Minerva outlines Phase 3 plan for roluperidone
Minerva Neurosciences is preparing a confirmatory Phase 3 trial of roluperidone for negative symptoms of schizophrenia, discussed at a virtual key opinion leader event.
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Minerva Neurosciences is preparing a confirmatory Phase 3 trial of roluperidone for negative symptoms of schizophrenia, discussed at a virtual key opinion leader event. A supporting presentation is being made available on the company’s investor relations website.
The Phase 3 trial is expected to begin, including first patient screened, in the second quarter of 2026 and enroll 380 patients randomized 1:1 to placebo or a daily 64 mg dose of roluperidone. The primary goal is change from baseline at 12 weeks on the PANSS Marder negative symptoms factor score.
After 12 weeks, patients are expected to enter a 40‑week relapse assessment phase, receiving either roluperidone or antipsychotics. The company currently expects topline efficacy results in the second half of 2027 and relapse assessment data in the second half of 2028, while highlighting numerous clinical, financial, and regulatory risks to these plans.
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Insights
Minerva details a multi‑year Phase 3 plan for roluperidone with specified design, endpoints, and timelines.
Minerva Neurosciences describes a confirmatory Phase 3 trial of roluperidone targeting negative symptoms in schizophrenia, a difficult‑to‑treat domain. The study plans 380 patients, randomized 1:1 to placebo or 64 mg roluperidone, with a 12‑week primary efficacy period followed by long‑term relapse assessment.
The primary endpoint is the change from baseline in the PANSS Marder negative symptoms factor score at 12 weeks, a widely used rating scale in schizophrenia studies. A subsequent 40‑week relapse phase compares daily roluperidone with antipsychotics, aiming to evaluate durability of effect and relapse outcomes over nearly a year.
The company currently expects topline efficacy results in the second half of 2027 and relapse assessment data in the second half of 2028. It emphasizes significant risks, including funding sufficiency, trial delays, enrollment and design challenges, regulatory outcomes, and commercial opportunity, which means actual timelines and results may differ materially from these expectations.
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