Recent Updates
Recently added Catalysts

RO6889450

Phase 2

Schizophrenia, Schizoaffective Disorder | Small molecule | Psychiatry |Roche Holding AG|Last Updated: Oct 10, 2023

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment287

FDA Designations

No designations recorded

Clinical trial landscape

RO6889450 · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT04512066A Trial of the Efficacy and the Safety of RO6889450 (Ralmitaront) vs Placebo in Patients With an Acute Exacerbation of Schizophrenia or Schizoaffective DisorderSchizophrenia, Schizoaffective Disorder
COMPLETED287 Analytics
PHASE2COMPLETED
A Trial of the Efficacy and the Safety of RO6889450 (Ralmitaront) vs Placebo in Patients With an Acute Exacerbation of Schizophrenia or Schizoaffective Disorder
Schizophrenia, Schizoaffective DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at Week 4
Week 4 (Day 28)

The PANSS is a 30-item rating scale that evaluates positive, negative, and other symptoms in patients with schizophrenia. The Positive subscale is a 7-item scale that assesses features in schizophrenia that are not present in a normal mental state. The Negative subscale is a 7-item scale that assesses features absent in schizophrenia but present in those with a normal mental state. Items are rated on a 7-point scale, where 1 = absent and 7 = extreme, for a maximum score of 49 for each scale. The General subscale is a 16-item scale that assesses the overall severity of schizophrenia and the risk of aggression. Items are rated on the same scale, with a minimum score of 16 and a maximum score of 112. Total scores are calculated by adding subscale scores together, for a minimum score of 30 and a maximum score of 210. Higher scores indicate higher severity.

Percentage of Participants With Dose Limiting Toxicities After Single Ascending Dose (SAD) - Part 1
up to 22 days
Area Under the Curve from Time Zero to end of dosing interval (AUCtau) After Multiple Oral Ascending Doses - Part 2
Part 2: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 hr postdose on Day 1; predose on Days 2, 3, 4, 5, 6, 7, 8, 10, 12, 13, predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 hr postdose on Day 14, Days 15, 16, 17, 19, 20, 21
Percentage of Participants With Dose Limiting Toxicities After Multiple Oral Ascending Doses (MAD) - Part 2
up to 35 days
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 to inf)] After Single Ascending Dose - Part 1
Part 1: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 hours (hr) postdose on Day 1; Day 2, 3, 4, 6, 7, 8
RO6889450 Maximum Plasma Concentration (Cmax) After Single Oral Ascending Doses
Part 1: predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 hours postdose on Day 1, Days 2, 3, 4, 6, 7, 8
RO6889450 Maximum Plasma Concentration (Cmax) After Multiple Oral Ascending Doses
Part 2: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 hours postdose on Day 1, predose on Days 2, 3, 4, 5, 6, 7, 8, 10, 12, 13, predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 hours postdose on Day 14, Days 15, 16, 17, 19, 20, 21
RO6889450 Minimum Observed Plasma Trough Concentration (Cmin)
Part 2: predose on Days 2, 3, 4, 5, 6, 7, 8, 10, 12, 13, predose and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16 hours postdose on Day 14, Days 15

Secondary Endpoints

Change From Baseline in PANSS Factor Scores at Week 4
Week 4 (Day 28)
Proportion of Participants With at Least 20% or 50% Improvement From Baseline in the PANSS Total Score
Baseline to Week 12
Change From Baseline in Clinical Global Impression Severity (CGI-S) Scores
Week 4 (Day 28)
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
150 mg Once Daily (QD) RO6889450EXPERIMENTALParticipants will receive 150 mg of RO6889450 QD for 4 weeks or 12 weeks or 48 weeks.
45 mg QD RO6889450EXPERIMENTALParticipants will receive 45 mg of RO6889450 QD for 4 weeks or 12 weeks or 48 weeks.
PlaceboPLACEBO_COMPARATORParticipants will receive oral placebo QD for 4 weeks. Participants from this arm that continue to the extension period will be randomized to either 45 mg or 150 mg QD of RO6889450 for up to an additional 8 weeks or additional 44 weeks (optional 36-Week Safety Extension Phase).
4 mg QD RisperidoneACTIVE_COMPARATORParticipants will receive 4 mg of risperidone QD for 4 weeks or 12 weeks or 48 weeks.
RO6889450: Part 1 Single Ascending Dose (SAD)EXPERIMENTALParticipants will undergo a series of screening visits prior to treatment and 4 weeks follow-up. Healthy volunteers will be enrolled in up to 7 dose groups (5 milligram \[mg\] to 450 mg) and will receive single oral dose of RO6889450 in the morning of the Day 1.
RO6889450: Part 2 Multiple Ascending Dose (MAD)EXPERIMENTALThe starting dose for Part 2 MAD will be determined by analysis of safety and pharmacokinetic data of Part 1 SAD. All participants will receive RO6889450 orally for 14 days.

Interventions

NameTypeDescription
RO6889450DRUGParticipants will receive oral RO6889450 QD.
PlaceboDRUGParticipants will receive oral placebo QD.
RisperidoneDRUGParticipants will receive oral risperidone QD.
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to 45 Years
SexALL
Healthy VolunteersNo
Study Sites40

Inclusion criteria * Participant must be 18 to 45 years of age inclusive * Participants with a Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnosis of schizophrenia or schizoaffective disorder as confirmed by the Mini International Neuropsychiatric Interview (MINI)...

Countries:United StatesJapanRussiaUkraineNetherlands
Unlock Eligibility Criteria

Frequently asked questions about RO6889450

What is RO6889450 used for?

RO6889450 is an investigational small molecule being studied for the treatment of schizophrenia and schizoaffective disorder. It has been evaluated in healthy volunteers to assess its safety, tolerability, pharmacokinetics, and pharmacodynamics. The drug is not approved and remains in clinical development.

Who makes RO6889450?

RO6889450 is being developed by Roche Holding AG, which trades under the ticker RHHBY. The company has sponsored clinical trials of the drug in healthy volunteers and in patients with schizophrenia or schizoaffective disorder.

What phase is RO6889450 in?

RO6889450 has completed a Phase 1 trial in healthy volunteers and a Phase 2 trial in patients with an acute exacerbation of schizophrenia or schizoaffective disorder. Both trials are completed, and the drug remains investigational and not FDA approved.

What clinical trials is RO6889450 in?

RO6889450 has been studied in two completed trials. NCT02699372 was a Phase 1 study in 164 healthy volunteers in the Netherlands. NCT04512066 was a Phase 2 efficacy and safety trial in 287 patients with schizophrenia or schizoaffective disorder across the United States, Japan, Russia, and Ukraine.

Is RO6889450 the same as Ralmitaront?

Yes, RO6889450 is also known as Ralmitaront. The Phase 2 trial NCT04512066 refers to the drug as RO6889450 (Ralmitaront) in its title, confirming that both names refer to the same investigational compound.