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Efficacy signals were insufficiently strong to justify recruitment of additional patients.
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This study in patients with stable schizophrenia will investigate the effect of JNJ-39393406 on Event Related Potentials (Auditory Evoked Potential [AEP] P50, AEP P300 and Mismatch Negativity [MMN]) after single dose administration.
This is a double-blind (neither physician nor patient knows the name of the assigned drug), placebo-controlled, randomized (study drug assigned by chance), four-way-crossover trial (participants may receive different interventions sequentially during the trial) in patients with stable schizophrenia. The four-way-crossover treatment phase will consist of four blinded treatment periods separated by a wash out period (the period allowed for the entire administered drug to be eliminated from the body) of 6 to 14 days. The study duration for each patient will be approximately 12 weeks. Each patient enrolled will receive 3 (out of 5) dose levels of JNJ-39393406 and one dose of placebo. Part A of the study will include smoking patients with schizophrenia and will precede part B which will include non-smoking patients with schizophrenia. Safety evaluations include adverse event monitoring, vital signs and clinical laboratory tests. The study drug will be given as a single dose on Day 1 of each treatment period as a kind of liquid formulation with 240 mL non-carbonated water between 7:00 AM and 10:30 AM. Before dosing patients will be given a standard breakfast. The proposed dose levels for this study (Part A and Part B) will range from 10 to 200 mg.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 001 | Experimental | JNJ-39393406 10mg nanosuspension (sort of liquid formulation) once daily (single dose) |
|
| 002 | Experimental | JNJ-39393406 30mg nanosuspension (sort of liquid formulation) once daily (single dose) |
|
| 003 | Experimental | JNJ-39393406 50mg nanosuspension (sort of liquid formulation) once daily (single dose) |
|
| 004 | Experimental | JNJ-39393406 100mg nanosuspension (sort of liquid formulation) once daily (single dose) |
|
| 005 | Experimental | JNJ-39393406 200mg nanosuspension (sort of liquid formulation) once daily (single dose) |
|
| 006 | Placebo Comparator | placebo Once daily (single dose) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JNJ-39393406 | Drug | 50mg nanosuspension (sort of liquid formulation) once daily (single dose) |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement of deficits (i.e. sensory gating deficits) in event related potentials like Auditory Evoked Potentials P50 and P300 and Mismatch Negativity. | Predose and 2 and 5 hours post dose during each treatment period. |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement in continuous performance testing | Predose, 2h and 5 post dosing during each treatment period | |
| Plasma concentrations of JNJ-39393406 (PK blood samples) | Predose, 1h, 1h45, 3h, 4h45 and 6h postdose during each treatment period |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Janssen Pharmaceutica N.V. Clinical Trial | Janssen Pharmaceutica N.V. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Berlin | Germany | |||||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22766391 | Derived | Winterer G, Gallinat J, Brinkmeyer J, Musso F, Kornhuber J, Thuerauf N, Rujescu D, Favis R, Sun Y, Franc MA, Ouwerkerk-Mahadevan S, Janssens L, Timmers M, Streffer JR. Allosteric alpha-7 nicotinic receptor modulation and P50 sensory gating in schizophrenia: a proof-of-mechanism study. Neuropharmacology. 2013 Jan;64:197-204. doi: 10.1016/j.neuropharm.2012.06.040. Epub 2012 Jul 2. |
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|
| placebo |
| Drug |
Once daily (single dose) |
|
| JNJ-39393406 | Drug | 200mg nanosuspension (sort of liquid formulation) once daily (single dose) |
|
| JNJ-39393406 | Drug | 100mg nanosuspension (sort of liquid formulation) once daily (single dose) |
|
| JNJ-39393406 | Drug | 10mg nanosuspension (sort of liquid formulation) once daily (single dose) |
|
| JNJ-39393406 | Drug | 30mg nanosuspension (sort of liquid formulation) once daily (single dose) |
|
| Number of patients with clinical significant changes in vitals signs | Baseline, predose and 6h post dose during each treatment period and follow up visit. |
| Number of patients with clinical significant changes in ECG parameters | baseline, predose and 6h post dose during each treatment period and follow up |
| Number of patients with clinical clinical significant changes in clinical laboratory parameters | baseline, predose and 6h post dose during each treatment period and Follow Up |
| Erlangen |
| Germany |
| München | Germany |
| Neuss | Germany |
| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| D000544 | Alzheimer Disease |
| D003072 | Cognition Disorders |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
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| ID | Term |
|---|---|
| C000630150 | JNJ-39393406 |
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