Cariprazine for Social Anxiety Disorder

AD
MT
Overseen ByMatt T
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test the effectiveness and safety of Vraylar® (cariprazine) for treating Social Anxiety Disorder (SAD), a condition that makes social interactions very stressful. Participants will receive either the medication or a placebo (a harmless pill with no active drug) to compare results. It is ideal for adults diagnosed with SAD who feel it affects their daily life but do not have other major mental health issues like schizophrenia or bipolar disorder. As a Phase 4 trial, this research seeks to understand how this already FDA-approved and effective treatment benefits more patients.

Will I have to stop taking my current medications?

Yes, you will need to stop taking certain medications before joining the trial. Specifically, you cannot take fluoxetine within 28 days of starting, and you must stop taking other psychotropic medications like SSRIs, SNRIs, and benzodiazepines at least 14 days before the trial begins.

What is the safety track record for Cariprazine?

Research has shown that cariprazine is generally safe and well-tolerated. In various studies, a high percentage of participants completed their treatment. For instance, 78% and 82% of participants finished their treatment in different dose studies, indicating that most did not experience severe side effects.

In some studies on bipolar conditions, a small number of patients (1% to 3%) reported suicidal thoughts. However, this is a rare occurrence, highlighting the treatment's usual tolerability. Overall, evidence suggests that cariprazine is a promising option with manageable safety concerns for many patients.12345

Why are researchers enthusiastic about this study treatment?

Cariprazine is unique because it offers a new approach to treating social anxiety disorder by targeting dopamine D3 and D2 receptors with a preference for D3. Most current treatments for social anxiety, like SSRIs and SNRIs, focus on serotonin and norepinephrine pathways. By acting on dopamine receptors, cariprazine might provide relief for those who haven't responded well to traditional options. Researchers are excited about its potential to address symptoms more effectively and quickly, offering hope for better management of social anxiety.

What evidence suggests that this trial's treatments could be effective for Social Anxiety Disorder?

Research has shown that cariprazine, known as Vraylar®, effectively treats mental health issues such as major depressive disorder. Studies indicate that cariprazine can significantly reduce depression symptoms, suggesting potential benefits for Social Anxiety Disorder (SAD) as well. In animal studies, cariprazine improved social behaviors, hinting at its usefulness for social anxiety. In this trial, participants will receive cariprazine at doses between 1.5 mg and 3 mg per day, which is expected to help manage SAD symptoms based on positive results in similar conditions.12678

Who Is on the Research Team?

MR

Michael R Liebowitz, MD

Principal Investigator

Managing Director

Are You a Good Fit for This Trial?

Inclusion Criteria

Subjects must have a minimum total score of 70 on the LSAS at both Screening and Baseline visits
Subjects must give written informed consent prior to any study procedures
Diagnosis of Social Anxiety Disorder (SAD) (300.23 Social Anxiety Disorder) according to DSM-5 criteria, as determined by psychiatric evaluation with the Investigator and confirmed by the Mini-International Neuropsychiatric Interview (MINI)
See 3 more

Exclusion Criteria

Subjects scoring >2 on item #3 of the HAM-D at Baseline, or who, in the opinion of the PI, are at a clinically significant risk for suicide
Systolic blood pressure ≥165 and/or diastolic blood pressure ≥95, as measured at Screening and Baseline visits
Positive Urine Drug Screen at the Baseline visit, unless due to prescribed medication
See 19 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either Cariprazine or placebo for Social Anxiety Disorder in a double-blind, placebo-controlled trial

12 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Cariprazine
  • Placebo

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Placebo Group

Group I: CariprazineExperimental Treatment1 Intervention
Group II: PlaceboPlacebo Group1 Intervention

Cariprazine is already approved in United States for the following indications:

🇺🇸
Approved in United States as Vraylar for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

The Medical Research Network

Lead Sponsor

Trials
6
Recruited
310+

AbbVie

Industry Sponsor

Trials
1,079
Recruited
535,000+
Founded
2013
Headquarters
North Chicago, USA
Known For
Immunology treatments
Top Products
Humira (adalimumab), Skyrizi (risankizumab), Rinvoq (upadacitinib)

Dr. Roopal Thakkar

AbbVie

Chief Medical Officer since 2023

MD from Wayne State University School of Medicine

Robert A. Michael profile image

Robert A. Michael

AbbVie

Chief Executive Officer

Bachelor's degree in Finance from the University of Illinois

Published Research Related to This Trial

In an 8-week study involving 12 patients with social anxiety disorder, olanzapine showed significant improvement compared to placebo on key anxiety measures, indicating its potential efficacy as a treatment.
Both olanzapine and placebo were well tolerated, with olanzapine causing more drowsiness and dry mouth but negligible weight gain, suggesting a favorable safety profile for further investigation.
Efficacy of olanzapine in social anxiety disorder: a pilot study.Barnett, SD., Kramer, ML., Casat, CD., et al.[2018]

Citations

Cariprazine's Potential in Improving Social Dysfunction in ...

Finally, in animal research only cariprazine was found to be effective in the social play paradigm when compared to other SGAs (64).

Cariprazine Versus Placebo for Social Anxiety Disorder

The proposed study is a 12 week double-blind, placebo-controlled trial to examine the efficacy, safety, and tolerability of Vraylar® ...

Clinical Review - Cariprazine (Vraylar) - NCBI - NIH

The response rate among patients receiving placebo ranged from 32% to 40% across the trials. The benefit of treatment with cariprazine (1.5 mg and 3.0 mg) was ...

Real-world effectiveness of cariprazine in major depressive ...

The RCT results demonstrated a significant reduction in mean MADRS total score after 6 or 8 weeks of cariprazine treatment. Further, a post hoc analysis of the ...

Trial | NCT05384483

The proposed study is a 12 week double-blind, placebo-controlled trial to examine the efficacy, safety, and tolerability of Vraylar® (cariprazine) in the ...

A pooled post hoc analysis evaluating the safety and ...

Cariprazine was generally safe and well tolerated; study completion rates were 78% and 82% in the modal dose and fixed-dose analyses, ...

Cariprazine Versus Placebo for Social Anxiety Disorder

The proposed study is a 12 week double-blind, placebo-controlled trial to examine the efficacy, safety, and tolerability of Vraylar® ...

May 23, 2022

Patients treated with cariprazine at 3.0 mg/day demonstrated improvement in MADRS total score at week six compared to placebo but did not meet ...