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Luvadaxistat

Phase 2

Schizophrenia | Small molecule | Psychiatry |Neurocrine Biosciences, Inc.|Last Updated: Feb 28, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment287
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03359785A Study to Evaluate Multiple Oral Doses of Luvadaxistat in Adults With SchizophreniaPHASE2 COMPLETED 31Jan 10, 2018Dec 21, 2020Feb 28, 20241 United States
NCT03382639A Study to Evaluate 3 Dose Levels of Luvadaxistat of Adults With Negative Symptoms of SchizophreniaPHASE2 COMPLETED 256Jan 4, 2018Jan 12, 2021Feb 28, 202454 United States, Bulgaria +6
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Study Endpoints
Primary Endpoints
Change From Baseline in Average Percent of Conditioned Responses During the Eye Blink Conditioning (EBC) Test at Day 8
Baseline, Day 8 of each treatment period

EBC is a method used to investigate cerebellar-dependent learning. In EBC, a conditioned stimulus, a tone precedes but co-terminates with an unconditioned stimulus, an airpuff to the eyelid. Learning is demonstrated when an eyeblink (the conditioned response) occurs prior to the onset of the unconditioned stimulus. The percentage can range from 0% (no conditioned learning has occurred) to 100% (all responses are conditioned). Results are reported as least squares (LS) means at Day 8, determined using an analysis of variance (ANOVA).

Change From Baseline on the PANSS NSFS at Week 12
Baseline and Week 12

PANSS assesses the positive symptoms, negative symptoms and general psychopathology associated with schizophrenia. The scale consists of 30 items. Each item is rated on a scale from 1 (symptom not present) to 7 (symptoms extremely severe). Here, the PANSS NSFS subscale consists of 7 items which assess the negative symptoms with subscale score ranging from 7 to 49, where a higher score indicates greater severity. Baseline was defined as the last observed value before the first dose of study treatment. Results are reported as least squares (LS) mean change from baseline at Week 12, determined using a mixed model for repeated measures (MMRM). A negative change from baseline indicates improvement.

Secondary Endpoints
Change From Baseline in the Mean Mismatch Negativity (MMN) at Day 8
Baseline, Day 8 of each treatment period
Change From Baseline in the Mean P300 Amplitude at Day 8
Baseline, Day 8 of each treatment period
Change From Baseline in the Mean Auditory Steady State Response (ASSR) at Day 8
Baseline, Day 8 of each treatment period
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Luvadaxistat 500 mg, then PlaceboEXPERIMENTALParticipants first received luvadaxistat 500 mg orally once daily (QD) for 8 days during treatment period 1. After a washout of 14 to 21 days, participants then received matching placebo orally QD for 8 days during treatment period 2.
Placebo, then Luvadaxistat 500 mgEXPERIMENTALParticipants first received matching placebo orally QD for 8 days during treatment period 1. After a washout of 14 to 21 days, participants then received luvadaxistat 500 mg orally QD for 8 days during treatment period 2.
Luvadaxistat 50 mg, then PlaceboEXPERIMENTALParticipants first received luvadaxistat 50 mg orally QD for 8 days during treatment period 1. After a washout of 14 to 21 days, participants then received matching placebo orally QD for 8 days during treatment period 2.
Placebo, then Luvadaxistat 50 mgEXPERIMENTALParticipants first received matching placebo orally QD for 8 days during treatment period 1. After a washout of 14 to 21 days, participants then received luvadaxistat 50 mg orally QD for 8 days during treatment period 2.
Luvadaxistat 50 milligrams (mg)EXPERIMENTALParticipants received luvadaxistat 50 mg orally once daily (QD) for 12 weeks (Days 1 to 84).
Luvadaxistat 125 mgEXPERIMENTALParticipants received luvadaxistat 125 mg orally QD for 12 weeks (Days 1 to 84).
Luvadaxistat 500 mgEXPERIMENTALParticipants received luvadaxistat 500 mg orally QD for 12 weeks (Days 1 to 84).
PlaceboPLACEBO_COMPARATORParticipants received placebo (matching luvadaxistat) orally QD for 12 weeks (Days 1 to 84).
Interventions
NameTypeDescription
LuvadaxistatDRUGTAK-831 Tablets.
Matching PlaceboDRUGMatching Placebo Tablets.
PlaceboDRUGLuvadaxistat placebo-matching tablets.
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Eligibility Criteria
Age Range18 Years — 60 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Have a body mass index (BMI) greater than or equal to (\>=) 18.5 and less than or equal to (\<=) 40.0 (kilogram per square meter \[kg/m\^2\]) at the Screening Visit. * With a current Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnosis of schi...

Countries:United StatesBulgariaCzechiaGermanyItalyPolandSpainUkraine
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