Status:

RECRUITING

Pharmacokinetics, Safety, Tolerability and Efficacy of a Subcutaneous Long-Acting Injection of Cariprazine (Cariprazine Depot) in Subjects Eligible for Treatment With Oral Cariprazine

Lead Sponsor:

Mapi Pharma Ltd.

Conditions:

Major Depressive Disorder (MDD)

Bipolar 1 Disorder

Eligibility:

All Genders

18-64 years

Phase:

PHASE1

PHASE2

Brief Summary

The purpose of this study is to assess the PK, Safety, Tolerability (all cohorts) and Efficacy (cohort 3), of once-a-month long-acting SC injection of dose escalating Cariprazine Depot in subjects eli...

Eligibility Criteria

Inclusion

  • Key
  • Subjects who meet DSM-5-TR diagnostic criteria for schizophrenia, bipolar I disorder or major depressive disorder (this inclusion criterion relates to cohorts 1 and 2 only).
  • Clinically stable subjects (with no evidence of deterioration and on a stable dose of oral antipsychotic or antidepressant medication(s) other than Cariprazine for at least 4 weeks, prior to screening), receiving antipsychotic/s or antidepressant/s other than oral Cariprazine and eligible for treatment with Cariprazine 3 mg/day, with CGI-S score of 0-4.
  • Men and women aged 18-64 years (inclusive).
  • Body mass index (BMI) 18.5-35.
  • Able to sign an informed consent form.
  • Adult subjects with a current diagnosis of schizophrenia, who meet DSM-5-TR diagnostic criteria for schizophrenia, naïve to or treated with antipsychotics (this inclusion criterion relates to cohort 3 only).
  • Key

Exclusion

  • Subjects with schizophrenia with PANSS item scores of \> 4 on any of the following: P4 Excitement/Hyperactivity; P6 Suspiciousness/persecution; P7 Hostility; G8 Uncooperativeness; G14 Poor impulse control.
  • Subjects with schizoaffective disorder, delirium, dementia, amnestic, or other cognitive disorders or severe personality disorders.
  • Use of an investigational drug, and/or participation in clinical studies with an investigational product within 3 months prior to screening.
  • History or current cardiovascular or cerebrovascular disease.
  • History of seizures or conditions that lower the seizure threshold.
  • Use of concomitant administration of strong or moderate CYP3A4 inhibitors.
  • Use of concomitant medication of strong or moderate CYP3A4 inducers is contraindicated.
  • Subjects with Suicidal Thoughts and Behaviors or has a history of suicidal ideation in the past year, or made a suicide attempt in the past 5 years.
  • Subjects with a history of orthostatic hypotension and/or syncope.
  • Subjects clinically stable on any dose of oral Cariprazine or add-on treatment (cohorts 1-2 only).
  • Subjects with CGI-S score of 5-7.
  • Subjects previously treated with partial D2 agonists, aripiprazole and brexipiprazole, and suffered from clinically relevant akathisia.
  • For cohort 3 only: Subjects treated with oral Clozapine.

Key Trial Info

Start Date :

August 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 3 2027

Estimated Enrollment :

24 Patients enrolled

Trial Details

Trial ID

NCT07185815

Start Date

August 1 2025

End Date

June 3 2027

Last Update

December 3 2025

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Clinical Research Center

Ness Ziona, Israel, 741000

2

Israeli Medical Center for Alzheimer

Ramat Gan, Israel, 56621

3

Tel Aviv, Israel

Tel Aviv, Israel, 6423906