Clinical trial
A Randomized, Double-Blind, Placebo-Controlled, Cross-over Evaluation of Evoked Responses as Pharmacodynamic Biomarkers in Healthy Adults and Schizophrenic Patients
Name
4334-007
Description
The primary purpose of this randomized, double-blind, placebo-controlled cross-over study is to record and measure 40 Hz-auditory steady-state response (ASSR) in healthy controls (HC) and participants with mild-to-moderate schizophrenia (SZ) to determine if the mean inter-trial coherence (ITC) magnitude derived from the 40 Hz-ASSR is lower in SZ than in HC at baseline.
Trial arms
Trial start
2022-04-27
Estimated PCD
2022-09-23
Trial end
2022-11-04
Status
Completed
Phase
Early phase I
Treatment
Nicotine patch
Nicotine 21 mg transdermal nicotine patch.
Arms:
Panel A: Healthy Control Participants, Panel B: Participants with Mild-to-Moderate SZ
MK-4334
MK-4334 250 mg capsule taken by mouth.
Arms:
Panel A: Healthy Control Participants, Panel B: Participants with Mild-to-Moderate SZ
Placebo patch
Placebo patch.
Arms:
Panel A: Healthy Control Participants, Panel B: Participants with Mild-to-Moderate SZ
Placebo capsule
Placebo capsule taken by mouth.
Arms:
Panel A: Healthy Control Participants, Panel B: Participants with Mild-to-Moderate SZ
Size
38
Primary endpoint
Mean inter-trial coherence (ITC) magnitude of 40 Hz-derived auditory steady-state response (ASSR) in HC and SZ participants
Day -1
Eligibility criteria
Inclusion Criteria:
HC Participants:
* Is in generally good health
* Has no history of clinically relevant neuropsychiatric illness
* Is a mild-to-moderate tobacco user of ≥1-year duration, smoking the equivalent of \~10-15 cigarettes/day
Participants with Mild-to-Moderate SZ:
* Has a current diagnosis of SZ with a duration ≥1 year
* Is clinically stable and in the residual (non-acute) phase of illness for ≥12 weeks prior to the study
* Is stably maintained on a regimen of up to 2 first- or second-generation antipsychotics with no dose changes \>50% in combination with concomitant medication commonly prescribed to this population for ≥8 weeks prior to screening and during the study
* Is a mild-to-moderate tobacco user of ≥1-year duration, smoking the equivalent of \~10-15 cigarettes/day
All Participants:
* For males, agrees to be abstinent from heterosexual intercourse, or use an approved contraception method, during the study and for 90 days after the last dose of study drug
* For females, is not of childbearing potential
* Is willing to comply with restrictions on the use of nicotine or nicotine-containing products during the study
Exclusion Criteria:
HC Participants:
* Has known biological family history of psychotic disorder in a first or second degree relative
Participants with Mild-to-Moderate SZ:
* May be excluded from participation by the investigator based on treatment history and/or performance on various screening tests
All Participants:
* Is positive for hepatitis B surface antigen, hepatitis C antibodies, or human immunodeficiency virus (HIV)
* Is at imminent risk of self-harm
* Has had major surgery or donated blood within 4 weeks prior to screening
* Has evidence of cognitive impairment or significant mental disability
* Has a history of clinically significant abnormality or disease
* Has a history of cancer (malignancy)
* Is unable to refrain, or anticipates use, of any non-prescription drugs or herbal remedies
* Has participated in another clinical study within 6 weeks or 5 half-lives (whichever is greater) prior to screening
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'CROSSOVER', 'primaryPurpose': 'BASIC_SCIENCE', 'maskingInfo': {'masking': 'TRIPLE', 'whoMasked': ['PARTICIPANT', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 38, 'type': 'ACTUAL'}}
Updated at
2022-11-17
1 organization
3 products
1 indication
Product
PlaceboIndication
Neurocognitive ImpairmentOrganization
Merck Sharp & DohmeProduct
NicotineProduct
MK-4334