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RO5545965

Phase 1

Healthy Volunteer | Small molecule | Other |Roche Holding AG|Last Updated: Jun 7, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment97

FDA Designations

No designations recorded

Clinical trial landscape

RO5545965 · 5 trials · 2 indications

Phase 1 5
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
NCT01864226A Study of the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of RO5545965 in Healthy VolunteersHealthy Volunteer
COMPLETED44 Analytics
NCT01711801A Study of Safety, Pharmacokinetics (Including Food Effect) And Pharmacodynamics of RO5545965 in Healthy VolunteersHealthy Volunteer
COMPLETED53 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
PHASE1COMPLETED
A Study of the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of RO5545965 in Healthy Volunteers
Healthy VolunteerUnlock trial analytics
PHASE1COMPLETED
A Study of Safety, Pharmacokinetics (Including Food Effect) And Pharmacodynamics of RO5545965 in Healthy Volunteers
Healthy VolunteerUnlock 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
Safety: Incidence of adverse events
approximately 3 months

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 -
PlaceboPLACEBO_COMPARATOR -
Part 1: PlaceboPLACEBO_COMPARATOR -
Part 1: RO5545965EXPERIMENTAL -
Part 2: Food effectEXPERIMENTAL -

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 KingdomNetherlands
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Frequently asked questions about RO5545965

What is RO5545965 used for?

RO5545965 is an investigational small molecule being studied in schizophrenia, including negative symptoms of schizophrenia in patients treated with antipsychotics. It has also been evaluated in healthy volunteers. The drug is in Phase 1 clinical development and is not approved by the FDA.

What does RO5545965 target?

RO5545965 is a small molecule being developed by Roche. Its specific molecular target has not been disclosed in available clinical trial information. The drug is being studied for its effects in schizophrenia, particularly negative symptoms, but its mechanism of action is not publicly detailed.

Who makes RO5545965?

RO5545965 is being developed by Roche Holding AG, which trades under the ticker RHHBY. The company has sponsored multiple Phase 1 clinical trials of the drug in healthy volunteers and in patients with schizophrenia.

What phase is RO5545965 in?

RO5545965 is in Phase 1 clinical development. All three completed trials of the drug were Phase 1 studies. It remains investigational and has not received FDA approval for any use.

What clinical trials is RO5545965 in?

RO5545965 has completed three Phase 1 trials. NCT01711801 studied safety and pharmacokinetics in healthy volunteers in the Netherlands. NCT01923025 was a PET study in healthy male volunteers in the United Kingdom. NCT02019329 and NCT02824055 evaluated the drug in schizophrenia patients in the United States.

Is RO5545965 the same as any other drug?

RO5545965 is the only name provided for this investigational compound. No alternative names or brand names have been associated with it in the clinical trial records. It is identified solely by its code name RO5545965.