Last reviewed · How we verify

NCT03418675

Brexpiprazole in Borderline Personality Disorder

Completed Phase 2 Results posted Last updated 18 March 2022
What this trial tests

Phase 2 trial testing Rexulti in Borderline Personality Disorder in 80 participants. Completed in 14 April 2021.

Timeline
26 November 2018
Primary endpoint
30 December 2020
14 April 2021

Quick facts

Lead sponsorUniversity of Chicago
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment80
Start date26 November 2018
Primary completion30 December 2020
Estimated completion14 April 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Chicago

Who can join

Adults 18 to 65, any sex, with Borderline Personality Disorder. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Zanarini Rating Scale for Borderline Personality Disorder Primary · Baseline (Visit 1), Week 1 (Visit 2), Week 2 (Visit 3), Week 4 (Visit 4), Week 6 (Visit 5), Week 8 (Visit 6), Week 10 (Visit 7), Week 12 (Visit 8)

A clinician-administered scale assessing Borderline Personality Scale severity at all study visits. Scores range from 0-36. Higher scores represent worse Borderline Personality Disorder severity, and lower scores represent milder Borderline Personality Disorder severity.

Visit 1
GroupValue95% CI
Placebo14.99 – 26
Rexulti14.99 – 26
Visit 2
GroupValue95% CI
Placebo7.60 – 19
Rexulti6.70 – 20
Visit 3
GroupValue95% CI
Placebo4.70 – 16
Rexulti5.30 – 17
Visit 4
GroupValue95% CI
Placebo60 – 18
Rexulti4.40 – 19
Visit 5
GroupValue95% CI
Placebo4.20 – 15
Rexulti4.50 – 20
Visit 6
GroupValue95% CI
Placebo5.70 – 14
Rexulti4.90 – 19
Visit 7
GroupValue95% CI
Placebo50 – 16
Rexulti40 – 25
Visit 8
GroupValue95% CI
Placebo8.40 – 22
Rexulti3.10 – 18
Self Report Version of Zanarini Scale Secondary · Baseline (Visit 1), Week 1 (Visit 2), Week 2 (Visit 3), Week 4 (Visit 4), Week 6 (Visit 5), Week 8 (Visit 6), Week 10 (Visit 7), Week 12 (Visit 8)

A self-report scale assessing Borderline Personality severity that will be assessed at all visits.This scale is assessing severity and change in BPD symptoms. This is a 9-item scale measuring severity of different aspects of Borderline Personality Disorder, with each item rated on a 0-4 scale, 0=no symptoms, 4=severe symptoms. Total scores range from 0-36.

Visit 1
GroupValue95% CI
Placebo18.28 – 36
Rexulti17.68 – 36
Visit 2
GroupValue95% CI
Placebo12.80 – 36
Rexulti10.90 – 36
Visit 3
GroupValue95% CI
Placebo10.70 – 36
Rexulti7.90 – 36
Visit 4
GroupValue95% CI
Placebo10.70 – 36
Rexulti8.00 – 36
Visit 5
GroupValue95% CI
Placebo9.70 – 36
Rexulti7.00 – 36
Visit 6
GroupValue95% CI
Placebo9.60 – 36
Rexulti6.60 – 36
Visit 7
GroupValue95% CI
Placebo8.70 – 36
Rexulti6.00 – 36
Visit 8
GroupValue95% CI
Placebo9.30 – 36
Rexulti5.80 – 36
Borderline Evaluation of Severity Over Time (BEST) Secondary · Assessed at Visits 1 to 8, change in scores from Visit 1 to Visit 8 (baseline to week 12) is reported

A self rated scale used to measure severity and change. The first 12 items of the scale are on a scale from 1-5, with 5 meaning that the item caused extreme distress, severe difficulties in relationships, and/or kept them from getting things done. The lowest rating (1) means it caused little or no problems. Items 13-15 (positive behaviors) are rated according to frequency. Completed at every visit.

Visit 1
GroupValue95% CI
Placebo40.90± 10.91
Rexulti40.54± 8.25
Visit 8
GroupValue95% CI
Placebo29.15± 8.37
Rexulti23.15± 9.06
Barratt Impulsiveness Scale (BIS) Secondary · Baseline (Visit 1), Week 12 (Visit 8)

A self-report assessment of impulsivity that will be assessed at baseline and visit 8. The BIS is composed of 30 items describing common impulsive or non-impulsive (for reverse scored items) behaviors and preferences. Items are scored on a 4-point scale: (Rarely/Never = 1, Occasionally = 2, Often = 3, Almost Always/Always = 4). These scores are summed to produce an overall impulsivity score ranging from 30 (not impulsive) to 120 (extremely impulsive).

Visit 1
GroupValue95% CI
Placebo76.53± 15.33
Rexulti72.27± 15.50
Visit 8
GroupValue95% CI
Placebo68.13± 13.89
Rexulti70.5± 17.86
Symptom Checklist-90 Revised Secondary · Baseline, Visit 8 (Week 12)

An instrument that helps evaluate a broad range of psychological problems and symptoms of Borderline Personality Disorder psychopathology. This will be assessed at baseline and visit 8.The 115 items are rated by using a 5-step Likert scale (0=not at all, 4=very strong) and provide a global picture of borderline psychopathology. Global scores of borderline psychopathology are calculated by summing 12 items and range from 0-48. Higher scores indicate more severe symptoms of Borderline Personality Disorder.

Visit 1
GroupValue95% CI
Placebo26.17± 10.44
Rexulti25.42± 11.58
Visit 8
GroupValue95% CI
Placebo20.25± 7.99
Rexulti14.21± 10.88
Hamilton Anxiety Rating Scale (HAM-A) Secondary · assessed at Visits 1 to 8, change in scores from Visit 1 to Visit 8 (baseline to Week 12) is reported

A clinician-administered assessment of anxiety that will be assessed at all study visits (Visit 1-Visit 8). Changes in scores from baseline to final visit will be assessed. Higher scores (up to 56) indicate higher levels of anxiety, with 0 being no symptoms of anxiety.

GroupValue95% CI
Placebo-2.41± 8.43
Rexulti-4.88± 7.46
Hamilton Depression Rating Scale (HAM-D) Secondary · Assessed at Visits 1 to 8, change in scores from Visit 1 to Visit 8 (baseline to week 12) is reported

A clinician-administered assessment of depression that will be assessed at all study visits (Visits 1-8). Higher total scores indicate higher levels of depression (up to 52), while a score of 0 would indicate no depressive symptoms.

GroupValue95% CI
Placebo-2.09± 6.91
Rexulti-3.81± 7.41
MINI International Neuropsychiatric Interview Secondary · Baseline (Week 1)

A short-structured interview that assesses comorbid psychiatric disorders according to the DSM 5 criteria. This assessment will be done during the baseline visit.

Major Depressive Episode (Current)
GroupValue95% CI
Placebo16
Rexulti18
Major Depressive Episode (Past)
GroupValue95% CI
Placebo12
Rexulti18
Manic Episode (Current)
GroupValue95% CI
Placebo2
Rexulti2
Manic Episode (Past)
GroupValue95% CI
Placebo1
Rexulti3
Hypomanic Episode (Current)
GroupValue95% CI
Placebo1
Rexulti0
Bipolar I Disorder (Current)
GroupValue95% CI
Placebo0
Rexulti0
Bipolar I Disorder (Past)
GroupValue95% CI
Placebo0
Rexulti0
Bipolar II Disorder (Current)
GroupValue95% CI
Placebo0
Rexulti0
Sheehan Disability Scale (SDS) Secondary · Baseline (Visit 1), Week 1 (Visit 2), Week 2 (Visit 3), Week 4 (Visit 4), Week 6 (Visit 5), Week 8 (Visit 6), Week 10 (Visit 7), Week 12 (Visit 8)

Subjects will complete the SDS at all visits. The change in scores from baseline to study completion will be assessed. The scale itself assesses the level of disability from borderline personality disorder (or target disorder) with higher scores indicating a more debilitating disorder. Scores range from 0-30.

Visit 1
GroupValue95% CI
Placebo17.30 – 30
Rexulti15.80 – 30
Visit 2
GroupValue95% CI
Placebo13.30 – 30
Rexulti10.70 – 30
Visit 3
GroupValue95% CI
Placebo11.50 – 30
Rexulti7.80 – 30
Visit 4
GroupValue95% CI
Placebo12.40 – 30
Rexulti7.80 – 30
Visit 5
GroupValue95% CI
Placebo11.70 – 30
Rexulti7.00 – 30
Visit 6
GroupValue95% CI
Placebo11.20 – 30
Rexulti7.90 – 30
Visit 7
GroupValue95% CI
Placebo12.00 – 30
Rexulti6.90 – 30
Visit 8
GroupValue95% CI
Placebo12.70 – 30
Rexulti7.70 – 30
Quality of Life Inventory (QOLI) Secondary · Baseline (Week 1), Week 12 (Visit 8)

A self-report assessment of patient perceived quality of life that will be assessed at baseline and visit 8. Higher scores indicate a higher quality of life, whereas lower scores indicate a lower quality of life. Participants are asked to rate the importance of each domain on a 3-point scale ranging from 1=not important to 3=very important, and to rate how satisfied they are with that domain on a 6-point scale, ranging from -3=very dissatisfied to +3=very satisfied. In scoring, importance ratings are multiplied by satisfaction ratings to produce weighted satisfaction scores for each of the 16

Visit 1
GroupValue95% CI
Placebo28.89± 9.11
Rexulti28.70± 11.18
Visit 8
GroupValue95% CI
Placebo30.75± 10.62
Rexulti35.71± 6.43
Columbia Suicide Severity Rating Scale (CSSRS) Secondary · Baseline (Visit 1), Week 12 (Visit 8)

A self-report scale measuring suicidality. Subjects will complete the scale at all visits. Subjects are asked about suicidal thoughts. If answers are no, rater can proceed to "suicidal behavior" section where subject is asked about any non-suicidal self injurious behavior. If yes, subject is asked about intensity of ideations. In the event of serious threat to themselves, the subject will be escorted to the emergency room. Total score indicates severity of suicidal ideation and behavior, with lower scores representing lower levels of suicidality and higher scores representing higher levels of

Visit 1
GroupValue95% CI
Placebo1.15± 1.72
Rexulti0.73± 0.99
Visit 8
GroupValue95% CI
Placebo0.23± 0.66
Rexulti0.08± 0.35

Adverse events — posted to ClinicalTrials.gov

Time frame: Through study completion, an average of 12 weeks.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 1/40 (3%)
Deaths: 0/40
Rexulti
Serious: 0/40 (0%)
Deaths: 0/40

Serious adverse events (1 terms)

ReactionSystemPlaceboRexulti
Suicidal IdeationPsychiatric disorders
Other adverse events (10 terms — click to expand)

ReactionSystemPlaceboRexulti
NauseaGastrointestinal disorders
FatigueGeneral disorders
RestlessnessGeneral disorders
Dry MouthGeneral disorders
HeadacheGeneral disorders
HallucinationsPsychiatric disorders
Sleep ProblemsGeneral disorders
TremorGeneral disorders
SweatingGeneral disorders
Increase AppetiteGeneral disorders

Most-reported serious reactions: Suicidal Ideation.

Data from ClinicalTrials.gov NCT03418675 adverse events section.

Sponsor's own description

The primary objective of the proposed study is to evaluate the safety and efficacy of Brexpiprazole in adults with borderline personality disorder (BPD). The hypothesis to be tested is that brexpiprazole will be more effective and well tolerated in adults with BPD compared to placebo. The proposed study will provide needed data on the treatment of a disabling disorder.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Pharmacological interventions for people with borderline personality disorder.
    Stoffers-Winterling JM, Storebø OJ, Pereira Ribeiro J, Kongerslev MT, et al · · 2022 · cited 50× · PMID 36375174 · DOI 10.1002/14651858.cd012956.pub2
  2. Pharmacotherapy for Borderline Personality Disorder: an Update of Published, Unpublished and Ongoing Studies.
    Stoffers-Winterling J, Storebø OJ, Lieb K. · · 2020 · cited 41× · PMID 32504127 · DOI 10.1007/s11920-020-01164-1
  3. A double-blind placebo-controlled study of brexpiprazole for the treatment of borderline personality disorder.
    Grant JE, Valle S, Chesivoir E, Ehsan D, et al · · 2021 · cited 5× · PMID 35049469 · DOI 10.1192/bjp.2021.159
  4. A computational signature of self-other mergence in Borderline Personality Disorder.
    Story GW, Ereira S, Valle S, Chamberlain SR, et al · · 2024 · cited 3× · PMID 39562590 · DOI 10.1038/s41398-024-03170-w

Verify or expand the search:

Other recruiting trials for Borderline Personality Disorder

Currently open trials in the same condition.

Other University of Chicago trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03418675.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing