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AQW051

Phase 2

Dyskinesias | Small molecule | Neurology |Novartis AG|Trials Updated: Dec 24, 2020

AQW051 development status

Highest phase Phase 2
Registered trials 6 across 2 sponsors since Dec 2006

AQW051 target and mechanism

Molecular targetCHRNA7
Target classPartial Agonist
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials4
Total Enrollment343

FDA Designations

No designations recorded

AQW051 clinical trials

AQW051 · 4 trials · 4 indications

Phase 2 3Phase 1 1
NCT01730768A Study to Evaluate the Effects of Once Daily Doses of AQW051 on Cognition, in Stable Schizophrenia PatientsSchizophrenia
COMPLETED147 Analytics
NCT01474421Safety and Efficacy of AQW051 in L-dopa Induced Dyskinesias in Patients With Parkinson's DiseaseDyskinesias
COMPLETED71 Analytics
NCT01163227Effect of AQW051 on Cognitive Function in Patients With Chronic Stable SchizophreniaSchizophrenia Disorders
COMPLETED57 Analytics
PHASE2COMPLETED
A Study to Evaluate the Effects of Once Daily Doses of AQW051 on Cognition, in Stable Schizophrenia Patients
SchizophreniaUnlock trial analytics
PHASE2COMPLETED
Safety and Efficacy of AQW051 in L-dopa Induced Dyskinesias in Patients With Parkinson's Disease
DyskinesiasUnlock trial analytics
PHASE2COMPLETED
Effect of AQW051 on Cognitive Function in Patients With Chronic Stable Schizophrenia
Schizophrenia DisordersUnlock trial analytics

Study Endpoints

Primary Endpoints

Visual learning and memory at 4 weeks
4 weeks

The primary objective is to evaluate the pro-cognitive effects of AQW051 in a chronic stable schizophrenic patient population at week 4 as measured by the absolute change from baseline in CPAL number of errors (CogState battery) at week 4.

Change in Modified Abnormal Involuntary Movement Scale (mAIMS)score
Baseline, Day 28

Dyskinesia with a maximal score of 24.

Change in Unified Parkinson's Disease Rating Scale (UPDRS) - Part III score
Baseline, Day 28

Anti-parkinsonian effect in PD patients.

Safety and tolerability
Up to Day 42

Safety and tolerability of AQW051 as measured by the number of participants with adverse events, any clinically significant abnormalities in safety labs or electrocardiograms (ECGs), and relevant orthostatic changes in blood pressure

Effects of single oral doses of AQW051 versus placebo on cognitive function as measured by selected CogState tests
132 days Part A, 121 days Part B (screening to study completion)
Part 1: Assess BOLD response in key brain areas in schizophrenia patients during the performance of tasks as measured by (fMRI) in people with schizophrenia.
2 years (Part 1: 1 year)
Part 2: Assess safety and tolerability of multiple doses of AQW051 schizophrenia patients.
Part 2: 8 months

Secondary Endpoints

Effect on cognitive function after 12 weeks of treatment - CogState test battery.
Baseline, 12 weeks
Effect on cognitive function after 12 weeks of treatment - MCCB
Baseline, 12 weeks
Number of patients with adverse events
12 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AQW051 10 mg/dayEXPERIMENTALTwo 5mg AQW051 capsules will be taken orally daily by patients from Day 1 until Day 84.
Placebo to AQW051PLACEBO_COMPARATORMatching placebo administered orally.
AQW051 High DoseEXPERIMENTALAQW051 high dose daily given orally for 28 days.
AQW051 Low DoseEXPERIMENTALAQW051 low dose daily given orally for 28 days.
PlaceboPLACEBO_COMPARATORPlacebo daily given orally for 28 days.
AQW051 Dose 1EXPERIMENTAL -
AQW051 Dose 2EXPERIMENTAL -
AQW051 Dose 3EXPERIMENTAL -
AQW051EXPERIMENTAL -

Interventions

NameTypeDescription
AQW051DRUG -
PlaceboDRUG -
Placebo (single and multiple doses)DRUG -
AQW051 2 mg (single and multiple doses)DRUG -
AQW051 15mg (single and multiple doses)DRUG -
AQW051 100mg (single dose), and 50mg (multiple doses)DRUG -
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria: * Diagnosis of schizophrenia * Symptomatically stable and currently treated with a stable regimen for at least 3 (three) months prior to dosing with one of the following second generation of antipsychotics: risperidone, paliperidone, quetiapine, ziprasidone, aripiprazole. * Spec...

Countries:United StatesFranceGermanyItaly
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Frequently asked questions about AQW051

What is AQW051?

AQW051 is an investigational small molecule developed by Novartis AG for neurological and psychiatric conditions. It has been studied in schizophrenia and in L-dopa induced dyskinesias in patients with Parkinson's disease. It is a partial agonist of CHRNA7, also known as the alpha-7 nicotinic acetylcholine receptor.

What is AQW051 used for in schizophrenia?

AQW051 has been studied as a treatment for cognitive impairment in stable schizophrenia, with trials evaluating its effects on cognition in patients with chronic stable schizophrenia. It is investigational and has not been approved for any indication. The completed Phase 2 trials enrolled adults aged 18 years and older.

What does AQW051 target?

AQW051 targets CHRNA7, the alpha-7 nicotinic acetylcholine receptor, and acts as a partial agonist at this target. This receptor is associated with cognitive function, which is why the compound was studied for cognitive effects in schizophrenia and for L-dopa induced dyskinesias in Parkinson's disease.

Who is developing AQW051?

AQW051 is developed by Novartis AG, which trades under the ticker NVS. Novartis sponsored the clinical trials of AQW051 in schizophrenia and in L-dopa induced dyskinesias in patients with Parkinson's disease.

What phase is AQW051 in?

AQW051 is in Phase 2 development. It is investigational and has not been approved for any indication. The Phase 2 trials in schizophrenia and in L-dopa induced dyskinesias have been completed, and no trials are currently active.

What clinical trials is AQW051 in?

AQW051 has been evaluated in completed trials including NCT01730768, a Phase 2 study of once daily doses on cognition in stable schizophrenia patients, and NCT01474421, a Phase 2 study in L-dopa induced dyskinesias in Parkinson's disease. Other completed studies include NCT01163227 and the Phase 1 trial NCT00825539.