A Study of Paliperidone Palmitate 3 Month Formulation for the Treatment of Patients With Schizophrenia
A Randomized, Multicenter, Double-Blind, Relapse Prevention Study of Paliperidone Palmitate 3 Month Formulation for the Treatment of Subjects With Schizophrenia
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 3
Kontakte und Standorte
Studienorte
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Barranquilla, Kolumbien
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Bogota, Kolumbien
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Medellin, Kolumbien
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Pereira, Kolumbien
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Deajun, Korea, Republik von
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Gyeongsangnam-Do, Korea, Republik von
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Incheon, Korea, Republik von
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Seongnam, Korea, Republik von
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Johor Bahru, Malaysia
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Kuala Lumpur, Malaysia
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Tanjong Rambutan, Malaysia
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Guadajalara, Mexiko
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Mexico City, Mexiko
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Monterrey, Mexiko
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San Luis Potosi, Mexiko
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Zapopan, Mexiko
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Arad, Rumänien
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Craiova, Rumänien
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Iasi, Rumänien
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Sibiu, Rumänien
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Tg Mures, Rumänien
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Diyarbakir, Truthahn
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Sakarya, Truthahn
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Donetsk, Ukraine
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Evpatoriya, Ukraine
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Glevakha, Ukraine
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Ivano-Frankivsk, Ukraine
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Kerch, Ukraine
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Kharkiv, Ukraine
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Kharkov, Ukraine
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Kherson, Ukraine
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Kiev, Ukraine
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Lviv, Ukraine
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Lvov, Ukraine
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Odesa, Ukraine
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Odessa, Ukraine
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Poltava, Ukraine
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Smela, Ukraine
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Ternopil, Ukraine
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Uzhgorod, Ukraine
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Vinnitsa, Ukraine
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Arkansas
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Little Rock, Arkansas, Vereinigte Staaten
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California
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San Fran Cisco, California, Vereinigte Staaten
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District of Columbia
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Washington, District of Columbia, Vereinigte Staaten
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Florida
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Lauderhill, Florida, Vereinigte Staaten
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Illinois
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Chicago, Illinois, Vereinigte Staaten
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Hoffman Estates, Illinois, Vereinigte Staaten
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Kansas
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Topeka, Kansas, Vereinigte Staaten
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Maryland
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Baltimore, Maryland, Vereinigte Staaten
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Mississippi
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Flowood, Mississippi, Vereinigte Staaten
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New Jersey
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Marlton, New Jersey, Vereinigte Staaten
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New York
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Cedarhurst, New York, Vereinigte Staaten
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Oklahoma
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Oklahoma City, Oklahoma, Vereinigte Staaten
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Texas
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Austin, Texas, Vereinigte Staaten
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Dallas, Texas, Vereinigte Staaten
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Utah
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Salt Lake City, Utah, Vereinigte Staaten
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Patients with schizophrenia for more than 1 year
- A total score in the Positive and Negative Syndrome Scale (PANSS) < 120
- Signed informed consent
- Women must not be pregnant, breastfeeding, and if capable of pregnancy must practice an effective method of birth control
- Men must agree to use a double-barrier method of birth control
- Be medically stable on the basis of clinical laboratory tests, physical examination, medical history, vital signs, and electrocardiogram (ECG) Exclusion Criteria:
- A diagnosis other than schizophrenia, e.g., dissociative disorder, bipolar disorder, major depressive disorder, schizoaffective disorder, schizophreniform disorder, autistic disorder, primary substance-induced psychotic disorder, dementia-related psychosis
- Relevant history or current presence of any significant or unstable medical condition(s) determined to be clinically significant by the Investigator (ie, obesity, diabetes, heart disease etc)
- A diagnosis of substance dependence within 6 months before screening
- History of neuroleptic malignant syndrome (NMS) or tardive dyskinesia
- Clozapine use in the last 2 months when used for treatment-resistant or treatment-refractory illness
- Clinically significant findings in biochemistry, hematology, ECG or urinalysis results
- Any other disease or condition that, in the opinion of the investigator, would make participation not in the best interest of the patient or that could prevent, limit, or confound the protocol-specified assessments
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Doppelt
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Placebo-Komparator: Placebo
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Form= injection, route= intramuscular use.
One injection every three months up to the patient has a relapse event or meet discontinuation criteria.
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Experimental: Paliperidone palmitate 3-month (PP3M)
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Type= exact number, unit= mg eq., number= 175, form= injection, route= intramuscular use.
One injection every three months up to the patient has a relapse event or meet discontinuation criteria.
Type= exact number, unit= mg eq., number= 263, form= injection, route= intramuscular use.
One injection every three months up to the patient has a relapse event or meet discontinuation criteria.
Type= exact number, unit= mg eq., number= 350, form= injection, route= intramuscular use.
One injection every three months up to the patient has a relapse event or meet discontinuation criteria.
Type= exact number, unit= mg eq., number= 525, form= injection, route= intramuscular use.
One injection every three months up to the patient has a relapse event or meet discontinuation criteria.
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Time to Relapse During the Double-Blind Phase
Zeitfenster: Approximately Week 60
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Time to relapse defined as the time between participant randomization into the double blind Phase and the first documentation of a relapse event.
Median time to relapse was estimated by the Kaplan-Meier method.
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Approximately Week 60
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Change in Positive and Negative Syndrome Scale (PANSS) (Total Score) From Baseline to Endpoint in the Double-Blind Phase
Zeitfenster: Baseline (Day 1 prior to randomization) and Endpoint (Approximately Week 60)
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The PANSS provides a total score (sum of the scores of all 30 items) and scores for 3 subscales, the positive subscale (7 items), the negative subscale (7 items), and the general psychopathology subscale (16 items).
Each item is rated 1 (absent) to 7 (extreme).
The total score ranging from 30 to 210.
Higher scores indicate more severe neuropsychiatric symptoms of schizophrenia.
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Baseline (Day 1 prior to randomization) and Endpoint (Approximately Week 60)
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Change in Clinical Global Impression Severity (CGI-S) Scale From Baseline to Endpoint in the Double-Blind Phase
Zeitfenster: Baseline (Day 1 prior to randomization) and Endpoint (Approximately Week 60)
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The CGI-S rating scale is used to rate the severity of a participant's overall clinical condition on a 7-point scale ranging from 1 (not ill) to 7 (extremely severe).
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Baseline (Day 1 prior to randomization) and Endpoint (Approximately Week 60)
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Change in Personal and Social Performance (PSP) Scale From Baseline to Endpoint in the Double-Blind Phase
Zeitfenster: Baseline (Day 1 prior to randomization) and Endpoint (Approximately Week 60)
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The PSP scale measures personal and social functioning in the domains of: a) Socially useful activities, b) Personal and social relationships, c) Self-care, and d) Disturbing and aggressive behavior.
The results of the assessment were converted to a numerical score which ranges from 1 to 100.
A score lying between 71 and 100 indicates a mild degree of dysfunction; scores between 31 and 70 indicate varying degrees of difficulty, and a participant with a score of <=30 had functioning so poor that he or she required intensive supervision.
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Baseline (Day 1 prior to randomization) and Endpoint (Approximately Week 60)
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- Mathews M, Gopal S, Singh A, Nuamah I, Pungor K, Tan W, Soares B, Kim E, Savitz AJ. Comparison of Relapse Prevention with 3 Different Paliperidone Formulations in Patients with Schizophrenia Continuing versus Discontinuing Active Antipsychotic Treatment: A Post-Hoc Analysis of 3 Similarly Designed Randomized Studies. Neuropsychiatr Dis Treat. 2020 Jun 19;16:1533-1542. doi: 10.2147/NDT.S221242. eCollection 2020.
- Weiden PJ, Kim E, Bermak J, Turkoz I, Gopal S, Berwaerts J. Does Half-Life Matter After Antipsychotic Discontinuation? A Relapse Comparison in Schizophrenia With 3 Different Formulations of Paliperidone. J Clin Psychiatry. 2017 Jul;78(7):e813-e820. doi: 10.4088/JCP.16m11308.
- Savitz AJ, Xu H, Gopal S, Nuamah I, Mathews M, Soares B. Efficacy and safety of paliperidone palmitate 3-month formulation in Latin American patients with schizophrenia: A subgroup analysis of data from two large phase 3 randomized, double-blind studies. Braz J Psychiatry. 2019 Nov-Dec;41(6):499-510. doi: 10.1590/1516-4446-2018-0153.
- Magnusson MO, Samtani MN, Plan EL, Jonsson EN, Rossenu S, Vermeulen A, Russu A. Population Pharmacokinetics of a Novel Once-Every 3 Months Intramuscular Formulation of Paliperidone Palmitate in Patients with Schizophrenia. Clin Pharmacokinet. 2017 Apr;56(4):421-433. doi: 10.1007/s40262-016-0459-3.
- Gopal S, Vermeulen A, Nandy P, Ravenstijn P, Nuamah I, Buron Vidal JA, Berwaerts J, Savitz A, Hough D, Samtani MN. Practical guidance for dosing and switching from paliperidone palmitate 1 monthly to 3 monthly formulation in schizophrenia. Curr Med Res Opin. 2015 Nov;31(11):2043-54. doi: 10.1185/03007995.2015.1085849. Epub 2015 Oct 2.
- Berwaerts J, Liu Y, Gopal S, Nuamah I, Xu H, Savitz A, Coppola D, Schotte A, Remmerie B, Maruta N, Hough DW. Efficacy and Safety of the 3-Month Formulation of Paliperidone Palmitate vs Placebo for Relapse Prevention of Schizophrenia: A Randomized Clinical Trial. JAMA Psychiatry. 2015 Aug;72(8):830-9. doi: 10.1001/jamapsychiatry.2015.0241.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- CR100717
- R092670PSY3012 (Andere Kennung: Janssen Research & Development, LLC)
- 2011-004676-11 (EudraCT-Nummer)
- U1111-1135-1969 (Andere Kennung: Universal Trial Number)
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