Trial Outcomes & Findings for Prevention of Relapse With Injectable Paliperidone Palmitate Versus Oral Antipsychotics (NCT NCT01081769)

NCT ID: NCT01081769

Last Updated: 2015-02-18

Results Overview

Number of days from baseline (day 1 of core phase) to relapse as evaluated according the Csernansky criteria. A patient was considered to have relapsed if they met one or more of the following criteria: (1) psychiatric hospitalization; (2) an increase in the level of psychiatric care and an increase of 25 percent (%) from baseline in the Positive And Negative Syndrome Score (PANSS) total score (or an increase of 10 points if the baseline score was 40 or less); (3) deliberate self-injury; (4) suicidal or homicidal ideation that was clinically significant in the investigator's judgment; (5) violent behavior resulting in clinically significant injury to another person or property damage; (6) substantial clinical deterioration, defined as a change score of 6 ("much worse") or 7 ("very much worse") on the Clinical Global Impressions Scale (CGI-C); and/or (7) the required dose of the antipsychotic exceeds the maximum approved dose.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

769 participants

Primary outcome timeframe

from baseline (Day 1 of core phase) up to maximally 24 months.

Results posted on

2015-02-18

Participant Flow

After randomization patients enrolled in a 2-week oral treatment phase and were considered part of the whole Intent-to-Treat population (Whole ITT). Five patients did not receive study medication after randomization and were excluded from the whole ITT. Only responders were considered for continuation in the Core treatment phase (Core ITT).

Participant milestones

Participant milestones
Measure
Paliperidone Palmitate
2 weeks oral paliperidone treatment followed by intramuscular injection with 150 mg paliperidone palmitate equivalent on Day 1 of the core treatment phase, 100 mg equivalent on Day 8, 75 mg equivalent on Day 38 and flexible dosing with 25, 50, 75, 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
Oral antipsychotics daily treatment according to local label for maximally 24 months
Whole Intent-to-Treat
STARTED
376
388
Whole Intent-to-Treat
COMPLETED
352
363
Whole Intent-to-Treat
NOT COMPLETED
24
25
CORE Intent-To-Treat
STARTED
352
363
CORE Intent-To-Treat
COMPLETED
272
266
CORE Intent-To-Treat
NOT COMPLETED
80
97

Reasons for withdrawal

Reasons for withdrawal
Measure
Paliperidone Palmitate
2 weeks oral paliperidone treatment followed by intramuscular injection with 150 mg paliperidone palmitate equivalent on Day 1 of the core treatment phase, 100 mg equivalent on Day 8, 75 mg equivalent on Day 38 and flexible dosing with 25, 50, 75, 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
Oral antipsychotics daily treatment according to local label for maximally 24 months
Whole Intent-to-Treat
Missing Responder Assessment
10
12
Whole Intent-to-Treat
Stopped; non-responder after 2 weeks
6
6
Whole Intent-to-Treat
Deviation; non-responder after 2 weeks
6
7
Whole Intent-to-Treat
Responder after 2 weeks, but stopped
2
0
CORE Intent-To-Treat
Adverse Event
14
11
CORE Intent-To-Treat
Death
1
1
CORE Intent-To-Treat
Lack of Efficacy
2
6
CORE Intent-To-Treat
Lost to Follow-up
4
5
CORE Intent-To-Treat
Pregnancy
1
0
CORE Intent-To-Treat
Withdrawal by Subject
52
60
CORE Intent-To-Treat
Noncompliance With Study Drug
0
5
CORE Intent-To-Treat
Other
0
1
CORE Intent-To-Treat
Ineligibility
3
4
CORE Intent-To-Treat
Visit Schedule Issues
1
2
CORE Intent-To-Treat
Patient Moved
2
2

Baseline Characteristics

Prevention of Relapse With Injectable Paliperidone Palmitate Versus Oral Antipsychotics

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Paliperidone Palmitate
n=376 Participants
2 weeks oral paliperidone treatment followed by intramuscular injection with 150 mg paliperidone palmitate equivalent on Day 1 of the core treatment phase, 100 mg equivalent on Day 8, 75 mg equivalent on Day 38 and flexible dosing with 25, 50, 75, 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=388 Participants
Oral antipsychotics daily treatment according to local label for maximally 24 months
Total
n=764 Participants
Total of all reporting groups
Age, Continuous
32.5 years
STANDARD_DEVIATION 10.73 • n=5 Participants
32.4 years
STANDARD_DEVIATION 10 • n=7 Participants
32.5 years
STANDARD_DEVIATION 10.36 • n=5 Participants
Sex: Female, Male
Female
147 Participants
n=5 Participants
171 Participants
n=7 Participants
318 Participants
n=5 Participants
Sex: Female, Male
Male
229 Participants
n=5 Participants
217 Participants
n=7 Participants
446 Participants
n=5 Participants
Region of Enrollment
AUSTRIA
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
BELGIUM
7 participants
n=5 Participants
5 participants
n=7 Participants
12 participants
n=5 Participants
Region of Enrollment
BULGARIA
15 participants
n=5 Participants
15 participants
n=7 Participants
30 participants
n=5 Participants
Region of Enrollment
CROATIA
12 participants
n=5 Participants
12 participants
n=7 Participants
24 participants
n=5 Participants
Region of Enrollment
CZECH REPUBLIC
14 participants
n=5 Participants
21 participants
n=7 Participants
35 participants
n=5 Participants
Region of Enrollment
EGYPT
16 participants
n=5 Participants
14 participants
n=7 Participants
30 participants
n=5 Participants
Region of Enrollment
ESTONIA
2 participants
n=5 Participants
3 participants
n=7 Participants
5 participants
n=5 Participants
Region of Enrollment
FRANCE
4 participants
n=5 Participants
4 participants
n=7 Participants
8 participants
n=5 Participants
Region of Enrollment
GERMANY
3 participants
n=5 Participants
2 participants
n=7 Participants
5 participants
n=5 Participants
Region of Enrollment
HUNGARY
15 participants
n=5 Participants
16 participants
n=7 Participants
31 participants
n=5 Participants
Region of Enrollment
ISRAEL
6 participants
n=5 Participants
5 participants
n=7 Participants
11 participants
n=5 Participants
Region of Enrollment
ITALY
10 participants
n=5 Participants
11 participants
n=7 Participants
21 participants
n=5 Participants
Region of Enrollment
JORDAN
15 participants
n=5 Participants
11 participants
n=7 Participants
26 participants
n=5 Participants
Region of Enrollment
KOREA, REPUBLIC OF KOREA
2 participants
n=5 Participants
4 participants
n=7 Participants
6 participants
n=5 Participants
Region of Enrollment
LITHUANIA
13 participants
n=5 Participants
14 participants
n=7 Participants
27 participants
n=5 Participants
Region of Enrollment
POLAND
11 participants
n=5 Participants
11 participants
n=7 Participants
22 participants
n=5 Participants
Region of Enrollment
ROMANIA
13 participants
n=5 Participants
14 participants
n=7 Participants
27 participants
n=5 Participants
Region of Enrollment
RUSSIAN FEDERATION
90 participants
n=5 Participants
90 participants
n=7 Participants
180 participants
n=5 Participants
Region of Enrollment
SLOVAKIA
13 participants
n=5 Participants
14 participants
n=7 Participants
27 participants
n=5 Participants
Region of Enrollment
SOUTH AFRICA
26 participants
n=5 Participants
24 participants
n=7 Participants
50 participants
n=5 Participants
Region of Enrollment
SPAIN
3 participants
n=5 Participants
4 participants
n=7 Participants
7 participants
n=5 Participants
Region of Enrollment
TAIWAN, PROVINCE OF CHINA
4 participants
n=5 Participants
5 participants
n=7 Participants
9 participants
n=5 Participants
Region of Enrollment
TURKEY
11 participants
n=5 Participants
9 participants
n=7 Participants
20 participants
n=5 Participants
Region of Enrollment
UKRAINE
71 participants
n=5 Participants
79 participants
n=7 Participants
150 participants
n=5 Participants

PRIMARY outcome

Timeframe: from baseline (Day 1 of core phase) up to maximally 24 months.

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

Number of days from baseline (day 1 of core phase) to relapse as evaluated according the Csernansky criteria. A patient was considered to have relapsed if they met one or more of the following criteria: (1) psychiatric hospitalization; (2) an increase in the level of psychiatric care and an increase of 25 percent (%) from baseline in the Positive And Negative Syndrome Score (PANSS) total score (or an increase of 10 points if the baseline score was 40 or less); (3) deliberate self-injury; (4) suicidal or homicidal ideation that was clinically significant in the investigator's judgment; (5) violent behavior resulting in clinically significant injury to another person or property damage; (6) substantial clinical deterioration, defined as a change score of 6 ("much worse") or 7 ("very much worse") on the Clinical Global Impressions Scale (CGI-C); and/or (7) the required dose of the antipsychotic exceeds the maximum approved dose.

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Time to First Relapse Event
616 days
Standard Error 10.9
603 days
Standard Error 13.1

PRIMARY outcome

Timeframe: from baseline (Day 1 of core phase) up to maximally 24 months

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

Number of participants with a relapse event with relapses evaluated according the Csernansky criteria. A patient was considered to have relapsed if they met one or more of the following criteria: (1) psychiatric hospitalization; (2) an increase in the level of psychiatric care and an increase of 25% from baseline in the PANSS total score (or an increase of 10 points if the baseline score was 40 or less); (3) deliberate self-injury; (4) suicidal or homicidal ideation that was clinically significant in the investigator's judgment; (5) violent behavior resulting in clinically significant injury to another person or property damage; (6) substantial clinical deterioration, defined as a change score of 6 ("much worse") or 7 ("very much worse") on the Clinical Global Impressions Scale (CGI-C); and/or (7) the required dose of the antipsychotic exceeds the maximum approved dose.

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Number of Participants With a Relapse Event
No
300 number of participants
287 number of participants
Number of Participants With a Relapse Event
Yes
52 number of participants
76 number of participants

SECONDARY outcome

Timeframe: from baseline (day 1 of core phase) up to maximally 24 months

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

The proportion of patients achieving a treatment response, defined as a ≥30% decrease (i.e., improvement) in Positive and Negative Syndrome Scale (PANSS) total score from baseline to endpoint. The PANSS is a 30-item scale (Range 30-210) 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. Higher scores indicate increased severity of schizophrenia symptoms.

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Percentage of Treatment Responders
75.6 percentage of participants
Interval 70.8 to 79.8
69.4 percentage of participants
Interval 64.5 to 73.9

SECONDARY outcome

Timeframe: Baseline, day 8, month 1, 2, 3, 4, 6, 9, 12, 15, 18, 21, 24

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

Change from baseline in the PANSS: The PANSS is a 30-item scale (Range 30-210) 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. Higher scores indicate worsening.

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Change From Baseline in PANSS Total Score
change from baseline at Month 18
-23.5 units on a scale
Standard Deviation 13.56
-22.8 units on a scale
Standard Deviation 14.41
Change From Baseline in PANSS Total Score
change from baseline at Month 21
-24.3 units on a scale
Standard Deviation 13.60
-23.7 units on a scale
Standard Deviation 14.66
Change From Baseline in PANSS Total Score
change from baseline at Month 24
-25.5 units on a scale
Standard Deviation 14.42
-24.6 units on a scale
Standard Deviation 14.16
Change From Baseline in PANSS Total Score
change at Endpoint (LOCF)
-16.6 units on a scale
Standard Deviation 21.42
-14.1 units on a scale
Standard Deviation 21.29
Change From Baseline in PANSS Total Score
Baseline score
82.5 units on a scale
Standard Deviation 12.03
81.5 units on a scale
Standard Deviation 11.70
Change From Baseline in PANSS Total Score
change from baseline at Day 8
-4.8 units on a scale
Standard Deviation 5.93
-3.7 units on a scale
Standard Deviation 7.04
Change From Baseline in PANSS Total Score
change from baseline at Month 1
-9.4 units on a scale
Standard Deviation 10.91
-8.8 units on a scale
Standard Deviation 10.15
Change From Baseline in PANSS Total Score
change from baseline at Month 2
-12.2 units on a scale
Standard Deviation 12.19
-12.3 units on a scale
Standard Deviation 11.34
Change From Baseline in PANSS Total Score
change from baseline at Month 3
-14.5 units on a scale
Standard Deviation 11.72
-15.0 units on a scale
Standard Deviation 11.15
Change From Baseline in PANSS Total Score
change from baseline at Month 4
-16.2 units on a scale
Standard Deviation 13.03
-16.8 units on a scale
Standard Deviation 12.34
Change From Baseline in PANSS Total Score
change from baseline at Month 6
-18.5 units on a scale
Standard Deviation 13.67
-18.6 units on a scale
Standard Deviation 13.09
Change From Baseline in PANSS Total Score
change from baseline at Month 9
-19.5 units on a scale
Standard Deviation 14.72
-20.1 units on a scale
Standard Deviation 14.35
Change From Baseline in PANSS Total Score
change from baseline at Month 12
-21.8 units on a scale
Standard Deviation 13.32
-21.2 units on a scale
Standard Deviation 14.45
Change From Baseline in PANSS Total Score
change from baseline at Month 15
-21.7 units on a scale
Standard Deviation 14.56
-21.9 units on a scale
Standard Deviation 14.18

SECONDARY outcome

Timeframe: Baseline (day 1 of core phase), day 8, month 12, 24

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

Change from baseline in positive symptom, negative symptom and general psychopathology subscales of the PANSS scale. The PANSS scale is designed to assess symptoms of schizophrenia by means of the 30-items. The PANSS scale provides subscores for 3 subscales, that is, the positive symptoms subscale (7 items, range 7-49), the negative symptoms subscale (7 items, range 7-49), and the general psychopathology subscale (16 items, range 16-112). Each item of the scale is to be scored on a scale of 1 (absent) to 7 (extreme). Higher scores indicate higher severity of schizophrenia symptoms.

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Change From Baseline in PANSS Subscale Score
Positive Subscale; Baseline score
18.4 units on a scale
Standard Deviation 3.97
18.3 units on a scale
Standard Deviation 4.01
Change From Baseline in PANSS Subscale Score
Positive Subscale; change at Day 8
-1.5 units on a scale
Standard Deviation 2.11
-1.3 units on a scale
Standard Deviation 2.36
Change From Baseline in PANSS Subscale Score
Positive Subscale; change at Month 12
-6.3 units on a scale
Standard Deviation 4.10
-6.2 units on a scale
Standard Deviation 4.35
Change From Baseline in PANSS Subscale Score
Positive Subscale; change at Month 24
-6.8 units on a scale
Standard Deviation 4.39
-6.7 units on a scale
Standard Deviation 4.48
Change From Baseline in PANSS Subscale Score
Positive Subscale; change at Endpoint (LOCF)
-4.4 units on a scale
Standard Deviation 6.61
-3.8 units on a scale
Standard Deviation 6.72
Change From Baseline in PANSS Subscale Score
Negative Subscale; Baseline score
22.6 units on a scale
Standard Deviation 4.55
22.3 units on a scale
Standard Deviation 4.58
Change From Baseline in PANSS Subscale Score
Negative Subscale; change at Day 8
-1.0 units on a scale
Standard Deviation 1.90
-0.8 units on a scale
Standard Deviation 2.10
Change From Baseline in PANSS Subscale Score
Negative Subscale; change at Month 12
-4.8 units on a scale
Standard Deviation 4.69
-4.7 units on a scale
Standard Deviation 4.80
Change From Baseline in PANSS Subscale Score
Negative Subscale; change at Month 24
-6.2 units on a scale
Standard Deviation 5.19
-5.9 units on a scale
Standard Deviation 4.74
Change From Baseline in PANSS Subscale Score
Negative Subscale; change at Endpoint (LOCF)
-4.1 units on a scale
Standard Deviation 6.13
-3.7 units on a scale
Standard Deviation 5.79
Change From Baseline in PANSS Subscale Score
General Psychopathology; Baseline score
41.4 units on a scale
Standard Deviation 6.73
40.8 units on a scale
Standard Deviation 6.59
Change From Baseline in PANSS Subscale Score
General Psychopathology; change at Day 8
-2.3 units on a scale
Standard Deviation 3.58
-1.6 units on a scale
Standard Deviation 4.01
Change From Baseline in PANSS Subscale Score
General Psychopathology; change at Month 12
-10.7 units on a scale
Standard Deviation 7.19
-10.3 units on a scale
Standard Deviation 7.64
Change From Baseline in PANSS Subscale Score
General Psychopathology; change at Month 24
-12.5 units on a scale
Standard Deviation 7.63
-12.0 units on a scale
Standard Deviation 7.82
Change From Baseline in PANSS Subscale Score
General Psychopathology; change at Endpoint (LOCF)
-8.1 units on a scale
Standard Deviation 10.96
-6.7 units on a scale
Standard Deviation 11.12

SECONDARY outcome

Timeframe: Baseline (day 1 of core phase), day 8, month 12 and 24

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

Change from baseline in schizophrenia symptoms were assessed through the following PANSS factor scores as described by Marder: (1) positive symptoms (range 8-56): sum of delusions, hallucinatory behavior, grandiosity, suspiciousness, stereotyped thinking, somatic concern, unusual thought content, lack of judgment and insight; (2) negative symptoms (range 7-49): sum of blunted affect, emotional withdrawal, poor rapport, passive social withdrawal, lack of spontaneity, motor retardation, and active social avoidance; (3) disorganized thoughts (range 7-49): sum of conceptual disorganization, difficulty in abstract thinking, mannerisms and posturing, disorientation, poor attention, disturbance of volition, and preoccupation; (4) uncontrolled hostility/excitement (range 4-28): sum of excitement, hostility, uncooperativeness and poor impulse control; (5) anxiety/depression (range 4-28): sum of anxiety, guilt feelings, tension, and depression. Higher scores indicate higher severity of symptoms

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Change From Baseline in PANSS Marder Factor Scores
Positive Symptoms Factor Score; Baseline score
22.9 units on a scale
Standard Deviation 4.26
22.5 units on a scale
Standard Deviation 4.39
Change From Baseline in PANSS Marder Factor Scores
Positive Symptoms Factor Score; change at Day 8
-1.5 units on a scale
Standard Deviation 2.22
-1.3 units on a scale
Standard Deviation 2.50
Change From Baseline in PANSS Marder Factor Scores
Positive Symptoms Factor Score; change at Month 12
-6.9 units on a scale
Standard Deviation 4.31
-6.9 units on a scale
Standard Deviation 4.76
Change From Baseline in PANSS Marder Factor Scores
Positive Symptoms Factor Score; change at Month 24
-7.6 units on a scale
Standard Deviation 4.48
-7.8 units on a scale
Standard Deviation 4.95
Change From Baseline in PANSS Marder Factor Scores
Positive Symptoms Factor Score; change at Endpoint
-5.0 units on a scale
Standard Deviation 6.73
-4.7 units on a scale
Standard Deviation 6.80
Change From Baseline in PANSS Marder Factor Scores
Negative Symptoms Factor Score; Baseline score
22.0 units on a scale
Standard Deviation 4.65
21.5 units on a scale
Standard Deviation 4.95
Change From Baseline in PANSS Marder Factor Scores
Negative Symptoms Factor Score; change at Day 8
-1.0 units on a scale
Standard Deviation 1.93
-0.8 units on a scale
Standard Deviation 2.25
Change From Baseline in PANSS Marder Factor Scores
Negative Symptoms Factor Score; change at Month 12
-5.1 units on a scale
Standard Deviation 4.73
-4.9 units on a scale
Standard Deviation 4.88
Change From Baseline in PANSS Marder Factor Scores
Negative Symptoms Factor Score; change at Month 24
-6.5 units on a scale
Standard Deviation 5.16
-6.1 units on a scale
Standard Deviation 5.05
Change From Baseline in PANSS Marder Factor Scores
Negative Symptoms Factor Score; change at Endpoint
-4.3 units on a scale
Standard Deviation 6.26
-3.8 units on a scale
Standard Deviation 6.08
Change From Baseline in PANSS Marder Factor Scores
Disorganized Thoughts Factor; Baseline score
19.5 units on a scale
Standard Deviation 3.54
19.4 units on a scale
Standard Deviation 3.41
Change From Baseline in PANSS Marder Factor Scores
Disorganized Thoughts Factor; change at Day 8
-1.0 units on a scale
Standard Deviation 1.61
-0.6 units on a scale
Standard Deviation 2.06
Change From Baseline in PANSS Marder Factor Scores
Disorganized Thoughts Factor; change at Month 12
-4.6 units on a scale
Standard Deviation 3.42
-4.6 units on a scale
Standard Deviation 3.78
Change From Baseline in PANSS Marder Factor Scores
Disorganized Thoughts Factor; change at Month 24
-5.4 units on a scale
Standard Deviation 3.90
-5.4 units on a scale
Standard Deviation 3.82
Change From Baseline in PANSS Marder Factor Scores
Disorganized Thoughts Factor; change at Endpoint
-3.7 units on a scale
Standard Deviation 5.03
-3.2 units on a scale
Standard Deviation 5.16
Change From Baseline in PANSS Marder Factor Scores
Uncontrolled Hostility/Excitement; Baseline score
8.4 units on a scale
Standard Deviation 2.71
8.3 units on a scale
Standard Deviation 2.64
Change From Baseline in PANSS Marder Factor Scores
Uncontrolled Hostility/Excitement; change at Day 8
-0.7 units on a scale
Standard Deviation 1.60
-0.4 units on a scale
Standard Deviation 1.47
Change From Baseline in PANSS Marder Factor Scores
Uncontrolled Hostility/Excitement; change Month 12
-2.3 units on a scale
Standard Deviation 2.57
-2.1 units on a scale
Standard Deviation 2.62
Change From Baseline in PANSS Marder Factor Scores
Uncontrolled Hostility/Excitement; change Month 24
-2.7 units on a scale
Standard Deviation 2.77
-2.3 units on a scale
Standard Deviation 2.73
Change From Baseline in PANSS Marder Factor Scores
Uncontrolled Hostility/Excitement; change Endpoint
-1.5 units on a scale
Standard Deviation 3.82
-0.8 units on a scale
Standard Deviation 3.87
Change From Baseline in PANSS Marder Factor Scores
Anxiety/Depression Factor; Baseline score
9.7 units on a scale
Standard Deviation 2.74
9.8 units on a scale
Standard Deviation 2.85
Change From Baseline in PANSS Marder Factor Scores
Anxiety/Depression Factor; change at Day 8
-0.8 units on a scale
Standard Deviation 1.57
-0.6 units on a scale
Standard Deviation 1.72
Change From Baseline in PANSS Marder Factor Scores
Anxiety/Depression Factor; change at Month 12
-2.8 units on a scale
Standard Deviation 2.67
-2.7 units on a scale
Standard Deviation 2.56
Change From Baseline in PANSS Marder Factor Scores
Anxiety/Depression Factor; change at Month 24
-3.3 units on a scale
Standard Deviation 2.90
-3.0 units on a scale
Standard Deviation 2.78
Change From Baseline in PANSS Marder Factor Scores
Anxiety/Depression Factor; change at Endpoint
-2.1 units on a scale
Standard Deviation 3.51
-1.8 units on a scale
Standard Deviation 3.47

SECONDARY outcome

Timeframe: Baseline (day 1 of core phase), day 8, month 1, 2, 3, 4, 6, 9, 12, 15, 18, 21, 24

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

The Clinical Global Impression Severity (CGI-S) rating scale is a 7 point global clinical 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 higher impression of illness severity.

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
Baseline score
3.9 units on a scale
Standard Deviation 0.37
3.8 units on a scale
Standard Deviation 0.40
Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
change from baseline at Day 8
-0.1 units on a scale
Standard Deviation 0.38
-0.1 units on a scale
Standard Deviation 0.43
Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
change from baseline at Month 1
-0.3 units on a scale
Standard Deviation 0.61
-0.3 units on a scale
Standard Deviation 0.61
Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
change from baseline at Month 2
-0.4 units on a scale
Standard Deviation 0.70
-0.5 units on a scale
Standard Deviation 0.71
Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
change from baseline at Month 3
-0.6 units on a scale
Standard Deviation 0.69
-0.6 units on a scale
Standard Deviation 0.69
Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
change from baseline at Month 4
-0.7 units on a scale
Standard Deviation 0.75
-0.8 units on a scale
Standard Deviation 0.71
Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
change from baseline at Month 6
-0.8 units on a scale
Standard Deviation 0.78
-0.8 units on a scale
Standard Deviation 0.73
Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
change from baseline at Month 9
-0.9 units on a scale
Standard Deviation 0.80
-0.9 units on a scale
Standard Deviation 0.78
Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
change from baseline at Month 12
-1.0 units on a scale
Standard Deviation 0.78
-1.0 units on a scale
Standard Deviation 0.80
Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
change from baseline at Month 15
-0.9 units on a scale
Standard Deviation 0.82
-1.0 units on a scale
Standard Deviation 0.80
Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
change from baseline at Month 18
-1.0 units on a scale
Standard Deviation 0.80
-1.0 units on a scale
Standard Deviation 0.78
Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
change from baseline at Month 21
-1.0 units on a scale
Standard Deviation 0.78
-1.1 units on a scale
Standard Deviation 0.82
Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
change from baseline at Month 24
-1.1 units on a scale
Standard Deviation 0.79
-1.1 units on a scale
Standard Deviation 0.80
Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
change from baseline at Endpoint (LOCF)
-0.7 units on a scale
Standard Deviation 1.14
-0.6 units on a scale
Standard Deviation 1.12

SECONDARY outcome

Timeframe: Month 24 and endpoint

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

The Clinical Global Impression-Change (CGI-C) rating scale is used to rate the change in severity of the patient's illness compared to baseline (day 1 of core phase) on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse).

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Clinical Global Impression-Change (CGI-C)
Month 24; Very Much Improved
22.9 percentage of participants
22.9
21.7 percentage of participants
21.7
Clinical Global Impression-Change (CGI-C)
Month 24; Much Improved
52.9 percentage of participants
52.9
47.8 percentage of participants
47.8
Clinical Global Impression-Change (CGI-C)
Month 24; Minimally Improved
17.0 percentage of participants
17.0
20.8 percentage of participants
20.8
Clinical Global Impression-Change (CGI-C)
Month 24; No change
6.7 percentage of participants
6.7
7.7 percentage of participants
7.7
Clinical Global Impression-Change (CGI-C)
Month 24; Minimally Worse
0.0 percentage of participants
0.0
1.0 percentage of participants
1.0
Clinical Global Impression-Change (CGI-C)
Month 24; Much Worse
0.4 percentage of participants
0.4
1.0 percentage of participants
1.0
Clinical Global Impression-Change (CGI-C)
Month 24; Very Much Worse
0.0 percentage of participants
0.0
0.0 percentage of participants
0.0
Clinical Global Impression-Change (CGI-C)
Endpoint; Very Much Improved
17.1 percentage of participants
17.1
14.2 percentage of participants
14.2
Clinical Global Impression-Change (CGI-C)
Endpoint; Much Improved
40.6 percentage of participants
40.6
35.8 percentage of participants
35.8
Clinical Global Impression-Change (CGI-C)
Endpoint; Minimally Improved
17.4 percentage of participants
17.4
21.9 percentage of participants
21.9
Clinical Global Impression-Change (CGI-C)
Endpoint; No change
10.6 percentage of participants
10.6
10.8 percentage of participants
10.8
Clinical Global Impression-Change (CGI-C)
Endpoint; Minimally Worse
5.1 percentage of participants
5.1
6.1 percentage of participants
6.1
Clinical Global Impression-Change (CGI-C)
Endpoint; Much Worse
9.1 percentage of participants
9.1
10.6 percentage of participants
10.6
Clinical Global Impression-Change (CGI-C)
Endpoint; Very Much Worse
0.0 percentage of participants
0.0
0.6 percentage of participants
0.6

SECONDARY outcome

Timeframe: baseline (day 1 of core phase), month 1, 3, 6, 9, 12, 15, 18, 21 and 24

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

The Personal and Social Performance (PSP) scale assesses degree of a participant's dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. Score ranges from 1 to 100, divided into 10 equal intervals to rate degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Based on 4 domains there will be 1 total score. Participants with score of 71 to 100 have 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.

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Changes From Baseline in Personal and Social Performance (PSP) Total Score
Baseline score
55.3 units on a scale
Standard Deviation 11.31
55.3 units on a scale
Standard Deviation 11.07
Changes From Baseline in Personal and Social Performance (PSP) Total Score
change from baseline at Month 1
4.9 units on a scale
Standard Deviation 7.78
4.3 units on a scale
Standard Deviation 7.65
Changes From Baseline in Personal and Social Performance (PSP) Total Score
change from baseline at Month 3
7.6 units on a scale
Standard Deviation 8.91
7.7 units on a scale
Standard Deviation 9.02
Changes From Baseline in Personal and Social Performance (PSP) Total Score
change from baseline at Month 6
9.9 units on a scale
Standard Deviation 10.08
10.8 units on a scale
Standard Deviation 10.32
Changes From Baseline in Personal and Social Performance (PSP) Total Score
change from baseline at Month 9
11.4 units on a scale
Standard Deviation 11.28
11.9 units on a scale
Standard Deviation 11.03
Changes From Baseline in Personal and Social Performance (PSP) Total Score
change from baseline at Month 12
12.7 units on a scale
Standard Deviation 10.78
12.3 units on a scale
Standard Deviation 11.27
Changes From Baseline in Personal and Social Performance (PSP) Total Score
change from baseline at Month 15
12.9 units on a scale
Standard Deviation 11.05
12.9 units on a scale
Standard Deviation 10.82
Changes From Baseline in Personal and Social Performance (PSP) Total Score
change from baseline at Month 18
14.0 units on a scale
Standard Deviation 11.44
13.3 units on a scale
Standard Deviation 11.44
Changes From Baseline in Personal and Social Performance (PSP) Total Score
change from baseline at Month 21
14.7 units on a scale
Standard Deviation 12.3
14.0 units on a scale
Standard Deviation 11.69
Changes From Baseline in Personal and Social Performance (PSP) Total Score
change from baseline at Month 24
15.2 units on a scale
Standard Deviation 12.72
14.6 units on a scale
Standard Deviation 11.72
Changes From Baseline in Personal and Social Performance (PSP) Total Score
change from baseline at Endpoint (LOCF)
9.8 units on a scale
Standard Deviation 15.41
8.7 units on a scale
Standard Deviation 14.89

SECONDARY outcome

Timeframe: baseline (day 1 of core phase), month 6, 12 and 24

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

The Short Form-36 Health Survey (SF-36) is a measure of Participant-reported health status. It is a 36-item questionnaire measuring 8 domains (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health). Two summary scale scores are computed based on weighted combinations of the 8 subscale scores: the Physical Component Summary and the Mental Component Summary. Each summary scale score ranges from 0 (worst) to 100 (best), with higher scores reflecting better health-related functional status.

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Change From Baseline in Short Form-36 Health Survey (SF-36)
Physical Component, Baseline score
50.3 units on a scale
Standard Deviation 8.04
50.6 units on a scale
Standard Deviation 7.83
Change From Baseline in Short Form-36 Health Survey (SF-36)
Physical Component, change at Month 6
1.2 units on a scale
Standard Deviation 6.92
1.3 units on a scale
Standard Deviation 6.52
Change From Baseline in Short Form-36 Health Survey (SF-36)
Physical Component, change at Month 12
1.6 units on a scale
Standard Deviation 7.62
1.2 units on a scale
Standard Deviation 7.08
Change From Baseline in Short Form-36 Health Survey (SF-36)
Physical Component, change at Month 24
2.2 units on a scale
Standard Deviation 8.40
2.1 units on a scale
Standard Deviation 6.74
Change From Baseline in Short Form-36 Health Survey (SF-36)
Physical Component, change at Endpoint (LOCF)
1.7 units on a scale
Standard Deviation 8.52
1.4 units on a scale
Standard Deviation 7.40
Change From Baseline in Short Form-36 Health Survey (SF-36)
Mental Component, Baseline score
32.1 units on a scale
Standard Deviation 12.62
31.4 units on a scale
Standard Deviation 12.92
Change From Baseline in Short Form-36 Health Survey (SF-36)
Mental Component, change at Month 6
8.2 units on a scale
Standard Deviation 11.58
9.1 units on a scale
Standard Deviation 12.43
Change From Baseline in Short Form-36 Health Survey (SF-36)
Mental Component, change at Month 12
10.5 units on a scale
Standard Deviation 11.75
11.6 units on a scale
Standard Deviation 12.77
Change From Baseline in Short Form-36 Health Survey (SF-36)
Mental Component, change at Month 24
12.0 units on a scale
Standard Deviation 13.34
12.3 units on a scale
Standard Deviation 12.83
Change From Baseline in Short Form-36 Health Survey (SF-36)
Mental Component, change at Endpoint (LOCF)
9.0 units on a scale
Standard Deviation 14.99
8.7 units on a scale
Standard Deviation 14.37

SECONDARY outcome

Timeframe: baseline (day 1 of core phase), month 6, 12 and 24

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

The EQ-5D VAS records the respondent's self-rated health on a vertical, visual analog scale, with 0 representing the worst imaginable health state and 100 representing the best imaginable health state. The EQ VAS is used as a quantitative measure of health outcome as judged by the individual respondent.

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) VAS Score
Baseline score
57.5 units on a scale
Standard Deviation 20.94
57.6 units on a scale
Standard Deviation 20.41
Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) VAS Score
change from baseline at Month 6
10.6 units on a scale
Standard Deviation 17.31
11.9 units on a scale
Standard Deviation 17.00
Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) VAS Score
change from baseline at Month 12
15.0 units on a scale
Standard Deviation 17.38
15.6 units on a scale
Standard Deviation 18.32
Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) VAS Score
change from baseline at Month 24
17.9 units on a scale
Standard Deviation 19.48
18.6 units on a scale
Standard Deviation 17.36
Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) VAS Score
change from baseline at Endpoint (LOCF)
13.0 units on a scale
Standard Deviation 22.87
11.9 units on a scale
Standard Deviation 21.54

SECONDARY outcome

Timeframe: baseline (day 1 of core phase), month 6, 12 and 24

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

The EuroQol-5 is a five dimensional health state classification. Each dimension is assessed on a 3-point ordinal scale (1=no problems, 2=some problems, 3=extreme problems). The responses to the five EQ-5D dimensions were scored using a utility-weighted algorithm to derive an EQ-5D health status index score between 0 to 1, with 1.00 indicating "full health" and 0 representing dead. A higher score indicates an improvement in health in the Health Status Index.

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) Index Score
change from baseline at Month 12
0.08 units on a scale
Standard Deviation 0.185
0.11 units on a scale
Standard Deviation 0.179
Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) Index Score
Baseline score
0.80 units on a scale
Standard Deviation 0.173
0.78 units on a scale
Standard Deviation 0.181
Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) Index Score
change from baseline at Month 6
0.06 units on a scale
Standard Deviation 0.181
0.09 units on a scale
Standard Deviation 0.157
Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) Index Score
change from baseline at Month 24
0.10 units on a scale
Standard Deviation 0.201
0.12 units on a scale
Standard Deviation 0.161
Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) Index Score
change from baseline at Endpoint (LOCF)
0.06 units on a scale
Standard Deviation 0.224
0.08 units on a scale
Standard Deviation 0.192

SECONDARY outcome

Timeframe: baseline (day 1 of core phase), month 6, 12 and 24

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

The SWN-S is a patient self-rated scale developed to measure the subjective well-being for the previous 7 days of a patient under neuroleptic treatment. The SWN-S consists of 20 items (each item is rated from 1=not at all to 6=very much). The total score ranges from 20 to 120 with higher score indicating greater subjective well-being.

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Change From Baseline in Subjective Well-Being Under Neuroleptics-Short Form (SWN-S) Total Score
Baseline score
76.5 units on a scale
Standard Deviation 17.02
76.7 units on a scale
Standard Deviation 17.07
Change From Baseline in Subjective Well-Being Under Neuroleptics-Short Form (SWN-S) Total Score
change from baseline at Month 6
8.4 units on a scale
Standard Deviation 14.06
9.1 units on a scale
Standard Deviation 14.40
Change From Baseline in Subjective Well-Being Under Neuroleptics-Short Form (SWN-S) Total Score
change from baseline at Month 12
11.4 units on a scale
Standard Deviation 15.81
11.1 units on a scale
Standard Deviation 17.02
Change From Baseline in Subjective Well-Being Under Neuroleptics-Short Form (SWN-S) Total Score
change from baseline at Month 24
13.4 units on a scale
Standard Deviation 18.14
13.1 units on a scale
Standard Deviation 15.76
Change From Baseline in Subjective Well-Being Under Neuroleptics-Short Form (SWN-S) Total Score
change from baseline at Endpoint (LOCF)
9.7 units on a scale
Standard Deviation 19.17
8.3 units on a scale
Standard Deviation 17.58

SECONDARY outcome

Timeframe: baseline (day 1 of core phase), month 12 and 24

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

Patient's satisfaction with medication was assessed using the Treatment Satisfaction Questionnaire for Medication (TSQM). The TSQM is divided into 4 subscales (effectiveness, side effects, convenience, and global satisfaction), with the value of each subscale ranging from 0 to 100. Higher scores indicate greater treatment satisfaction.

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Change From Baseline in Patient's Treatment Satisfaction
Effectiveness; Baseline score
61.9 units on a scale
Standard Deviation 16.97
59.5 units on a scale
Standard Deviation 16.82
Change From Baseline in Patient's Treatment Satisfaction
Effectiveness; change at Month 12
6.7 units on a scale
Standard Deviation 22.72
6.6 units on a scale
Standard Deviation 21.99
Change From Baseline in Patient's Treatment Satisfaction
Effectiveness; change at Month 24
8.5 units on a scale
Standard Deviation 21.75
12.4 units on a scale
Standard Deviation 20.69
Change From Baseline in Patient's Treatment Satisfaction
Effectiveness; change at Endpoint (LOCF)
3.8 units on a scale
Standard Deviation 23.47
4.5 units on a scale
Standard Deviation 25.31
Change From Baseline in Patient's Treatment Satisfaction
Side-effects; Baseline score
91.3 units on a scale
Standard Deviation 19.74
87.3 units on a scale
Standard Deviation 23.41
Change From Baseline in Patient's Treatment Satisfaction
Side-effects; change at Month 12
2.1 units on a scale
Standard Deviation 22.71
2.5 units on a scale
Standard Deviation 25.66
Change From Baseline in Patient's Treatment Satisfaction
Side-effects; change at Month 24
2.8 units on a scale
Standard Deviation 20.93
3.5 units on a scale
Standard Deviation 23.96
Change From Baseline in Patient's Treatment Satisfaction
Side-effects; change at Endpoint (LOCF)
-1.4 units on a scale
Standard Deviation 25.59
0.7 units on a scale
Standard Deviation 28.24
Change From Baseline in Patient's Treatment Satisfaction
Convenience; Baseline score
67.1 units on a scale
Standard Deviation 16.66
68.4 units on a scale
Standard Deviation 16.45
Change From Baseline in Patient's Treatment Satisfaction
Convenience; change at Month 12
8.4 units on a scale
Standard Deviation 19.10
1.0 units on a scale
Standard Deviation 17.79
Change From Baseline in Patient's Treatment Satisfaction
Convenience; change at Month 24
10.4 units on a scale
Standard Deviation 20.49
4.7 units on a scale
Standard Deviation 17.69
Change From Baseline in Patient's Treatment Satisfaction
Convenience; change at Endpoint (LOCF)
7.4 units on a scale
Standard Deviation 21.24
0.3 units on a scale
Standard Deviation 21.68
Change From Baseline in Patient's Treatment Satisfaction
Global Satisfaction; Baseline score
64.0 units on a scale
Standard Deviation 18.13
62.8 units on a scale
Standard Deviation 18.31
Change From Baseline in Patient's Treatment Satisfaction
Global Satisfaction; change at Month 12
8.2 units on a scale
Standard Deviation 18.89
7.0 units on a scale
Standard Deviation 21.18
Change From Baseline in Patient's Treatment Satisfaction
Global Satisfaction; change at Month 24
8.6 units on a scale
Standard Deviation 21.06
9.2 units on a scale
Standard Deviation 20.39
Change From Baseline in Patient's Treatment Satisfaction
Global Satisfaction; change at Endpoint (LOCF)
3.0 units on a scale
Standard Deviation 25.01
1.0 units on a scale
Standard Deviation 26.76

SECONDARY outcome

Timeframe: baseline (day 1 of core phase), month 12 and 24

Population: all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment

Physician's treatment satisfaction was assessed using the physician's treatment satisfaction scale which is designed to rate 4 aspects of treatment (efficacy, safety, mode of administration, and overall satisfaction), each on a scale ranging from 1 (extremely satisfied) to 7 (extremely dissatisfied).

Outcome measures

Outcome measures
Measure
Paliperidone Palmitate
n=352 Participants
paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=363 Participants
oral antipsychotics daily treatment according to local label for maximally 24 months
Change From Baseline in Physician's Treatment Satisfaction
Efficacy; Baseline score
2.7 units on a scale
Standard Deviation 0.79
2.8 units on a scale
Standard Deviation 0.79
Change From Baseline in Physician's Treatment Satisfaction
Efficacy; change at Month 12
-0.5 units on a scale
Standard Deviation 1.03
-0.4 units on a scale
Standard Deviation 0.92
Change From Baseline in Physician's Treatment Satisfaction
Efficacy; change at Month 24
-0.6 units on a scale
Standard Deviation 1.10
-0.6 units on a scale
Standard Deviation 0.98
Change From Baseline in Physician's Treatment Satisfaction
Efficacy; change at Endpoint (LOCF)
-0.2 units on a scale
Standard Deviation 1.46
0.0 units on a scale
Standard Deviation 1.43
Change From Baseline in Physician's Treatment Satisfaction
Safety; Baseline score
2.4 units on a scale
Standard Deviation 0.80
2.6 units on a scale
Standard Deviation 0.77
Change From Baseline in Physician's Treatment Satisfaction
Safety; change at Month 12
-0.4 units on a scale
Standard Deviation 0.97
-0.2 units on a scale
Standard Deviation 0.90
Change From Baseline in Physician's Treatment Satisfaction
Safety; change at Month 24
-0.4 units on a scale
Standard Deviation 0.97
-0.3 units on a scale
Standard Deviation 1.04
Change From Baseline in Physician's Treatment Satisfaction
Safety; change at Endpoint (LOCF)
-0.2 units on a scale
Standard Deviation 1.19
-0.0 units on a scale
Standard Deviation 1.18
Change From Baseline in Physician's Treatment Satisfaction
Mode of Administration: Baseline score
2.6 units on a scale
Standard Deviation 0.86
2.6 units on a scale
Standard Deviation 0.83
Change From Baseline in Physician's Treatment Satisfaction
Mode of Administration: change at Month 12
-0.7 units on a scale
Standard Deviation 1.02
-0.0 units on a scale
Standard Deviation 0.92
Change From Baseline in Physician's Treatment Satisfaction
Mode of Administration: change at Month 24
-0.7 units on a scale
Standard Deviation 1.09
-0.1 units on a scale
Standard Deviation 0.92
Change From Baseline in Physician's Treatment Satisfaction
Mode of Administration: change at Endpoint (LOCF)
-0.5 units on a scale
Standard Deviation 1.16
0.0 units on a scale
Standard Deviation 1.04
Change From Baseline in Physician's Treatment Satisfaction
Overall Satisfaction; Baseline score
2.6 units on a scale
Standard Deviation 0.78
2.7 units on a scale
Standard Deviation 0.74
Change From Baseline in Physician's Treatment Satisfaction
Overall Satisfaction; change at Month 12
-0.5 units on a scale
Standard Deviation 0.95
-0.3 units on a scale
Standard Deviation 0.84
Change From Baseline in Physician's Treatment Satisfaction
Overall Satisfaction; change at Month 24
-0.6 units on a scale
Standard Deviation 1.00
-0.3 units on a scale
Standard Deviation 0.86
Change From Baseline in Physician's Treatment Satisfaction
Overall Satisfaction; change at Endpoint (LOCF)
-0.2 units on a scale
Standard Deviation 1.25
0.1 units on a scale
Standard Deviation 1.16

Adverse Events

Paliperidone Palmitate

Serious events: 42 serious events
Other events: 208 other events
Deaths: 0 deaths

Oral Antipsychotics

Serious events: 48 serious events
Other events: 208 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Paliperidone Palmitate
n=376 participants at risk
2 weeks oral paliperidone treatment followed by intramuscular injection with 150 mg paliperidone palmitate equivalent on Day 1 of the core treatment phase, 100 mg equivalent on Day 8, 75 mg equivalent on Day 38 and flexible dosing with 25, 50, 75, 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=388 participants at risk
Oral antipsychotics daily treatment according to local label for maximally 24 months
Cardiac disorders
Cardiac arrest
0.27%
1/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.00%
0/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Gastrointestinal disorders
Abdominal pain
0.27%
1/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.00%
0/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Gastrointestinal disorders
Haemorrhoids
0.00%
0/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.26%
1/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Gastrointestinal disorders
Salivary hypersecretion
0.00%
0/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.26%
1/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
General disorders
Sudden death
0.00%
0/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.26%
1/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Hepatobiliary disorders
Cholecystitis chronic
0.27%
1/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.00%
0/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Infections and infestations
Bronchitis
0.27%
1/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.00%
0/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Infections and infestations
Hepatic echinococciasis
0.00%
0/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.26%
1/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Infections and infestations
Pneumonia
0.00%
0/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.26%
1/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Infections and infestations
Sinusitis
0.27%
1/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.00%
0/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Injury, poisoning and procedural complications
Foreign body
0.27%
1/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.00%
0/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Injury, poisoning and procedural complications
Multiple injuries
0.27%
1/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.00%
0/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Injury, poisoning and procedural complications
Overdose
0.00%
0/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.26%
1/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Injury, poisoning and procedural complications
Tibia fracture
0.00%
0/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.26%
1/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Investigations
Alanine aminotransferase increased
0.27%
1/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.00%
0/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Musculoskeletal and connective tissue disorders
Prognathism
0.00%
0/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.26%
1/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Nervous system disorders
Epilepsy
0.00%
0/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.26%
1/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Psychiatric disorders
Acute psychosis
0.27%
1/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.00%
0/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Psychiatric disorders
Agitation
0.27%
1/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.52%
2/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Psychiatric disorders
Alcohol abuse
0.00%
0/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.52%
2/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Psychiatric disorders
Anxiety
0.53%
2/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.00%
0/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Psychiatric disorders
Psychotic disorder
1.9%
7/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
2.1%
8/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Psychiatric disorders
Schizophrenia
5.6%
21/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
5.7%
22/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Psychiatric disorders
Schizophrenia, paranoid type
0.80%
3/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
1.0%
4/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Psychiatric disorders
Suicide attempt
0.00%
0/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.52%
2/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Renal and urinary disorders
Calculus bladder
0.27%
1/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.00%
0/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Reproductive system and breast disorders
Varicocele
0.27%
1/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.00%
0/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events

Other adverse events

Other adverse events
Measure
Paliperidone Palmitate
n=376 participants at risk
2 weeks oral paliperidone treatment followed by intramuscular injection with 150 mg paliperidone palmitate equivalent on Day 1 of the core treatment phase, 100 mg equivalent on Day 8, 75 mg equivalent on Day 38 and flexible dosing with 25, 50, 75, 100 or 150 mg equivalent once monthly thereafter
Oral Antipsychotics
n=388 participants at risk
Oral antipsychotics daily treatment according to local label for maximally 24 months
General disorders
Fatigue
2.4%
9/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
1.8%
7/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
General disorders
Injection site pain
6.4%
24/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
0.00%
0/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Infections and infestations
Influenza
1.6%
6/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
2.1%
8/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Infections and infestations
Nasopharyngitis
6.6%
25/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
5.2%
20/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Investigations
Weight decreased
2.4%
9/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
2.3%
9/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Ear and labyrinth disorders
Vertigo
2.1%
8/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
1.5%
6/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Gastrointestinal disorders
Diarrhoea
2.1%
8/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
1.8%
7/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Gastrointestinal disorders
Nausea
3.2%
12/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
3.4%
13/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
General disorders
Asthenia
1.9%
7/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
2.1%
8/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Investigations
Weight increased
15.4%
58/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
16.8%
65/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Metabolism and nutrition disorders
Increased appetite
2.4%
9/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
3.1%
12/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Musculoskeletal and connective tissue disorders
Muscle rigidity
3.2%
12/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
2.1%
8/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Nervous system disorders
Akathisia
5.6%
21/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
5.7%
22/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Nervous system disorders
Headache
10.6%
40/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
8.8%
34/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Nervous system disorders
Sedation
1.6%
6/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
2.6%
10/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Nervous system disorders
Somnolence
3.5%
13/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
5.7%
22/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Nervous system disorders
Tremor
5.9%
22/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
4.4%
17/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Psychiatric disorders
Agitation
2.4%
9/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
2.3%
9/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Psychiatric disorders
Anxiety
5.9%
22/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
5.9%
23/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Psychiatric disorders
Depression
2.9%
11/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
2.3%
9/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Psychiatric disorders
Insomnia
11.2%
42/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
10.1%
39/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Psychiatric disorders
Schizophrenia
2.4%
9/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
3.9%
15/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Psychiatric disorders
Suicidal ideation
5.3%
20/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
5.9%
23/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Reproductive system and breast disorders
Amenorrhoea
2.9%
11/376 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
1.8%
7/388 • from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events

Additional Information

EMEA Medical Affairs Director Psychiatry

Janssen-Cilag Germany

Results disclosure agreements

  • Principal investigator is a sponsor employee A copy of the manuscript must be provided to the Sponsor for review at least 60 days prior to submission for publication or presentation. No paper that incorporates Confidential Information will be submitted for publication without Sponsor's prior written consent. If requested in writing, such publication will be withheld for up to an additional 60 calendar days. A publication from the individual Study site data will not be published until the combined results have been published.
  • Publication restrictions are in place

Restriction type: OTHER