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.
COMPLETED
PHASE3
232 participants
Baseline (Day 0), Week 10
2013-12-02
Participant Flow
232 participants were enrolled, 24 were not randomized (baseline failures).
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
| 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
| 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 10Population: 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
| 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 8Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 10Population: 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
| 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 18,26,40,52,68,84,100,116,132,140Population: 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
| 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, 140Population: 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
| 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, 140Population: 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
| 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, 52Population: 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
| 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, 52Population: 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
| 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 140Population: 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
| 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 140Population: 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
| 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 140Population: 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
| 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 140Population: 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
| 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 140Population: 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
| 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 328Population: 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
| 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
2 Double Blind Placebo
3 Ext - Aripiprazole
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
| 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
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