Trial Outcomes & Findings for A Study Evaluating Lurasidone for The Treatment of Schizophrenia or Schizoaffective Disorder in Subjects Switched From Other Antipsychotic Agents (NCT NCT01143077)

NCT ID: NCT01143077

Last Updated: 2013-04-17

Results Overview

Relapse is defined as any occurrence of: * Insufficient clinical response * Exacerbation of underlying disease * Discontinuation due to an adverse event

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

244 participants

Primary outcome timeframe

6 Weeks

Results posted on

2013-04-17

Participant Flow

FPI June 24, 2010-LPV May 19, 2011, locations were private health clinics, university hospitals, private research facilities.

Participant milestones

Participant milestones
Measure
Lurasidone Open-Label Arm 40/40
Lurasidone 40 mg orally once daily for 14 days followed by 4 weeks of flexible dosing 40-120mg
Lurasidone Open-Label Arm 40/80
Lurasidone 40mg for 7 days, followed by Lurasidone 80 mg for 7 days, orally once daily, followed by 4 weeks of flexible dosing 40-120mg once daily
Lurasidone Open-Label Arm 80/80
Lurasidone 80 mg once daily orally for two weeks, followed by Lurasidone 40-120mg once daily for 4 weeks
Overall Study
STARTED
74
88
82
Overall Study
COMPLETED
58
73
67
Overall Study
NOT COMPLETED
16
15
15

Reasons for withdrawal

Reasons for withdrawal
Measure
Lurasidone Open-Label Arm 40/40
Lurasidone 40 mg orally once daily for 14 days followed by 4 weeks of flexible dosing 40-120mg
Lurasidone Open-Label Arm 40/80
Lurasidone 40mg for 7 days, followed by Lurasidone 80 mg for 7 days, orally once daily, followed by 4 weeks of flexible dosing 40-120mg once daily
Lurasidone Open-Label Arm 80/80
Lurasidone 80 mg once daily orally for two weeks, followed by Lurasidone 40-120mg once daily for 4 weeks
Overall Study
Lack of Efficacy
0
2
1
Overall Study
Adverse Event
5
6
5
Overall Study
Lost to Follow-up
2
3
4
Overall Study
Protocol Violation
2
0
0
Overall Study
Withdrawal by Subject
4
3
3
Overall Study
Non-compliance with study drug
0
1
1
Overall Study
Administrative
1
0
0
Overall Study
Principal Investigator Decision
2
0
1

Baseline Characteristics

A Study Evaluating Lurasidone for The Treatment of Schizophrenia or Schizoaffective Disorder in Subjects Switched From Other Antipsychotic Agents

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lurasidone Open-Label Arm 40/40
n=72 Participants
Lurasidone 40 mg orally once daily for 14 days followed by 4 weeks of flexible dosing 40-120mg
Lurasidone Open-Label Arm 40/80
n=87 Participants
Lurasidone 40mg for 7 days, followed by Lurasidone 80 mg for 7 days, orally once daily, followed by 4 weeks of flexible dosing 40-120mg once daily
Lurasidone Open-Label Arm 80/80
n=81 Participants
Lurasidone 80 mg once daily orally for two weeks, followed by Lurasidone 40-120mg once daily for 4 weeks
Total
n=240 Participants
Total of all reporting groups
Age, Categorical
<=18 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
71 Participants
n=5 Participants
85 Participants
n=7 Participants
81 Participants
n=5 Participants
237 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Age Continuous
43.2 years
STANDARD_DEVIATION 11.3 • n=5 Participants
44.0 years
STANDARD_DEVIATION 11.5 • n=7 Participants
44.4 years
STANDARD_DEVIATION 10.0 • n=5 Participants
43.9 years
STANDARD_DEVIATION 10.9 • n=4 Participants
Sex: Female, Male
Female
25 Participants
n=5 Participants
37 Participants
n=7 Participants
22 Participants
n=5 Participants
84 Participants
n=4 Participants
Sex: Female, Male
Male
47 Participants
n=5 Participants
50 Participants
n=7 Participants
59 Participants
n=5 Participants
156 Participants
n=4 Participants
Region of Enrollment
United States
72 participants
n=5 Participants
87 participants
n=7 Participants
81 participants
n=5 Participants
240 participants
n=4 Participants

PRIMARY outcome

Timeframe: 6 Weeks

Population: Intend to treat

Relapse is defined as any occurrence of: * Insufficient clinical response * Exacerbation of underlying disease * Discontinuation due to an adverse event

Outcome measures

Outcome measures
Measure
Lurasidone Open-Label Arm 40/40
n=72 Participants
Lurasidone 40 mg daily for 14 days followed by flexible dosing between 40 and 120 mg daily for 4 weeks.
Lurasidone Open-Label Arm 40/80
n=87 Participants
Lurasidone 40 mg daily for 7 days followed by Lurasidone 80 mg daily for 7 days followed by flexible dosing between 40 and 120 mg daily for 4 weeks.
Lurasidone Open-Label Arm 80/80
n=81 Participants
Lurasidone 80 mg daily for 14 days followed by flexible dosing between 40 and 120 mg dailly for 4 weeks.
Time to Relapse of Psychotic Symptoms During 6 Weeks
23.8 days
Standard Deviation 12.1
16.9 days
Standard Deviation 11.6
17.3 days
Standard Deviation 8.9

SECONDARY outcome

Timeframe: 6 Weeks

Number of participants with Treatment Emergent Adverse Events and Serious Adverse Events

Outcome measures

Outcome measures
Measure
Lurasidone Open-Label Arm 40/40
n=72 Participants
Lurasidone 40 mg daily for 14 days followed by flexible dosing between 40 and 120 mg daily for 4 weeks.
Lurasidone Open-Label Arm 40/80
n=87 Participants
Lurasidone 40 mg daily for 7 days followed by Lurasidone 80 mg daily for 7 days followed by flexible dosing between 40 and 120 mg daily for 4 weeks.
Lurasidone Open-Label Arm 80/80
n=81 Participants
Lurasidone 80 mg daily for 14 days followed by flexible dosing between 40 and 120 mg dailly for 4 weeks.
Tolerability and Safety
72 participants
87 participants
81 participants

Adverse Events

Lurasidone Open-Label Arm 40/40

Serious events: 3 serious events
Other events: 45 other events
Deaths: 0 deaths

Lurasidone Open-Label Arm 40/80

Serious events: 2 serious events
Other events: 62 other events
Deaths: 0 deaths

Lurasidone Open-Label Arm 80/80

Serious events: 0 serious events
Other events: 59 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Lurasidone Open-Label Arm 40/40
n=72 participants at risk
Lurasidone 40 mg orally once daily for 14 days followed by 4 weeks of flexible dosing 40-120mg
Lurasidone Open-Label Arm 40/80
n=87 participants at risk
Lurasidone 40mg for 7 days, followed by Lurasidone 80 mg for 7 days, orally once daily, followed by 4 weeks of flexible dosing 40-120mg once daily
Lurasidone Open-Label Arm 80/80
n=81 participants at risk
Lurasidone 80 mg once daily orally for two weeks, followed by Lurasidone 40-120mg once daily for 4 weeks
Musculoskeletal and connective tissue disorders
Osteoarthritis
1.4%
1/72 • Number of events 1
0.00%
0/87
0.00%
0/81
Psychiatric disorders
Alcoholism
0.00%
0/72
1.1%
1/87 • Number of events 1
0.00%
0/81
Psychiatric disorders
Schizoaffective disorder
2.8%
2/72 • Number of events 2
0.00%
0/87
0.00%
0/81
Psychiatric disorders
Schizophrenia
1.4%
1/72 • Number of events 1
0.00%
0/87
0.00%
0/81
Psychiatric disorders
Sexually inappropriate behavior
0.00%
0/72
1.1%
1/87 • Number of events 1
0.00%
0/81

Other adverse events

Other adverse events
Measure
Lurasidone Open-Label Arm 40/40
n=72 participants at risk
Lurasidone 40 mg orally once daily for 14 days followed by 4 weeks of flexible dosing 40-120mg
Lurasidone Open-Label Arm 40/80
n=87 participants at risk
Lurasidone 40mg for 7 days, followed by Lurasidone 80 mg for 7 days, orally once daily, followed by 4 weeks of flexible dosing 40-120mg once daily
Lurasidone Open-Label Arm 80/80
n=81 participants at risk
Lurasidone 80 mg once daily orally for two weeks, followed by Lurasidone 40-120mg once daily for 4 weeks
Gastrointestinal disorders
Nausea
13.9%
10/72 • Number of events 17
9.2%
8/87 • Number of events 8
18.5%
15/81 • Number of events 23
Gastrointestinal disorders
Vomiting
5.6%
4/72 • Number of events 4
6.9%
6/87 • Number of events 7
8.6%
7/81 • Number of events 10
Gastrointestinal disorders
Dry Mouth
4.2%
3/72 • Number of events 3
10.3%
9/87 • Number of events 10
2.5%
2/81 • Number of events 2
General disorders
Fatigue
4.2%
3/72 • Number of events 3
5.7%
5/87 • Number of events 5
2.5%
2/81 • Number of events 2
Nervous system disorders
Akathisia
8.3%
6/72 • Number of events 6
14.9%
13/87 • Number of events 17
13.6%
11/81 • Number of events 13
Nervous system disorders
Headache
9.7%
7/72 • Number of events 13
11.5%
10/87 • Number of events 10
7.4%
6/81 • Number of events 8
Nervous system disorders
Sedation
4.2%
3/72 • Number of events 3
2.3%
2/87 • Number of events 2
6.2%
5/81 • Number of events 5
Nervous system disorders
Somnolence
9.7%
7/72 • Number of events 9
8.0%
7/87 • Number of events 7
2.5%
2/81 • Number of events 3
Nervous system disorders
Dizziness
5.6%
4/72 • Number of events 4
0.00%
0/87
0.00%
0/81
Psychiatric disorders
Anxiety
2.8%
2/72 • Number of events 2
6.9%
6/87 • Number of events 6
1.2%
1/81 • Number of events 1
Psychiatric disorders
Insomnia
4.2%
3/72 • Number of events 4
18.4%
16/87 • Number of events 16
14.8%
12/81 • Number of events 12

Additional Information

Medical Director, CNS

Sunovion Pharmaceuticals

Phone: 1-866-503-6351

Results disclosure agreements

  • Principal investigator is a sponsor employee In addition to the \<60-180 day restriction above, since this is a multicenter study, 1st publication of study results shall be made with other participating study sites as a multicenter publication; provided, if a multicenter publication is not forthcoming within 24 months following completion of study at all sites, the PI shall be free to publish.
  • Publication restrictions are in place

Restriction type: OTHER