15 Month Study for Adults Who Have Been Diagnosed With Schizophrenia and Incarcerated

NCT ID: NCT01157351

Last Updated: 2015-04-24

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

450 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-31

Study Completion Date

2013-12-31

Brief Summary

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The study will assess the use of paliperidone palmitate compared with oral antipsychotic treatment in delaying time to a protocol-defined treatment failure over 15 months, in patients diagnosed with schizophrenia who have been incarcerated.

Detailed Description

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The primary objective of this study is to compare the efficacy of paliperidone palmitate with oral antipsychotic treatment in delaying time to a protocol-defined treatment failure over 15 months, in patients diagnosed with schizophrenia who have been incarcerated. Protocol-defined treatment failure is defined as arrest, psychiatric hospitalization, increase in psychiatric services to prevent imminent hospitalization, discontinuation of antipsychotic treatment due to inadequate efficacy, treatment supplementation with another antipsychotic due to inadequate efficacy, discontinuation of antipsychotic treatment due to safety or tolerability or completed suicide. Protocol was amended on March 15, 2011 to reflect changes in the inclusion/exclusion criteria as well as the study objectives. Patients will receive either paliperidone palmitate 78, 117, 156, or 234 mg monthly by injection for fifteen months OR oral aripiprazole, haloperidol, olanzapine, paliperidone, perphenazine, quetiapine, and risperidone at doses selected by the study doctor.

Conditions

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Schizophrenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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001

paliperidone palmitate 78 117 156 or 234 mg monthly injection for 15 months

Group Type EXPERIMENTAL

paliperidone palmitate

Intervention Type DRUG

78, 117, 156, or 234 mg monthly injection for 15 months

002

aripiprazole flexible dosing as prescribed by the study doctor for 15 months

Group Type ACTIVE_COMPARATOR

aripiprazole

Intervention Type DRUG

flexible dosing as prescribed by the study doctor for 15 months

003

haloperidole flexible dosing as prescribed by the study doctor for 15 months

Group Type ACTIVE_COMPARATOR

haloperidole

Intervention Type DRUG

flexible dosing as prescribed by the study doctor for 15 months

004

olanzapine flexible dosing as prescribed by the study doctor for 15 months

Group Type ACTIVE_COMPARATOR

olanzapine

Intervention Type DRUG

flexible dosing as prescribed by the study doctor for 15 months

005

paliperidone flexible dosing as prescribed by the study doctor for 15 months

Group Type ACTIVE_COMPARATOR

paliperidone

Intervention Type DRUG

flexible dosing as prescribed by the study doctor for 15 months

006

perphenazine flexible dosing as prescribed by the study doctor for 15 months

Group Type ACTIVE_COMPARATOR

perphenazine

Intervention Type DRUG

flexible dosing as prescribed by the study doctor for 15 months

007

quetiapine flexible dosing as prescribed by the study doctor for 15 months

Group Type ACTIVE_COMPARATOR

quetiapine

Intervention Type DRUG

flexible dosing as prescribed by the study doctor for 15 months

008

risperidone flexible dosing as prescribed by the study doctor for 15 months

Group Type ACTIVE_COMPARATOR

risperidone

Intervention Type DRUG

flexible dosing as prescribed by the study doctor for 15 months

Interventions

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paliperidone

flexible dosing as prescribed by the study doctor for 15 months

Intervention Type DRUG

risperidone

flexible dosing as prescribed by the study doctor for 15 months

Intervention Type DRUG

haloperidole

flexible dosing as prescribed by the study doctor for 15 months

Intervention Type DRUG

perphenazine

flexible dosing as prescribed by the study doctor for 15 months

Intervention Type DRUG

aripiprazole

flexible dosing as prescribed by the study doctor for 15 months

Intervention Type DRUG

quetiapine

flexible dosing as prescribed by the study doctor for 15 months

Intervention Type DRUG

paliperidone palmitate

78, 117, 156, or 234 mg monthly injection for 15 months

Intervention Type DRUG

olanzapine

flexible dosing as prescribed by the study doctor for 15 months

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Must be able to understand and sign the informed consent form approved by the Institutional Review Board (IRB)
* Must successfully answer all the questions on the Informed Consent quiz indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study
* Have a current diagnosis of schizophrenia
* Taking no more than 1 oral antipsychotic on the day before randomization
* Have been placed into custody at least twice with one of them leading to incarceration within the 24 months previous to study start, with the last release occurring within the 90 days before the first day of screening
* in the opinion of the investigator, may benefit from a change in their prior antipsychotic treatment
* Have available a designated individual (eg, family member, case manager, significant other, probation/parole officer) who has knowledge of the patient and is generally aware of the patient's daily activities, and who agrees to let the study site personnel know of changes in the patients circumstances when the patient is not able to provide this information, ie, arrests, protocol-defined hospitalizations, emergency room visits, becoming homeless, etc.
* Have either an address or phone number where they can be reached, or be accessible to the designated individual
* Must agree to receive regular injections for 15 months if randomly assigned to the paliperidone palmitate treatment group, or continue with oral study medication treatment for 15 months if randomly assigned to the oral antipsychotic treatment group
* Women must be postmenopausal (for at least 2 years), surgically sterile (hysterectomy or bilateral oophorectomy, tubal ligation, or otherwise be incapable of pregnancy), abstinent, or if sexually active, be practicing a highly effective method of birth control

Exclusion Criteria

* Allergies, hypersensitivity (anaphylaxis-type reaction), or intolerance to risperidone or paliperidone
* Actively abusing intravenous drugs within the past 3 months or have an opiate dependence disorder
* Have a positive urine drug screen test for barbiturates, cocaine, amphetamines, or opiates at screening
* Women who are pregnant or breast-feeding, or planning to become pregnant
* Have received injectable antipsychotic treatment within 2 injection cycles prior to screening
* Received treatment with clozapine within 3 months of screening
* Are at a high risk of violence in the next 15 months, in the opinion of the investigator
* who have a history of sex offenses including felony sex offenses, child molestation
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Scientific Affairs, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Scientific Affairs, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Scientific Affairs, LLC

Locations

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Bullhead City, Arizona, United States

Site Status

Tuscon, Arizona, United States

Site Status

Little Rock, Arkansas, United States

Site Status

Anaheim, California, United States

Site Status

Escondido, California, United States

Site Status

Glendale, California, United States

Site Status

Imperial, California, United States

Site Status

Long Beach, California, United States

Site Status

National City, California, United States

Site Status

Oakland, California, United States

Site Status

Oceanside, California, United States

Site Status

Pico Rivera, California, United States

Site Status

Riverside, California, United States

Site Status

San Bernadino, California, United States

Site Status

San Diego, California, United States

Site Status

San Fran Cisco, California, United States

Site Status

New Britain, Connecticut, United States

Site Status

New London, Connecticut, United States

Site Status

Leesburg, Florida, United States

Site Status

Miami, Florida, United States

Site Status

Miami Gardens, Florida, United States

Site Status

Pensacola, Florida, United States

Site Status

Tamarac, Florida, United States

Site Status

Tampa, Florida, United States

Site Status

Honolulu, Hawaii, United States

Site Status

Chicago, Illinois, United States

Site Status

Hoffman Estates, Illinois, United States

Site Status

Naperville, Illinois, United States

Site Status

Springfield, Illinois, United States

Site Status

Wichita, Kansas, United States

Site Status

Witchita, Kansas, United States

Site Status

New Orleans, Louisiana, United States

Site Status

Shreveport, Louisiana, United States

Site Status

Flowood, Mississippi, United States

Site Status

Kansas City, Missouri, United States

Site Status

Omaha, Nebraska, United States

Site Status

Las Vegas, Nevada, United States

Site Status

Paramus, New Jersey, United States

Site Status

Willingboro, New Jersey, United States

Site Status

Buffalo, New York, United States

Site Status

New York, New York, United States

Site Status

Cleveland, Ohio, United States

Site Status

Middleburg Heights, Ohio, United States

Site Status

Willoughby, Ohio, United States

Site Status

Oklahoma City, Oklahoma, United States

Site Status

Allentown, Pennsylvania, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

Charleston, South Carolina, United States

Site Status

Nashville, Tennessee, United States

Site Status

DeSoto, Texas, United States

Site Status

Irving, Texas, United States

Site Status

San Antonio, Texas, United States

Site Status

Wharton, Texas, United States

Site Status

Bothell, Washington, United States

Site Status

Spokane, Washington, United States

Site Status

Rio Piedras, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

References

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Lopena OJ, Alphs LD, Sajatovic M, Turkoz I, Sun L, Johnston KL, Sliwa JK, Najarian DM, Starr HL. Earlier Use of Long-Acting Injectable Paliperidone Palmitate Versus Oral Antipsychotics in Patients With Schizophrenia: An Integrated Patient-Level Post Hoc Analysis. J Clin Psychiatry. 2023 Sep 25;84(6):23m14788. doi: 10.4088/JCP.23m14788.

Reference Type DERIVED
PMID: 37756123 (View on PubMed)

Bell Lynum KS, Henderson DC, Wright HJ, Gogate JP, Kim E. Treatment Effect With Paliperidone Palmitate Compared With Oral Antipsychotics in Black/African American Patients With Schizophrenia and a History of Criminal Justice System Involvement: A Post Hoc Analysis of the PRIDE Study. J Clin Psychiatry. 2021 Feb 23;82(2):20m13356. doi: 10.4088/JCP.20m13356.

Reference Type DERIVED
PMID: 33988924 (View on PubMed)

Alphs L, Mao L, Lynn Starr H, Benson C. A pragmatic analysis comparing once-monthly paliperidone palmitate versus daily oral antipsychotic treatment in patients with schizophrenia. Schizophr Res. 2016 Feb;170(2-3):259-64. doi: 10.1016/j.schres.2015.12.012. Epub 2015 Dec 29.

Reference Type DERIVED
PMID: 26742509 (View on PubMed)

Alphs L, Bossie C, Mao L, Lee E, Starr HL. Treatment effect with paliperidone palmitate compared with oral antipsychotics in patients with recent-onset versus more chronic schizophrenia and a history of criminal justice system involvement. Early Interv Psychiatry. 2018 Feb;12(1):55-65. doi: 10.1111/eip.12271. Epub 2015 Sep 25.

Reference Type DERIVED
PMID: 26403322 (View on PubMed)

Alphs L, Benson C, Cheshire-Kinney K, Lindenmayer JP, Mao L, Rodriguez SC, Starr HL. Real-world outcomes of paliperidone palmitate compared to daily oral antipsychotic therapy in schizophrenia: a randomized, open-label, review board-blinded 15-month study. J Clin Psychiatry. 2015 May;76(5):554-61. doi: 10.4088/JCP.14m09584.

Reference Type DERIVED
PMID: 25938474 (View on PubMed)

Alphs L, Mao L, Rodriguez SC, Hulihan J, Starr HL. Design and rationale of the Paliperidone Palmitate Research in Demonstrating Effectiveness (PRIDE) study: a novel comparative trial of once-monthly paliperidone palmitate versus daily oral antipsychotic treatment for delaying time to treatment failure in persons with schizophrenia. J Clin Psychiatry. 2014 Dec;75(12):1388-93. doi: 10.4088/JCP.13m08965.

Reference Type DERIVED
PMID: 25375367 (View on PubMed)

Other Identifiers

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R092670SCH3006

Identifier Type: OTHER

Identifier Source: secondary_id

CR015625

Identifier Type: -

Identifier Source: org_study_id

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