Relapse Prevention Study in Patients With Schizophrenia

NCT ID: NCT01291511

Last Updated: 2023-07-17

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

635 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-02-28

Study Completion Date

2015-03-31

Brief Summary

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The purpose of this study is to determine whether Iloperidone is effective in the prevention of relapse in patients with 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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Iloperidone

After meeting all entry criteria, completing a 1-week open-label iloperidone titation period (up to 12 mg/day), followed by a 14-24 week open-label iloperidone flexible dose-stabilization period (up to 24 mg/day), approximately 260 patients will be randomized to one of two arms in a 1:1 ratio of iloperidone (flexible dosing 8-24 mg/day) to placebo. Post-randomization double-blind study medication will be administered orally twice daily for up to 26 weeks to evaluate relapse prevention. Subsequently, during the extension period, after a 1-week mock double-blind titration, open-label iloperidone (8-24 mg/day) is administered for up to 51 weeks to evaluate long-term safety.

Group Type EXPERIMENTAL

Iloperidone

Intervention Type DRUG

Over-encapsulated iloperidone tablets were administered orally using a bid schedule; the strengths used include 1, 2, 4, 6, 8, 10, and 12 mg.

Placebo

Post-randomization matching placebo is administered orally bid during the double-blind period.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo capsules were administered orally using a bid schedule during the double-blind period.

Interventions

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Iloperidone

Over-encapsulated iloperidone tablets were administered orally using a bid schedule; the strengths used include 1, 2, 4, 6, 8, 10, and 12 mg.

Intervention Type DRUG

Placebo

Matching placebo capsules were administered orally using a bid schedule during the double-blind period.

Intervention Type DRUG

Other Intervention Names

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FanaptĀ®

Eligibility Criteria

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Inclusion Criteria

* Patients must understand and be capable to communicate adequately with the study coordinator and to participate in cognitive testing.
* Patients must agree to cooperate with all tests and examinations required by the protocol, be willing to comply fully with treatment and able to ingest oral medication.
* Patients must understand the nature of the study and must sign an informed consent document.
* Patients will have a clear diagnosis of schizophrenia according to DSM-IV criteria for at least 1 year.
* Patients must need of ongoing psychiatric treatment and must have a documented reason why a change in treatment is needed which might lead to a clinical improvement
* At screening patients will have a Positive and Negative Syndrome Scale (PANSS) of no more than 100 and a Clinical Global Impression Scale (CGI) of no more than 5 (i.e. must not be severely ill or worse).
* Patients must be outpatients at the time of screening and have not been an inpatient to treat schizophrenia for at least 1 week prior to the screening visit.
* Patients must have a history of at least 2 prior episodes of relapse or impending relapse in the 2 years preceding the screening visit.

Exclusion Criteria

* Pregnant or nursing (lactating) women, or women who plan on conceiving during the course of the study.
* Patients who meet the DSM-IV criteria for schizophreniform disorder (295.40) and schizoaffective (295.70).
* Patients with active symptoms of any other primary psychiatric diagnosis (Axis I) or prominent Axis II disorder which would interfere with compliance to the protocol.
* Patients who have a diagnosis or history suggestive of chemical dependence, or drug-induced toxic psychosis in the preceding 6 months; diagnosis or history of abuse (except for nicotine and caffeine) within the past 3 months, or a clinical presentation possibly confounded by the use of recreational drugs or alcohol.
* Patients who have a positive urine drug screen (at the screening visit). If opiates are positive at screening and clearly due to the use of pain killing medication, the patient may be re screened after the medication has been discontinued and enrolled in the study if urine drug screen is negative.
* Note: Occasional users of recreational drugs other than cocaine, amphetamines, hallucinogens, or parenteral drugs may be recruited. Patients who are dependent on nicotine, caffeine, or theophylline are allowed to enter the study.
* Patients who are mentally disabled (moderate to severe).
* Patients who have had a history of being in a coma for more than 24 hrs.
* Patients who have had thoughts of committing suicide within 6 months prior to screening or at baseline or suicide behaviors within 2 years prior to screening or at baseline.
* Patients thought to be of imminent risk of harm to others or in imminent legal difficulty.
* Patients under any form of legal compulsion to remain hospitalized or undergo treatment or assessment.
* Patients who have any disability that prevent them from completing any of the study requirements.
* Patients with a known clinically significant ECG abnormality including PR interval \>240 msec, QRS complex \>110 msec, QTcF \>=450 msec, or congenital long QT syndrome based on central ECG reading results
* Treatment naive, first episode patients,
* Patients taking iloperidone at the screening visit or with a known hypersensitivity to drugs chemically related to benzioxazoles.
* Note: Active medical conditions that are minor or well-controlled are not exclusionary if they do not affect risk to the patient or the study results.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vanda Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Vanda Investigative Site

Anaheim, California, United States

Site Status

Vanda Investigative Site

Bellflower, California, United States

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Vanda Investigative Site

Costa Mesa, California, United States

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Vanda Investigative Site

Escondido, California, United States

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Vanda Investigative Site

La Habra, California, United States

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Vanda Investigative Site

Oceanside, California, United States

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Vanda Investigative Site

Orange, California, United States

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Vanda Investigative Site

Pico Rivera, California, United States

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Vanda Investigative Site

Riverside, California, United States

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Vanda Investigative Site

San Diego, California, United States

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Vanda Investigative Site

San Diego, California, United States

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Vanda Investigative Site

San Diego, California, United States

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Vanda Investigative Site

Santa Ana, California, United States

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Vanda Investigative Site

Melbourne, Florida, United States

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Vanda Investigative Site

Miami, Florida, United States

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Vanda Investigative Site

Oakland Park, Florida, United States

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Vanda Investigative Site

Atlanta, Georgia, United States

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Vanda Investigative Site

Atlanta, Georgia, United States

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Vanda Investigative Site

St Louis, Missouri, United States

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Vanda Investigative Site

Nashua, New Hampshire, United States

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Vanda Investigative Site

Marlton, New Jersey, United States

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Vanda Investigative Site

Brooklyn, New York, United States

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Vanda Investigative Site

Staten Island, New York, United States

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Vanda Investigative Site

Hickory, North Carolina, United States

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Vanda Investigative Site

Beachwood, Ohio, United States

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Vanda Investigative Site

Philadelphia, Pennsylvania, United States

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Vanda Investigative Site

Irving, Texas, United States

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Vanda Investigative Site

Salt Lake City, Utah, United States

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Vanda Investigative Site

Ahmedabad, Gujarat, India

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Vanda Investigative Site

Madhava Nagar, Karnataka, India

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Vanda Investigative Site

Mangalore, Karnataka, India

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Vanda Investigative Site

Mangalore, Karnataka, India

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Vanda Investigative Site

Mysore, Karnataka, India

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Vanda Investigative Site

Nashik, Maharashtra, India

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Vanda Investigative Site

Pune, Maharashtra, India

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Vanda Investigative Site

Jaipur, Rajasthan, India

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Vanda Investigative Site

Madurai, Tamil Nadu, India

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Vanda Investigative Site

Kanpur, Uttar Pradesh, India

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Vanda Investigative Site

Lucknow, Uttar Pradesh, India

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Vanda Investigative Site

Lucknow, Uttar Pradesh, India

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Vanda Investigative Site

Varanasi, Uttar Pradesh, India

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Vanda Investigative Site

Kerch, AR Crimea, Ukraine

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Vanda Investigative Site

Yevpatoria, AR Crimea, Ukraine

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Vanda Investigative Site

Chernihiv, , Ukraine

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Vanda Investigative Site

Dnipropetrovsk, , Ukraine

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Vanda Investigative Site

Dnipropetrovsk, , Ukraine

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Vanda Investigative Site

Donetsk, , Ukraine

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Vanda Investigative Site

Donetsk, , Ukraine

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Vanda Investigative Site

Ivano-Frankivsk, , Ukraine

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Vanda Investigative Site

Kharkiv, , Ukraine

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Vanda Investigive Site

Kharkiv, , Ukraine

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Vanda Investigative Site

Kyiv, , Ukraine

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Vanda Investigative Site

Kyiv, , Ukraine

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Vanda Investigative Site

Kyiv, , Ukraine

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Vanda Investigative Site

Kyiv, , Ukraine

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Vanda Investigative Site

Luhansk, , Ukraine

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Vanda Investigative Site

Odesa, , Ukraine

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Vanda Investigative Site

Poltava, , Ukraine

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Vanda Investigative Site

Simferopol, , Ukraine

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Vanda Investigative Site

Stepanovka, , Ukraine

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Vanda Investigative Site

Ternopil, , Ukraine

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Vanda Investigative Site

Uzhhorod, , Ukraine

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Vanda Investigative Site

Vinnytsia, , Ukraine

Site Status

Countries

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United States India Ukraine

References

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Weiden PJ, Manning R, Wolfgang CD, Ryan JM, Mancione L, Han G, Ahmed S, Mayo MG. A Randomized Trial of Iloperidone for Prevention of Relapse in Schizophrenia: The REPRIEVE Study. CNS Drugs. 2016 Aug;30(8):735-47. doi: 10.1007/s40263-016-0345-4.

Reference Type RESULT
PMID: 27379654 (View on PubMed)

Other Identifiers

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CILO522D2301

Identifier Type: -

Identifier Source: org_study_id

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