Trial Outcomes & Findings for Safety and Tolerability of Ziprasidone in Children and Adolescents With Bipolar I Disorder (Manic or Mixed) (NCT NCT00265330)

NCT ID: NCT00265330

Last Updated: 2021-03-25

Results Overview

YMRS: 11-item instrument with scales 0 (normal) to 4 (highest abnormal)for 7 items and 0 (normal) to 8 (highest abnormal) for 4 items. Total possible 0 - 60. Baseline is from parent study A1281132.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

169 participants

Primary outcome timeframe

baseline and 26 Weeks; 26 Weeks Last Observation Carried Forward (LOCF)

Results posted on

2021-03-25

Participant Flow

The number of subjects entering this trial was determined by the number of subjects electing to continue treatment after completing or withdrawing from the preceding double-blind study (A1281132: NCT00257166).

A total of 169 subjects from the parent study were assigned to the extension study and 162 continued on and received study treatment in the extension study.

Participant milestones

Participant milestones
Measure
Ziprasidone
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Overall Study
STARTED
162
Overall Study
COMPLETED
67
Overall Study
NOT COMPLETED
95

Reasons for withdrawal

Reasons for withdrawal
Measure
Ziprasidone
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Overall Study
Adverse Event
41
Overall Study
Lost to Follow-up
8
Overall Study
Withdrawal by Subject
34
Overall Study
Patient Wanted to Start Psychotherapy
1
Overall Study
Lack of Efficacy
4
Overall Study
Family Scheduling Conflicts
1
Overall Study
Began Taking Formulary Geodon
1
Overall Study
Discharged from Unit for Long Term Care
1
Overall Study
Site Closed by Sponsor
1
Overall Study
Principal Investigators Request
1
Overall Study
Withdrew Consent
1
Overall Study
Protocol Violation
1

Baseline Characteristics

Safety and Tolerability of Ziprasidone in Children and Adolescents With Bipolar I Disorder (Manic or Mixed)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ziprasidone
n=162 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Age, Continuous
13.3 years
STANDARD_DEVIATION 2.1 • n=5 Participants
Sex: Female, Male
Female
72 Participants
n=5 Participants
Sex: Female, Male
Male
90 Participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline and 26 Weeks; 26 Weeks Last Observation Carried Forward (LOCF)

Population: The Safety Analysis Set includes all subjects who took at least one dose of study medication in this open-label extension study. (Row: n=number subjects with observation)

YMRS: 11-item instrument with scales 0 (normal) to 4 (highest abnormal)for 7 items and 0 (normal) to 8 (highest abnormal) for 4 items. Total possible 0 - 60. Baseline is from parent study A1281132.

Outcome measures

Outcome measures
Measure
Ziprasidone
n=162 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Young Mania Rating Scale (YMRS) Total Score Change From Baseline
Week 2 (n=153)
-3.8 score on scale
Standard Deviation 9.0
Young Mania Rating Scale (YMRS) Total Score Change From Baseline
Week 6 (n=122)
-4.0 score on scale
Standard Deviation 9.1
Young Mania Rating Scale (YMRS) Total Score Change From Baseline
Week 18 (n=76)
-6.3 score on scale
Standard Deviation 12.7
Young Mania Rating Scale (YMRS) Total Score Change From Baseline
Week 26 (n=69)
-6.1 score on scale
Standard Deviation 11.6
Young Mania Rating Scale (YMRS) Total Score Change From Baseline
Early Termination (n=59)
1.5 score on scale
Standard Deviation 11.3
Young Mania Rating Scale (YMRS) Total Score Change From Baseline
Week 26-LOCF (n=153)
-3.3 score on scale
Standard Deviation 10.7

PRIMARY outcome

Timeframe: baseline and 26 Weeks; 26 Weeks LOCF

Population: The Safety Analysis Set includes all subjects who took at least one dose of study medication in this open-label extension study. (Row: n=number subjects with observation)

CGI-S Scale:standardized assessment tool to rate severity of subject's illness; assesses investigator's impression of subject's current illness state. Change: score at observation minus score at baseline. Score: 1 (not ill at all) to 7 (among most extremely ill). Baseline = last available observation from parent double-blind study(A1281132).

Outcome measures

Outcome measures
Measure
Ziprasidone
n=162 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Clinical Global Impression of Severity (CGI-S) Change From Baseline
Week 1 (n=159)
-0.2 score on scale
Standard Deviation 0.9
Clinical Global Impression of Severity (CGI-S) Change From Baseline
Week 2 (n=150)
-0.5 score on scale
Standard Deviation 1.2
Clinical Global Impression of Severity (CGI-S) Change From Baseline
Week 6 (n=122)
-0.4 score on scale
Standard Deviation 1.1
Clinical Global Impression of Severity (CGI-S) Change From Baseline
Week 10 (n=99)
-0.7 score on scale
Standard Deviation 1.3
Clinical Global Impression of Severity (CGI-S) Change From Baseline
Week 14 (n=85)
-0.7 score on scale
Standard Deviation 1.2
Clinical Global Impression of Severity (CGI-S) Change From Baseline
Week 18 (n=76)
-0.7 score on scale
Standard Deviation 1.5
Clinical Global Impression of Severity (CGI-S) Change From Baseline
Week 22 (n=70)
-0.8 score on scale
Standard Deviation 1.3
Clinical Global Impression of Severity (CGI-S) Change From Baseline
Week 26 (n=69)
-1.1 score on scale
Standard Deviation 1.4
Clinical Global Impression of Severity (CGI-S) Change From Baseline
Early Termination (n=48)
0.4 score on scale
Standard Deviation 1.1
Clinical Global Impression of Severity (CGI-S) Change From Baseline
Week 26-LOCF (n=160)
-0.4 score on scale
Standard Deviation 1.3

PRIMARY outcome

Timeframe: Week 26

Population: Total number of subjects with given laboratory test at given visit. Range: N=136-134, with the exception of Insulin (N=115)

number of subjects with an abnormal lab value for those parameters with 5% or greater incidence of abnormality.

Outcome measures

Outcome measures
Measure
Ziprasidone
n=136 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Incidence of Lab Abnormalities
Bicarbonate (N=136)
44 participants
Incidence of Lab Abnormalities
Urine blood/Hemoglobin (N=136)
34 participants
Incidence of Lab Abnormalities
Urine ketones (N=136)
32 participants
Incidence of Lab Abnormalities
Testosterone (N=134)
22 participants
Incidence of Lab Abnormalities
Urine specific gravity (N=136)
13 participants
Incidence of Lab Abnormalities
Urine red blood cells (N=136)
13 participants
Incidence of Lab Abnormalities
Monocytes (N=134)
9 participants
Incidence of Lab Abnormalities
Triglycerides (N=136)
10 participants
Incidence of Lab Abnormalities
Urine white blood cells (N=136)
10 participants
Incidence of Lab Abnormalities
Insulin (N=115)
8 participants

PRIMARY outcome

Timeframe: Week 6, Week 26

Population: The Safety Analysis Set includes all subjects who took at least one dose of study medication in this open-label extension study. (Row: n= total number of subjects with at least 1 observation of the given laboratory test.)

Mean Change: lab value at observation minus lab value at baseline.

Outcome measures

Outcome measures
Measure
Ziprasidone
n=134 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Change in Low-Density Lipoprotein (LDL) Cholesterol and Fasting Cholesterol
LDL cholesterol Week 6 (n=113)
-7.5 milligram /deciliter (mg/dL)
Standard Deviation 19.7
Change in Low-Density Lipoprotein (LDL) Cholesterol and Fasting Cholesterol
LDL cholesterol Week 26 (n=59)
-8.9 milligram /deciliter (mg/dL)
Standard Deviation 19.5
Change in Low-Density Lipoprotein (LDL) Cholesterol and Fasting Cholesterol
LDL cholesterol Early Termination (n=44)
-7.6 milligram /deciliter (mg/dL)
Standard Deviation 20.1
Change in Low-Density Lipoprotein (LDL) Cholesterol and Fasting Cholesterol
Fasting cholesterol Week 6 (n=113)
-7.7 milligram /deciliter (mg/dL)
Standard Deviation 21.8
Change in Low-Density Lipoprotein (LDL) Cholesterol and Fasting Cholesterol
Fasting cholesterol Week 26 (n=59)
-10.3 milligram /deciliter (mg/dL)
Standard Deviation 22.7
Change in Low-Density Lipoprotein (LDL) Cholesterol and Fasting Cholesterol
Fasting cholesterol Early Termination (n=44)
-8.6 milligram /deciliter (mg/dL)
Standard Deviation 24.9

PRIMARY outcome

Timeframe: Week 6, Week 26

Population: The Safety Analysis Set includes all subjects who took at least one dose of study medication in this open-label extension study. (Row: n= total number of subjects with at least 1 observation of the given laboratory test.)

Mean Change: lab value at observation minus lab value at baseline

Outcome measures

Outcome measures
Measure
Ziprasidone
n=131 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Change in Hormones
Testosterone Week 6 (n=80)
0.9 nanogram/deciliter (ng/dL)
Standard Deviation 84.3
Change in Hormones
Testosterone Week 26 (n=38)
-23.4 nanogram/deciliter (ng/dL)
Standard Deviation 112.9
Change in Hormones
Testosterone Early Termination (n=32)
-0.4 nanogram/deciliter (ng/dL)
Standard Deviation 61.8
Change in Hormones
Prolactin Week 6 (n=110)
2.7 nanogram/deciliter (ng/dL)
Standard Deviation 13.2
Change in Hormones
Prolactin Week 26 (n=59)
1.9 nanogram/deciliter (ng/dL)
Standard Deviation 8.5
Change in Hormones
Prolactin Early Termination (n=40)
1.0 nanogram/deciliter (ng/dL)
Standard Deviation 11.6
Change in Hormones
Insulin-like growth factor Week 6 (n=95)
-19.9 nanogram/deciliter (ng/dL)
Standard Deviation 63.4
Change in Hormones
Insulin-like growth factor Week 26 (n=47)
-9.2 nanogram/deciliter (ng/dL)
Standard Deviation 68.1
Change in Hormones
Insulin-like growth factor Early Term (n=34)
-8.4 nanogram/deciliter (ng/dL)
Standard Deviation 66.5

PRIMARY outcome

Timeframe: Week 1 through Week 26

Mean Change: vital sign value at observation minus vital sign value at baseline

Outcome measures

Outcome measures
Measure
Ziprasidone
n=162 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Mean Change From Baseline in Supine Systolic Blood Pressure
Week 1 (n=155)
0.4 millimeters of mercury (mm Hg)
Standard Deviation 11.4
Mean Change From Baseline in Supine Systolic Blood Pressure
Week 2 (n=142)
1.1 millimeters of mercury (mm Hg)
Standard Deviation 10.4
Mean Change From Baseline in Supine Systolic Blood Pressure
Week 6/pre-dose (n=115)
1.2 millimeters of mercury (mm Hg)
Standard Deviation 9.5
Mean Change From Baseline in Supine Systolic Blood Pressure
Week 6/5-7 hours post dose (n=108)
1.2 millimeters of mercury (mm Hg)
Standard Deviation 9.9
Mean Change From Baseline in Supine Systolic Blood Pressure
Week 10 (n=93)
1.4 millimeters of mercury (mm Hg)
Standard Deviation 10.1
Mean Change From Baseline in Supine Systolic Blood Pressure
Week 14 (n=82)
-0.7 millimeters of mercury (mm Hg)
Standard Deviation 10.1
Mean Change From Baseline in Supine Systolic Blood Pressure
Week 18 (n=74)
0.4 millimeters of mercury (mm Hg)
Standard Deviation 11.7
Mean Change From Baseline in Supine Systolic Blood Pressure
Week 22 (n=69)
1.7 millimeters of mercury (mm Hg)
Standard Deviation 10.5
Mean Change From Baseline in Supine Systolic Blood Pressure
Week 26 (n=68)
2.9 millimeters of mercury (mm Hg)
Standard Deviation 11.4
Mean Change From Baseline in Supine Systolic Blood Pressure
Early Termination (n=75)
1.3 millimeters of mercury (mm Hg)
Standard Deviation 11.8

PRIMARY outcome

Timeframe: Week 1 through Week 26

Mean Change: vital sign value at observation minus vital sign value at baseline

Outcome measures

Outcome measures
Measure
Ziprasidone
n=162 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Mean Change From Baseline in Supine Diastolic Blood Pressure
Week 1 (n=155)
-0.5 millimeters mercury (mm Hg)
Standard Deviation 8.8
Mean Change From Baseline in Supine Diastolic Blood Pressure
Week 2 (n=142)
0.5 millimeters mercury (mm Hg)
Standard Deviation 8.7
Mean Change From Baseline in Supine Diastolic Blood Pressure
Week 6/pre-dose (n=115)
0.6 millimeters mercury (mm Hg)
Standard Deviation 9.7
Mean Change From Baseline in Supine Diastolic Blood Pressure
Week 6/5-7 hours post dose (n=108)
0.5 millimeters mercury (mm Hg)
Standard Deviation 8.8
Mean Change From Baseline in Supine Diastolic Blood Pressure
Week 10 (n=93)
-0.4 millimeters mercury (mm Hg)
Standard Deviation 10.1
Mean Change From Baseline in Supine Diastolic Blood Pressure
Week 14 (n=82)
-2.4 millimeters mercury (mm Hg)
Standard Deviation 8.3
Mean Change From Baseline in Supine Diastolic Blood Pressure
Week 18 (n=74)
-0.6 millimeters mercury (mm Hg)
Standard Deviation 9.8
Mean Change From Baseline in Supine Diastolic Blood Pressure
Week 22 (n=69)
-0.7 millimeters mercury (mm Hg)
Standard Deviation 9.4
Mean Change From Baseline in Supine Diastolic Blood Pressure
Week 26 (n=68)
1.5 millimeters mercury (mm Hg)
Standard Deviation 10.4
Mean Change From Baseline in Supine Diastolic Blood Pressure
Early Termination (n=75)
1.3 millimeters mercury (mm Hg)
Standard Deviation 8.1

PRIMARY outcome

Timeframe: Week 1 through Week 26

Mean Change: vital sign value at observation minus vital sign value at baseline

Outcome measures

Outcome measures
Measure
Ziprasidone
n=162 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Mean Change From Baseline in Supine Pulse Rates
Week 1 (n=155)
1.4 beats per minute
Standard Deviation 12.4
Mean Change From Baseline in Supine Pulse Rates
Week 2 (n=142)
2.0 beats per minute
Standard Deviation 11.7
Mean Change From Baseline in Supine Pulse Rates
Week 6/pre-dose (n=115)
-1.8 beats per minute
Standard Deviation 11.6
Mean Change From Baseline in Supine Pulse Rates
Week 6/5-7 hours post dose (n=108)
1.0 beats per minute
Standard Deviation 12.3
Mean Change From Baseline in Supine Pulse Rates
Week 10 (n=93)
1.4 beats per minute
Standard Deviation 11.8
Mean Change From Baseline in Supine Pulse Rates
Week 14 (n=82)
-3.0 beats per minute
Standard Deviation 12.4
Mean Change From Baseline in Supine Pulse Rates
Week 18 (n=74)
-3.5 beats per minute
Standard Deviation 12.2
Mean Change From Baseline in Supine Pulse Rates
Week 22 (n=69)
-2.1 beats per minute
Standard Deviation 11.7
Mean Change From Baseline in Supine Pulse Rates
Week 26 (n=68)
-3.0 beats per minute
Standard Deviation 11.2
Mean Change From Baseline in Supine Pulse Rates
Early Termination (n=75)
3.9 beats per minute
Standard Deviation 13.9

PRIMARY outcome

Timeframe: Week 1 through Week 26

Mean Change: vital sign value at observation minus vital sign value at baseline

Outcome measures

Outcome measures
Measure
Ziprasidone
n=161 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Mean Change From Baseline in Standing Systolic Blood Pressure
Week 2 (n=141)
3.7 mm Hg
Standard Deviation 11.7
Mean Change From Baseline in Standing Systolic Blood Pressure
Week 6/pre-dose (n=115)
1.6 mm Hg
Standard Deviation 9.6
Mean Change From Baseline in Standing Systolic Blood Pressure
Week 6/5-7 hours post dose (n=108)
2.0 mm Hg
Standard Deviation 9.5
Mean Change From Baseline in Standing Systolic Blood Pressure
Early Termination (n=75)
3.0 mm Hg
Standard Deviation 11.4
Mean Change From Baseline in Standing Systolic Blood Pressure
Week 1 (n=154)
1.4 mm Hg
Standard Deviation 10.5
Mean Change From Baseline in Standing Systolic Blood Pressure
Week 10 (n=93)
2.4 mm Hg
Standard Deviation 11.0
Mean Change From Baseline in Standing Systolic Blood Pressure
Week 14 (n=82)
0.5 mm Hg
Standard Deviation 11.3
Mean Change From Baseline in Standing Systolic Blood Pressure
Week 18 (n=74)
3.1 mm Hg
Standard Deviation 10.5
Mean Change From Baseline in Standing Systolic Blood Pressure
Week 22 (n=70)
3.2 mm Hg
Standard Deviation 10.0
Mean Change From Baseline in Standing Systolic Blood Pressure
Week 26 (n=68)
3.6 mm Hg
Standard Deviation 10.9

PRIMARY outcome

Timeframe: Week 1 through Week 26

Mean Change: vital sign value at observation minus vital sign value at baseline

Outcome measures

Outcome measures
Measure
Ziprasidone
n=161 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Mean Change From Baseline in Standing Diastolic Blood Pressure
Week 1 (n=154)
0.7 mm Hg
Standard Deviation 9.1
Mean Change From Baseline in Standing Diastolic Blood Pressure
Week 2 (n=141)
2.0 mm Hg
Standard Deviation 9.8
Mean Change From Baseline in Standing Diastolic Blood Pressure
Week 6/pre-dose (n=115)
1.4 mm Hg
Standard Deviation 9.8
Mean Change From Baseline in Standing Diastolic Blood Pressure
Week 6/5-7 hours post dose (n=108)
1.2 mm Hg
Standard Deviation 9.9
Mean Change From Baseline in Standing Diastolic Blood Pressure
Week 10 (n=93)
1.6 mm Hg
Standard Deviation 10.8
Mean Change From Baseline in Standing Diastolic Blood Pressure
Week 14 (n=82)
-0.1 mm Hg
Standard Deviation 9.8
Mean Change From Baseline in Standing Diastolic Blood Pressure
Week 18 (n=74)
1.1 mm Hg
Standard Deviation 8.8
Mean Change From Baseline in Standing Diastolic Blood Pressure
Week 22 (n=70)
0.5 mm Hg
Standard Deviation 8.5
Mean Change From Baseline in Standing Diastolic Blood Pressure
Week 26 (n=68)
2.8 mm Hg
Standard Deviation 8.3
Mean Change From Baseline in Standing Diastolic Blood Pressure
Early Termination (n=75)
3.4 mm Hg
Standard Deviation 10.8

PRIMARY outcome

Timeframe: Week 1 through Week 26

Mean Change: vital sign value at observation minus vital sign value at baseline

Outcome measures

Outcome measures
Measure
Ziprasidone
n=161 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Mean Change From Baseline in Standing Pulse Rates
Week 1 (n=154)
3.5 beats per minute
Standard Deviation 14.0
Mean Change From Baseline in Standing Pulse Rates
Week 2 (n=140)
2.9 beats per minute
Standard Deviation 13.4
Mean Change From Baseline in Standing Pulse Rates
Week 6/pre-dose (n=115)
0.3 beats per minute
Standard Deviation 13.1
Mean Change From Baseline in Standing Pulse Rates
Week 6/5-7 hours post dose (n=108)
3.8 beats per minute
Standard Deviation 13.9
Mean Change From Baseline in Standing Pulse Rates
Week 10 (n=93)
2.6 beats per minute
Standard Deviation 14.5
Mean Change From Baseline in Standing Pulse Rates
Week 14 (n=82)
0.5 beats per minute
Standard Deviation 14.7
Mean Change From Baseline in Standing Pulse Rates
Week 18 (n=74)
-0.3 beats per minute
Standard Deviation 12.5
Mean Change From Baseline in Standing Pulse Rates
Week 22 (n=70)
1.2 beats per minute
Standard Deviation 14.7
Mean Change From Baseline in Standing Pulse Rates
Week 26 (n=68)
-0.9 beats per minute
Standard Deviation 12.9
Mean Change From Baseline in Standing Pulse Rates
Early Termination (n=75)
4.8 beats per minute
Standard Deviation 13.8

PRIMARY outcome

Timeframe: Week 6, Week 26

Mean change; body weight value at observation minus body weight value at baseline.

Outcome measures

Outcome measures
Measure
Ziprasidone
n=162 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Mean Change From Baseline for Body Weight
Week 26 (n=68)
3.9 kilogram
Standard Deviation 5.4
Mean Change From Baseline for Body Weight
Week 6 (n=119)
1.3 kilogram
Standard Deviation 3.0
Mean Change From Baseline for Body Weight
Early Termination (n=74)
1.4 kilogram
Standard Deviation 2.8

PRIMARY outcome

Timeframe: Week 6, 26, early termination

mean change in body weight BMI -Z score calculated by subtracting median reference value of the population from observed value and dividing by standard deviation of reference population (kg/m squared). 0=no change

Outcome measures

Outcome measures
Measure
Ziprasidone
n=162 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Mean Change From Baseline for Body Mass Index (BMI) Z-Score
Week 26 (n=68)
0.1 score on scale
Standard Deviation 0.5
Mean Change From Baseline for Body Mass Index (BMI) Z-Score
Early Termination (n=74)
0.0 score on scale
Standard Deviation 0.3
Mean Change From Baseline for Body Mass Index (BMI) Z-Score
Week 6 (n=119)
0.0 score on scale
Standard Deviation 0.3

PRIMARY outcome

Timeframe: Week 6

change in body weight BMI -Z score calculated by subtracting median reference value of the population from observed value and dividing by standard deviation of reference population (kg/m squared). 0=no change

Outcome measures

Outcome measures
Measure
Ziprasidone
n=162 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Body Mass Index (BMI) Z-score Frequency
<-4
0 participants
Body Mass Index (BMI) Z-score Frequency
≥-4 to <-3
0 participants
Body Mass Index (BMI) Z-score Frequency
≥-3 to <-2
0 participants
Body Mass Index (BMI) Z-score Frequency
≥-2 to <-1
0 participants
Body Mass Index (BMI) Z-score Frequency
≥-1 to <0
53 participants
Body Mass Index (BMI) Z-score Frequency
≥0 to <1
61 participants
Body Mass Index (BMI) Z-score Frequency
≥1 to <2
1 participants
Body Mass Index (BMI) Z-score Frequency
≥2 to <3
0 participants
Body Mass Index (BMI) Z-score Frequency
≥3 to <4
0 participants
Body Mass Index (BMI) Z-score Frequency
≥4
0 participants

PRIMARY outcome

Timeframe: Week 26

change in body weight BMI -Z score calculated by subtracting median reference value of the population from observed value and dividing by standard deviation of reference population (kg/m squared). 0=no change

Outcome measures

Outcome measures
Measure
Ziprasidone
n=162 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Body Mass Index (BMI) Z-score Frequency
≥-3 to <-2
0 participants
Body Mass Index (BMI) Z-score Frequency
≥-2 to <-1
1 participants
Body Mass Index (BMI) Z-score Frequency
≥-1 to <0
27 participants
Body Mass Index (BMI) Z-score Frequency
<-4
0 participants
Body Mass Index (BMI) Z-score Frequency
≥-4 to <-3
0 participants
Body Mass Index (BMI) Z-score Frequency
≥0 to <1
39 participants
Body Mass Index (BMI) Z-score Frequency
≥1 to <2
1 participants
Body Mass Index (BMI) Z-score Frequency
≥2 to <3
0 participants
Body Mass Index (BMI) Z-score Frequency
≥3 to <4
0 participants
Body Mass Index (BMI) Z-score Frequency
≥4
0 participants

PRIMARY outcome

Timeframe: Baseline to Week 26 (end of study)

QT intervals (observed in an electrocardiogram)corrected using Fridericia's formula (QTcF). Mean change: mean change of observation minus baseline. Baseline: last available observation in the parent double-blind study.

Outcome measures

Outcome measures
Measure
Ziprasidone
n=162 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Mean Change From Baseline for QTcF Intervals
Week 1 (n=152)
4.8 millisecond
Standard Deviation 18.5
Mean Change From Baseline for QTcF Intervals
Week 2 (n=137)
3.5 millisecond
Standard Deviation 17.7
Mean Change From Baseline for QTcF Intervals
Week 6/pre-dose (n=111)
7.6 millisecond
Standard Deviation 17.7
Mean Change From Baseline for QTcF Intervals
Week 6/5-7 hours post dose (n=107)
7.0 millisecond
Standard Deviation 18.4
Mean Change From Baseline for QTcF Intervals
Week 10 (n=91)
4.3 millisecond
Standard Deviation 18.8
Mean Change From Baseline for QTcF Intervals
Week 14 (n=81)
6.2 millisecond
Standard Deviation 17.4
Mean Change From Baseline for QTcF Intervals
Week 18 (n=73)
7.4 millisecond
Standard Deviation 15.4
Mean Change From Baseline for QTcF Intervals
Week 22 (n=68)
8.1 millisecond
Standard Deviation 16.1
Mean Change From Baseline for QTcF Intervals
Week 26 (n=64)
7.1 millisecond
Standard Deviation 15.2
Mean Change From Baseline for QTcF Intervals
Early Termination (n=45)
2.7 millisecond
Standard Deviation 17.0

PRIMARY outcome

Timeframe: Week 26 (end of study)

QT intervals (observed in an electrocardiogram) corrected with Fridericia's Formula (QTcF). Number of subjects with corresponding categorical increase in QTcF.

Outcome measures

Outcome measures
Measure
Ziprasidone
n=89 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Frequency of Largest Categorical Increases in QTcF for Males
≥450 msec (millisecond )
0 participants
Frequency of Largest Categorical Increases in QTcF for Males
≥460 msec
0 participants
Frequency of Largest Categorical Increases in QTcF for Males
≥480 msec
0 participants
Frequency of Largest Categorical Increases in QTcF for Males
≥30 msec increase
28 participants
Frequency of Largest Categorical Increases in QTcF for Males
≥60 msec increase
0 participants

PRIMARY outcome

Timeframe: Week 26 (end of study)

QT interval (observed in an electrocardiogram) corrected using Fridericia Formula (QTcF). Number of subjects with corresponding categorical increase in QTcF.

Outcome measures

Outcome measures
Measure
Ziprasidone
n=71 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Frequency of Largest Categorical Increases in QTcF for Females
≥450 msec (millisecond)
3 participants
Frequency of Largest Categorical Increases in QTcF for Females
≥460 msec
0 participants
Frequency of Largest Categorical Increases in QTcF for Females
≥480 msec
0 participants
Frequency of Largest Categorical Increases in QTcF for Females
≥30 msec increase
10 participants
Frequency of Largest Categorical Increases in QTcF for Females
≥60 msec increase
2 participants

PRIMARY outcome

Timeframe: Week 26 (end of study)

QT intervals (observed in an electrocardiogram)corrected using Fridericia Formula (QTcF). Number of subjects with corresponding categorical increase in QTcF.

Outcome measures

Outcome measures
Measure
Ziprasidone
n=160 Participants
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Frequency of Largest Categorical Increases in QTcF - All Subjects
≥450 msec (millisecond)
3 participants
Frequency of Largest Categorical Increases in QTcF - All Subjects
≥460 msec
0 participants
Frequency of Largest Categorical Increases in QTcF - All Subjects
≥480 msec
0 participants
Frequency of Largest Categorical Increases in QTcF - All Subjects
≥30 msec increase
38 participants
Frequency of Largest Categorical Increases in QTcF - All Subjects
≥60 msec increase
2 participants

Adverse Events

Ziprasidone

Serious events: 17 serious events
Other events: 123 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ziprasidone
n=162 participants at risk
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Injury, poisoning and procedural complications
Overdose
0.62%
1/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Psychiatric disorders
Aggression
0.62%
1/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Psychiatric disorders
Bipolar disorder
1.9%
3/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Psychiatric disorders
Conversion disorder
0.62%
1/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Psychiatric disorders
Delusion
0.62%
1/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Psychiatric disorders
Hallucinations, mixed
0.62%
1/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Psychiatric disorders
Homicidal ideation
0.62%
1/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Psychiatric disorders
Mania
0.62%
1/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Psychiatric disorders
Negative thoughts
0.62%
1/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Psychiatric disorders
Oppositional defiant disorder
1.2%
2/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Psychiatric disorders
Self-injurious behavior
0.62%
1/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Psychiatric disorders
Suicidal ideation
2.5%
4/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
General disorders
Disease progression
0.62%
1/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Psychiatric disorders
Hallucination
0.62%
1/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.

Other adverse events

Other adverse events
Measure
Ziprasidone
n=162 participants at risk
Dosing was flexible, with dosing adjustments made at the discretion of the investigator to maintain optimal efficacy and tolerability. For subjects having a body weight of 45 kilograms (kg) or greater, the target dosage range was 40-80 milligrams (mg) twice per day (BID) (80-160 mg/day). For subjects having a body weight under 45 kg, the maximum permitted dose was 80 mg/day (40 mg BID).
Gastrointestinal disorders
Abdominal pain upper
9.3%
15/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Gastrointestinal disorders
Nausea
8.0%
13/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Gastrointestinal disorders
Vomiting
7.4%
12/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
General disorders
Fatigue
6.8%
11/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Nervous system disorders
Dizziness
7.4%
12/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Nervous system disorders
Headache
22.2%
36/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Nervous system disorders
Sedation
26.5%
43/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Nervous system disorders
Somnolence
23.5%
38/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Psychiatric disorders
Insomnia
13.6%
22/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Respiratory, thoracic and mediastinal disorders
Cough
5.6%
9/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
7.4%
12/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.
Gastrointestinal disorders
Abdominal discomfort
6.8%
11/162 • Treatment emergent adverse events are reported from time of first dose of study treatment up to 6 days after last dose of study treatment.
Safety population = all randomized subjects with at least 1 dose of study treatment. An Adverse Event (AE) term may be reported as both a serious and non-serious AE, but are distinct events. AE may = serious for 1 subject and = non-serious for another subject or subject may have experienced both a serious and non-serious episode of the same event.

Additional Information

Pfizer ClinicalTrials.gov Call Center

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Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
  • Publication restrictions are in place

Restriction type: OTHER