Treatment of Cognitive Impairment in Men With Schizophrenia (MK5757-005)(COMPLETED) - Full Text View

Purpose

This study is to evaluate the safety and efficacy of the study drug compared to placebo in the treatment of cognitive impairment in men with schizophrenia.

Condition	Intervention	Phase
Schizophrenia	Drug: MK5757 Drug: Comparator: Placebo	Phase 2

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment
Official Title:	A Phase IIa, Randomized, Double-Blind, Placebo-Controlled, Add-On Therapy, 2-Period Cross-Over Clinical Trial to Evaluate the Safety and Efficacy of MK5757 for the Treatment of Cognitive Impairment in Men With Schizophrenia

Resource links provided by NLM:

MedlinePlus related topics: Schizophrenia

U.S. FDA Resources

Further study details as provided by Merck:

Primary Outcome Measures:

Mean Change From Baseline in the Composite Score From the Brief Assessment of Cognition in Schizophrenia (BACS) Battery After 2 Weeks of Treatment [ Time Frame: Baseline and Week 2 ] [ Designated as safety issue: No ]
The Brief Assessment of Cognition in Schizophrenia (BACS) was used to evaluate cognitive impairment, as measured by the mean change from baseline after 2 weeks of treatment in the composite score. The BACS composite score was calculated by averaging scores from the BACS subtests, including Verbal Memory, Digit Sequencing, Token Motor, Symbol Coding, Verbal Fluency (Semantic Fluency and Letter Fluency) and Tower of London. The possible minimum and maximum scores for change from baseline at two weeks of treatment for the endpoint are -111.5 and 111.5, respectively.

Secondary Outcome Measures:

Mean Change From Baseline After 2 Weeks of Treatment in the CogState Composite Score [ Time Frame: Baseline and week 2 ] [ Designated as safety issue: No ]
CogState Schizophrenia Battery was used to evaluate cognitive impairment, as measured by the mean change from baseline after 2 weeks of treatment in the composite score. The composite score was comprised of 4 modules from the CogState Schizophrenia Battery: Identification Task, Detection Task, One Card Learning Task and Groton Maze Learning Task. Composite score was calculated by averaging all available standardized tests scores for the specified tests. The possible minimum and maximum scores for change from baseline at 2 weeks of treatment for the endpoint are -347.5 and 347.5, respectively.
Mean Change From Baseline After 2 Weeks of Treatment in the Executive Functioning Composite Score [ Time Frame: Baseline and Week 2 ] [ Designated as safety issue: No ]
The Executive Functioning Composite Score was comprised of the following tests: Groton Maze Learning Task from the CogState Schizophrenia Battery and Tower of London, Semantic Fluency and Letter Fluency tests from the BACS. The composite score was calculated by averaging all of the available standardized tests scores for the specified tests. The possible minimum and maximum scores for change from baseline at two weeks of treatment for the endpoint are -253.4 and 253.4, respectively.
Mean Change From Baseline After 2 Weeks of Treatment in the Episodic Memory Composite Score [ Time Frame: Baseline and Week 2 ] [ Designated as safety issue: No ]
The Episodic Memory Composite Score was comprised of the following tests: Continuous Paired Associate Learning Task and One Card Learning Task from the CogState Schizophrenia Battery and the Verbal Memory test from the BACS. The composite score was calculated by averaging all of the available standardized tests scores for the specified tests. The possible minimum and maximum scores for change from baseline at two weeks of treatment for the endpoint are -207.06 and 207.06, respectively.
Mean Change From Baseline After 2 Weeks of Treatment in the Working Memory Composite Score [ Time Frame: Baseline and Week 2 ] [ Designated as safety issue: No ]
The Working Memory Composite Score was comprised of the following tests: Two-Back Memory Task from the CogState Schizophrenia Battery and the Digit Sequencing test from the BACS. The composite score was calculated by averaging all of the available standardized tests scores for the specified tests. The possible minimum and maximum scores for change from baseline at two weeks of treatment for the endpoint are -27.06 and 27.06, respectively.
Mean Change From Baseline After 2 Weeks of Treatment in the Attention/Processing Speed Composite Score [ Time Frame: Baseline and Week 2 ] [ Designated as safety issue: No ]
The Attention/Processing Speed Composite Score was comprised of the following tests: Identification Task and the Detection Task from the CogState Schizophrenia Battery and the Symbol Coding test from the BACS. The composite score was calculated by averaging all of the available standardized tests scores for the specified tests. The possible minimum and maximum scores for change from baseline at two weeks of treatment for the endpoint are -287.15 and 287.15, respectively.

Enrollment:	54
Study Start Date:	October 2008
Study Completion Date:	June 2009
Primary Completion Date:	June 2009 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: 1 MK5757	Drug: MK5757 This is a 2 period, cross-over study. In each of the two treatment periods, each patient will receive the following: Days 1 and 28 MK5757 25 mg capsules three times a day (tid). Days 2 through 14 and Days 29 through 42 MK5757 50 mg capsules tid. Study drug is taken 3 times daily. Each treatment period is 14 days Other Name: MK5757
Placebo Comparator: 2 Placebo	Drug: Comparator: Placebo This is a 2 period, cross-over study. In each of the two treatment periods, each patient will receive the following: Days 1 and 28 MK5757 one placebo capsules three times a day (tid). Days 2 through 14 and Days 29 through 42 two MK5757 placebo capsules tid. Study drug is taken 3 times daily. Each treatment period is 14 days.

Eligibility

Ages Eligible for Study:	21 Years to 55 Years
Genders Eligible for Study:	Male
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Patient is male between 21 and 55 years of age
Duration of the illness must be longer than 1 year
Patient's current antipsychotic medication regimen must be stable
Patient is negative for selected drugs of abuse at Screening
Must be in a stable living arrangement for at least 3 months prior to screening (not a homeless shelter)

Exclusion Criteria:

Patient has mental retardation
Undergone Electroconvulsive Therapy (ECT) treatment within 6 months prior to screening
Has suicidal attempts or ideation within the last 12 months
Patient has a history of alcohol/drug dependence within 1 year or alcohol/drug abuse within 12 months of starting the study

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00848484

Sponsors and Collaborators

Merck

Investigators

Study Director:

Medical Monitor

Merck

More Information

No publications provided

Responsible Party:	Executive Vice President, Clinical and Quantitative Sciences, Merck Sharp & Dohme Corp
ClinicalTrials.gov Identifier:	NCT00848484 History of Changes
Other Study ID Numbers:	MK-5757-005, 2007_603
Study First Received:	February 19, 2009
Results First Received:	June 11, 2010
Last Updated:	November 17, 2010
Health Authority:	United States: Food and Drug Administration

Additional relevant MeSH terms:

Schizophrenia
Cognition Disorders
Schizophrenia and Disorders with Psychotic Features
Mental Disorders
Delirium, Dementia, Amnestic, Cognitive Disorders

ClinicalTrials.gov processed this record on May 22, 2013