New combo pill aims to curb weight gain in teens on antipsychotics
NCT ID NCT05303064
First seen Jun 27, 2026 · Last updated Aug 14, 2026 · Updated 1 time
Summary
This study tests whether a combination drug called OLZ/SAM (olanzapine plus samidorphan) causes less weight gain than olanzapine alone in teenagers with schizophrenia or bipolar I disorder. About 220 teens aged 10-17 will take either the combo or olanzapine for 52 weeks. The main goal is to see if the combo leads to a smaller increase in body mass index (BMI).
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- OLZ/SAM (olanzapine and samidorphan combination)
- What this could lead to
- If successful, this could offer a way to control psychiatric symptoms with less weight gain, improving long-term health for teens.
- What could go wrong
- This is an early Phase 3 trial with only 220 participants, so results may not apply to everyone. Weight gain may still occur, and side effects are possible.
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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About 220 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2022
- Expected to finish
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Sep 2026
An estimate. End dates often move.
- 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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10 to 17 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: * Subjects aged 13 to 17 years with schizophrenia or aged 10 to 17 years with bipolar I disorder, diagnosed according to Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria * Subject is an outpatient or will be able to be treated on an outpatient basis (per Investigator judgement) by study Week 2 * Subject has reliable family/legal guardian support available for outpatient management * Subject is either currently treated with olanzapine, or if treated with another antipsychotic, the subject has had an inadequate response (eg, unsatisfactory clinical response, AEs, or nonadherence to current medication) based on Investigator judgment * Subject must not be a danger to self or others (per Investigator judgement) Exclusion Criteria: * Subject presents with a major depressive episode(bipolar I disorder) or other neuropsychiatric diagnosis (according to DSM-5 criteria) including schizoaffective disorder, current major depressive disorder that is untreated and/or unstable, or any other psychiatric condition that could interfere with participation in the study * Subject has a history of seizure disorder (exception: history of febrile seizures), severe head trauma with loss of consciousness within the 12 months prior to Screening, or other clinically significant neurological condition within the 12 months prior to Screening * Subject poses a current suicide risk as assessed by the Investigator or as confirmed by the baseline Columbia-Suicide Severity Rating Scale (C-SSRS) * Subject has received olanzapine for \>= 14 days during the month prior to screening, or has a history of poor or inadequate response to treatment with olanzapine * Subject has taken opioid agonists within 14 days prior to Screening, or within 30 days prior to Screening (for long-acting opioid agonists) * Subject anticipates needing to take opioid medication during the study period (eg, planned surgery, including oral surgery) * Subject has taken opioid antagonists including naltrexone (any formulation) or naloxone within 60 days prior to Screening * Subject has used a long-acting injectable antipsychotic medication within 3 injection cycles prior to Screening * Subject has a BMI percentile \>98th or \<5th * Subject has a diagnosis of diabetes mellitus or presents with prediabetes lab results at Screening (hemoglobin A1c \[HbA1c\] \>= 6%) * Subject has started a smoking cessation program within the 6 months prior to Screening or has joined a weight management program or has had significant changes in diet or exercise regimen within 6 weeks prior to Screening * Subject has participated in a clinical study of an investigational product within the last 30 days prior to Screening
Get updates
Get notified about this study
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
35 sites in 5 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Alkermes Investigational Site
WITHDRAWNKinston, North Carolina, 28504, United States
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Alkermes Investigational Site
RECRUITINGRichmond, Virginia, 23220, United States
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Alkermes Investigator Site
RECRUITINGDothan, Alabama, 36303, United States
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Alkermes Investigator Site
RECRUITINGLittle Rock, Arkansas, 72204, United States
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Alkermes Investigator Site
WITHDRAWNEncino, California, 91316, United States
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Alkermes Investigator Site
RECRUITINGStanford, California, 94305, United States
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Alkermes Investigator Site
WITHDRAWNUpland, California, 91786, United States
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Alkermes Investigator Site
WITHDRAWNColorado Springs, Colorado, 80910, United States
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Alkermes Investigator Site
ACTIVE_NOT_RECRUITINGDenver, Colorado, 80202, United States
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Alkermes Investigator Site
WITHDRAWNHartford, Connecticut, 06106, United States
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Alkermes Investigator Site
RECRUITINGWashington D.C., District of Columbia, 20010, United States
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Alkermes Investigator Site
WITHDRAWNMiami, Florida, 33155, United States
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Alkermes Investigator Site
RECRUITINGMiami Lakes, Florida, 33016, United States
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Alkermes Investigator Site
RECRUITINGDecatur, Georgia, 30030, United States
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Alkermes Investigator Site
RECRUITINGChicago, Illinois, 60611, United States
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Alkermes Investigator Site
RECRUITINGIndianapolis, Indiana, 46202, United States
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Alkermes Investigator Site
RECRUITINGSaint Charles, Missouri, 63304, United States
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Alkermes Investigator Site
RECRUITINGLincoln, Nebraska, 68526, United States
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Alkermes Investigator Site
WITHDRAWNOmaha, Nebraska, 68198, United States
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Alkermes Investigator Site
WITHDRAWNParamus, New Jersey, 07652, United States
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Alkermes Investigator Site
RECRUITINGNew York, New York, 10016, United States
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Alkermes Investigator Site
RECRUITINGCincinnati, Ohio, 45219, United States
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Alkermes Investigator Site
RECRUITINGWest Chester, Ohio, 45069, United States
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Alkermes Investigator Site
TERMINATEDDeSoto, Texas, 75115, United States
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Alkermes Investigator Site
WITHDRAWNFort Worth, Texas, 76104, United States
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Alkermes Investigator Site
RECRUITINGEverett, Washington, 98201, United States
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Alkermes Investigator Site
RECRUITINGLa Plata, Buenos Aires, 1900, Argentina
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Alkermes Investigator Site
RECRUITINGLa Plata, Buenos Aires, C1199ABB, Argentina
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Alkermes Investigator Site
RECRUITINGBuenos Aires, C1133AAH, Argentina
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Alkermes Investigator Site
RECRUITINGCórdoba, X5003DCE, Argentina
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Alkermes Investigator Site
RECRUITINGMendoza, 5500, Argentina
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Alkermes Investigator Site
RECRUITINGFortaleza, Ceará, 60430-140, Brazil
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Alkermes Investigator Site
RECRUITINGCuritiba, Paraná, 80240-280, Brazil
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Alkermes Investigator Site
RECRUITINGGoiânia, 74093-040, Brazil
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Alkermes Investigator Site
RECRUITINGRio de Janeiro, 22270-060, Brazil
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Alkermes Investigator Site
RECRUITINGSão Paulo, 01228-000, Brazil
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Alkermes Investigator Site
RECRUITINGSão Paulo, 05403-010, Brazil
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Alkermes Investigator Site
RECRUITINGBarranquilla, 110121, Colombia
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Alkermes Investigator Site
RECRUITINGBello, 51053, Colombia
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Alkermes Investigator Site
ACTIVE_NOT_RECRUITINGBogotá, 111166, Colombia
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Alkermes Investigator Site
RECRUITINGBogotá, 80020, Colombia
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Alkermes Investigator Site
RECRUITINGPereira, 660003, Colombia
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Alkermes Investigator Site
RECRUITINGCuliacán, 80230, Mexico
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Alkermes Investigator Site
RECRUITINGEstado de México, C.P. 07000, Mexico
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Alkermes Investigator Site
RECRUITINGLeón, 37000, Mexico
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Alkermes Investigator Site
RECRUITINGMonterrey, 64620, Mexico
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Alkermes Investigator Site
RECRUITINGMonterrey, 64710, Mexico
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Other studies related to the condition(s) this trial covers.
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