Trial Outcomes & Findings for An Efficacy and Safety Study of Paliperidone Extended-Release (ER) Tablets in Participants With Schizophrenia (NCT NCT00566631)

NCT ID: NCT00566631

Last Updated: 2013-08-02

Results Overview

Response was defined as decrease of at least 30 percent in total Positive and Negative Syndrome Scale (PANSS) score from Baseline to endpoint of core phase (which is, Day 42 or early discontinuation). The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, \& poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of sum of all 30 PANSS items \& ranges from 30 to 210. Higher scores indicate worsening.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

294 participants

Primary outcome timeframe

Day 42 or early discontinuation

Results posted on

2013-08-02

Participant Flow

Participant milestones

Participant milestones
Measure
Paliperidone Extended Release (ER)
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Part 1: Core Treatment Phase
STARTED
294
Part 1: Core Treatment Phase
COMPLETED
234
Part 1: Core Treatment Phase
NOT COMPLETED
60
Between Treatment and Extension Phase
STARTED
234
Between Treatment and Extension Phase
COMPLETED
139
Between Treatment and Extension Phase
NOT COMPLETED
95
Part 2: Extension Phase
STARTED
139
Part 2: Extension Phase
COMPLETED
57
Part 2: Extension Phase
NOT COMPLETED
82

Reasons for withdrawal

Reasons for withdrawal
Measure
Paliperidone Extended Release (ER)
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Part 1: Core Treatment Phase
Lack of Efficacy
18
Part 1: Core Treatment Phase
Physician Decision
1
Part 1: Core Treatment Phase
Adverse Event
9
Part 1: Core Treatment Phase
Lost to Follow-up
4
Part 1: Core Treatment Phase
Withdrawal by Subject
26
Part 1: Core Treatment Phase
Moved to a penitentiary hospital
1
Part 1: Core Treatment Phase
Met exclusion criteria
1
Between Treatment and Extension Phase
Participants not willing to participate
95
Part 2: Extension Phase
Lack of Efficacy
25
Part 2: Extension Phase
Withdrawal by Subject
34
Part 2: Extension Phase
Adverse Event
11
Part 2: Extension Phase
Lost to Follow-up
6
Part 2: Extension Phase
Death
1
Part 2: Extension Phase
Other
5

Baseline Characteristics

An Efficacy and Safety Study of Paliperidone Extended-Release (ER) Tablets in Participants With Schizophrenia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Paliperidone Extended Release (ER)
n=294 Participants
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Age Continuous
40.3 Years
STANDARD_DEVIATION 12.4 • n=5 Participants
Sex: Female, Male
Female
138 Participants
n=5 Participants
Sex: Female, Male
Male
156 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 42 or early discontinuation

Population: Intent-to-treat (ITT) population included all participants who received at least one dose of paliperidone ER and provided at least 1 post-baseline efficacy measurement.

Response was defined as decrease of at least 30 percent in total Positive and Negative Syndrome Scale (PANSS) score from Baseline to endpoint of core phase (which is, Day 42 or early discontinuation). The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, \& poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of sum of all 30 PANSS items \& ranges from 30 to 210. Higher scores indicate worsening.

Outcome measures

Outcome measures
Measure
Paliperidone Extended Release (ER)
n=294 Participants
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Number of Participants With Treatment Response Based on Total PANSS Scale Score
195 Participants

SECONDARY outcome

Timeframe: Baseline, Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or early discontinuation)

Population: The ITT population included all participants who received at least one dose of paliperidone ER and provided at least 1 post-baseline efficacy measurement. "n" signifies those participants who were evaluated for this measure at given time points.

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. Final evaluation is the last post-baseline visit with data.

Outcome measures

Outcome measures
Measure
Paliperidone Extended Release (ER)
n=294 Participants
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Change From Baseline in Total Positive and Negative Symptom Scale (PANSS) Score at Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Baseline (n=294)
100.2 Units on a scale
Standard Deviation 17.2
Change From Baseline in Total Positive and Negative Symptom Scale (PANSS) Score at Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 2 (n=294)
-2.3 Units on a scale
Standard Deviation 5.3
Change From Baseline in Total Positive and Negative Symptom Scale (PANSS) Score at Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 3 (n=287)
-5.8 Units on a scale
Standard Deviation 7.9
Change From Baseline in Total Positive and Negative Symptom Scale (PANSS) Score at Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 4 (n=288)
-10.3 Units on a scale
Standard Deviation 11.3
Change From Baseline in Total Positive and Negative Symptom Scale (PANSS) Score at Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 5 (n=284)
-13.3 Units on a scale
Standard Deviation 13.3
Change From Baseline in Total Positive and Negative Symptom Scale (PANSS) Score at Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 7 (n=286)
-17.4 Units on a scale
Standard Deviation 15.5
Change From Baseline in Total Positive and Negative Symptom Scale (PANSS) Score at Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 14 (n=276)
-22.3 Units on a scale
Standard Deviation 16.0
Change From Baseline in Total Positive and Negative Symptom Scale (PANSS) Score at Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 28 (n=254)
-27.2 Units on a scale
Standard Deviation 16.6
Change From Baseline in Total Positive and Negative Symptom Scale (PANSS) Score at Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 42 (n=234)
-32.1 Units on a scale
Standard Deviation 17.5
Change From Baseline in Total Positive and Negative Symptom Scale (PANSS) Score at Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Final Evaluation (n=294)
-27.5 Units on a scale
Standard Deviation 20.1

SECONDARY outcome

Timeframe: Baseline, Day 42 and Final Evaluation (Day 42 or early discontinuation)

Population: The ITT population included all participants who received at least one dose of paliperidone ER and provided at least 1 post-baseline efficacy measurement.

The PANSS is a 30-item scale to assess neuropsychiatric symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). Positive symptoms subscale consists of 8 items with total score range of 8-56; negative symptoms and disorganized thoughts subscale, consists of 7 items with total score range of 7-49, uncontrolled hostility/excitement (H/E) subscale and anxiety/depression subscale, each consists of 4 items with total score range of 4-28. Higher score indicates greater severity. Final evaluation is the last post-baseline visit with data.

Outcome measures

Outcome measures
Measure
Paliperidone Extended Release (ER)
n=294 Participants
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Uncontrolled H/E: Change at Day 42
-3.8 Units on a scale
Standard Deviation 3.2
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Anxiety/Depression: Change at Day 42
-4.8 Units on a scale
Standard Deviation 3.2
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Positive Score: Baseline
28.8 Units on a scale
Standard Deviation 5.8
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Positive Score: Change at Day 42
-10.6 Units on a scale
Standard Deviation 5.9
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Positive Score: Change at Final Evaluation
-9.1 Units on a scale
Standard Deviation 6.7
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Negative Score: Baseline
24.8 Units on a scale
Standard Deviation 6.1
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Negative Score: Change at Day 42
-6.5 Units on a scale
Standard Deviation 5.1
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Negative Score: Change at Final Evaluation
-5.7 Units on a scale
Standard Deviation 5.3
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Disorganized Thoughts: Baseline
23.4 Units on a scale
Standard Deviation 4.9
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Disorganized Thoughts: Change at Day 42
-6.5 Units on a scale
Standard Deviation 4.6
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Disorganized Thoughts: Change at Final Evaluation
-5.6 Units on a scale
Standard Deviation 5.0
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Uncontrolled H/E: Baseline
10.6 Units on a scale
Standard Deviation 3.7
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Uncontrolled H/E: Change at Final Evaluation
-3.2 Units on a scale
Standard Deviation 3.8
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Anxiety/Depression: Baseline
12.5 Units on a scale
Standard Deviation 3.2
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
Anxiety/Depression: Change at Final Evaluation
-3.9 Units on a scale
Standard Deviation 3.7

SECONDARY outcome

Timeframe: Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or early discontinuation)

Population: The ITT population included all participants who received at least one dose of paliperidone ER and provided at least 1 post-baseline efficacy measurement.

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. Final evaluation is the last post-baseline visit with data.

Outcome measures

Outcome measures
Measure
Paliperidone Extended Release (ER)
n=294 Participants
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>40 Percent at Day 3
1.7 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>40 Percent at Day 4
6.9 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>40 Percent at Day 28
48.0 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>20 Percent at Day 2
4.4 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>20 Percent at Day 3
12.9 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>20 Percent at Day 4
29.9 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>20 percent at Day 5
39.4 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>20 Percent at Day 7
55.6 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>20 Percent at Day 14
72.1 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>20 Percent at Day 28
79.9 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>20 percent at Day 42
87.6 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>20 Percent at Final Evaluation
76.5 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>40 Percent at Day 2
0 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>40 Percent at Day 5
11.6 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>40 Percent at Day 7
19.6 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>40 Percent at Day 14
33.7 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>40 Percent at Day 42
59.4 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>40 Percent at Final Evaluation
51.4 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>50 Percent at Day 2
0 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>50 Percent at Day 3
0 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>50 Percent at Day 4
2.8 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>50 Percent at Day 5
7.4 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>50 Percent at Day 7
11.2 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>50 Percent at Day 14
18.1 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>50 Percent at Day 28
29.9 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>50 Percent at Day 42
41.5 Percentage of participants
Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
Treatment Response>50 Percent at Final Evaluation
34.7 Percentage of participants

SECONDARY outcome

Timeframe: Baseline, Day 7, 14, 28, 42 and Final Evaluation (Day 42 or early discontinuation)

Population: The ITT population included all participants who received at least 1 dose of paliperidone ER and provided at least 1 post-baseline efficacy measurement. "N" (number of participants analyzed) signifies those participants who were evaluable for this measure and "n" signifies those participants who were evaluated for this measure at given time points.

The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to "normal, not at all ill" and a rating of 7 is equivalent to "among the most extremely ill participants". Higher scores indicate worsening. Final evaluation is the last post-baseline visit with data.

Outcome measures

Outcome measures
Measure
Paliperidone Extended Release (ER)
n=289 Participants
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Change From Baseline in Clinical Global Impression -Severity (CGI-S) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 14 (n=275)
-0.9 Units on a scale
Standard Deviation 0.8
Change From Baseline in Clinical Global Impression -Severity (CGI-S) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Baseline (n=289)
3.9 Units on a scale
Standard Deviation 0.7
Change From Baseline in Clinical Global Impression -Severity (CGI-S) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 7 (n=286)
-0.6 Units on a scale
Standard Deviation 0.7
Change From Baseline in Clinical Global Impression -Severity (CGI-S) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 28 (n=253)
-1.2 Units on a scale
Standard Deviation 0.9
Change From Baseline in Clinical Global Impression -Severity (CGI-S) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 42 (n=234)
-1.5 Units on a scale
Standard Deviation 0.9
Change From Baseline in Clinical Global Impression -Severity (CGI-S) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Final Evaluation (n=289)
-1.2 Units on a scale
Standard Deviation 1.0

SECONDARY outcome

Timeframe: Baseline, Day 7, 14, 28, 42 and Final Evaluation (Day 42 or early discontinuation)

Population: The ITT population included all participants who received at least 1 dose of paliperidone ER and provided at least 1 post-baseline efficacy measurement. "N" (number of participants analyzed) signifies those participants who were evaluable for this measure and "n" signifies those participants who were evaluated for this measure at given time points.

The PSP assesses the degree of dysfunction within 4 domains of behavior: socially useful activities, personal \& social relationships, self-care \& disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (1, absent to 6, very severe) in each of 4 domains. Participants with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; less than or equal to 30, functioning so poorly as to require intensive supervision. Final evaluation is the last post-baseline visit with data.

Outcome measures

Outcome measures
Measure
Paliperidone Extended Release (ER)
n=290 Participants
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Change From Baseline in Personal and Social Performance Scale (PSP) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 14 (n=276)
9.9 Units on a Scale
Standard Deviation 10.5
Change From Baseline in Personal and Social Performance Scale (PSP) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Baseline (n=290)
50.0 Units on a Scale
Standard Deviation 14.3
Change From Baseline in Personal and Social Performance Scale (PSP) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 7 (n=287)
6.3 Units on a Scale
Standard Deviation 9.5
Change From Baseline in Personal and Social Performance Scale (PSP) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 28 (n=254)
13.8 Units on a Scale
Standard Deviation 12.3
Change From Baseline in Personal and Social Performance Scale (PSP) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 42 (n=235)
16.1 Units on a Scale
Standard Deviation 13.9
Change From Baseline in Personal and Social Performance Scale (PSP) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Final Evaluation (n=290)
13.7 Units on a Scale
Standard Deviation 14.4

SECONDARY outcome

Timeframe: Baseline, Day 7, 14, 28, 42 and Final Evaluation (Day 42 or early discontinuation)

Population: The ITT population included all participants who received at least 1 dose of paliperidone ER and provided at least 1 post-baseline efficacy measurement. "N" (number of participants analyzed) signifies those participants who were evaluable for this measure and "n" signifies those participants who were evaluated for this measure at given time points.

The sleep evaluation scale is a self-administered scale that rates quality of sleep. Participants indicate on an 11-point scale that how well they have slept within the previous 7 days, score ranged from 0 (very badly) to 10 (very well). Final evaluation is the last post-baseline visit with data.

Outcome measures

Outcome measures
Measure
Paliperidone Extended Release (ER)
n=286 Participants
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Change From Baseline in Quality of Sleep Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 42 (n=234)
2.6 Units on a scale
Standard Deviation 2.9
Change From Baseline in Quality of Sleep Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Final Evaluation (n=286)
2.1 Units on a scale
Standard Deviation 3.2
Change From Baseline in Quality of Sleep Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Baseline (n=286)
5.4 Units on a scale
Standard Deviation 2.8
Change From Baseline in Quality of Sleep Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 7 (n=280)
1.4 Units on a scale
Standard Deviation 2.9
Change From Baseline in Quality of Sleep Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 14 (n=273)
1.7 Units on a scale
Standard Deviation 2.9
Change From Baseline in Quality of Sleep Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 28 (n=250)
2.1 Units on a scale
Standard Deviation 3.0

SECONDARY outcome

Timeframe: Baseline, Day 7, 14, 28, 42 and Final Evaluation (Day 42 or early discontinuation)

Population: The ITT population included all participants who received at least 1 dose of paliperidone ER and provided at least 1 post-baseline efficacy measurement. "N" (number of participants analyzed) signifies those participants who were evaluable for this measure and "n" signifies those participants who were evaluated for this measure at given time points.

The day time drowsiness evaluation scale is a self-administered scale that rates day time drowsiness. Participants indicate on an 11-point scale that how often they have felt drowsy within the previous 7 days, score ranged from 0 (not at all) to 10 (all the time). Final evaluation is the last post-baseline visit with data.

Outcome measures

Outcome measures
Measure
Paliperidone Extended Release (ER)
n=286 Participants
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Change From Baseline in Day Time Drowsiness Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Baseline (n=286)
3.4 Units on a scale
Standard Deviation 2.7
Change From Baseline in Day Time Drowsiness Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 7 (n=280)
-0.5 Units on a scale
Standard Deviation 2.5
Change From Baseline in Day Time Drowsiness Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 14 (n=273)
-1.0 Units on a scale
Standard Deviation 2.6
Change From Baseline in Day Time Drowsiness Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 28 (n=250)
-1.4 Units on a scale
Standard Deviation 2.7
Change From Baseline in Day Time Drowsiness Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 42 (n=234)
-1.6 Units on a scale
Standard Deviation 2.6
Change From Baseline in Day Time Drowsiness Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Final Evaluation (n=286)
-1.4 Units on a scale
Standard Deviation 2.7

SECONDARY outcome

Timeframe: Day 42 or early discontinuation

Population: The ITT population included all participants who received at least 1 dose of paliperidone ER and provided at least 1 post-baseline efficacy measurement. "N" (number of participants analyzed) signifies those participants who were evaluable for this measure at given time point.

Treatment satisfaction with paliperidone ER was assessed by the Investigator and participant on a 5-point scale: 1 (very good), 2 (good), 3 (reasonable), 4 (moderate) and 5 (poor), at the end of the core treatment phase (which is, Day 42 or early discontinuation) by conducting an interview.

Outcome measures

Outcome measures
Measure
Paliperidone Extended Release (ER)
n=268 Participants
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Number of Participants Satisfied With the Study Treatment
Treatment tolerability: Very good
84 Participants
Number of Participants Satisfied With the Study Treatment
Treatment tolerability: Good
124 Participants
Number of Participants Satisfied With the Study Treatment
Treatment tolerability: Reasonable
35 Participants
Number of Participants Satisfied With the Study Treatment
Treatment tolerability: Moderate
15 Participants
Number of Participants Satisfied With the Study Treatment
Treatment efficacy: Very good
66 Participants
Number of Participants Satisfied With the Study Treatment
Treatment efficacy: Good
111 Participants
Number of Participants Satisfied With the Study Treatment
Treatment efficacy: Reasonable
53 Participants
Number of Participants Satisfied With the Study Treatment
Treatment efficacy: Moderate
25 Participants
Number of Participants Satisfied With the Study Treatment
Treatment efficacy: Poor
13 Participants
Number of Participants Satisfied With the Study Treatment
Treatment tolerability: Poor
10 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Day 7, 14, 42 and Final Evaluation (Day 42 or early discontinuation)

Population: Safety population included all participants who received at least 1 dose of paliperidone ER and had at least 1 post-baseline safety assessment. "N" (number of participants analyzed) signifies those participants who were evaluable for this measure and "n" signifies those participants who were evaluated for this measure at given time points.

The AIMS is a 12-item scale to provide a numeric measure to the observed abnormal movements in different parts of the body. Information is collected after a brief neurological examination and is scored on a 5-point scale (0=none and 4=severe). Final evaluation is the last post-baseline visit with data.

Outcome measures

Outcome measures
Measure
Paliperidone Extended Release (ER)
n=290 Participants
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Score at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 42 (n=234)
-0.18 Units on a scale
Standard Deviation 1.7
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Score at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Final Evaluation (n=290)
-0.09 Units on a scale
Standard Deviation 1.8
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Score at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Baseline (n=290)
0.59 Units on a scale
Standard Deviation 2.0
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Score at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 7 (n=287)
-0.05 Units on a scale
Standard Deviation 1.2
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Score at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 14 (n=276)
-0.13 Units on a scale
Standard Deviation 1.3

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Day 7, 14, 42 and Final Evaluation (Day 42 or early discontinuation)

Population: Safety population included all participants who received at least 1 dose of paliperidone ER and had at least 1 post-baseline safety assessment. "N" (number of participants analyzed) signifies those participants who were evaluable for this measure and "n" signifies those participants who were evaluated for this measure at given time points.

The SAS is a 10-item scale used to measure the symptoms of parkinsonism (slow movements) or parkinsonian side-effects related to the use of antipsychotic medications. The SAS rates 10 items (including gait, arm dropping, shoulder shaking, elbow rigidity, wrist rigidity, leg pendulousness, head dropping, Glabella tap, tremor and salivation), score ranging from 0 (normal) to 4 (extreme). The SAS global score is the average score (total sum of items score divided by the number of items) and ranges between 0 and 4, where the higher score indicates more severe condition of Extrapyramidal Symptoms. Final evaluation is the last post- baseline visit with data.

Outcome measures

Outcome measures
Measure
Paliperidone Extended Release (ER)
n=290 Participants
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Change From Baseline in Simpson Angus Extrapyramidal Symptoms Rating Scale (SAS) Score at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 14 (n=276)
-0.00 Units on a scale
Standard Deviation 0.24
Change From Baseline in Simpson Angus Extrapyramidal Symptoms Rating Scale (SAS) Score at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 42 (n=234)
-0.02 Units on a scale
Standard Deviation 0.24
Change From Baseline in Simpson Angus Extrapyramidal Symptoms Rating Scale (SAS) Score at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Baseline (n=290)
0.16 Units on a scale
Standard Deviation 0.32
Change From Baseline in Simpson Angus Extrapyramidal Symptoms Rating Scale (SAS) Score at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 7 (n=287)
0.00 Units on a scale
Standard Deviation 0.23
Change From Baseline in Simpson Angus Extrapyramidal Symptoms Rating Scale (SAS) Score at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Final Evaluation (n=290)
0.01 Units on a scale
Standard Deviation 0.34

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Day 7, 14, 42 and Final Evaluation (Day 42 or early discontinuation)

Population: Safety population included all participants who received at least 1 dose of paliperidone ER and had at least 1 post-baseline safety assessment. "N" (number of participants analyzed) signifies those participants who were evaluable for this measure and "n" signifies those participants who were evaluated for this measure at given time points.

The BARS included an objective rating (from 0=normal to 3=constantly engaged), two subjective ratings of symptoms of akathisia, namely awareness of restlessness (ranging from 0=absence of inner restlessness to 3=awareness of intense compulsion to move) and reported distress related to restlessness (ranging from 0=no distress to 3=severe), and a global clinical rating of akathisia, ranging from 0 (absent) to 5 (severe). Global rating sub-scale score (that is, global clinical rating of akathisia) was assessed which was scored separately and is the most relevant measure of severity of akathisia. Higher scores indicates worsening akathisia. Final evaluation is the last post-baseline visit with data.

Outcome measures

Outcome measures
Measure
Paliperidone Extended Release (ER)
n=290 Participants
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Change From Baseline in Global Rating Sub-scale Score Based on Barnes Akathisia Rating Scale (BARS) at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 14 (n=276)
-0.01 Units on a scale
Standard Deviation 0.5
Change From Baseline in Global Rating Sub-scale Score Based on Barnes Akathisia Rating Scale (BARS) at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Final Evaluation (n=290)
0.03 Units on a scale
Standard Deviation 0.7
Change From Baseline in Global Rating Sub-scale Score Based on Barnes Akathisia Rating Scale (BARS) at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Baseline (n=290)
0.17 Units on a scale
Standard Deviation 0.5
Change From Baseline in Global Rating Sub-scale Score Based on Barnes Akathisia Rating Scale (BARS) at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 7 (n=286)
-0.02 Units on a scale
Standard Deviation 0.4
Change From Baseline in Global Rating Sub-scale Score Based on Barnes Akathisia Rating Scale (BARS) at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
Change at Day 42 (n=234)
-0.03 Units on a scale
Standard Deviation 0.5

Adverse Events

Paliperidone Extended Release (ER)

Serious events: 23 serious events
Other events: 150 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Paliperidone Extended Release (ER)
n=294 participants at risk
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Cardiac disorders
Tachycardia
0.34%
1/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Gastrointestinal disorders
Abdominal pain
0.34%
1/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
General disorders
Pyrexia
0.34%
1/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Injury, poisoning and procedural complications
Alcohol poisoning
0.34%
1/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Nervous system disorders
Extrapyramidal disorder
0.68%
2/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Nervous system disorders
Mental impairment
0.34%
1/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Psychiatric disorders
Acute psychosis
0.34%
1/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Psychiatric disorders
Anxiety
0.68%
2/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Psychiatric disorders
Depression
0.34%
1/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Psychiatric disorders
Insomnia
0.34%
1/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Psychiatric disorders
Intentional self-injury
0.34%
1/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Psychiatric disorders
Major depression
0.34%
1/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Psychiatric disorders
Schizophrenia
4.1%
12/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Respiratory, thoracic and mediastinal disorders
Asthma
0.34%
1/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.

Other adverse events

Other adverse events
Measure
Paliperidone Extended Release (ER)
n=294 participants at risk
Paliperidone ER tablet in flexible daily dose of 3, 6, 9 or 12 milligram (mg) as per Investigators' discretion was given once daily orally for 6 weeks in the core treatment phase and no longer than 12 months in the extension phase after the completion of core treatment phase.
Cardiac disorders
Tachycardia
8.5%
25/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Gastrointestinal disorders
Constipation
3.1%
9/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Infections and infestations
Nasopharyngitis
4.4%
13/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Nervous system disorders
Akathisia
4.4%
13/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Nervous system disorders
Extrapyramidal disorder
6.1%
18/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Nervous system disorders
Headache
7.5%
22/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Psychiatric disorders
Agitation
3.4%
10/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Psychiatric disorders
Anxiety
4.8%
14/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Psychiatric disorders
Insomnia
23.1%
68/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Psychiatric disorders
Restlessness
3.4%
10/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Psychiatric disorders
Sleep disorder
3.1%
9/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Vascular disorders
Hypertension
4.4%
13/294 • 6 weeks in the core treatment phase
An adverse event is any untoward medical occurrence in a clinical study participant administered with study treatment. It can be any unfavorable \& unintended sign/abnormal finding, symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.

Additional Information

EMEA Therapeutic Area Leader CNS

Janssen-Cilag Germany

Phone: +492137955153

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60