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RO5545965

Phase 1

Schizophrenia | Small molecule | Psychiatry |Roche Holding AG|Trials Updated: Jun 7, 2017

RO5545965 development status

Highest phase Phase 1
Registered trials 5 across 1 sponsor since Oct 2012

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment74

FDA Designations

No designations recorded

RO5545965 clinical trials

RO5545965 · 3 trials · 1 indication

Phase 1 3
NCT02824055A Study to Evaluate The Effects of RO5545965 in Participants With Negative Symptoms of Schizophrenia Treated With AntipsychoticsSchizophrenia
COMPLETED33 Analytics
NCT02019329A Study of the Safety, Tolerability and Pharmacokientics of RO5545965 in Patients With Schizophrenia on RisperidoneSchizophrenia
COMPLETED32 Analytics
NCT01923025A PET Study With RO5545965 in Healthy Male VolunteersSchizophrenia
COMPLETED9 Analytics
PHASE1COMPLETED
A Study to Evaluate The Effects of RO5545965 in Participants With Negative Symptoms of Schizophrenia Treated With Antipsychotics
SchizophreniaUnlock trial analytics
PHASE1COMPLETED
A Study of the Safety, Tolerability and Pharmacokientics of RO5545965 in Patients With Schizophrenia on Risperidone
SchizophreniaUnlock trial analytics
PHASE1COMPLETED
A PET Study With RO5545965 in Healthy Male Volunteers
SchizophreniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Apparent volume of distribution (Vz/F)
Pre-dose on Days 8, 15, 22, 43, 50, 57, 78, 85 and 96; additional 2 hour post-dose on Days 15, 50, and 85
Activity of the ventral striatum during reward expectation in a monetary incentive delay fMRI task as measured by blood oxygen level dependent (BOLD) activity
Baseline (Day 1) up to end of study (up to 17 weeks)
Performance in reward based learning tasks as measured by the working memory reinforcement learning task
Day 22 up to Day 92
Performance in reward based learning tasks as measured by the effort cost/benefit tradeoff task
Day 22 up to Day 92
Apparent oral clearance (CL/F)
Pre-dose on Days 8, 15, 22, 43, 50, 57, 78, 85 and 96; additional 2 hour post-dose on Days 15, 50, and 85
Incidence of adverse events
Up to 10 weeks
Health of the patients, assessed through a complete medical examination including physical examination, electrocardiogram (ECG) and vital signs.
Up to 10 weeks
Pharmacodynamics: Brain PDE10 occupancy by RO5545965
up to Day 2
PK/PD: Brain PDE10 inhibition in relationship to RO5545965 plasma concentrations
up to Day 2

Secondary Endpoints

Activity in the dorsolateral prefrontal cortex in the N-back working memory task as measured by BOLD activity
Baseline (Day 1) up to end of study (up to 17 weeks)
Cerebral blood flow in key brain areas (ventral striatum, orbitofrontal cortex) implicated in the etiology of negative symptoms as measured by arterial spin labeling (ASL)
Baseline (Day 1) up to end of study (up to 17 weeks)
Overall symptoms score of schizophrenia based on total PANSS
Baseline (Day 1), Days 22, 57, and 92
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Placebo first; then RO5545965 15 mg; then RO5545965 5mgPLACEBO_COMPARATORParticipants will receive placebo matched to RO5545965 capsules orally daily from Weeks 1 to 3 in first intervention period; then RO5545965 15 mg capsules (5 mg for 3 days, 10 mg for 3 days and 15 mg for 15 days) orally daily from Weeks 6 to 8 in second intervention period; followed by RO5545965 5 mg capsules orally daily from Weeks 11 to 13 in third intervention period. A washout period of minimum 14 days will be maintained between each period.
Placebo first; then RO5545965 5 mg; then RO5545965 15 mgPLACEBO_COMPARATORParticipants will receive placebo matched to RO5545965 capsules orally daily from Weeks 1 to 3 in first intervention period; then RO5545965 5 mg capsules orally daily from Weeks 6 to 8 in second intervention period; followed by RO5545965 15 mg capsules (5 mg for 3 days, 10 mg for 3 days and 15 mg for 15 days) orally daily from Weeks 11 to 13 in third intervention period. A washout period of minimum 14 days will be maintained between each period.
RO5545965 15 mg first; then Placebo; then RO5545965 5 mgEXPERIMENTALParticipants will receive RO5545965 15 mg capsules (5 mg for 3 days, 10 mg for 3 days and 15 mg for 15 days) orally daily from Weeks 1 to 3 in first intervention period; then placebo matched to RO5545965 capsules orally daily from Weeks 6 to 8 in second intervention period; followed by RO5545965 5 mg capsules orally daily from Weeks 11 to 13 in third intervention period. A washout period of minimum 14 days will be maintained between each period.
RO5545965 15 mg first; then RO5545965 5 mg; then PlaceboEXPERIMENTALParticipants will receive RO5545965 15 mg capsules (5 mg for 3 days, 10 mg for 3 days and 15 mg for 15 days) orally daily from Weeks 1 to 3 in first intervention period; then RO5545965 5 mg capsules orally daily from Weeks 6 to 8 in second intervention period; followed by placebo matched to RO5545965 capsules orally daily from Weeks 11 to 13 in third intervention period. A washout period of minimum 14 days will be maintained between each period.
RO5545965 5 mg first; then Placebo; then RO5545965 15 mgEXPERIMENTALParticipants will receive RO5545965 5 mg capsules orally daily from Weeks 1 to 3 in first intervention period; then placebo matched to RO5545965 capsules orally daily from Weeks 6 to 8 in second intervention period; followed by RO5545965 15 mg capsules (5 mg for 3 days, 10 mg for 3 days and 15 mg for 15 days) orally daily from Weeks 11 to 13 in third intervention period. A washout period of minimum 14 days will be maintained between each period.
RO5545965 5 mg first; then RO5545965 15 mg; then PlaceboEXPERIMENTALParticipants will receive RO5545965 5 mg capsules orally daily from Weeks 1 to 3 in first intervention period; then RO5545965 15 mg capsules (5 mg for 3 days, 10 mg for 3 days and 15 mg for 15 days) orally daily from Weeks 6 to 8 in second intervention period; followed by placebo matched to RO5545965 capsules orally daily from Weeks 11 to 13 in third intervention period. A washout period of minimum 14 days will be maintained between each period.
Placebo + risperidonePLACEBO_COMPARATOR -
RO5545965 + risperidoneEXPERIMENTAL -
RO5545965EXPERIMENTAL -

Interventions

NameTypeDescription
PlaceboDRUGParticipants will receive placebo matched to RO5545965 capsules orally daily in any of the three intervention period.
RO5545965DRUGParticipants will receive RO5545965 5 mg capsules or RO5545965 15 mg capsules (5 mg for 3 days, 10 mg for 3 days and 15 mg for 15 days) orally daily in any of the three intervention period.
risperidoneDRUG13 day run-in phase until 4 mg daily dose level is reached. 4 mg daily oral dose until Day 17 of study, for a total of 30 days. Dose may be increased up to 6 mg at the investigator's discretion. After study treatment, risperidone dosage may be decreased, increased or omitted at the investigator's discretion during a wash-out phase while patients return to their chronic antipsychotic treatment. Patient response during wash-out will be monitored in-house for 48 hours after the last dose of RO5545965 or placebo is administered. This in-house observation may be extended as needed by the investigator.
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Eligibility Criteria

Age Range18 Years to 50 Years
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: * A diagnostic and statistical manual of mental disorders-5 (DSM-5) diagnosis of schizophrenia as established by structured clinical interview for DSM-5-clinical trial (SCID-5-CT) at screening * Participants with no hospitalization for worsening of schizophrenia within 3 months ...

Countries:United StatesUnited Kingdom
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Frequently asked questions about RO5545965

What is RO5545965?

RO5545965 is an investigational small molecule being developed by Roche Holding AG for schizophrenia, a psychiatric disorder. It has been studied in Phase 1 clinical trials, including trials in participants with negative symptoms of schizophrenia and in patients receiving risperidone. It is not yet approved for any indication.

What is RO5545965 used for in schizophrenia?

RO5545965 is being studied as a treatment for schizophrenia, including negative symptoms in patients already treated with antipsychotics. All completed trials enrolled adults with schizophrenia or healthy volunteers. It remains an investigational agent and is not approved for clinical use in schizophrenia or any other condition.

Who is developing RO5545965?

RO5545965 is developed by Roche Holding AG, which trades on the OTC market under the ticker RHHBY. Roche has sponsored the clinical program, which includes Phase 1 studies conducted in the United States and the United Kingdom.

What phase is RO5545965 in?

RO5545965 is in Phase 1 clinical development. Three Phase 1 trials have been completed, and no active trials are currently listed. The program has not advanced to later-stage testing, and the drug is not FDA approved.

What clinical trials has RO5545965 been studied in?

RO5545965 has been evaluated in three completed Phase 1 trials: NCT02824055 in participants with negative symptoms of schizophrenia on antipsychotics, NCT02019329 in patients with schizophrenia on risperidone, and NCT01923025, a PET study in healthy male volunteers. Total enrollment across these trials was 74 participants.

Were the RO5545965 trials randomized and placebo controlled?

Yes. The RO5545965 clinical program used randomized, double-blind, placebo-controlled designs. The trials enrolled adults with schizophrenia as well as healthy volunteers, and all three studies have been completed.