Phase II trial results demonstrated improvement in cognition with BI 425809 in adult patients with schizophrenia (2024)

- Results presented at the 33rd ECNP Congress from a 12-week, placebo-controlled Phase II trial demonstrated BI 425809 met its primary endpoint

- Trial results, together with an ongoing combination Phase II study of BI 425809 and adjunctive computerized cognitive training, add to the body of evidence for Boehringer Ingelheim's schizophrenia research program

- Cognitive impairment associated with schizophrenia (CIAS) has a significant negative impact on daily functioning and remains a focus for Boehringer Ingelheim's research across several neuropsychiatric disorders

RIDGEFIELD, Conn., Sept. 14, 2020 /PRNewswire/ --Boehringer Ingelheim today announced the results from a 12-week, placebo-controlled Phase II trial, that demonstrate BI 425809met its primary endpoint. The data showed improvement in cognition in stable adult patients with schizophrenia. Central to many everyday tasks, impairment of cognitive function still constitutes a major burden for patients and nopharmacological treatments are currently approved for cognitive impairment associated with schizophrenia (CIAS). These results, presented at the 33rd European College of Neuropsychopharmacology (ECNP) Congress, will advance the understanding of how deficits in transmission of signals between nerve cells may contribute to diminishing cognition in people living with schizophrenia.

The Gly-T1 inhibitor, BI 425809, forms a key component of Boehringer Ingelheim's Central Nervous System (CNS) research program. The latest trial results, along with an ongoing combination Phase II study of BI 425809 and adjunctive computerized cognitive training, will help determine the direction for BI 425809 in further schizophrenia research. BI 425809 is an investigational compound. Safety and efficacy have not been established.

Prof. W. Wolfgang Fleischhacker, Medical University Innsbruck: "The outcome of this trial is an important step forward in our understanding of cognition in schizophrenia. Cognitive impairment causes significant challenges for people in their everyday functioning. Patients with schizophrenia struggle with remembering things like birthdays, learning new tasks, concentrating, or making decisions that affect their everyday life. Advancing our understanding of how we might improve these symptoms in schizophrenia is significant for the research community and the patients and families living with this condition."

The Phase II results of BI 425809 in cognitive impairment associated with schizophrenia are being further evaluated to assess how they will support the continued research development for the treatment of schizophrenia.

"The trial results for our investigational compound BI 425809 in schizophrenia are encouraging. This is a positive advancement in our mechanistic knowledge of how excitatory neurotransmissions affect aspects of mental illness, aligning with our systematic neurobiological approach to CNS research," adds Vikas Mohan Sharma, M.D., head of medicine CNS, Retinopathies & Emerging Areas, Boehringer Ingelheim. "We recognize this is important news for people affected by schizophrenia. We are making progress in developing treatments which will not only reveal important advances in our understanding of schizophrenia but also potentially other neuropsychiatric diseases."

Cognition is a fundamental aspect of everyday life, including problem solving, memory and attention. When affected, people living with poor cognition can have a reduced mental ability to process information, remember straightforward things or perceive other people's emotions and expressions. These functions are common to many forms of mental disorders such as schizophrenia, Alzheimer's disease and depression. Finding solutions for cognitive impairment is a key area of Boehringer Ingelheim CNS research.

About BI 425809 Phase II Studies
Study 1346.9 was a Phase II, randomized, double-blind, placebo-controlled, parallel group trial across 11 countries in patients with schizophrenia receiving stable treatment. The aim of this trial was to evaluate the efficacy and safety of add-on, once-daily, oral BI 425809 at doses of 2–25 mg for 12 weeks. The study assessed the change from baseline in cognitive function as measured by the total score of the composite Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB) score after 12 weeks of treatment. These findings suggest that BI 425809 may improve cognition in patients with CIAS. In addition, BI 425809 was well tolerated, with no differences in psychiatric adverse events or suicidality between groups.

Study 1346.38 is an ongoing study with BI 425809. The aim is to determine the role of increased cognitive stimulation in the form of adjunctive computerized cognitive training to aid the efficacy of pharmacological compounds such as BI 425809 on cognitive functioning.

These trials are part of Boehringer Ingelheim's early stage central nervous system (CNS) clinical trial program. In addition to pharmacological investigation Boehringer Ingelheim is applying several digital innovations as part of the clinical trial program to find solutions for patients with neuropsychiatric diseases.

About Boehringer Ingelheim in CNS

https://www.boehringer-ingelheim.us/innovation/human-pharma/innovation-cns-disease-research?

About Boehringer Ingelheim
Making new and better medicines for humans and animals is at the heart of what we do. Our mission is to create breakthrough therapies that change lives. Since its founding in 1885, Boehringer Ingelheim is independent and family-owned. We have the freedom to pursue our long-term vision, looking ahead to identify the health challenges of the future and targeting those areas of need where we can do the most good.

As a world-leading, research-driven pharmaceutical company, more than 51,000 employees create value through innovation daily for our three business areas: Human Pharma, Animal Health, and Biopharmaceutical Contract Manufacturing. In 2019, Boehringer Ingelheim achieved net sales of around $21.3 billion (19 billion euros). Our significant investment of over $3.9 billion (3.5 billion euros) in R&D drives innovation, enabling the next generation of medicines that save lives and improve quality of life.

We realize more scientific opportunities by embracing the power of partnership and diversity of experts across the life-science community. By working together, we accelerate the delivery of the next medical breakthrough that will transform the lives of patients now, and in generations to come.

Boehringer Ingelheim Pharmaceuticals, Inc., based in Ridgefield, CT, is the largest U.S. subsidiary of Boehringer Ingelheim Corporation and is part of the Boehringer Ingelheim group of companies. In addition, there are Boehringer Ingelheim Animal Health in Duluth, GA and Boehringer Ingelheim Fremont, Inc. in Fremont, CA.

Boehringer Ingelheim is committed to improving lives and strengthening our communities. Please visit www.boehringer-ingelheim.us/csr to learn more about Corporate Social Responsibility initiatives.

For more information, please visit www.boehringer-ingelheim.us, or follow us on Twitter @BoehringerUS.

Boehringer Ingelheim Pharmaceuticals, Inc.
Communications
Susan Holz
Phone: 203-798-4265
Email: [emailprotected]

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SOURCE Boehringer Ingelheim Pharmaceuticals, Inc.

Phase II trial results demonstrated improvement in cognition with BI 425809 in adult patients with schizophrenia (2)

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Phase II trial results demonstrated improvement in cognition with BI 425809 in adult patients with schizophrenia (2024)

FAQs

Phase II trial results demonstrated improvement in cognition with BI 425809 in adult patients with schizophrenia? ›

These findings suggest that BI 425809 may improve cognition in patients with CIAS. In addition, BI 425809 was well tolerated, with no differences in psychiatric adverse events or suicidality between groups.

What is the schizophrenia cognition rating scale? ›

The Schizophrenia Cognition Rating Scale (SCoRS) is a 20 item interview-based clinical assessment that evaluates cognitive deficits and the degree to which these deficits impair patients' day-to-day functioning. It was originally developed in 2001 at the Duke University Medical Center by Dr.

What drug improves cognitive symptoms of schizophrenia? ›

Some studies have reported selective cognitive improvement in patients with schizophrenia following galantamine treatment. Newer antipsychotics, including paliperidone, lurasidone, aripiprazole, ziprasidone, and BL-1020, have also been reported to exert cognitive benefits in patients with schizophrenia.

What is the brief assessment of cognition in schizophrenia scale? ›

The Brief Assessment of Cognition in Schizophrenia (BACS) assesses five different domains of cognitive function with six tests, and takes about 30-35 minutes to complete in patients with schizophrenia.

How does schizophrenia affect cognition? ›

Cognitive dysfunction is a core feature of schizophrenia. Deficits are moderate to severe across several domains, including attention, working memory, verbal learning and memory, and executive functions.

What score is severe cognitive impairment? ›

According to the frequently asked questions section of the MoCA website, the following result ranges may indicate cognitive impairment: 18–25 points: Mild cognitive impairment. 10–17 points: Moderate cognitive impairment. Fewer than 10 points: Severe cognitive impairment.

What is the cognitive score? ›

The cognitive score is an aggregate measure of the current cognitive strength of different cognitive skills. The minimum cognitive score is 0 and the maximum is 800. The cognitive score provides a quick way to discover where you currently stand cognitively and help you assess your progress over time.

What is the most important medication for schizophrenia? ›

Antipsychotic medications are the most commonly prescribed therapies. These medications control symptoms by altering levels of dopamine and serotonin, which are chemicals in the brain that affect mood, movement, and the way a person responds to rewards and experiences pleasure.

What is the most promising treatment for schizophrenia? ›

Now, a United States-based biotech organisation called Karuna Therapeutics Inc. has developed a new combination drug called KarXT. It is the first potential new pharmacological approach for treating schizophrenia in over 50 years and may provide an alternative option for people living with the condition.

What is a common cognitive symptom of schizophrenia? ›

Cognitive symptoms involve problems with concentration and memory and can be just as disabling as the other types of symptoms. Because schizophrenia has these different types of symptoms it is known as a multilateral condition.

What is the mental status exam for cognition? ›

BEST TOOL: The Mini Mental State Examination (MMSE) is a tool that can be used to systematically and thoroughly assess mental status. It is an 11-question measure that tests five areas of cognitive function: orientation, registration, attention and calculation, recall, and language.

What is the cognitive impairment scale? ›

Description: The Cognitive Impairment Scale performs well as a screening test for dementia. Someone who is poorly educated or not very intelligent may get a high score on the Cognitive Impairment Scale. This high score might reflect lifelong cognitive difficulties rather than the beginning of a decline.

How to improve cognition in schizophrenia? ›

The anticholinergic effects of many psychotropic medications have a clear detrimental effect on cognitive function, and reducing the dose of anticholinergic medications used to ameliorate extrapyramidal side effects of antipsychotics can improve cognitive function in schizophrenia [281, 282].

How fast does schizophrenia progress? ›

Though symptoms of active schizophrenia may seem to come on suddenly, the condition takes years to develop. In the early prodromal phase, symptoms aren't always obvious, as you'll see when you read about this first phase.

What is cognitive schizophrenia treatment? ›

Cognitive behavioral therapy, also known as CBT, may be a treatment option for people with schizophrenia. CBT teaches a person to modify beliefs or behaviors that may be leading to negative emotions.

What antipsychotics are best for cognition? ›

Sertindole may be superior to; clozapine, quetiapine, and first generation antipsychotics for general cognitive ability; clozapine, quetiapine, and olanzapine for memory; clozapine, quetiapine, olanzapine and ziprasidone for executive functioning; and quetiapine for processing speed.

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