Trial Outcomes & Findings for Aripiprazole in the Treatment of Patients With Psychosis Associated With Dementia of Alzheimer's Type (NCT NCT01438060)

NCT ID: NCT01438060

Last Updated: 2013-12-02

Results Overview

The NPI is a questionnaire that quantifies behavioral changes in dementia. For each of 12 behavioral domains there are 4 scores: Frequency (scale:1=occasionally to 4=very frequently), Severity (scale:1=Mild to 3=Severe), Total (frequency x severity), Caregiver distress (scale: 0=not at all distressing to 5=extremely distressing).The NPI Psychosis Subscale consists of the two domains of Delusions and Hallucinations, calculated by adding the Individual Item Scores, to yield a possible total score of 0 to 24. Lower score=less severity. A negative change score from baseline indicates improvement.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

232 participants

Primary outcome timeframe

Baseline (Day 0), Week 10

Results posted on

2013-12-02

Participant Flow

232 participants were enrolled, 24 were not randomized (baseline failures).

Participant milestones

Participant milestones
Measure
Placebo
Acute Phase: 0 mg, Once daily (10 Weeks)
Aripiprazole
Acute Phase: Dosed at 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Acute Phase: Double-blind, 10 Weeks
STARTED
102
106
Acute Phase: Double-blind, 10 Weeks
COMPLETED
84
88
Acute Phase: Double-blind, 10 Weeks
NOT COMPLETED
18
18
Extension Phase: Week 10 to Week 130
STARTED
80
81
Extension Phase: Week 10 to Week 130
COMPLETED
22
25
Extension Phase: Week 10 to Week 130
NOT COMPLETED
58
56
On Study Beyond Week 140
STARTED
0
9
On Study Beyond Week 140
COMPLETED
0
1
On Study Beyond Week 140
NOT COMPLETED
0
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Acute Phase: 0 mg, Once daily (10 Weeks)
Aripiprazole
Acute Phase: Dosed at 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Acute Phase: Double-blind, 10 Weeks
Adverse Event
7
9
Acute Phase: Double-blind, 10 Weeks
Lack of Efficacy
6
3
Acute Phase: Double-blind, 10 Weeks
Withdrawal by Subject
3
4
Acute Phase: Double-blind, 10 Weeks
Lost to Follow-up
1
0
Acute Phase: Double-blind, 10 Weeks
Death
0
2
Acute Phase: Double-blind, 10 Weeks
Other Reason
1
0
Extension Phase: Week 10 to Week 130
Adverse Event
15
16
Extension Phase: Week 10 to Week 130
Lack of Efficacy
8
8
Extension Phase: Week 10 to Week 130
Withdrawal by Subject
3
5
Extension Phase: Week 10 to Week 130
Participant Unreliability
1
0
Extension Phase: Week 10 to Week 130
Lost to Follow-up
2
0
Extension Phase: Week 10 to Week 130
Death
22
12
Extension Phase: Week 10 to Week 130
Other Reason
7
15
On Study Beyond Week 140
Adverse Event
0
2
On Study Beyond Week 140
Lack of Efficacy
0
1
On Study Beyond Week 140
Withdrawal by Subject
0
1
On Study Beyond Week 140
Death
0
1
On Study Beyond Week 140
Other Reason
0
3

Baseline Characteristics

Aripiprazole in the Treatment of Patients With Psychosis Associated With Dementia of Alzheimer's Type

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=102 Participants
Acute Phase: 0 mg, Once daily (10 Weeks)
Aripiprazole
n=106 Participants
Acute Phase: Dosed at 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Total
n=208 Participants
Total of all reporting groups
Age Continuous
82.0 years
n=5 Participants
81.0 years
n=7 Participants
81.0 years
n=5 Participants
Sex: Female, Male
Female
74 Participants
n=5 Participants
75 Participants
n=7 Participants
149 Participants
n=5 Participants
Sex: Female, Male
Male
28 Participants
n=5 Participants
31 Participants
n=7 Participants
59 Participants
n=5 Participants
Race/Ethnicity, Customized
White
98 Participants
n=5 Participants
105 Participants
n=7 Participants
203 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian/ Pacific Islander
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Weight
58.8 kg
n=5 Participants
59.0 kg
n=7 Participants
59.0 kg
n=5 Participants

PRIMARY outcome

Timeframe: Baseline (Day 0), Week 10

Population: Last Observation Carried forward (LOCF) data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The NPI is a questionnaire that quantifies behavioral changes in dementia. For each of 12 behavioral domains there are 4 scores: Frequency (scale:1=occasionally to 4=very frequently), Severity (scale:1=Mild to 3=Severe), Total (frequency x severity), Caregiver distress (scale: 0=not at all distressing to 5=extremely distressing).The NPI Psychosis Subscale consists of the two domains of Delusions and Hallucinations, calculated by adding the Individual Item Scores, to yield a possible total score of 0 to 24. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in Neuropsychiatric Inventory (NPI) Psychosis Subscale Score at Week 10 in Acute Phase
Baseline (Day 0)
12.12 Units on a scale
Standard Error 0.60
12.29 Units on a scale
Standard Error 0.59
Change From Baseline in Neuropsychiatric Inventory (NPI) Psychosis Subscale Score at Week 10 in Acute Phase
Mean Change from Baseline at Week 10
-5.52 Units on a scale
Standard Error 0.66
-6.55 Units on a scale
Standard Error 0.65

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, and 8

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The NPI is a questionnaire that quantifies behavioral changes in dementia. For each of 12 behavioral domains there are 4 scores: Frequency (scale:1=occasionally to 4=very frequently), Severity (scale:1=Mild to 3=Severe), Total (frequency x severity), Caregiver distress (scale: 0=not at all distressing to 5=extremely distressing).The NPI Psychosis Subscale consists of the two domains of Delusions and Hallucinations, calculated by adding the Individual Item Scores, to yield a possible total score of 0 to 24. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Psychosis Subscale Score Through Week 8 in Acute Phase
Baseline (Day 0)
12.12 Units on Scale
95% Confidence Interval 0.60 • Interval 10.95 to 13.3
12.29 Units on Scale
95% Confidence Interval 0.59 • Interval 11.12 to 13.46
Change From Baseline in NPI Psychosis Subscale Score Through Week 8 in Acute Phase
Week 1
-3.33 Units on Scale
95% Confidence Interval 0.53 • Interval -4.37 to -2.28
-2.26 Units on Scale
95% Confidence Interval 0.52 • Interval -3.29 to -1.22
Change From Baseline in NPI Psychosis Subscale Score Through Week 8 in Acute Phase
Week 2
-3.96 Units on Scale
95% Confidence Interval 0.67 • Interval -5.27 to -2.65
-3.81 Units on Scale
95% Confidence Interval 0.66 • Interval -5.11 to -2.5
Change From Baseline in NPI Psychosis Subscale Score Through Week 8 in Acute Phase
Week 3
-4.54 Units on Scale
95% Confidence Interval 0.64 • Interval -5.8 to -3.28
-4.86 Units on Scale
95% Confidence Interval 0.64 • Interval -6.12 to -3.61
Change From Baseline in NPI Psychosis Subscale Score Through Week 8 in Acute Phase
Week 4
-5.38 Units on Scale
95% Confidence Interval 0.61 • Interval -6.59 to -4.18
-5.66 Units on Scale
95% Confidence Interval 0.61 • Interval -6.86 to -4.47
Change From Baseline in NPI Psychosis Subscale Score Through Week 8 in Acute Phase
Week 6
-4.87 Units on Scale
95% Confidence Interval 0.64 • Interval -6.13 to -3.61
-6.00 Units on Scale
95% Confidence Interval 0.63 • Interval -7.25 to -4.75
Change From Baseline in NPI Psychosis Subscale Score Through Week 8 in Acute Phase
Week 8
-5.04 Units on Scale
95% Confidence Interval 0.69 • Interval -6.4 to -3.69
-6.01 Units on Scale
95% Confidence Interval 0.68 • Interval -7.36 to -4.67

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The NPI is a questionnaire that quantifies behavioral changes in dementia. For each of 12 behavioral domains there are 4 scores: Frequency (scale: 1=occasionally to 4=very frequently), Severity (scale:1=Mild to 3=Severe), Total (frequency x severity), Caregiver distress (scale: 0=not at all distressing to 5=extremely distressing).The NPI Total Score is calculated by adding the Individual Item Scores for all 12 domains, to yield a possible NPI Total Score of 0 to 144. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Total Score in Acute Phase
Baseline (Day 0)
40.08 Units on a Scale
95% Confidence Interval 1.88 • Interval 36.38 to 43.78
39.82 Units on a Scale
95% Confidence Interval 1.86 • Interval 36.14 to 43.49
Change From Baseline in NPI Total Score in Acute Phase
Week 1
-6.26 Units on a Scale
95% Confidence Interval 1.58 • Interval -9.39 to -3.13
-4.13 Units on a Scale
95% Confidence Interval 1.57 • Interval -7.23 to -1.03
Change From Baseline in NPI Total Score in Acute Phase
Week 2
-9.98 Units on a Scale
95% Confidence Interval 1.86 • Interval -13.65 to -6.32
-8.40 Units on a Scale
95% Confidence Interval 1.84 • Interval -12.04 to -4.77
Change From Baseline in NPI Total Score in Acute Phase
Week 3
-10.85 Units on a Scale
95% Confidence Interval 2.13 • Interval -15.04 to -6.65
-8.61 Units on a Scale
95% Confidence Interval 2.11 • Interval -12.77 to -4.45
Change From Baseline in NPI Total Score in Acute Phase
Week 4
-11.81 Units on a Scale
95% Confidence Interval 1.87 • Interval -15.5 to -8.12
-11.74 Units on a Scale
95% Confidence Interval 1.86 • Interval -15.4 to -8.08
Change From Baseline in NPI Total Score in Acute Phase
Week 6
-10.47 Units on a Scale
95% Confidence Interval 2.09 • Interval -14.59 to -6.35
-11.61 Units on a Scale
95% Confidence Interval 2.07 • Interval -15.69 to -7.52
Change From Baseline in NPI Total Score in Acute Phase
Week 8
-9.68 Units on a Scale
95% Confidence Interval 2.32 • Interval -14.26 to -5.09
-10.71 Units on a Scale
95% Confidence Interval 2.30 • Interval -15.26 to -6.17
Change From Baseline in NPI Total Score in Acute Phase
Week 10
-9.75 Units on a Scale
95% Confidence Interval 2.35 • Interval -14.4 to -5.11
-11.20 Units on a Scale
95% Confidence Interval 2.33 • Interval -15.8 to -6.59

SECONDARY outcome

Timeframe: Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The NPI is a questionnaire that quantifies behavioral changes in dementia. For each of 12 behavioral domains there are 4 scores: Frequency (scale:1=occasionally to 4=very frequently), Severity (scale:1=Mild to 3=Severe), Total (frequency x severity), Caregiver distress (scale: 0=not at all distressing to 5=extremely distressing).The NPI Psychosis Subscale consists of the two domains of Delusions and Hallucinations, calculated by adding the Individual Item Scores, to yield a possible total score of 0 to 24. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Participants Who Demonstrated a ≥ 50% Decrease From Baseline to Endpoint in the NPI Psychosis Subscale Score in Acute Phase
Week 6
53 Participants
56 Participants
Participants Who Demonstrated a ≥ 50% Decrease From Baseline to Endpoint in the NPI Psychosis Subscale Score in Acute Phase
Week 8
58 Participants
64 Participants
Participants Who Demonstrated a ≥ 50% Decrease From Baseline to Endpoint in the NPI Psychosis Subscale Score in Acute Phase
Week 10
60 Participants
70 Participants
Participants Who Demonstrated a ≥ 50% Decrease From Baseline to Endpoint in the NPI Psychosis Subscale Score in Acute Phase
Week 1
24 Participants
18 Participants
Participants Who Demonstrated a ≥ 50% Decrease From Baseline to Endpoint in the NPI Psychosis Subscale Score in Acute Phase
Week 2
37 Participants
34 Participants
Participants Who Demonstrated a ≥ 50% Decrease From Baseline to Endpoint in the NPI Psychosis Subscale Score in Acute Phase
Week 3
45 Participants
44 Participants
Participants Who Demonstrated a ≥ 50% Decrease From Baseline to Endpoint in the NPI Psychosis Subscale Score in Acute Phase
Week 4
52 Participants
47 Participants

SECONDARY outcome

Timeframe: Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The NPI is a questionnaire that quantifies behavioral changes in dementia. For each of 12 behavioral domains there are 4 scores: Frequency (scale: 1=occasionally to 4=very frequently), Severity (scale:1=Mild to 3=Severe), Total (frequency x severity), Caregiver distress (scale: 0=not at all distressing to 5=extremely distressing).The NPI Total Score is calculated by adding the Individual Item Scores for all 12 domains, to yield a possible NPI Total Score of 0 to 144. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Participants Who Demonstrated a ≥ 50% Decrease From Baseline in the Total NPI Score in Acute Phase
Week 1
12 Participants
11 Participants
Participants Who Demonstrated a ≥ 50% Decrease From Baseline in the Total NPI Score in Acute Phase
Week 2
31 Participants
29 Participants
Participants Who Demonstrated a ≥ 50% Decrease From Baseline in the Total NPI Score in Acute Phase
Week 3
35 Participants
33 Participants
Participants Who Demonstrated a ≥ 50% Decrease From Baseline in the Total NPI Score in Acute Phase
Week 4
44 Participants
37 Participants
Participants Who Demonstrated a ≥ 50% Decrease From Baseline in the Total NPI Score in Acute Phase
Week 6
45 Participants
45 Participants
Participants Who Demonstrated a ≥ 50% Decrease From Baseline in the Total NPI Score in Acute Phase
Week 8
52 Participants
50 Participants
Participants Who Demonstrated a ≥ 50% Decrease From Baseline in the Total NPI Score in Acute Phase
Week 10
47 Participants
53 Participants

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The NPI is a questionnaire that quantifies behavioral changes in dementia. For each of 12 behavioral domains there are 4 scores: Frequency (scale:1=occasionally to 4=very frequently), Severity (scale:1=Mild to 3=Severe), Total (frequency x severity), Caregiver distress (scale:0=not at all distressing to 5=extremely distressing). The NPI Psychosis Subscale Caregiver Distress Score is calculated by adding Individual Item Scores for the domains of Delusions and Hallucinations, to yield a possible total score of 0 to 10. Lower score=less severity. A negative change score from baseline=improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Psychosis Subscale Caregiver Distress Score in Acute Phase
Baseline (Day 0)
4.80 Unit on a Scale
95% Confidence Interval 0.25 • Interval 4.3 to 5.29
4.70 Unit on a Scale
95% Confidence Interval 0.25 • Interval 4.21 to 5.19
Change From Baseline in NPI Psychosis Subscale Caregiver Distress Score in Acute Phase
Week 1
-0.80 Unit on a Scale
95% Confidence Interval 0.21 • Interval -1.21 to -0.38
-0.64 Unit on a Scale
95% Confidence Interval 0.21 • Interval -1.05 to -0.24
Change From Baseline in NPI Psychosis Subscale Caregiver Distress Score in Acute Phase
Week 2
-0.84 Unit on a Scale
95% Confidence Interval 0.23 • Interval -1.3 to -0.38
-0.78 Unit on a Scale
95% Confidence Interval 0.23 • Interval -1.24 to -0.33
Change From Baseline in NPI Psychosis Subscale Caregiver Distress Score in Acute Phase
Week 3
-1.15 Unit on a Scale
95% Confidence Interval 0.24 • Interval -1.62 to -0.69
-0.93 Unit on a Scale
95% Confidence Interval 0.23 • Interval -1.4 to -0.47
Change From Baseline in NPI Psychosis Subscale Caregiver Distress Score in Acute Phase
Week 4
-1.31 Unit on a Scale
95% Confidence Interval 0.23 • Interval -1.76 to -0.86
-1.28 Unit on a Scale
95% Confidence Interval 0.23 • Interval -1.73 to -0.84
Change From Baseline in NPI Psychosis Subscale Caregiver Distress Score in Acute Phase
Week 6
-1.36 Unit on a Scale
95% Confidence Interval 0.27 • Interval -1.89 to -0.84
-1.62 Unit on a Scale
95% Confidence Interval 0.26 • Interval -2.14 to -1.1
Change From Baseline in NPI Psychosis Subscale Caregiver Distress Score in Acute Phase
Week 8
-1.18 Unit on a Scale
95% Confidence Interval 0.27 • Interval -1.71 to -0.65
-1.65 Unit on a Scale
95% Confidence Interval 0.27 • Interval -2.17 to -1.12
Change From Baseline in NPI Psychosis Subscale Caregiver Distress Score in Acute Phase
Week 10
-1.35 Unit on a Scale
95% Confidence Interval 0.26 • Interval -1.86 to -0.83
-1.79 Unit on a Scale
95% Confidence Interval 0.26 • Interval -2.3 to -1.28

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The NPI is a questionnaire that quantifies behavioral changes in dementia. For each of 12 behavioral domains there are 4 scores: Frequency (scale: 1=occasionally to 4=very frequently), Severity (scale:1=Mild to 3=Severe), Total (frequency x severity), Caregiver distress (scale: 0=not at all distressing to 5=extremely distressing).The total NPI Caregiver Distress Score is calculated by adding the 12 Caregiver Distress Individual Item Scores, to yield a possible total score of 0 to 60. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Total Caregiver Distress Score in Acute Phase
Baseline (Day 0)
16.58 Units on a Scale
95% Confidence Interval 0.87 • Interval 14.87 to 18.29
17.06 Units on a Scale
95% Confidence Interval 0.86 • Interval 15.37 to 18.76
Change From Baseline in NPI Total Caregiver Distress Score in Acute Phase
Week 1
-1.81 Units on a Scale
95% Confidence Interval 0.65 • Interval -3.08 to -0.53
-1.64 Units on a Scale
95% Confidence Interval 0.65 • Interval -2.92 to -0.36
Change From Baseline in NPI Total Caregiver Distress Score in Acute Phase
Week 2
-3.25 Units on a Scale
95% Confidence Interval 0.72 • Interval -4.67 to -1.83
-3.04 Units on a Scale
95% Confidence Interval 0.72 • Interval -4.47 to -1.61
Change From Baseline in NPI Total Caregiver Distress Score in Acute Phase
Week 3
-4.10 Units on a Scale
95% Confidence Interval 0.81 • Interval -5.76 to -2.44
-2.58 Units on a Scale
95% Confidence Interval 0.84 • Interval -4.25 to -0.92
Change From Baseline in NPI Total Caregiver Distress Score in Acute Phase
Week 4
-4.01 Units on a Scale
95% Confidence Interval 0.80 • Interval -5.59 to -2.44
-3.48 Units on a Scale
95% Confidence Interval 0.80 • Interval -5.06 to -1.9
Change From Baseline in NPI Total Caregiver Distress Score in Acute Phase
Week 6
-3.58 Units on a Scale
95% Confidence Interval 0.98 • Interval -5.51 to -1.66
-3.72 Units on a Scale
95% Confidence Interval 0.98 • Interval -5.65 to -1.79
Change From Baseline in NPI Total Caregiver Distress Score in Acute Phase
Week 8
-3.20 Units on a Scale
95% Confidence Interval 0.99 • Interval -5.16 to -1.25
-3.46 Units on a Scale
95% Confidence Interval 0.99 • Interval -5.42 to -1.5
Change From Baseline in NPI Total Caregiver Distress Score in Acute Phase
Week 10
-3.15 Units on a Scale
95% Confidence Interval 1.03 • Interval -5.19 to -1.11
-3.53 Units on a Scale
95% Confidence Interval 1.04 • Interval -5.57 to -1.48

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2). An additional participant did not have CGI-Severity score and was not included in the analysis

The CGI rating scale, which measures symptom severity, treatment response and the efficacy of treatments, is used in clinical studies on mental disorders. CGI Severity scale is a 7-point scale that requires the clinician to rate the severity of the illness at the time of assessment, relative to the clinician's past experience with participants who have the same diagnosis. The assessment is based on severity of mental illness at the time of rating, 0=not assessed, 1=normal, 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; or 7=extremely ill.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=102 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in Clinical Global Impression (CGI) Severity of Illness Score in Acute Phase
Baseline (Day 0)
4.84 Units on Scale
95% Confidence Interval 0.09 • Interval 4.67 to 5.01
4.83 Units on Scale
95% Confidence Interval 0.09 • Interval 4.66 to 5.0
Change From Baseline in Clinical Global Impression (CGI) Severity of Illness Score in Acute Phase
Week 1
-0.19 Units on Scale
95% Confidence Interval 0.08 • Interval -0.34 to -0.04
-0.10 Units on Scale
95% Confidence Interval 0.08 • Interval -0.25 to 0.05
Change From Baseline in Clinical Global Impression (CGI) Severity of Illness Score in Acute Phase
Week 2
-0.29 Units on Scale
95% Confidence Interval 0.11 • Interval -0.52 to -0.06
-0.19 Units on Scale
95% Confidence Interval 0.12 • Interval -0.41 to 0.04
Change From Baseline in Clinical Global Impression (CGI) Severity of Illness Score in Acute Phase
Week 3
-0.44 Units on Scale
95% Confidence Interval 0.11 • Interval -0.65 to -0.22
-0.44 Units on Scale
95% Confidence Interval 0.11 • Interval -0.65 to -0.22
Change From Baseline in Clinical Global Impression (CGI) Severity of Illness Score in Acute Phase
Week 4
-0.47 Units on Scale
95% Confidence Interval 0.12 • Interval -0.7 to -0.24
-0.49 Units on Scale
95% Confidence Interval 0.12 • Interval -0.73 to -0.26
Change From Baseline in Clinical Global Impression (CGI) Severity of Illness Score in Acute Phase
Week 6
-0.44 Units on Scale
95% Confidence Interval 0.12 • Interval -0.69 to -0.2
-0.58 Units on Scale
95% Confidence Interval 0.12 • Interval -0.83 to -0.34
Change From Baseline in Clinical Global Impression (CGI) Severity of Illness Score in Acute Phase
Week 8
-0.56 Units on Scale
95% Confidence Interval 0.13 • Interval -0.83 to -0.3
-0.65 Units on Scale
95% Confidence Interval 0.13 • Interval -0.92 to -0.39
Change From Baseline in Clinical Global Impression (CGI) Severity of Illness Score in Acute Phase
Week 10
-0.54 Units on Scale
95% Confidence Interval 0.14 • Interval -0.82 to -0.26
-0.69 Units on Scale
95% Confidence Interval 0.14 • Interval -0.98 to -0.41

SECONDARY outcome

Timeframe: Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. n = Participants who had both post baseline and baseline values. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The CGI rating scale, which measures symptom severity, treatment response and the efficacy of treatments, is used in clinical studies on mental disorders. CGI Improvement scale is a 7 point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
CGI Improvement Score in Acute Phase
Week 1; n=98, 102
3.81 Units on Scale
Standard Error 0.09 • Interval 0.09 to
3.96 Units on Scale
Standard Error 0.08
CGI Improvement Score in Acute Phase
Week 2; n=98, 102
3.55 Units on Scale
Standard Error 0.11
3.71 Units on Scale
Standard Error 0.10
CGI Improvement Score in Acute Phase
Week 3; n=100, 103
3.37 Units on Scale
Standard Error 0.12
3.49 Units on Scale
Standard Error 0.11
CGI Improvement Score in Acute Phase
Week 4; n=100, 103
3.28 Units on Scale
Standard Error 0.12
3.32 Units on Scale
Standard Error 0.12
CGI Improvement Score in Acute Phase
Week 6; n=100, 103
3.26 Units on Scale
Standard Error 0.12
3.23 Units on Scale
Standard Error 0.13
CGI Improvement Score in Acute Phase
Week 8; n=100, 103
3.11 Units on Scale
Standard Error 0.14
3.16 Units on Scale
Standard Error 0.13
CGI Improvement Score in Acute Phase
Week 10; n=100, 103
3.07 Units on Scale
Standard Error 0.15
3.17 Units on Scale
Standard Error 0.14

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. n = Participants who had both post baseline and baseline values. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The BPRS is designed to measure clinical change in participants and is used as a global measure of psychopathology. The BPRS includes 18 items with items devoted to hallucinatory behavior, suspiciousness, unusual thought content, etc. BPRS is an 18-item clinician rated scale with 11 general symptom items, 5 positive-symptom items, and 2 negative symptom items scored on a 7-point scale (1=not present and 7=extremely severe), with higher score indicating greater severity of symptom. Total possible score range=18 to 126. A negative change score signifies improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in Brief Psychiatric Rating Scale (BPRS) Total Score in Acute Phase
Baseline (Day 0); n=95, 100
43.42 Unit on Scale
95% Confidence Interval 1.32 • Interval 40.32 to 46.02
43.63 Unit on Scale
95% Confidence Interval 1.28 • Interval 41.1 to 46.16
Change From Baseline in Brief Psychiatric Rating Scale (BPRS) Total Score in Acute Phase
Week 2; n=87, 95
-4.65 Unit on Scale
95% Confidence Interval 0.95 • Interval -6.54 to -2.77
-5.82 Unit on Scale
95% Confidence Interval 0.94 • Interval -7.68 to -3.96
Change From Baseline in Brief Psychiatric Rating Scale (BPRS) Total Score in Acute Phase
Week 4; n=95, 100
-5.80 Unit on Scale
95% Confidence Interval 0.97 • Interval -7.72 to -3.88
-7.44 Unit on Scale
95% Confidence Interval 0.95 • Interval -9.31 to -5.58
Change From Baseline in Brief Psychiatric Rating Scale (BPRS) Total Score in Acute Phase
Week 6; n=95, 100
-6.13 Unit on Scale
95% Confidence Interval 1.09 • Interval -8.29 to -3.97
-8.50 Unit on Scale
95% Confidence Interval 1.07 • Interval -10.6 to -6.4
Change From Baseline in Brief Psychiatric Rating Scale (BPRS) Total Score in Acute Phase
Week 8; n=95, 100
-6.45 Unit on Scale
95% Confidence Interval 1.17 • Interval -8.76 to -4.14
-8.47 Unit on Scale
95% Confidence Interval 1.14 • Interval -10.72 to -6.22
Change From Baseline in Brief Psychiatric Rating Scale (BPRS) Total Score in Acute Phase
Week 10; n=95, 100
-6.28 Unit on Scale
95% Confidence Interval 1.26 • Interval -9.07 to -4.09
-8.53 Unit on Scale
95% Confidence Interval 1.23 • Interval -10.95 to -6.1

SECONDARY outcome

Timeframe: Baseline (Day 0), Week 10

Population: LOCF data set, efficacy sample. n=Participants who had both post baseline and baseline values. Of the 208 randomized participants, 5 were excluded from the efficacy data set: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The MMSE is a screening test for cognitive dysfunction. The test consists of five sections (orientation, registration, attention-calculation, recall, and language). It is a 19 item scale, the total score can range from 0 to 30, with a higher score indicating better function. A positive change score indicates improvement from baseline.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in Mini Mental State Examination (MMSE) Total Score in Acute Phase
Baseline (Day 0); N=86,94
14.13 Units on Scale
Standard Error 0.60
14.35 Units on Scale
Standard Error 0.58
Change From Baseline in Mini Mental State Examination (MMSE) Total Score in Acute Phase
Week 10; n=82, 87
0.53 Units on Scale
Standard Error 0.37
-0.81 Units on Scale
Standard Error 0.36

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The 12 individual items in NPI that quantify behavioral changes in dementia are delusions, hallucinations, agitation, depression, anxiety, apathy, disinhibition, irritability, euphoria, aberrant motor behavior, nighttime behaviors, and appetite. For each behavioral domain there are 4 scores (refer to outcome 1 for the scoring for frequency, severity, total, caregiver distress). Presence of symptoms (0=no, 1=yes) x ratings for frequency and severity yield a total possible score of 0 to 12 for each item. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Individual Item Scores in Acute Phase: Delusions
Baseline (Day 0)
7.85 Units on a Scale
Interval 7.29 to 8.41
8.11 Units on a Scale
Interval 7.55 to 8.67
Change From Baseline in NPI Individual Item Scores in Acute Phase: Delusions
Week 1
-2.37 Units on a Scale
Interval -3.02 to -1.71
-1.61 Units on a Scale
Interval -2.25 to -0.97
Change From Baseline in NPI Individual Item Scores in Acute Phase: Delusions
Week 2
-2.84 Units on a Scale
Interval -3.69 to -1.98
-2.72 Units on a Scale
Interval -3.57 to -1.88
Change From Baseline in NPI Individual Item Scores in Acute Phase: Delusions
Week 3
-3.25 Units on a Scale
Interval -4.07 to -2.42
-3.50 Units on a Scale
Interval -4.32 to -2.69
Change From Baseline in NPI Individual Item Scores in Acute Phase: Delusions
Week 4
-3.72 Units on a Scale
Interval -4.54 to -2.9
-3.89 Units on a Scale
Interval -4.69 to -3.08
Change From Baseline in NPI Individual Item Scores in Acute Phase: Delusions
Week 6
-3.45 Units on a Scale
Interval -4.28 to -2.61
-3.95 Units on a Scale
Interval -4.78 to -3.13
Change From Baseline in NPI Individual Item Scores in Acute Phase: Delusions
Week 8
-3.52 Units on a Scale
Interval -4.41 to -2.63
-3.91 Units on a Scale
Interval -4.79 to -3.03
Change From Baseline in NPI Individual Item Scores in Acute Phase: Delusions
Week 10
-3.94 Units on a Scale
Interval -4.81 to -3.07
-4.28 Units on a Scale
Interval -5.14 to -3.43

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The 12 individual items in NPI that quantify behavioral changes in dementia are delusions, hallucinations, agitation, depression, anxiety, apathy, disinhibition, irritability, euphoria, aberrant motor behavior, nighttime behaviors, and appetite. For each behavioral domain there are 4 scores (refer to outcome 1 for the scoring for frequency, severity, total, caregiver distress). Presence of symptoms (0=no, 1=yes) x ratings for frequency and severity yield a total possible score of 0 to 12 for each item. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Individual Item Scores in Acute Phase: Hallucinations
Baseline (Day 0)
4.27 Units on a Scale
Interval 3.25 to 5.29
4.18 Units on a Scale
Interval 3.17 to 5.19
Change From Baseline in NPI Individual Item Scores in Acute Phase: Hallucinations
Week 1
-0.98 Units on a Scale
Interval -1.63 to -0.32
-0.65 Units on a Scale
Interval -1.3 to 0.0
Change From Baseline in NPI Individual Item Scores in Acute Phase: Hallucinations
Week 2
-1.15 Units on a Scale
Interval -1.86 to -0.43
-1.09 Units on a Scale
Interval -1.8 to -0.38
Change From Baseline in NPI Individual Item Scores in Acute Phase: Hallucinations
Week 3
-1.34 Units on a Scale
Interval -2.05 to -0.63
-1.37 Units on a Scale
Interval -2.08 to -0.67
Change From Baseline in NPI Individual Item Scores in Acute Phase: Hallucinations
Week 4
-1.71 Units on a Scale
Interval -2.31 to -1.1
-1.79 Units on a Scale
Interval -2.4 to -1.19
Change From Baseline in NPI Individual Item Scores in Acute Phase: Hallucinations
Week 6
-1.43 Units on a Scale
Interval -2.02 to -0.84
-2.03 Units on a Scale
Interval -2.62 to -1.45
Change From Baseline in NPI Individual Item Scores in Acute Phase: Hallucinations
Week 8
-1.57 Units on a Scale
Interval -2.22 to -0.91
-2.12 Units on a Scale
Interval -2.77 to -1.47
Change From Baseline in NPI Individual Item Scores in Acute Phase: Hallucinations
Week 10
-1.65 Units on a Scale
Interval -2.28 to -1.03
-2.30 Units on a Scale
Interval -2.92 to -1.67

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The 12 individual items in NPI that quantify behavioral changes in dementia are delusions, hallucinations, agitation, depression, anxiety, apathy, disinhibition, irritability, euphoria, aberrant motor behavior, nighttime behaviors, and appetite. For each behavioral domain there are 4 scores (refer to outcome 1 for the scoring for frequency, severity, total, caregiver distress). Presence of symptoms (0=no, 1=yes) x ratings for frequency and severity yield a total possible score of 0 to 12 for each item. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Individual Item Scores in Acute Phase: Agitation/Aggression
Baseline (Day 0)
3.52 Units on a Scale
Interval 2.68 to 4.37
4.04 Units on a Scale
Interval 3.2 to 4.87
Change From Baseline in NPI Individual Item Scores in Acute Phase: Agitation/Aggression
Week 1
-0.34 Units on a Scale
Interval -1.12 to 0.43
0.10 Units on a Scale
Interval -0.68 to 0.88
Change From Baseline in NPI Individual Item Scores in Acute Phase: Agitation/Aggression
Week 2
-1.16 Units on a Scale
Interval -1.86 to -0.47
-0.69 Units on a Scale
Interval -1.38 to 0.01
Change From Baseline in NPI Individual Item Scores in Acute Phase: Agitation/Aggression
Week 3
-0.73 Units on a Scale
Interval -1.5 to 0.03
-0.59 Units on a Scale
Interval -1.35 to 0.17
Change From Baseline in NPI Individual Item Scores in Acute Phase: Agitation/Aggression
Week 4
-0.78 Units on a Scale
Interval -1.51 to -0.05
-1.38 Units on a Scale
Interval -2.11 to -0.65
Change From Baseline in NPI Individual Item Scores in Acute Phase: Agitation/Aggression
Week 6
-0.31 Units on a Scale
Interval -1.08 to 0.46
-0.94 Units on a Scale
Interval -1.71 to -0.18
Change From Baseline in NPI Individual Item Scores in Acute Phase: Agitation/Aggression
Week 8
-0.12 Units on a Scale
Interval -0.94 to 0.69
-0.84 Units on a Scale
Interval -1.65 to -0.03
Change From Baseline in NPI Individual Item Scores in Acute Phase: Agitation/Aggression
Week 10
-0.47 Units on a Scale
Interval -1.32 to 0.37
-1.12 Units on a Scale
Interval -1.96 to -0.28

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The 12 individual items in NPI that quantify behavioral changes in dementia are delusions, hallucinations, agitation, depression, anxiety, apathy, disinhibition, irritability, euphoria, aberrant motor behavior, nighttime behaviors, and appetite. For each behavioral domain there are 4 scores (refer to outcome 1 for the scoring for frequency, severity, total, caregiver distress). Presence of symptoms (0=no, 1=yes) x ratings for frequency and severity yield a total possible score of 0 to 12 for each item. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Individual Item Scores in Acute Phase: Depression/Dysphoria
Baseline (Day 0)
3.27 Units on a Scale
Interval 2.59 to 3.95
2.28 Units on a Scale
Interval 1.6 to 2.95
Change From Baseline in NPI Individual Item Scores in Acute Phase: Depression/Dysphoria
Week 1
0.21 Units on a Scale
Interval -0.39 to 0.81
-0.04 Units on a Scale
Interval -0.62 to 0.54
Change From Baseline in NPI Individual Item Scores in Acute Phase: Depression/Dysphoria
Week 2
-0.44 Units on a Scale
Interval -1.01 to 0.13
-0.36 Units on a Scale
Interval -0.91 to 0.19
Change From Baseline in NPI Individual Item Scores in Acute Phase: Depression/Dysphoria
Week 3
-0.77 Units on a Scale
Interval -1.28 to -0.25
-0.33 Units on a Scale
Interval -0.84 to 0.17
Change From Baseline in NPI Individual Item Scores in Acute Phase: Depression/Dysphoria
Week 4
-0.72 Units on a Scale
Interval -1.22 to -0.22
-0.50 Units on a Scale
Interval -0.99 to -0.02
Change From Baseline in NPI Individual Item Scores in Acute Phase: Depression/Dysphoria
Week 6
-0.47 Units on a Scale
Interval -1.04 to 0.1
-0.55 Units on a Scale
Interval -1.1 to 0.0
Change From Baseline in NPI Individual Item Scores in Acute Phase: Depression/Dysphoria
Week 8
-0.65 Units on a Scale
Interval -1.2 to -0.11
-0.54 Units on a Scale
Interval -1.07 to -0.01
Change From Baseline in NPI Individual Item Scores in Acute Phase: Depression/Dysphoria
Week 10
-0.32 Units on a Scale
Interval -0.95 to 0.32
-0.42 Units on a Scale
Interval -1.04 to 0.19

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The 12 individual items in NPI that quantify behavioral changes in dementia are delusions, hallucinations, agitation, depression, anxiety, apathy, disinhibition, irritability, euphoria, aberrant motor behavior, nighttime behaviors, and appetite. For each behavioral domain there are 4 scores (refer to outcome 1 for the scoring for frequency, severity, total, caregiver distress). Presence of symptoms (0=no, 1=yes) x ratings for frequency and severity yield a total possible score of 0 to 12 for each item. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Individual Item Scores in Acute Phase: Anxiety
Baseline (Day 0)
3.64 Units on a Scale
Interval 2.81 to 4.46
3.17 Units on a Scale
Interval 2.36 to 3.99
Change From Baseline in NPI Individual Item Scores in Acute Phase: Anxiety
Week 1
0.02 Units on a Scale
Interval -0.73 to 0.77
0.05 Units on a Scale
Interval -0.69 to 0.79
Change From Baseline in NPI Individual Item Scores in Acute Phase: Anxiety
Week 2
-0.08 Units on a Scale
Interval -0.73 to 0.58
0.08 Units on a Scale
Interval -0.56 to 0.72
Change From Baseline in NPI Individual Item Scores in Acute Phase: Anxiety
Week 3
-0.43 Units on a Scale
Interval -1.14 to 0.29
0.07 Units on a Scale
Interval -0.63 to 0.77
Change From Baseline in NPI Individual Item Scores in Acute Phase: Anxiety
Week 4
-0.80 Units on a Scale
Interval -1.47 to -0.14
-0.38 Units on a Scale
Interval -1.03 to 0.27
Change From Baseline in NPI Individual Item Scores in Acute Phase: Anxiety
Week 6
-0.79 Units on a Scale
Interval -1.49 to -0.08
-0.13 Units on a Scale
Interval -0.82 to 0.57
Change From Baseline in NPI Individual Item Scores in Acute Phase: Anxiety
Week 8
-0.23 Units on a Scale
Interval -0.9 to 0.44
-0.21 Units on a Scale
Interval -0.87 to 0.46
Change From Baseline in NPI Individual Item Scores in Acute Phase: Anxiety
Week 10
-0.43 Units on a Scale
Interval -1.13 to 0.26
-0.31 Units on a Scale
Interval -0.99 to 0.37

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The 12 individual items in NPI that quantify behavioral changes in dementia are delusions, hallucinations, agitation, depression, anxiety, apathy, disinhibition, irritability, euphoria, aberrant motor behavior, nighttime behaviors, and appetite. For each behavioral domain there are 4 scores (refer to outcome 1 for the scoring for frequency, severity, total, caregiver distress). Presence of symptoms (0=no, 1=yes) x ratings for frequency and severity yield a total possible score of 0 to 12 for each item. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Individual Item Scores in Acute Phase: Apathy/Indifference
Baseline (Day 0)
4.14 Units on a Scale
Interval 3.41 to 4.86
3.47 Units on a Scale
Interval 2.75 to 4.19
Change From Baseline in NPI Individual Item Scores in Acute Phase: Apathy/Indifference
Week 1
0.03 Units on a Scale
Interval -0.66 to 0.71
-0.70 Units on a Scale
Interval -1.37 to -0.03
Change From Baseline in NPI Individual Item Scores in Acute Phase: Apathy/Indifference
Week 2
-0.48 Units on a Scale
Interval -1.11 to 0.15
-0.76 Units on a Scale
Interval -1.37 to -0.14
Change From Baseline in NPI Individual Item Scores in Acute Phase: Apathy/Indifference
Week 3
-0.09 Units on a Scale
Interval -0.8 to 0.62
-0.36 Units on a Scale
Interval -1.06 to 0.33
Change From Baseline in NPI Individual Item Scores in Acute Phase: Apathy/Indifference
Week 4
-0.65 Units on a Scale
Interval -1.39 to 0.1
-0.67 Units on a Scale
Interval -1.4 to 0.06
Change From Baseline in NPI Individual Item Scores in Acute Phase: Apathy/Indifference
Week 6
-0.63 Units on a Scale
Interval -1.43 to 0.17
-0.40 Units on a Scale
Interval -1.18 to 0.38
Change From Baseline in NPI Individual Item Scores in Acute Phase: Apathy/Indifference
Week 8
-0.87 Units on a Scale
Interval -1.6 to -0.15
-0.21 Units on a Scale
Interval -0.92 to 0.49
Change From Baseline in NPI Individual Item Scores in Acute Phase: Apathy/Indifference
Week 10
-0.95 Units on a Scale
Interval -1.78 to -0.11
-0.09 Units on a Scale
Interval -0.91 to 0.72

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The 12 individual items in NPI that quantify behavioral changes in dementia are delusions, hallucinations, agitation, depression, anxiety, apathy, disinhibition, irritability, euphoria, aberrant motor behavior, nighttime behaviors, and appetite. For each behavioral domain there are 4 scores (refer to outcome 1 for the scoring for frequency, severity, total, caregiver distress). Presence of symptoms (0=no, 1=yes) x ratings for frequency and severity yield a total possible score of 0 to 12 for each item. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Individual Item Scores in Acute Phase: Elation/Euphoria
Week 3
-0.48 Units on a Scale
Interval -0.76 to -0.2
-0.27 Units on a Scale
Interval -0.54 to 0.01
Change From Baseline in NPI Individual Item Scores in Acute Phase: Elation/Euphoria
Baseline (Day 0)
0.56 Units on a Scale
Interval 0.06 to 1.05
0.73 Units on a Scale
Interval 0.24 to 1.23
Change From Baseline in NPI Individual Item Scores in Acute Phase: Elation/Euphoria
Week 1
-0.48 Units on a Scale
Interval -0.75 to -0.22
-0.26 Units on a Scale
Interval -0.52 to 0.01
Change From Baseline in NPI Individual Item Scores in Acute Phase: Elation/Euphoria
Week 2
-0.37 Units on a Scale
Interval -0.63 to -0.11
-0.18 Units on a Scale
Interval -0.43 to 0.08
Change From Baseline in NPI Individual Item Scores in Acute Phase: Elation/Euphoria
Week 4
-0.47 Units on a Scale
Interval -0.66 to -0.28
-0.40 Units on a Scale
Interval -0.59 to -0.21
Change From Baseline in NPI Individual Item Scores in Acute Phase: Elation/Euphoria
Week 6
-0.38 Units on a Scale
Interval -0.58 to -0.18
-0.39 Units on a Scale
Interval -0.59 to -0.2
Change From Baseline in NPI Individual Item Scores in Acute Phase: Elation/Euphoria
Week 8
-0.32 Units on a Scale
Interval -0.59 to -0.04
-0.25 Units on a Scale
Interval -0.52 to 0.03
Change From Baseline in NPI Individual Item Scores in Acute Phase: Elation/Euphoria
Week 10
-0.42 Units on a Scale
Interval -0.65 to -0.19
-0.36 Units on a Scale
Interval -0.59 to -0.14

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The 12 individual items in NPI that quantify behavioral changes in dementia are delusions, hallucinations, agitation, depression, anxiety, apathy, disinhibition, irritability, euphoria, aberrant motor behavior, nighttime behaviors, and appetite. For each behavioral domain there are 4 scores (refer to outcome 1 for the scoring for frequency, severity, total, caregiver distress). Presence of symptoms (0=no, 1=yes) x ratings for frequency and severity yield a total possible score of 0 to 12 for each item. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Individual Item Scores in Acute Phase: Disinhibition
Baseline (Day 0)
0.98 Units on a Scale
Interval 0.39 to 1.57
1.36 Units on a Scale
Interval 0.77 to 1.94
Change From Baseline in NPI Individual Item Scores in Acute Phase: Disinhibition
Week 1
-0.14 Units on a Scale
Interval -0.54 to 0.25
-0.39 Units on a Scale
Interval -0.79 to 0.0
Change From Baseline in NPI Individual Item Scores in Acute Phase: Disinhibition
Week 2
-0.42 Units on a Scale
Interval -0.91 to 0.07
-0.44 Units on a Scale
Interval -0.93 to 0.05
Change From Baseline in NPI Individual Item Scores in Acute Phase: Disinhibition
Week 3
-0.27 Units on a Scale
Interval -0.86 to 0.32
-0.21 Units on a Scale
Interval -0.8 to 0.38
Change From Baseline in NPI Individual Item Scores in Acute Phase: Disinhibition
Week 4
-0.55 Units on a Scale
Interval -1.04 to -0.06
-0.67 Units on a Scale
Interval -1.16 to -0.19
Change From Baseline in NPI Individual Item Scores in Acute Phase: Disinhibition
Week 6
-0.19 Units on a Scale
Interval -0.64 to 0.26
-0.72 Units on a Scale
Interval -1.17 to -0.28
Change From Baseline in NPI Individual Item Scores in Acute Phase: Disinhibition
Week 8
-0.20 Units on a Scale
Interval -0.67 to 0.28
-0.44 Units on a Scale
Interval -0.91 to 0.03
Change From Baseline in NPI Individual Item Scores in Acute Phase: Disinhibition
Week 10
0.07 Units on a Scale
Interval -0.47 to 0.6
-0.35 Units on a Scale
Interval -0.88 to 0.18

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The 12 individual items in NPI that quantify behavioral changes in dementia are delusions, hallucinations, agitation, depression, anxiety, apathy, disinhibition, irritability, euphoria, aberrant motor behavior, nighttime behaviors, and appetite. For each behavioral domain there are 4 scores (refer to outcome 1 for the scoring for frequency, severity, total, caregiver distress). Presence of symptoms (0=no, 1=yes) x ratings for frequency and severity yield a total possible score of 0 to 12 for each item. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Individual Item Scores in Acute Phase: Irritability/Lability
Baseline (Day 0)
3.73 Units on a Scale
Interval 2.8 to 4.66
4.36 Units on a Scale
Interval 3.44 to 5.28
Change From Baseline in NPI Individual Item Scores in Acute Phase: Irritability/Lability
Week 1
-0.73 Units on a Scale
Interval -1.48 to 0.02
-0.09 Units on a Scale
Interval -0.84 to 0.66
Change From Baseline in NPI Individual Item Scores in Acute Phase: Irritability/Lability
Week 2
-0.89 Units on a Scale
Interval -1.65 to -0.12
-0.69 Units on a Scale
Interval -1.45 to 0.08
Change From Baseline in NPI Individual Item Scores in Acute Phase: Irritability/Lability
Week 3
-1.11 Units on a Scale
Interval -1.89 to -0.32
-1.09 Units on a Scale
Interval -1.87 to -0.3
Change From Baseline in NPI Individual Item Scores in Acute Phase: Irritability/Lability
Week 4
-0.75 Units on a Scale
Interval -1.53 to 0.02
-1.53 Units on a Scale
Interval -2.3 to -0.76
Change From Baseline in NPI Individual Item Scores in Acute Phase: Irritability/Lability
Week 6
-0.42 Units on a Scale
Interval -1.19 to 0.36
-1.29 Units on a Scale
Interval -2.06 to -0.51
Change From Baseline in NPI Individual Item Scores in Acute Phase: Irritability/Lability
Week 8
-0.33 Units on a Scale
Interval -1.16 to 0.5
-0.99 Units on a Scale
Interval -1.82 to -0.16
Change From Baseline in NPI Individual Item Scores in Acute Phase: Irritability/Lability
Week 10
-0.24 Units on a Scale
Interval -1.02 to 0.53
-1.26 Units on a Scale
Interval -2.03 to -0.48

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The 12 individual items in NPI that quantify behavioral changes in dementia are delusions, hallucinations, agitation, depression, anxiety, apathy, disinhibition, irritability, euphoria, aberrant motor behavior, nighttime behaviors, and appetite. For each behavioral domain there are 4 scores (refer to outcome 1 for the scoring for frequency, severity, total, caregiver distress). Presence of symptoms (0=no, 1=yes) x ratings for frequency and severity yield a total possible score of 0 to 12 for each item. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Individual Item Scores in Acute Phase: Aberrant Motor Behavior
Baseline (Day 0)
3.67 Units on a Scale
Interval 2.69 to 4.66
3.61 Units on a Scale
Interval 2.63 to 4.59
Change From Baseline in NPI Individual Item Scores in Acute Phase: Aberrant Motor Behavior
Week 1
-0.66 Units on a Scale
Interval -1.26 to -0.06
0.18 Units on a Scale
Interval -0.42 to 0.77
Change From Baseline in NPI Individual Item Scores in Acute Phase: Aberrant Motor Behavior
Week 2
-0.84 Units on a Scale
Interval -1.63 to -0.06
-0.51 Units on a Scale
Interval -1.29 to 0.27
Change From Baseline in NPI Individual Item Scores in Acute Phase: Aberrant Motor Behavior
Week 3
-1.68 Units on a Scale
Interval -2.45 to -0.09
-0.66 Units on a Scale
Interval -1.43 to 0.12
Change From Baseline in NPI Individual Item Scores in Acute Phase: Aberrant Motor Behavior
Week 4
-0.91 Units on a Scale
Interval -1.73 to -0.09
-0.16 Units on a Scale
Interval -0.98 to 0.65
Change From Baseline in NPI Individual Item Scores in Acute Phase: Aberrant Motor Behavior
Week 6
-0.89 Units on a Scale
Interval -1.64 to -0.13
-0.61 Units on a Scale
Interval -1.36 to 0.14
Change From Baseline in NPI Individual Item Scores in Acute Phase: Aberrant Motor Behavior
Week 8
-1.06 Units on a Scale
Interval -1.78 to -0.33
-0.83 Units on a Scale
Interval -1.55 to -0.11
Change From Baseline in NPI Individual Item Scores in Acute Phase: Aberrant Motor Behavior
Week 10
-1.02 Units on a Scale
Interval -1.83 to -0.22
-0.89 Units on a Scale
Interval -1.69 to -0.09

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The 12 individual items in NPI that quantify behavioral changes in dementia are delusions, hallucinations, agitation, depression, anxiety, apathy, disinhibition, irritability, euphoria, aberrant motor behavior, nighttime behaviors, and appetite. For each behavioral domain there are 4 scores (refer to outcome 1 for the scoring for frequency, severity, total, caregiver distress). Presence of symptoms (0=no, 1=yes) x ratings for frequency and severity yield a total possible score of 0 to 12 for each item. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Individual Item Scores in Acute Phase: Appetite/Eating Behaviors
Baseline (Day 0)
1.78 Units on a Scale
Interval 1.18 to 2.39
1.47 Units on a Scale
Interval 0.87 to 2.07
Change From Baseline in NPI Individual Item Scores in Acute Phase: Appetite/Eating Behaviors
Week 1
-0.24 Units on a Scale
Interval -0.73 to 0.25
-0.18 Units on a Scale
Interval -0.66 to 0.3
Change From Baseline in NPI Individual Item Scores in Acute Phase: Appetite/Eating Behaviors
Week 2
-0.36 Units on a Scale
Interval -0.84 to 0.12
-0.21 Units on a Scale
Interval -0.68 to 0.26
Change From Baseline in NPI Individual Item Scores in Acute Phase: Appetite/Eating Behaviors
Week 3
-0.14 Units on a Scale
Interval -0.65 to 0.36
0.23 Units on a Scale
Interval -0.27 to 0.73
Change From Baseline in NPI Individual Item Scores in Acute Phase: Appetite/Eating Behaviors
Week 4
-0.44 Units on a Scale
Interval -0.96 to 0.07
-0.04 Units on a Scale
Interval -0.55 to 0.47
Change From Baseline in NPI Individual Item Scores in Acute Phase: Appetite/Eating Behaviors
Week 6
-0.27 Units on a Scale
Interval -0.96 to 0.42
0.23 Units on a Scale
Interval -0.45 to 0.91
Change From Baseline in NPI Individual Item Scores in Acute Phase: Appetite/Eating Behaviors
Week 8
-0.11 Units on a Scale
Interval -0.72 to 0.49
0.45 Units on a Scale
Interval -0.15 to 1.05
Change From Baseline in NPI Individual Item Scores in Acute Phase: Appetite/Eating Behaviors
Week 10
-0.17 Units on a Scale
Interval -0.79 to 0.46
0.56 Units on a Scale
Interval -0.05 to 1.17

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: LOCF data set, efficacy sample. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The 12 individual items in NPI that quantify behavioral changes in dementia are delusions, hallucinations, agitation, depression, anxiety, apathy, disinhibition, irritability, euphoria, aberrant motor behavior, nighttime behaviors, and appetite. For each behavioral domain there are 4 scores (refer to outcome 1 for the scoring for frequency, severity, total, caregiver distress). Presence of symptoms (0=no, 1=yes) x ratings for frequency and severity yield a total possible score of 0 to 12 for each item. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in NPI Individual Item Scores in Acute Phase: Sleep
Baseline (Day 0)
2.67 Units on a Scale
Interval 1.78 to 3.55
3.03 Units on a Scale
Interval 2.15 to 3.91
Change From Baseline in NPI Individual Item Scores in Acute Phase: Sleep
Week 1
-0.10 Units on a Scale
Interval -0.84 to 0.64
-0.07 Units on a Scale
Interval -0.81 to 0.67
Change From Baseline in NPI Individual Item Scores in Acute Phase: Sleep
Week 2
-0.20 Units on a Scale
Interval -0.95 to 0.55
-0.07 Units on a Scale
Interval -0.82 to 0.67
Change From Baseline in NPI Individual Item Scores in Acute Phase: Sleep
Week 3
-0.20 Units on a Scale
Interval -0.98 to 0.58
0.10 Units on a Scale
Interval -0.68 to 0.87
Change From Baseline in NPI Individual Item Scores in Acute Phase: Sleep
Week 4
0.02 Units on a Scale
Interval -0.65 to 0.7
0.15 Units on a Scale
Interval -0.53 to 0.82
Change From Baseline in NPI Individual Item Scores in Acute Phase: Sleep
Week 6
-0.39 Units on a Scale
Interval -1.12 to 0.34
-0.03 Units on a Scale
Interval -0.76 to 0.69
Change From Baseline in NPI Individual Item Scores in Acute Phase: Sleep
Week 8
-0.06 Units on a Scale
Interval -0.8 to 0.68
-0.06 Units on a Scale
Interval -0.79 to 0.68
Change From Baseline in NPI Individual Item Scores in Acute Phase: Sleep
Week 10
0.05 Units on a Scale
Interval -0.69 to 0.79
-0.06 Units on a Scale
Interval -0.8 to 0.67

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 2, 4, and 10

Population: Observed cases data set, Efficacy Sample. n=Participants who had both post baseline and baseline values. Of the 208 randomized participants, 5 were excluded from the efficacy data set: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The SAS is a 10-item instrument used to evaluate the presence and severity of parkinsonian symptomatology. It is the most commonly used rating scale for Parkinsonism in clinical trials over the past 25 years. The ten items focus on rigidity rather than bradykinesia, and do not assess subjective rigidity or slowness. Items are rated for severity on a 0-4 scale, with definitions given for each anchor point. The total SAS Score has a possible range from 10 to 50.(lower score=less severe). Negative change scores indicate improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in Simpson-Angus Scale (SAS) Total Score in Acute Phase
Baseline (Day 0); n=97, 100
14.41 Units on scale
95% Confidence Interval NA • Interval 13.37 to 15.46
14.47 Units on scale
95% Confidence Interval NA • Interval 13.45 to 15.5
Change From Baseline in Simpson-Angus Scale (SAS) Total Score in Acute Phase
Week 2; n=89, 94
0.02 Units on scale
Interval -0.49 to 0.52
-0.35 Units on scale
Interval -0.84 to 0.14
Change From Baseline in Simpson-Angus Scale (SAS) Total Score in Acute Phase
Week 4; n=93, 96
-0.15 Units on scale
Interval -0.76 to 0.45
-0.06 Units on scale
Interval -0.65 to 0.54
Change From Baseline in Simpson-Angus Scale (SAS) Total Score in Acute Phase
Week 10; n=82, 85
-0.44 Units on scale
Interval -1.19 to 0.31
0.33 Units on scale
Interval -0.4 to 1.07

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 2, 4, 8, and 10

Population: Observed Cased data set, efficacy sample. n=Participants who had both post baseline and baseline values. Of the 208 randomized participants, 5 were excluded from the efficacy data set: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The Abnormal Involuntary Movement Scale (AIMS) is a rating scale that was designed to measure involuntary movements (tardive dyskinesia). The AIMS test has a total of twelve items rating involuntary movements of various areas of the patient's body. These items are rated on a five-point scale of severity from 0-4. The scale is rated from 0 (none), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe). AIMS Total Score is from 0 to 28. A negative change score signifies improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Total Score in Acute Phase
Baseline (Day 0); n=99, 101
0.87 Units on scale
Interval 0.32 to 1.42
0.93 Units on scale
Interval 0.39 to 1.48
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Total Score in Acute Phase
Week 2; n=91, 95
-0.10 Units on scale
Interval -0.25 to 0.04
-0.17 Units on scale
Interval -0.32 to -0.03
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Total Score in Acute Phase
Week 4; n=97, 97
-0.05 Units on scale
Interval -0.3 to 0.19
-0.08 Units on scale
Interval -0.33 to 0.17
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Total Score in Acute Phase
Week 8; n=87, 87
0.07 Units on scale
Interval -0.3 to 0.44
-0.14 Units on scale
Interval -0.51 to 0.23
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Total Score in Acute Phase
Week 10; n=85, 87
0.05 Units on scale
Interval -0.33 to 0.43
-0.17 Units on scale
Interval -0.55 to 0.2

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 1, 2, 3, 4, 6, 8, and 10

Population: Observed cases data set, efficacy sample. n=Participants with both post-baseline and baseline measures. Of the 208 randomized participants, 5 were excluded from the efficacy data sample: 2 from placebo (Withdrew Consent, Inadequate Caregiver Input.); 3 in aripiprazole group (Withdrew Consent-1, AE-2)

The Barnes Akathisia Rating Scale is a 4-item scale to assess presence and severity of drug-induced akathisia, including both objective items and subjective items, together with a global clinical assessment of akathisia. Global assessment is made on a scale of 0 to 5 with comprehensive definitions provided for each anchor point on scale: 0=absent; 1=questionable; 2=mild akathisia; 3=moderate akathisia; 4=marked akathisia; 5=severe akathisia. Score has a possible range from 0 (absent) to 5 (severe akathisia). Negative change scores indicate improvement in akathisia.

Outcome measures

Outcome measures
Measure
Placebo
n=100 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=103 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change From Baseline in Barnes Global Clinical Assessment of Akathisia in Acute Phase
Baseline (Day 0); n=100,101
0.20 Unit on scale
Interval 0.09 to 0.31
0.19 Unit on scale
Interval 0.07 to 0.3
Change From Baseline in Barnes Global Clinical Assessment of Akathisia in Acute Phase
Week 1; n=99, 101
-0.06 Unit on scale
Interval -0.12 to 0.0
-0.06 Unit on scale
Interval -0.12 to 0.0
Change From Baseline in Barnes Global Clinical Assessment of Akathisia in Acute Phase
Week 2; n=91, 95
-0.02 Unit on scale
Interval -0.07 to 0.03
-0.05 Unit on scale
Interval -0.11 to 0.0
Change From Baseline in Barnes Global Clinical Assessment of Akathisia in Acute Phase
Week 3; n=95, 99
-0.03 Unit on scale
Interval -0.08 to 0.02
-0.06 Unit on scale
Interval -0.11 to -0.01
Change From Baseline in Barnes Global Clinical Assessment of Akathisia in Acute Phase
Week 4; n=97, 98
0.00 Unit on scale
95% Confidence Interval NA • Interval -0.07 to 0.07
-0.08 Unit on scale
Interval -0.15 to -0.02
Change From Baseline in Barnes Global Clinical Assessment of Akathisia in Acute Phase
Week 6; n=91, 92
-0.07 Unit on scale
Interval -0.14 to -0.01
-0.02 Unit on scale
Interval -0.09 to 0.04
Change From Baseline in Barnes Global Clinical Assessment of Akathisia in Acute Phase
Week 8; n=87, 87
-0.05 Unit on scale
Interval -0.11 to 0.01
-0.03 Unit on scale
Interval -0.09 to 0.03
Change From Baseline in Barnes Global Clinical Assessment of Akathisia in Acute Phase
Week 10; n=85, 87
-0.05 Unit on scale
Interval -0.11 to 0.0
-0.05 Unit on scale
Interval -0.11 to 0.01

SECONDARY outcome

Timeframe: Week 1 to week 10

Population: Of the 208 randomized participants, one (randomized to aripiprazole) was excluded from the Safety Sample as the participant withdrew consent prior to receiving study medication.

Extrapyramidal symptoms (EPS) are various movement disorders such as acute dystonic reactions, pseudoparkinsonism, or akathisia

Outcome measures

Outcome measures
Measure
Placebo
n=102 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=105 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Participants With Extrapyramidal Symptoms (EPS) Related Adverse Events in Acute Phase
Dyskinesia
2 Participants
0 Participants
Participants With Extrapyramidal Symptoms (EPS) Related Adverse Events in Acute Phase
Extrapyramidal syndrome
1 Participants
2 Participants
Participants With Extrapyramidal Symptoms (EPS) Related Adverse Events in Acute Phase
Hypertonia
1 Participants
1 Participants
Participants With Extrapyramidal Symptoms (EPS) Related Adverse Events in Acute Phase
Hypokinesia
0 Participants
1 Participants
Participants With Extrapyramidal Symptoms (EPS) Related Adverse Events in Acute Phase
Tremor
0 Participants
2 Participants

SECONDARY outcome

Timeframe: Week 1 to week 10

Population: Of the 208 randomized participants, one (randomized to aripiprazole) was excluded from the Safety Sample as the participant withdrew consent prior to receiving study medication.

AE is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition. SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a cancer, is a congenital anomaly/birth defect, results in the development of drug dependency or drug abuse, is an important medical event.

Outcome measures

Outcome measures
Measure
Placebo
n=102 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=105 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Participants Who Died, Experienced Serious Adverse Events (SAEs), Adverse Events (AEs) or Discontinuations Due to AEs in Acute Phase
Any adverse event (AE)
53 Participants
67 Participants
Participants Who Died, Experienced Serious Adverse Events (SAEs), Adverse Events (AEs) or Discontinuations Due to AEs in Acute Phase
Serious adverse event
9 Participants
16 Participants
Participants Who Died, Experienced Serious Adverse Events (SAEs), Adverse Events (AEs) or Discontinuations Due to AEs in Acute Phase
Deaths
0 Participants
4 Participants
Participants Who Died, Experienced Serious Adverse Events (SAEs), Adverse Events (AEs) or Discontinuations Due to AEs in Acute Phase
Discontinuations due to AE
7 Participants
11 Participants

SECONDARY outcome

Timeframe: Week 1 to Week 10

Population: Of the 208 randomized participants, one (randomized to aripiprazole) was excluded from the Safety Sample as the participant withdrew consent prior to receiving study medication. n=Participants with values for laboratory findings

Criteria for identifying potentially clinically significant laboratory values were based on guidelines suggested by the FDA Division of Neuropharmacological Drug Products. Normal ranges are local lab data and vary according to the site. M=male, F=female. Criteria for hematocrit also includes a 3 point shift from baseline.

Outcome measures

Outcome measures
Measure
Placebo
n=102 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=105 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Alanine aminotransferase ≥3 x ULN; n=98, 98
1 Participants
3 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Aspartate aminotransferase ≥3 x ULN; n=98, 98
1 Participants
1 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Alkaline phosphatase ≥3 x ULN; n=98, 98
1 Participants
0 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Creatine phosphokinase (total) ≥3 x ULN; n=98, 98
1 Participants
2 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Creatinine ≥ 2.0 mg/dL; n=98, 98
2 Participants
2 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Uric acid ≥8.5 mg/dL (F);≥10.5 mg/dL(M); n=98, 98
5 Participants
2 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Calcium ≥ 10.6 mg/dL; n=98, 98
1 Participants
2 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Calcium ≤ 8.4 mg/dL; n=98, 98
4 Participants
5 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Serum Chloride ≥ 113 mEq/L; n=98, 98
6 Participants
4 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Serum Chloride ≤ 93 mEq/L; n=98, 98
5 Participants
6 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Cholesterol Total > ULN; n=98, 98
47 Participants
36 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Cholesterol Total < LLN; n=98, 98
1 Participants
0 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Serum Glucose Fasting > ULN; n=36, 31
13 Participants
16 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Serum Potassium ≥ 5.6 mEq/L; n=98, 98
7 Participants
7 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Serum Potassium ≤ 3.4 mEq/L; n=98, 98
4 Participants
4 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Serum Sodium ≥ 148 mEq/L; n=98, 98
2 Participants
1 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Serum Sodium ≤ 132 mEq/L; n=98, 98
3 Participants
3 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Urea ≥ 10.1mmol/L; n=98, 97
19 Participants
14 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Platelet ≥ 700,000 mm3; n=97, 96
0 Participants
1 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Platelet ≤ 75,000 mm3; n=97, 96
1 Participants
0 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Eosinophils ≥ 10%; n=97, 96
1 Participants
1 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Hematocrit ≤ 37% (M)/≤ 32% (F); n=97, 96
7 Participants
6 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Hemoglobin ≤ 11.5 (M)/≤ 9.5 g/dL (F); n=97, 96
6 Participants
4 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Urine Glucose ≥ 2-unit increase; n=92, 93
2 Participants
0 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities in Acute Phase
Urine Protein ≥ 2-unit increase; n=92, 93
2 Participants
1 Participants

SECONDARY outcome

Timeframe: Week 1 to week 10

Population: Of the 208 randomized participants, one (randomized to aripiprazole) was excluded from the Safety Sample as the participant withdrew consent prior to receiving study medication. n=Participants with values for vital signs

Systolic BP: increase defined as ≥180 and a ≥20-mmHg increase from baseline (BL); decrease defined as ≤90 and a ≥20mmHg decrease from BL. Diastolic BP: increase defined as ≥105 and a ≥15mmHg decrease from BL, decrease defined as ≤50 and a ≥15mmHg decrease from BL. Heart rate: increase defined as ≥120 and ≥15bpm increase from BL, decrease defined as ≤50 and ≥15bpm decrease from BL; Weight: increase defined as ≥7% from BL, decrease defined as ≤7% decrease BL. Criteria for identifying PCS measurements are based on guidelines suggested by the FDA Division of Neuropharmacological Drug Products

Outcome measures

Outcome measures
Measure
Placebo
n=102 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=105 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Increased Systolic BP, standing; n=99, 100
5 Participants
5 Participants
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Decreased Systolic BP, standing; n=99, 100
1 Participants
1 Participants
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Increased Systolic BP, supine; n=101, 102
6 Participants
2 Participants
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Decreased Systolic BP, supine; n=101, 102
0 Participants
2 Participants
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Decreased Systolic BP, sitting; n=13, 20
0 Participants
1 Participants
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Increased Diastolic BP, standing; n=99, 100
2 Participants
2 Participants
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Decreased Diastolic BP, standing; n=99, 100
6 Participants
3 Participants
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Increased Diastolic BP, supine; n=101, 102
2 Participants
0 Participants
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Decreased Diastolic BP, supine; n=101, 102
4 Participants
3 Participants
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Decreased Diastolic BP, sitting; n=13, 20
2 Participants
0 Participants
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Increased Heart rate, standing; n=99, 100
1 Participants
0 Participants
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Decreased Heart rate, standing; n=99, 100
0 Participants
1 Participants
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Decreased Heart rate, supine; n=101, 102
1 Participants
3 Participants
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Increased Weight; n=89, 93
3 Participants
5 Participants
Participants With Potentially Clinically Significant (PCS) Vital Sign Abnormalities in Acute Phase
Decreased Weight; n=89,93
5 Participants
5 Participants

SECONDARY outcome

Timeframe: Week 1 to Week 10

Population: Of the 208 randomized participants, one (randomized to aripiprazole) was excluded from the Safety Sample as the participant withdrew consent prior to receiving study medication. n=Participants who were evaluated for electrocardiogram

Bradycardia:Heart rate ≤50 bpm and ≥15 bpm decrease from baseline; Supraventricular premature beat: ≥2 per 10 seconds and any increase from baseline; 1st degree A-V Block: PR ≥0.20 seconds and increase of ≥0.05 second from baseline; Intraventricular conduction block:QRS ≥0.12 second and increase of ≥0.02 second from baseline; QTcB= ≥450 msec and ≥10% increase from baseline; QTcN =≥450 msec and ≥10% increase from baseline. All other events were not present at baseline but observed during the study. Inc=increase

Outcome measures

Outcome measures
Measure
Placebo
n=102 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
n=105 Participants
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Bradycardia; n=99, 102
3 Participants
1 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Sinus Bradycardia; n=99, 102
2 Participants
1 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Supraventricular premature beat; n=99, 102
10 Participants
7 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Ventricular premature beat; n=99, 102
7 Participants
12 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Supraventricular tachycardia; n=99, 102
1 Participants
0 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Atrial fibrillation; n=99, 102
3 Participants
1 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Atrial flutter; n=99, 102
0 Participants
1 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
1st degree A-V Block; n=95, 97
2 Participants
0 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Left bundle branch block; n=99, 102
1 Participants
2 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Right bundle branch block; n=99, 102
2 Participants
1 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Other intraventricular conduction block; n=99, 102
0 Participants
2 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Subacute infarction; n=99, 102
1 Participants
0 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Old infarction; n=99, 102
2 Participants
2 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Myocardial ischemia; n=99, 102
3 Participants
4 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Symmetrical T-wave inversion; n=99, 102
2 Participants
1 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Inc QTcB (≥450 msec≥,10% from baseline); n=99, 102
5 Participants
5 Participants
Participants With Potentially Clinically Significant Electrocardiogram Abnormalities in Acute Phase
Inc QTcN (≥450 msec,≥10% from baseline); n=99, 102
1 Participants
2 Participants

SECONDARY outcome

Timeframe: Baseline (Day 0), Weeks 18,26,40,52,68,84,100,116,132,140

Population: Observed Cases data set, Efficacy Sample. n=participants with both post-baseline and baseline values Of the 161 participants (80 in placebo and 81 in aripiprazole group), 158 were included in the Extension Phase Efficacy Sample, (3 treated participants had no efficacy measurements).

The NPI is a questionnaire that quantifies behavioral changes in dementia. For each of 12 behavioral domains there are 4 scores: Frequency (scale:1=occasionally to 4=very frequently), Severity (scale:1=Mild to 3=Severe), Total (frequency x severity), Caregiver distress (scale: 0=not at all distressing to 5=extremely distressing).The NPI Psychosis Subscale consists of the two domains of Delusions and Hallucinations, calculated by adding the Individual Item Scores, to yield a possible total score of 0 to 24. Lower score=less severity. A negative change score from baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=158 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change in Neuropsychiatric Inventory (NPI) Psychosis Subscale Score From Baseline During Extension Phase
Baseline, Day 0 (n=154)
12.312 Units on a Scale
Standard Error 0.426
Change in Neuropsychiatric Inventory (NPI) Psychosis Subscale Score From Baseline During Extension Phase
Week 18 (n=151)
-8.589 Units on a Scale
Standard Error 0.548
Change in Neuropsychiatric Inventory (NPI) Psychosis Subscale Score From Baseline During Extension Phase
Week 26 (n=139)
-8.993 Units on a Scale
Standard Error 0.589
Change in Neuropsychiatric Inventory (NPI) Psychosis Subscale Score From Baseline During Extension Phase
Week 40 (n=115)
-8.270 Units on a Scale
Standard Error 0.677
Change in Neuropsychiatric Inventory (NPI) Psychosis Subscale Score From Baseline During Extension Phase
Week 52 (n=98)
-8.582 Units on a Scale
Standard Error 0.672
Change in Neuropsychiatric Inventory (NPI) Psychosis Subscale Score From Baseline During Extension Phase
Week 68 (n=69)
-9.232 Units on a Scale
Standard Error 0.824
Change in Neuropsychiatric Inventory (NPI) Psychosis Subscale Score From Baseline During Extension Phase
Week 84 (n=62)
-10.18 Units on a Scale
Standard Error 0.848
Change in Neuropsychiatric Inventory (NPI) Psychosis Subscale Score From Baseline During Extension Phase
Week 100 (n=52)
-10.06 Units on a Scale
Standard Error 1.031
Change in Neuropsychiatric Inventory (NPI) Psychosis Subscale Score From Baseline During Extension Phase
Week 116 (n=47)
-10.19 Units on a Scale
Standard Error 1.183
Change in Neuropsychiatric Inventory (NPI) Psychosis Subscale Score From Baseline During Extension Phase
Week 132 (n=31)
-11.68 Units on a Scale
Standard Error 1.554
Change in Neuropsychiatric Inventory (NPI) Psychosis Subscale Score From Baseline During Extension Phase
Week 140 (n=25)
-13.12 Units on a Scale
Standard Error 1.586

SECONDARY outcome

Timeframe: Weeks 12, 14, 18, 22, 26, 30, 34, 40, 46, 52, 68, 84, 100, 116, 132, 140

Population: Observed Cases data set, Efficacy Sample. n=participants with both post-baseline and baseline values. Of the 161 participants, 158 were included in the Extension Phase Efficacy Sample, (3 treated participants had no efficacy measurements).

The CGI rating scale, which measures symptom severity, treatment response and the efficacy of treatments, is used in clinical studies on mental disorders. CGI Improvement scale is a 7 point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse.

Outcome measures

Outcome measures
Measure
Placebo
n=158 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 12; n=158
2.873 Units on Scale
Standard Error 0.089
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 14; n=151
2.709 Units on Scale
Standard Error 0.084
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 18; n=152
2.625 Units on Scale
Standard Error 0.091
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 22; n=145
2.552 Units on Scale
Standard Error 0.087
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 26; n=140
2.707 Units on Scale
Standard Error 0.113
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 30; n=129
2.636 Units on Scale
Standard Error 0.113
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 34; n=121
2.554 Units on Scale
Standard Error 0.106
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 40; n=114
2.482 Units on Scale
Standard Error 0.121
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 46; n=103
2.592 Units on Scale
Standard Error 0.130
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 52; n=100
2.580 Units on Scale
Standard Error 0.138
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 68; n=70
2.514 Units on Scale
Standard Error 0.155
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 84; n=62
2.306 Units on Scale
Standard Error 0.150
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 100; n=53
2.660 Units on Scale
Standard Error 0.196
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 116; n=47
2.787 Units on Scale
Standard Error 0.233
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 132; n=36
3.028 Units on Scale
Standard Error 0.289
Clinical Global Impression (CGI) Improvement Score During Extension Phase
Week 140; n=26
2.385 Units on Scale
Standard Error 0.299

SECONDARY outcome

Timeframe: End of Acute Phase (Week 10), Weeks 14, 18, 22, 26, 30, 34, 40, 46, 52, 68, 84, 100, 116, 140

Population: Observed Cases data set, Efficacy Sample. n=participants with both post-baseline and baseline values. Of the 161 participants (80 in placebo and 81 in aripiprazole group), 158 were included in the Extension Phase Efficacy Sample, (3 treated participants had no efficacy measurements).

AIMS is a rating scale that was designed to measure involuntary movements (tardive dyskinesia). The AIMS test has a total of twelve items rating involuntary movements of various areas of the patient's body. These items are rated on a five-point scale of severity from 0-4. The scale is rated from 0 (none), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe). AIMS Total Score is from 0 to 28. A negative change score signifies improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=158 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
End of Acute Phase (Week 10); n=157
0.95 Units on Scale
Standard Error 0.20
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Week 14; n=151
0.25 Units on Scale
Standard Error 0.12
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Week 18; n=152
0.09 Units on Scale
Standard Error 0.11
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Week 22; n=145
0.02 Units on Scale
Standard Error 0.13
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Week 26; n=140
-0.12 Units on Scale
Standard Error 0.13
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Week 30; n=128
-0.01 Units on Scale
Standard Error 0.10
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Week 34; n=121
-0.10 Units on Scale
Standard Error 0.15
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Week 40; n=115
-0.01 Units on Scale
Standard Error 0.16
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Week 46; n=104
-0.02 Units on Scale
Standard Error 0.15
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Week 52; n=100
-0.02 Units on Scale
Standard Error 0.20
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Week 68; n=70
-0.29 Units on Scale
Standard Error 0.17
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Week 84; n=62
-0.24 Units on Scale
Standard Error 0.17
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Week 100; n=52
-0.21 Units on Scale
Standard Error 0.15
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Week 116; n=47
-0.21 Units on Scale
Standard Error 0.20
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Week 140; n=15
0.00 Units on Scale
Standard Error 0.20
Change in Abnormal Involuntary Movement Scale (AIMS) Total Score During Extension Phase
Endpoint (LOCF data set); n=157
-0.03 Units on Scale
Standard Error 0.15

SECONDARY outcome

Timeframe: End of Acute Phase (Week 10), Weeks 18,26, 40, 52

Population: Observed Cases data set, Efficacy Sample. n=participants with both post-baseline and baseline values. Of the 161 participants, 158 were included in the Extension Phase Efficacy Sample, (3 treated participants had no efficacy measurements).

The SAS is a 10-item instrument used to evaluate the presence and severity of parkinsonian symptomatology. It is the most commonly used rating scale for Parkinsonism in clinical trials over the past 25 years. The ten items focus on rigidity rather than bradykinesia, and do not assess subjective rigidity or slowness. Items are rated for severity on a 0-4 scale, with definitions given for each anchor point. The total SAS Score has a possible range from 10 to 50 (lower score=less severe). Negative change scores indicate improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=158 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change in Simpson-Angus Scale (SAS) Total Score During Extension Phase
End of Acute Phase (Week 10); n=153
14.34 Units on Scale
Standard Error 0.40
Change in Simpson-Angus Scale (SAS) Total Score During Extension Phase
Week 18; n=148
0.62 Units on Scale
Standard Error 0.23
Change in Simpson-Angus Scale (SAS) Total Score During Extension Phase
Week 26; n=132
1.24 Units on Scale
Standard Error 0.31
Change in Simpson-Angus Scale (SAS) Total Score During Extension Phase
Week 40; n=107
1.25 Units on Scale
Standard Error 0.39
Change in Simpson-Angus Scale (SAS) Total Score During Extension Phase
Week 52; n=95
1.14 Units on Scale
Standard Error 0.40
Change in Simpson-Angus Scale (SAS) Total Score During Extension Phase
Endpoint (LOCF data set); n=153
2.01 Units on Scale
Standard Error 0.37

SECONDARY outcome

Timeframe: End of Acute Phase (Week 10), Weeks 18,26, 40, 52

Population: Observed Cases data set, Efficacy Sample. n=participants with both post-baseline and baseline values. Of the 161 participants, 158 were included in the Extension Phase Efficacy Sample, (3 treated participants had no efficacy measurements).

The Barnes Akathisia Rating Scale is a 4-item scale to assess presence and severity of drug-induced akathisia, including both objective items and subjective items, together with a global clinical assessment of akathisia. Global assessment is made on a scale of 0 to 5 with comprehensive definitions provided for each anchor point on scale: 0=absent; 1=questionable; 2=mild akathisia; 3=moderate akathisia; 4=marked akathisia; 5=severe akathisia. Score has a possible range from 0 (absent) to 5 (severe akathisia). Negative change scores indicate improvement in akathisia.

Outcome measures

Outcome measures
Measure
Placebo
n=158 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Change in Barnes Global Clinical Assessment of Akathisia Score During Extension Phase
End of Acute Phase (Week 10); n=155
0.14 units on a scale
Standard Error 0.03
Change in Barnes Global Clinical Assessment of Akathisia Score During Extension Phase
Week 18; n=151
0.04 units on a scale
Standard Error 0.03
Change in Barnes Global Clinical Assessment of Akathisia Score During Extension Phase
Week 26; n=139
0.03 units on a scale
Standard Error 0.04
Change in Barnes Global Clinical Assessment of Akathisia Score During Extension Phase
Week 40; n=114
0.04 units on a scale
Standard Error 0.04
Change in Barnes Global Clinical Assessment of Akathisia Score During Extension Phase
Week 52; n=99
0.06 units on a scale
Standard Error 0.03
Change in Barnes Global Clinical Assessment of Akathisia Score During Extension Phase
Endpoint (LOCF data set); n=155
0.06 units on a scale
Standard Error 0.03

SECONDARY outcome

Timeframe: Week 11 to Week 140

Population: All the 161 participants (80 in placebo and 81 in aripiprazole group)were included in the Extension Phase Safety Sample.

Extrapyramidal symptoms (EPS) are various movement disorders such as acute dystonic reactions, pseudoparkinsonism, or akathisia

Outcome measures

Outcome measures
Measure
Placebo
n=161 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Participants With Extrapyramidal Symptoms (EPS) Related Adverse Events During Extension Phase
Dyskinesia
2 Participants
Participants With Extrapyramidal Symptoms (EPS) Related Adverse Events During Extension Phase
Muscle Rigidity
3 Participants
Participants With Extrapyramidal Symptoms (EPS) Related Adverse Events During Extension Phase
Extrapyramidal Disorder
14 Participants
Participants With Extrapyramidal Symptoms (EPS) Related Adverse Events During Extension Phase
Hypokinesia
8 Participants
Participants With Extrapyramidal Symptoms (EPS) Related Adverse Events During Extension Phase
Tremor
8 Participants
Participants With Extrapyramidal Symptoms (EPS) Related Adverse Events During Extension Phase
Akinesia
1 Participants
Participants With Extrapyramidal Symptoms (EPS) Related Adverse Events During Extension Phase
Bradykinesia
1 Participants
Participants With Extrapyramidal Symptoms (EPS) Related Adverse Events During Extension Phase
Parkinsonian Gait
1 Participants
Participants With Extrapyramidal Symptoms (EPS) Related Adverse Events During Extension Phase
Muscle Twitching
1 Participants

SECONDARY outcome

Timeframe: Week 11 to Week 140

Population: All the 161 participants (80 in placebo and 81 in aripiprazole group)were included in the Extension Phase Safety Sample.

AE is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition. SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a cancer, is a congenital anomaly/birth defect, results in the development of drug dependency or drug abuse, is an important medical event.

Outcome measures

Outcome measures
Measure
Placebo
n=161 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Participants Who Died, Experienced Serious Adverse Events (SAEs), Adverse Events (AEs) or Discontinuations Due to AE During Extension Phase
Death
41 Participants
Participants Who Died, Experienced Serious Adverse Events (SAEs), Adverse Events (AEs) or Discontinuations Due to AE During Extension Phase
SAE
59 Participants
Participants Who Died, Experienced Serious Adverse Events (SAEs), Adverse Events (AEs) or Discontinuations Due to AE During Extension Phase
AE
148 Participants
Participants Who Died, Experienced Serious Adverse Events (SAEs), Adverse Events (AEs) or Discontinuations Due to AE During Extension Phase
Discontinuation due to AE
66 Participants

SECONDARY outcome

Timeframe: Week 11 to Week 140

Population: All the 161 participants (80 in placebo and 81 in aripiprazole group) were included in the Extension Phase Safety Sample.

Systolic BP: increase defined as ≥180 and a ≥20-mmHg increase from baseline (BL); decrease defined as ≤90 and a ≤20mmHg decrease from BL. Diastolic BP: increase defined as ≥105 and a ≥15mmHg decrease from BL, decrease defined as ≤50 and a ≤15mmHg decrease from BL. Heart rate: increase defined as ≥120 and ≥15bpm increase from bBL, decrease defined as ≤50 and ≤15bpm decrease from BL; Weight: increase defined as ≥7% from baseline, decrease defined as ≤7% decrease BL. Criteria for identifying PCS measurements based on guidelines suggested by the FDA Division of Neuropharmacological Drug Products

Outcome measures

Outcome measures
Measure
Placebo
n=161 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Increased Systolic BP, standing; n=159
6 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Decreased Systolic BP, standing; n=159
9 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Increased Systolic BP, supine; n=158
6 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Decreased Systolic BP, supine; n=158
7 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Decreased Systolic BP, sitting; n=45
1 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Increased Diastolic BP, standing; n=159
4 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Decreased Diastolic BP, standing; n=159
19 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Increased Diastolic BP, supine; n=158
1 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Decreased Diastolic BP, sitting; n=45
1 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Increased Heart rate, standing; n=159
2 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Decreased Heart rate, standing; n=159
3 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Increased Heart rate, supine; n=158
1 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Decreased Heart rate, supine; n=158
5 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Increased Weight; n=133
28 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Decreased Weight; n=133
58 Participants
Participants With a Potentially Clinically Significant Vital Sign Abnormality During Extension Phase
Decreased Diastolic BP, supine; n=158
25 Participants

SECONDARY outcome

Timeframe: Week 11 to Week 140

Population: All the 161 participants (80 in placebo and 81 in aripiprazole group) were included in the Extension Phase Safety Sample.

Bradycardia:Heart rate ≤50 bpm and ≥15 bpm decrease from baseline; Supraventricular premature beat: ≥2 per 10 seconds and any increase from baseline; 1st degree A-V Block: PR ≥0.20 seconds and increase of ≥0.05 second from baseline; Intraventricular conduction block:QRS ≥0.12 second and increase of ≥0.02 second from baseline; QTcB= ≥450 msec and ≥10% increase from baseline; QTcN =≥450 msec and ≥10% increase from baseline. All other events were not present at baseline but observed during the study

Outcome measures

Outcome measures
Measure
Placebo
n=161 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Participants With a Potentially Clinically Significant Electrocardiogram Abnormalities During Extension Phase
Atrial Fibrillation; n=145
5 Participants
Participants With a Potentially Clinically Significant Electrocardiogram Abnormalities During Extension Phase
Atrial Flutter; n=145
1 Participants
Participants With a Potentially Clinically Significant Electrocardiogram Abnormalities During Extension Phase
Bradycardia; n=145
4 Participants
Participants With a Potentially Clinically Significant Electrocardiogram Abnormalities During Extension Phase
Left Bundle Branch Block; n=145
5 Participants
Participants With a Potentially Clinically Significant Electrocardiogram Abnormalities During Extension Phase
Myocardial Ischemia; n=145
10 Participants
Participants With a Potentially Clinically Significant Electrocardiogram Abnormalities During Extension Phase
Old Infarction; n=145
2 Participants
Participants With a Potentially Clinically Significant Electrocardiogram Abnormalities During Extension Phase
Right Bundle Branch Block; n=145
3 Participants
Participants With a Potentially Clinically Significant Electrocardiogram Abnormalities During Extension Phase
Sinus Bradycardia; n=145
2 Participants
Participants With a Potentially Clinically Significant Electrocardiogram Abnormalities During Extension Phase
Sinus Tachycardia; n=145
2 Participants
Participants With a Potentially Clinically Significant Electrocardiogram Abnormalities During Extension Phase
Supraventricular Premature Beat; n=145
12 Participants
Participants With a Potentially Clinically Significant Electrocardiogram Abnormalities During Extension Phase
Supraventricular Tachycardia; n=145
2 Participants
Participants With a Potentially Clinically Significant Electrocardiogram Abnormalities During Extension Phase
Symmetrical T-wave Inversions; n=145
8 Participants
Participants With a Potentially Clinically Significant Electrocardiogram Abnormalities During Extension Phase
Tachycardia; n=145
4 Participants
Participants With a Potentially Clinically Significant Electrocardiogram Abnormalities During Extension Phase
Ventricular premature Beat; n=145
13 Participants

SECONDARY outcome

Timeframe: Week 11 to Week 140

Population: All the 161 participants (80 in placebo and 81 in aripiprazole group) were included in the Extension Phase Safety Sample.

Criteria for identifying potentially clinically significant laboratory values were based on guidelines suggested by the FDA Division of Neuropharmacological Drug Products.

Outcome measures

Outcome measures
Measure
Placebo
n=161 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Alanine aminotransferase; ≥ 41 U/L
0 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Aspartate aminotransferase; ≥ 38 U/L
1 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Alkaline phosphatase; ≥ 117 U/L
2 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Lactate dehydrogenase; >480 U/L
1 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Urea; >8.4 mmol/L
56 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Creatinine; ≥ 2.0 mg/dL
8 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Uric acid; >5.7 mg/dL
9 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Total Billirubin; > 1 mg/dL
0 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Creatinine Kinase; ≥ 170 U/L
2 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Serum Glucose Fasting; >118 mg/dL
36 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Serum Glucose Non-fasting; >118 mg/dL
17 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Cholesterol Total; > 220mg/dL
131 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Serum Calcium; >10.2 mg/dL
5 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
Low Serum Calcium; <8.6 mg/dL
26 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Serum Chloride; >108 mEq/L
24 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
Low Serum Chloride; <96 mEq/L
36 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Serum Potassium; >5.1 mEq/L
36 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
Low Serum Potassium; <3.3mEq/L
11 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Serum Sodium; > 145 mEq/L
13 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
Low Serum Sodium; < 133 mEq/L
12 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
Low Hematocrit; <37%
21 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
Low Hemoglobin; < 12 g/dL
19 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Leukocyte count; > 10.8 x 10^3 c/uL
7 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
Low Leukocyte count: < 4.8 x 10^3 c/uL
4 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Eosinophil count; > 5%
3 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Platelet count; >450 x 10^9 c/L
0 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
Low Platelet count; < 150 x 10^9 c/L
1 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Urine Protein; ≥ 2-unit increase
2 Participants
Participants With Potentially Clinically Significant Laboratory Abnormalities During Extension Phase
High Urine Glucose; ≥ 2-unit increase
3 Participants

SECONDARY outcome

Timeframe: Week 140 to Week 328

Population: Participants in France who completed the 130-week open-label extension phase and continued beyond Week 140 were included in safety sample.

AE is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition. SAE is any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a cancer, is a congenital anomaly/birth defect, results in the development of drug dependency or drug abuse, is an important medical event.

Outcome measures

Outcome measures
Measure
Placebo
n=9 Participants
Acute Phase: 0 mg, Once daily (10 Weeks
Aripiprazole
Acute Phase: 2 mg/day (Week 1-2), 2-5 mg/day (Week 3-4), 2-10 mg/day (Week 5-6), 2-15 mg/day (Weeks 7-10).
Participants Who Died, Experienced Serious Adverse Events (SAEs), Adverse Events (AEs) or Discontinuations Due to AE During Treatment Beyond 140 Weeks
Any AE
7 Participants
Participants Who Died, Experienced Serious Adverse Events (SAEs), Adverse Events (AEs) or Discontinuations Due to AE During Treatment Beyond 140 Weeks
SAE
1 Participants
Participants Who Died, Experienced Serious Adverse Events (SAEs), Adverse Events (AEs) or Discontinuations Due to AE During Treatment Beyond 140 Weeks
Death
1 Participants
Participants Who Died, Experienced Serious Adverse Events (SAEs), Adverse Events (AEs) or Discontinuations Due to AE During Treatment Beyond 140 Weeks
Discontinuation due to AE
3 Participants

Adverse Events

1 Double Blind Aripiprazole

Serious events: 16 serious events
Other events: 31 other events
Deaths: 0 deaths

2 Double Blind Placebo

Serious events: 8 serious events
Other events: 27 other events
Deaths: 0 deaths

3 Ext - Aripiprazole

Serious events: 84 serious events
Other events: 101 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
1 Double Blind Aripiprazole
n=105 participants at risk
2 Double Blind Placebo
n=102 participants at risk
3 Ext - Aripiprazole
n=161 participants at risk
Respiratory, thoracic and mediastinal disorders
ACQUIRED DIAPHRAGMATIC EVENTRATION
0.00%
0/105
0.00%
0/102
0.62%
1/161
Respiratory, thoracic and mediastinal disorders
ACUTE RESPIRATORY DISTRESS SYNDROME
0.00%
0/105
0.00%
0/102
0.62%
1/161
Cardiac disorders
CARDIOVASCULAR INSUFFICIENCY
0.00%
0/105
0.00%
0/102
0.62%
1/161
General disorders
DEATH
1.9%
2/105
0.00%
0/102
2.5%
4/161
Nervous system disorders
DIABETIC COMA
0.00%
0/105
0.00%
0/102
0.62%
1/161
Skin and subcutaneous tissue disorders
ECZEMA VESICULAR
0.00%
0/105
0.00%
0/102
0.62%
1/161
Infections and infestations
ESCHERICHIA SEPSIS
0.00%
0/105
0.00%
0/102
0.62%
1/161
Injury, poisoning and procedural complications
FEMUR FRACTURE
0.00%
0/105
0.00%
0/102
2.5%
4/161
Respiratory, thoracic and mediastinal disorders
HAEMOPTYSIS
0.00%
0/105
0.00%
0/102
0.62%
1/161
Respiratory, thoracic and mediastinal disorders
LUNG DISORDER
0.00%
0/105
0.00%
0/102
3.1%
5/161
Musculoskeletal and connective tissue disorders
MUSCLE RIGIDITY
0.00%
0/105
0.00%
0/102
0.62%
1/161
Musculoskeletal and connective tissue disorders
MUSCULOSKELETAL STIFFNESS
0.00%
0/105
0.00%
0/102
0.62%
1/161
Musculoskeletal and connective tissue disorders
OSTEOARTHRITIS
0.00%
0/105
0.00%
0/102
0.62%
1/161
Gastrointestinal disorders
SALIVARY HYPERSECRETION
0.95%
1/105
0.00%
0/102
0.00%
0/161
Infections and infestations
SEPSIS
0.00%
0/105
0.00%
0/102
1.9%
3/161
Renal and urinary disorders
URINARY RETENTION
0.00%
0/105
0.00%
0/102
0.62%
1/161
Infections and infestations
URINARY TRACT INFECTION
0.00%
0/105
0.00%
0/102
1.2%
2/161
Respiratory, thoracic and mediastinal disorders
BRONCHOPNEUMOPATHY
0.00%
0/105
0.00%
0/102
0.62%
1/161
Vascular disorders
CIRCULATORY COLLAPSE
0.00%
0/105
0.00%
0/102
0.62%
1/161
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
0.00%
0/105
0.00%
0/102
1.9%
3/161
Injury, poisoning and procedural complications
FALL
0.95%
1/105
0.98%
1/102
0.62%
1/161
Blood and lymphatic system disorders
LEUKOPENIA
0.00%
0/105
0.00%
0/102
0.62%
1/161
Vascular disorders
PERIPHERAL ISCHAEMIA
0.00%
0/105
0.00%
0/102
0.62%
1/161
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PROSTATE CANCER
0.00%
0/105
0.00%
0/102
0.62%
1/161
Infections and infestations
PYELONEPHRITIS
0.00%
0/105
0.00%
0/102
1.2%
2/161
Nervous system disorders
DEMENTIA ALZHEIMER'S TYPE
0.00%
0/105
0.00%
0/102
0.62%
1/161
Nervous system disorders
EPILEPSY
0.00%
0/105
0.98%
1/102
0.00%
0/161
Infections and infestations
ERYSIPELAS
0.00%
0/105
0.00%
0/102
0.62%
1/161
Gastrointestinal disorders
FAECALOMA
0.00%
0/105
0.00%
0/102
0.62%
1/161
Hepatobiliary disorders
HEPATITIS ACUTE
0.00%
0/105
0.00%
0/102
0.62%
1/161
Infections and infestations
INFECTION
0.00%
0/105
0.00%
0/102
0.62%
1/161
Gastrointestinal disorders
INTESTINAL OBSTRUCTION
0.00%
0/105
0.00%
0/102
0.62%
1/161
Injury, poisoning and procedural complications
JAW FRACTURE
0.00%
0/105
0.00%
0/102
0.62%
1/161
Surgical and medical procedures
PSYCHOSOCIAL SUPPORT
1.9%
2/105
0.00%
0/102
0.62%
1/161
Respiratory, thoracic and mediastinal disorders
PULMONARY EMBOLISM
0.00%
0/105
0.00%
0/102
0.62%
1/161
Respiratory, thoracic and mediastinal disorders
ACUTE PULMONARY OEDEMA
0.00%
0/105
0.00%
0/102
1.2%
2/161
General disorders
ASTHENIA
0.00%
0/105
0.00%
0/102
1.2%
2/161
Cardiac disorders
CARDIAC ARREST
0.00%
0/105
0.00%
0/102
6.2%
10/161
Cardiac disorders
CARDIAC FAILURE ACUTE
0.00%
0/105
0.00%
0/102
0.62%
1/161
Cardiac disorders
CARDIOPULMONARY FAILURE
0.00%
0/105
0.00%
0/102
0.62%
1/161
Metabolism and nutrition disorders
DEHYDRATION
0.95%
1/105
0.00%
0/102
1.9%
3/161
Injury, poisoning and procedural complications
HUMERUS FRACTURE
0.95%
1/105
0.00%
0/102
0.00%
0/161
Nervous system disorders
ISCHAEMIC STROKE
0.00%
0/105
0.00%
0/102
0.62%
1/161
General disorders
MALAISE
0.00%
0/105
0.00%
0/102
0.62%
1/161
Infections and infestations
PNEUMONIA
0.00%
0/105
0.00%
0/102
1.9%
3/161
General disorders
PYREXIA
0.00%
0/105
0.00%
0/102
0.62%
1/161
Renal and urinary disorders
RENAL FAILURE
0.00%
0/105
0.00%
0/102
0.62%
1/161
Cardiac disorders
ATRIAL FLUTTER
0.00%
0/105
0.00%
0/102
0.62%
1/161
Psychiatric disorders
CONFUSIONAL STATE
0.95%
1/105
0.00%
0/102
0.62%
1/161
Gastrointestinal disorders
DIARRHOEA
0.00%
0/105
0.00%
0/102
0.62%
1/161
Vascular disorders
EMBOLISM
0.00%
0/105
0.00%
0/102
0.62%
1/161
Gastrointestinal disorders
HAEMATEMESIS
0.00%
0/105
0.00%
0/102
0.62%
1/161
Nervous system disorders
LETHARGY
0.00%
0/105
0.00%
0/102
0.62%
1/161
Cardiac disorders
MYOCARDIAL INFARCTION
0.00%
0/105
0.00%
0/102
2.5%
4/161
Respiratory, thoracic and mediastinal disorders
PNEUMONIA ASPIRATION
0.00%
0/105
0.00%
0/102
0.62%
1/161
Respiratory, thoracic and mediastinal disorders
PULMONARY OEDEMA
0.00%
0/105
0.00%
0/102
1.2%
2/161
Infections and infestations
SEPTIC SHOCK
0.95%
1/105
0.00%
0/102
0.00%
0/161
Nervous system disorders
VASCULAR DEMENTIA
0.00%
0/105
0.00%
0/102
0.62%
1/161
Investigations
BLOOD GLUCOSE INCREASED
0.00%
0/105
0.00%
0/102
0.62%
1/161
Infections and infestations
BRONCHOPNEUMONIA
0.00%
0/105
0.00%
0/102
0.62%
1/161
Cardiac disorders
CARDIAC FAILURE
0.95%
1/105
0.00%
0/102
1.2%
2/161
Cardiac disorders
CARDIO-RESPIRATORY ARREST
0.00%
0/105
0.00%
0/102
1.2%
2/161
Nervous system disorders
CEREBROVASCULAR ACCIDENT
0.00%
0/105
0.00%
0/102
1.9%
3/161
Hepatobiliary disorders
CHOLECYSTITIS
0.95%
1/105
0.00%
0/102
0.62%
1/161
Psychiatric disorders
DELIRIUM
0.00%
0/105
0.00%
0/102
0.62%
1/161
Metabolism and nutrition disorders
DIABETES MELLITUS
0.00%
0/105
0.00%
0/102
0.62%
1/161
Injury, poisoning and procedural complications
FEMORAL NECK FRACTURE
1.9%
2/105
0.00%
0/102
3.7%
6/161
Injury, poisoning and procedural complications
HAND FRACTURE
0.00%
0/105
0.00%
0/102
0.62%
1/161
Psychiatric disorders
PSYCHOTIC DISORDER
0.00%
0/105
0.98%
1/102
0.00%
0/161
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
SALIVARY GLAND NEOPLASM
0.00%
0/105
0.98%
1/102
0.00%
0/161
Nervous system disorders
SCIATICA
0.00%
0/105
0.00%
0/102
0.62%
1/161
Social circumstances
SOCIAL PROBLEM
0.00%
0/105
0.00%
0/102
0.62%
1/161
General disorders
SUDDEN CARDIAC DEATH
0.00%
0/105
0.00%
0/102
0.62%
1/161
Nervous system disorders
SYNCOPE
0.00%
0/105
0.00%
0/102
1.2%
2/161
Psychiatric disorders
AGGRESSION
1.9%
2/105
0.00%
0/102
0.00%
0/161
Eye disorders
CATARACT
0.95%
1/105
0.98%
1/102
0.00%
0/161
Metabolism and nutrition disorders
MALNUTRITION
0.00%
0/105
0.00%
0/102
0.62%
1/161
Respiratory, thoracic and mediastinal disorders
RESPIRATORY ARREST
0.00%
0/105
0.00%
0/102
0.62%
1/161
Vascular disorders
VARICOSE VEIN
0.95%
1/105
0.00%
0/102
0.00%
0/161
Gastrointestinal disorders
VOMITING
0.00%
0/105
0.00%
0/102
0.62%
1/161
Gastrointestinal disorders
ABDOMINAL PAIN
0.00%
0/105
0.00%
0/102
0.62%
1/161
Blood and lymphatic system disorders
ANAEMIA
0.00%
0/105
0.00%
0/102
1.2%
2/161
Cardiac disorders
BRADYCARDIA
0.95%
1/105
0.98%
1/102
0.00%
0/161
Infections and infestations
BRONCHITIS
0.95%
1/105
0.00%
0/102
1.9%
3/161
General disorders
CHEST PAIN
0.00%
0/105
0.98%
1/102
0.00%
0/161
General disorders
CHILLS
0.00%
0/105
0.00%
0/102
0.62%
1/161
Nervous system disorders
DEMENTIA
0.00%
0/105
0.00%
0/102
0.62%
1/161
Injury, poisoning and procedural complications
HIP FRACTURE
0.95%
1/105
0.00%
0/102
0.62%
1/161
Nervous system disorders
LOSS OF CONSCIOUSNESS
0.00%
0/105
0.00%
0/102
0.62%
1/161
Infections and infestations
LUNG INFECTION
0.95%
1/105
0.00%
0/102
1.9%
3/161
Respiratory, thoracic and mediastinal disorders
MENDELSON'S SYNDROME
0.00%
0/105
0.00%
0/102
1.2%
2/161
Cardiac disorders
MYOCARDIAL ISCHAEMIA
0.00%
0/105
0.00%
0/102
0.62%
1/161
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PANCREATIC CARCINOMA METASTATIC
0.00%
0/105
0.00%
0/102
0.62%
1/161
Injury, poisoning and procedural complications
PELVIC FRACTURE
0.95%
1/105
0.00%
0/102
0.00%
0/161
Respiratory, thoracic and mediastinal disorders
RESPIRATORY DISTRESS
0.00%
0/105
0.00%
0/102
0.62%
1/161
General disorders
SUDDEN DEATH
0.00%
0/105
0.00%
0/102
1.2%
2/161
Vascular disorders
THROMBOSIS
0.00%
0/105
0.00%
0/102
0.62%
1/161
Nervous system disorders
TRANSIENT ISCHAEMIC ATTACK
0.00%
0/105
0.98%
1/102
0.00%
0/161

Other adverse events

Other adverse events
Measure
1 Double Blind Aripiprazole
n=105 participants at risk
2 Double Blind Placebo
n=102 participants at risk
3 Ext - Aripiprazole
n=161 participants at risk
Gastrointestinal disorders
CONSTIPATION
1.9%
2/105
0.00%
0/102
6.2%
10/161
Musculoskeletal and connective tissue disorders
OSTEOARTHRITIS
2.9%
3/105
0.00%
0/102
6.2%
10/161
Nervous system disorders
SOMNOLENCE
7.6%
8/105
2.0%
2/102
18.6%
30/161
Infections and infestations
URINARY TRACT INFECTION
7.6%
8/105
13.7%
14/102
16.8%
27/161
Injury, poisoning and procedural complications
FALL
2.9%
3/105
3.9%
4/102
11.2%
18/161
Psychiatric disorders
INSOMNIA
1.9%
2/105
3.9%
4/102
8.7%
14/161
Psychiatric disorders
ANXIETY
0.95%
1/105
2.0%
2/102
6.2%
10/161
General disorders
OEDEMA PERIPHERAL
0.95%
1/105
0.00%
0/102
6.8%
11/161
Psychiatric disorders
APATHY
0.00%
0/105
0.00%
0/102
8.1%
13/161
Gastrointestinal disorders
DIARRHOEA
2.9%
3/105
0.98%
1/102
9.9%
16/161
Nervous system disorders
EXTRAPYRAMIDAL DISORDER
1.9%
2/105
0.98%
1/102
8.7%
14/161
Gastrointestinal disorders
VOMITING
0.95%
1/105
2.0%
2/102
6.2%
10/161
Infections and infestations
BRONCHITIS
3.8%
4/105
2.9%
3/102
16.8%
27/161

Additional Information

BMS Study Director

Bristol-Myers Squibb

Results disclosure agreements

  • Principal investigator is a sponsor employee Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication
  • Publication restrictions are in place

Restriction type: OTHER