Once-a-week pill for schizophrenia shows promise in clinical trials

Submission Statement:

For many patients with schizophrenia, other psychiatric illnesses, or diseases such as hypertension and asthma, it can be difficult to take their medicine every day. To help overcome that challenge, MIT researchers have developed a pill that can be taken just once a week and gradually releases medication from within the stomach.

In a phase 3 clinical trial conducted by MIT spinout Lyndra Therapeutics, the researchers used the once-a-week pill to deliver a widely used medication for managing the symptoms of schizophrenia. They found that this treatment regimen maintained consistent levels of the drug in patients’ bodies and controlled their symptoms just as well as daily doses of the drug. The results are published today in Lancet Psychiatry.

“We’ve converted something that has to be taken once a day to once a week, orally, using a technology that can be adapted for a variety of medications,” says Giovanni Traverso, an associate professor of mechanical engineering at MIT, a gastroenterologist at Brigham and Women’s Hospital, an associate member of the Broad Institute, and an author of the study. “The ability to provide a sustained level of drug for a prolonged period, in an easy-to-administer system, makes it easier to ensure patients are receiving their medication.”

Traverso’s lab began developing the ingestible capsule studied in this trial more than 10 years ago, as part of an ongoing effort to make medications easier for patients to take. The capsule is about the size of a multivitamin, and once swallowed, it expands into a star shape that helps it remain in the stomach until all of the drug is released.

Richard Scranton, chief medical officer of Lyndra Therapeutics, is the senior author of the paper, and Leslie Citrome, a clinical professor of psychiatry and behavioral sciences at New York Medical College School of Medicine, is the lead author. Nayana Nagaraj, medical director at Lyndra Therapeutics, and Todd Dumas, senior director of pharmacometrics at Certara, are also authors.