce symptoms in people with borderline personality disorder. Four different doses of BI 1358894 are tested in the study.

Participants are put into 5 groups by chance. Participants in 4 of the 5 groups take different doses of BI 1358894. Participants in the fifth group take placebo. Participants take BI 1358894 and placebo as tablets once a day. Placebo tablets look like BI 1358894 tablets but do not contain any medicine.

Participants are in the study for about 5 months. During this time, they visit the study site about 12 times and get about 6 phone calls. At the visits, doctors ask participants about their symptoms. The results between the BI 1358894 groups and the placebo group are then compared. The doctors also regularly check the general health of the participants.

02

Conditions studied

  • Borderline Personality Disorder
03

In context

Personality Disorders

336 studies on the registry are indexed under Personality Disorders; 48 are open to participants now.

This study's enrollment of 390 is above the median of 75 across 229 interventional studies indexed under Personality Disorders.

Browse Personality Disorders studies →

Lead sponsor

Boehringer Ingelheim is the lead sponsor of 2,245 studies on the registry; 58 are open to participants now.

Of its 162 completed or terminated interventional studies of FDA-regulated products, 116 (72%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients meeting diagnostic criteria of borderline personality disorder (BoPD) per Diagnostic and Statistical Manual of Mental Disorders(DSM-5) at screening visit, confirmed by Structured Interview for DSM-5 Personality Disorder (SCID-5-PD).
  • Zanarini rating scale for Borderline personality disorder (ZAN-BPD) of ≥ 9 at screening (Visit 1) and randomization (Visit 2), with question #2 Affective Instability score of ≥2.
  • Male or female patients, 18-65 years of age at the time of consent
  • Women of childbearing potential (WOCBP) able and willing to use two methods of contraception, as confirmed by the investigator, which include one highly effective method of birth control per ICH M3 (R2) that results in a low failure rate of less than 1%, plus one barrier method.

    --A woman is considered of childbearing potential (WOCBP), i.e. fertile, following menarche and until becoming postmenopausal unless permanently sterile. Permanent sterilization methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy. Tubal occlusion/ ligation is NOT a method of permanent sterilization. A postmenopausal state is defined as no menses for 12 months without an alternative medical cause.

  • Signed and dated written informed consent in accordance with International Council on Harmonization (ICH) - Good Clinical Practice (GCP) and local legislation prior to admission to the trial.
  • further inclusion criteria apply.

Exclusion criteria

Exclusion Criteria:

  • Current diagnosis of paranoid, schizoid, schizotypal and antisocial personality disorders, as confirmed by SCID-5-PD at screening visit.
  • Lifetime diagnosis for schizophrenia, schizoaffective disorder, schizophreniform disorder, bipolar I disorder, or delusional disorder as confirmed by the SCID-5 at the screening visit.
  • Any other mental disorder that is the primary focus of treatment in the last 6 months prior to randomization, as per the clinical judgement of the investigator.
  • Inpatient stay or hospitalization due to worsening of BoPD within 3 months prior to randomization.
  • Initiation or change in any type or frequency of psychotherapy for BoPD within the last 3 months prior to screening.
  • Any ongoing use of psychotropic medications within 7 days prior to randomization or during the course of study.
  • Any suicidal behavior in the past 1 year.
  • Any suicidal ideation of type 4 or 5 in the Columbia Suicidal Severity Rating Scale (C-SSRS) in the past 3 months.
  • further exclusion criteria apply.
05

Study design

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

Study arms

  • Experimental
    BI 1358894 5mg

    Drug: BI 1358894

  • Experimental
    BI 1358894 25mg

    Drug: BI 1358894

  • Experimental
    BI 1358894 75mg

    Drug: BI 1358894

  • Experimental
    BI 1358894 125mg

    Drug: BI 1358894

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugBI 1358894

    Film-coated tablet

  • DrugPlacebo

    Film-coated tablet

06

What researchers measure

Primary outcomes

  1. Change From Baseline in ZANarini Rating Scale for Borderline Personality Disorder (ZAN-BPD) Total Score at Week 10

    The ZAN-BPD scale reflects the nine DSM-5 criteria and the scale has 4 domain scores that reflect core areas of BPD (i.e., affective, cognitive, impulsive and interpersonal symptoms). The ZAN-BPD scale includes a 5-point rating scale (i.e., 0 = no symptoms to 4 = severe symptoms) for each criterion. The total ZAN-BPD score is the sum of the 4 domain scores and ranges from 0 to 36 where higher scores mean severe symptoms. Least Squares (LS) mean and standard error were estimated by restricted maximum likelihood-based mixed effects model repeated measures (REML-based MMRM) including the fixed categorical covariates of treatment, visit (baseline and Week 1, 2, 4, 6, 8 and 10) and the baseline ZAN-BPD total score strata indicator (\<=18 vs. \>=19), the continuous fixed covariate of baseline ZAN-BPD total score, and treatment-by-visit interaction, as well as baseline-by-visit interaction. LS mean (standard error) for Week 10 are reported.

    Time frame: The change from baseline at Week 10 in the total ZAN-BPD score was calculated using the MMRM model which is a longitudinal analyses and it incorporates ZAN-BPD measurements from baseline, Weeks 1, 2, 4, 6, 8 and Week 10.

Secondary outcomes

  1. ZANarini Rating Scale for Borderline Personality Disorder (ZAN-BPD) Response: Defined as ≥30% ZAN-BPD Reduction From Baseline at Week 10

    Number of participants with ZAN-BPD response is reported. ZAN-BPD response was defined as ≥30% ZAN-BPD reduction from baseline at Week 10. The ZAN-BPD scale reflects the nine DSM-5 criteria, and the scale has 4 domain scores that reflect core areas of BPD (i.e., affective, cognitive, impulsive and interpersonal symptoms). The ZAN-BPD scale includes a 5-point rating scale (i.e., 0 = no symptoms to 4 = severe symptoms) for each criterion. The total ZAN-BPD score is the sum of the 4 domain scores and ranges from 0 to 36 where higher scores mean severe symptoms.

    Time frame: Baseline and at Week 10.

  2. Change From Baseline in Difficulties in Emotion Regulation Scale (DERS-16) Total Score at Week 10

    The DERS is a self-report measure of emotion regulation difficulties. It consists of 16 items that assess non-acceptance of negative emotions, inability to engage in goal-directed behaviors when distressed, difficulties controlling impulsive behaviors when distressed, limited access to emotion regulation strategies perceived as effective, and lack of emotional clarity. Each item is scored from 1 (almost never (0-10%)) to 5 (almost always (91-100%)). Total DERS-16 can range from 16 to 80, with higher scores reflecting greater levels of emotion dysregulation. Least Squares (LS) mean and standard error were estimated by REML-based MMRM including the fixed categorical covariates of treatment, visit (baseline and Week 1, 2, 4, 6, 8 and 10) and the continuous fixed covariate of baseline DERS-16 total score, and treatment-by-visit interaction, as well as baseline-by-visit interaction. Patient was considered as random. LS mean (standard error) for Week 10 are reported.

    Time frame: Change from baseline in DERS-16 total score at Week 10 was calculated using the MMRM model which is a longitudinal analyses and it incorporates DERS-16 measurements from baseline, Weeks 1, 2, 4, 6, 8 and Week 10.

  3. Change From Baseline in State-Trait Anxiety Inventory (STAI-S) Total Score at Week 10

    The STAI-S consists of 20 item state anxiety questions that evaluate how respondents feel "right now, at this moment". All items are rated on a weighted score of 1 to 4 scale (e.g. from 'Almost Never to 'Almost Always'); with higher scores indicating greater anxiety. STAI-S score ranges from 20 to 80 where higher scores indicate greater anxiety. Least Squares (LS) mean and standard error were estimated by restricted maximum likelihood-based mixed effects model repeated measures (REML-based MMRM) including the fixed categorical covariates of treatment, visit (baseline and Week 1, 2, 4, 6, 8, 10) and the continuous fixed covariate of baseline STAI-S total score, and treatment-by-visit interaction, as well as baseline-by-visit interaction. Patient was considered as random. LS mean (standard error) for Week 10 are reported.

    Time frame: Change from baseline in STAI-S total score at Week 10 was calculated using the MMRM model which is a longitudinal analyses and it incorporates STAI-S measurements from baseline, Weeks 1, 2, 4, 6, 8 and Week 10.

  4. Change From Baseline in Patient Health Questionnaire (PHQ-9) Total Score at Week 10

    The PHQ-9 is a 9-item brief self-reported tool used for screening, diagnosing, monitoring and measuring the severity of depression. PHQ-9 has a maximum total score of 27. Depression Severity is assessed as: none (0-4), mild (5-9), moderate (10-14), moderately severe (15-19), or severe (20-27). Least Squares (LS) mean and standard error were estimated by restricted maximum likelihood-based mixed effects model repeated measures (REML-based MMRM) including the fixed categorical covariates of treatment, visit (baseline and Week 1, 2, 4, 6, 8, 10) and the continuous fixed covariate of baseline PHQ-9 total score, and treatment-by-visit interaction, as well as baseline-by-visit interaction. Patient was considered as random. LS mean (standard error) for Week 10 are reported.

    Time frame: Change from baseline in PHQ-9 total score at Week 10 was calculated using the MMRM model which is a longitudinal analyses and it incorporates PHQ-9 measurements from baseline, Weeks 1, 2, 4, 6, 8 and Week 10.

  5. Change From Baseline in Clinical Global Impression Severity Scale (CGI-S) at Week 10

    The CGI-S rating scale measures the clinician's impression of the severity of illness exhibited by a participant. The CGI-S only question states "Considering your total clinical experience with this particular population, please choose the response below that best describes how mentally ill the patient was over the past week?", and is rated on the following seven-point scale: 1=normal, not at all ill; 2=borderline ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; 7=among the most extremely ill patients. Least Squares (LS) mean and standard error were estimated by REML-based MMRM including the fixed categorical covariates of treatment, visit (baseline and Week 1, 2, 4, 6, 8, 10) and the continuous fixed covariate of baseline CGI-S total score, and treatment-by-visit interaction, as well as baseline-by-visit interaction. Patient was considered as random. LS mean (standard error) for Week 10 are reported.

    Time frame: Change from baseline in CGI-S scale at Week 10 was calculated using the MMRM model which is a longitudinal analyses and it incorporates CGI-S measurements from baseline, Weeks 1, 2, 4, 6, 8 and Week 10.

  6. Change From Baseline in Patient Global Impression Severity Scale (PGI-S) at Week 10

    The PGI-S measures the patient's impression of the severity of their illness. It is a single item 5-point scale that asks patients to rate the severity of their illness. The PGI-S question states "Please choose the response below that best describes the overall severity of your symptoms of Borderline Personality Disorder at this time. (Select one response)": 1=No symptoms; 2=Mild; 3=Moderate; 4=Severe; 5=Very severe. Least Squares (LS) mean and standard error were estimated by restricted maximum likelihood-based mixed effects model repeated measures (REML-based MMRM) including the fixed categorical covariates of treatment, visit (baseline and Week 1, 2, 4, 6, 8,10) and the continuous fixed covariate of baseline PGI-S total score, and treatment-by-visit interaction, as well as baseline-by-visit interaction. Patient was considered as random. LS means (standard error) for Week 10 are reported.

    Time frame: Change from baseline in PGI-S scale at Week 10 was calculated using the MMRM model which is a longitudinal analyses and it incorporates PGI-S measurements from baseline, Weeks 1, 2, 4, 6, 8 and Week 10.

07

Results

Posted Jan 30, 2024

Participant flow

This was a Phase II, 12-week multicenter, multinational, randomised, double-blind, placebo-controlled, parallel-group trial in patients with borderline personality disorder (BPD). Eligible patients with BPD were randomised to receive either BI 1358894 or placebo in a 2.5:1:1:1:2 ratio (placebo or BI 1358894 5 milligram (mg), 25 mg, 75 mg, or 125 mg), for 12 weeks. This trial included a screening period, a 12-week randomised treatment period, and a 4-week follow-up period.

Participant flow — Overall Study
MilestonePlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mg
Started128525353104
Completed9540354077
Not completed3312181327
Withdrew: Other than listed134214
Withdrew: Protocol deviation30111
Withdrew: Technical problems00100
Withdrew: No reason available32715
Withdrew: Burden of study procedures30031
Withdrew: Change of residence22012
Withdrew: Perceived lack of efficacy20112
Withdrew: Adverse event746512

Outcome measures

PrimaryChange From Baseline in ZANarini Rating Scale for Borderline Personality Disorder (ZAN-BPD) Total Score at Week 10

The ZAN-BPD scale reflects the nine DSM-5 criteria and the scale has 4 domain scores that reflect core areas of BPD (i.e., affective, cognitive, impulsive and interpersonal symptoms). The ZAN-BPD scale includes a 5-point rating scale (i.e., 0 = no symptoms to 4 = severe symptoms) for each criterion. The total ZAN-BPD score is the sum of the 4 domain scores and ranges from 0 to 36 where higher scores mean severe symptoms. Least Squares (LS) mean and standard error were estimated by restricted maximum likelihood-based mixed effects model repeated measures (REML-based MMRM) including the fixed categorical covariates of treatment, visit (baseline and Week 1, 2, 4, 6, 8 and 10) and the baseline ZAN-BPD total score strata indicator (\<=18 vs. \>=19), the continuous fixed covariate of baseline ZAN-BPD total score, and treatment-by-visit interaction, as well as baseline-by-visit interaction. LS mean (standard error) for Week 10 are reported.

Time frame:
The change from baseline at Week 10 in the total ZAN-BPD score was calculated using the MMRM model which is a longitudinal analyses and it incorporates ZAN-BPD measurements from baseline, Weeks 1, 2, 4, 6, 8 and Week 10.
Reported as:
Least squares mean · units on a scale
Change From Baseline in ZANarini Rating Scale for Borderline Personality Disorder (ZAN-BPD) Total Score at Week 10
units on a scalePlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mg
Change From Baseline in ZANarini Rating Scale for Borderline Personality Disorder (ZAN-BPD) Total Score at Week 10-8.7 ± 0.5-8.0 ± 0.9-9.2 ± 0.9-8.9 ± 0.8-9.0 ± 0.6
Statistical analysis
  • Placebo vs BI 1358894 5mg · Mixed effects model repeated measures · p = 0.4994 (P-value is considered nominal.) · Mean difference (net): 0.7 · 95% CI -1.31 to 2.69Least Squares Mean of "BI 1358894 5mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 25mg · Mixed effects model repeated measures · p = 0.6014 (P-value is considered nominal.) · Mean difference (net): -0.6 · 95% CI -2.60 to 1.51Least Squares Mean of "BI 1358894 25mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 75mg · Mixed effects model repeated measures · p = 0.8166 (P-value is considered nominal.) · Mean difference (net): -0.2 · 95% CI -2.17 to 1.72Least Squares Mean of "BI 1358894 75mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 125mg · Mixed effects model repeated measures · p = 0.6588 (P-value is considered nominal.) · Mean difference (net): -0.4 · 95% CI -1.96 to 1.24Least Squares Mean of "BI 1358894 125mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 5mg vs BI 1358894 25mg vs BI 1358894 75mg vs BI 1358894 125mg · MCP-Mod sigmoid Emax model fit · p = 0.3914Model assumption: 50% of the maximum effect is achieved at 25 mg, and 90% of the maximum effect is achieved at 75 mg.
  • Placebo vs BI 1358894 5mg vs BI 1358894 25mg vs BI 1358894 75mg vs BI 1358894 125mg · MCP-Mod Emax1 model fit · p = 0.4104Model assumption: 50% of the maximum effect is achieved at 25 mg.
  • Placebo vs BI 1358894 5mg vs BI 1358894 25mg vs BI 1358894 75mg vs BI 1358894 125mg · MCP-Mod linear model fit · p = 0.4560Model assumption: No parameter assumptions required.
  • Placebo vs BI 1358894 5mg vs BI 1358894 25mg vs BI 1358894 75mg vs BI 1358894 125mg · MCP-Mod exponential model fit · p = 0.4908Model assumption: 5% of the maximum effect is achieved at 25 mg.
  • Placebo vs BI 1358894 5mg vs BI 1358894 25mg vs BI 1358894 75mg vs BI 1358894 125mg · MCP-Mod Emax2 model fit · p = 0.4974Model assumption: 70% of the maximum effect is achieved at 5 mg.
SecondaryZANarini Rating Scale for Borderline Personality Disorder (ZAN-BPD) Response: Defined as ≥30% ZAN-BPD Reduction From Baseline at Week 10

Number of participants with ZAN-BPD response is reported. ZAN-BPD response was defined as ≥30% ZAN-BPD reduction from baseline at Week 10. The ZAN-BPD scale reflects the nine DSM-5 criteria, and the scale has 4 domain scores that reflect core areas of BPD (i.e., affective, cognitive, impulsive and interpersonal symptoms). The ZAN-BPD scale includes a 5-point rating scale (i.e., 0 = no symptoms to 4 = severe symptoms) for each criterion. The total ZAN-BPD score is the sum of the 4 domain scores and ranges from 0 to 36 where higher scores mean severe symptoms.

Time frame:
Baseline and at Week 10.
Reported as:
Count of participants · Participants
ZANarini Rating Scale for Borderline Personality Disorder (ZAN-BPD) Response: Defined as ≥30% ZAN-BPD Reduction From Baseline at Week 10
ParticipantsPlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mg
ZANarini Rating Scale for Borderline Personality Disorder (ZAN-BPD) Response: Defined as ≥30% ZAN-BPD Reduction From Baseline at Week 106822283459
Statistical analysis
  • Placebo vs BI 1358894 5mg · Odds ratio (or): 0.486 · 95% CI 0.207 to 1.140Odds Ratio of BI 1358894 5mg vs. Placebo.
  • Placebo vs BI 1358894 25mg · Odds ratio (or): 2.294 · 95% CI 0.829 to 7.480Odds Ratio of BI 1358894 25mg vs. Placebo.
  • Placebo vs BI 1358894 75mg · Odds ratio (or): 1.753 · 95% CI 0.698 to 4.861Odds Ratio of BI 1358894 75mg vs. Placebo.
  • Placebo vs BI 1358894 125mg · Odds ratio (or): 1.352 · 95% CI 0.642 to 2.913Odds Ratio of BI 1358894 125mg vs. Placebo.
SecondaryChange From Baseline in Difficulties in Emotion Regulation Scale (DERS-16) Total Score at Week 10

The DERS is a self-report measure of emotion regulation difficulties. It consists of 16 items that assess non-acceptance of negative emotions, inability to engage in goal-directed behaviors when distressed, difficulties controlling impulsive behaviors when distressed, limited access to emotion regulation strategies perceived as effective, and lack of emotional clarity. Each item is scored from 1 (almost never (0-10%)) to 5 (almost always (91-100%)). Total DERS-16 can range from 16 to 80, with higher scores reflecting greater levels of emotion dysregulation. Least Squares (LS) mean and standard error were estimated by REML-based MMRM including the fixed categorical covariates of treatment, visit (baseline and Week 1, 2, 4, 6, 8 and 10) and the continuous fixed covariate of baseline DERS-16 total score, and treatment-by-visit interaction, as well as baseline-by-visit interaction. Patient was considered as random. LS mean (standard error) for Week 10 are reported.

Time frame:
Change from baseline in DERS-16 total score at Week 10 was calculated using the MMRM model which is a longitudinal analyses and it incorporates DERS-16 measurements from baseline, Weeks 1, 2, 4, 6, 8 and Week 10.
Reported as:
Least squares mean · units on a scale
Change From Baseline in Difficulties in Emotion Regulation Scale (DERS-16) Total Score at Week 10
units on a scalePlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mg
Change From Baseline in Difficulties in Emotion Regulation Scale (DERS-16) Total Score at Week 10-9.77 ± 1.4-9.87 ± 2.1-9.76 ± 2.2-10.56 ± 2.1-8.60 ± 1.5
Statistical analysis
  • Placebo vs BI 1358894 5mg · Mixed effects model repeated measures · p = 0.9675 (P-value is considered nominal.) · Mean difference (net): -0.10 · 95% CI -5.11 to 4.90Least Squares Mean of "BI 1358894 5mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 25mg · Mixed effects model repeated measures · p = 0.9969 (P-value is considered nominal.) · Mean difference (net): 0.01 · 95% CI -5.08 to 5.10Least Squares Mean of "BI 1358894 25mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 75mg · Mixed effects model repeated measures · p = 0.7542 (P-value is considered nominal.) · Mean difference (net): -0.79 · 95% CI -5.73 to 4.15Least Squares Mean of "BI 1358894 75mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 125mg · Mixed effects model repeated measures · p = 0.5683 (P-value is considered nominal.) · Mean difference (net): 1.17 · 95% CI -2.86 to 5.19Least Squares Mean of "BI 1358894 125mg" - Least Squares Mean of "Placebo".
SecondaryChange From Baseline in State-Trait Anxiety Inventory (STAI-S) Total Score at Week 10

The STAI-S consists of 20 item state anxiety questions that evaluate how respondents feel "right now, at this moment". All items are rated on a weighted score of 1 to 4 scale (e.g. from 'Almost Never to 'Almost Always'); with higher scores indicating greater anxiety. STAI-S score ranges from 20 to 80 where higher scores indicate greater anxiety. Least Squares (LS) mean and standard error were estimated by restricted maximum likelihood-based mixed effects model repeated measures (REML-based MMRM) including the fixed categorical covariates of treatment, visit (baseline and Week 1, 2, 4, 6, 8, 10) and the continuous fixed covariate of baseline STAI-S total score, and treatment-by-visit interaction, as well as baseline-by-visit interaction. Patient was considered as random. LS mean (standard error) for Week 10 are reported.

Time frame:
Change from baseline in STAI-S total score at Week 10 was calculated using the MMRM model which is a longitudinal analyses and it incorporates STAI-S measurements from baseline, Weeks 1, 2, 4, 6, 8 and Week 10.
Reported as:
Least squares mean · units on a scale
Change From Baseline in State-Trait Anxiety Inventory (STAI-S) Total Score at Week 10
units on a scalePlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mg
Change From Baseline in State-Trait Anxiety Inventory (STAI-S) Total Score at Week 10-6.64 ± 1.2-8.71 ± 1.9-5.43 ± 2.0-7.00 ± 1.8-5.49 ± 1.3
Statistical analysis
  • Placebo vs BI 1358894 5mg · Mixed effects model repeated measures · p = 0.3568 (P-value is considered nominal.) · Mean difference (net): -2.07 · 95% CI -6.49 to 2.35Least Squares Mean of "BI 1358894 5mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 25mg · Mixed effects model repeated measures · p = 0.6009 (P-value is considered nominal.) · Mean difference (net): 1.21 · 95% CI -3.33 to 5.75Least Squares Mean of "BI 1358894 25mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 75mg · Mixed effects model repeated measures · p = 0.8705 (P-value is considered nominal.) · Mean difference (net): -0.36 · 95% CI -4.70 to 3.98Least Squares Mean of "BI 1358894 75mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 125mg · Mixed effects model repeated measures · p = 0.5262 (P-value is considered nominal.) · Mean difference (net): 1.15 · 95% CI -2.41 to 4.71Least Squares Mean of "BI 1358894 125mg" - Least Squares Mean of "Placebo".
SecondaryChange From Baseline in Patient Health Questionnaire (PHQ-9) Total Score at Week 10

The PHQ-9 is a 9-item brief self-reported tool used for screening, diagnosing, monitoring and measuring the severity of depression. PHQ-9 has a maximum total score of 27. Depression Severity is assessed as: none (0-4), mild (5-9), moderate (10-14), moderately severe (15-19), or severe (20-27). Least Squares (LS) mean and standard error were estimated by restricted maximum likelihood-based mixed effects model repeated measures (REML-based MMRM) including the fixed categorical covariates of treatment, visit (baseline and Week 1, 2, 4, 6, 8, 10) and the continuous fixed covariate of baseline PHQ-9 total score, and treatment-by-visit interaction, as well as baseline-by-visit interaction. Patient was considered as random. LS mean (standard error) for Week 10 are reported.

Time frame:
Change from baseline in PHQ-9 total score at Week 10 was calculated using the MMRM model which is a longitudinal analyses and it incorporates PHQ-9 measurements from baseline, Weeks 1, 2, 4, 6, 8 and Week 10.
Reported as:
Least squares mean · units on a scale
Change From Baseline in Patient Health Questionnaire (PHQ-9) Total Score at Week 10
units on a scalePlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mg
Change From Baseline in Patient Health Questionnaire (PHQ-9) Total Score at Week 10-1.30 ± 0.6-3.13 ± 0.9-1.07 ± 0.9-1.57 ± 0.9-1.43 ± 0.6
Statistical analysis
  • Placebo vs BI 1358894 5mg · Mixed effects model repeated measures · p = 0.0782 (P-value is considered nominal.) · Mean difference (net): -1.83 · 95% CI -3.87 to 0.21Least Squares Mean of "BI 1358894 5mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 25mg · Mixed effects model repeated measures · p = 0.8266 (P-value is considered nominal.) · Mean difference (net): 0.23 · 95% CI -1.86 to 2.32Least Squares Mean of "BI 1358894 25mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 75mg · Mixed effects model repeated measures · p = 0.7910 (P-value is considered nominal.) · Mean difference (net): -0.27 · 95% CI -2.28 to 1.74Least Squares Mean of "BI 1358894 75mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 125mg · Mixed effects model repeated measures · p = 0.8743 (P-value is considered nominal.) · Mean difference (net): -0.13 · 95% CI -1.77 to 1.51Least Squares Mean of "BI 1358894 125mg" - Least Squares Mean of "Placebo".
SecondaryChange From Baseline in Clinical Global Impression Severity Scale (CGI-S) at Week 10

The CGI-S rating scale measures the clinician's impression of the severity of illness exhibited by a participant. The CGI-S only question states "Considering your total clinical experience with this particular population, please choose the response below that best describes how mentally ill the patient was over the past week?", and is rated on the following seven-point scale: 1=normal, not at all ill; 2=borderline ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; 7=among the most extremely ill patients. Least Squares (LS) mean and standard error were estimated by REML-based MMRM including the fixed categorical covariates of treatment, visit (baseline and Week 1, 2, 4, 6, 8, 10) and the continuous fixed covariate of baseline CGI-S total score, and treatment-by-visit interaction, as well as baseline-by-visit interaction. Patient was considered as random. LS mean (standard error) for Week 10 are reported.

Time frame:
Change from baseline in CGI-S scale at Week 10 was calculated using the MMRM model which is a longitudinal analyses and it incorporates CGI-S measurements from baseline, Weeks 1, 2, 4, 6, 8 and Week 10.
Reported as:
Least squares mean · units on a scale
Change From Baseline in Clinical Global Impression Severity Scale (CGI-S) at Week 10
units on a scalePlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mg
Change From Baseline in Clinical Global Impression Severity Scale (CGI-S) at Week 10-1.23 ± 0.1-1.29 ± 0.2-1.47 ± 0.2-1.24 ± 0.2-1.42 ± 0.1
Statistical analysis
  • Placebo vs BI 1358894 5mg · Mixed effects model repeated measures · p = 0.8016 (P-value is considered nominal.) · Mean difference (net): -0.05 · 95% CI -0.47 to 0.37Least Squares Mean of "BI 1358894 5mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 25mg · Mixed effects model repeated measures · p = 0.2929 (P-value is considered nominal.) · Mean difference (net): -0.23 · 95% CI -0.67 to 0.20Least Squares Mean of "BI 1358894 25mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 75mg · Mixed effects model repeated measures · p = 0.9666 (P-value is considered nominal.) · Mean difference (net): -0.01 · 95% CI -0.42 to 0.40Least Squares Mean of "BI 1358894 75mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 125mg · Mixed effects model repeated measures · p = 0.2833 (P-value is considered nominal.) · Mean difference (net): -0.18 · 95% CI -0.52 to 0.15Least Squares Mean of "BI 1358894 125mg" - Least Squares Mean of "Placebo".
SecondaryChange From Baseline in Patient Global Impression Severity Scale (PGI-S) at Week 10

The PGI-S measures the patient's impression of the severity of their illness. It is a single item 5-point scale that asks patients to rate the severity of their illness. The PGI-S question states "Please choose the response below that best describes the overall severity of your symptoms of Borderline Personality Disorder at this time. (Select one response)": 1=No symptoms; 2=Mild; 3=Moderate; 4=Severe; 5=Very severe. Least Squares (LS) mean and standard error were estimated by restricted maximum likelihood-based mixed effects model repeated measures (REML-based MMRM) including the fixed categorical covariates of treatment, visit (baseline and Week 1, 2, 4, 6, 8,10) and the continuous fixed covariate of baseline PGI-S total score, and treatment-by-visit interaction, as well as baseline-by-visit interaction. Patient was considered as random. LS means (standard error) for Week 10 are reported.

Time frame:
Change from baseline in PGI-S scale at Week 10 was calculated using the MMRM model which is a longitudinal analyses and it incorporates PGI-S measurements from baseline, Weeks 1, 2, 4, 6, 8 and Week 10.
Reported as:
Least squares mean · units on a scale
Change From Baseline in Patient Global Impression Severity Scale (PGI-S) at Week 10
units on a scalePlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mg
Change From Baseline in Patient Global Impression Severity Scale (PGI-S) at Week 10-0.61 ± 0.1-0.73 ± 0.1-0.73 ± 0.2-0.64 ± 0.1-0.69 ± 0.1
Statistical analysis
  • Placebo vs BI 1358894 5mg · Mixed effects model repeated measures · p = 0.4552 (P-value is considered nominal.) · Mean difference (net): -0.13 · 95% CI -0.45 to 0.20Least Squares Mean of "BI 1358894 5mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 25mg · Mixed effects model repeated measures · p = 0.4734 (P-value is considered nominal.) · Mean difference (net): -0.13 · 95% CI -0.47 to 0.22Least Squares Mean of "BI 1358894 25mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 75mg · Mixed effects model repeated measures · p = 0.8388 (P-value is considered nominal.) · Mean difference (net): -0.03 · 95% CI -0.36 to 0.29Least Squares Mean of "BI 1358894 75mg" - Least Squares Mean of "Placebo".
  • Placebo vs BI 1358894 125mg · Mixed effects model repeated measures · p = 0.5540 (P-value is considered nominal.) · Mean difference (net): -0.08 · 95% CI -0.35 to 0.19Least Squares Mean of "BI 1358894 125mg" - Least Squares Mean of "Placebo".

Adverse events

Collected over From first dose of study drug administration until the last dose of study drug administration + 4 weeks of residual effect period, up to 17 weeks.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/128 (0%)11/128 (8.6%)75/128 (58.6%)
BI 1358894 5mg0/52 (0%)4/52 (7.7%)32/52 (61.5%)
BI 1358894 25mg0/53 (0%)3/53 (5.7%)40/53 (75.5%)
BI 1358894 75mg0/53 (0%)4/53 (7.5%)34/53 (64.2%)
BI 1358894 125mg2/104 (1.9%)16/104 (15.4%)61/104 (58.7%)
Most frequent serious events
Showing 10 of 32
Most frequent serious events
EventPlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mg
Suicidal ideationPsychiatric disorders8/1283/521/531/536/104
Suicidal behaviourPsychiatric disorders0/1281/520/530/531/104
DysmenorrhoeaReproductive system and breast disorders0/1281/520/530/530/104
Abdominal painGastrointestinal disorders0/1280/521/530/530/104
Cannabinoid hyperemesis syndromeGastrointestinal disorders0/1280/521/530/530/104
NauseaGastrointestinal disorders0/1280/521/530/530/104
VomitingGastrointestinal disorders0/1280/521/530/530/104
COVID-19Infections and infestations0/1280/520/531/530/104
Hepatitis AInfections and infestations0/1280/520/531/530/104
PneumoniaInfections and infestations0/1280/520/531/530/104
Most frequent other events
Showing 10 of 24
Most frequent other events
EventPlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mg
HeadacheNervous system disorders32/12818/5223/5315/5333/104
NauseaGastrointestinal disorders17/1285/525/532/537/104
NasopharyngitisInfections and infestations10/1283/523/537/539/104
DizzinessNervous system disorders9/1286/525/537/538/104
COVID-19Infections and infestations16/1283/521/536/537/104
FatigueGeneral disorders11/1286/521/536/539/104
AnxietyPsychiatric disorders9/1286/523/533/533/104
SomnolenceNervous system disorders4/1283/525/536/534/104
InsomniaPsychiatric disorders10/1285/525/534/536/104
ConstipationGastrointestinal disorders2/1282/525/531/531/104

Baseline characteristics

Treated Set (TS) consisted of all patients who were randomised and that received at least one administration of trial medication.

Age, Continuous
Age, Continuous(Years)PlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mgTotal
Mean30.4 ± 9.929.2 ± 9.631.0 ± 11.130.6 ± 9.729.9 ± 11.230.2 ± 10.3
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mgTotal
Female10750484883336
Male212552154
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mgTotal
Hispanic or Latino5017252034146
Not Hispanic or Latino7835283370244
Unknown or Not Reported000000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mgTotal
American Indian or Alaska Native5211615
Asian2324718
Native Hawaiian or Other Pacific Islander100001
Black or African American8331419
White11244464685333
More than one race001124
Unknown or Not Reported000000
ZAN-BPD total score at Baseline
ZAN-BPD total score at Baseline(score on a scale)PlaceboBI 1358894 5mgBI 1358894 25mgBI 1358894 75mgBI 1358894 125mgTotal
Mean16.6 ± 5.015.7 ± 5.415.8 ± 4.816.1 ± 4.616.4 ± 5.216.3 ± 5.0
08

Study locations

67 sites
  • Advanced Research Center, Inc.
    Anaheim, California 92805, United States
  • Viking Clinical Research, Ltd.
    Temecula, California 92591, United States
  • Pacific Clinical Research Management Group LLC
    Upland, California 91786, United States
  • Yale University School of Medicine
    New Haven, Connecticut 06519, United States
  • Gulf Coast Clinical Research Center
    Fort Myers, Florida 33912, United States
  • Sarkis Clinical Trials
    Gainesville, Florida 32607, United States
  • San Marcus Research Clinic, Inc.
    Miami, Florida 33014, United States
  • Institute for Advanced Medical Research
    Alpharetta, Georgia 30022, United States
  • McLean Hospital
    Belmont, Massachusetts 02478, United States
  • Precise Research Centers
    Flowood, Mississippi 39232, United States
  • Center For Emotional Fitness
    Cherry Hill, New Jersey 08002, United States
  • University at Buffalo, The State University of New York
    Buffalo, New York 14215, United States
  • Neurobehavioral Research, Inc.
    Cedarhurst, New York 11516, United States
  • Central States Research, LLC
    Tulsa, Oklahoma 74136, United States
  • Grayline Research Center
    Wichita Falls, Texas 76309, United States
  • Core Clinical Research
    Everett, Washington 98201, United States
  • Fundación para el Estudio y Tratamiento de las Enfermedades Mentales (FETEM)
    Caba, C1133AAH, Argentina
  • Fundación FunDaMos para la asistencia e investigación en psiquiatría
    Caba, C1405BOA, Argentina
  • CEN (Centro Especializado Neurociencias)
    Cordoba, 5004, Argentina
  • Instituto Médico DAMIC S.R.L.
    Cordoba, X5003DCE, Argentina
  • Instituto Modelo de Neurología Lennox
    Córdoba, X5000FAL, Argentina
  • Clinica Privada de Salud Mental Santa Teresa de Avila
    La Plata, 1900, Argentina
  • Instituto de Neurociencias San Agustín
    La Plata, 1900, Argentina
  • Instituto Médico de la Fundación Estudios Clínicos
    Rosario, 2000, Argentina
  • Centro de Investigacion y Asistencia en Psiquiatria (CIAP)
    Rosario, S2000QJI, Argentina
  • Peninsula Therapeutic and Research Group
    Frankston, Victoria 3199, Australia
  • Monash Alfred Psychiatry Research Centre
    Melbourne, Victoria 3004, Australia
  • Universitair Psychiatrisch Centrum Duffel (UPC Duffel)
    Duffel, 2570, Belgium
  • "Filipopolis" - Ambulatory for Group Practice for Specialized Care in Psychiatry
    Plovdiv, 4000, Bulgaria
  • University Multiprofile Hospital for Active Treatement "Alexandrovska" EAD
    Sofia, 1431, Bulgaria
  • Medical Center Intermedica Ltd.
    Sofia, 1680, Bulgaria
  • MPMeditrine s.r.o.
    Ostrava-Poruba, 708 68, Czechia
  • Clintrial s.r.o.
    Prague, 10000, Czechia
  • INEP medical s.r.o.
    Prague, 18600, Czechia
  • Aalborg Universitetsshospital
    Aalborg, 9000, Denmark
  • Region Zealand, Psychiatric Research Unit
    Slagelse, 4600, Denmark
  • HOP Pierre Wertheimer
    Bron, 69677, France
  • HOP la Colombière
    Montpellier, 34295, France
  • Universitätsklinikum Aachen, AöR
    Aachen, 52074, Germany
  • Charité - Universitätsmedizin Berlin
    Berlin, 12203, Germany
  • Universitätsklinikum Bonn AöR
    Bonn, 53127, Germany
  • Universitätsklinikum Gießen und Marburg GmbH
    Gießen, 35385, Germany
  • Zentralinstitut für seelische Gesundheit
    Mannheim, 68159, Germany
  • Klinikum der Universität München - Campus Innenstadt
    München, 80336, Germany
  • Universitätsklinikum Tübingen
    Tübingen, 72076, Germany
  • IRCCS San Giovanni Di Dio Fatebenefratelli
    Brescia, 25125, Italy
  • Kokoro no Clinic Hirao
    Fukuoka, Fukuoka, 815-0071, Japan
  • Hirota Clinic
    Fukuoka, Kurume, 830-0033, Japan
  • Kishiro Mental Clinic
    Kanagawa, Kawasaki, 214-0014, Japan
  • Hiyoshi Hospital
    Kanagawa, Yokohama, 223-0062, Japan
  • Nara Medical University Hospital
    Nara, Kashihara, 634-8522, Japan
  • i Kokoro Clinic Nihonbashi
    Tokyo, Chuo-ku, 103-0012, Japan
  • Ichigaya Himorogi Clinic
    Tokyo, Shinjuku-ku, 162-0843, Japan
  • GabiPros S.C.
    Cdmx, 07000, Mexico
  • Medical Care & Research SA de CV
    Merida, 97070, Mexico
  • Hospital Universitario Dr Jose Eleuterio Gonzalez
    Monterrey, 64460, Mexico
  • CIT-Neuropsique S.C
    Monterrey, 64610, Mexico
  • Centro de Estudios Clinicos de Queretaro S.C
    Queretaro, 76000, Mexico
  • BIND Investigaciones S.C.
    San Luis Potosi, 78213, Mexico
  • Podlassian Center of Psychogeriatry, Bialystok
    Bialystok, 15-732, Poland
  • PI HOUSE Sp. z o.o., Gdansk
    Gdansk, 80-546, Poland
  • Hospital Universitario Marqués de Valdecilla
    Santander, 39008, Spain
  • Hospital Virgen del Rocío
    Sevilla, 41013, Spain
  • CS Casa del Barco
    Valladolid, 47007, Spain
  • Psykiatri Södra Stockholm
    Enskede, 122 31, Sweden
  • Sahlgrenska Universitetssjukhuset, Östra
    Göteborg, 416 50, Sweden
  • Akademiska sjukhuset
    Uppsala, 751 85, Sweden
09

References and documents

Publications

  • Stoffers-Winterling JM, Storebo OJ, Pereira Ribeiro J, Kongerslev MT, Vollm BA, Mattivi JT, Faltinsen E, Todorovac A, Jorgensen MS, Callesen HE, Sales CP, Schaug JP, Simonsen E, Lieb K. Pharmacological interventions for people with borderline personality disorder. Cochrane Database Syst Rev. 2022 Nov 14;11(11):CD012956. doi: 10.1002/14651858.CD012956.pub2. PubMed 36375174 ↗

Related links

Study documents

  • Study protocol · Sep 23, 2022
  • Statistical analysis plan · Jan 26, 2023

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — After the study is completed and the primary manuscript is accepted for publishing, researchers can use this following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Also, Researchers can use the following link https://www.mystudywindow.com/msw/datasharing to find information in order to request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website. The data shared are the raw clinical study data sets.

Supporting information: Study protocol, Sap, Csr

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 30, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04566601
Lead sponsor
Boehringer Ingelheim
Responsible party
Sponsor
First posted
Sep 28, 2020
Start date
Nov 13, 2020
Primary completion
Dec 9, 2022
Completion
Jan 25, 2023
Results posted
Jan 30, 2024
Last update
Jan 30, 2024

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 Jan 2024. You cannot join it, but the record below documents what was studied.

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