Adaptive Phase II Study to Evaluate the Safety & Efficacy of NaBen®



Status:Recruiting
Conditions:Schizophrenia
Therapuetic Areas:Psychiatry / Psychology
Healthy:No
Age Range:12 - 17
Updated:5/19/2018
Start Date:June 2014
End Date:June 30, 2019
Contact:Yashar Salek, MD
Email:yashars@amarexcro.com
Phone:1-301-956-2527

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An Adaptive, Phase IIb/III, Double-Blind, Randomized, Placebo-Controlled, Multi-Center Study of the Safety and Efficacy OF NaBen® , A D-Amino Acid Oxidase Inhibitor, as an Add-on Treatment for Schizophrenia in Adolescents

The purpose of this study is to determine if NaBen® is a safe and effective add-on treatment
for schizophrenia in adolescents.

This is a two-part, multi-center, prospective, randomized, placebo-controlled, parallel-group
study, in which adolescent subjects with schizophrenia will be enrolled. Overall, eligible
subjects will be randomized in a pre-defined 1:1 ratio to NaBen® or placebo.

This study will be conducted in two parts:

In Part 1 (Phase IIb) of the study, 76 subjects (~ 60% of the total planned subjects) will be
randomized in a 1:1 ratio (NaBen® or placebo), of which 38 subjects will be randomized to the
NaBen® group and 38 subjects to the placebo group. An interim analysis (IA) will be conducted
after the randomization of the 76th subject in Part 1 of the study. The data will be analyzed
after all enrolled subjects in Part 1 of the study complete Visit 5 (week 6) or are withdrawn
from the study, whichever occurs first. The data from IA will be reviewed by an independent
Data Safety and Monitoring Committee (DSMC) that will be responsible for the review of the
data from the Part 1 (Phase IIb) of the study for both safety and the effectiveness.

In Part 2 (Phase III) of the study, a total of 50 subjects will be randomized, of which 25
subjects will be randomized to the NaBen® group and 25 subjects to the placebo group. The
final subject numbers in the study will depend on the sample size re-estimation after Part 1
of the study.

Inclusion Criteria:

- Male or female subjects who are between 12 and 17 years of age inclusive

- Physician confirmed DSM-IV or -V diagnosis of schizophrenia based on MINI
International Neuropsychiatric Interview for Schizophrenia and Psychotic Disorders
Studies for Children and Adolescents, version 6.0 (MINI-KID, Version 6.0)

- Are clinically stable with residual symptoms, defined as a total score of ≥ 60 of
PANSS and a score of ≥ 40 for SANS

- An unchanged antipsychotic medication regimen for at least eight (8) weeks prior to
randomization into the study and expected to remain unchanged during the study (longer
for depot or long-acting antipsychotics: ten (10) months for Aripiprazole (Maintena®)
and Paliperidone (Xeplion®); six (6) months for Olanzapine pamoate monohydrate
(Zypadhera®); and at least 6 times duration of the reported half life or minimum four
(4) months for other depot or long-acting antipsychotics)

- In good general physical health and all physical exam, neurological exam and
laboratory assessments (urine/blood routine, biochemical tests and ECG) are clinically
unremarkable per the investigator

- Subject has a negative urine illicit drug screening test

- Subject understands and is willing to sign the Informed Assent Form (IAF) prior to
study entry and agrees to be available for all the study visits

- The subject's guardian understands and is willing to sign the Informed Consent Form
(ICF) prior to study entry and agrees to be available for all the study visits

- Must not be a danger to self or others and must have family support available to be
maintained as outpatients

Exclusion Criteria:

- Meets the DSM-IV or -V criteria at screening for mental retardation, dissociative
disorder, bipolar disorder, major depressive disorder, schizoaffective disorder,
schizophreniform disorder, autistic disorder, or primary substance induced psychotic
disorder. Other comorbid disorders; e.g., attention-deficit hyperactivity disorder
(ADHD), are allowed as long as schizophrenia is the primary diagnosis and the comorbid
disorder(s) do not require medication.

- Subjects whose illness was resistant to antipsychotics according to prior trials of
two different antipsychotics of adequate dose

- History of epilepsy, head trauma, or neurological illness other than Tourette's
syndrome

- History of allergic reaction to sodium benzoate

- Serious medical illnesses such as acute or chronic renal disease, liver failure or
heart disease that, in the opinion of the investigator, may interfere with the conduct
of the study.

- Current substance abuse or positive urine illicit drug screening or history of
substance dependence (including alcohol, but excluding nicotine and caffeine) in the
past three (3) months.

- Use of depot antipsychotics in the past six (6) months

- Inability to follow protocol

- Body Mass Index (BMI) > 35

- Female subjects who are pregnant (as confirmed by urine pregnancy test performed at
screening Visit) or are nursing, or who do not agree to abstinence or birth control
during the study

- Cancer within the last three (3) years except for basal cell carcinoma and squamous
cell carcinoma

- Previous participation in an intervention trial within 30 days of randomization

- Subjects whose PANSS score has decreased more than 10 percent during the Screening
Phase
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Long Beach, California 90807
Principal Investigator: Laja Ibraheem, MD
Phone: 562-426-5222
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Ann Arbor, Michigan 48105
Principal Investigator: RP Rajarethinam, MD
Phone: 734-846-2898
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811 Juniper St NE
Atlanta, Georgia 30308
(404) 881-5800
Principal Investigator: Robert Riesenberg, MD
Phone: 404-881-5800
Atlanta Center for Medical Research Welcome to the Atlanta Center for Medical Research, a leader...
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Baltimore, Maryland 21287
Principal Investigator: Robert L Findling, MD, MBA
Phone: 443-923-7620
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Bellflower, California 90706
Principal Investigator: Elizabeth Zarate-Rowell, MD
Phone: 562-748-4999
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Bothell, Washington 98011
Principal Investigator: Syed J Mustafa, MD
Phone: 425-949-5779
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Cincinnati, Ohio 45219
Principal Investigator: Melissa Delbello, MD
Phone: 513-558-5847
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Cleveland, Ohio 44194
Principal Investigator: Nora McNamara, MD
Phone: 216-844-5259
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Dothan, Alabama 36303
Principal Investigator: Nelson Handal, MD
Phone: 334-836-2000
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Flowood, Mississippi 39232
Principal Investigator: Joseph Kwentus, MD
Phone: 601-420-5810
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Hartford, Connecticut 06106
Principal Investigator: John Goethe, MD
Phone: 860-545-7118
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Miami, Florida 33122
Principal Investigator: Emilio Mantero-Atienza, MD
Phone: 305-392-0279
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Minneapolis, Minnesota 55454
Principal Investigator: Sanjiv Kumra, MD
Phone: 612-273-9775
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New Taipei City, 333
Principal Investigator: Hsin Yi Liang, MD
Phone: +886-3-328-1200
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Orange City, Florida 32763
Principal Investigator: Adly Thebaud, MD
Phone: 386-775-7627
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Richland, Washington 99352
Principal Investigator: Cheta Nand, MD
Phone: 509-420-5053
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Riverside, California 92506
Principal Investigator: Gerald Maguire, MD
Phone: 951-300-4927
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Rochester, New York 14618
Principal Investigator: Sarah Atkinson, MD
Phone: 585-241-9670
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San Antonio, Texas 78229
Principal Investigator: Ariel De Llanos, MD
Phone: 210-858-9980
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Washington, District of Columbia 20010
Principal Investigator: Adelaide S Robb, MD
Phone: 202-476-3042
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Worcester, Massachusetts 01655
Principal Investigator: Jean A Frazier, MD
Phone: 774-455-4100
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