Trial Outcomes & Findings for 6-Month Extension Trial of Asenapine With Olanzapine in Negative Symptom Patients Who Completed the Protocol 25543 (25544)(P05777) (NCT NCT00265343)

NCT ID: NCT00265343

Last Updated: 2022-02-09

Results Overview

Decrease from baseline in the NSA scores indicates improvement of efficacy. Range NSA total score is 16 \[best\]-96 \[worst\].

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

306 participants

Primary outcome timeframe

Baseline of Protocol 25543 (NCT 00212836) to 365 days (total time for both protocols 25543 & 25544)

Results posted on

2022-02-09

Participant Flow

Participant milestones

Participant milestones
Measure
Asenapine
5-10 mg twice daily (bid) sublingual (SL)
Olanzapine
5-20 mg daily (QD) orally (PO)
Overall Study
STARTED
134
172
Overall Study
COMPLETED
113
153
Overall Study
NOT COMPLETED
21
19

Reasons for withdrawal

Reasons for withdrawal
Measure
Asenapine
5-10 mg twice daily (bid) sublingual (SL)
Olanzapine
5-20 mg daily (QD) orally (PO)
Overall Study
Adverse Event
10
7
Overall Study
Withdrawal by Subject
3
9
Overall Study
Other
8
3

Baseline Characteristics

6-Month Extension Trial of Asenapine With Olanzapine in Negative Symptom Patients Who Completed the Protocol 25543 (25544)(P05777)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Asenapine
n=134 Participants
5-10 mg twice daily (bid) sublingual (SL)
Olanzapine
n=172 Participants
5-20 mg daily (QD) orally (PO)
Total
n=306 Participants
Total of all reporting groups
Age, Continuous
39.9 years
STANDARD_DEVIATION 12.2 • n=5 Participants
40.7 years
STANDARD_DEVIATION 11.7 • n=7 Participants
40.4 years
STANDARD_DEVIATION 11.9 • n=5 Participants
Sex: Female, Male
Female
43 Participants
n=5 Participants
53 Participants
n=7 Participants
96 Participants
n=5 Participants
Sex: Female, Male
Male
91 Participants
n=5 Participants
119 Participants
n=7 Participants
210 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline of Protocol 25543 (NCT 00212836) to 365 days (total time for both protocols 25543 & 25544)

Population: Intent-to-treat population

Decrease from baseline in the NSA scores indicates improvement of efficacy. Range NSA total score is 16 \[best\]-96 \[worst\].

Outcome measures

Outcome measures
Measure
Asenapine
n=122 Participants
5-10 mg twice daily (bid) sublingual (SL)
Olanzapine
n=157 Participants
5-20 mg daily (QD) orally (PO)
Long-term Change in Negative Symptoms of Schizophrenia Measured by the Negative Symptom Assessment (NSA) Scale
-16.9 Units on a Scale
Standard Error 0.98
-15.4 Units on a Scale
Standard Error 0.85

SECONDARY outcome

Timeframe: Baseline of Protocol 25543 (NCT 00212836) to 365 days (total time for both protocols 25543 & 25544)

Population: Intent-to-treat population

Increase from baseline in the QLS scores indicates improvement of efficacy. Range QLS total score is 0 \[worst\]-126 \[best\].

Outcome measures

Outcome measures
Measure
Asenapine
n=122 Participants
5-10 mg twice daily (bid) sublingual (SL)
Olanzapine
n=157 Participants
5-20 mg daily (QD) orally (PO)
Change in Quality of Life Measured by Quality of Life Scale (QLS)
18.7 Units on a Scale
Standard Error 1.64
16.4 Units on a Scale
Standard Error 1.4

Adverse Events

Asenapine

Serious events: 9 serious events
Other events: 19 other events
Deaths: 0 deaths

Olanzapine

Serious events: 6 serious events
Other events: 21 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Asenapine
n=134 participants at risk
Olanzapine
n=172 participants at risk
Cardiac disorders
Myocardial infarction
0.00%
0/134
0.58%
1/172 • Number of events 1
Gastrointestinal disorders
Nausea
0.00%
0/134
0.58%
1/172 • Number of events 1
Gastrointestinal disorders
Vomiting
0.00%
0/134
0.58%
1/172 • Number of events 1
Infections and infestations
Salmonellosis
0.75%
1/134 • Number of events 1
0.00%
0/172
Injury, poisoning and procedural complications
Fall
0.75%
1/134 • Number of events 1
0.00%
0/172
Injury, poisoning and procedural complications
Fibula fracture
0.75%
1/134 • Number of events 1
0.00%
0/172
Metabolism and nutrition disorders
Dehydration
0.00%
0/134
0.58%
1/172 • Number of events 1
Nervous system disorders
Dementia
0.75%
1/134 • Number of events 1
0.00%
0/172
Psychiatric disorders
Anxiety
0.75%
1/134 • Number of events 1
0.00%
0/172
Psychiatric disorders
Nervousness
0.75%
1/134 • Number of events 3
0.00%
0/172
Psychiatric disorders
Psychotic disorder
0.75%
1/134 • Number of events 1
0.00%
0/172
Psychiatric disorders
Schizophrenia
3.0%
4/134 • Number of events 4
1.7%
3/172 • Number of events 3
Psychiatric disorders
Stress
0.75%
1/134 • Number of events 3
0.00%
0/172
Surgical and medical procedures
Surgery
0.00%
0/134
0.58%
1/172 • Number of events 1

Other adverse events

Other adverse events
Measure
Asenapine
n=134 participants at risk
Olanzapine
n=172 participants at risk
Infections and infestations
Influenza
5.2%
7/134 • Number of events 7
1.7%
3/172 • Number of events 3
Investigations
Weight increased
0.00%
0/134
6.4%
11/172 • Number of events 11
Nervous system disorders
Headache
5.2%
7/134 • Number of events 8
4.1%
7/172 • Number of events 8
Psychiatric disorders
Schizophrenia
5.2%
7/134 • Number of events 8
0.58%
1/172 • Number of events 1

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme Corp.

Results disclosure agreements

  • Principal investigator is a sponsor employee Publication/presentation of data may not be made without prior review and comment by the Sponsor; all reasonable comments of Sponsor will be incorporated as far as the scientific data content is not impaired. A complete copy shall be provided to the Sponsor at least 60 days prior to date of submission. Participation in the Study involves a commitment to publish data from the study in a cooperative publication prior to publication/presentation or on an individual basis.
  • Publication restrictions are in place

Restriction type: OTHER