Safety and Efficacy of Cariprazine in Patients With Schizophrenia

NCT ID: NCT01104766

Last Updated: 2018-10-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

617 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-23

Study Completion Date

2011-12-20

Brief Summary

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The objective of this study is to evaluate the efficacy, safety, and tolerability of cariprazine relative to placebo for the treatment of acute exacerbation of schizophrenia.

Detailed Description

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Conditions

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Schizophrenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Cariprazine 3mg

Patients who meet eligibility criteria will be administered a once daily oral dose of cariprazine for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.

Group Type EXPERIMENTAL

Cariprazine

Intervention Type DRUG

Patients who meet eligibility criteria will be administered a once daily oral dose of cariprazine for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.

Cariprazine 6mg

Patients who meet eligibility criteria will be administered a once daily oral dose of cariprazine for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.

Group Type EXPERIMENTAL

Cariprazine

Intervention Type DRUG

Patients who meet eligibility criteria will be administered a once daily oral dose of cariprazine for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.

Aripiprazole 10mg

Patients who meet eligibility criteria will be administered a once daily oral dose of aripiprazole for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.

Group Type ACTIVE_COMPARATOR

Aripiprazole

Intervention Type DRUG

Patients who meet eligibility criteria will be administered a once daily oral dose of aripiprazole for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.

Placebo

Patients who meet eligibility criteria will be administered a once daily oral dose of placebo for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Patients who meet eligibility criteria will be administered a once daily oral dose of placebo for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.

Interventions

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Cariprazine

Patients who meet eligibility criteria will be administered a once daily oral dose of cariprazine for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.

Intervention Type DRUG

Aripiprazole

Patients who meet eligibility criteria will be administered a once daily oral dose of aripiprazole for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.

Intervention Type DRUG

Placebo

Patients who meet eligibility criteria will be administered a once daily oral dose of placebo for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.

Intervention Type DRUG

Other Intervention Names

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RGH-188

Eligibility Criteria

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Inclusion Criteria

* Patients who have provided informed consent prior to any study specific procedures
* Patients currently meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria for schizophrenia (paranoid type, disorganized type, catatonic type or undifferentiated type), as confirmed by the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (SCID)
* Patients with normal physical examination, laboratory, vital signs,and/ or electrocardiogram (ECG)
* Current psychotic episode (schizophrenia exacerbation) \< 2 weeks duration at Visit 1
* Structured Clinical Interview for the Positive and Negative Syndrome Scale (SCIPANSS) total score ≥ 80 and ≤ 120
* CGI-S score ≥ 4

Exclusion Criteria

* Schizoaffective disorder, schizophreniform disorder, and other psychotic disorders
* Bipolar I and II disorder
* Pervasive developmental disorder, mental retardation, delirium, dementia, amnestic and other cognitive disorders
* DSM-IV-TR axis II disorder of sufficient severity to interfere with participation in this study
* Women who are pregnant or breast feeding
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gedeon Richter Ltd.

INDUSTRY

Sponsor Role collaborator

Forest Laboratories

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Raffaele Migliore, MA

Role: STUDY_DIRECTOR

Forest Laboratories

Locations

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Woodland International Research Group, Inc.

Little Rock, Arkansas, United States

Site Status

Woodland Research Northwest, LLC

Springdale, Arkansas, United States

Site Status

Synergy Clinical Research of Escondido

Escondido, California, United States

Site Status

Excell Research, Inc

Oceanside, California, United States

Site Status

Clinical Innovations, Inc.

Riverside, California, United States

Site Status

Sharp Mesa Vista Hospital

San Diego, California, United States

Site Status

Collaborative Neuroscience Network, Inc.

Torrance, California, United States

Site Status

Colorado Clinical Trials, Inc.

Littleton, Colorado, United States

Site Status

Comprehensive Clinical Development, Inc.

Washington D.C., District of Columbia, United States

Site Status

Florida Clinical Research Center, LLC

Bradenton, Florida, United States

Site Status

Hawaii Clinical Research Center

Honolulu, Hawaii, United States

Site Status

Uptown Research Institute, LLC

Chicago, Illinois, United States

Site Status

Alexian Brothers Center for Psychiatric Research

Hoffman Estates, Illinois, United States

Site Status

Precise Research Centers

Flowood, Mississippi, United States

Site Status

Millennium Psychiatric Associates, LLC

Creve Coeur, Missouri, United States

Site Status

CRI Worldwide, LLC

Willingboro, New Jersey, United States

Site Status

Windsor-Laurelwood Center for Behavioral Medicine

Willoughby, Ohio, United States

Site Status

Vanderbilt Psychiatric Hospital

Nashville, Tennessee, United States

Site Status

Claghorn-Lesem Research Clinic, Ltd.

Houston, Texas, United States

Site Status

Pacific Institute of Medical Sciences

Bothell, Washington, United States

Site Status

Spitalul Clinic de Psihiatrie "Prof. Dr. Alexandru Obregia", Clinica X Psihiatrie

Bucharest, , Romania

Site Status

Spitalul Clinic de Psihiatrie 'Prof. Dr. Alexandru Obregia', Clinica III Psihiatrie

Bucharest, , Romania

Site Status

Spitalul Clinic de Psihiatrie 'Prof. Dr. Alexandru Obregia', Clinica VIII Psihiatrie

Bucharest, , Romania

Site Status

Spitalul Clinic Judetean de Urgenta Cluj, Clinica de Psihiatrie III

Cluj-Napoca, , Romania

Site Status

Spitalul Clinic de Neuropsihiatrie Craiova, Clinica II Psihiatrie

Craiova, , Romania

Site Status

Spitalul Clinic Militar de Urgenta, 'Dr. Stefan Odobleja' Clinical de Psihiatrie

Craiova, , Romania

Site Status

Spitalul Judetean de Urgenta Piatra Neamt

Piatra Neamţ, , Romania

Site Status

Spitalul Judetean de Urgenta Pitesti, Clinica de Psihiatrie

Piteşti, , Romania

Site Status

Spitalul de Psihiatrie Dr. Gheorghe Preda" Sibiu

Sibiu, , Romania

Site Status

Spitalul Judetean de Urgenta Targoviste, Sectia Psihiatrie

Târgovişte, , Romania

Site Status

Spitalul Clinic Judetean Mures, Clinica Psihiatrie I

Târgu Mureş, , Romania

Site Status

Spitalul Clinic Judetean de Urgenta Timisoara, Sectia Clinica de Psihiatrie "eduard Pamfil"

Timișoara, , Romania

Site Status

Healthcare Institution "Moscow Regional Mental Hospital #5"

Orekhovo-Zuyevo, Moscow Oblast, Russia

Site Status

State Healthcare Institution <Arkhangelsk Regional Clinical Psychiatric Hospital>

Arkhangelsk, , Russia

Site Status

State Healthcare Institution "Regional Clinical Specialized Psychoneurological Hospital #1"

Chelyabinsk, , Russia

Site Status

State Educational Institution of High Professional Education "Chita State Medical Academy of Roszdrav"

Chita, , Russia

Site Status

St. Petersburg State Healthcare Institution "Mental Hospital #1 named after P.P Kashchenko"

Gatchina, , Russia

Site Status

St. Petersburg State Healthcare Institution "St. Nicholas the Wonderworker Mental Hospital"

Saint Petersburg, , Russia

Site Status

Federal State Budget Institution "St. Petersburg scientific-research psychoneurological Institute named after V.M Bekhterev" of the Ministry of Health and Social Development of the Russian Federation, Department of biological therapy of mental patients

Saint Petersburg, , Russia

Site Status

State institution "St. Petersburg scientifis-research psychoneurologic Institute of RosZdrav named after V.M Bekhterev"

Saint Petersburg, , Russia

Site Status

Federal State Budget Institution "St. Petersburg scientific-research psychoneurological Institute named after V.M Bekhterev" of the Minitstry of Health and Social Development of the Russian Federation

Saint Petersburg, , Russia

Site Status

St. Petersburg State Healthcare Institution "City Mental Hospital #6 (hospital and Dispensary)"

Saint Petersburg, , Russia

Site Status

St. Petersburg State Healthcare Institution "City Mental Hospital #3 named after I.I Skvortsov-Stepanov", department #7

Saint Petersburg, , Russia

Site Status

Municipal Healthcare Institution "City Clinical Hospital #2 named after V.I Razumovsky"

Saratov, , Russia

Site Status

State Healthcare Institution "Saratov Saint Sophia Regional Mental Hospital"

Saratov, , Russia

Site Status

Regional State Healthcare Institution "Tomsk Clinical Mental Hospital"

Tomsk, , Russia

Site Status

Communal Institution of Kyiv Regional Council: Regional Psychiatric-Narcological Medical Association, Department #2 and #14

Village Glevakha, Kyiv Oblast, Ukraine

Site Status

I.I. Mecnikov Regional Clinical Hospital, Regional Center of Psychosomatic Pathology

Dnipropetrovsk, , Ukraine

Site Status

Ukraine State Scientific and Research Institute of Medical and Social Problems of Disabiolity, Department of Psychoneurology, Psychotherapy and Medical Psychology

Dnipropetrovsk, , Ukraine

Site Status

Regional Clinical Psychiatric Hospital Department #11, M. Gorkyy Donetsk National Medical University, Chair of Psychiatry and Medical Psychology

Donetsk, , Ukraine

Site Status

Kharkiv Regional Clinical Psychiatric Hospital #3, Department #4, Department #14

Kharkiv, , Ukraine

Site Status

State Institution: Institute of Neurology, Psychiatry and Narcology of the AMS of Ukraine, Department of Borderline Psychic Pathology

Kharkiv, , Ukraine

Site Status

Kherson Regional Psychiatric Hospital, Department #3

Kherson, , Ukraine

Site Status

Kyiv City Clinical Psychoneurological Hospital #1, Center of Novel Treatment Methods and Rehabilitation of Psychotic Conditions

Kyiv, , Ukraine

Site Status

Communal Institution: Lviv Regional Clinical Psychiatric Hospital, Department #3 (male), Department #10 (female)

Lviv, , Ukraine

Site Status

O.F. Maltsev Poltava Regional Clinical Psychiatric Hopspital, Department #3B, State Institution of Higher Education of Ukraine: Ukranian Medical Stomatological Academy, Chair of Psychiatry, Narcology and Medical Psychology

Poltava, , Ukraine

Site Status

Crimean Republican Institution: Clinical Psychiatric Hospital #1, Female Psychiatric Department #2, Male Psychiatric Department #1, S.I. Georgiyevskyy Crimean State Medical University, Chair of Psychiatry, Psychotherapy and Narcology

Simferopol, , Ukraine

Site Status

O.I. Yuschenko Vinnytsya Regional Psychoneurological Hospital, Department #10, Department #14, M.I. Pyrogov Vinnytsya National Medical University, Chair of Psychiatry and Narcology

Vinnytsia, , Ukraine

Site Status

Countries

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United States Romania Russia Ukraine

References

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Citrome L, Durgam S, Lu K, Ferguson P, Laszlovszky I. The effect of cariprazine on hostility associated with schizophrenia: post hoc analyses from 3 randomized controlled trials. J Clin Psychiatry. 2016 Jan;77(1):109-15. doi: 10.4088/JCP.15m10192.

Reference Type BACKGROUND
PMID: 26845266 (View on PubMed)

Earley W, Durgam S, Lu K, Laszlovszky I, Debelle M, Kane JM. Safety and tolerability of cariprazine in patients with acute exacerbation of schizophrenia: a pooled analysis of four phase II/III randomized, double-blind, placebo-controlled studies. Int Clin Psychopharmacol. 2017 Nov;32(6):319-328. doi: 10.1097/YIC.0000000000000187.

Reference Type BACKGROUND
PMID: 28692485 (View on PubMed)

Nasrallah HA, Earley W, Cutler AJ, Wang Y, Lu K, Laszlovszky I, Nemeth G, Durgam S. The safety and tolerability of cariprazine in long-term treatment of schizophrenia: a post hoc pooled analysis. BMC Psychiatry. 2017 Aug 24;17(1):305. doi: 10.1186/s12888-017-1459-z.

Reference Type BACKGROUND
PMID: 28836957 (View on PubMed)

Durgam S, Cutler AJ, Lu K, Migliore R, Ruth A, Laszlovszky I, Nemeth G, Meltzer HY. Cariprazine in acute exacerbation of schizophrenia: a fixed-dose, phase 3, randomized, double-blind, placebo- and active-controlled trial. J Clin Psychiatry. 2015 Dec;76(12):e1574-82. doi: 10.4088/JCP.15m09997.

Reference Type RESULT
PMID: 26717533 (View on PubMed)

Laszlovszky I, Barabassy A, Nemeth G. Cariprazine, A Broad-Spectrum Antipsychotic for the Treatment of Schizophrenia: Pharmacology, Efficacy, and Safety. Adv Ther. 2021 Jul;38(7):3652-3673. doi: 10.1007/s12325-021-01797-5. Epub 2021 Jun 6.

Reference Type DERIVED
PMID: 34091867 (View on PubMed)

Barabassy A, Sebe B, Acsai K, Laszlovszky I, Szatmari B, Earley WR, Nemeth G. Safety and Tolerability of Cariprazine in Patients with Schizophrenia: A Pooled Analysis of Eight Phase II/III Studies. Neuropsychiatr Dis Treat. 2021 Apr 7;17:957-970. doi: 10.2147/NDT.S301225. eCollection 2021.

Reference Type DERIVED
PMID: 33854317 (View on PubMed)

Marder S, Fleischhacker WW, Earley W, Lu K, Zhong Y, Nemeth G, Laszlovszky I, Szalai E, Durgam S. Efficacy of cariprazine across symptom domains in patients with acute exacerbation of schizophrenia: Pooled analyses from 3 phase II/III studies. Eur Neuropsychopharmacol. 2019 Jan;29(1):127-136. doi: 10.1016/j.euroneuro.2018.10.008. Epub 2018 Nov 20.

Reference Type DERIVED
PMID: 30470662 (View on PubMed)

Cutler AJ, Durgam S, Wang Y, Migliore R, Lu K, Laszlovszky I, Nemeth G. Evaluation of the long-term safety and tolerability of cariprazine in patients with schizophrenia: results from a 1-year open-label study. CNS Spectr. 2018 Feb;23(1):39-50. doi: 10.1017/S1092852917000220. Epub 2017 May 8.

Reference Type DERIVED
PMID: 28478771 (View on PubMed)

Other Identifiers

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RGH-MD-04

Identifier Type: -

Identifier Source: org_study_id

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