Can a new daily pill offer safer Long-Term schizophrenia control?
NCT ID NCT05443724
First seen Aug 21, 2026 · Last updated Aug 21, 2026
Summary
This trial is testing whether emraclidine, an experimental oral medication taken once daily for a year, is safe and tolerable for adults with schizophrenia. Participants who completed earlier studies of emraclidine may join, and researchers will monitor side effects, vital signs, and movement-related symptoms. The goal is to see if this drug can be a long-term treatment option.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Emraclidine (also known as CVL-231), an oral tablet taken once daily
- What this could lead to
- If successful, this could support emraclidine as a long-term treatment option for schizophrenia with a favorable safety profile.
- What could go wrong
- This is a phase 2 open-label trial focused on safety, not efficacy. Side effects or lack of long-term benefit could limit its use.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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698 people
The number who actually took part.
- Started
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Sep 2022
- Finished
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Jun 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Completed 6 weeks of post-randomization treatment in Trial CVL-231-2001 (NCT05227690) or CVL-231-2002 (NCT05227703) and who, in the opinion of the investigator, could potentially benefit from treatment with emraclidine for schizophrenia. 2. Primary diagnosis of schizophrenia per Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), as confirmed by the Mini International Neuropsychiatric Interview (MINI) for Psychotic Disorders. 3. Participants who have been stable on antipsychotic medication for at least one 3-month in the year prior to screening. 4. Outpatient status at the time of signing the informed consent form informed consent form (ICF). 5. Willing to discontinue all prohibited medications to meet protocol-required washouts prior to and during the trial period. 6. Ability, in the investigator's opinion, to understand the nature of the trial, participate in trial visits, and comply with protocol requirements. Exclusion Criteria: 1. Current DSM-5 diagnosis other than schizophrenia (note: anxiety symptoms secondary to schizophrenia are allowed. * Acute depressive symptoms within 30 days prior to signing the ICF that require treatment with an antidepressant are exclusory. * Acute manic symptoms within 30 days prior to signing the ICF that require treatment with a mood stabilizer are exclusory. 2. Any of the following: * Schizophrenia is considered resistant/refractory to antipsychotic treatment by history (failure to respond to 2 or more courses of adequate pharmacological treatment defined as an adequate dose per label and a treatment duration of at least 4 weeks). * History of response to clozapine treatment only or failure to respond to clozapine treatment. 3. Current or past history of significant cardiovascular, pulmonary, gastrointestinal, renal, hepatic, metabolic, genitourinary, endocrine (including diabetes mellitus), malignancy (except for basal cell carcinoma of the skin and cervical carcinoma in situ, at the discretion of the investigator), hematological, immunological, neurological, or psychiatric disease that, in the opinion of the investigator or medical monitor, could compromise either participant safety or the results of the trial. 4. Active central nervous system infection, demyelinating disease, degenerative neurological disease, brain tumor, prior hospitalization for severe head trauma, seizures (excluding febrile seizures in childhood), or any central nervous system disease deemed to be progressive during the trial that may confound the interpretation of the trial results 5. Diagnosis of moderate to severe substance or alcohol use disorder (excluding nicotine or caffeine) as per DSM-5 criteria within 12 months prior to signing the ICF. 6. Risk for suicidal behavior as assessed by the C-SSRS and investigator's clinical assessment. 7. Any condition that could possibly affect drug absorption, including, but not limited to bowel resections, bariatric weight loss surgery, gastric banding, and gastrectomy 8. Use of prohibited medications prior to randomization within the required wash-out period or likely to require prohibited concomitant therapy during the trial. 9. Clinically significant abnormal findings on the physical examination, medical history review, ECG, or clinical laboratory results at screening. 10. Positive pregnancy test result prior to receiving investigational medicinal product (IMP). Note: female participants who are pregnant, breastfeeding, or planning to become pregnant during IMP treatment or within 7 days after the last dose of the IMP are also excluded.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Anaheim, California
Anaheim, California, 92805-5854, United States
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Atlanta, Georgia
Atlanta, Georgia, 30318-3102, United States
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Atlanta, Georgia
Atlanta, Georgia, 30328-4018, United States
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Atlanta, Georgia
Atlanta, Georgia, 30331, United States
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Austin, Texas
Austin, Texas, 78754-5122, United States
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Bellflower, California
Bellflower, California, 90706-7079, United States
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Berlin, New Jersey
Berlin, New Jersey, 08009, United States
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Berwyn, Illinois
Berwyn, Illinois, 60402-2248, United States
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Bonita Springs,Florida
Bonita Springs, Florida, 34134-4154, United States
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Bryant, Arkansas
Bryant, Arkansas, 72022-9252, United States
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Cedarhurst, New York
Cedarhurst, New York, 11516-1905, United States
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Charlotte, North Carolina
Charlotte, North Carolina, 28211-4849, United States
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Chicago, Illinois
Chicago, Illinois, 60611-3478, United States
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Chicago, Illinois
Chicago, Illinois, 60622-1702, United States
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Chicago, Illinois
Chicago, Illinois, 60623, United States
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Chicago, Illinois
Chicago, Illinois, 60640-5017, United States
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Chicago, Illinois
Chicago, Illinois, 60641-4023, United States
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Culver City, California
Culver City, California, 90230-6632, United States
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DeSoto, Texas
DeSoto, Texas, 75115-2066, United States
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Decatur, Georgia
Decatur, Georgia, 30030-3438, United States
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Flowood, Mississippi
Flowood, Mississippi, 39232-8016, United States
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Fort Myers, Florida
Fort Myers, Florida, 33901-3711, United States
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Franklin,Tennessee
Franklin, Tennessee, 37067-5967, United States
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Gaithersburg, Maryland
Gaithersburg, Maryland, 20877-1409, United States
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Garden Grove, California
Garden Grove, California, 92845-2506, United States
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Gyor, Gyor-Moson-Sopron
Győr, Győr-Moson-Sopron, 9024, Hungary
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Hialeah, Florida
Hialeah, Florida, 33012-4648, United States
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Hialeah, Florida
Hialeah, Florida, 33016-1814, United States
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Houston, Texas
Houston, Texas, 77043, United States
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Houston, Texas
Houston, Texas, 77074, United States
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Ivano Frankivsk, Ivano Frankivsk
Ivano-Frankivsk, Ivano-Frankivsk Oblast, 76011, Ukraine
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Kalocsa, Bács-Kiskun
Kalocsa, Bács-Kiskun county, 6300, Hungary
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Kropyvnytskyi, Kropyvnytskyi
Kropyvnytskyi, 25491, Ukraine
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Kyiv, Kyïv
Kyiv, 04080, Ukraine
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La Habra, California
La Habra, California, 90631-3842, United States
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Las Vegas, Nevada
Las Vegas, Nevada, 89102-1972, United States
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Lemon Grove, California
Lemon Grove, California, 91945-2956, United States
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Little Rock, Arkansas
Little Rock, Arkansas, 72211-3702, United States
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Lviv, L'vivs'ka Oblast
Lviv, Lviv Oblast, 79021, Ukraine
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Marrero, Louisiana
Marrero, Louisiana, 70072-3083, United States
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Miami Lakes, Florida
Miami Lakes, Florida, 33016-1553, United States
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Miami Lakes, Florida
Miami Lakes, Florida, 33016, United States
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Miami Springs, Florida
Miami Springs, Florida, 33166-7225, United States
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Miami, Florida
Miami, Florida, 33122-1335, United States
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Miami, Florida
Miami, Florida, 33125-5114, United States
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Miami, Florida
Miami, Florida, 33155, United States
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Montclair, California
Montclair, California, 91763-2231, United States
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New Haven, Connecticut
New Haven, Connecticut, 06519-1109, United States
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New York, New York
New York, New York, 10036-4811, United States
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North Canton, Ohio
North Canton, Ohio, 44718-2567, United States
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Oakland Park, Florida
Oakland Park, Florida, 33334-4135, United States
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Oklahoma City, Oklahoma
Oklahoma City, Oklahoma, 73102-1018, United States
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Orange,California
Orange, California, 92868-4447, United States
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Pazardzhik, Pazardzhik
Pazardzhik, 4400, Bulgaria
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Phoenix, Arizona
Phoenix, Arizona, 85012-2707, United States
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Pico Rivera, California
Pico Rivera, California, 90660-4920, United States
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Plano, Texas
Plano, Texas, 75093-0010, United States
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Pleven, Pleven
Pleven, 5800, Bulgaria
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Richardson, Texas
Richardson, Texas, 75080-3764, United States
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Riverside, California
Riverside, California, 92506-3237, United States
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San Diego, California
San Diego, California, 92103-2209, United States
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San Diego, California
San Diego, California, 92121, United States
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San Diego, California
San Diego, California, 92123, United States
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San Juan, Puerto Rico
San Juan, 918, Puerto Rico
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San Juan, Puerto Rico
San Juan, 926, Puerto Rico
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Savannah,Georgia
Savannah, Georgia, 31405-5702, United States
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Sherman Oaks, California
Sherman Oaks, California, 91403-1747, United States
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Shreveport, Louisiana
Shreveport, Louisiana, 71101-4603, United States
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Sliven, Sliven
Sliven, 8800, Bulgaria
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Smila, Smila
Smila, 20708, Ukraine
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Sofia, Sofia-Grad
Sofia, Sofia-Grad, 1202, Bulgaria
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Sofia, Sofia-Grad
Sofia, Sofia-Grad, 1407, Bulgaria
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Sofia, Sofia-Grad
Sofia, Sofia-Grad, 1431, Bulgaria
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Sofia, Sofia-Grad
Sofia, Sofia-Grad, 1510, Bulgaria
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Sofia, Sofia-Grad
Sofia, Sofia-Grad, 1606, Bulgaria
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Sofia, Sofia-Grad
Sofia, Sofia-Grad, 1680, Bulgaria
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Stara Zagora, Stara Zagora
Stara Zagora, 6003, Bulgaria
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Staten Island, New York
Staten Island, New York, 10314-1607, United States
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Torrance, California
Torrance, California, 90502-4432, United States
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Varna, Varna
Varna, 9000, Bulgaria
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Veliko Tarnovo, Veliko Tarnovo
Veliko Tarnovo, 5000, Bulgaria
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Vinnytsia, Vinnytsia
Vinnytsia, 21018, Ukraine
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Vratsa, Vratsa
Vratsa, 3000, Bulgaria
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Walnut Creek, California
Walnut Creek, California, 94549, United States
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West Palm Beach, Florida
West Palm Beach, Florida, 33407-2015, United States
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