New pill aims to ease schizophrenia psychosis
NCT ID NCT05227703
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested two doses of a new drug called emraclidine (CVL-231) in 391 adults with schizophrenia who were having a sudden worsening of psychotic symptoms. Participants took the drug or a placebo daily for 6 weeks. The main goal was to see if the drug reduced symptoms like hallucinations and delusions better than a placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Emraclidine (CVL-231)
- What this could lead to
- If it works, this could point toward a new treatment option for acute psychotic episodes in schizophrenia.
- What could go wrong
- This is a Phase 2 trial, so results are still early. The drug may not prove effective or could have side effects. It is not a cure.
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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391 people
The number who actually took part.
- Started
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Jul 2022
- Finished
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Sep 2024
- 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: * Primary diagnosis of schizophrenia per DSM-5, as confirmed by the MINI for Psychotic Disorders. * CGI-S ≥4 (moderately to severely ill) at the time of signing the ICF and Baseline. * PANSS Total Score between 85 and 120, inclusive, at the time of signing the ICF and at Baseline. * Experiencing an acute exacerbation or relapse of psychotic symptoms, with onset less than 60 days prior to signing the ICF. * Willing to discontinue all prohibited medications to meet protocol-required washouts prior to and during the trial period. * Body mass index of 18.0 to 40.0 kg/m2 and a total body weight ≥50 kg (110 lbs). * Ability, in the opinion of the investigator, to understand the nature of the trial, participate in trial visits, and comply with protocol requirements. Exclusion Criteria: * 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. * Any of the following: * Schizophrenia 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 * Any of the following regarding history of schizophrenia: * Time from initial onset of schizophrenia \<2 years based on prior records or participant self-report * Presenting with an initial diagnosis of schizophrenia * Presenting for the first time with an acute psychotic episode requiring treatment * Reduction (improvement) in PANSS total score of ≥20% between Screening and Baseline. * 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. * 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 course of the trial that may confound the interpretation of the trial results * 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. * Risk for suicidal behavior as assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS) and investigator's clinical assessment. * Any condition that could possibly affect drug absorption. * Use of prohibited medications prior to randomization within the required wash-out period or likely to require prohibited concomitant therapy during the trial. * Clinically significant abnormal findings on the physical examination, medical history review, ECG, or clinical laboratory results at screening. * Positive pregnancy test result prior to receiving 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 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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Atlanta, Georgia
Atlanta, Georgia, 30331-2012, 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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Bentonville, Arkansas
Bentonville, Arkansas, 72712-3873, United States
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Berlin, New Jersey
Berlin, New Jersey, 08009, United States
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Budapest, Budapest
Budapest, 1083, Hungary
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Burgas, Burgas
Burgas, 8000, Bulgaria
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Charlotte, North Carolina
Charlotte, North Carolina, 28211-4849, United States
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Chicago, Illinois
Chicago, Illinois, 60640-5017, United States
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Chicago, Illinois
Chicago, Illinois, 60641, United States
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Győr, Győr-Moson-Sopron
Győr, Győr-Moson-Sopron, 9024, Hungary
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Homestead, Florida
Homestead, Florida, 33032-8187, United States
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Kalocsa, Bács-Kiskun
Kalocsa, Bács-Kiskun county, 6300, Hungary
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La Habra, California
La Habra, California, 90631-3842, United States
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Marlton, New Jersey
Marlton, New Jersey, 08053, United States
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Miami Lakes, Florida
Miami Lakes, Florida, 33016-1553, 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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New Haven, Connecticut
New Haven, Connecticut, 06519-1109, United States
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Pleven, Pleven
Pleven, 5800, Bulgaria
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San Diego, California
San Diego, California, 92103-2209, United States
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Savannah, Georgia
Savannah, Georgia, 31405-5701, United States
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Sherman Oaks, California
Sherman Oaks, California, 91403-1747, United States
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Sofia, Sofia
Sofia, 1282, Bulgaria
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Sofia, Sofia-Grad
Sofia, Sofia-Grad, 1431, Bulgaria
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Torrance, California
Torrance, California, 90504-4432, United States
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