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Study to Evaluate Efficacy and Safety of Roluperidone (MIN-101) in Adult Patients With Negative Symptoms of Schizophrenia

A Multicenter, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Monotherapy, 12-Week Study to Evaluate the Efficacy and Safety of 2 Fixed Doses of MIN-101 in Adult Patients With Negative Symptoms of Schizophrenia, Followed by a 40-Week Open-Label Extension

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03397134
Enrollment
515
Registered
2018-01-11
Start date
2017-12-15
Completion date
2021-02-15
Last updated
2023-04-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Negative Symptoms of Schizophrenia

Brief summary

MIN-101C07 is a multicenter, multinational, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the efficacy and safety of roluperidone in adult schizophrenia patients.The primary objective is to evaluate the efficacy of 2 fixed doses of roluperidone compared to placebo in improving the negative symptoms of schizophrenia over 12 weeks of double-blind treatment as measured by the change in Positive and Negative Syndrome Scale (PANSS) Marder negative symptoms factor score (NSFS) over 12 weeks.

Interventions

DRUGPlacebo Oral Tablet

Placebo administered as a single dose once daily

DRUGRoluperidone 32 mg

Roluperidone administered as a single dose once daily

Roluperidone administered as a single dose once daily

Sponsors

Minerva Neurosciences
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
No

Inclusion criteria

* Patient and patient's legal representative, if applicable, provided informed consent prior to the initiation of any study related procedures, and the patient is judged by the investigator as being capable of understanding the study requirements. * Male or female patient, 18 to 55 years of age, inclusive, and body mass index (BMI) \< 35 kg/m(2) at Screening. * Patient meets the diagnostic criteria for schizophrenia as defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), as established by a full psychiatric interview in conjunction with the Mini International Neuropsychiatric Interview. * Has a reliable caregiver or family member or health care personnel who can provide information towards assessment and support the patient in terms of compliance with the protocol. The caregiver must have contacts with the patient daily for at least 1 hour each time and is not expected to change during the trial. * Documented diagnosis of schizophrenia for at least 1 year before screening into the trial. * Patient is stable in terms of positive and negative symptoms of schizophrenia over the last 6 months according to his or her treating psychiatrist and based on documentation in the clinical chart. * Patient is currently an outpatient and has not been hospitalized for the last 6 months for acute exacerbation or symptoms worsening. Patients hospitalized during the last 6 months for social reasons or are currently hospitalized for social reasons can be included only with Sponsor's Responsible Medical Officer's approval, and the social reasons must be documented in the electronic case report form (eCRF). * Patient with a score of \> 20 on the PANSS negative subscore (the original PANSS scale \[ Sum of N1+N2+N3+N4+N5+N6+N7\]) at Screening (Visit 1) and Baseline (Visit 3) AND \< 4 points absolute difference between 2 visits. * Patients can be on any psychotropic before the trial if the psychotropics can be discontinued at the beginning of the washout phase without risking the patient's clinical status or safety. * No history of violence against self or others during the last 1 year. * Female patient who are not of childbearing potential, defined as women who are postmenopausal (defined as spontaneous amenorrhoea for at least 1 year or spontaneous amenorrhoea for at least 6 months confirmed by follicle stimulating hormone result of ≥ 40 IU/mL) or permanently sterilized (e.g., tubal occlusion, hysterectomy, bilateral salpingectomy). * Female patient, if of childbearing potential, must test negative for pregnancy and must be using a double barrier contraceptive method. * Patient must be extensive metabolizers for cytochrome P450 (CYP2D6), defined as a subject that has at least one functional allel (e.g., \*1 or \*2), as determined by study-specific genotyping test before the first drug dose is administered. * Patient and the caregiver are considered by the investigator to be reliable and likely to cooperate with the assessment procedures.

Exclusion criteria

* Current major depressive disorder, bipolar disorder, panic disorder, obsessive compulsive disorder, or intellectual disability (intellectual developmental disorder diagnosed by age 14). * Patient with PANSS item score of \> 4 on: P4 excitement/hyperactivity, P6 suspiciousness/persecution, P7 hostility, G8 uncooperativeness, G14 poor impulse control. * A Calgary Depression Scale for Schizophrenia (CDSS) total score \> 6. * A score of ≥ 2 on any 2 items 1, 2, or 3, or a score of ≥ 3 on item 4 of the Barnes Akathisia Rating Scale (BARS). * Patient's condition is due to direct psychological effects of a substance (e.g., a drug of abuse, or medication) or a general medical condition. * Has a current or recent history of serious suicidal behavior within the past 1 year. * Patient has a history of substance use disorder within 3 months of the Screening visit (excluding caffeine and cigarette smoking). * Positive urine drug screen for drugs of abuse (cocaine, methadone, amphetamines, cannabinoids, opiates, benzodiazepines, and barbiturates), tricyclic antidepressants (TCA), and alcohol (except for prescription benzodiazepines). * Patient who cannot be discontinued from psychotropics other than those allowed. * Patient who received clozapine within 6 months of the Screening visit. * Patient receiving treatment with long-acting or depot antipsychotic medication unless his/her next scheduled dose will occur during the protocol Screening period and can be omitted to allow for sufficient washout before receiving the study drug. * Patient with a history of significant other major or unstable neurological, neurosurgical (e.g., head trauma), metabolic, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, or urological disorder. * Patient with a history of seizures (patient with a history of a single childhood febrile seizure may be enrolled in this study). * Patient who has had electroconvulsive therapy (ECT), vagal nerve stimulation (VNS), or repetitive trans-cranial magnetic stimulation (r-TMS) within the 6 months prior to the Screening visit or who are scheduled for ECT, VNS, or r-TMS at any time during the study. * Patient with clinically significant abnormalities in hematology, blood chemistry, ECG, or physical examination not resolved by the Baseline visit which according to Investigator can interfere with study participation. * Current systemic infection (e.g., Hepatitis B, Hepatitis C, human immunodeficiency virus \[HIV\], tuberculosis). Patients with positive Hepatitis B core antibody test and negative Hepatitis B surface Antigen (HBsAg) may be included in the study if aminotransferase levels (alanine aminotransferase (ALT)/ serum glutamic pyruvic transaminase (SGPT) \[ALT/SGPT\] and aspartate aminotransferase (AST)/ serum glutamic oxaloacetic transaminase (SGOT) \[AST/SGOT\] do not exceed 2 times upper limit of normal (ULN). * Patient who requires or may require concomitant treatment with any other medication likely to increase QT interval (e.g., paroxetine, fluoxetine, duloxetine, amiodarone). * Patient who requires medication inhibiting CYP 2D6 or CYP 3A4. * Patient with a clinically significant ECG abnormality that could be a safety issue in the study, including QT interval value corrected for heart rate using the Fridericia's formula (QTcF) \> 430 msec for males and \> 450 msec for females. * Patient with a history of myocardial infarction based on medical history or ECG findings at Screening. * Familial or personal history of long QT syndrome or with additional risk factors for Torsade de Pointes. * Subjects whose safety laboratory results show hypokalemia, hypomagnesemia, hypocalcemia. * Patients with unexplained syncope. * Woman of child-bearing potential, or man, who are unwilling or unable to use accepted methods of birth control. * Woman with a positive pregnancy test, is lactating, or is planning to become pregnant during the study. * Patient who participated in another clinical study within 3 months prior to Screening, or received roluperidone previously, or has previously participated in \> 2 clinical studies with experimental medication (previous participation in 3 clinical studies with experimental medication will require approval of the sponsor before eligibility is determined).

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Baseline, Week 2, Week 4, Week 8, and Week 12The Marder negative symptoms factor score (NSFS) derived from the complete Positive and Negative Syndrome Scale (PANSS) has been the most frequently used scale in schizophrenia clinical studies focusing on negative symptoms The PANSS measures comprehensive psychiatric symptoms, including positive, negative, and general symptoms. The full PANSS rates the patient on 30 different symptoms from 1 (absent) to 7 (extreme) based on an interview as well as reports of family members or primary care hospital workers. The NSFS consists of the sum of the negative symptom PANSS items N1, N2, N3, N4, N6, G7, and G16 (minimum score = 7; maximum score = 49). Higher scores indicate more severe symptoms.

Secondary

MeasureTime frameDescription
Change From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Baseline, Week 2, Week 4, Week 8, and Week 12The Clinical Global Impression of Severity (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis: Considering your total clinical experience with this particular population, how mentally ill is the patient at this time? which is rated on the following seven-point scale: 1=normal, not at all ill; 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; 7=among the most extremely ill patients
Number of Participants With Potentially Clinically Significant Laboratory Values (Whole Study Period; Safety Population)Entire study (which includes double-blind and open-label periods) from Baseline to Week 54 (referred to as the whole study period)Laboratory abnormalities were determined using pre-defined normal ranges. Clinical laboratory values were considered potentially clinically significant (PCS) for select parameters of hematology, chemistry, and urinalysis. The number and percentage of patients experiencing PCS laboratory abnormalities post-baseline were summarized by treatment group.
Number of Participants With Potentially Clinically Significant ECG Parameters (Whole Study Period; Safety Population)Entire study (which includes double-blind and open-label periods) from Baseline to Week 54 (referred to as the whole study period)QTcF values were tabulated for their absolute values and tabulated relative to Baseline measurements in order to detect individual QTcF changes. The number and percentage of patients who met criteria for potentially clinically significant (PCS) values were summarized.
Number of Participants With Potentially Clinically Significant Vital Signs (Whole Study Period; Safety Population)Entire study (which includes double-blind and open-label periods) from Baseline to Week 54 (referred to as the whole study period)The number and percentage of patients with any potentially clinically significant (PCS) vital sign (systolic blood pressure, diastolic blood pressure, heart rate/pulse rate, temperature) occurring post-Baseline were summarized.
Change From Baseline to Week 12 in Personal and Social Performance (PSP)Baseline, Week 4, Week 8, and Week 12The PSP scale is a validated clinician-rated scale that measures personal and social functioning in 4 domains: socially useful activities (eg, work and study), personal and social relationships, self care, and disturbing and aggressive behaviors. It is a reliable, quick measure of personal and social functioning of patients with schizophrenia and can be used on patients in the acute and stable stage. PSP is a 100-point scale, divided into 10 equal intervals. The score is based on the assessment of a patient's performance in the 4 domains. Lower scores of 1 to 30 reflected poor functioning that the patient required intensive support or supervision; scores of 31 to 60 reflected varying degrees of disability; and scores of 71 to 100 reflected absence of disability or only mild difficulties.
Safety Assessments - Barnes Akathisia Rations Scale (BARS)Baseline, Week 1, Week 2, Week 3, Week 4, Week 8, and Week 12The BARS is a multiple-choice questionnaire that clinicians used to provide an assessment of akathisia. The BARS scale has 3 items that are rated from 0 (absence/no distress) to 3 (most severe). The BARS rating scale is scored by summing the scales for Objective Akathisia, Subjective Awareness of Restlessness and Subjective Distress Related to Restlessness yielding a total score ranging from 0 to 9. The Total score, which has a possible range from 0-9, is reported. Higher scores imply worse outcome.
Safety Assessments -Simpson-Angus Scale (S-AS) ScoreStudy Baseline Day -1, Active Baseline last assessment on placebo at Week 12, as appropriate, Weeks 13, 14, 15, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 54. Active Baseline=last assessment before receiving Roluperidone.The S-AS is an established reliable and valid rating scale that measures drug-induced extrapyramidal syndromes using 10 items rated from 0 = not present to 4 = extremely severe. It consisted of 1 item measuring gait (hypokinesia), 6 items measuring rigidity (arm dropping, shoulder shacking, elbow rigidity, wrist rigidity, leg pendulousness, and head dropping) and 3 items measuring glabella tap, tremor, and salivation. As such, the range of scores was 0 to 40, with increased scores indicating increased severity.
Safety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreStudy Baseline Day -1, Active Baseline last assessment on placebo at Week 12, as appropriate, Weeks 13, 14, 15, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 54. Active Baseline=last assessment before receiving Roluperidone.Sheehan Suicidality Tracking Scale (STS) is a prospective rating scale that tracks treatment-emergent suicidal ideation and behaviors. Scoring: Each item is scored on a 5-point Likert scale from 0 (not at all) to 4 (extremely). Data from the STS can be analyzed as individual item scores, a subscore for suicidal ideation (sum of scores from items 2, 3, and 4, plus score from item 5 if ≤ 1), a subscore for suicidal behavior (sum of scores from items 6, 7, and 8, plus score from item 5 if \> 1) and the total scale score (calculated by add scores from Questions 1a (only if 1b is coded YES), + 2 through 11 + \[the highest of 12 or any row of 16\] + \[the highest of 14 or any row of 15\] + 17 + 20. Analysis: The total scale score will be summarized by treatment group and study visit. Complete data will be presented in patient data listings by treatment group and visit. The total score is the sum of all 16 questions and with values ranging from 0 to 64. Higher scores imply worse outcome.
Safety Assessment - Abnormal Involuntary Movement Scale (AIMS)Study Baseline Day -1, Active Baseline last assessment on placebo at Week 12, as appropriate, Weeks 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 54. Active Baseline=last assessment before receiving Roluperidone.AIMS is rating scale that was designed to measure tardive dyskinesia (TD). For the scoring, the AIMS scale has 14 items. The first 10 items (under categories of Facial and Oral Movements, Extremity Movements, Trunk Movements, and Global Judgements) are rated from 0 (none) to 4 (severe); the remaining 4 items (Dental Status) are rated yes and no and not counted. The analysis is limited to items 1 to 10, with each rated from 0 to 4. The total score is the sum of all 10 items and with values ranging from 0 to 40. For the analysis, the observed composite movement (total) score will be summarized by treatment group and study visit. Higher scores imply worse outcome.

Countries

Bulgaria, Poland, Ukraine, United States

Participant flow

Pre-assignment details

During the double-blind period, 857 patients were screened in the study, and 515 patients were randomized to receive treatment, including 172 patients in the placebo group and 343 patients in the Roluperidone group. Two patients who failed to meet eligibility criteria during screening, were randomized prematurely to the 32 mg Roluperidone group but were discontinued prior to receiving any study drug. Therefore, the total number of participants started is 513.

Participants by arm

ArmCount
Roluperidone 64 mg
Roluperidone 64 mg for the double-blind period. Roluperidone 64 mg: Roluperidone administered as a single dose once daily.
171
Roluperidone 32 mg
Roluperidone 32 mg for the double-blind period. Roluperidone 32 mg: Roluperidone administered as a single dose once daily.
170
Placebo
Placebo for the double-blind period. Placebo Oral Tablet: Placebo administered as a single dose once daily.
172
Total513

Baseline characteristics

CharacteristicRoluperidone 32 mgPlaceboRoluperidone 64 mgTotal
Age, Continuous41 years
STANDARD_DEVIATION 9.4
41 years
STANDARD_DEVIATION 8.7
41 years
STANDARD_DEVIATION 9.3
41 years
STANDARD_DEVIATION 9.1
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants3 Participants4 Participants12 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
165 Participants169 Participants167 Participants501 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Asian
1 Participants0 Participants1 Participants2 Participants
Race (NIH/OMB)
Black or African American
19 Participants20 Participants18 Participants57 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants0 Participants1 Participants3 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
147 Participants152 Participants151 Participants450 Participants
Region of Enrollment
Bulgaria
37 participants40 participants36 participants113 participants
Region of Enrollment
Georgia
5 participants2 participants5 participants12 participants
Region of Enrollment
Israel
4 participants2 participants0 participants6 participants
Region of Enrollment
Moldova
8 participants5 participants6 participants19 participants
Region of Enrollment
Poland
5 participants8 participants6 participants19 participants
Region of Enrollment
Romania
18 participants13 participants19 participants50 participants
Region of Enrollment
Ukraine
66 participants75 participants72 participants213 participants
Region of Enrollment
United States
27 participants27 participants27 participants81 participants
Sex: Female, Male
Female
64 Participants66 Participants68 Participants198 Participants
Sex: Female, Male
Male
106 Participants106 Participants103 Participants315 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 591 / 632 / 2291 / 2340 / 172
other
Total, other adverse events
2 / 597 / 6330 / 22939 / 23422 / 172
serious
Total, serious adverse events
1 / 595 / 6318 / 22921 / 2345 / 172

Outcome results

Primary

Change From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)

The Marder negative symptoms factor score (NSFS) derived from the complete Positive and Negative Syndrome Scale (PANSS) has been the most frequently used scale in schizophrenia clinical studies focusing on negative symptoms The PANSS measures comprehensive psychiatric symptoms, including positive, negative, and general symptoms. The full PANSS rates the patient on 30 different symptoms from 1 (absent) to 7 (extreme) based on an interview as well as reports of family members or primary care hospital workers. The NSFS consists of the sum of the negative symptom PANSS items N1, N2, N3, N4, N6, G7, and G16 (minimum score = 7; maximum score = 49). Higher scores indicate more severe symptoms.

Time frame: Baseline, Week 2, Week 4, Week 8, and Week 12

Population: mITT population

ArmMeasureGroupValue (MEAN)Dispersion
Roluperidone 32 mgChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Change from Baseline to Week 8-3.4 score on a scaleStandard Deviation 3.49
Roluperidone 32 mgChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Change from Baseline to Week 4-2.6 score on a scaleStandard Deviation 2.57
Roluperidone 32 mgChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Baseline25.2 score on a scaleStandard Deviation 3.43
Roluperidone 32 mgChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Change from Baseline to Week 2-1.2 score on a scaleStandard Deviation 2.22
Roluperidone 32 mgChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Change from Baseline to Week 12-3.7 score on a scaleStandard Deviation 3.2
Roluperidone 64 mgChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Change from Baseline to Week 4-2.8 score on a scaleStandard Deviation 2.92
Roluperidone 64 mgChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Baseline25.3 score on a scaleStandard Deviation 3.26
Roluperidone 64 mgChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Change from Baseline to Week 2-1.7 score on a scaleStandard Deviation 2.47
Roluperidone 64 mgChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Change from Baseline to Week 8-3.8 score on a scaleStandard Deviation 3.32
Roluperidone 64 mgChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Change from Baseline to Week 12-4.5 score on a scaleStandard Deviation 3.85
PlaceboChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Change from Baseline to Week 12-3.5 score on a scaleStandard Deviation 3.97
PlaceboChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Change from Baseline to Week 8-2.8 score on a scaleStandard Deviation 3.44
PlaceboChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Baseline24.3 score on a scaleStandard Deviation 3.01
PlaceboChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Change from Baseline to Week 4-1.8 score on a scaleStandard Deviation 2.99
PlaceboChange From Baseline to Week 12 in PANSS Marder Negative Symptoms Factor Score (NSFS)Change from Baseline to Week 2-1.2 score on a scaleStandard Deviation 2.46
Comparison: To evaluate the efficacy of 2 fixed doses (32 mg and 64 mg) of MIN-101 compared to placebo in improving the negative symptoms of schizophrenia as measured by the change from Baseline in the PANSS Marder negative symptoms factor score (NSFS) over 12 weeks of double-blind treatment. Approximation 501 eligible patients will be randomized in a 2:2:1:1 ratio at baseline to 1 of 4 treatment arms.p-value: 0.043Mixed Models Analysis
Secondary

Change From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)

The Clinical Global Impression of Severity (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis: Considering your total clinical experience with this particular population, how mentally ill is the patient at this time? which is rated on the following seven-point scale: 1=normal, not at all ill; 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; 7=among the most extremely ill patients

Time frame: Baseline, Week 2, Week 4, Week 8, and Week 12

Population: Intent to Treat (ITT)

ArmMeasureGroupValue (MEAN)Dispersion
Roluperidone 32 mgChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Change from Baseline to Week 8-0.3 score on a scaleStandard Deviation 0.61
Roluperidone 32 mgChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Change from Baseline to Week 4-0.2 score on a scaleStandard Deviation 0.49
Roluperidone 32 mgChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Baseline4.0 score on a scaleStandard Deviation 0.62
Roluperidone 32 mgChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Change from Baseline to Week 2-0.1 score on a scaleStandard Deviation 0.44
Roluperidone 32 mgChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Change from Baseline to Week 12-0.4 score on a scaleStandard Deviation 0.68
Roluperidone 64 mgChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Change from Baseline to Week 4-0.3 score on a scaleStandard Deviation 0.55
Roluperidone 64 mgChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Baseline4.0 score on a scaleStandard Deviation 0.61
Roluperidone 64 mgChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Change from Baseline to Week 2-0.1 score on a scaleStandard Deviation 0.54
Roluperidone 64 mgChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Change from Baseline to Week 8-0.4 score on a scaleStandard Deviation 0.68
Roluperidone 64 mgChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Change from Baseline to Week 12-0.4 score on a scaleStandard Deviation 0.67
PlaceboChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Change from Baseline to Week 12-0.3 score on a scaleStandard Deviation 0.63
PlaceboChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Change from Baseline to Week 8-0.2 score on a scaleStandard Deviation 0.6
PlaceboChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Baseline4.0 score on a scaleStandard Deviation 0.58
PlaceboChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Change from Baseline to Week 4-0.1 score on a scaleStandard Deviation 0.44
PlaceboChange From Baseline to Week 12 in Clinical Global Impression of Severity (CGI-S)Change from Baseline to Week 2-0.1 score on a scaleStandard Deviation 0.5
Secondary

Change From Baseline to Week 12 in Personal and Social Performance (PSP)

The PSP scale is a validated clinician-rated scale that measures personal and social functioning in 4 domains: socially useful activities (eg, work and study), personal and social relationships, self care, and disturbing and aggressive behaviors. It is a reliable, quick measure of personal and social functioning of patients with schizophrenia and can be used on patients in the acute and stable stage. PSP is a 100-point scale, divided into 10 equal intervals. The score is based on the assessment of a patient's performance in the 4 domains. Lower scores of 1 to 30 reflected poor functioning that the patient required intensive support or supervision; scores of 31 to 60 reflected varying degrees of disability; and scores of 71 to 100 reflected absence of disability or only mild difficulties.

Time frame: Baseline, Week 4, Week 8, and Week 12

Population: mITT population

ArmMeasureGroupValue (MEAN)Dispersion
Roluperidone 32 mgChange From Baseline to Week 12 in Personal and Social Performance (PSP)Baseline52.7 score on a scaleStandard Deviation 12.28
Roluperidone 32 mgChange From Baseline to Week 12 in Personal and Social Performance (PSP)Change from Baseline to Week 41.6 score on a scaleStandard Deviation 6.1
Roluperidone 32 mgChange From Baseline to Week 12 in Personal and Social Performance (PSP)Change from Baseline to Week 83.6 score on a scaleStandard Deviation 7.09
Roluperidone 32 mgChange From Baseline to Week 12 in Personal and Social Performance (PSP)hange from Baseline to Week 124.6 score on a scaleStandard Deviation 7.98
Roluperidone 64 mgChange From Baseline to Week 12 in Personal and Social Performance (PSP)hange from Baseline to Week 126.2 score on a scaleStandard Deviation 8.67
Roluperidone 64 mgChange From Baseline to Week 12 in Personal and Social Performance (PSP)Baseline53.0 score on a scaleStandard Deviation 10.6
Roluperidone 64 mgChange From Baseline to Week 12 in Personal and Social Performance (PSP)Change from Baseline to Week 85.0 score on a scaleStandard Deviation 6.76
Roluperidone 64 mgChange From Baseline to Week 12 in Personal and Social Performance (PSP)Change from Baseline to Week 43.2 score on a scaleStandard Deviation 6.3
PlaceboChange From Baseline to Week 12 in Personal and Social Performance (PSP)hange from Baseline to Week 124.2 score on a scaleStandard Deviation 7.48
PlaceboChange From Baseline to Week 12 in Personal and Social Performance (PSP)Change from Baseline to Week 41.2 score on a scaleStandard Deviation 5.92
PlaceboChange From Baseline to Week 12 in Personal and Social Performance (PSP)Change from Baseline to Week 83.1 score on a scaleStandard Deviation 7.82
PlaceboChange From Baseline to Week 12 in Personal and Social Performance (PSP)Baseline52.9 score on a scaleStandard Deviation 11.02
Comparison: The PSP involves four subscale domains: (a) socially useful activities, (b) personal and social relationships, (c) self-care, and (d) disturbing and aggressive behaviors. After each of these four areas is scored on an anchored Likert-type scale (0-5), raters are instructed to select a 10-point range within a 100-point scale, guided by the area scores assigned during assessment.p-value: 0.016Mixed Models Analysis
Secondary

Number of Participants With Potentially Clinically Significant ECG Parameters (Whole Study Period; Safety Population)

QTcF values were tabulated for their absolute values and tabulated relative to Baseline measurements in order to detect individual QTcF changes. The number and percentage of patients who met criteria for potentially clinically significant (PCS) values were summarized.

Time frame: Entire study (which includes double-blind and open-label periods) from Baseline to Week 54 (referred to as the whole study period)

Population: Safety Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Roluperidone 32 mgNumber of Participants With Potentially Clinically Significant ECG Parameters (Whole Study Period; Safety Population)Highest absolute QTcF interval > 480 -500 msec0 Participants
Roluperidone 32 mgNumber of Participants With Potentially Clinically Significant ECG Parameters (Whole Study Period; Safety Population)Highest absolute QTcF interval > 450 -480 msec10 Participants
Roluperidone 32 mgNumber of Participants With Potentially Clinically Significant ECG Parameters (Whole Study Period; Safety Population)Highest absolute QTcF interval > 500 msec0 Participants
Roluperidone 64 mgNumber of Participants With Potentially Clinically Significant ECG Parameters (Whole Study Period; Safety Population)Highest absolute QTcF interval > 480 -500 msec2 Participants
Roluperidone 64 mgNumber of Participants With Potentially Clinically Significant ECG Parameters (Whole Study Period; Safety Population)Highest absolute QTcF interval > 450 -480 msec24 Participants
Roluperidone 64 mgNumber of Participants With Potentially Clinically Significant ECG Parameters (Whole Study Period; Safety Population)Highest absolute QTcF interval > 500 msec2 Participants
PlaceboNumber of Participants With Potentially Clinically Significant ECG Parameters (Whole Study Period; Safety Population)Highest absolute QTcF interval > 450 -480 msec1 Participants
PlaceboNumber of Participants With Potentially Clinically Significant ECG Parameters (Whole Study Period; Safety Population)Highest absolute QTcF interval > 500 msec0 Participants
PlaceboNumber of Participants With Potentially Clinically Significant ECG Parameters (Whole Study Period; Safety Population)Highest absolute QTcF interval > 480 -500 msec0 Participants
Secondary

Number of Participants With Potentially Clinically Significant Laboratory Values (Whole Study Period; Safety Population)

Laboratory abnormalities were determined using pre-defined normal ranges. Clinical laboratory values were considered potentially clinically significant (PCS) for select parameters of hematology, chemistry, and urinalysis. The number and percentage of patients experiencing PCS laboratory abnormalities post-baseline were summarized by treatment group.

Time frame: Entire study (which includes double-blind and open-label periods) from Baseline to Week 54 (referred to as the whole study period)

Population: Safety Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Roluperidone 32 mgNumber of Participants With Potentially Clinically Significant Laboratory Values (Whole Study Period; Safety Population)Low potentially clinically significant laboratory values43 Participants
Roluperidone 32 mgNumber of Participants With Potentially Clinically Significant Laboratory Values (Whole Study Period; Safety Population)High potentially clinically significant laboratory values51 Participants
Roluperidone 64 mgNumber of Participants With Potentially Clinically Significant Laboratory Values (Whole Study Period; Safety Population)Low potentially clinically significant laboratory values37 Participants
Roluperidone 64 mgNumber of Participants With Potentially Clinically Significant Laboratory Values (Whole Study Period; Safety Population)High potentially clinically significant laboratory values48 Participants
PlaceboNumber of Participants With Potentially Clinically Significant Laboratory Values (Whole Study Period; Safety Population)Low potentially clinically significant laboratory values18 Participants
PlaceboNumber of Participants With Potentially Clinically Significant Laboratory Values (Whole Study Period; Safety Population)High potentially clinically significant laboratory values21 Participants
Secondary

Number of Participants With Potentially Clinically Significant Vital Signs (Whole Study Period; Safety Population)

The number and percentage of patients with any potentially clinically significant (PCS) vital sign (systolic blood pressure, diastolic blood pressure, heart rate/pulse rate, temperature) occurring post-Baseline were summarized.

Time frame: Entire study (which includes double-blind and open-label periods) from Baseline to Week 54 (referred to as the whole study period)

Population: Safety Population

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Roluperidone 32 mgNumber of Participants With Potentially Clinically Significant Vital Signs (Whole Study Period; Safety Population)37 Participants
Roluperidone 64 mgNumber of Participants With Potentially Clinically Significant Vital Signs (Whole Study Period; Safety Population)28 Participants
PlaceboNumber of Participants With Potentially Clinically Significant Vital Signs (Whole Study Period; Safety Population)20 Participants
Secondary

Safety Assessment - Abnormal Involuntary Movement Scale (AIMS)

AIMS is rating scale that was designed to measure tardive dyskinesia (TD). For the scoring, the AIMS scale has 14 items. The first 10 items (under categories of Facial and Oral Movements, Extremity Movements, Trunk Movements, and Global Judgements) are rated from 0 (none) to 4 (severe); the remaining 4 items (Dental Status) are rated yes and no and not counted. The analysis is limited to items 1 to 10, with each rated from 0 to 4. The total score is the sum of all 10 items and with values ranging from 0 to 40. For the analysis, the observed composite movement (total) score will be summarized by treatment group and study visit. Higher scores imply worse outcome.

Time frame: Study Baseline Day -1, Active Baseline last assessment on placebo at Week 12, as appropriate, Weeks 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 54. Active Baseline=last assessment before receiving Roluperidone.

Population: Safety Population

ArmMeasureGroupValue (MEAN)Dispersion
Roluperidone 32 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 320.1 score on a scaleStandard Deviation 0.55
Roluperidone 32 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 540.1 score on a scaleStandard Deviation 0.34
Roluperidone 32 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 360.1 score on a scaleStandard Deviation 0.69
Roluperidone 32 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 400.1 score on a scaleStandard Deviation 0.56
Roluperidone 32 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 520.1 score on a scaleStandard Deviation 0.33
Roluperidone 32 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 160.2 score on a scaleStandard Deviation 0.88
Roluperidone 32 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 440.1 score on a scaleStandard Deviation 0.33
Roluperidone 32 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 200.1 score on a scaleStandard Deviation 0.5
Roluperidone 32 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Study Baseline0.2 score on a scaleStandard Deviation 1.23
Roluperidone 32 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 240.1 score on a scaleStandard Deviation 0.51
Roluperidone 32 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Active Baseline0.2 score on a scaleStandard Deviation 1.45
Roluperidone 32 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 280.1 score on a scaleStandard Deviation 0.52
Roluperidone 32 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 480.1 score on a scaleStandard Deviation 0.36
Roluperidone 64 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 320.1 score on a scaleStandard Deviation 0.6
Roluperidone 64 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 200.1 score on a scaleStandard Deviation 0.56
Roluperidone 64 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 540.0 score on a scaleStandard Deviation 0.17
Roluperidone 64 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 520.0 score on a scaleStandard Deviation 0.17
Roluperidone 64 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 360.1 score on a scaleStandard Deviation 0.63
Roluperidone 64 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 160.1 score on a scaleStandard Deviation 0.56
Roluperidone 64 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Study Baseline0.1 score on a scaleStandard Deviation 0.62
Roluperidone 64 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Active Baseline0.1 score on a scaleStandard Deviation 0.52
Roluperidone 64 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 400.1 score on a scaleStandard Deviation 0.63
Roluperidone 64 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 280.1 score on a scaleStandard Deviation 0.59
Roluperidone 64 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 240.1 score on a scaleStandard Deviation 0.57
Roluperidone 64 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 480.2 score on a scaleStandard Deviation 0.59
Roluperidone 64 mgSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 440.0 score on a scaleStandard Deviation 0.16
PlaceboSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 240.4 score on a scaleStandard Deviation 1.31
PlaceboSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 480.4 score on a scaleStandard Deviation 1.38
PlaceboSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 520.3 score on a scaleStandard Deviation 1.31
PlaceboSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 160.5 score on a scaleStandard Deviation 1.38
PlaceboSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 540.5 score on a scaleStandard Deviation 1.55
PlaceboSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Study Baseline0.4 score on a scaleStandard Deviation 1.4
PlaceboSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 200.4 score on a scaleStandard Deviation 1.6
PlaceboSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 440.3 score on a scaleStandard Deviation 1.17
PlaceboSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 280.4 score on a scaleStandard Deviation 1.3
PlaceboSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 320.4 score on a scaleStandard Deviation 1.19
PlaceboSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Active Baseline0.4 score on a scaleStandard Deviation 1.2
PlaceboSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 360.4 score on a scaleStandard Deviation 1.29
PlaceboSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 400.3 score on a scaleStandard Deviation 1.06
Roluperidone 64 mg at Any TimeSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 360.2 score on a scaleStandard Deviation 1.48
Roluperidone 64 mg at Any TimeSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Study Baseline0.3 score on a scaleStandard Deviation 1.04
Roluperidone 64 mg at Any TimeSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Active Baseline0.3 score on a scaleStandard Deviation 1.15
Roluperidone 64 mg at Any TimeSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 160.2 score on a scaleStandard Deviation 1.18
Roluperidone 64 mg at Any TimeSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 200.2 score on a scaleStandard Deviation 1.06
Roluperidone 64 mg at Any TimeSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 240.2 score on a scaleStandard Deviation 1.37
Roluperidone 64 mg at Any TimeSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 280.2 score on a scaleStandard Deviation 1.38
Roluperidone 64 mg at Any TimeSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 320.2 score on a scaleStandard Deviation 1.45
Roluperidone 64 mg at Any TimeSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 440.1 score on a scaleStandard Deviation 0.4
Roluperidone 64 mg at Any TimeSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 400.3 score on a scaleStandard Deviation 1.53
Roluperidone 64 mg at Any TimeSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 480.3 score on a scaleStandard Deviation 1.57
Roluperidone 64 mg at Any TimeSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 520.3 score on a scaleStandard Deviation 1.63
Roluperidone 64 mg at Any TimeSafety Assessment - Abnormal Involuntary Movement Scale (AIMS)Week 540.3 score on a scaleStandard Deviation 1.63
Secondary

Safety Assessments - Barnes Akathisia Rations Scale (BARS)

The BARS is a multiple-choice questionnaire that clinicians used to provide an assessment of akathisia. The BARS scale has 3 items that are rated from 0 (absence/no distress) to 3 (most severe). The BARS rating scale is scored by summing the scales for Objective Akathisia, Subjective Awareness of Restlessness and Subjective Distress Related to Restlessness yielding a total score ranging from 0 to 9. The Total score, which has a possible range from 0-9, is reported. Higher scores imply worse outcome.

Time frame: Baseline, Week 1, Week 2, Week 3, Week 4, Week 8, and Week 12

Population: Safety Population

ArmMeasureGroupValue (MEAN)Dispersion
Roluperidone 32 mgSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 40.1 score on a scaleStandard Deviation 0.41
Roluperidone 32 mgSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 80.1 score on a scaleStandard Deviation 0.4
Roluperidone 32 mgSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 10.1 score on a scaleStandard Deviation 0.49
Roluperidone 32 mgSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 120.1 score on a scaleStandard Deviation 0.46
Roluperidone 32 mgSafety Assessments - Barnes Akathisia Rations Scale (BARS)Baseline0.1 score on a scaleStandard Deviation 0.39
Roluperidone 32 mgSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 20.2 score on a scaleStandard Deviation 0.55
Roluperidone 32 mgSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 30.1 score on a scaleStandard Deviation 0.52
Roluperidone 64 mgSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 30.1 score on a scaleStandard Deviation 0.43
Roluperidone 64 mgSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 120.1 score on a scaleStandard Deviation 0.37
Roluperidone 64 mgSafety Assessments - Barnes Akathisia Rations Scale (BARS)Baseline0.1 score on a scaleStandard Deviation 0.42
Roluperidone 64 mgSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 80.1 score on a scaleStandard Deviation 0.44
Roluperidone 64 mgSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 20.1 score on a scaleStandard Deviation 0.47
Roluperidone 64 mgSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 40.1 score on a scaleStandard Deviation 0.41
Roluperidone 64 mgSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 10.1 score on a scaleStandard Deviation 0.39
PlaceboSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 120.0 score on a scaleStandard Deviation 0.22
PlaceboSafety Assessments - Barnes Akathisia Rations Scale (BARS)Baseline0.1 score on a scaleStandard Deviation 0.39
PlaceboSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 10.1 score on a scaleStandard Deviation 0.34
PlaceboSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 30.1 score on a scaleStandard Deviation 0.32
PlaceboSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 40.1 score on a scaleStandard Deviation 0.32
PlaceboSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 80.0 score on a scaleStandard Deviation 0.27
PlaceboSafety Assessments - Barnes Akathisia Rations Scale (BARS)Week 20.1 score on a scaleStandard Deviation 0.41
Secondary

Safety Assessments - Sheehan Suicidality Tracking Scale (STS) Total Score

Sheehan Suicidality Tracking Scale (STS) is a prospective rating scale that tracks treatment-emergent suicidal ideation and behaviors. Scoring: Each item is scored on a 5-point Likert scale from 0 (not at all) to 4 (extremely). Data from the STS can be analyzed as individual item scores, a subscore for suicidal ideation (sum of scores from items 2, 3, and 4, plus score from item 5 if ≤ 1), a subscore for suicidal behavior (sum of scores from items 6, 7, and 8, plus score from item 5 if \> 1) and the total scale score (calculated by add scores from Questions 1a (only if 1b is coded YES), + 2 through 11 + \[the highest of 12 or any row of 16\] + \[the highest of 14 or any row of 15\] + 17 + 20. Analysis: The total scale score will be summarized by treatment group and study visit. Complete data will be presented in patient data listings by treatment group and visit. The total score is the sum of all 16 questions and with values ranging from 0 to 64. Higher scores imply worse outcome.

Time frame: Study Baseline Day -1, Active Baseline last assessment on placebo at Week 12, as appropriate, Weeks 13, 14, 15, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 54. Active Baseline=last assessment before receiving Roluperidone.

Population: Safety Population

ArmMeasureGroupValue (MEAN)Dispersion
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 400.0 score on a scaleStandard Deviation 0
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 360.0 score on a scaleStandard Deviation 0
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 140.0 score on a scaleStandard Deviation 0
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 12.20.0 score on a scaleStandard Deviation 0
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreActive Baseline0.0 score on a scaleStandard Deviation 0.13
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 480.1 score on a scaleStandard Deviation 0.49
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 150.0 score on a scaleStandard Deviation 0.14
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 320.0 score on a scaleStandard Deviation 0
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreStudy Baseline0.0 score on a scaleStandard Deviation 0
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 520.0 score on a scaleStandard Deviation 0.17
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 160.0 score on a scaleStandard Deviation 0
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 130.0 score on a scaleStandard Deviation 0
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 540.0 score on a scaleStandard Deviation 0
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 440.0 score on a scaleStandard Deviation 0
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 200.0 score on a scaleStandard Deviation 0
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 280.2 score on a scaleStandard Deviation 1.44
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 12.10.0 score on a scaleStandard Deviation 0
Roluperidone 32 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 240.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 400.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 240.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 12.10.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 280.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreStudy Baseline0.0 score on a scaleStandard Deviation 0.15
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 360.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 320.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 520.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 12.20.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 130.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 540.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 480.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 140.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 150.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreActive Baseline0.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 440.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 160.0 score on a scaleStandard Deviation 0
Roluperidone 64 mgSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 200.0 score on a scaleStandard Deviation 0
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 480.0 score on a scaleStandard Deviation 0.12
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreStudy Baseline0.0 score on a scaleStandard Deviation 0.46
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 12.10.0 score on a scaleStandard Deviation 0
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 12.20.0 score on a scaleStandard Deviation 0
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 130.0 score on a scaleStandard Deviation 0
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 140.0 score on a scaleStandard Deviation 0
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 150.0 score on a scaleStandard Deviation 0
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 160.0 score on a scaleStandard Deviation 0.1
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 200.0 score on a scaleStandard Deviation 0
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 240.0 score on a scaleStandard Deviation 0
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 280.0 score on a scaleStandard Deviation 0.11
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 320.0 score on a scaleStandard Deviation 0
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 360.0 score on a scaleStandard Deviation 0.11
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 400.0 score on a scaleStandard Deviation 0.11
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 440.0 score on a scaleStandard Deviation 0.22
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreActive Baseline0.0 score on a scaleStandard Deviation 0
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 520.0 score on a scaleStandard Deviation 0
PlaceboSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 540.0 score on a scaleStandard Deviation 0
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 520.0 score on a scaleStandard Deviation 0
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 400.0 score on a scaleStandard Deviation 0
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 160.0 score on a scaleStandard Deviation 0
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 150.0 score on a scaleStandard Deviation 0
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreActive Baseline0.0 score on a scaleStandard Deviation 0.1
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 440.0 score on a scaleStandard Deviation 0
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 140.0 score on a scaleStandard Deviation 0
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 130.0 score on a scaleStandard Deviation 0.1
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreStudy Baseline0.0 score on a scaleStandard Deviation 0.08
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 480.0 score on a scaleStandard Deviation 0.38
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 12.20.0 score on a scaleStandard Deviation 0
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 12.10.0 score on a scaleStandard Deviation 0
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 320.0 score on a scaleStandard Deviation 0
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 280.0 score on a scaleStandard Deviation 0
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 540.0 score on a scaleStandard Deviation 0
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 360.0 score on a scaleStandard Deviation 0
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 240.0 score on a scaleStandard Deviation 0
Roluperidone 64 mg at Any TimeSafety Assessments - Sheehan Suicidality Tracking Scale (STS) Total ScoreWeek 200.0 score on a scaleStandard Deviation 0.41
Secondary

Safety Assessments -Simpson-Angus Scale (S-AS) Score

The S-AS is an established reliable and valid rating scale that measures drug-induced extrapyramidal syndromes using 10 items rated from 0 = not present to 4 = extremely severe. It consisted of 1 item measuring gait (hypokinesia), 6 items measuring rigidity (arm dropping, shoulder shacking, elbow rigidity, wrist rigidity, leg pendulousness, and head dropping) and 3 items measuring glabella tap, tremor, and salivation. As such, the range of scores was 0 to 40, with increased scores indicating increased severity.

Time frame: Study Baseline Day -1, Active Baseline last assessment on placebo at Week 12, as appropriate, Weeks 13, 14, 15, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 54. Active Baseline=last assessment before receiving Roluperidone.

Population: Safety Population

ArmMeasureGroupValue (MEAN)Dispersion
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 140.3 score on a scaleStandard Deviation 0.81
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreStudy Baseline0.4 score on a scaleStandard Deviation 0.8
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreActive Baseline0.3 score on a scaleStandard Deviation 0.83
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 130.2 score on a scaleStandard Deviation 0.63
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 150.2 score on a scaleStandard Deviation 0.48
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 160.1 score on a scaleStandard Deviation 0.34
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 200.1 score on a scaleStandard Deviation 0.33
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 240.1 score on a scaleStandard Deviation 0.4
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 280.2 score on a scaleStandard Deviation 0.48
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 320.2 score on a scaleStandard Deviation 0.49
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 360.2 score on a scaleStandard Deviation 0.5
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 400.1 score on a scaleStandard Deviation 0.3
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 440.3 score on a scaleStandard Deviation 0.77
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 480.4 score on a scaleStandard Deviation 1.52
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 520.1 score on a scaleStandard Deviation 0.35
Roluperidone 32 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 540.2 score on a scaleStandard Deviation 0.49
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 360.1 score on a scaleStandard Deviation 0.54
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 240.1 score on a scaleStandard Deviation 0.52
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 150.2 score on a scaleStandard Deviation 0.64
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 320.1 score on a scaleStandard Deviation 0.54
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 480.1 score on a scaleStandard Deviation 0.32
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 280.1 score on a scaleStandard Deviation 0.53
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 140.2 score on a scaleStandard Deviation 0.64
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreActive Baseline0.1 score on a scaleStandard Deviation 0.48
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 440.1 score on a scaleStandard Deviation 0.35
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 160.1 score on a scaleStandard Deviation 0.52
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 130.2 score on a scaleStandard Deviation 0.6
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreStudy Baseline0.5 score on a scaleStandard Deviation 1.25
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 520.1 score on a scaleStandard Deviation 0.34
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 200.1 score on a scaleStandard Deviation 0.52
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 540.2 score on a scaleStandard Deviation 0.76
Roluperidone 64 mgSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 400.1 score on a scaleStandard Deviation 0.57
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 440.6 score on a scaleStandard Deviation 1.56
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 140.7 score on a scaleStandard Deviation 1.77
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 150.7 score on a scaleStandard Deviation 1.74
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 160.7 score on a scaleStandard Deviation 1.68
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 200.6 score on a scaleStandard Deviation 1.65
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 240.6 score on a scaleStandard Deviation 1.56
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 280.7 score on a scaleStandard Deviation 1.65
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 320.6 score on a scaleStandard Deviation 1.6
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 480.7 score on a scaleStandard Deviation 1.69
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 360.6 score on a scaleStandard Deviation 1.65
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 520.5 score on a scaleStandard Deviation 1.42
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 540.7 score on a scaleStandard Deviation 1.75
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreStudy Baseline0.8 score on a scaleStandard Deviation 2.18
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 400.6 score on a scaleStandard Deviation 1.36
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreActive Baseline0.8 score on a scaleStandard Deviation 2.1
PlaceboSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 130.8 score on a scaleStandard Deviation 1.84
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 480.5 score on a scaleStandard Deviation 1.79
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 130.3 score on a scaleStandard Deviation 1.04
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreActive Baseline0.5 score on a scaleStandard Deviation 1.44
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 540.5 score on a scaleStandard Deviation 1.83
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 200.5 score on a scaleStandard Deviation 1.64
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 160.5 score on a scaleStandard Deviation 1.63
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 400.4 score on a scaleStandard Deviation 1.69
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 280.3 score on a scaleStandard Deviation 1.66
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 520.5 score on a scaleStandard Deviation 1.84
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 240.5 score on a scaleStandard Deviation 1.73
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreStudy Baseline0.6 score on a scaleStandard Deviation 1.53
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 320.4 score on a scaleStandard Deviation 1.68
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 140.4 score on a scaleStandard Deviation 1.56
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 440.3 score on a scaleStandard Deviation 0.82
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 150.5 score on a scaleStandard Deviation 1.61
Roluperidone 64 mg at Any TimeSafety Assessments -Simpson-Angus Scale (S-AS) ScoreWeek 360.4 score on a scaleStandard Deviation 1.7

Source: ClinicalTrials.gov · Data processed: Feb 13, 2026