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Part 1 of the study will assess the enhancement of task-related brain activation (BOLD response) in key brain areas in schizophrenia during the performance of working memory, episodic memory and visual activation tasks as measured by functional magnetic resonance imaging (fMRI) in people with schizophrenia. Part 2 of the study will assess the safety and tolerability of multiple doses of AQW051 in people with schizophrenia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator |
| |
| AQW051 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AQW051 | Drug |
| ||
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Assess BOLD response in key brain areas in schizophrenia patients during the performance of tasks as measured by (fMRI) in people with schizophrenia. | 2 years (Part 1: 1 year) | |
| Part 2: Assess safety and tolerability of multiple doses of AQW051 schizophrenia patients. | Part 2: 8 months |
| Measure | Description | Time Frame |
|---|---|---|
| Measure: To assess the effects of a single dose of AQW051 on performance of working and episodic memory tasks in people with schizophrenia. (Part 1) | Time Frame: 2 years (Part 1: 1 year; Part 2: 8 months) | |
| Measure: To determine the relationship of exposure to brain activation after a single dose of AQW051 in people with schizophrenia. (Part 1) |
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Inclusion Criteria:
Diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders IV (DSM IV/DSM IV TR)
Subjects will be currently treated with the stable regimen of one or more of the following second generation antipsychotics: olanzapine, risperidone, paliperidone, quetiapine, ziprasidone, aripiprazole.
Subjects will meet the following symptom criteria:
Subjects will meet the following cognitive performance criteria:
Subjects must be symptomatically stable and not suffer from an acute exacerbation of their psychosis
Female subjects of childbearing potential must be using two acceptable methods of contraception, (e.g., intra-uterine device plus condom, spermicidal gel plus condom, diaphragm plus condom, etc.), from the time of screening and for the duration of the study, through study completion. Pregnancy tests are required of all female subjects regardless of reported sterilization.
When performed at screening and practice visit, the result of this test must be received before the subject may be dosed.
Male subjects must be using two acceptable methods of contraception, (e.g., spermicidal gel plus condom) for the entire duration of the studyuntil the Study Completion visit.
Subject must have sufficiently stable overall health, as determined by the Investigator. The regular intake of concomitant drugs will be allowed, if the patient is on stable treatment for at least 3 months prior to study enrollment and the concomitant drug does not belong to the list of medication that are not allowed according to Appendix 3. If the patient takes more than one concomitant medication, it is at the Investigator's discretion to decide about the patient's eligibility, depending on the nature of the concomitant medications and the patient's overall health.
Exclusion criteria:
Current treatment with conventional antipsychotics (e.g. fluphenazine, haloperidol) or clozapine
Current treatment with an anticholinergic or other agent known to adversely interfere with the cholinergic system
Subjects with a DSM-IV diagnosis of substance abuse (other than nicotine) within the last month.
Subjects with a history of significant head injury/trauma, as defined by:
Subjects with a medical or neurological disorder or treatment for such disorder that could interfere with the study medication of the assessment of the subject
Use of certain concomitant medication
No grapefruit or grapefruit juice is to be consumed for 14 days prior to dosing until 7 days following the last dose.
Other protocol-defined inclusion/exclusion criteria may apply
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| West LA VA Healthcare Center (UCLA) | Los Angeles | California | 90073 | United States | ||
| Department of Psychiatry & Behavioural Sciences, Feinberg School of Medicine (Northwestern University) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27371157 | Derived | Barch DM, Marder SR, Harms MP, Jarskog LF, Buchanan RW, Cronenwett W, Chen LS, Weiss M, Maguire RP, Pezous N, Feuerbach D, Lopez-Lopez C, Johns DR, Behrje RB, Gomez-Mancilla B. Task-related fMRI responses to a nicotinic acetylcholine receptor partial agonist in schizophrenia: A randomized trial. Prog Neuropsychopharmacol Biol Psychiatry. 2016 Nov 3;71:66-75. doi: 10.1016/j.pnpbp.2016.06.013. Epub 2016 Jun 28. |
| Label | URL |
|---|---|
| Results for CAQW051A2202 from the Novartis Clinical Trials website | View source |
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| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| D001714 | Bipolar Disorder |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
| D000068105 | Bipolar and Related Disorders |
| D019964 | Mood Disorders |
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| ID | Term |
|---|---|
| C000602881 | 3-(6-p-tolylpyridin-3-yloxy)-1-azabicyclo(2.2.2)octane |
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|
| 2 years (Part 1: 1 year; Part 2: 8 months) |
| Measure: To determine the dose-exposure response relationship of multiple doses of AQW051 in people with schizophrenia. (Part 2) | 2 years (Part 1: 1 year; Part 2: 8 months) |
| Measure: To explore effects of multiple doses of AQW051 on measures of cognition in people with schizophrenia. (Part 2) | 2 years (Part 1: 1 year; Part 2: 8 months) |
| Chicago |
| Illinois |
| 60611 |
| United States |
| Maryland Psychiatric Research Centre, Spring Grove Hospital Grounds | Baltimore | Maryland | 21228 | United States |
| Massachusetts General Hospital (Freedom Trail Clinic) | Boston | Massachusetts | 02115 | United States |
| Washington University | St Louis | Missouri | 63110 | United States |
| Columbia University | New York | New York | 10032 | United States |
| JUH Clinical Research (Duke University), | Butner | North Carolina | 27509 | United States |