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RO4917838

Phase 3

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

RO4917838 development status

Highest phase Phase 3
Registered trials 18 across 1 sponsor since Feb 2008

RO4917838 target and mechanism

ModalitySmall molecule

Also known as Bitopertin

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials10
Total Enrollment3,834

FDA Designations

No designations recorded

RO4917838 clinical trials

RO4917838 · 10 trials · 3 indications

Phase 3 5Phase 2 4Phase 1 1
NCT01235520A Study of RO4917838 in Patients With Sub-optimally Controlled Symptoms of Schizophrenia (NN25307)Schizophrenia
COMPLETED595 Analytics
NCT01192867A Study of RO4917838 in Participants With Persistent, Predominant Negative Symptoms of Schizophrenia (NN25310)Schizophrenia
COMPLETED629 Analytics
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 in Patients With Sub-optimally Controlled Symptoms of Schizophrenia (NN25307)
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Study of RO4917838 in Participants With Persistent, Predominant Negative Symptoms of Schizophrenia (NN25310)
SchizophreniaUnlock trial 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

Positive symptoms factor score assessed by Positive and Negative Syndrome Scale (PANSS)
Change from baseline to Week 12
Safety (incidence of adverse events)
Week 12
Change From Baseline in the Positive and Negative Symptoms Scales (PANSS) Negative Symptoms Factor Score at Week 24 (All-Participant Population)
Baseline, Week 24
Percentage of Participants With Adverse Events (All-Participant Population)
Week 24
Efficacy (PANSS negative symptoms factor score)
Week 24
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
Mean change from baseline in PANSS (Positive and Negative Syndrome Scale) negative factor score.
Week 8
Change From Baseline in Cognitive Dysfunction Biomarker (Mismatch Negativity) at Week 6, as Measured Using Electroencephalography (EEG)
Baseline, Week 6
Change From Baseline in Cognitive Dysfunction Biomarker (Visual Event-Related Potential [ERP]) at Week 6, as Measured Using EEG
Baseline, Week 6
Change From Baseline in Cognitive Dysfunction Biomarker (N1 Refractoriness) at Week 6, as Measured Using EEG
Baseline, Week 6
Change From Baseline in Cognitive Dysfunction Biomarker (P3 Component) at Week 6, as Measured Using EEG
Baseline, Week 6
Change From Baseline in Cognitive Dysfunction Biomarker (Visual Evoked Potential [VEP]) at Week 6, as Measured Using EEG
Baseline, Week 6

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 -
RO4917838 20 milligrams (mg)EXPERIMENTALParticipants, on stable antipsychotics, will receive RO4917838 orally at 20 mg once daily (QD) up to 56 weeks followed by an optional treatment extension for up to 3 years.
RO4917838 10 mgEXPERIMENTALParticipants, on stable antipsychotics, will receive RO4917838 orally at 10 mg QD up to 56 weeks followed by an optional treatment extension for up to 3 years.
PlaceboPLACEBO_COMPARATORParticipants, on stable antipsychotics, will receive RO4917838 matching placebo orally QD up to 56 weeks.
Bitopertin oral dose level 1EXPERIMENTAL -
Bitopertin oral dose level 2EXPERIMENTAL -
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 -
4PLACEBO_COMPARATOR -
RO4917838EXPERIMENTAL -

Interventions

NameTypeDescription
PlaceboDRUGOral doses, once a day for 52 weeks
RO4917838DRUGOral dose level 1, once a day for 52 weeks
Antipshychotics (Standard of Care)DRUGParticipants will continue to receive their stable antipshychotic as standard of care based on their prescription up to Week 56.
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
Standard antipsychotic therapyDRUGAs prescribed
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites121

Inclusion Criteria: * Adult patients, \>/= 18 years of age * Diagnosis of schizophrenia * Clinical stability for 16 weeks (4 months) prior to randomization * Antipsychotic treatment stability for the past 12 weeks prior to randomization * With the exception of clozapine, patients are on any of the ...

Countries:United StatesArgentinaAustraliaColombiaFinlandFranceHungaryIndiaMexicoRomaniaRussiaSouth KoreaSwedenUnited KingdomBrazilCanadaChileGermanyLatviaLithuaniaNetherlandsPolandSlovakiaSpainTaiwanTurkey (Türkiye)UkraineBulgariaChinaCzechiaItalyJapanLebanonThailandAustria
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Frequently asked questions about RO4917838

What is RO4917838?

RO4917838 is an investigational small molecule developed by Roche Holding AG for the treatment of schizophrenia. It has been studied in four completed clinical trials, including two Phase 3 studies, and is not approved for any indication. The drug was evaluated as an adjunct to antipsychotic treatment and for persistent negative symptoms.

What is RO4917838 used for in schizophrenia?

RO4917838 was studied for schizophrenia, including sub-optimally controlled symptoms and persistent, predominant negative symptoms. It was also tested for cognitive dysfunction in schizophrenia and schizoaffective disorder. All trials are completed, and the drug remains investigational.

Who makes RO4917838?

RO4917838 is developed by Roche Holding AG, which trades under the ticker RHHBY. Roche sponsored the clinical development program for the drug in schizophrenia.

What phase is RO4917838 in?

RO4917838 has completed Phase 3 clinical trials. The program includes two Phase 3 studies, one Phase 2 study, and one Phase 1 study, all listed as completed. There are no active trials, and the drug is not approved for any indication.

What clinical trials is RO4917838 in?

RO4917838 has been studied in four completed trials: NCT01235520 (Phase 3, 595 participants), NCT01192867 (Phase 3, 629 participants), NCT01116830 (Phase 1, 29 participants), and NCT00616798 (Phase 2, 323 participants). All enrolled adults with schizophrenia or schizoaffective disorder.

Is RO4917838 the same as rosuvastatin?

No, RO4917838 is not the same as rosuvastatin. RO4917838 is an investigational small molecule developed by Roche for schizophrenia, while rosuvastatin is a marketed statin used for cholesterol management. The names are sometimes confused, but they refer to different drugs.