- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT00257192
Safety And Efficacy Of Ziprasidone In Adolescents With Schizophrenia
2. mars 2021 oppdatert av: Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
Six Week, Double-Blind, Placebo Controlled Phase III Trial Evaluating The Efficacy, Safety And Pharmacokinetics Of Flexible Doses Of Oral Ziprasidone In Adolescent Subjects With Schizophrenia
The purpose of this study is to determine if flexibly-dosed ziprasidone is safe and effective for the treatment of adolescents (ages 13-17) with schizophrenia
Studieoversikt
Status
Avsluttet
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
Termination Reason: On March 24, 2009, Pfizer Inc. stopped late stage Geodon pediatric clinical trials in schizophrenia (A1281134 - placebo controlled; A1281135 - open label).
As recommended by the DSMB, these studies were stopped due to lack of efficacy.
No safety concerns were identified.
Studietype
Intervensjonell
Registrering (Faktiske)
284
Fase
- Fase 3
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Antioquia
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Medellin, Antioquia, Colombia
- Pfizer Investigational Site
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Cundinamarca
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Bogota, Cundinamarca, Colombia
- Pfizer Investigational Site
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San Jose, Costa Rica
- Pfizer Investigational Site
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Kazan, Den russiske føderasjonen, 420012
- Pfizer Investigational Site
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Khotkovo, Moscow Region, Den russiske føderasjonen, 142601
- Pfizer Investigational Site
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Lipetsk Region, Den russiske føderasjonen, 399313
- Pfizer Investigational Site
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Moscow, Den russiske føderasjonen, 115522
- Pfizer Investigational Site
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Moscow, Den russiske føderasjonen, 107076
- Pfizer Investigational Site
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Moscow, Den russiske føderasjonen, 117152
- Pfizer Investigational Site
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Moscow, Den russiske føderasjonen, 127473
- Pfizer Investigational Site
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Moscow, Den russiske føderasjonen, 143300
- Pfizer Investigational Site
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Nizhniy Novgorod, Den russiske føderasjonen, 603155
- Pfizer Investigational Site
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Saratov, Den russiske føderasjonen, 410012
- Pfizer Investigational Site
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Saratov, Den russiske føderasjonen, 410060
- Pfizer Investigational Site
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St. Petersburg, Den russiske føderasjonen, 192019
- Pfizer Investigational Site
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Tver, Den russiske føderasjonen, 170005
- Pfizer Investigational Site
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Yaroslavl, Den russiske føderasjonen, 150003
- Pfizer Investigational Site
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Alabama
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Birmingham, Alabama, Forente stater, 35205
- Pfizer Investigational Site
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Birmingham, Alabama, Forente stater, 35294
- Pfizer Investigational Site
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Birmingham, Alabama, Forente stater, 35294-4400
- Pfizer Investigational Site
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California
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San Diego, California, Forente stater, 92123
- Pfizer Investigational Site
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Stanford, California, Forente stater, 94305
- Pfizer Investigational Site
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Colorado
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Aurora, Colorado, Forente stater, 80045
- Pfizer Investigational Site
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District of Columbia
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Washington, District of Columbia, Forente stater, 20010
- Pfizer Investigational Site
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Florida
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Altamonte Springs, Florida, Forente stater, 32701
- Pfizer Investigational Site
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Fort Lauderdale, Florida, Forente stater, 33301
- Pfizer Investigational Site
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North Miami, Florida, Forente stater, 33161
- Pfizer Investigational Site
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Orange City, Florida, Forente stater, 32763
- Pfizer Investigational Site
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Tampa, Florida, Forente stater, 33613
- Pfizer Investigational Site
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Tavares, Florida, Forente stater, 32778
- Pfizer Investigational Site
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Georgia
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Smyrna, Georgia, Forente stater, 30080
- Pfizer Investigational Site
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Tucker, Georgia, Forente stater, 30084
- Pfizer Investigational Site
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Hawaii
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Honolulu, Hawaii, Forente stater, 96813
- Pfizer Investigational Site
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Illinois
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Des Plaines, Illinois, Forente stater, 60016
- Pfizer Investigational Site
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Oakbrook Terrace, Illinois, Forente stater, 60181
- Pfizer Investigational Site
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Schaumburg, Illinois, Forente stater, 60194
- Pfizer Investigational Site
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Maryland
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Pikesville, Maryland, Forente stater, 21208
- Pfizer Investigational Site
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Towson, Maryland, Forente stater, 21204
- Pfizer Investigational Site
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Towson, Maryland, Forente stater, 21286
- Pfizer Investigational Site
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Michigan
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Clinton Township, Michigan, Forente stater, 48038
- Pfizer Investigational Site
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Mississippi
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Meridian, Mississippi, Forente stater, 39301
- Pfizer Investigational Site
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Missouri
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Bridgeton, Missouri, Forente stater, 63044-2588
- Pfizer Investigational Site
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Saint Louis, Missouri, Forente stater, 63141
- Pfizer Investigational Site
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Nebraska
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Lincoln, Nebraska, Forente stater, 68510
- Pfizer Investigational Site
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Omaha, Nebraska, Forente stater, 68131
- Pfizer Investigational Site
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New York
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Buffalo, New York, Forente stater, 14215
- Pfizer Investigational Site
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Buffalo, New York, Forente stater, 14209
- Pfizer Investigational Site
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Rochester, New York, Forente stater, 14618
- Pfizer Investigational Site
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Ohio
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Cincinnati, Ohio, Forente stater, 45219
- Pfizer Investigational Site
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Cincinnati, Ohio, Forente stater, 45229
- Pfizer Investigational Site
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Cincinnati, Ohio, Forente stater, 45224
- Pfizer Investigational Site
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Cleveland, Ohio, Forente stater, 44106
- Pfizer Investigational Site
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Oklahoma
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Oklahoma City, Oklahoma, Forente stater, 73101
- Pfizer Investigational Site
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Oklahoma City, Oklahoma, Forente stater, 73116
- Pfizer Investigational Site
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Oklahoma City, Oklahoma, Forente stater, 73107
- Pfizer Investigational Site
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Texas
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Arlington, Texas, Forente stater, 76011
- Pfizer Investigational Site
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DeSoto, Texas, Forente stater, 75115
- Pfizer Investigational Site
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Plano, Texas, Forente stater, 75093
- Pfizer Investigational Site
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Washington
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Bothell, Washington, Forente stater, 98011
- Pfizer Investigational Site
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Spokane, Washington, Forente stater, 99204
- Pfizer Investigational Site
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Spokane, Washington, Forente stater, 99216
- Pfizer Investigational Site
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Wisconsin
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Milwaukee, Wisconsin, Forente stater, 53226
- Pfizer Investigational Site
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West Allis, Wisconsin, Forente stater, 53227
- Pfizer Investigational Site
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Andhra Pradesh
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Vijaywada, Andhra Pradesh, India, 520 002
- Pfizer Investigational Site
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Andra Pradesh/India
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Visakhapatnam, Andra Pradesh/India, India, 530 017
- Pfizer Investigational Site
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Guj
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Ahmedabad, Guj, India, 380015
- Pfizer Investigational Site
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Karnataka
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Mangalore, Karnataka, India, 575001
- Pfizer Investigational Site
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Maharashtra
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Aurangabad, Maharashtra, India, 431 005
- Pfizer Investigational Site
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Mumbai, Maharashtra, India, 400 058
- Pfizer Investigational Site
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Pune, Maharashtra, India, 411 001
- Pfizer Investigational Site
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Pune, Maharashtra, India, 411 046
- Pfizer Investigational Site
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Punjab
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Ludhiana, Punjab, India, 141001
- Pfizer Investigational Site
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Tamil Nadu
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Chennai, Tamil Nadu, India, 600 003
- Pfizer Investigational Site
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Kuala Lumpur, Malaysia, 50586
- Pfizer Investigational Site
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Kuala Lumpur, Malaysia, 50603
- Pfizer Investigational Site
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Kuala Lumpur, Malaysia, 55100
- Pfizer Investigational Site
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Kelantan
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Kubang Kerian, Kelantan, Malaysia, 16150
- Pfizer Investigational Site
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Lima, Peru, L13
- Pfizer Investigational Site
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Lima, Peru, L41
- Pfizer Investigational Site
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Singapore, Singapore, 229899
- Pfizer Investigational Site
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Singapore, Singapore, 539747
- Pfizer Investigational Site
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Dnipropetrovsk, Ukraina, 49005
- Pfizer Investigational Site
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Dnipropetrovsk, Ukraina, 49115
- Pfizer Investigational Site
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Donetsk, Ukraina, 83037
- Pfizer Investigational Site
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Kharkiv, Ukraina, 61068
- Pfizer Investigational Site
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Kyiv, Ukraina, 04655
- Pfizer Investigational Site
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Lugansk, Ukraina, 91045
- Pfizer Investigational Site
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Lviv, Ukraina, 79021
- Pfizer Investigational Site
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Odessa, Ukraina, 65006
- Pfizer Investigational Site
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Poltava, Ukraina, 36006
- Pfizer Investigational Site
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Vinnytsya, Ukraina, 21005
- Pfizer Investigational Site
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Crimea
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Simferopol, Crimea, Ukraina, 95006
- Pfizer Investigational Site
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
13 år til 17 år (Barn)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) criteria for schizophrenia: Current symptoms were to be present for at least 7 days before screening.
- At the Screening and Baseline visits, subjects must have had a Brief Psychiatric Rating Scale - Anchored score ≥35 and a score of ≥4 on at least 1 of the following items: unusual thought content (i.e., delusions), hallucinations, suspiciousness, or conceptual disorganization.
- Age 13 - 17 years
Exclusion Criteria:
- Imminent risk of suicide or homicide, as judged by the site investigator
- Any history of serious or unstable medical illness, including risk for QT prolongation
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Firemannsrom
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
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Placebo komparator: 2.0
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Placebo matching the oral ziprasidone capsules of 20 mg, 40 mg, 60 mg, and 80 mg strength or matching placebo.
Subjects will be dosed daily for 6 weeks using a flexible dose design with a minimal dose range of 40mg twice a day (BID) to a maximum dose range of 80 mg BID.
For subjects weighing <45 kg, the doses will range from 20 mg BID to 40 mg BID.
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Aktiv komparator: 1.0
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Oral ziprasidone capsules of 20 mg, 40 mg, 60 mg, and 80 mg strength or matching placebo.
Subjects will be dosed daily for 6 weeks using a flexible dose design with a minimal dose range of 40mg BID to a maximum dose range of 80 mg BID.
For subjects weighing <45 kg, the doses will range from 20 mg BID to 40 mg BID.
Andre navn:
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Change From Baseline in Brief Psychiatric Rating Scale - Anchored (BPRS-A) Total Score at Week 6
Tidsramme: Baseline, Week 6
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BPRS-A: 18-item clinician rated scale to assess somatic concern, anxiety, emotional withdrawal, disorganization, hallucinatory behavior, guilt feelings, suspiciousness, disorientation, tension, mannerisms, posturing, grandiosity, depressive mood, hostility, motor retardation, uncooperativeness, unusual thought content, blunted affect, and excitement.
Ratings anchored to improve consistency for a single rater over time or between raters.
Items rated on 7-point scale 0 (not present) to 6 (extremely severe).
Total score=sum of items (range 0 to 108); higher scores indicate increased pathology.
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Baseline, Week 6
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
Change From Baseline in Clinical Global Impression of Severity (CGI-S) Score at Week 6
Tidsramme: Baseline, Week 6
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CGI-S: single-item clinician rated scale to rate the severity of a subject's illness over time.
Scores range from 1 (normal, not at all ill) to 7 (among the most severely ill subjects); higher score indicates more affected.
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Baseline, Week 6
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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Total Score at Week 6
Tidsramme: Baseline, Week 6
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PANSS: 30-item clinician-rated scale to measure severity of psychopathology (16 items); positive scale (7 items); negative scale (7 items); summarized as positive score, negative score, and total score.
Items scored on anchored Likert scale rated 1 (absent symptoms) to 7 (extreme); scores above 1 indicate clinical symptom is present; scores from 2 to 7 indicate increased severity.
Total score range 30 to 210: higher score indicates greater severity.
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Baseline, Week 6
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Change From Baseline in PANSS: Positive and Negative Subscales at Week 6
Tidsramme: Baseline, Week 6
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PANSS: 30-item clinician-rated scale to measure severity of psychopathology (16 items); positive scale (7 items); negative scale (7 items); summarized as positive score, negative score, and total score.
Items scored on anchored Likert scale rated 1 (absent symptoms) to 7 (extreme); scores above 1 indicate clinical symptom is present; scores from 2 to 7 indicate increased severity.
Total score range 30 to 210: higher score indicates greater severity.
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Baseline, Week 6
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Clinical Global Impression of Improvement (CGI-I) Score at Week 6
Tidsramme: Baseline, Week 6
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CGI-I: single-item clinician rated scale used to assess the subject's improvement or worsening from baseline.
Scores range from 1 (very much improved) to 4 (no change) to 7 (very much worse); higher score indicates more affected.
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Baseline, Week 6
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Change From Baseline in Children's Global Assessment Scale (CGAS)
Tidsramme: Baseline, Week 2, Week 4, Week 6, Early termination (ET)
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CGAS: clinician-rated global assessment item for children based on symptoms and social functioning in home, school, and community settings.
Scores on this single item range from 1 to 100 (higher levels indicate greater health) with descriptive anchors for every 10-point interval.
Scores above 70 on this scale are considered within the "normal" range; lower score indicates need for increased supervision.
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Baseline, Week 2, Week 4, Week 6, Early termination (ET)
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Change From Baseline in Child Health Questionnaire (CHQ)
Tidsramme: Baseline, Week 6, ET
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CHQ: 50-item, 15 subscale parent or legal guardian assessed instrument of child's physical, emotional, social well-being, and relative burden of disease on the parents; rated on Likert-type scale: range 0 to 100; higher scores indicate a more positive health status.
Global indicators for Physical Health and Psychosocial Health are weighted composites derived from subscale items using scoring algorithms (transformed scores); range 0 to 100: higher scores indicate more positive health status.
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Baseline, Week 6, ET
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Change From Baseline in Children's Problem Behavior and Aggression Questionnaire (CPBAQ) Total Score
Tidsramme: Baseline, Week 1 through Week 6
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CPBAQ: 19-item parent or legal guardian completed questionnaire to rate the child's verbal (such as yelling or cursing) and physical aggression (such a fighting with peers or being cruel to an animal) during the past week.
Behavior was rated on a 4-point scale; range 0 (behavior did not occur or was not a problem) to 3 (behavior occurred a lot or was severe problem).
Total score range 0 to 57; higher scores indicate a greater frequency and severity of aggression.
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Baseline, Week 1 through Week 6
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Change From Baseline in Child Depression Rating Scale - Revised (CDRS-R): Total Score
Tidsramme: Baseline, Week 1 through Week 6
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CDRS-R: clinician-rated interview-based scale (with both child and parent or guardian) to assess 17 distinct symptom areas to derive an index of depression severity.
Discrepancies between informants' responses were resolved by using most impaired rating given by valid informant.
Rated on a 7-point scale; range from 1 (no impairment) to 7 (indicates greater impairment).
Total score calculated as sum of the 17 items (range 1 to 119); higher score indicates greater impairment.
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Baseline, Week 1 through Week 6
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Change From Baseline in Child Depression Rating Scale - Revised (CDRS-R): Suicide Ideation Item 13
Tidsramme: Baseline, Week 1 through Week 6
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CDRS-R: clinician-rated interview-based scale (with both child and parent or guardian) to assess 17 distinct symptom areas to derive an index of depression severity.
Discrepancies between informants' responses were resolved by using most impaired rating given by valid informant.
Suicide Ideation (Item 13) detects changes in suicidality over time.
Rated on a 7-point scale; range from 1 (no impairment) to 7 (indicates greater impairment).
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Baseline, Week 1 through Week 6
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Change From Baseline in Child Depression Rating Scale - Revised (CDRS-R): Impaired Schoolwork Item 1
Tidsramme: Baseline, Week 2, Week 6
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Clinician-rated interview-based scale (with both child and parent or guardian) to assess 17 distinct symptom areas to derive an index of depression severity.
Discrepancies between informants' responses resolved by using most impaired rating given by valid informant.
Impaired Schoolwork (Item 1) assesses school function for the subgroup of subjects reported to be in school.
Rated on a 7-point scale; range from 1 (no impairment) to 7 (indicates greater impairment).
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Baseline, Week 2, Week 6
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Change From Baseline in CNS Vital Signs Cognitive Test Battery (Includes Sedation Item): Subscales
Tidsramme: Baseline, Week 6, ET
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A computerized subject-administered test battery with subtests for verbal and visual memory, processing speed, nonverbal reasoning, executive functioning, working memory, and sustained attention.
A computerized 7-point sedation item (0 [not sleepy] to 10 [very sleepy]) was completed prior to test battery.
The Neurocognitive index score was derived from subtest scores per an algorithm.
The index score and subtest scores assessed the subject's changes in cognition.
Scores were rated as above average (score >109), average (90 to 109), below average (80 to 89), or well below average (70 to 79).
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Baseline, Week 6, ET
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Change From Baseline in CNS Vital Signs Cognitive Test Battery: Neurocognitive Index
Tidsramme: Baseline, Week 6, ET
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A computerized subject-administered test battery with subtests for verbal and visual memory, processing speed, nonverbal reasoning, executive functioning, working memory, and sustained attention.
A computerized 7-point sedation item (0 [not sleepy] to 10 [very sleepy]) was completed prior to test battery.
The Neurocognitive index score was derived from subtest scores per an algorithm.
The index score and subtest scores assessed the subject's changes in cognition.
Scores were rated as above average (score >109), average (90 to 109), below average (80 to 89), or well below average (70 to 79).
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Baseline, Week 6, ET
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Change From Baseline in Movement Disorder Scales: Simpson-Angus Rating Scale (SARS)
Tidsramme: Baseline, Week 1 through Week 6
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SARS: 10-item clinician rated instrument to assess parkinsonian symptoms (7 items) and related extrapyramidal side effects (3 items): gait, arm dropping, shoulder shaking, elbow rigidity, leg pendulousness, glabellar tap, tremor, and salivation.
Head dropping (modified SARS item 7) substituted for head rotation.
Anchored 5-point scale: range 0 (absence of condition, normal) to 4 (most extreme form of condition).
Total score is sum of individual item scores (range 0 to 40); higher score indicates more affected.
|
Baseline, Week 1 through Week 6
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Change From Baseline in Movement Disorder Scales: Barnes Akathisia Rating Scale (BAS) Global Clinical Assessment Item
Tidsramme: Baseline, Week 1 through Week 6
|
BAS: clinician rated scale to assess akathisia to determine the degree of subjective restlessness and distress associated with restlessness.
First 3 items (Objective, Subjective, and Distress related to restlessness) rated on a 4-point scale with range 0 (no symptoms) to 3 (increased severity of symptoms).
Item 4 Global Clinical Assessment of Akathisia rated on a 6-point scale range 0 (no symptoms) to 5 (increased severity of symptoms); higher score indicates increased severity.
All rating are anchored.
Only the Global Clinical Assessment of Akathisia was to be analyzed.
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Baseline, Week 1 through Week 6
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Change From Baseline in Movement Disorder Scales: Abnormal Involuntary Movement Scale (AIMS) Movement Cluster Score
Tidsramme: Baseline, Week 1 through Week 6
|
AIMS: clinician rated 12-item scale to rate 7 body areas and global judgments on the severity of abnormal movements, incapacitation and subject's awareness of abnormal movements.
Items 1 to 10 scored 0 (none) to 4 (severe) (total possible score 0 to 40; higher score indicates greater severity); items 11 to 14 are No or Yes response to dental status and sleep movements.
Only the sum of the first 7 items to be analyzed (AIMS Movement Cluster score).
Total score 0 to 28; higher score indicates greater severity.
|
Baseline, Week 1 through Week 6
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Number of Subjects Per Response on the School Placement Questionnaire: School Situation
Tidsramme: Baseline, Week 2, Week 6, ET
|
School placement questionnaire: parent or legal guardian assessed questionnaire to determine whether the child is currently enrolled in school (or planned to be enrolled if on school holiday like summer break), whether attending regularly if enrolled, and how well the child is doing overall in school.
Questions were modified from those used in the National Institute of Mental Health (NIMH) funded Treatment of Early Onset Schizophrenia Spectrum (TEOSS) study.
Results determine whether subjects are currently attending school and qualitatively describe how well they are doing in school.
|
Baseline, Week 2, Week 6, ET
|
Number of Subjects Per Response on the School Placement Questionnaire: School Attendance
Tidsramme: Baseline, Week 2, Week 6, ET
|
School placement questionnaire: parent or legal guardian assessed questionnaire to determine whether the child is currently enrolled in school (or planned to be enrolled if on school holiday like summer break), whether attending regularly if enrolled, and how well the child is doing overall in school.
Questions were modified from those used in the National Institute of Mental Health (NIMH) funded Treatment of Early Onset Schizophrenia Spectrum (TEOSS) study.
Results determine whether subjects are currently attending school and qualitatively describe how well they are doing in school.
|
Baseline, Week 2, Week 6, ET
|
Number of Subjects Per Response on the School Placement Questionnaire: Overall School Performance
Tidsramme: Baseline, Week 2, Week 6, ET
|
School placement questionnaire: parent or legal guardian assessed questionnaire to determine whether the child is currently enrolled in school (or planned to be enrolled if on school holiday like summer break), whether attending regularly if enrolled, and how well the child is doing overall in school.
Questions were modified from those used in the National Institute of Mental Health (NIMH) funded Treatment of Early Onset Schizophrenia Spectrum (TEOSS) study.
Results determine whether subjects are currently attending school and qualitatively describe how well they are doing in school.
|
Baseline, Week 2, Week 6, ET
|
Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Hjelpsomme linker
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. april 2006
Primær fullføring (Faktiske)
1. mars 2009
Studiet fullført (Faktiske)
1. mars 2009
Datoer for studieregistrering
Først innsendt
21. november 2005
Først innsendt som oppfylte QC-kriteriene
21. november 2005
Først lagt ut (Anslag)
22. november 2005
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
25. mars 2021
Siste oppdatering sendt inn som oppfylte QC-kriteriene
2. mars 2021
Sist bekreftet
1. mars 2021
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
- Psykiske lidelser
- Schizofrenispektrum og andre psykotiske lidelser
- Schizofreni
- Fysiologiske effekter av legemidler
- Nevrotransmittere agenter
- Molekylære mekanismer for farmakologisk virkning
- Sentralnervesystemdepressiva
- Antipsykotiske midler
- Beroligende midler
- Psykotropiske stoffer
- Serotoninmidler
- Dopaminmidler
- Serotonin-antagonister
- Dopaminantagonister
- Ziprasidon
Andre studie-ID-numre
- A1281134
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .
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