Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
JNJ-42165279 · 8 trials · 5 indications
ABI:62-item questionnaire to track outcomes in autism spectrum disorder (ASD). Each item was answered on 1 of 2 possible dimensions: quality (how well person carries out particular behavior; 1 to 13 items) or frequency (how often particular behavior occurs; 14 to 62 items). Each item was rated on scale of 0 (never) to 3 (very often) for frequency and 0 (without help) to 3 (not at all) for quality. Higher score=severe symptoms/more frequency. ABI core domain score was from 2 domains: social communication (23 items; 3 sub-domains) and repetitive/restrictive behavior (RRB;15 items; 4 sub-domains). Domain and sub-domain scores: calculated as average of non-missing items (ie, sum of all non-missing items divided by number of non-missing items); scores ranged from 0 to 3, higher scores=more severe symptoms of ASD. ABI core domain score=sum of social communication and RRB domain scores divided by total number of items in these 2 domains. Negative changes in ABI core domain score=improvement.
ABI was 62-item questionnaire completed on a web/mobile application or on paper. It tracks outcomes in ASD. Each ABI item was answered on 1 of 2 possible dimensions, quality (how well a person carries out a particular behavior; 1 to 13 items) or frequency (how often a particular behavior occurs; 14 to 62 items). Each item was rated on scale of 0 (never) to 3 (very often) for frequency and 0 (without help) to 3 (not at all) for quality. Higher score indicated severe symptoms/more frequency. The ABI social communication domain score consisted of 23 items; with 3 sub-domains. The domain and sub-domain scores were calculated as the average of the non-missing items (ie, sum of all non-missing items divided by the number of non-missing items). For both domains and its sub-domains, scores ranged from 0 to 3 with higher scores indicating more severe symptoms of ASD. Negative change in score indicates improvement.
ABI is 62-item questionnaire completed on a web/mobile application or on paper. It tracks outcomes in ASD. Each ABI item was answered on 1 of 2 possible dimensions, quality (how well a person carries out a particular behavior; 1 to 13 items) or frequency (how often a particular behavior occurs; 14 to 62 items). Each item was rated on scale of 0 (never) to 3 (very often) for frequency and 0 (without help) to 3 (not at all) for quality. Higher score indicated severe symptoms/more frequency. The ABI RRB domain score consisted of 15 items; with 3 sub-domains. The domain and sub-domain scores were calculated as the average of the non-missing items (ie, sum of all non-missing items divided by the number of non-missing items). For both domains and its sub-domains, scores ranged from 0 to 3 with higher scores indicating more severe symptoms of ASD. Negative change in score indicates improvement.
SRS-2: 65-item scale measured extent of autistic social impairment and included 5 subscales: social awareness, social cognition, social communication, social motivation, and restricted interests and repetitive behavior. Each of 65 items had 4 responses: not true, sometimes true, often true, and almost always true. Scoring value for each item was 0 to 3. If a response to an item was missing, then pre-defined median value for item (0 or 1) was imputed. SRS-2 was not scored if 7 or more item responses were missed. Total raw score was sum of item response values. Each subscale was obtained by adding response values and converted total raw score to standardized T-score based on gender and rater (parent or caregiver). Total T-score was categorized: within normal limits (\<=59), mild (60 to 65), moderate (66 to 75) and severe (\>=76). For total score T-score, higher scores=more severe symptoms. SRS T-score had mean of 50 and standard deviation of 10. Negative changes in T-scores=improvement.
HDRS17 is clinician-administered rating scale designed to assess severity of symptoms in participants diagnosed with depression. Each of 17 items is rated by clinician on either 3-point (0-2) or 5-point (0-4) scale with rating of 0: absent, 1: doubtful to mild, 2: mild to moderate, 3: moderate to severe, and 4: very severe. A total score (0 to 52) was calculated by adding scores of all 17 items. For each item as well as total score, higher score represents more severe condition.
HDRS17 is a clinician-administered rating scale designed to assess severity of symptoms in participants diagnosed with depression. Each of the 17 items is rated by clinician on either a 3-point (0 to 2) or a 5-point (0 to 4) scale which used a rating of 0: absent, 1: doubtful to mild, 2: mild to moderate, 3: moderate to severe, and 4: very severe. HDRS17 total score is calculated as sum of 17 item scores and ranges from 0 to 52. For each item as well as the total score, higher scores indicate greater severity of depression.
The LSAS is a 24-item, semi-structured interview on the severity of Social Anxiety Disorder. The LSAS separately assesses fear and avoidance of 24 social situations. The scale is divided into 2 subscales, 13 situations concerning performance anxiety, and 11 situations pertaining to social situations. The 24 items are first rated on a Likert Scale from 0 to 3 on fear felt during the situations (0=none, 1=mild, 2=moderate, 3= severe), and then the same items are rated regarding avoidance of the situation (0=never, 1=occasionally, 2=often, 3=usually) with higher scores indicating greater social anxiety. The LSAS fear/anxiety and avoidance subscale was calculated by summing the 24 fear/anxiety and avoidance item scores of the LSAS, and ranges from 0 to 72. Combining the total scores for the Fear and Avoidance sections provides an overall score with a maximum of 144 points and a minimum of 0 points. Higher scores indicated higher probability of social anxiety disorder (SAD).
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.
Plasma concentration of JNJ-42165279 will be reported.
Plasma concentration of JNJ-42165279 will be reported.
Uptake, distribution, and clearance of 11C-MK-3168 in the brain and plasma of healthy male participants will be evaluated by PET scan and arterial sampling.
Occupancy of the FAAH in brain by JNJ-42165279 will be evaluated by comparing the distribution volume of 11C-MK-3168 after single dose JNJ-42165279 to the distribution volume at baseline.
Occupancy of FAAH in brain by JNJ-42165279 at steady state will be evaluated by comparing the distribution volume of 11C-MK-3168 at Tmax after single dose JNJ-42165279 and then at trough after dosing for seven days with JNJ-42165279 to the distribution volume prior to treatment.
The Cmax is defined as maximum observed analyte concentration.
The Tmax is defined as actual sampling time to reach maximum observed analyte concentration.
AUCt is area under the plasma concentration-time curve from time zero to the last quantifiable concentration.
The AUC(0-infinity) is area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of Area under Curve (AUC) last and C(last)/lambda(z), in which C(last) is the last observed quantifiable concentration.
Lambda(z) is defined as terminal rate-constant which reflect the speed of drug elimination in vivo (within the living), and is estimated by log-linear regression analysis of the terminal phase of the plasma concentration versus time curve for at least 3 points.
The Elimination Half-Life Period (T1/2) is the time measured for the plasma concentration to decrease by 1 half to its original concentration. It is associated with the terminal rate-constant (lambda\[z\]) of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z).
Relative bioavailability is the percentage of the administered dose that is systemically available.
BOLD-fMRI percent signal changes during an Emotional Face Processing task.
| Arm | Type | Description |
|---|---|---|
| JNJ-42165279 | EXPERIMENTAL | Participants will self-administer 25 milligram (mg) JNJ-42165279 tablets orally twice daily for 12 weeks. |
| Placebo | PLACEBO_COMPARATOR | Participants will self-administer matching placebo tablets orally twice daily for 12 weeks. |
| Responders-Placebo | PLACEBO_COMPARATOR | Participants who responded in the placebo lead-in period will be administered with Matching Placebo orally. |
| Responders-JNJ-42165279 | EXPERIMENTAL | Participants who responded in the placebo lead-in period will be administered with JNJ-42165279 orally at a dose of 25 milligrams (mg) tablets once daily for 6 weeks. |
| Non Responders-Placebo | PLACEBO_COMPARATOR | Participants who did not respond in the placebo lead-in period will be administered with Matching Placebo orally. |
| Non Responders-JNJ-42165279 | EXPERIMENTAL | Participants who did not respond in the placebo lead-in period will be administered with JNJ-42165279 orally at a dose of 25 mg tablets once daily for 6 weeks. |
| Part 1: Single Dose Part | EXPERIMENTAL | Participants will receive a single oral dose of 25 mg JNJ-42165279 or placebo tablet under fasted condition in the morning on Day 1. |
| Part 2: Multiple Dose Part | EXPERIMENTAL | After a washout period of at least 10 days, same participants from Part 1 will receive multiple daily dosing of 25 mg JNJ-42165279 or placebo tablet for 10 days. |
| Part A | EXPERIMENTAL | 3 to 5 participants will undergo Positron Emission Tomography (PET)/computed tomography scan after administration of 11C-MK-3168 on Day 1. |
| Part B | EXPERIMENTAL | 3 to 12 participants will undergo PET scan after administration of 11C-MK-3168 on Day 1. Participants will receive 2 single doses of JNJ-42165279: 100 mg on Days 1 and up to 250 mg on Day 8. Participants will undergo PET scans after 1 hour of each administration of JNJ-42165279 on Days 1 and 8, with 11C-MK-3168 administration. |
| Part C | EXPERIMENTAL | 4 to 8 participants will undergo PET scan after administration of 11C-MK-3168 on Day 1. Participants will receive once daily dose of JNJ-42165279 (up to 100 mg) from Day 1 to Day 7. Participants will undergo PET scans after 24 hour of administration of JNJ-42165279 on Days 1 and 7, with 11C-MK-3168 administration. |
| Period 1 | EXPERIMENTAL | Participants will receive a single 30-mg dose of JNJ-42165279 on Day 1. |
| Period 2 | EXPERIMENTAL | Participants will receive itraconazole 200 mg once a day from Day 4 to Day 10. A single oral 30-mg dose of JNJ-42165279 will be administered on Day 8 along with the dose of 200 mg itraconazole. |
| Cohort A (Part 1) | EXPERIMENTAL | Healthy male participants, 18 to 55 years of age. |
| Cohort B (Part 1) | EXPERIMENTAL | Healthy male participants, 18 to 55 years of age. |
| Cohort C (Part 2) | EXPERIMENTAL | Healthy female participants of nonchildbearing potential (surgically sterile or postmenopausal), 18 to 58 years of age. |
| Cohort D (Part 2) | EXPERIMENTAL | Healthy elderly male or female participants, from 65 to 85 years of age. |
| JNJ-42165279 (100 mg) | EXPERIMENTAL | - |
| Name | Type | Description |
|---|---|---|
| JNJ-42165279 | DRUG | Participants will receive 25 mg JNJ-42165279 orally twice daily for 12 weeks. |
| Placebo | DRUG | Participants will receive a matching placebo orally twice daily for 12 weeks. |
| 11C-MK-3168 | DRUG | Participants will receive 11C-MK-3168 in the target range of 185 to 370 megabecquerel (MBq) intravenously (into a vein) before every positron emission tomography scan in Parts A, B, and C. |
| Itraconazole | DRUG | Participants will receive itraconazole 200 mg (2 capsules) once a day orally on Days 4, 5, 6, 7, 8, 9, and 10 (Period 2). |
| JNJ-42165279 50 mg | DRUG | JNJ-42165279 50 mg orally administered once daily for 10 days. |
| JNJ-42165279 100 mg | DRUG | JNJ-42165279 100 mg orally administered once daily for 10 days. |
| JNJ-42165279 30 mg | DRUG | JNJ-42165279 30 mg orally administered once daily for 10 days. |
| JNJ-42165279 (100 mg) | DRUG | JNJ-42165279 (100 mg/day) will be orally administered once daily for 4 consecutive days. |
Inclusion Criteria: * Diagnosis of Autism Spectrum Disorder (ASD) according to Diagnostic and Statistical Manual of Mental Disorders - 5th Edition (DSM-5) criteria and made or confirmed using the Autism Diagnostic Observation Schedule, 2nd edition (ADOS-2) (minimum score of 8 \[autism spectrum\]) *...
JNJ-42165279 is an investigational small molecule being studied for psychiatric conditions, including social anxiety disorder, major depressive disorder with anxious distress, and autism spectrum disorder. It has been evaluated in Phase 2 clinical trials for these indications, as well as in a Phase 1 study in healthy participants.
JNJ-42165279 is being developed by Johnson & Johnson, a company traded on the New York Stock Exchange under the ticker JNJ. The company has sponsored clinical trials of the drug across multiple countries, including the United States, Canada, Australia, and several European nations.
JNJ-42165279 has completed Phase 2 clinical trials for social anxiety disorder, major depressive disorder with anxious distress, and autism spectrum disorder. It has also completed a Phase 1 study in healthy Japanese male participants. The drug remains investigational and is not approved by regulatory authorities.
JNJ-42165279 has been studied in several completed trials. NCT02432703 evaluated its safety and efficacy in social anxiety disorder. NCT02498392 assessed its efficacy in major depressive disorder with anxious distress. NCT03564379 investigated its safety and pharmacokinetics in healthy Japanese males. NCT03664232 examined its efficacy in autism spectrum disorder.
JNJ-42165279 is the sole name provided for this investigational compound. No alternative names have been associated with it in the clinical trial records. The drug is identified by this unique designation across all its studies.
The specific molecular target of JNJ-42165279 has not been disclosed in the available clinical trial information. The drug is classified as a small molecule and is being investigated for its effects on psychiatric disorders, but its precise mechanism of action is not publicly detailed.