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| Name | Class |
|---|---|
| Stanley Medical Research Institute | OTHER |
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The primary objective of this study is to investigate whether a single infusion of intravenous sodium nitroprusside (0.5 μg/kg/min for 4 hours) is superior to placebo (5% dextrose solution) at in treating positive and negative symptoms of schizophrenia
This is a phase II proof of concept (POC), multi-center, prospective, randomized, placebo-controlled, Sequential Parallel Comparison Design (SPCD) study, in which a total of 60 subjects with schizophrenia will be enrolled.
The study will be conducted in two stages. The study treatment will be administered in a double-blind fashion for all subjects throughout both stages of the study. A total of 60 subjects with schizophrenia will be randomized in a 1:1:1 ratio to drug-drug sequence [n=20; i.v. sodium nitroprusside (0.5 μg/kg/min for 4 hours) at week 0 and week 2], placebo-drug sequence [n=20; i.v. placebo at week 0 and i.v. sodium nitroprusside (0.5 μg/kg/min for 4 hours) at week 2], and placebo-placebo sequence [n=20; i.v. placebo at week 0 and again at week 2]. The 4-week double-blind phase of treatment will be divided into two phases: Phase 1, from week 0 to week 2, and Phase 2 from week 2 to week 4. At the end of Phase 1 (week 2), the randomized subjects will be assessed and categorized into responders and non-responders, based on 20% or more reduction from baseline in their PANSS total score as per the evaluations at Randomization Visit (week 0). The data from the patients deemed placebo non-responders in phase 1 who go on to either stay on placebo or to receive treatment with sodium nitroprusside will be pooled with the data from Phase 1 from all subjects, according to SPCD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Drug - Drug | Active Comparator | Phase 1 - intravenous sodium nitroprusside Phase 2 - intravenous sodium nitroprusside |
|
| Placebo - Drug | Other | Phase 1 - intravenous dextrose Phase 2 - intravenous sodium nitroprusside |
|
| Placebo - Placebo | Placebo Comparator | Phase 1 - intravenous dextrose Phase 2 - intravenous dextrose |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sodium nitroprusside | Drug | intravenous |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Positive and Negative Syndrome Scale (PANSS) - Total Score - Study Phases 1 and 2 | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. Total score minimum = 30, maximum = 210 | For Phase 1, timeframe is Day 0 and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
| Measure | Description | Time Frame |
|---|---|---|
| PANSS - Positive Subscale - Phases 1 and 2 | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. Positive scale: 7 Items, (minimum score = 7, maximum score = 49) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB) - Phases 1 and 2 | MATRICS: The Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB). The MATRICS Consensus Cognitive Battery is the standard tool for assessing cognitive change in trials of cognitive-enhancing agents in schizophrenia. The MCCB domains include: Speed of Processing; Attention/Vigilance; Working Memory; Verbal Learning; Visual Learning; Reasoning & Problem-Solving; and Social Cognition and the battery takes about 80 minutes to complete. The MCCB composite score represents a global measure of cognition. MCCB composite T scores are between 40 and 60 (normal range) and < 40 (below normal range). |
Inclusion Criteria:
Each subject must meet all of the following criteria to be eligible for this study:
Exclusion Criteria
Subjects who meet any of the following criteria will be excluded from the study:
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| Name | Affiliation | Role |
|---|---|---|
| Maurizio Fava, MD | Massachusetts General Hospital | Principal Investigator |
| Roy Perlis, MD MSc | Massachusetts General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Schizophrenia Clinical Research Program, Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30916714 | Derived | Brown HE, Freudenreich O, Fan X, Heard SO, Goff D, Petrides G, Harrington AL, Kane JM, Judge H, Hoeppner B, Fava M, Perlis RH. Efficacy and Tolerability of Adjunctive Intravenous Sodium Nitroprusside Treatment for Outpatients With Schizophrenia: A Randomized Clinical Trial. JAMA Psychiatry. 2019 Jul 1;76(7):691-699. doi: 10.1001/jamapsychiatry.2019.0151. |
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Per the Sequential Parallel Comparison Design, the 18 subjects in the SNP-SNP group were excluded from Phase 2 analyses. There were no Phase 1 placebo responders, so no exclusions were made based on this SPCD criterion. Ph 1 (N=52): all groups; Ph 2 (N=34): (Placebo)-Placebo (N=18), (SNP)-Placebo (N=16). All subjects were followed for 28 days.
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| ID | Title | Description |
|---|---|---|
| FG000 | Drug - Drug | Phase 1 - intravenous sodium Nitroprusside (Drug) Phase 2 - intravenous sodium Nitroprusside (Drug) Subjects will receive i.v. sodium nitroprusside (0.5 μg/kg/min for 4 hours) at Day 0 (Phase 1) and Day 14 (Phase 2) |
| FG001 | Placebo - Drug | Phase 1 - intravenous dextrose (Placebo) Phase 2 - intravenous sodium Nitroprusside (Drug) Subjects will receive i.v. placebo (intravenous dextrose) at Day 0 (Phase 1) and i.v. sodium nitroprusside (0.5 μg/kg/min for 4 hours) at Day 14 (Phase 2) |
| FG002 | Placebo - Placebo | Phase 1 - intravenous dextrose (Placebo) Phase 2 - intravenous dextrose (Placebo) Subjects will receive i.v. placebo (intravenous dextrose) at Day 0 (Phase 1) and again at Day 14 (Phase 2). |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Started |
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| Phase 1 (Day 0 - Day 14) |
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| Phase 2 (Day 14 - Day 28) |
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| ID | Title | Description |
|---|---|---|
| BG000 | Drug - Drug | Phase 1 - intravenous sodium Nitroprusside (Drug) Phase 2 - intravenous sodium Nitroprusside (Drug) Subjects will receive i.v. sodium nitroprusside (0.5 μg/kg/min for 4 hours) at Day 0 (Phase 1) and Day 14 (Phase 2) |
| BG001 | Placebo - Drug |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change in Positive and Negative Syndrome Scale (PANSS) - Total Score - Study Phases 1 and 2 | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. Total score minimum = 30, maximum = 210 | Ph 1 analysis includes 34 subjects with Baseline PANSS data in the Placebo-Placebo (N=18) and Placebo-Drug (N=16) groups and 18 Drug-Drug group subjects. Per SPCD, the Ph 2 data excludes 18 Drug-Drug group subjects and includes the 14 subjects in the Placebo-Drug group and 18 subjects in the Placebo-Placebo group with PANSS Baseline data. | Posted | Mean | Standard Deviation | units on a scale | For Phase 1, timeframe is Day 0 and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
The period of observation for collection of adverse events extends from the time the subject gave informed consent until the final visit at Day 28.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Drug - Drug | Phase 1 - intravenous sodium nitroprusside Phase 2 - intravenous sodium nitroprusside sodium nitroprusside: intravenous |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hypotension | Cardiac disorders | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Maurizio Fava, MD | Massachusetts General Hospital | 617-724-2513 | MFAVA@mgh.harvard.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Dec 1, 2016 | Feb 26, 2018 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 1, 2016 | Feb 26, 2018 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D009599 | Nitroprusside |
| D005947 | Glucose |
| ID | Term |
|---|---|
| D005292 | Ferricyanides |
| D003486 | Cyanides |
| D000838 | Anions |
| D007477 | Ions |
| D004573 |
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| Placebo | Other | Placebo |
|
|
| Phase 1 timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
| PANSS - Negative Subscale - Phases 1 and 2 | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. Negative scale: 7 Items, (minimum score = 7, maximum score = 49) | Phase 1 timeframe is Day 0 and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
| PANSS - General Psychopathology Subscale - Phases 1 and 2 | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. General Psychopathology Subscale: 16 Items, (minimum score = 16, maximum score = 112) | Phase 1 timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
| Average Percent Change From Baseline in the PANSS Total Score After 2 Weeks of Treatment Using SPCD | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. Total score minimum = 30, maximum = 210. | For Phase 1, timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
| Percentage of Subjects With 20% or More Reduction From Baseline in PANSS Total Score After 2 Weeks of Treatment Using SPCD | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. Total score minimum = 30, maximum = 210. | For Phase 1, timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
| Average Percent Change From Baseline in the PANSS Positive Subscale Score After 2 Weeks of Treatment Using SPCD | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. Positive subscore scale: 7 items (minimum score = 7; maximum score = 49) | For Phase 1, timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
| Average Percent Change From Baseline in the PANSS Negative Subscale Score After 2 Weeks of Treatment Using SPCD | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. Negative subscore scale: 7 items (minimum score = 7; maximum score = 49) | For Phase 1, timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
| Average Percent Change From Baseline in the PANSS General Psychopathology Subscale Score After 2 Weeks of Treatment Using SPCD | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. General Psychopathology subscore scale: 16 items (minimum score = 16; maximum score = 112) | For Phase 1, timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
| Phase 1 timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
| Average AIMS Total Scores (Items 1-7) by Group and Timepoint | Abnormal Involuntary Movement Scale (AIMS): The AIMS Total Dyskinesia Score was calculated by averaging the first 7 items of the AIMS. The 7 items included in the AIMS Dyskinesia Score are rated on a scale from 0 (no dyskinesia) to 4 (severe dyskinesia). Items 1 through 7 include facial and oral movements (Items 1-4), extremity movements (Items 5-6), and trunk movements (Item 7). The AIMS dyskinesia total score ranges from 0 to 4; a higher score reflects increased severity. | Baseline 1 (Day -1), 7 Hours Post-Infusion 1, Baseline 2 (Day 13), 7 Hours Post-Infusion 2, Final Follow-Up, including early termination visits |
| Percent of Participants Rated as ≥ "Mild" or as "Yes" on AIMS Items 8-12 | Abnormal Involuntary Movement Scale (AIMS): The AIMS is a 12-item anchored score that is clinician administered and scored. Items are scored on a 0 (none) to 4 (severe) basis; items 8-10 deal with global severity; items 11-12 are yes-no questions concerning problems with teeth and/or dentures. | Baseline (Day -1), Follow-Up = reported at any assessment thereafter, including 7 hours after Infusions #1 and #2, Baseline 2 (Day 13) and final follow-up, including early termination visits. |
| Change in The University of California San Diego (UCSD) Performance-based Skills Assessment Brief (UPSA-B) - Phases 1 and 2 | The University of California San Diego (UCSD) Performance-based Skills Assessment Brief (UPSA-B) consists of two of the five original UPSA domains, finances and communication. Each subscale contributes 50 points; total scores range from 0 to 100 points with higher scores reflecting better performance. | Phase 1 timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
| Number of Participants Reporting Suicidal Ideation/Behavior on the Columbia Suicide Severity Rating Scale (C-SSRS) | The Columbia Suicide Severity Rating Scale (C-SSRS): The C-SSRS is a low-burden measure of the spectrum of suicidal ideation and behavior that was developed in the National Institute of Mental Health Treatment of Adolescent Suicide Attempters Study to assess severity and track suicidal events through any treatment. It is a clinical interview providing a summary of both ideation and behavior that can be administered during any evaluation or risk assessment to identify the level and type of suicidality present. The C-SSRS can also be used during treatment to monitor for clinical worsening or improvement. It contains 5 rating scale questions (yes/no) for suicidal ideation increasing severity and 5 rating scale questions (yes/no) for suicidal behavior of increasing severity. The time frame is for both lifetime and the past six months for the Baseline/Screening scale and since the last visit for the Since Last Visit scale. | Screening Visit, Days 3 (Baseline 1), Days 7, 13 (Baseline 2), 21 and 28 |
| Systolic Blood Pressure Per Infusion Phase by Group | Infusion 1 (Day 0) - Systolic Blood Pressure at all time points by group "Phase" in this analysis refers to the infusion stage as defined in the protocol. | Day 0 - Phase 1 - Baseline = min000s1 and @5 min; Phase 2 - Baseline = min000 then every 10 minutes for 4 hours; Post Infusion - Baseline = min000, then every 10 minutes for 2 hours |
| Diastolic Blood Pressure Per Infusion Phase by Group | Infusion 1 (Day 0) - Diastolic Blood Pressure at all time points by group "Phase" in this analysis refers to the infusion stage as defined in the protocol. | Day 0 - Phase 1 - Baseline = min000s1 and @5 min; Phase 2 - Baseline = min000 then every 10 minutes for 4 hours; Post Infusion - Baseline = min000, then every 10 minutes for 2 hours |
| Systolic Blood Pressure Per Infusion Phase by Group | Infusion 2 (Day 14) - Systolic Blood Pressure at all time points by group "Phase" in this analysis refers to the infusion stage as defined in the protocol. | Day 14 - Phase 1 - Baseline = min000s1 and @5 min; Phase 2 - Baseline = min000 then every 10 minutes for 4 hours; Post Infusion - Baseline = min000, then every 10 minutes for 2 hours |
| Phase 2 - Diastolic Blood Pressure Per Infusion Phase by Group | Infusion 2 (Day 14) - Diastolic Blood Pressure at all time points by group | Day 14 - Phase 1 - Baseline = min000s1 and @5 min; Phase 2 - Baseline = min000 then every 10 minutes for 4 hours; Post Infusion - Baseline = min000, then every 10 minutes for 2 hours |
| Heart Rate Per Infusion Phase by Group | Infusion 1 (Day 0) - Heart rate at all time points by group "Phase" in this analysis refers to the infusion stage as defined in the protocol. | Day 0 - Phase 1 - Baseline = min000s1 and @5 min; Phase 2 - Baseline = min000 then every 10 minutes for 4 hours; Post Infusion - Baseline = min000, then every 10 minutes for 2 hours |
| Heart Rate Per Infusion Phase by Group | Infusion 2 (Day 14) - Heart rate at all time points by group "Phase" in this analysis refers to the infusion stage as defined in the protocol. | Day 14 - Phase 1 - Baseline = min000s1 and @5 min; Phase 2 - Baseline = min000 then every 10 minutes for 4 hours; Post Infusion - Baseline = min000, then every 10 minutes for 2 hours |
| ECG Measures at All Time Points by Group | Infusion 1 (Day 0) - ECG measures at all time points by group | Day 0 - Baseline (pre-infusion), During Infusion (@30 min), Post-Infusion (@60min) |
| ECG Measures at All Time Points by Group | Infusion 2 (Day 14) - ECG measures at all time points by group | Day 14 - Baseline (pre-infusion), During Infusion (@30 min), Post-Infusion (@60min) |
| Incidence of Treatment-Emergent Adverse Events (TEAEs) | Incidence of Treatment-Emergent Adverse Events (TEAE) by Treatment Group. A treatment emergent adverse event (TEAE) is an AE that either began following initiation of study treatment or was present prior to the initiation of the treatment, but increased in frequency or severity following initiation treatment, regardless of causality. | The period of observation for collection of treatment-emergent adverse events extends from Day 0 treatment through the final visit at Day 28. |
| Number of Subject Withdrawals Due to Treatment-Emergent Adverse Events (TEAEs) | Incidence of Treatment-Emergent Adverse Events (TEAE) by Treatment Group. A treatment emergent adverse event (TEAE) is an AE that either began following initiation of study treatment or was present prior to the initiation of the treatment, but increased in frequency or severity following initiation treatment, regardless of causality. | The period of observation extends from Day 0 treatment through the final visit at Day 28 |
| Systematic Assessment for Treatment Emergent Effects-Systematic Inquiry (SAFTEE-SI) - Percent of Participants Reporting Experiencing Symptoms at "Moderate" or "Severe" Level for the 10 Most Frequently Reported Symptoms Post Randomization | The Systematic Assessment for Treatment Emergent Effects-Systematic Inquiry (SAFTEE-SI): This is a self-rated 77-item questionnaire organized into 13 body areas assessing possible adverse events during the course of the trial. | Baseline (Day - 1), Follow-Up = reported at any assessment thereafter, including 7 hours after Infusions #1 and #2, Baseline 2 (Day 13) and final follow-up, including early termination visits. |
| University of Massachusetts Medical School |
| Worcester |
| Massachusetts |
| 01605 |
| United States |
| Zucker Hillside Hospital | Glen Oaks | New York | 11004 | United States |
| New York University Langone Medical Center/Bellevue Hospital | New York | New York | 10016 | United States |
| Adverse Event |
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| NOT COMPLETED |
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| NOT COMPLETED |
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Phase 1 - intravenous dextrose (Placebo) Phase 2 - intravenous sodium Nitroprusside (Drug) Subjects will receive i.v. placebo (intravenous dextrose) at Day 0 (Phase 1) and i.v. sodium nitroprusside (0.5 μg/kg/min for 4 hours) at Day 14 (Phase 2) |
| BG002 | Placebo - Placebo | Phase 1 - intravenous dextrose (Placebo) Phase 2 - intravenous dextrose (Placebo) Subjects will receive i.v. placebo (intravenous dextrose) at Day 0 (Phase 1) and again at Day 14 (Phase 2). |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
| The Positive and Negative Syndrome Scale (PANSS) at Baseline (Day 3) | The Positive and Negative Syndrome Scale (PANSS) is a 30-item questionnaire used to evaluate schizophrenia symptoms; consisting of Positive (7 items), Negative (7 items), and General Psychopathological scales (16 items) sections. Each item (symptom) is scored on a 7-point scale, higher scores representing increasing levels of psychopathology: Positive scale: 7 Items, (min. score = 7, max. score = 49); Negative scale: 7 Items, (min. score = 7, max. score = 49). For this measure, only the positive and negative scales are included in the total score (min. total score = 14, max., score = 98) | Mean | Standard Deviation | units on a scale |
|
| ID | Title | Description |
|---|
| OG000 | Drug | Phase 1 - intravenous sodium nitroprusside Phase 2 - intravenous sodium nitroprusside sodium nitroprusside: intravenous |
| OG001 | Placebo | Phase 1 - intravenous dextrose Phase 2 - intravenous dextrose Placebo: |
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| Secondary | PANSS - Positive Subscale - Phases 1 and 2 | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. Positive scale: 7 Items, (minimum score = 7, maximum score = 49) | Ph 1 analysis includes the 34 subjects with Baseline PANSS data in the Placebo-Placebo (N=18) and Placebo-Drug (N=16) groups and 22 Drug-Drug group subjects. Per SPCD, the Ph 2 data excludes the 18 Drug-Drug group subjects and includes the 14 subjects in the Placebo-Drug group and 18 subjects in the Placebo-Placebo group with PANSS Baseline data. | Posted | Mean | Standard Deviation | units on a scale | Phase 1 timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
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| Secondary | PANSS - Negative Subscale - Phases 1 and 2 | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. Negative scale: 7 Items, (minimum score = 7, maximum score = 49) | Ph 1 analysis includes the 34 subjects with Baseline PANSS data in the Placebo-Placebo (N=18) and Placebo-Drug (N=16) groups and 18 Drug-Drug group subjects. Per SPCD, the Ph 2 data excludes the 18 Drug-Drug group subjects and includes the 14 subjects in the Placebo-Drug group and 18 subjects in the Placebo-Placebo group with PANSS Baseline data. | Posted | Mean | Standard Deviation | units on a scale | Phase 1 timeframe is Day 0 and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
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| Secondary | PANSS - General Psychopathology Subscale - Phases 1 and 2 | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. General Psychopathology Subscale: 16 Items, (minimum score = 16, maximum score = 112) | Ph 1 analysis includes the 34 subjects with Baseline PANSS data in the Placebo-Placebo (N=18) and Placebo-Drug (N=16) groups and 18 Drug-Drug group subjects. Per SPCD, the Ph 2 data excludes the 18 Drug-Drug group subjects and includes the 14 subjects in the Placebo-Drug group and 18 subjects in the Placebo-Placebo group with PANSS Baseline data. | Posted | Mean | Standard Deviation | units on a scale | Phase 1 timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
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|
| Secondary | Average Percent Change From Baseline in the PANSS Total Score After 2 Weeks of Treatment Using SPCD | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. Total score minimum = 30, maximum = 210. | Ph 1 analysis includes 34 subjects with Baseline PANSS data in the Placebo-Placebo (N=18) and Placebo-Drug (N=16) groups and 18 Drug-Drug group subjects. Per SPCD, the Ph 2 data excludes 18 subjects in the Drug-Drug group and includes the 14 subjects in the Placebo-Drug group and 18 subjects in the Placebo-Placebo group with PANSS Baseline data. | Posted | Mean | Standard Deviation | percent change | For Phase 1, timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
|
|
|
| Secondary | Percentage of Subjects With 20% or More Reduction From Baseline in PANSS Total Score After 2 Weeks of Treatment Using SPCD | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. Total score minimum = 30, maximum = 210. | Phase 1 analysis combines the 34 subjects assigned to Placebo-Placebo (N=18) and Placebo-Drug (N=16) groups and the 18 subjects assigned to the Drug-Drug group with complete data at all visits. Per SPCD, the Phase 2 data includes the 14 subjects in the Placebo-Drug group and 18 subjects in the Placebo-Placebo group with complete data at all visits. | Posted | Number | percent of subjects | For Phase 1, timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
|
|
|
| Secondary | Average Percent Change From Baseline in the PANSS Positive Subscale Score After 2 Weeks of Treatment Using SPCD | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. Positive subscore scale: 7 items (minimum score = 7; maximum score = 49) | Ph 1 analysis includes 34 subjects with Baseline PANSS data in the Placebo-Placebo (N=18) and Placebo-Drug (N=16) groups and 18 Drug-Drug group subjects. Per SPCD, the Ph 2 data excludes 18 subjects in the Drug-Drug group and includes the 14 subjects in the Placebo-Drug group and 18 subjects in the Placebo-Placebo group with PANSS Baseline data. | Posted | Mean | Standard Deviation | percent change | For Phase 1, timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
|
|
|
| Secondary | Average Percent Change From Baseline in the PANSS Negative Subscale Score After 2 Weeks of Treatment Using SPCD | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. Negative subscore scale: 7 items (minimum score = 7; maximum score = 49) | Phase 1 analysis combines the 34 subjects assigned to Placebo-Placebo (N=18) and Placebo-Drug (N=16) groups and the 18 subjects assigned to the Drug-Drug group with complete data at all visits. Per SPCD, the Phase 2 data includes the 14 subjects in the Placebo-Drug group and 18 subjects in the Placebo-Placebo group with complete data at all visits. | Posted | Mean | Standard Deviation | percent change | For Phase 1, timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
|
|
|
| Secondary | Average Percent Change From Baseline in the PANSS General Psychopathology Subscale Score After 2 Weeks of Treatment Using SPCD | The Positive and Negative Syndrome Scale (PANSS) will be used to measure symptom severity in this trial. PANSS is a 30-item questionnaire used to evaluate schizophrenia symptoms, based on the clinical interview as well as reports of family members or primary care hospital workers. PANSS consists of Positive scale (7 items), Negative scale (7 items), and General Psychopathological scale (16 items) sections. Each item (symptom) will be scored on a 7-point scale with higher scores representing increasing levels of psychopathology: 1) Absent, 2) Minimal, 3) Mild, 4) Moderate, 5) Moderate severe, 6) Severe, and 7) Extreme. General Psychopathology subscore scale: 16 items (minimum score = 16; maximum score = 112) | Ph 1 analysis includes 34 subjects with Baseline PANSS data in the Placebo-Placebo (N=18) and Placebo-Drug (N=16) groups and 18 Drug-Drug group subjects. Per SPCD, the Ph 2 data excludes 18 subjects in the Drug-Drug group and includes the 14 subjects in the Placebo-Drug group and 18 subjects in the Placebo-Placebo group with PANSS Baseline data. | Posted | Mean | Standard Deviation | percent change | For Phase 1, timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
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|
|
| Other Pre-specified | Change in the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB) - Phases 1 and 2 | MATRICS: The Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB). The MATRICS Consensus Cognitive Battery is the standard tool for assessing cognitive change in trials of cognitive-enhancing agents in schizophrenia. The MCCB domains include: Speed of Processing; Attention/Vigilance; Working Memory; Verbal Learning; Visual Learning; Reasoning & Problem-Solving; and Social Cognition and the battery takes about 80 minutes to complete. The MCCB composite score represents a global measure of cognition. MCCB composite T scores are between 40 and 60 (normal range) and < 40 (below normal range). | Ph1 analysis includes 34 subjects with Baseline MATRICS data in the Placebo-Placebo (N=18) and Placebo-Drug (N=16) groups and 18 subjects the Drug-Drug group. Per SPCD, Ph 2 excludes the 18 subjects in the Drug-Drug group and includes the 14 subjects in the Placebo-Drug group and 18 subjects in the Placebo-Placebo group with Baseline MATRICS data. | Posted | Mean | Standard Deviation | T-scores | Phase 1 timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
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| Other Pre-specified | Average AIMS Total Scores (Items 1-7) by Group and Timepoint | Abnormal Involuntary Movement Scale (AIMS): The AIMS Total Dyskinesia Score was calculated by averaging the first 7 items of the AIMS. The 7 items included in the AIMS Dyskinesia Score are rated on a scale from 0 (no dyskinesia) to 4 (severe dyskinesia). Items 1 through 7 include facial and oral movements (Items 1-4), extremity movements (Items 5-6), and trunk movements (Item 7). The AIMS dyskinesia total score ranges from 0 to 4; a higher score reflects increased severity. | Includes all subjects with AIMS data at Phases 1 and 2 | Posted | Mean | Standard Deviation | units on a scale | Baseline 1 (Day -1), 7 Hours Post-Infusion 1, Baseline 2 (Day 13), 7 Hours Post-Infusion 2, Final Follow-Up, including early termination visits |
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| Other Pre-specified | Percent of Participants Rated as ≥ "Mild" or as "Yes" on AIMS Items 8-12 | Abnormal Involuntary Movement Scale (AIMS): The AIMS is a 12-item anchored score that is clinician administered and scored. Items are scored on a 0 (none) to 4 (severe) basis; items 8-10 deal with global severity; items 11-12 are yes-no questions concerning problems with teeth and/or dentures. | For each item, percentages of participants rated as exhibiting behaviors at the "mild" level or higher, or for items 11 and 12, as being present versus not (yes/no rated) are provided per treatment group. | Posted | Number | percentage of participants | Baseline (Day -1), Follow-Up = reported at any assessment thereafter, including 7 hours after Infusions #1 and #2, Baseline 2 (Day 13) and final follow-up, including early termination visits. |
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|
|
| Other Pre-specified | Change in The University of California San Diego (UCSD) Performance-based Skills Assessment Brief (UPSA-B) - Phases 1 and 2 | The University of California San Diego (UCSD) Performance-based Skills Assessment Brief (UPSA-B) consists of two of the five original UPSA domains, finances and communication. Each subscale contributes 50 points; total scores range from 0 to 100 points with higher scores reflecting better performance. | Ph1 analysis includes 34 subjects with Baseline UPSA-B data in the Placebo-Placebo (N=18) and Placebo-Drug (N=16) groups and 18 subjects the Drug-Drug group. Per SPCD, Ph 2 excludes the 18 subjects in the Drug-Drug group and includes the 14 subjects in the Placebo-Drug group and 18 subjects in the Placebo-Placebo group with Baseline UPSA-B data. | Posted | Mean | Standard Deviation | units on a scale | Phase 1 timeframe is Baseline and Day 14; Phase 2 timeframe is Day 14 and Day 28 |
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|
| Other Pre-specified | Number of Participants Reporting Suicidal Ideation/Behavior on the Columbia Suicide Severity Rating Scale (C-SSRS) | The Columbia Suicide Severity Rating Scale (C-SSRS): The C-SSRS is a low-burden measure of the spectrum of suicidal ideation and behavior that was developed in the National Institute of Mental Health Treatment of Adolescent Suicide Attempters Study to assess severity and track suicidal events through any treatment. It is a clinical interview providing a summary of both ideation and behavior that can be administered during any evaluation or risk assessment to identify the level and type of suicidality present. The C-SSRS can also be used during treatment to monitor for clinical worsening or improvement. It contains 5 rating scale questions (yes/no) for suicidal ideation increasing severity and 5 rating scale questions (yes/no) for suicidal behavior of increasing severity. The time frame is for both lifetime and the past six months for the Baseline/Screening scale and since the last visit for the Since Last Visit scale. | All subjects with C-SSRS data reporting suicidal ideation/behavior | Posted | Count of Participants | Participants | Screening Visit, Days 3 (Baseline 1), Days 7, 13 (Baseline 2), 21 and 28 |
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| Other Pre-specified | Systolic Blood Pressure Per Infusion Phase by Group | Infusion 1 (Day 0) - Systolic Blood Pressure at all time points by group "Phase" in this analysis refers to the infusion stage as defined in the protocol. | Includes all subjects during Phase 1 (i.e., infusion 1) | Posted | Mean | Standard Deviation | mmHg | Day 0 - Phase 1 - Baseline = min000s1 and @5 min; Phase 2 - Baseline = min000 then every 10 minutes for 4 hours; Post Infusion - Baseline = min000, then every 10 minutes for 2 hours |
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|
| Other Pre-specified | Diastolic Blood Pressure Per Infusion Phase by Group | Infusion 1 (Day 0) - Diastolic Blood Pressure at all time points by group "Phase" in this analysis refers to the infusion stage as defined in the protocol. | Includes all subjects during Phase 1 (i.e., infusion 1) | Posted | Mean | Standard Deviation | mmHg | Day 0 - Phase 1 - Baseline = min000s1 and @5 min; Phase 2 - Baseline = min000 then every 10 minutes for 4 hours; Post Infusion - Baseline = min000, then every 10 minutes for 2 hours |
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|
|
| Other Pre-specified | Systolic Blood Pressure Per Infusion Phase by Group | Infusion 2 (Day 14) - Systolic Blood Pressure at all time points by group "Phase" in this analysis refers to the infusion stage as defined in the protocol. | Includes all subjects during Phase 2 (i.e., infusion 2) | Posted | Mean | Standard Deviation | mmHg | Day 14 - Phase 1 - Baseline = min000s1 and @5 min; Phase 2 - Baseline = min000 then every 10 minutes for 4 hours; Post Infusion - Baseline = min000, then every 10 minutes for 2 hours |
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| Other Pre-specified | Phase 2 - Diastolic Blood Pressure Per Infusion Phase by Group | Infusion 2 (Day 14) - Diastolic Blood Pressure at all time points by group | Includes all subjects during Phase 1 (i.e., infusion 1) | Posted | Mean | Standard Deviation | mmHg | Day 14 - Phase 1 - Baseline = min000s1 and @5 min; Phase 2 - Baseline = min000 then every 10 minutes for 4 hours; Post Infusion - Baseline = min000, then every 10 minutes for 2 hours |
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|
|
| Other Pre-specified | Heart Rate Per Infusion Phase by Group | Infusion 1 (Day 0) - Heart rate at all time points by group "Phase" in this analysis refers to the infusion stage as defined in the protocol. | Includes all subjects during Phase 1 (i.e., infusion 1) | Posted | Mean | Standard Deviation | bpm | Day 0 - Phase 1 - Baseline = min000s1 and @5 min; Phase 2 - Baseline = min000 then every 10 minutes for 4 hours; Post Infusion - Baseline = min000, then every 10 minutes for 2 hours |
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| Other Pre-specified | Heart Rate Per Infusion Phase by Group | Infusion 2 (Day 14) - Heart rate at all time points by group "Phase" in this analysis refers to the infusion stage as defined in the protocol. | Includes all subjects during Phase 1 (i.e., infusion 1) | Posted | Mean | Standard Deviation | bpm | Day 14 - Phase 1 - Baseline = min000s1 and @5 min; Phase 2 - Baseline = min000 then every 10 minutes for 4 hours; Post Infusion - Baseline = min000, then every 10 minutes for 2 hours |
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|
| Other Pre-specified | ECG Measures at All Time Points by Group | Infusion 1 (Day 0) - ECG measures at all time points by group | All subjects receiving a complete or partial Phase 1 infusion | Posted | Mean | Standard Deviation | mm/sec | Day 0 - Baseline (pre-infusion), During Infusion (@30 min), Post-Infusion (@60min) |
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| Other Pre-specified | ECG Measures at All Time Points by Group | Infusion 2 (Day 14) - ECG measures at all time points by group | All subjects receiving a complete or partial Phase 2 infusion | Posted | Mean | Standard Deviation | mm/sec | Day 14 - Baseline (pre-infusion), During Infusion (@30 min), Post-Infusion (@60min) |
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| Other Pre-specified | Incidence of Treatment-Emergent Adverse Events (TEAEs) | Incidence of Treatment-Emergent Adverse Events (TEAE) by Treatment Group. A treatment emergent adverse event (TEAE) is an AE that either began following initiation of study treatment or was present prior to the initiation of the treatment, but increased in frequency or severity following initiation treatment, regardless of causality. | Number of Treatment-Emergent Adverse Events (TEAEs) in Each Treatment Group | Posted | Number | # of TEAEs | The period of observation for collection of treatment-emergent adverse events extends from Day 0 treatment through the final visit at Day 28. |
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| Other Pre-specified | Number of Subject Withdrawals Due to Treatment-Emergent Adverse Events (TEAEs) | Incidence of Treatment-Emergent Adverse Events (TEAE) by Treatment Group. A treatment emergent adverse event (TEAE) is an AE that either began following initiation of study treatment or was present prior to the initiation of the treatment, but increased in frequency or severity following initiation treatment, regardless of causality. | All subjects withdrawn from the study due to TEAEs | Posted | Number | participants | The period of observation extends from Day 0 treatment through the final visit at Day 28 |
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| Other Pre-specified | Systematic Assessment for Treatment Emergent Effects-Systematic Inquiry (SAFTEE-SI) - Percent of Participants Reporting Experiencing Symptoms at "Moderate" or "Severe" Level for the 10 Most Frequently Reported Symptoms Post Randomization | The Systematic Assessment for Treatment Emergent Effects-Systematic Inquiry (SAFTEE-SI): This is a self-rated 77-item questionnaire organized into 13 body areas assessing possible adverse events during the course of the trial. | Includes all subjects with SAFTEE data | Posted | Number | percentage of participants | Baseline (Day - 1), Follow-Up = reported at any assessment thereafter, including 7 hours after Infusions #1 and #2, Baseline 2 (Day 13) and final follow-up, including early termination visits. |
|
|
|
| 0 |
| 23 |
| 0 |
| 23 |
| 11 |
| 23 |
| EG001 | Placebo - Drug | Phase 1 - intravenous dextrose Phase 2 - intravenous sodium nitroprusside sodium nitroprusside: intravenous | 0 | 19 | 0 | 19 | 9 | 19 |
| EG002 | Placebo - Placebo | Phase 1 - intravenous dextrose Phase 2 - intravenous dextrose Placebo: Placebo | 0 | 18 | 0 | 18 | 9 | 18 |
| Headache | Nervous system disorders | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | Non-systematic Assessment |
|
| Chest Pain | Cardiac disorders | Non-systematic Assessment |
|
| Low O2 Saturation Rate | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Abnormal ECG | Cardiac disorders | Non-systematic Assessment |
|
| Decreased Libido | Reproductive system and breast disorders | Non-systematic Assessment |
|
| Dizziness | Vascular disorders | Non-systematic Assessment |
|
| Lightheadedness | General disorders | Non-systematic Assessment |
|
| Palpitations | Cardiac disorders | Non-systematic Assessment |
|
| Flushing | Vascular disorders | Non-systematic Assessment |
|
| Nausea/Vomiting | Gastrointestinal disorders | Non-systematic Assessment |
|
| Abdominal Pain | Gastrointestinal disorders | Non-systematic Assessment |
|
| Anxiety | Psychiatric disorders | Non-systematic Assessment |
|
| Increased Appetite | Gastrointestinal disorders | Non-systematic Assessment |
|
| Congestion | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Drowsiness | General disorders | Non-systematic Assessment |
|
| Dry Mouth | General disorders | Non-systematic Assessment |
|
| Feeling Nervous or Hyperactive | Psychiatric disorders | Non-systematic Assessment |
|
| Hot Flashes | Vascular disorders | Non-systematic Assessment |
|
| Irregular Heart Activity | Cardiac disorders | Non-systematic Assessment |
|
| Pelvic Pain | General disorders | Non-systematic Assessment |
|
| Tingling | Nervous system disorders | Non-systematic Assessment |
|
| White Blood Cell Decrease | Immune system disorders | Non-systematic Assessment |
|
| Blurred Vision | Eye disorders | Non-systematic Assessment |
|
| Elevated ALT Levels | Hepatobiliary disorders | Non-systematic Assessment |
|
| Folliculitis | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Heat Exhaustion | General disorders | Non-systematic Assessment |
|
| Hypersomnia | Psychiatric disorders | Non-systematic Assessment |
|
| Increased Heart Rate | Cardiac disorders | Non-systematic Assessment |
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| Constipation | Gastrointestinal disorders | Non-systematic Assessment |
|
| Hypertension | Cardiac disorders | Non-systematic Assessment |
|
Not provided
Not provided
| Electrolytes |
| D007287 | Inorganic Chemicals |
| D005290 | Ferric Compounds |
| D058085 | Iron Compounds |
| D006856 | Hydrogen Cyanide |
| D017672 | Nitrogen Compounds |
| D006601 | Hexoses |
| D009005 | Monosaccharides |
| D000073893 | Sugars |
| D002241 | Carbohydrates |
| Phase 1 - Positive Score - Day 14 |
|
|
| Phase 1 - Positive Score - Change |
|
|
| Phase 2 - Positive Score - Day 14 |
|
|
| Phase 2 - Positive Score - Day 28 |
|
|
| Phase 2 - Positive Score - Change |
|
|
| 0.37 |
Exploratory efficacy outcome, hence no adjustment for multiple comparisons |
| Mean Difference (Final Values) |
| -0.62 |
| 2-Sided |
| Superiority |
| Phase 1 - Negative Score - Day 14 |
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|
| Phase 1 - Negative Score - Change |
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| Phase 2 - Negative Score - Day 14 |
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| Phase 2 - Negative Score - Day 28 |
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| Phase 2 - Negative Score - Change |
|
|
| Mean Difference (Final Values) |
| -0.10 |
| 2-Sided |
| Superiority |
| Phase 1 - General Score - Day 14 |
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|
| Phase 1 - General Score - Change |
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| Phase 2 - General Score - Day 14 |
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| Phase 2 - General Score - Day 28 |
|
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| Phase 2 - General Score - Change |
|
|
| Mean Difference (Final Values) |
| -0.23 |
| 2-Sided |
| Superiority |
| Phase 2 Average Percentage Change from Day 14 |
|
|
| Phase 2 % of subjects with >=20% reduction |
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| Phase 2 Average Percentage Change from Day 14 |
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| Phase 2 Average Percentage Change from Day 14 |
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| Phase 2 Average Percentage Change from Day 14 |
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| Phase 1 - Day 14 |
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| Phase 1 - Change |
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| Phase 2 - Day 14 |
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| Phase 2 - Day 28 |
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| Phase 2 - Change |
|
|
| Mean Difference (Final Values) |
| 1.10 |
| 2-Sided |
| Superiority |
|
| Baseline 2 |
|
| 7 Hours Post-Infusion 2 |
|
| Final follow-up |
|
|
| Baseline - Incapacitation (Item 9) |
|
| Follow-Up - Incapacitation (Item 9) |
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| Baseline - Awareness (Item 10) |
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| Follow-Up - Awareness (Item 10) |
|
| Baseline - Dental Problem (Item 11; % yes) |
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| Follow-Up - Dental Problem (Item 11; % yes) |
|
| Baseline - Dentures (Item 12; % yes) |
|
| Follow-Up - Dentures (Item 12; % yes) |
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| Phase 1 - Day 14 |
|
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| Phase 1 - Change |
|
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| Phase 2 - Day 14 |
|
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| Phase 2 - Day 28 |
|
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| Phase 2 - Change |
|
|
| Mean Difference (Final Values) |
| 2.05 |
| 2-Sided |
| Superiority |
|
| Non-specific active suicidal thoughts |
|
| Active SI w/any method (no plan) W/O intent to act |
|
| Active SI w/some intent to act, W/O specific plan |
|
| Active SI with specific plan & intent |
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| Suicidal behavior (% any of the following) |
|
| Prepatory acts or behavior |
|
| Aborted attempt |
|
| Interrupted attempt |
|
| Non-fatal suicide attempt |
|
| Self-injurious behavior W/O suicidal intent |
|
| Phase 1 - min005s1 |
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| Phase 2 - min000 |
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| Phase 2 - min005 |
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| Phase 2 - min010 |
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| Phase 2 - min015 |
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| Phase 2 - min020 |
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| Phase 2 - min025 |
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| Phase 2 - min030 |
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| Phase 2 - min040 |
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| Phase 2 - min050 |
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| Phase 2 - min060 |
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| Phase 2 - min070 |
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| Phase 2 - min080 |
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| Phase 2 - min090 |
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| Phase 2 - min100 |
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| Phase 2 - min110 |
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| Phase 2 - min120 |
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| Phase 2 - min130 |
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| Phase 2 - min140 |
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| Phase 2 - min150 |
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| Phase 2 - min160 |
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| Phase 2 - min170 |
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| Phase 2 - min180 |
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| Phase 2 - min190 |
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| Phase 2 - min200 |
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| Phase 2 - min210 |
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| Phase 2 - min220 |
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| Phase 2 - min230 |
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| Phase 2 - min240 |
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| Post Infusion - min000 |
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| Post Infusion - min005 |
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| Post Infusion - min010 |
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| Post Infusion - min015 |
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| Post Infusion - min020 |
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| Post Infusion - min025 |
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| Post Infusion - min030 |
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| Post Infusion - min040 |
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| Post Infusion - min050 |
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| Post Infusion - min060 |
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| Post Infusion - min070 |
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| Post Infusion - min080 |
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| Post Infusion - min090 |
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| Post Infusion - min100 |
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| Post Infusion - min110 |
|
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| Post Infusion - min120 |
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| Phase 2 - min000 |
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| Phase 2 - min005 |
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| Phase 2 - min010 |
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| Phase 2 - min015 |
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| Phase 2 - min020 |
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| Phase 2 - min025 |
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| Phase 2 - min030 |
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| Phase 2 - min040 |
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| Phase 2 - min050 |
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| Phase 2 - min060 |
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| Phase 2 - min070 |
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| Phase 2 - min080 |
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| Phase 2 - min090 |
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| Phase 2 - min100 |
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| Phase 2 - min110 |
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| Phase 2 - min120 |
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| Phase 2 - min130 |
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| Phase 2 - min140 |
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| Phase 2 - min150 |
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| Phase 2 - min160 |
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| Phase 2 - min170 |
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| Phase 2 - min180 |
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| Phase 2 - min190 |
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| Phase 2 - min200 |
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| Phase 2 - min210 |
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| Phase 2 - min220 |
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| Phase 2 - min230 |
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| Phase 2 - min240 |
|
| Post Infusion - min000 |
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| Post Infusion - min005 |
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| Post Infusion - min010 |
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| Post Infusion - min015 |
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| Post Infusion - min020 |
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| Post Infusion - min025 |
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| Post Infusion - min030 |
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| Post Infusion - min040 |
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| Post Infusion - min050 |
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| Post Infusion - min060 |
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| Post Infusion - min070 |
|
| Post Infusion - min080 |
|
| Post Infusion - min090 |
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| Post Infusion - min100 |
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| Post Infusion - min110 |
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| Post Infusion - min120 |
|
|
| Phase 2 - min000 |
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| Phase 2 - min005 |
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| Phase 2 - min010 |
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| Phase 2 - min015 |
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| Phase 2 - min020 |
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| Phase 2 - min025 |
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| Phase 2 - min030 |
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| Phase 2 - min040 |
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| Phase 2 - min050 |
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| Phase 2 - min060 |
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| Phase 2 - min070 |
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| Phase 2 - min080 |
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| Phase 2 - min090 |
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| Phase 2 - min100 |
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| Phase 2 - min110 |
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| Phase 2 - min120 |
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| Phase 2 - min130 |
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| Phase 2 - min140 |
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| Phase 2 - min150 |
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| Phase 2 - min160 |
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| Phase 2 - min170 |
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| Phase 2 - min180 |
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| Phase 2 - min190 |
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| Phase 2 - min200 |
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| Phase 2 - min210 |
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| Phase 2 - min220 |
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| Phase 2 - min230 |
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| Phase 2 - min240 |
|
| Post Infusion - min000 |
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| Post Infusion - min005 |
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| Post Infusion - min010 |
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| Post Infusion - min015 |
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| Post Infusion - min020 |
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| Post Infusion - min025 |
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| Post Infusion - min030 |
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| Post Infusion - min040 |
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| Post Infusion - min050 |
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| Post Infusion - min060 |
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| Post Infusion - min070 |
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| Post Infusion - min080 |
|
| Post Infusion - min090 |
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| Post Infusion - min100 |
|
| Post Infusion - min110 |
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| Post Infusion - min120 |
|
|
| Phase 2 - min000 |
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| Phase 2 - min005 |
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| Phase 2 - min010 |
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| Phase 2 - min015 |
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| Phase 2 - min020 |
|
| Phase 2 - min025 |
|
| Phase 2 - min030 |
|
| Phase 2 - min040 |
|
| Phase 2 - min050 |
|
| Phase 2 - min060 |
|
| Phase 2 - min070 |
|
| Phase 2 - min080 |
|
| Phase 2 - min090 |
|
| Phase 2 - min100 |
|
| Phase 2 - min110 |
|
| Phase 2 - min120 |
|
| Phase 2 - min130 |
|
| Phase 2 - min140 |
|
| Phase 2 - min150 |
|
| Phase 2 - min160 |
|
| Phase 2 - min170 |
|
| Phase 2 - min180 |
|
| Phase 2 - min190 |
|
| Phase 2 - min200 |
|
| Phase 2 - min210 |
|
| Phase 2 - min220 |
|
| Phase 2 - min230 |
|
| Phase 2 - min240 |
|
| Post Infusion - min000 |
|
| Post Infusion - min005 |
|
| Post Infusion - min010 |
|
| Post Infusion - min015 |
|
| Post Infusion - min020 |
|
| Post Infusion - min025 |
|
| Post Infusion - min030 |
|
| Post Infusion - min040 |
|
| Post Infusion - min050 |
|
| Post Infusion - min060 |
|
| Post Infusion - min070 |
|
| Post Infusion - min080 |
|
| Post Infusion - min090 |
|
| Post Infusion - min100 |
|
| Post Infusion - min110 |
|
| Post Infusion - min120 |
|
|
| Phase 2 - min000 |
|
| Phase 2 - min005 |
|
| Phase 2 - min010 |
|
| Phase 2 - min015 |
|
| Phase 2 - min020 |
|
| Phase 2 - min025 |
|
| Phase 2 - min030 |
|
| Phase 2 - min040 |
|
| Phase 2 - min050 |
|
| Phase 2 - min060 |
|
| Phase 2 - min070 |
|
| Phase 2 - min080 |
|
| Phase 2 - min090 |
|
| Phase 2 - min100 |
|
| Phase 2 - min110 |
|
| Phase 2 - min120 |
|
| Phase 2 - min130 |
|
| Phase 2 - min140 |
|
| Phase 2 - min150 |
|
| Phase 2 - min160 |
|
| Phase 2 - min170 |
|
| Phase 2 - min180 |
|
| Phase 2 - min190 |
|
| Phase 2 - min200 |
|
| Phase 2 - min210 |
|
| Phase 2 - min220 |
|
| Phase 2 - min230 |
|
| Phase 2 - min240 |
|
| Post Infusion - min000 |
|
| Post Infusion - min005 |
|
| Post Infusion - min010 |
|
| Post Infusion - min015 |
|
| Post Infusion - min020 |
|
| Post Infusion - min025 |
|
| Post Infusion - min030 |
|
| Post Infusion - min040 |
|
| Post Infusion - min050 |
|
| Post Infusion - min060 |
|
| Post Infusion - min070 |
|
| Post Infusion - min080 |
|
| Post Infusion - min090 |
|
| Post Infusion - min100 |
|
| Post Infusion - min110 |
|
| Post Infusion - min120 |
|
|
| Phase 2 - min000 |
|
| Phase 2 - min005 |
|
| Phase 2 - min010 |
|
| Phase 2 - min015 |
|
| Phase 2 - min020 |
|
| Phase 2 - min025 |
|
| Phase 2 - min030 |
|
| Phase 2 - min040 |
|
| Phase 2 - min050 |
|
| Phase 2 - min060 |
|
| Phase 2 - min070 |
|
| Phase 2 - min080 |
|
| Phase 2 - min090 |
|
| Phase 2 - min100 |
|
| Phase 2 - min110 |
|
| Phase 2 - min120 |
|
| Phase 2 - min130 |
|
| Phase 2 - min140 |
|
| Phase 2 - min150 |
|
| Phase 2 - min160 |
|
| Phase 2 - min170 |
|
| Phase 2 - min180 |
|
| Phase 2 - min190 |
|
| Phase 2 - min200 |
|
| Phase 2 - min210 |
|
| Phase 2 - min220 |
|
| Phase 2 - min230 |
|
| Phase 2 - min240 |
|
| Post Infusion - min000 |
|
| Post Infusion - min005 |
|
| Post Infusion - min010 |
|
| Post Infusion - min015 |
|
| Post Infusion - min020 |
|
| Post Infusion - min025 |
|
| Post Infusion - min030 |
|
| Post Infusion - min040 |
|
| Post Infusion - min050 |
|
| Post Infusion - min060 |
|
| Post Infusion - min070 |
|
| Post Infusion - min080 |
|
| Post Infusion - min090 |
|
| Post Infusion - min100 |
|
| Post Infusion - min110 |
|
| Post Infusion - min120 |
|
|
| Baseline_QT Interval |
|
| Baseline_RR Interval |
|
| 30min_PR Interval |
|
| 30min_QRS Interval |
|
| 30min_QT Interval |
|
| 30min_RR Interval |
|
| End_PR Interval |
|
| End_QRS Interval |
|
| End_QT Interval |
|
| End_RR Interval |
|
|
| Baseline_QT Interval |
|
| Baseline_RR Interval |
|
| 30min_PR Interval |
|
| 30min_QRS Interval |
|
| 30min_QT Interval |
|
| 30min_RR Interval |
|
| End_PR Interval |
|
| End_QRS Interval |
|
| End_QT Interval |
|
| End_RR Interval |
|
|
| 3. Baseline - Feeling drowsy or sleepy |
|
| 3. Follow-Up - Feeling drowsy or sleepy |
|
| 8. Baseline - Trouble concentrating |
|
| 8. Follow-Up - Trouble concentrating |
|
| 7. Baseline - Poor memory |
|
| 7. Follow-Up - Poor memory |
|
| 1. Baseline - Trouble Sleeping |
|
| 1. Follow-Up - Trouble Sleeping |
|
| 4. Baseline - Feeling nervous or hyper |
|
| 4. Follow-Up - Feeling nervous or hyper |
|
| 18. Baseline - Dry mouth |
|
| 18. Follow-Up - Dry mouth |
|
| 34. Baseline - Frequent need to urinate |
|
| 34. Follow-Up - Frequent need to urinate |
|
| 17. Baseline - Stuffy nose |
|
| 17. Follow-Up - Stuffy nose |
|
| 52. Baseline - Hot flashes |
|
| 52. Follow-Up - Hot flashes |
|