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LYBALVI

Phase 3FDA approved 2021

Undisclosed | Small molecule | Other |Alkermes plc|Trials Updated: Sep 26, 2024

LYBALVI development status

FDA approval May 28, 2021
Approval holderAlkermes Inc
ApplicationNDA213378
Highest phase Phase 3 (NCT02873208)
Phase scored for ALKSPhase 1
Registered trials 8 across 1 sponsor since Feb 2016

Label indication LYBALVI is indicated for the treatment of: Schizophrenia in adults Bipolar I disorder in adults Acute treatment of manic or mixed episodes as monotherapy and as adjunct to lithium or valproate Maintenance monotherapy treatment LYBALVI is a combination of olanzapine, an atypical antipsychotic, and samidorphan, an opioid antagonist, indicated for the treatment of: Schizophrenia in adults ( 1 ) Bipolar I disorder in… FDA label

LYBALVI target and mechanism

ModalitySmall molecule

Also known as ALKS 3831

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials7
Total Enrollment2,111

FDA Designations

No designations recorded

LYBALVI clinical trials

LYBALVI · 7 trials · 5 indications

Phase 3 5Phase 1 2
NCT03201757Study to Evaluate the Long-term Safety, Tolerability, and Durability of Treatment Effect of ALKS 3831Schizophrenia
COMPLETED523 Analytics
NCT03187769Study to Evaluate the Efficacy of ALKS 3831 on Body Weight in Young Adults Who Have Been Recently Diagnosed With Schizophrenia, Schizophreniform, or Bipolar I DisorderSchizophrenia
COMPLETED426 Analytics
NCT02873208A Phase 3, Long-term Safety and Tolerability Study of ALKS 3831 in Adults With SchizophreniaSchizophrenia
COMPLETED266 Analytics
NCT02694328A Study of ALKS 3831 in Adults With Schizophrenia (The ENLIGHTEN-2 Study)Schizophrenia
COMPLETED561 Analytics
NCT02669758A Long-Term Safety and Tolerability Study of ALKS 3831 in Adults With SchizophreniaSchizophrenia
COMPLETED281 Analytics
PHASE3COMPLETED
Study to Evaluate the Long-term Safety, Tolerability, and Durability of Treatment Effect of ALKS 3831
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
Study to Evaluate the Efficacy of ALKS 3831 on Body Weight in Young Adults Who Have Been Recently Diagnosed With Schizophrenia, Schizophreniform, or Bipolar I Disorder
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Phase 3, Long-term Safety and Tolerability Study of ALKS 3831 in Adults With Schizophrenia
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Study of ALKS 3831 in Adults With Schizophrenia (The ENLIGHTEN-2 Study)
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Long-Term Safety and Tolerability Study of ALKS 3831 in Adults With Schizophrenia
SchizophreniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of Adverse Events
Up to 48 months
Change From Baseline in Clinical Global Impression-Severity (CGI-S) Scale
Up to 48 months

The clinical global impression - severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis; 1 being normal, not ill at all and 7 being among the severally ill patients

Percent Change From Baseline in Body Weight at Week 12
Baseline and 12 weeks

The efficacy analyses were performed using the Final Analysis Set which is defined as all randomized subjects who received one dose of study drug and had at least 1 primary efficacy assessment after administration of study drug

Number of Subjects With Adverse Events
Up to 52 weeks

Overall summary of treatment emergent adverse events during the treatment period

Percent Change From Baseline in Body Weight at Week 24
Baseline and Week 24
Percentage of Participants With >/= 10% Weight Gain at Week 24
Baseline and Week 24
Number of Participants With Adverse Events (AEs)
Up to 52 weeks
Area under the concentration-time curve from time zero to 48 hours post-dose (AUC0 48)
Up to 15 days
Area under the concentration-time curve from time zero to the time of the last quantifiable concentration (AUClast)
Up to 15 days
Area under the concentration-time curve from time zero to infinity (AUC∞)
Up to 15 days
\Maximum observed concentration (Cmax)
Up to 15 days
Time to reach Cmax (tmax)
Up to 15 days
Terminal half-life (t½)
Up to 15 days
Maximum plasma concentration (Cmax)
Up to 15 days of dosing
Area under the concentration vs time curve over the 24 hour dosing interval (AUC0-24h)
Up to 15 days of dosing

Secondary Endpoints

Percentage of Subjects With ≥10% Weight Gain at Week 12
Baseline and 12 weeks
Percentage of Subjects With ≥7% Weight Gain at Week 12
Baseline and 12 weeks
Number of Participants Experiencing of Adverse Events (AEs)
Up to 16 weeks
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ALKS 3831EXPERIMENTALCoated bilayer tablet
OlanzapineACTIVE_COMPARATORCoated bilayer tablet
5mg OLZAPINE /10mg SAMIDORPHANEXPERIMENTALOpen label, single dose 5mg OLZ/10 mg SAM
Group 1EXPERIMENTALOlanzapine/samidorphan 10 mg/10 mg
Group 2EXPERIMENTALOlanzapine/samidorphan 20 mg/10 mg

Interventions

NameTypeDescription
ALKS 3831DRUGOlanzapine + samidorphan, daily oral dosing
OlanzapineDRUGDaily oral dosing
LYBALVIDRUG5 mg Olanzapine/10 mg Samidorphan dose approved for use in treatment for schizophrenia and bipolar I disorder
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Eligibility Criteria

Age Range16 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites85

Inclusion Criteria: * Willing and able to give informed consent/assent as per local requirements * Agrees to use an acceptable method of contraception during the study, and for 30 days after any study drug administration, unless surgically sterile or post-menopausal * Has the potential to benefit f...

Countries:United StatesAustriaBulgariaIrelandIsraelItalyPolandPuerto RicoRussiaSerbiaSouth KoreaUkraineUnited KingdomGermanySpain
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Frequently asked questions about LYBALVI

What is LYBALVI?

LYBALVI is an investigational small molecule developed by Alkermes plc (ticker ALKS). It is being studied in a Phase 1 clinical trial, and its therapeutic area is classified as other. The specific indications for LYBALVI have not been disclosed. It is not yet approved and remains in clinical development.

Who makes LYBALVI?

LYBALVI is made by Alkermes plc, which trades under the ticker ALKS. Alkermes is the developer responsible for the clinical program. The company is conducting a Phase 1 study of LYBALVI in healthy lactating women.

What phase is LYBALVI in?

LYBALVI is in Phase 1 clinical development. One Phase 1 trial has been completed, and no active trials are currently listed. The total enrollment across the program is 12 participants. LYBALVI is investigational and has not been approved for any indication.

What clinical trials is LYBALVI in?

LYBALVI has been studied in one completed Phase 1 trial, NCT05547100, titled Study of the Breast Milk Pharmacokinetics of Olanzapine and Samidorphan. The trial enrolled 12 healthy lactating women in the United States, with a minimum age of 18 years. It was an uncontrolled study.