Trial Outcomes & Findings for A Study to Evaluate the Efficacy and Safety of ALKS 9072 (Also Known as Aripiprazole Lauroxil, ALKS 9070, or ARISTADA) in Subjects With Schizophrenia (NCT NCT01469039)

NCT ID: NCT01469039

Last Updated: 2019-01-30

Results Overview

The PANSS scale contains 30 questions, each containing an answer range of 1-7. A total PANSS score can range from between 30 to 210; a higher score indicates a worse disease condition.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

623 participants

Primary outcome timeframe

Data collected from baseline to day 85

Results posted on

2019-01-30

Participant Flow

Included subjects with schizophrenia experiencing an acute exacerbation episode.

Subjects were admitted to an inpatient study unit. Currently prescribed antipsychotics were discontinued prior to administration of study drug. One randomized subject was discontinued for a protocol violation prior to receiving investigational treatment.

Participant milestones

Participant milestones
Measure
Aripiprazole Lauroxil 441 mg
Intramuscular injection, given monthly
Aripiprazole Lauroxil 882 mg
Intramuscular injection, given monthly
Placebo
Intramuscular injection, given monthly
Overall Study
STARTED
207
208
208
Overall Study
COMPLETED
130
135
95
Overall Study
NOT COMPLETED
77
73
113

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Evaluate the Efficacy and Safety of ALKS 9072 (Also Known as Aripiprazole Lauroxil, ALKS 9070, or ARISTADA) in Subjects With Schizophrenia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Aripiprazole Lauroxil 441 mg
n=207 Participants
Intramuscular injection, given monthly
Aripiprazole Lauroxil 882 mg
n=208 Participants
Intramuscular injection, given monthly
Placebo
n=208 Participants
Intramuscular injection, given monthly
Total
n=623 Participants
Total of all reporting groups
Age, Categorical
<=18 years
2 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
205 Participants
n=5 Participants
207 Participants
n=7 Participants
206 Participants
n=5 Participants
618 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Age, Continuous
39.9 Years
STANDARD_DEVIATION 10.13 • n=5 Participants
39.7 Years
STANDARD_DEVIATION 11.06 • n=7 Participants
39.5 Years
STANDARD_DEVIATION 11.85 • n=5 Participants
39.7 Years
STANDARD_DEVIATION 11.02 • n=4 Participants
Sex: Female, Male
Female
66 Participants
n=5 Participants
65 Participants
n=7 Participants
69 Participants
n=5 Participants
200 Participants
n=4 Participants
Sex: Female, Male
Male
141 Participants
n=5 Participants
143 Participants
n=7 Participants
139 Participants
n=5 Participants
423 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Asian
24 Participants
n=5 Participants
28 Participants
n=7 Participants
29 Participants
n=5 Participants
81 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
83 Participants
n=5 Participants
81 Participants
n=7 Participants
84 Participants
n=5 Participants
248 Participants
n=4 Participants
Race (NIH/OMB)
White
99 Participants
n=5 Participants
98 Participants
n=7 Participants
94 Participants
n=5 Participants
291 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
103 participants
n=5 Participants
102 participants
n=7 Participants
102 participants
n=5 Participants
307 participants
n=4 Participants
Region of Enrollment
Philippines
16 participants
n=5 Participants
21 participants
n=7 Participants
16 participants
n=5 Participants
53 participants
n=4 Participants
Region of Enrollment
Malaysia
7 participants
n=5 Participants
7 participants
n=7 Participants
10 participants
n=5 Participants
24 participants
n=4 Participants
Region of Enrollment
Ukraine
29 participants
n=5 Participants
29 participants
n=7 Participants
32 participants
n=5 Participants
90 participants
n=4 Participants
Region of Enrollment
Romania
5 participants
n=5 Participants
6 participants
n=7 Participants
6 participants
n=5 Participants
17 participants
n=4 Participants
Region of Enrollment
Bulgaria
23 participants
n=5 Participants
19 participants
n=7 Participants
17 participants
n=5 Participants
59 participants
n=4 Participants
Region of Enrollment
Russian Federation
24 participants
n=5 Participants
24 participants
n=7 Participants
25 participants
n=5 Participants
73 participants
n=4 Participants

PRIMARY outcome

Timeframe: Data collected from baseline to day 85

Population: Full Analysis Set (FAS) defined as all randomized subjects who received at least 1 dose of IM study drug and had at least 1 primary efficacy assessment after administration of IM study drug.

The PANSS scale contains 30 questions, each containing an answer range of 1-7. A total PANSS score can range from between 30 to 210; a higher score indicates a worse disease condition.

Outcome measures

Outcome measures
Measure
Aripiprazole Lauroxil 441 mg
n=196 Participants
Intramuscular injection, given monthly
Aripiprazole Lauroxil 882 mg
n=204 Participants
Intramuscular injection, given monthly
Placebo
n=196 Participants
Intramuscular injection, given monthly
The Change From Baseline at Day 85 in Positive and Negative Syndrome Scale (PANSS) Total Score
-20.9 units on a scale
Standard Error 1.39
-21.8 units on a scale
Standard Error 1.35
-9.8 units on a scale
Standard Error 1.39

SECONDARY outcome

Timeframe: 85 Days

Population: FAS, defined as all randomized subjects who received at least 1 IM dose of study drug and had at least 1 primary efficacy assessment after administration of IM study drug.

The CGI-I 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 study. Results indicate participants evaluated at one of the following categories: "1: very much improved"; "2: much improved"; "3: minimally improved"; "4: no change"; "5: minimally worse"; "6: much worse"; or "7: very much worse".

Outcome measures

Outcome measures
Measure
Aripiprazole Lauroxil 441 mg
n=196 Participants
Intramuscular injection, given monthly
Aripiprazole Lauroxil 882 mg
n=204 Participants
Intramuscular injection, given monthly
Placebo
n=196 Participants
Intramuscular injection, given monthly
Clinical Global Impression - Improvement (CGI-I) Scores at Day 85
CGI Score: Very much worse
1 participants in category
1 participants in category
3 participants in category
Clinical Global Impression - Improvement (CGI-I) Scores at Day 85
CGI Score: Very much improved
27 participants in category
25 participants in category
15 participants in category
Clinical Global Impression - Improvement (CGI-I) Scores at Day 85
CGI Score: Much improved
68 participants in category
81 participants in category
33 participants in category
Clinical Global Impression - Improvement (CGI-I) Scores at Day 85
GCI Score: Minimally improved
45 participants in category
52 participants in category
43 participants in category
Clinical Global Impression - Improvement (CGI-I) Scores at Day 85
CGI Score: No change
32 participants in category
24 participants in category
42 participants in category
Clinical Global Impression - Improvement (CGI-I) Scores at Day 85
CGI Score: Minimally worse
11 participants in category
16 participants in category
37 participants in category
Clinical Global Impression - Improvement (CGI-I) Scores at Day 85
CGI Score: Much worse
12 participants in category
5 participants in category
23 participants in category

Adverse Events

Aripiprazole Lauroxil 441 mg

Serious events: 3 serious events
Other events: 66 other events
Deaths: 0 deaths

Aripiprazole Lauroxil 882 mg

Serious events: 4 serious events
Other events: 68 other events
Deaths: 0 deaths

Placebo

Serious events: 4 serious events
Other events: 76 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Aripiprazole Lauroxil 441 mg
n=207 participants at risk
Intramuscular injection, given monthly
Aripiprazole Lauroxil 882 mg
n=208 participants at risk
Intramuscular injection, given monthly
Placebo
n=207 participants at risk
Intramuscular injection, given monthly
Cardiac disorders
Angina unstable
0.48%
1/207 • Number of events 1 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.00%
0/208 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Gastrointestinal disorders
Peritoneal adhesions
0.48%
1/207 • Number of events 1 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.00%
0/208 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Infections and infestations
Appendicitis
0.48%
1/207 • Number of events 1 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.00%
0/208 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Infections and infestations
Pneumonia
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.00%
0/208 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.48%
1/207 • Number of events 1 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.48%
1/208 • Number of events 1 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Nervous system disorders
Akathisia
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.48%
1/208 • Number of events 1 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Psychiatric disorders
Drug Abuse
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.48%
1/208 • Number of events 1 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Psychiatric disorders
Psychotic disorder
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.00%
0/208 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.48%
1/207 • Number of events 1 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Psychiatric disorders
Suicide attempt
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.00%
0/208 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.48%
1/207 • Number of events 1 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Reproductive system and breast disorders
Cervical dysplasia
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.48%
1/208 • Number of events 1 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Social circumstances
Victim of homicide
0.00%
0/207 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.00%
0/208 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
0.48%
1/207 • Number of events 1 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.

Other adverse events

Other adverse events
Measure
Aripiprazole Lauroxil 441 mg
n=207 participants at risk
Intramuscular injection, given monthly
Aripiprazole Lauroxil 882 mg
n=208 participants at risk
Intramuscular injection, given monthly
Placebo
n=207 participants at risk
Intramuscular injection, given monthly
Nervous system disorders
Akathisia
11.6%
24/207 • Number of events 26 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
11.1%
23/208 • Number of events 30 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
4.3%
9/207 • Number of events 9 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Nervous system disorders
Headache
8.2%
17/207 • Number of events 20 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
8.7%
18/208 • Number of events 22 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
8.2%
17/207 • Number of events 20 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Psychiatric disorders
Agitation
1.4%
3/207 • Number of events 4 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
1.4%
3/208 • Number of events 3 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
5.3%
11/207 • Number of events 11 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Psychiatric disorders
Anxiety
2.9%
6/207 • Number of events 11 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
5.3%
11/208 • Number of events 14 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
6.8%
14/207 • Number of events 16 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Psychiatric disorders
Insomnia
9.7%
20/207 • Number of events 26 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
12.0%
25/208 • Number of events 27 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
11.6%
24/207 • Number of events 29 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
Psychiatric disorders
Schizophrenia
5.8%
12/207 • Number of events 13 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
2.4%
5/208 • Number of events 5 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.
10.6%
22/207 • Number of events 22 • Adverse events were collected during the 85-day treatment period.
One randomized subject was discontinued for a protocol violation prior to receiving IM study drug (placebo), and this subject was not included in the safety population. This changes the overall number of subjects in the placebo group to include 207.

Additional Information

ARISTADA Medical Information

Alkermes, Inc.

Phone: 866-274-7823

Results disclosure agreements

  • Principal investigator is a sponsor employee Should an Investigator desire to disclose study results, Sponsor will review the results disclosure prior to public release and can embargo the disclosure for a period of at least 60 days. Revisions to the disclosure will be negotiated in good faith. For a multicenter study the Investigators agree to publish/publicly present the results together with the other sites for the 12 month period after study results are available unless Sponsor grants written permission in advance.
  • Publication restrictions are in place

Restriction type: OTHER