Trial Outcomes & Findings for Different Safety Profile of Risperidone and Paliperidone Extended-release (NCT NCT01284959)
NCT ID: NCT01284959
Last Updated: 2012-10-23
Results Overview
SANS(Scale for the Assessment of Negative Symptoms), NIDSS(Neuroleptic induced Deficit Syndrome Scale) In NIDSS, the average of number 1 to 5 is blunted affect, the average of number 16 to 20 is avolition, the average of number 6 to 15 is cognition, the average of all score is total. Minimum of NIDSS(avolition, blunted affect, cognition, total) is -3, maximum is +3.(subscale score and total) '+' is better outcome, '-' is worse outcome. Minimum of SANS-Global score for alogia and blunted affect is 0, Maximum of SANS-Global score for alogia and blunted affect is 5 The higher number is worse outcome. The zeros are measured and Calcuated value This outcome measure is reporting a change between baseline and 2hr after third medication.
COMPLETED
PHASE4
34 participants
baseline and 2hr after third medication
2012-10-23
Participant Flow
Participant milestones
| Measure |
Risperidone
Drug: risperidone Groups: risperidone
|
Placebo
drug: lactose group: placebo
|
Paliperidone ER
Drug: Paliperidone ER Groups: Paliperidone ER
|
|---|---|---|---|
|
Overall Study
STARTED
|
11
|
12
|
11
|
|
Overall Study
COMPLETED
|
10
|
12
|
10
|
|
Overall Study
NOT COMPLETED
|
1
|
0
|
1
|
Reasons for withdrawal
| Measure |
Risperidone
Drug: risperidone Groups: risperidone
|
Placebo
drug: lactose group: placebo
|
Paliperidone ER
Drug: Paliperidone ER Groups: Paliperidone ER
|
|---|---|---|---|
|
Overall Study
Withdrawal by Subject
|
1
|
0
|
0
|
|
Overall Study
Adverse Event
|
0
|
0
|
1
|
Baseline Characteristics
Different Safety Profile of Risperidone and Paliperidone Extended-release
Baseline characteristics by cohort
| Measure |
Risperidone
n=11 Participants
Drug: risperidone Groups: risperidone
|
Placebo
n=12 Participants
drug: lactose group: placebo
|
Paliperidone ER
n=11 Participants
Drug: Paliperidone ER Groups: Paliperidone ER
|
Total
n=34 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
11 Participants
n=5 Participants
|
12 Participants
n=7 Participants
|
11 Participants
n=5 Participants
|
34 Participants
n=4 Participants
|
|
Age, Categorical
>=65 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
|
Age Continuous
|
28.40 years
STANDARD_DEVIATION 2.59 • n=5 Participants
|
28.08 years
STANDARD_DEVIATION 2.23 • n=7 Participants
|
30.60 years
STANDARD_DEVIATION 3.27 • n=5 Participants
|
28.97 years
STANDARD_DEVIATION 2.85 • n=4 Participants
|
|
Sex: Female, Male
Female
|
7 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
5 Participants
n=5 Participants
|
17 Participants
n=4 Participants
|
|
Sex: Female, Male
Male
|
4 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
6 Participants
n=5 Participants
|
17 Participants
n=4 Participants
|
|
Region of Enrollment
Korea, Republic of
|
11 participants
n=5 Participants
|
12 participants
n=7 Participants
|
11 participants
n=5 Participants
|
34 participants
n=4 Participants
|
PRIMARY outcome
Timeframe: baseline and 2hr after third medicationSANS(Scale for the Assessment of Negative Symptoms), NIDSS(Neuroleptic induced Deficit Syndrome Scale) In NIDSS, the average of number 1 to 5 is blunted affect, the average of number 16 to 20 is avolition, the average of number 6 to 15 is cognition, the average of all score is total. Minimum of NIDSS(avolition, blunted affect, cognition, total) is -3, maximum is +3.(subscale score and total) '+' is better outcome, '-' is worse outcome. Minimum of SANS-Global score for alogia and blunted affect is 0, Maximum of SANS-Global score for alogia and blunted affect is 5 The higher number is worse outcome. The zeros are measured and Calcuated value This outcome measure is reporting a change between baseline and 2hr after third medication.
Outcome measures
| Measure |
Risperidone
n=10 Participants
Drug: risperidone Groups: risperidone
|
Placebo
n=12 Participants
drug: lactose group: placebo
|
Paliperidone ER
n=10 Participants
Drug: Paliperidone ER Groups: Paliperidone ER
|
|---|---|---|---|
|
Assessment of Negative Symptoms and Neuroleptic Induced Deficit Syndromes by Objective Rating Scales
NIDSS-Avolition
|
-1.30 units on a scale
Standard Deviation 1.22
|
-0.28 units on a scale
Standard Deviation 0.64
|
-0.66 units on a scale
Standard Deviation 0.53
|
|
Assessment of Negative Symptoms and Neuroleptic Induced Deficit Syndromes by Objective Rating Scales
NIDSS-Blunted Affect
|
-0.70 units on a scale
Standard Deviation 0.74
|
0.02 units on a scale
Standard Deviation 0.35
|
-0.24 units on a scale
Standard Deviation 0.64
|
|
Assessment of Negative Symptoms and Neuroleptic Induced Deficit Syndromes by Objective Rating Scales
NIDSS-Cognition
|
-0.54 units on a scale
Standard Deviation 0.53
|
0.02 units on a scale
Standard Deviation 0.26
|
-0.38 units on a scale
Standard Deviation 0.39
|
|
Assessment of Negative Symptoms and Neuroleptic Induced Deficit Syndromes by Objective Rating Scales
NIDSS-Total
|
-0.77 units on a scale
Standard Deviation 0.70
|
-0.06 units on a scale
Standard Deviation 0.35
|
-0.42 units on a scale
Standard Deviation 0.38
|
|
Assessment of Negative Symptoms and Neuroleptic Induced Deficit Syndromes by Objective Rating Scales
SANS-Global score for alogia
|
0.67 units on a scale
Standard Deviation 0.50
|
0 units on a scale
Standard Deviation 0
|
0 units on a scale
Standard Deviation 0
|
|
Assessment of Negative Symptoms and Neuroleptic Induced Deficit Syndromes by Objective Rating Scales
SANS-Global score for blunted affect
|
0.67 units on a scale
Standard Deviation 0.50
|
0 units on a scale
Standard Deviation 0
|
0.10 units on a scale
Standard Deviation 0.32
|
SECONDARY outcome
Timeframe: baseline and 2hr after third medicationDIEPSS(Drug-Induced Extrapyramidal Symptoms Scale), VAS(Visual analog scale);mental sedation (alert-drowsy, muzzy-clear headed, mentally slow-quick witted, attentive-dreamy), physical sedation (strong-feeble, well coordinated-clumsy, lethargic-energetic, incompetent-proficient), tranquilization (calm-excited, contented-discontented, troubled-tranquil, tense-relaxed), and other types of feelings (happy-sad, antagonistic-amicable, interested-bored, withdrawn-gregarious) Minimum of VAS(Mental sedation score,Physical sedation score,Total score) is 0, Maximum is 10. VAS-total score is average of all subscale scores. Minimum of DIEPSS is 0, Maximum is 4. The higher number is worse outcome. The score ranges are for subscale score. This outcome measure is reporting a change between baseline and 2hr after third medication.
Outcome measures
| Measure |
Risperidone
n=10 Participants
Drug: risperidone Groups: risperidone
|
Placebo
n=12 Participants
drug: lactose group: placebo
|
Paliperidone ER
n=10 Participants
Drug: Paliperidone ER Groups: Paliperidone ER
|
|---|---|---|---|
|
Assessment of Adverse Events by Objective Rating Scales and Self Report Scales
VAS-Total score
|
5.41 units on a scale
Standard Deviation 1.82
|
3.35 units on a scale
Standard Deviation 1.69
|
4.11 units on a scale
Standard Deviation 1.63
|
|
Assessment of Adverse Events by Objective Rating Scales and Self Report Scales
VAS-Mental sedation score
|
6.05 units on a scale
Standard Deviation 2.14
|
3.85 units on a scale
Standard Deviation 1.82
|
4.78 units on a scale
Standard Deviation 1.56
|
|
Assessment of Adverse Events by Objective Rating Scales and Self Report Scales
VAS-Physical sedation score
|
5.78 units on a scale
Standard Deviation 1.79
|
3.23 units on a scale
Standard Deviation 1.66
|
4.08 units on a scale
Standard Deviation 1.94
|
|
Assessment of Adverse Events by Objective Rating Scales and Self Report Scales
DIEPSS-Bradykinesia score
|
0.60 units on a scale
Standard Deviation 0.52
|
0.08 units on a scale
Standard Deviation 0.29
|
0.20 units on a scale
Standard Deviation 0.42
|
SECONDARY outcome
Timeframe: baseline and 50hr after third medicationDIEPSS(Drug-Induced Extrapyramidal Symptoms Scale), VAS(Visual analog scale);mental sedation (alert-drowsy, muzzy-clear headed, mentally slow-quick witted, attentive-dreamy), physical sedation (strong-feeble, well coordinated-clumsy, lethargic-energetic, incompetent-proficient), tranquilization (calm-excited, contented-discontented, troubled-tranquil, tense-relaxed), and other types of feelings (happy-sad, antagonistic-amicable, interested-bored, withdrawn-gregarious) Minimum of VAS is 0, Maximum is 10 Minimum of DIEPSS is 0, Maximum is 4 The higher number is worse outcome. The score ranges are for subscale score. This outcome measure is reporting a change between baseline and 50hr after third medication.
Outcome measures
| Measure |
Risperidone
n=10 Participants
Drug: risperidone Groups: risperidone
|
Placebo
n=12 Participants
drug: lactose group: placebo
|
Paliperidone ER
n=10 Participants
Drug: Paliperidone ER Groups: Paliperidone ER
|
|---|---|---|---|
|
Assessment of Adverse Events by Objective Rating Scales and Self Report Scales
VAS-Mental sedation score
|
6.53 units on a scale
Standard Deviation 1.37
|
4.21 units on a scale
Standard Deviation 1.87
|
3.60 units on a scale
Standard Deviation 1.83
|
|
Assessment of Adverse Events by Objective Rating Scales and Self Report Scales
VAS-Total score
|
6.15 units on a scale
Standard Deviation 1.27
|
3.74 units on a scale
Standard Deviation 1.80
|
3.42 units on a scale
Standard Deviation 1.75
|
|
Assessment of Adverse Events by Objective Rating Scales and Self Report Scales
VAS-Physical sedation score
|
6.25 units on a scale
Standard Deviation 1.50
|
3.69 units on a scale
Standard Deviation 1.90
|
3.35 units on a scale
Standard Deviation 1.85
|
|
Assessment of Adverse Events by Objective Rating Scales and Self Report Scales
DIEPSS-Bradykinesia score
|
0.25 units on a scale
Standard Deviation 0.46
|
0 units on a scale
Standard Deviation 0
|
0.10 units on a scale
Standard Deviation 0.32
|
SECONDARY outcome
Timeframe: baseline and 50hr after third medicationCNT(Computerized Neuro-Cognitive Function Test System); The tests included a word fluency test. All of the assessments except the CNT were conducted immediately prior to administration of the medication and at 2 (for risperidone and placebo) or 24 h (for paliperidone ER) after the first and third administrations of the study medications. Minimum of Wisconsin card sorting test-Category completed is 0, Maximum is 6, the lower number is worse outcome. Minimum of Wisconsin card sorting test-Perseverative response and Trials to complete is 0, Maximum is 128, the lower number is worse outcome. Minimum of Wisconsin card sorting test-Perseverative error is 0, Maximum is 128, the higher number is worse outcome. Minimum of Word-fluency test is 0 and no maximum value, the higher number is better outcome. The score ranges are for subscale score. This outcome measure is reporting a change between baseline and 50hr after third medication.
Outcome measures
| Measure |
Risperidone
n=10 Participants
Drug: risperidone Groups: risperidone
|
Placebo
n=12 Participants
drug: lactose group: placebo
|
Paliperidone ER
n=10 Participants
Drug: Paliperidone ER Groups: Paliperidone ER
|
|---|---|---|---|
|
Assessment of Cognitive Functioning-1
Word-fluency test-"ㄱ"
|
17.44 scores on a scale
Standard Deviation 7.68
|
19.75 scores on a scale
Standard Deviation 4.54
|
17.10 scores on a scale
Standard Deviation 5.13
|
|
Assessment of Cognitive Functioning-1
Word-fluency test-Animal
|
22.22 scores on a scale
Standard Deviation 9.46
|
25.42 scores on a scale
Standard Deviation 4.12
|
23.50 scores on a scale
Standard Deviation 6.22
|
|
Assessment of Cognitive Functioning-1
Word-fluency test-Stationery
|
22.56 scores on a scale
Standard Deviation 7.58
|
26.00 scores on a scale
Standard Deviation 5.24
|
23.60 scores on a scale
Standard Deviation 4.70
|
|
Assessment of Cognitive Functioning-1
Word-fluency test-"ㅅ"
|
17.44 scores on a scale
Standard Deviation 5.85
|
18.25 scores on a scale
Standard Deviation 4.85
|
16.40 scores on a scale
Standard Deviation 2.17
|
|
Assessment of Cognitive Functioning-1
Word-fluency test-"ㅇ"
|
16.11 scores on a scale
Standard Deviation 4.11
|
17.17 scores on a scale
Standard Deviation 4.73
|
16.70 scores on a scale
Standard Deviation 4.27
|
SECONDARY outcome
Timeframe: baseline and 50hr after third medicationSANS(Scale for the Assessment of Negative Symptoms), NIDSS(Neuroleptic induced Deficit Syndrome Scale) Minimum of NIDSS is -3, maximum of NIDSS is +3. '+' is better outcome, '-' is worse outcome. Minimum of SNAS-Global score is 0, Maximum of SNAS-Global score is 5 The higher number is worse outcome. The zeros are measured and Calcuated value. The score ranges are for subscale score. This outcome measure is reporting a change between baseline and 50hr after third medication.
Outcome measures
| Measure |
Risperidone
n=10 Participants
Drug: risperidone Groups: risperidone
|
Placebo
n=12 Participants
drug: lactose group: placebo
|
Paliperidone ER
n=10 Participants
Drug: Paliperidone ER Groups: Paliperidone ER
|
|---|---|---|---|
|
Symptoms Assessment by Objective Rating Scales
NIDSS-Avolition
|
-0.85 units on a scale
Standard Deviation 0.70
|
-0.37 units on a scale
Standard Deviation 0.72
|
0.14 units on a scale
Standard Deviation 0.78
|
|
Symptoms Assessment by Objective Rating Scales
NIDSS-Blunted Affect
|
-0.70 units on a scale
Standard Deviation 0.64
|
-0.27 units on a scale
Standard Deviation 0.34
|
0.04 units on a scale
Standard Deviation 0.67
|
|
Symptoms Assessment by Objective Rating Scales
NIDSS-Cognition
|
-0.66 units on a scale
Standard Deviation 0.57
|
-0.26 units on a scale
Standard Deviation 0.39
|
0.28 units on a scale
Standard Deviation 0.61
|
|
Symptoms Assessment by Objective Rating Scales
NIDSS-Total
|
-0.72 units on a scale
Standard Deviation 0.59
|
-0.29 units on a scale
Standard Deviation 0.41
|
0.19 units on a scale
Standard Deviation 0.63
|
|
Symptoms Assessment by Objective Rating Scales
SANS-Global score for alogia
|
0.13 units on a scale
Standard Deviation 0.35
|
0 units on a scale
Standard Deviation 0
|
0 units on a scale
Standard Deviation 0
|
|
Symptoms Assessment by Objective Rating Scales
SANS-Global score for blunted affect
|
0.25 units on a scale
Standard Deviation 0.46
|
0 units on a scale
Standard Deviation 0
|
0 units on a scale
Standard Deviation 0
|
SECONDARY outcome
Timeframe: baseline and 50hr after third medicationCNT(Computerized Neuro-Cognitive Function Test System); The tests included the Stroop test, Trail-Making Test B (TMT B). All of the assessments except the CNT were conducted immediately prior to administration of the medication and at 2 (for risperidone and placebo) or 24 h (for paliperidone ER) after the first and third administrations of the study medications Minimum of Stroop test is 0, no maximum limit, the higher number is worse outcome. Minimum of Trail making test B is 0 and no maximum limit, the higher number is worse outcome. The score ranges are for subscale score. This outcome measure is reporting a change between baseline and 50hr after third medication.
Outcome measures
| Measure |
Risperidone
n=10 Participants
Drug: risperidone Groups: risperidone
|
Placebo
n=12 Participants
drug: lactose group: placebo
|
Paliperidone ER
n=10 Participants
Drug: Paliperidone ER Groups: Paliperidone ER
|
|---|---|---|---|
|
Assessment of Cognitive Functioning-2
Stroop test-Color
|
15.40 milliseconds
Standard Deviation 4.51
|
13.09 milliseconds
Standard Deviation 1.67
|
12.68 milliseconds
Standard Deviation 1.70
|
|
Assessment of Cognitive Functioning-2
Stroop test-Word-color
|
21.84 milliseconds
Standard Deviation 4.53
|
17.53 milliseconds
Standard Deviation 2.97
|
18.31 milliseconds
Standard Deviation 3.29
|
|
Assessment of Cognitive Functioning-2
Stroop test-Interference score
|
6.43 milliseconds
Standard Deviation 1.77
|
4.44 milliseconds
Standard Deviation 2.01
|
5.63 milliseconds
Standard Deviation 2.71
|
|
Assessment of Cognitive Functioning-2
Trail making test B
|
29.78 milliseconds
Standard Deviation 10.24
|
28.42 milliseconds
Standard Deviation 7.45
|
31.10 milliseconds
Standard Deviation 8.66
|
SECONDARY outcome
Timeframe: baseline and 50hr after third medicationCNT(Computerized Neuro-Cognitive Function Test System); The tests included Wisconsin Card-Sorting Test (WCST). All of the assessments except the CNT were conducted immediately prior to administration of the medication and at 2 (for risperidone and placebo) or 24 h (for paliperidone ER) after the first and third administrations of the study medications. Minimum of Wisconsin card sorting test-Category completed is 0, Maximum is 6, the lower number is worse outcome. Minimum of Wisconsin card sorting test-Perseverative response and Trials to complete is 0, Maximum is 128, the lower number is worse outcome. Minimum of Wisconsin card sorting test-Trials to complete first category trials is 0, Maximum is 128 and minimum of Wisconsin card sorting test-Perseverative error is 0, Maximum is 128, the higher number is worse outcome. The score ranges are for subscale score. This outcome measure is reporting a change between baseline and 50hr after th
Outcome measures
| Measure |
Risperidone
n=10 Participants
Drug: risperidone Groups: risperidone
|
Placebo
n=12 Participants
drug: lactose group: placebo
|
Paliperidone ER
n=10 Participants
Drug: Paliperidone ER Groups: Paliperidone ER
|
|---|---|---|---|
|
Assessment of Cognitive Functioning-3
Wisconsin card sorting test-Category completed
|
6.00 trials
Standard Deviation 0.00
|
6.00 trials
Standard Deviation 0.00
|
6.00 trials
Standard Deviation 0.00
|
|
Assessment of Cognitive Functioning-3
Wisconsin card sorting test-Perseverative response
|
14.11 trials
Standard Deviation 6.03
|
13.08 trials
Standard Deviation 8.11
|
10.10 trials
Standard Deviation 2.96
|
|
Assessment of Cognitive Functioning-3
Wisconsin card sorting test-Perseverative error
|
10.00 trials
Standard Deviation 3.50
|
9.67 trials
Standard Deviation 6.11
|
6.50 trials
Standard Deviation 1.18
|
|
Assessment of Cognitive Functioning-3
WCST-Trials to complete first category trials
|
14.00 trials
Standard Deviation 7.98
|
11.75 trials
Standard Deviation 2.01
|
12.10 trials
Standard Deviation 2.42
|
Adverse Events
Risperidone
Placebo
Paliperidone ER
Serious adverse events
| Measure |
Risperidone
n=11 participants at risk
Drug: risperidone Groups: risperidone
|
Placebo
n=12 participants at risk
drug: lactose group: placebo
|
Paliperidone ER
n=11 participants at risk
Drug: Paliperidone ER Groups: Paliperidone ER
|
|---|---|---|---|
|
Gastrointestinal disorders
Abdominal discomfort(vomiting)
|
9.1%
1/11 • Number of events 1
|
0.00%
0/12
|
0.00%
0/11
|
|
Nervous system disorders
sedation
|
9.1%
1/11 • Number of events 1
|
0.00%
0/12
|
0.00%
0/11
|
Other adverse events
| Measure |
Risperidone
n=11 participants at risk
Drug: risperidone Groups: risperidone
|
Placebo
n=12 participants at risk
drug: lactose group: placebo
|
Paliperidone ER
n=11 participants at risk
Drug: Paliperidone ER Groups: Paliperidone ER
|
|---|---|---|---|
|
Gastrointestinal disorders
sedation
|
45.5%
5/11 • Number of events 5
|
16.7%
2/12 • Number of events 2
|
0.00%
0/11
|
|
Gastrointestinal disorders
abdominal discomfort
|
18.2%
2/11 • Number of events 2
|
8.3%
1/12 • Number of events 1
|
0.00%
0/11
|
|
Nervous system disorders
dizziness
|
18.2%
2/11 • Number of events 2
|
0.00%
0/12
|
0.00%
0/11
|
Additional Information
Prof. Youngchul Chung
Chonbuk National University Hospital
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place