Could a daily pill boost brain power in schizophrenia?
NCT ID NCT04846881
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a daily medicine called iclepertin can improve memory and thinking in adults with schizophrenia. Over 600 participants took either iclepertin or a placebo for 26 weeks, while continuing their usual schizophrenia medications. Researchers measured cognitive abilities through tests and interviews to see if iclepertin made a difference.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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611 people
The number who actually took part.
- Started
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Aug 2021
- Finished
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Nov 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 50 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. Patient must be capable of providing a signed and dated written informed consent by visit 1 in accordance with International Council on Harmonisation for Good Clinical Practice (ICH-GCP) and local legislation prior to admission to the trial. 2. Male or female patients who are 18-50 years (inclusive) of age at time of consent. 3. Diagnosis of schizophrenia utilizing Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5) with the following clinical features: * Outpatient, clinically stable and in the residual (non-acute) phase of their illness. * No hospitalization3 or increase in level of psychiatric care4 due to worsening of schizophrenia within 12 weeks prior to randomization. * Positive and Negative Syndrome Scale (PANSS) score: items P1, P3-P6 = 5 and item P2 and P7 = 4 at Visit 1, and confirmed at Visit 2. 4. Patients should have functional impairment in day-to-day activities such as difficulties following conversation or expressing themselves, difficulties staying focused, difficulties remembering instructions, what to say or how to get to places, per investigator judgement. 5. Patients maintained on current antipsychotic treatment (minimum 1 and maximum 2 antipsychotics, but clozapine is not allowed) for at least 12 weeks and on current dose for at least 35 days prior to randomization. \-- For patients on two antipsychotics, at least one antipsychotic must be within the approved label dose range. The second antipsychotic must not exceed the maximum daily dose per local label. Note: If the total dose is stable, different dosage forms of the same antipsychotic treatment will be considered as one antipsychotic. 6. Patients with any other concomitant psychoactive medications (except for anticholinergics) need to be maintained on same drug for at least 12 weeks and on current dose/ regimen for at least 35 days prior to randomization. * Maximum daily benzodiazepine load of up to 1 mg lorazepam-equivalent as needed. * For any other psychoactive medications cannot exceed the maximum daily dose per local label of the country where the study is being conducted. 7. Women of childbearing potential (WOCBP)5 must be ready and able to use highly effective methods of birth control per Non-Clinical Safety Studies for the Conduct of Human Clinical Trials and Marketing Authorization for Pharmaceuticals (ICH M3 (R2)) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria is provided in the protocol. Such methods should be used throughout the trial, and for a period of at least 35 days after last trial drug intake, and the patient must agree to periodic pregnancy testing during participation in the trial. 8. Have a study partner, defined as any person either private or professional who knows the patient well, has been capable of interacting with the patient on regular basis, and preferably consistent throughout the study. * The study partner must interact with the patient at a minimum one hour per week and, preferably, at least 2 times a week. At least one interaction per week should be in person. * The study partner must have educational achievement of minimum 8th grade. * Professional study partners (e.g. study nurse, social worker etc.) are allowed if not involved in administration of any of the protocol assessments. Further inclusion criteria apply. Exclusion criteria 1. Patient with current DSM-5 diagnosis other than Schizophrenia, including but not limited to bipolar, schizoaffective, major depressive disorder etc. The Mini-International Neuropsychiatric Interview (M.I.N.I.) for psychotic disorders should be used for guidance. 2. Cognitive impairment due to developmental, neurological (e.g. stroke) or other disorders including head trauma, or patients with dementia or epilepsy. 3. Severe movement disorders * Leading to cognitive impairment (e.g. Parkinson's dementia), or * Interfering with the efficacy assessments, or * Due to antipsychotic treatment that cannot be controlled with low dose anticholinergic treatment (equal to maximum 1 mg benztropine twice daily). 4. Any suicidal behavior in the past 1-year prior to screening and during the screening period. 5. Suicidal ideation of type 5 in the Columbia Suicidality Severity Rating Scale (C-SSRS) (i.e. active suicidal thought with plan and intent) in the past 3 months prior to screening and up to and including Visit 2. \-- Patients with Suicidal Ideation type 4 in the C-SSRS (i.e. active suicidal thought with intent but without specific plan), within 3 months prior to screening and up to and including visit 2, can be randomized in the study, if assessed and documented by a licensed mental health professional that there is no immediate risk of suicide. 6. History of moderate or severe substance use disorder (other than caffeine and nicotine), as defined in DSM-5 within the last 12 months prior to informed consent. 7. Positive urine drug screen at Visit 1 based on central lab test. 8. Patients who were treated with any of the following within 6 months prior to randomization: * Clozapine * Stimulants (e.g. methylphenidate, dextroamphetamine, modafinil) * Ketamine or esketamine * Electroconvulsive therapy (ECT) or modified ECT Further exclusion criteria apply.
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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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AK Clinic
Fukuoka, Fukuoka, 810-0031, Japan
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ASCLEPES Research Centers, P.C. dba Alliance Research
Long Beach, California, 90807, United States
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ATP Clinical Research, Inc.
Costa Mesa, California, 92626, United States
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American Medical Research
Chicago, Illinois, 60612, United States
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Benito Menni Complejo Asistencial en Salud Mental
Sant Boi de Llobregat, 08830, Spain
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Biomedica Research Group
Santiago, 7500710, Chile
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CEMEC - Centro Multidisciplinar de Estudos Clínicos
São Bernardo do Campo, 09715-090, Brazil
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CEN (Centro Especializado Neurociencias)
Córdoba, 5004, Argentina
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CENYDET-Centro Neurobiologico y de Estres Traumatico (Biopsychomedical Research Group S.R.L.)
CABA, 1058AAJ, Argentina
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Centro de Investigacion y Asistencia en Psiquiatria (CIAP)
Rosario, S2000QJI, Argentina
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Centro de Salud de San Juan
Salamanca, 37005, Spain
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Centro de Salud mental de Getafe
Getafe, 28903, Spain
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Changi General Hospital
Singapore, 529889, Singapore
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Chonbuk National University Hospital
Jeonju, 54907, South Korea
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Clincal Hospital Centre Rijeka
Rijeka, 51 000, Croatia
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Clinhouse
Zabrze, 41-807, Poland
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Clinica Privada de Salud Mental Santa Teresa de Avila
La Plata, 1900, Argentina
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Clinical Center of Vojvodina
Novi Sad, 21000, Serbia
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Clinical Hospital Centre Zagreb
Zagreb, 10 000, Croatia
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Clinical Innovations, Inc
Bellflower, California, 90706, United States
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Clínica Viver - Centro de Desospitalização Humana
São Paulo, 04020-060, Brazil
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Collaborative Neuroscience Research, LLC-Torrance-69527
Torrance, California, 90504, United States
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Communal Non-Profit Enterprise "Regional Clinical Psychiatric Hospital" of Kirovohrad Regional Council
Nove, 25491, Ukraine
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Connecticut Mental Health Center
New Haven, Connecticut, 06519, United States
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Cpquali Pesquisa Clinica Ltda
São Paulo, 01228-000, Brazil
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Daegu Catholic University Medical Center
Daegu, 42472, South Korea
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EPAMED s.r.o.
Košice, 040 01, Slovakia
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EUROMEDIS Sp. z o.o., Szczecin
Szczecin, 70-111, Poland
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Fundación FunDaMos para la asistencia e investigación en psiquiatría
CABA, C1405BOA, Argentina
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HOP Albert Chenevier
Créteil, 94000, France
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HOP André Mignot
Le Chesnay-Rocquencourt, 78150, France
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HOP Carémeau
Nîmes, 30029, France
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HOP Charles Perrens
Bordeaux, 33076, France
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HOP Fontan
Lille, 59037, France
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HOP Gabriel-Montpied
Clermont-Ferrand, 63003, France
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HOP Guillaume Régnier
Rennes, 35703, France
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HOP Hôtel-Dieu
Nantes, 44093, France
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HOP Nord-Saint-Priest-en-Jarez-53664
Saint-Priest-en-Jarez, 42270, France
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HOP Pasteur
Nice, 06000, France
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HOP Rouffach
Rouffach, 68250, France
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HOP la Colombière
Montpellier, 34295, France
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Health Center Alcea
Gdansk, 80-283, Poland
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Health Synergy Clinical Research, LLC
West Palm Beach, Florida, 33407, United States
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Hestia Palau
Barcelona, 08025, Spain
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Hirota Clinic
Fukuoka, Kurume, 830-0033, Japan
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Hokudai-dori Mental Health Clinic
Hokkaido, Sapporo, 001-0010, Japan
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Hokuriku Hospital
Toyama, Nanto, 939-1893, Japan
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Hospital Clinico Universitario De Valencia
Valencia, 46010, Spain
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Hospital Clínic de Barcelona
Barcelona, 08036, Spain
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Hospital Nicolás Peña
Vigo, 36211, Spain
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Hospital Provincial. Complejo Asistencial de Zamora
Zamora, 49021, Spain
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Hospital Puerta de Hierro
Majadahonda, 28222, Spain
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Hospital Raja Permaisuri Bainun
Ipoh, 30450, Malaysia
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Hospital Sentosa
Kuching, 93250, Malaysia
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Hospital Tuanku Ja'afar
Seremban, Negeri Sembilan, 70300, Malaysia
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Hospital Universitario General de Villalba
Collado de Villalba, 28400, Spain
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Hospital Universitario Reina Sofía
Córdoba, 14004, Spain
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Hospital Virgen del Rocío
Seville, 41013, Spain
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Hospital das Clinicas da FMUSP
São Paulo, 05403-010, Brazil
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Hospital de Son Llàtzer
Palma, 07198, Spain
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Inha University Hospital
Incheon, 400 711, South Korea
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Inje University Haeundae Paik Hospital
Busan, 48108, South Korea
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Insight Clinical Trials, LLC, Independence
Independence, Ohio, 44131, United States
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Institute for Mental Health
Belgrade, 11000, Serbia
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Institute of Mental Health
Singapore, 539747, Singapore
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Institute of Science Tokyo Hospital
Tokyo, Bunkyo-ku, 113-8519, Japan
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Inuo Hospital
Saga, Tosu, 841-0081, Japan
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John Peter Smith Health Network
Fort Worth, Texas, 76104, United States
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Kanazawa Medical University Hospital
Ishikwa, Kahoku-gun, 920-0293, Japan
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Kishi Hospital
Gumma, Kiryu, 376-0011, Japan
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Kishiro Mental Clinic
Kanagawa, Kawasaki, 214-0014, Japan
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Links Mental Clinic
Kanagawa, Yokohama, 224-0001, Japan
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Maastricht University
Maastricht, 6229 HX, Netherlands
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Maynds Tower Mental Clinic
Tokyo, Shibuya-ku, 151-0053, Japan
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Medical Corporation Seijin Hospital
Tokyo, Adachi-ku, 121-8515, Japan
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Medical Corporation Yamadakai Yatsushiro Welfare Hospital
Kumamoto, Yatsushiro, 866-0043, Japan
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Mental Health Center Sector 4
Bucharest, 040872, Romania
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MentalMEDIC
Gliwice, 44100, Poland
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Minami-Aoyama Antique Street Clinic
Tokyo, Minato-ku, 107-0062, Japan
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NRC Research Institute
Orange, California, 92868, United States
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Nara Medical University Hospital
Nara, Kashihara, 634-8522, Japan
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National Hospital Organization Shimofusa Psychiatric Medical Center
Chiba, Chiba, 266-0007, Japan
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Neurobehavioral Research, Inc.
Cedarhurst, New York, 11516, United States
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New York State Psychiatric Institute
New York, New York, 10032, United States
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Nishigahara Hospital
Tokyo, Kita-ku, 114-0024, Japan
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Northwest Clinical Research Center
Bellevue, Washington, 98007, United States
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Obudai Egeszegugyi Centrum Kft.
Budapest, 1036, Hungary
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Okehazama Hospital Fujita Kokoro Care Center
Aichi, Toyoake, 470-1168, Japan
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Optimus U Corporation-Miami-69452
Miami, Florida, 33135, United States
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Osaka City Hospital Organization Osaka City General Hospital
Osaka, Osaka, 534-0021, Japan
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Podlassian Center of Psychogeriatry, Bialystok
Bialystok, 15-756, Poland
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Provincial Hospital for Nervous and Mentally Ill in Swiecie
Gmina Świecie, 86-100, Poland
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Psicomed Estudios Clínicos
Segunda Región, 1270244, Chile
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PsychCare Consultants Research
St Louis, Missouri, 63128, United States
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Psychiatria, Nemocnica s poliklinikou Prievidza so sidlom v Bojniciach
Bojnice, 97201, Slovakia
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Psychiatric Doctor's Office Ireneusz Kaczorowski
Bełchatów, 97-400, Poland
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Psychiatric Hospital 'Sveti Ivan'
Zagreb, 10090, Croatia
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Psychiatricka Ambulancia Psycholine s.r.o.
Rimavská Sobota, 97901, Slovakia
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PsychoTech Ltd.
Pécs, 7633, Hungary
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Rainbow and Sea Hospital
Saga, Karatsu, 847-0031, Japan
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Relaro Medical Trials, LLC
Dallas, Texas, 75243, United States
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Research in Miami Inc
Hialeah, Florida, 33013, United States
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Resolution Psychopharmacology Research Institute
Mendoza, 5502, Argentina
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Ruschel Medicina e Pesquisa Clínica
Rio de Janeiro, 22270-060, Brazil
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SC Carpe Diem SRL
Sibiu, 557260, Romania
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SERES Neurociencia Cognitiva Aplicada
CABA, 1111, Argentina
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Salem VA Medical Center
Salem, Virginia, 24153, United States
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Sanatorio Morra S.A.
Córdoba, X5009, Argentina
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Semmelweis University
Budapest, 1082, Hungary
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Seoul National University Hospital
Seoul, 03080, South Korea
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Sheppard Pratt Physicians's Practice Association, Inc.
Baltimore, Maryland, 21204, United States
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Shinjuku East Mental Clinic
Tokyo, Shinjuku-ku, 160-0021, Japan
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Solmed Polyclinic
Zagreb, 10000, Croatia
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Special Hospital for Psychiatric Diseases Sveti Vračevi
Novi Kneževac, 23330, Serbia
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Suwa Red Cross Hospital
Nagano, Suwa, 392-8510, Japan
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Tatsuta Clinic
Hyogo, Kobe, 651-0097, Japan
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Toho University Omori Medical Center
Tokyo, Ota-ku, 143-8541, Japan
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Toyota Memorial Hospital
Aichi, Toyota, 471-8513, Japan
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Uematsu Mental Clinic
Fukuoka, Chikugo, 833-0041, Japan
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Universitair Medisch Centrum Groningen
Groningen, 9713 AV, Netherlands
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University Psychiatric Hospital Vrapce
Zagreb, 10090, Croatia
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University of California Los Angeles
Los Angeles, California, 90095, United States
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University of Debrecen, Gyula Kenezi University Hospital
Debrecen, 4031, Hungary
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University of Malaya Medical Centre
Kuala Lumpur, 59100, Malaysia
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University of the Ryukyus Hospital
Okinawa, Ginowan, 901-2725, Japan
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Yokohama City University Hospital
Kanagawa, Yokohama, 236-0004, Japan
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Yuge Neuropsychiatric Hospital
Kumamoto, Kumamoto, 861-8002, Japan
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Other studies related to the condition(s) this trial covers.
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