Trial Outcomes & Findings for Olanzapine Pamoate Depot Versus Oral Olanzapine on Treatment Outcomes in Outpatients With Schizophrenia (NCT NCT00320489)
NCT ID: NCT00320489
Last Updated: 2012-01-23
Results Overview
COMPLETED
PHASE3
524 participants
Baseline up to 104 weeks
2012-01-23
Participant Flow
Participant milestones
| Measure |
Olanzapine Pamoate Depot
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Overall Study
STARTED
|
264
|
260
|
|
Overall Study
COMPLETED
|
119
|
124
|
|
Overall Study
NOT COMPLETED
|
145
|
136
|
Reasons for withdrawal
| Measure |
Olanzapine Pamoate Depot
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Overall Study
Adverse Event
|
26
|
25
|
|
Overall Study
Clinical Relapse
|
26
|
20
|
|
Overall Study
Death
|
0
|
2
|
|
Overall Study
Entry Criteria Exclusion
|
2
|
4
|
|
Overall Study
Lack of Efficacy
|
16
|
7
|
|
Overall Study
Lost to Follow-up
|
21
|
22
|
|
Overall Study
Physician Decision
|
8
|
8
|
|
Overall Study
Protocol Violation
|
4
|
4
|
|
Overall Study
Sponsor Decision
|
3
|
3
|
|
Overall Study
Withdrawal by Subject
|
39
|
41
|
Baseline Characteristics
Olanzapine Pamoate Depot Versus Oral Olanzapine on Treatment Outcomes in Outpatients With Schizophrenia
Baseline characteristics by cohort
| Measure |
Olanzapine Pamoate Depot
n=264 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=260 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
Total
n=524 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age Continuous
|
41.70 years
STANDARD_DEVIATION 10.92 • n=5 Participants
|
40.12 years
STANDARD_DEVIATION 10.84 • n=7 Participants
|
40.92 years
STANDARD_DEVIATION 10.90 • n=5 Participants
|
|
Sex: Female, Male
Female
|
89 Participants
n=5 Participants
|
83 Participants
n=7 Participants
|
172 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
175 Participants
n=5 Participants
|
177 Participants
n=7 Participants
|
352 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
African
|
41 participants
n=5 Participants
|
47 participants
n=7 Participants
|
88 participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Caucasian
|
161 participants
n=5 Participants
|
164 participants
n=7 Participants
|
325 participants
n=5 Participants
|
|
Race/Ethnicity, Customized
East Asian
|
23 participants
n=5 Participants
|
23 participants
n=7 Participants
|
46 participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Hispanic
|
26 participants
n=5 Participants
|
16 participants
n=7 Participants
|
42 participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Native American
|
3 participants
n=5 Participants
|
1 participants
n=7 Participants
|
4 participants
n=5 Participants
|
|
Race/Ethnicity, Customized
West Asian (Indian sub-continent)
|
10 participants
n=5 Participants
|
9 participants
n=7 Participants
|
19 participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Unspecified
|
0 participants
n=5 Participants
|
0 participants
n=7 Participants
|
0 participants
n=5 Participants
|
|
Region of Enrollment
Portugal
|
9 participants
n=5 Participants
|
11 participants
n=7 Participants
|
20 participants
n=5 Participants
|
|
Region of Enrollment
France
|
13 participants
n=5 Participants
|
14 participants
n=7 Participants
|
27 participants
n=5 Participants
|
|
Region of Enrollment
United States
|
64 participants
n=5 Participants
|
60 participants
n=7 Participants
|
124 participants
n=5 Participants
|
|
Region of Enrollment
Taiwan
|
20 participants
n=5 Participants
|
19 participants
n=7 Participants
|
39 participants
n=5 Participants
|
|
Region of Enrollment
Slovakia
|
14 participants
n=5 Participants
|
15 participants
n=7 Participants
|
29 participants
n=5 Participants
|
|
Region of Enrollment
Greece
|
20 participants
n=5 Participants
|
20 participants
n=7 Participants
|
40 participants
n=5 Participants
|
|
Region of Enrollment
Puerto Rico
|
8 participants
n=5 Participants
|
8 participants
n=7 Participants
|
16 participants
n=5 Participants
|
|
Region of Enrollment
Canada
|
20 participants
n=5 Participants
|
18 participants
n=7 Participants
|
38 participants
n=5 Participants
|
|
Region of Enrollment
Argentina
|
32 participants
n=5 Participants
|
30 participants
n=7 Participants
|
62 participants
n=5 Participants
|
|
Region of Enrollment
Brazil
|
43 participants
n=5 Participants
|
44 participants
n=7 Participants
|
87 participants
n=5 Participants
|
|
Region of Enrollment
Spain
|
4 participants
n=5 Participants
|
4 participants
n=7 Participants
|
8 participants
n=5 Participants
|
|
Region of Enrollment
Romania
|
17 participants
n=5 Participants
|
17 participants
n=7 Participants
|
34 participants
n=5 Participants
|
|
Brief Psychiatric Rating Scale (BPRS) Total Score
|
13.61 Units on a scale
STANDARD_DEVIATION 5.82 • n=5 Participants
|
13.11 Units on a scale
STANDARD_DEVIATION 5.29 • n=7 Participants
|
13.36 Units on a scale
STANDARD_DEVIATION 5.56 • n=5 Participants
|
|
Length of Current Schizophrenic Episode
|
179.16 Days
STANDARD_DEVIATION 152.58 • n=5 Participants
|
170.73 Days
STANDARD_DEVIATION 143.34 • n=7 Participants
|
174.98 Days
STANDARD_DEVIATION 147.98 • n=5 Participants
|
|
Age of Onset of Illness
|
25.95 Years
STANDARD_DEVIATION 9.21 • n=5 Participants
|
26.52 Years
STANDARD_DEVIATION 8.65 • n=7 Participants
|
26.24 Years
STANDARD_DEVIATION 8.93 • n=5 Participants
|
|
Number of Schizophrenic Episodes or Exacerbations in the Previous 24 Months
|
2.78 Episodes
STANDARD_DEVIATION 1.81 • n=5 Participants
|
2.67 Episodes
STANDARD_DEVIATION 1.43 • n=7 Participants
|
2.73 Episodes
STANDARD_DEVIATION 1.63 • n=5 Participants
|
|
Positivie and Negative Syndrome Scale (PANSS) Scores
PANSS Total
|
56.78 Units on a scale
STANDARD_DEVIATION 9.76 • n=5 Participants
|
56.50 Units on a scale
STANDARD_DEVIATION 8.70 • n=7 Participants
|
56.64 Units on a scale
STANDARD_DEVIATION 9.24 • n=5 Participants
|
|
Positivie and Negative Syndrome Scale (PANSS) Scores
PANSS Positive
|
12.93 Units on a scale
STANDARD_DEVIATION 3.62 • n=5 Participants
|
12.40 Units on a scale
STANDARD_DEVIATION 3.33 • n=7 Participants
|
12.67 Units on a scale
STANDARD_DEVIATION 3.49 • n=5 Participants
|
|
Positivie and Negative Syndrome Scale (PANSS) Scores
PANSS Negative
|
15.84 Units on a scale
STANDARD_DEVIATION 4.23 • n=5 Participants
|
16.28 Units on a scale
STANDARD_DEVIATION 3.93 • n=7 Participants
|
16.06 Units on a scale
STANDARD_DEVIATION 4.08 • n=5 Participants
|
|
Positivie and Negative Syndrome Scale (PANSS) Scores
PANSS General Pathology
|
28.00 Units on a scale
STANDARD_DEVIATION 5.45 • n=5 Participants
|
27.81 Units on a scale
STANDARD_DEVIATION 4.92 • n=7 Participants
|
27.91 Units on a scale
STANDARD_DEVIATION 5.19 • n=5 Participants
|
|
Clinical Global Impressions of Severity (CGI-S)
|
3.24 Units on a scale
STANDARD_DEVIATION 0.77 • n=5 Participants
|
3.26 Units on a scale
STANDARD_DEVIATION 0.66 • n=7 Participants
|
3.25 Units on a scale
STANDARD_DEVIATION 0.72 • n=5 Participants
|
PRIMARY outcome
Timeframe: Baseline up to 104 weeksPopulation: All data was analyzed on an intent-to-treat (ITT) basis. An ITT analysis is an analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if a patient does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=264 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=260 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Median Time to Discontinuation for Any Reason (Excluding Sponsor Decision)
|
644.50 Days
Interval 162.0 to 740.0
|
677.50 Days
Interval 169.5 to 740.0
|
SECONDARY outcome
Timeframe: Baseline, 104 weeksPopulation: All data were analyzed on ITT basis. ITT analysis: analysis of all randomized patients allocated to the randomized treatment even if they did not take assigned treatment, did not receive correct treatment, or otherwise did not follow the protocol. Assessment of baseline-to-endpoint change based on mixed-model repeated measures (MMRM) methodology.
Interviewer-rated scale which measures the impact of negative symptoms on occupational, social, and psychological functioning in patients with schizophrenia or schizoaffective disorder. Each of 21 items is rated on a scale from 0 (severely impaired functioning) to 6 (normal or adequate functioning). Total score range is 0-126. Least Squares Mean (LS Mean) values were adjusted for investigator and treatment at baseline, and the change values were also adjusted for baseline.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=130 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=135 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Change From Baseline in Heinrich-Carpenter Quality of Life in Schizophrenia Scale (QLS) Total Score at 104 Weeks
Baseline (n=193,193)
|
60.09 Units on a Scale
Standard Error 1.79
|
57.73 Units on a Scale
Standard Error 1.80
|
|
Change From Baseline in Heinrich-Carpenter Quality of Life in Schizophrenia Scale (QLS) Total Score at 104 Weeks
Change from Baseline at Week 104 (n=130,135)
|
8.15 Units on a Scale
Standard Error 1.57
|
7.24 Units on a Scale
Standard Error 1.56
|
SECONDARY outcome
Timeframe: Baseline, 104 weeksPopulation: All data analyzed on ITT basis. ITT analysis: analysis of all randomized patients with patients allocated to the treatment to which they were randomized even if they did not take assigned treatment, did not receive the correct treatment, or otherwise did not follow the protocol. Assessment of baseline-to-endpoint change based on MMRM methodology.
SF-36 Health Status Survey is a generic, health-related scale assessing subjects' quality of life on 8 domains. Domains and scores: general health=5-25; physical functioning=10-30; role-physical=4-8; role-emotional=3-6; social functioning=2-10; bodily pain=2-11; vitality=4-24; mental health=5-30. There are 2 summary scores (mental component summary \[MCS\] and physical component summary \[PCS\]). MCS and PCS scores=0-100 (higher scores indicate better health status). LS Mean values were adjusted for investigator and treatment at baseline; change values were also adjusted for baseline.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=131 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=134 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Role-Physical at Baseline (n=192,194)
|
63.60 Units on a Scale
Standard Error 3.42
|
60.74 Units on a Scale
Standard Error 3.43
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Mental Score Detail at Baseline (n=188,193)
|
42.12 Units on a Scale
Standard Error 1.02
|
40.56 Units on a Scale
Standard Error 1.01
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Mental Score Detail Change at Week 104 (n=124,134)
|
4.87 Units on a Scale
Standard Error 0.89
|
4.52 Units on a Scale
Standard Error 0.87
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Physical Score Detail at Baseline (n=188,193)
|
47.80 Units on a Scale
Standard Error 0.73
|
47.91 Units on a Scale
Standard Error 0.72
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Physical Score Detail Change Week 104 (n=124,134)
|
0.43 Units on a Scale
Standard Error 0.75
|
0.84 Units on a Scale
Standard Error 0.73
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Physical Functioning at Baseline (n=193,194)
|
76.18 Units on a Scale
Standard Error 2.02
|
75.63 Units on a Scale
Standard Error 2.03
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Physical Functioning Change Week 104 (n=129,134)
|
1.35 Units on a Scale
Standard Error 1.89
|
2.44 Units on a Scale
Standard Error 1.87
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Role-Physical Change at Week 104 (n=130,134)
|
10.70 Units on a Scale
Standard Error 3.42
|
13.76 Units on a Scale
Standard Error 3.38
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Mental Health at Baseline (n=192,194)
|
61.18 Units on a Scale
Standard Error 1.84
|
60.10 Units on a Scale
Standard Error 1.83
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Mental Health Change at Week 104 (n=129,134)
|
5.81 Units on a Scale
Standard Error 1.59
|
5.27 Units on a Scale
Standard Error 1.57
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Bodily Pain at Baseline (n=193,194)
|
73.13 Units on a Scale
Standard Error 2.21
|
75.61 Units on a Scale
Standard Error 2.23
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Bodily Pain Change at Week 104 (n=131,134)
|
3.23 Units on a Scale
Standard Error 2.12
|
-0.60 Units on a Scale
Standard Error 2.10
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
General Health at Baseline (n=191,194)
|
60.50 Units on a Scale
Standard Error 1.73
|
59.57 Units on a Scale
Standard Error 1.73
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
General Health Change at Week 104 (n=128,134)
|
2.69 Units on a Scale
Standard Error 1.80
|
5.32 Units on a Scale
Standard Error 1.77
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Social Functioning at Baseline (n=193,194)
|
64.02 Units on a Scale
Standard Error 2.24
|
62.61 Units on a Scale
Standard Error 2.25
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Social Functioning Change at Week 104 (n=131,134)
|
8.13 Units on a Scale
Standard Error 2.18
|
5.10 Units on a Scale
Standard Error 2.16
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Vitality at Baseline (n=193,194)
|
54.07 Units on a Scale
Standard Error 1.81
|
49.67 Units on a Scale
Standard Error 1.82
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Vitality Change at Week 104 (n=129,134)
|
7.95 Units on a Scale
Standard Error 1.67
|
9.01 Units on a Scale
Standard Error 1.66
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Role-Emotional at Baseline (n=191,193)
|
61.45 Units on a Scale
Standard Error 3.60
|
55.34 Units on a Scale
Standard Error 3.59
|
|
Change From Baseline in 36-Item Short Form Health Survey (SF-36) at 104 Weeks, All Domains and Summary Scores
Role-Emotional Change at Week 104 (n=129,134)
|
16.38 Units on a Scale
Standard Error 3.54
|
17.59 Units on a Scale
Standard Error 3.49
|
SECONDARY outcome
Timeframe: Baseline, 104 weeksPopulation: All data analyzed on ITT basis. ITT analysis: analysis of all randomized patients with patients allocated to the treatment to which they were randomized even if they did not take assigned treatment, did not receive the correct treatment, or otherwise did not follow the protocol. Assessment of baseline-to-endpoint change based on MMRM methodology.
Generic, multidimensional, health-related, quality-of-life instrument. Overall health status is self-reported using a visual analogue scale marked on a scale of 0 to 100 with 0 representing worst imaginable health state and 100 representing best imaginable health state. LS Mean values were adjusted for investigator and treatment at baseline; change values were also adjusted for baseline.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=128 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=130 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Change From Baseline in Overall Health Status Assessment Using the EuroQol: 5 Dimensions Questionnaire (EQ-5D) at 104 Weeks
Baseline (n=193,192)
|
66.51 Units on a Scale
Standard Error 4.58
|
72.18 Units on a Scale
Standard Error 4.66
|
|
Change From Baseline in Overall Health Status Assessment Using the EuroQol: 5 Dimensions Questionnaire (EQ-5D) at 104 Weeks
Change from Baseline to Week 104 (n=128,130)
|
0.07 Units on a Scale
Standard Error 0.02
|
0.09 Units on a Scale
Standard Error 0.02
|
SECONDARY outcome
Timeframe: Baseline, 104 weeksPopulation: All data analyzed on ITT basis. ITT analysis: analysis of all randomized patients with patients allocated to the treatment to which they were randomized even if they did not take assigned treatment, did not receive the correct treatment, or otherwise did not follow the protocol. Assessment of baseline-to-endpoint change based on MMRM methodology.
Self-rated scale completed by patient's caregiver which measures level of burden placed on the caregiver by caring for the patient. Each of 19 items is rated on a scale from 0 (no impact) to 3 (high negative impact). Total Score range is 0-57. If any of the 19 questions were answered "not applicable", then a Total Score of 9 was entered. LS Mean values were adjusted for investigator and treatment at baseline, and the change values were also adjusted for baseline.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=68 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=64 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Change From Baseline in Burden Assessment Scale (BAS) Total Score at 104 Weeks
Baseline (n=104,103)
|
20.06 Units on a Scale
Standard Error 1.29
|
20.90 Units on a Scale
Standard Error 1.24
|
|
Change From Baseline in Burden Assessment Scale (BAS) Total Score at 104 Weeks
Change from Baseline to Week 104 (n=68,64)
|
-5.02 Units on a Scale
Standard Error 1.27
|
-4.14 Units on a Scale
Standard Error 1.29
|
SECONDARY outcome
Timeframe: Baseline through 104 weeksPopulation: All data was analyzed on an intent-to-treat basis. An intent-to-treat analysis is an analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if a patient does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
Number of outpatient physician visits during the study, post-baseline through 104 weeks.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=28 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=26 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Resource Utilization: Number of Outpatient Physician Visits During the Study
|
0.32 Outpatient physician visits
Standard Deviation 1.33
|
0.65 Outpatient physician visits
Standard Deviation 1.57
|
SECONDARY outcome
Timeframe: Baseline through 104 weeksPopulation: All data was analyzed on an intent-to-treat basis. An intent-to-treat analysis is an analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if a patient does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
Number of days of unpaid care, number of days of workdays missed, number of days of paid care per week during the study, post-baseline through 104 weeks.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=25 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=25 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Resource Utilization: Days of Unpaid Care, Days of Workdays Missed, Days of Paid Care Per Week During the Study
Days of unpaid care per week (n=25,25)
|
1.68 Days
Standard Deviation 3.05
|
1.40 Days
Standard Deviation 2.86
|
|
Resource Utilization: Days of Unpaid Care, Days of Workdays Missed, Days of Paid Care Per Week During the Study
Paid workdays missed per week (n=21,23)
|
0.00 Days
Standard Deviation 0.00
|
0.00 Days
Standard Deviation 0.00
|
|
Resource Utilization: Days of Unpaid Care, Days of Workdays Missed, Days of Paid Care Per Week During the Study
Days of paid care per week (n=21,23)
|
0.00 Days
Standard Deviation 0.00
|
0.00 Days
Standard Deviation 0.00
|
SECONDARY outcome
Timeframe: Baseline through 104 weeksPopulation: All data was analyzed on an intent-to-treat basis. An intent-to-treat analysis is an analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if a patient does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
Mean - calculated based on total number of hospitalization days per patient within reporting interval.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=264 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=260 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Number of Hospitalization Days
|
0.43 Days
Standard Deviation 1.99
|
1.80 Days
Standard Deviation 9.30
|
SECONDARY outcome
Timeframe: Baseline, 104 weeksPopulation: All data analyzed on ITT basis. ITT analysis: analysis of all randomized patients with patients allocated to the treatment to which they were randomized even if they did not take assigned treatment, did not receive the correct treatment, or otherwise did not follow the protocol. Assessment of baseline-to-endpoint change based on MMRM methodology.
Interviewer-rated scale that assesses patients' awareness of and insight into their illness. SUMD can either be based on 4 items or 5 items. Items 1 through 4 are rated from 1 (aware) to 5 (unaware); item 5 assesses correct attribution of symptoms to a mental disorder and is rated from 1 (symptoms correctly attributed) to 5 (symptoms incorrectly attributed). Total Scores for Items (1-4) range from 4 to 20 and Total Scores for Items (1-5) range from 5 to 25. LS Mean values were adjusted for investigator and treatment at baseline, and the change values were also adjusted for baseline.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=211 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=200 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Change From Baseline in Scale to Assess Unawareness of Mental Disorder (SUMD) Total Score at 104 Weeks
Total Score (Items 1-5) Baseline
|
11.12 Units on a Scale
Standard Error 0.38
|
10.73 Units on a Scale
Standard Error 0.39
|
|
Change From Baseline in Scale to Assess Unawareness of Mental Disorder (SUMD) Total Score at 104 Weeks
Total Score (Items 1-5) Change to Week 104
|
-0.72 Units on a Scale
Standard Error 0.35
|
-0.50 Units on a Scale
Standard Error 0.35
|
|
Change From Baseline in Scale to Assess Unawareness of Mental Disorder (SUMD) Total Score at 104 Weeks
Total Score (Items 1-4) Baseline
|
8.81 Units on a Scale
Standard Error 0.31
|
8.52 Units on a Scale
Standard Error 0.32
|
|
Change From Baseline in Scale to Assess Unawareness of Mental Disorder (SUMD) Total Score at 104 Weeks
Total Score (Items 1-4) Change to Week 104
|
-0.39 Units on a Scale
Standard Error 0.27
|
-0.29 Units on a Scale
Standard Error 0.28
|
SECONDARY outcome
Timeframe: Baseline, 104 weeksPopulation: All data analyzed on ITT basis. ITT analysis: analysis of all randomized patients with patients allocated to the treatment to which they were randomized even if they did not take assigned treatment, did not receive the correct treatment, or otherwise did not follow the protocol. Assessment of baseline-to-endpoint change based on MMRM methodology.
Self-rated scale assessing patients' level of alliance with their therapist, including agreement on goals, tasks, and emotional bond. Each of 12 items is rated from 1 ('never') to 7 ('always'), with higher scores indicating greater alliance. Total Scores range from 12-84. LS Mean values were adjusted for investigator and treatment at baseline, and the change values were also adjusted for baseline.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=195 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=184 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Change From Baseline in Working Alliance Inventory (WAI) Total Score at 104 Weeks
Baseline
|
63.83 Units on a Scale
Standard Error 0.96
|
63.21 Units on a Scale
Standard Error 1.02
|
|
Change From Baseline in Working Alliance Inventory (WAI) Total Score at 104 Weeks
Change from Baseline to Week 104
|
-0.92 Units on a Scale
Standard Error 0.82
|
-0.07 Units on a Scale
Standard Error 0.88
|
SECONDARY outcome
Timeframe: Baseline, 104 weeksPopulation: All data analyzed on ITT basis. ITT analysis: analysis of all randomized patients with patients allocated to the treatment to which they were randomized even if they did not take assigned treatment, did not receive the correct treatment, or otherwise did not follow the protocol. Assessment of baseline-to-endpoint change based on MMRM methodology.
Interviewer-rated 49-item scale used to assess 4 functional domains in patients with schizophrenia : 1) living situation, 2) instrumental activities of daily living, 3) productive activities and role functioning, and 4) social/recreational functioning. Possible responses and scoring vary by item and by domain, with higher scores representing better functioning. Range of possible scores is 1-100. LS Mean values were adjusted for investigator and treatment at baseline, and the change values were also adjusted for baseline.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=120 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=124 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Change From Baseline in Schizophrenia Objective Functioning Instrument (SOFI) Global Score at 104 Weeks
Baseline
|
60.68 Units on a Scale
Standard Error 1.39
|
60.47 Units on a Scale
Standard Error 1.44
|
|
Change From Baseline in Schizophrenia Objective Functioning Instrument (SOFI) Global Score at 104 Weeks
Change from Baseline to Week 104
|
3.92 Units on a Scale
Standard Error 1.27
|
3.26 Units on a Scale
Standard Error 1.29
|
SECONDARY outcome
Timeframe: 104 weeksPopulation: All data analyzed on an ITT basis. ITT analysis: analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if they did not take assigned treatment, did not receive correct treatment, or otherwise did not follow the protocol. Assessment of baseline-to-endpoint change based on MMRM methodology.
Self-rated scale which measures patient's level of satisfaction with current antipsychotic medication. Consists of 3 items assessing satisfaction with current study medication (scored from 1-'very dissatisfied' to 5-'very satisfied'), preference comparing current study medication versus previous medications (scored from 1-'much prefer previous medication' to 5-'much prefer study medication'), and side effects of current study medication compared with previous medications (scored from 1-'much less side effects' to 5-'much more side effects'). Range of possible scores is 3-15.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=139 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=146 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Patient Satisfaction With Medication Questionnaire-Modified (PSMQ) at 104 Weeks (All Items)
Preference current/previous medication (n=139,145)
|
3.68 Units on a Scale
Standard Error 0.10
|
3.83 Units on a Scale
Standard Error 0.10
|
|
Patient Satisfaction With Medication Questionnaire-Modified (PSMQ) at 104 Weeks (All Items)
Overall satisfaction with current medication
|
4.20 Units on a Scale
Standard Error 0.11
|
3.96 Units on a Scale
Standard Error 0.11
|
|
Patient Satisfaction With Medication Questionnaire-Modified (PSMQ) at 104 Weeks (All Items)
Side effects - current vs previous medication
|
1.91 Units on a Scale
Standard Error 0.10
|
1.99 Units on a Scale
Standard Error 0.10
|
SECONDARY outcome
Timeframe: 104 weeksPopulation: All data analyzed on an ITT basis. ITT analysis: analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if they did not take assigned treatment, did not receive correct treatment, or otherwise did not follow the protocol. Assessment of baseline-to-endpoint change based on MMRM methodology.
Self-rated scale which measures patient's subjective feelings about taking medications. Each of 10 items is rated as true or false. For items 1, 3, 4, 6, 7, 9, and 10, true is scored as 1; false is scored as 0. For items 2, 5, and 8, true is scored as 0; false is scored as 1. Possible total scores range from 0-10. A subject who answers all 10 questions false will have a score of 3; a subject who answers all 10 questions true will have a score of 7. For 7 out of 10 questions, false is represented by 0, the other 3 questions false is represented by a value=1.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=137 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=143 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Patient Attitude Toward Treatment Using the Drug Attitude Inventory (DAI) Scale Total Score at 104 Weeks
|
7.44 Units on a Scale
Standard Error 0.15
|
7.47 Units on a Scale
Standard Error 0.15
|
SECONDARY outcome
Timeframe: Baseline through 104 weeksPopulation: All data was analyzed on an intent-to-treat basis. An intent-to-treat analysis is an analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if a patient does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
Number of participants who discontinued study participation for any reason (excluding sponsor decision).
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=264 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=260 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Number of Participants With All-Cause Discontinuations (Excluding Sponsor Decision)
|
142 Participants
|
133 Participants
|
SECONDARY outcome
Timeframe: Baseline, 104 weeksPopulation: All data analyzed on ITT basis. ITT analysis: analysis of all randomized patients with patients allocated to the treatment to which they were randomized even if they did not take assigned treatment, did not receive the correct treatment, or otherwise did not follow the protocol. Assessment of baseline-to-endpoint change based on MMRM methodology.
Measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients).
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=121 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=128 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Change From Baseline in Clinical Global Impression - Severity of Illness (CGI-S) Scale Scores at 104 Weeks
|
-0.36 Units on a Scale
Standard Error 0.07
|
-0.27 Units on a Scale
Standard Error 0.07
|
SECONDARY outcome
Timeframe: Baseline, 104 weeksPopulation: All data analyzed on ITT basis. ITT analysis: analysis of all randomized patients with patients allocated to the treatment to which they were randomized even if they did not take assigned treatment, did not receive the correct treatment, or otherwise did not follow the protocol. Assessment of baseline-to-endpoint change based on MMRM methodology.
Assesses the positive symptoms, negative symptoms, and general psychopathology specifically associated with schizophrenia. The scale consists of 30 items. Each item is rated on a scale from 1 (symptom not present) to 7 (symptoms extremely severe). The sum of the 30 items is defined as the PANSS total score and ranges from 30 to 210.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=121 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=128 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total and Subscale Scores at 104 Weeks
PANSS Total Score
|
-0.82 Units on a Scale
Standard Error 1.15
|
-1.14 Units on a Scale
Standard Error 1.15
|
|
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total and Subscale Scores at 104 Weeks
PANSS Positive Score
|
-0.48 Units on a Scale
Standard Error 0.29
|
-0.42 Units on a Scale
Standard Error 0.29
|
|
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total and Subscale Scores at 104 Weeks
PANSS Negative Score
|
-0.20 Units on a Scale
Standard Error 0.38
|
-0.41 Units on a Scale
Standard Error 0.38
|
|
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total and Subscale Scores at 104 Weeks
PANSS General Psychopathology Score
|
-0.51 Units on a Scale
Standard Error 0.57
|
-0.61 Units on a Scale
Standard Error 0.56
|
SECONDARY outcome
Timeframe: Baseline to time of relapse (up to 104 weeks)Population: All data was analyzed on an intent-to-treat basis. An intent-to-treat analysis is an analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if a patient does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
Relapse is defined as any 1 of the following: 1) hospitalization for symptoms related to schizophrenia; 2) increase of 25% from baseline in PANSS total score (range:30-210) (if baseline score was \>40) or increase of 10 points (if baseline score was ≤40), and ≥1-point increase from baseline on CGI-S score (range:1-7), provided that increase results in CGI-S ≥4; 3) deliberate self-injury or injury to others deemed clinically to be associated with worsening of psychosis; 4) discontinuation from the study because of worsening of psychosis. On PANSS and CGI-S higher scores indicate greater illness.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=264 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=260 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Median Time to Relapse
|
539.00 Days
Interval 105.0 to 736.0
|
623.50 Days
Interval 122.0 to 736.5
|
SECONDARY outcome
Timeframe: Baseline through 104 weeksPopulation: All data was analyzed on an intent-to-treat basis. An intent-to-treat analysis is an analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if a patient does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
Relapse is defined as any one of the following: 1) hospitalization for symptoms related to schizophrenia; 2) an increase of 25% from baseline in the total score on the PANSS (if the baseline score was \>40), or an increase of 10 points (if baseline score was \<=40) and \>=1-point increase from baseline score on the CGI-S score, provided that the increase results in a CGI-S score \>=4; 3) deliberate self-injury or injury to others that is deemed clinically to be associated with worsening of psychosis; 4) discontinuation from the study because of worsening of psychosis.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=264 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=260 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Number of Participants Experiencing Relapse
|
53 Participants
|
48 Participants
|
SECONDARY outcome
Timeframe: Baseline, 104 weeksPopulation: All data analyzed on ITT basis. ITT analysis: analysis of all randomized patients with patients allocated to the treatment to which they were randomized even if they did not take assigned treatment, did not receive the correct treatment, or otherwise did not follow the protocol. Assessment of baseline-to-endpoint change based on MMRM methodology.
BPRS is an 18-item clinician-administered scale used to assess the degree of severity of a subject's general psychopathological symptoms. For this study, the BPRS total score was derived from 18 PANSS questions. To calculate the score, the score of the 18 questions was added then 18 was subtracted from the total. As an example, if a subject had a score=1 (absent) on all 18 items, the resulting total=zero. Responses range from 0 (absent) to 6 (extremely severe); the Total Score range is 0-108.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=121 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=128 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Change From Baseline in Brief Psychiatric Rating Scale (BPRS) Total Score at 104 Weeks
|
-0.96 Units on a scale
Standard Error 0.60
|
-0.91 Units on a scale
Standard Error 0.60
|
SECONDARY outcome
Timeframe: Baseline through 104 WeeksPopulation: All data was analyzed on an intent-to-treat basis. An intent-to-treat analysis is an analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if a patient does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
Number of outpatient surgeries during the study, post-baseline through 104 weeks.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=28 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=26 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Resource Utilization: Number of Outpatient Surgeries During the Study, 24 Months After Randomization
|
0.00 Surgeries
Standard Deviation 0.00
|
0.04 Surgeries
Standard Deviation 0.20
|
SECONDARY outcome
Timeframe: Baseline, 104 weeksPopulation: All data was analyzed on an intent-to-treat basis. An intent-to-treat analysis is an analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if a patient does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=260 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=255 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Change From Baseline in Weight at 104 Weeks
Baseline
|
81.56 Kilograms
Standard Deviation 21.06
|
79.84 Kilograms
Standard Deviation 19.04
|
|
Change From Baseline in Weight at 104 Weeks
Change from Baseline to Week 104
|
2.04 Kilograms
Standard Deviation 7.19
|
2.18 Kilograms
Standard Deviation 7.33
|
SECONDARY outcome
Timeframe: Baseline, 104 weeksPopulation: All data was analyzed on an intent-to-treat basis. An intent-to-treat analysis is an analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if a patient does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
PCS weight gain is defined as a \>=7% increase in weight from baseline at 104 weeks.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=260 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=255 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Participants With Potentially Clinically Significant (PCS) Weight Gain at 104 Weeks
|
106 Participants
|
97 Participants
|
SECONDARY outcome
Timeframe: Baseline through 104 weeksPopulation: All data was analyzed on an intent-to-treat basis. An intent-to-treat analysis is an analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if a patient does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
Normal to high fasting glucose = \<100 milligrams per deciliter (mg/dL) baseline; \>=126 mg/dL any time post baseline (or endpoint). Normal to high fasting total cholesterol =\<200 mg/dL baseline; \>=240 mg/dL any time post baseline or endpoint. Fasting triglycerides \<150 mg/dL baseline; \>=200 mg/dL and \<500 mg/dL any time post baseline or endpoint.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=243 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=241 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Participants With Normal to High Fasting Glucose, Fasting Total Cholesterol, and Fasting Triglycerides
Fasting Total Cholesterol (n=242,231)
|
12 Participants
|
14 Participants
|
|
Participants With Normal to High Fasting Glucose, Fasting Total Cholesterol, and Fasting Triglycerides
Fasting Triglycerides (n=242,231)
|
48 Participants
|
44 Participants
|
|
Participants With Normal to High Fasting Glucose, Fasting Total Cholesterol, and Fasting Triglycerides
Fasting Glucose (n=243,241)
|
25 Participants
|
17 Participants
|
SECONDARY outcome
Timeframe: Baseline, 104 weeksPopulation: All data was analyzed on an intent-to-treat basis. An intent-to-treat analysis is an analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if a patient does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
The prolactin reference Range is: Female: 2.0 - 29.0 nanograms per milliliter (ng/mL); Male: 2.0 - 20.0 ng/mL. A treatment-emergent abnormally high value is defined as a change from a value less than or equal to the high limit at all baseline visits to a value greater than the high limit at any time after baseline.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=226 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=217 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Participants With Treatment-Emergent Abnormal High Prolactin at 104 Weeks
|
12 Participants
|
12 Participants
|
SECONDARY outcome
Timeframe: Baseline through 104 WeeksPopulation: All data was analyzed on an intent-to-treat basis. An intent-to-treat analysis is an analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if a patient does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
Treatment-emergent (TE) high ALT is defined as a baseline value of \<3 times the upper limit of normal (ULN) to \>=3 times the ULN at endpoint. TE high AST is defined as a baseline value of \<5 times the ULN to \>=5 times the ULN at endpoint. TE high total bilirubin is defined as a baseline value of \<2 times the ULN to \>=2 times the ULN at endpoint. Hy's Rule is defined as ALT \>=3 times the ULN and total bilirubin \>=2 times the ULN.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=256 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=253 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Participants With Treatment-Emergent High Alanine Transaminase (ALT), Aspartate Transaminase (AST), and Total Bilirubin
Hy's Rule (n=255,251)
|
0 Participants
|
0 Participants
|
|
Participants With Treatment-Emergent High Alanine Transaminase (ALT), Aspartate Transaminase (AST), and Total Bilirubin
ALT (n=255,251)
|
11 Participants
|
12 Participants
|
|
Participants With Treatment-Emergent High Alanine Transaminase (ALT), Aspartate Transaminase (AST), and Total Bilirubin
AST (n=256,252)
|
3 Participants
|
4 Participants
|
|
Participants With Treatment-Emergent High Alanine Transaminase (ALT), Aspartate Transaminase (AST), and Total Bilirubin
Total bilirubin (n=256,253)
|
0 Participants
|
2 Participants
|
SECONDARY outcome
Timeframe: Baseline through 104 weeksPopulation: All data was analyzed on an intent-to-treat basis. An intent-to-treat analysis is an analysis of all randomized patients, with patients allocated to the treatment to which they were randomized even if a patient does not take the assigned treatment, does not receive the correct treatment, or otherwise does not follow the protocol.
Outcome measures
| Measure |
Olanzapine Pamoate Depot
n=264 Participants
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=260 Participants
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Participants Discontinuing Because of an Adverse Event (AE) or Death
|
26 Participants
|
27 Participants
|
Adverse Events
Olanzapine Pamoate Depot
Oral Olanzapine
Serious adverse events
| Measure |
Olanzapine Pamoate Depot
n=264 participants at risk
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=260 participants at risk
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Cardiac disorders
Angina unstable
|
0.38%
1/264 • Number of events 1
|
0.00%
0/260
|
|
Cardiac disorders
Atrial fibrillation
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Cardiac disorders
Cardiac arrest
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Hepatobiliary disorders
Cholelithiasis
|
0.38%
1/264 • Number of events 1
|
0.00%
0/260
|
|
Hepatobiliary disorders
Hepatitis acute
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Infections and infestations
Bronchitis
|
0.00%
0/264
|
0.77%
2/260 • Number of events 2
|
|
Infections and infestations
Pneumonia
|
0.38%
1/264 • Number of events 1
|
1.2%
3/260 • Number of events 3
|
|
Infections and infestations
Sepsis
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Injury, poisoning and procedural complications
Accidental overdose
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Injury, poisoning and procedural complications
Femur fracture
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Injury, poisoning and procedural complications
Fracture
|
0.38%
1/264 • Number of events 1
|
0.00%
0/260
|
|
Injury, poisoning and procedural complications
Humerus fracture
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Injury, poisoning and procedural complications
Intentional overdose
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Metabolism and nutrition disorders
Hyperglycaemia
|
0.38%
1/264 • Number of events 1
|
0.00%
0/260
|
|
Metabolism and nutrition disorders
Hyponatraemia
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ependymoma
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Nervous system disorders
Cerebrovascular accident
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Nervous system disorders
Convulsion
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Nervous system disorders
Metabolic encephalopathy
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Psychiatric disorders
Acute psychosis
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Psychiatric disorders
Aggression
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Psychiatric disorders
Agitation
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Psychiatric disorders
Alcohol abuse
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Psychiatric disorders
Anxiety
|
0.76%
2/264 • Number of events 2
|
0.00%
0/260
|
|
Psychiatric disorders
Confusional state
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Psychiatric disorders
Depressive symptom
|
0.38%
1/264 • Number of events 1
|
0.00%
0/260
|
|
Psychiatric disorders
Hallucination, auditory
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Psychiatric disorders
Homicidal ideation
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Psychiatric disorders
Impulsive behaviour
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Psychiatric disorders
Paranoia
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Psychiatric disorders
Psychotic disorder
|
1.5%
4/264 • Number of events 4
|
1.2%
3/260 • Number of events 3
|
|
Psychiatric disorders
Schizophrenia
|
3.8%
10/264 • Number of events 10
|
3.5%
9/260 • Number of events 9
|
|
Psychiatric disorders
Suicidal ideation
|
0.76%
2/264 • Number of events 2
|
0.38%
1/260 • Number of events 1
|
|
Psychiatric disorders
Suicide attempt
|
0.38%
1/264 • Number of events 1
|
1.2%
3/260 • Number of events 3
|
|
Respiratory, thoracic and mediastinal disorders
Haemoptysis
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Respiratory, thoracic and mediastinal disorders
Lung disorder
|
0.38%
1/264 • Number of events 1
|
0.00%
0/260
|
|
Skin and subcutaneous tissue disorders
Hypoaesthesia facial
|
0.38%
1/264 • Number of events 1
|
0.00%
0/260
|
|
Vascular disorders
Arterial thrombosis limb
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
|
Vascular disorders
Deep vein thrombosis
|
0.38%
1/264 • Number of events 1
|
0.00%
0/260
|
|
Vascular disorders
Hypovolaemic shock
|
0.00%
0/264
|
0.38%
1/260 • Number of events 1
|
Other adverse events
| Measure |
Olanzapine Pamoate Depot
n=264 participants at risk
405 mg, intramuscular injection, followed 4 weeks later by 150-405 mg flexible dosing, intramuscular injection, every 4 weeks thereafter for 96 weeks, for a total treatment duration of 104 weeks.
|
Oral Olanzapine
n=260 participants at risk
10 mg, oral tablets, once daily for 4 weeks followed by 5-20 mg flexible dosing, oral tablets, once daily, for 100 weeks, for a total treatment duration of 104 weeks.
|
|---|---|---|
|
Infections and infestations
Nasopharyngitis
|
6.8%
18/264 • Number of events 23
|
5.4%
14/260 • Number of events 24
|
|
Investigations
Weight decreased
|
5.7%
15/264 • Number of events 18
|
5.4%
14/260 • Number of events 15
|
|
Investigations
Weight increased
|
16.7%
44/264 • Number of events 51
|
16.5%
43/260 • Number of events 47
|
|
Metabolism and nutrition disorders
Increased appetite
|
6.4%
17/264 • Number of events 17
|
6.2%
16/260 • Number of events 16
|
|
Nervous system disorders
Headache
|
4.5%
12/264 • Number of events 25
|
8.5%
22/260 • Number of events 36
|
|
Nervous system disorders
Somnolence
|
8.7%
23/264 • Number of events 24
|
9.6%
25/260 • Number of events 28
|
|
Psychiatric disorders
Anxiety
|
9.8%
26/264 • Number of events 37
|
6.9%
18/260 • Number of events 21
|
|
Psychiatric disorders
Insomnia
|
11.0%
29/264 • Number of events 37
|
10.0%
26/260 • Number of events 33
|
|
Vascular disorders
Hypertension
|
3.4%
9/264 • Number of events 11
|
5.0%
13/260 • Number of events 13
|
Additional Information
Chief Medical Officer
Eli Lilly and Company
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place
Restriction type: GT60