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RO5186582

Phase 2

Undisclosed | Small molecule | Other |Roche Holding AG|Trials Updated: Feb 9, 2021

RO5186582 development status

Highest phase Phase 2 (NCT02484703)
Phase scored for RHHBYPhase 1
Registered trials 6 across 1 sponsor since Oct 2014

RO5186582 target and mechanism

ModalitySmall molecule

Also known as Basmisanil

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials2
Total Enrollment226

FDA Designations

No designations recorded

RO5186582 clinical trials

RO5186582 · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT02953639A Study to Evaluate the Effects of Basmisanil in Participants With Cognitive Impairment Associated With Schizophrenia (CIAS) Treated With AntipsychoticsSchizophrenia
COMPLETED214 Analytics
PHASE2COMPLETED
A Study to Evaluate the Effects of Basmisanil in Participants With Cognitive Impairment Associated With Schizophrenia (CIAS) Treated With Antipsychotics
SchizophreniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline to Week 24 in MATRICS Consensus Cognitive Battery (MCCB) Neurocognitive Composite Score
Baseline up to Week 24

The MCCB is a cognitive battery to assess 7 domains recommended by the MATRICS initiative (i.e., working memory, verbal learning, speed of processing, attention/vigilance, visual learning, social cognition, reasoning and problem solving). The MCCB neurocognitive composite T-score is a standardized mean of the six domain scores (excluding social cognition). Raw scores are converted to age and sex adjusted t-scores which are standardized to normative data, and have a mean of 50 and standard deviation of 10 in the general healthy population. A higher composite T-score represents lower impairment.

Bioavailability of Drug (F) for Oral Midazolam
Pre-dose [-0.5 hour (h)] and 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10 and 14 h post-dose (pd) on Day (D) 2 and 18, and 22 h pd on D3 and 19
Total Plasma Clearence (CL) for IV Midazolam
Pre-dose [-10 minutes (min)] and 0.08 (5 min), 0.25 (15 min), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10 and 14 h pd on D1 and D17, and 22 h pd on D2 and D18
Apparent Volume of Distribution at Steady-State (Vss) for IV Midazolam
Pre-dose (-10 min) and 0.08 (5 min), 0.25 (15 min), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10 and 14 h pd on D1 and D17, and 22 h pd on D2 and D18
Maximum Observed Plasma Concentration (Cmax) for Oral Midazolam
Pre-dose (-0.5 h) and 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10 and 14 h pd on D2 and 18, and 22 h pd on D3 and D19

Secondary Endpoints

Change From Baseline to Week 24 in MCCB Cognitive Domain Scores
Baseline up to Week 24
Change From Baseline to Week 24 in Wechsler Memory Scale Fourth Edition, Verbal Paired Associates (WMS IV-PAL) Score
Baseline up to Week 24
Change From Baseline to Week 24 in Wechsler Memory Scale Fourth Edition, Logical Memory Test (WMS IV-LM) Score
Baseline up to Week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORParticipants received matching Placebo to Basmisanil orally twice daily for 24 weeks.
Basmisanil 80mg BIDEXPERIMENTALParticipants received Basmisanil 80 mg orally twice daily (BID) for 24 weeks.
Basmisanil 240mg BIDEXPERIMENTALParticipants received Basmisanil 240 mg orally twice daily (BID) for 24 weeks.
IV Midazolam AloneOTHERA single 1 milligram (mg) dose of IV Midazolam on Day 1.
Oral Midazolam AloneOTHERA single 5 mg oral dose of midazolam on Day 2.
RO5186582 AloneEXPERIMENTALRO5186582 240 mg oral tablet twice daily (BID) for 14 days from Days 3 to 16.
RO5186582 Plus IV MidazolamEXPERIMENTALRO5186582 240 mg BID oral tablet in combination with a single 1 mg IV dose of midazolam on Day 17.
RO5186582 Plus Oral MidazolamEXPERIMENTALRO5186582 240 mg BID in combination with a single 5 mg oral dose of midazolam on Day 18.

Interventions

NameTypeDescription
BasmisanilDRUGParticipants received either 80 milligrams (mg) or 240 mg of Basmisanil, as per the dosing schedules described above.
PlaceboDRUGParticipants received matching Placebo to Basmisanil, as per the dosing schedules described above.
Midazolam, IVDRUG2 milligrams per milliliter (mg/mL) midazolam solution for IV administration. For a 1 mg dose, the midazolam solution (0.5 mL of 2 mg/mL) will be injected at 2 milligrams per minute (mg/min).
Midazolam, oralDRUG0.1 mg/mL midazolam for oral administration. For a 5 mg dose, participants will receive 50 mL of 0.1 mg/mL midazolam.
RO5186582DRUGRO5186582 120 mg film-coated release tablet.
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Eligibility Criteria

Age Range18 Years to 50 Years
SexALL
Healthy VolunteersNo
Study Sites37

Inclusion Criteria: * Diagnosis of schizophrenia of any type utilizing the Mini International Neuropsychiatric Interview and diagnostic and statistical manual of mental disorders, fifth edition (DSM-5) direct clinical assessments, family informants and past medical records * Evidence of stability o...

Countries:United StatesUnited Kingdom
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Frequently asked questions about RO5186582

What is RO5186582?

RO5186582 is an investigational small molecule developed by Roche Holding AG. It has been studied in a Phase 1 clinical trial involving healthy volunteers, and no therapeutic indication has been disclosed for the compound. It is not described as an approved medicine.

Who is developing RO5186582?

RO5186582 is being developed by Roche Holding AG, which trades on the OTC market under the ticker RHHBY. Roche sponsored the clinical work conducted on the compound, including the Phase 1 study listed on ClinicalTrials.gov.

What phase is RO5186582 in?

RO5186582 is in Phase 1 clinical development. One Phase 1 trial has been completed, and no later-stage trials are recorded. The compound remains investigational and has not been described as approved by the FDA or any other regulator.

What clinical trials has RO5186582 been studied in?

RO5186582 has been evaluated in a single Phase 1 study, NCT02254759, titled A Study of RO5186582 Treatment on Cytochrome P450 (CYP) 3A4 Activity in Healthy Participants. That trial enrolled 12 healthy volunteers in the United Kingdom, used a controlled design, and has been completed.

What did the RO5186582 Phase 1 trial measure?

The completed Phase 1 trial NCT02254759 examined the effect of RO5186582 treatment on cytochrome P450 3A4 activity in healthy participants. It enrolled 12 healthy volunteers aged 18 years and older in the United Kingdom and was a controlled study that has since finished.