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bitopertin

Phase 3

Schizophrenia | Small molecule | Psychiatry |Roche Holding AG|Last Updated: Oct 5, 2018

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials4
Total Enrollment2,147

FDA Designations

No designations recorded

Clinical trial landscape

bitopertin · 7 trials · 4 indications

Phase 3 3Phase 2 3Phase 1 1
NCT01192906A Study of RO4917838 (Bitopertin) in Patients With Persistent, Predominant Negative Symptoms of Schizophrenia (WN25309)Schizophrenia
COMPLETED624 Analytics
NCT01235585A Study of RO4917838 (Bitopertin) in Patients With Sub-optimally Controlled Symptoms of Schizophrenia (WN25306)Schizophrenia
COMPLETED597 Analytics
NCT01192880A Study to Evaluate Efficacy and Safety of Bitopertin in Participants With Persistent, Predominant Negative Symptoms of SchizophreniaSchizophrenia
COMPLETED625 Analytics
PHASE3COMPLETED
A Study of RO4917838 (Bitopertin) in Patients With Persistent, Predominant Negative Symptoms of Schizophrenia (WN25309)
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Study of RO4917838 (Bitopertin) in Patients With Sub-optimally Controlled Symptoms of Schizophrenia (WN25306)
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate Efficacy and Safety of Bitopertin in Participants With Persistent, Predominant Negative Symptoms of Schizophrenia
SchizophreniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Efficacy (PANSS negative symptoms factor score)
Week 24
Safety (incidence of adverse events)
Week 24
Positive symptoms factor score assessed by Positive and Negative Syndrome Scale (PANSS)
Change from baseline to Week 12
Mean Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Negative Symptom Factor Score at Week 24
Baseline, Week 24
Percentage of Participants with Adverse Events
From baseline up to 24 weeks
Safety Outcome: Percentage of Participants with Adverse Events (AEs) - Part 1 only
Baseline, Week 16, up to Week 22
Efficacy Outcome: Change in Total Hemoglobin (Hb) Level from Baseline to End of 16-Week Treatment Period in Part 1
Baseline to Week 16
Long-term Safety Outcome : Percentage of Participants with Adverse Events (AEs) - Part 2 only
Baseline to 19 Months
Change From Baseline in Total Score on Yale-Brown Obsessive Compulsive Scale (Y-BOCS) After 12 Weeks of Treatment
Stratum 1: Baseline (Day 1), Week 12; Stratum 2: Baseline (Week 2), Week 14
Change in Positive and Negative Syndrome Scale (PANSS) total score
from baseline to Day 28
Safety: Incidence adverse events
8 weeks
Safety: Incidence of adverse events
17 days

Secondary Endpoints

Symptom domains of schizophrenia using Positive and Negative Syndrome Scale (PANSS)
Change from baseline to Week 12
Disease improvement on Clinical Global Impression - Improvement (CGI-I) symptoms scale
Change from baseline to Week 12
Disease severity on Clinical Global Impression - Severity (CGI-S) symptoms scale
Change from baseline to Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTAL -
2EXPERIMENTAL -
3PLACEBO_COMPARATOR -
Bitopertin oral dose level 1EXPERIMENTAL -
Bitopertin oral dose level 2EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Bitopertin 10 mg + AntipsychoticsEXPERIMENTALTreatment Period 1: Participants will receive bitopertin 10 milligrams (mg) tablet orally once daily for 24 weeks. Treatment Period 2: Participants will receive bitopertin 10 mg tablet orally once daily for 28 weeks (up to Study Week 52). After Week 52 there will be a 4-week washout period for at least 50 percent (%) of participants (up to Week 56). Long-Term Extension: After Week 56, participants will enter the long term extension period and continue to receive bitopertin 10 mg tablet orally once daily up to 3 years. In addition, throughout the study, participants will continue their same stable antipsychotic treatment as they were receiving prior to entry in the study.
Bitopertin 20 mg + AntipsychoticsEXPERIMENTALTreatment Period 1: Participants will receive bitopertin 20 mg tablet orally once daily for 24 weeks. Treatment Period 2: Participants will receive bitopertin 20 mg tablet orally once daily for 28 weeks (up to Study Week 52). After Week 52 there will be a 4-week washout period for at least 50% of participants (up to Week 56). Long-Term Extension: After Week 56, participants will enter the long term extension period and continue to receive bitopertin 20 mg tablet orally once daily up to 3 years. In addition, throughout the study, participants will continue their same stable antipsychotic treatment as they were receiving prior to entry in the study.
BitopertinEXPERIMENTALPart 1 - The main study - 16 weeks in total: Participants will undergo a 6-week dose-escalation period followed by 10 weeks of treatment at the attained target dose of bitopertin. Part 2 - Open Label Extension (OLE) - up to an additional 12 months: Participants will be given the option to enroll into the OLE once the 16-week treatment of Part 1 has been completed. Participants who decide not to enroll in the OLE, at the end of Part 1 will enter a 6-week follow-up period.
Bitopertin 30 mgEXPERIMENTALParticipants in Stratum 1 will receive bitopertin 30 mg from Day 1 to Week 16 in addition to their background therapy with an SSRI. Participants in Stratum 2 will receive placebo from Day 1 and will then start bitopertin 30 mg at the Week 2 until Week 16 in addition to their background therapy with an SSRI.
Bitopertin 10 mgEXPERIMENTALParticipants in Stratum 1 will receive bitopertin 10 mg from Day 1 to Week 16 in addition to their background therapy with an SSRI. Participants in Stratum 2 will receive placebo from Day 1 and will then start bitopertin 10 mg at the Week 2 until Week 16 in addition to their background therapy with an SSRI.
AEXPERIMENTAL -
BEXPERIMENTAL -
CACTIVE_COMPARATOR -
DPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
PlaceboDRUGOral doses, once a day for 52 weeks
bitopertin [RO4917838]DRUGOral dose level 1, once a day for 52 weeks
BitopertinDRUGParticipants will receive 10 mg or 20 mg of bitopertin.
AntipsychoticsDRUGParticipants will continue to receive their stable antipsychotic regiment throughout the study. Study protocol does not specify any particular antipsychotic drug and regimen.
SSRIDRUGParticipants will continue their background SSRI treatment as per standard of care at the same dose taken during the 8 weeks prior to Day 1. Protocol does not enforce any particular SSRI drug or regimen.
olanzapineDRUG15 mg orally daily, 4 weeks
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites113

Inclusion Criteria: * Adult patients, aged 18 years and above * Diagnosis of schizophrenia of paranoid, disorganized, residual, undifferentiated or catatonic subtype * Predominant negative symptoms * With the exception of clozapine, patients are on any of the available marketed atypical or typical ...

Countries:United StatesBrazilCanadaChileGermanyLatviaLithuaniaNetherlandsPolandSlovakiaSpainTaiwanTurkey (Türkiye)UkraineBulgariaChinaCzechiaItalyJapanRussiaLebanonThailandRomaniaNew Zealand
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Frequently asked questions about bitopertin

What is Bitopertin used for?

Bitopertin is an investigational small molecule being studied for several conditions, including schizophrenia, obsessive-compulsive disorder, and beta-thalassemia. It has also been evaluated in healthy volunteers. All completed trials were in Phase 1 or Phase 2, and Bitopertin is not approved for any indication.

Who makes Bitopertin?

Bitopertin is being developed by Roche Holding AG, which trades under the ticker RHHBY. The company has sponsored clinical trials of the drug across multiple countries, including the United States, Canada, and several European and Asian nations.

What phase is Bitopertin in?

Bitopertin has completed Phase 1 and Phase 2 clinical trials. It is not approved and remains investigational. The most advanced studies were Phase 2 trials in schizophrenia, obsessive-compulsive disorder, and beta-thalassemia, all of which have been completed.

What clinical trials is Bitopertin in?

Bitopertin has been studied in four completed trials: NCT01234779 in schizophrenia (Phase 2, 301 participants), NCT01636492 in healthy volunteers (Phase 1, 71 participants), NCT01674361 in obsessive-compulsive disorder (Phase 2, 99 participants), and NCT03271541 in beta-thalassemia (Phase 2, 12 participants).

Is Bitopertin the same as RO4917838?

Yes, Bitopertin is also known as RO4917838. Clinical trial records use both names interchangeably, with RO4917838 appearing in study titles and Bitopertin as the common name.