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NBI-1117568

Phase 3

Schizophrenia | Small molecule | Psychiatry |Neurocrine Biosciences, Inc.|Trials Updated: Sep 29, 2026

NBI-1117568 development status

Highest phase Phase 3
Registered trials 6 across 1 sponsor since Sep 2022

NBI-1117568 target and mechanism

Molecular targetM4
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials6
Total Enrollment2,088

FDA Designations

No designations recorded

NBI-1117568 clinical trials

NBI-1117568 · 6 trials · 3 indications

Phase 3 4Phase 2 2
NCT07227818Efficacy of NBI-1117568 in Preventing Relapse in Adults With SchizophreniaSchizophrenia
RECRUITING560 Analytics
NCT07105098NBI-1117568-SCZ3030: Evaluation of NBI-1117568 in Inpatient Adults With SchizophreniaSchizophrenia
RECRUITING284 Analytics
NCT07114874NBI-1117568-SCZ3032: Long-Term Evaluation of NBI-1117568 in Adults With SchizophreniaSchizophrenia
RECRUITING600 Analytics
NCT06963034NBI-1117568-SCZ3029: Evaluation of NBI-1117568 in Inpatient Adults With SchizophreniaSchizophrenia
RECRUITING284 Analytics
PHASE3RECRUITING
Efficacy of NBI-1117568 in Preventing Relapse in Adults With Schizophrenia
SchizophreniaUnlock trial analytics
PHASE3RECRUITING
NBI-1117568-SCZ3030: Evaluation of NBI-1117568 in Inpatient Adults With Schizophrenia
SchizophreniaUnlock trial analytics
PHASE3RECRUITING
NBI-1117568-SCZ3032: Long-Term Evaluation of NBI-1117568 in Adults With Schizophrenia
SchizophreniaUnlock trial analytics
PHASE3RECRUITING
NBI-1117568-SCZ3029: Evaluation of NBI-1117568 in Inpatient Adults With Schizophrenia
SchizophreniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Time From Randomization to Relapse
Up to approximately 30 weeks
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 5
Baseline, Week 5
Number of Participants with Treatment-emergent Adverse Events
Up to 36 months
Change From Baseline in Young Mania Rating Scale (YMRS) Total Score at Day 21
Baseline, Day 21
Change from baseline in total Positive and Negative Syndrome Scale (PANSS) score at Week 6
Baseline and Week 6

The PANSS evaluates the severity of various symptoms of schizophrenia, and is commonly used to measure symptom reduction in patients taking antipsychotics. Each item is scored on a 7-point severity scale (1=absent; 2=minimal; 3=mild; 4=moderate; 5=moderate severe; 6=severe; 7=extreme). The PANSS total score is derived from the summation of each item. A higher score indicates greater severity.

Secondary Endpoints

Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score at Week 5
Baseline, Week 5
Change From Baseline in Clinical Global Impression - Severity Scale (CGI-S) Score at Day 21
Baseline, Day 21
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NBI-1117568EXPERIMENTALAll participants will receive NBI-1117568 during the Open-label Stabilization Period, then will be randomized to receive NBI-1117568 during the Double-blind Treatment Period.
PlaceboPLACEBO_COMPARATORAll participants will receive NBI-1117568 during the Open-label Stabilization Period, then will be randomized to receive placebo matching NBI-1117568 during the Double-blind Treatment Period.
Dose Level AEXPERIMENTALParticipant administered Dose Level A (6 weeks)
Dose Level BEXPERIMENTALParticipant administered Dose Level B (6 weeks)
Dose Level CEXPERIMENTALParticipant administered Dose Level C (6 weeks)
Dose Level DEXPERIMENTALParticipant administered Dose Level D (6 weeks)
Placebo SchedulePLACEBO_COMPARATORParticipant administered placebo (6 weeks)

Interventions

NameTypeDescription
NBI-1117568DRUGOral capsules
PlaceboDRUGOral capsules
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites25

Key Inclusion Criteria: * Participant has a primary diagnosis of schizophrenia established by a comprehensive psychiatric evaluation based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) criteria. * Participant had the initial diagnosis of schiz...

Countries:United StatesPuerto RicoSerbiaBulgariaHungaryRomania
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Recent Changes (Last 90 Days)

LOWSep 29, 2026NCT07288320lastUpdatePostDate: changed
LOWSep 29, 2026NCT07288320lastUpdatePostDate: changed
LOWSep 25, 2026NCT07114874lastUpdatePostDate: changed
LOWSep 25, 2026NCT07105098lastUpdatePostDate: changed
LOWSep 25, 2026NCT07227818lastUpdatePostDate: changed
LOWSep 25, 2026NCT07114874lastUpdatePostDate: changed
LOWSep 25, 2026NCT07105098lastUpdatePostDate: changed
LOWSep 25, 2026NCT07227818lastUpdatePostDate: changed
LOWJul 31, 2026NCT07288320lastUpdatePostDate: changed
LOWJul 31, 2026NCT07288320lastUpdatePostDate: changed

Frequently asked questions about NBI-1117568

What is NBI-1117568?

NBI-1117568 is an investigational small molecule developed by Neurocrine Biosciences for psychiatric disorders. It is being studied in bipolar I disorder with current mania and in schizophrenia. The program includes five clinical trials, four of which are currently recruiting participants, with a combined planned enrollment of 1,938 adults.

What is NBI-1117568 used for in schizophrenia and bipolar I disorder?

NBI-1117568 is being evaluated for the treatment of schizophrenia and for bipolar I disorder with current mania. The schizophrenia program includes relapse prevention and long-term evaluation studies, while the bipolar I disorder program focuses on adults with current mania. It is investigational and has not been approved for any indication.

What does NBI-1117568 target?

NBI-1117568 targets the M4 muscarinic acetylcholine receptor. It is a small molecule designed to act at M4, a receptor implicated in psychiatric and central nervous system conditions. This targeted mechanism distinguishes it from broadly acting antipsychotic agents and is the basis for its study in schizophrenia and bipolar I disorder.

Who makes NBI-1117568?

NBI-1117568 is developed by Neurocrine Biosciences, Inc., which trades on the Nasdaq under the ticker NBIX. The company is sponsoring the clinical program, including the Phase 2 bipolar I disorder study and the Phase 3 schizophrenia trials currently recruiting participants.

What phase is NBI-1117568 in?

NBI-1117568 is in Phase 2 and Phase 3 clinical development. The bipolar I disorder with mania study is Phase 2, while three schizophrenia studies are Phase 3. The drug is investigational and has not been approved by the FDA for any indication. Five trials are registered, with four actively recruiting.

What clinical trials is NBI-1117568 in?

NBI-1117568 is being studied in five registered trials. These include NCT07288320 in bipolar I disorder with mania, NCT07227818 for schizophrenia relapse prevention, NCT07114874 for long-term schizophrenia evaluation, and NCT07105098 in inpatient adults with schizophrenia. The trials are randomized, double-blind, and placebo-controlled, with a combined planned enrollment of 1,938 participants.