A Study of Paliperidone Palmitate 3 Month Formulation for the Treatment of Patients With Schizophrenia

NCT ID: NCT01529515

Last Updated: 2016-05-11

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

509 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2014-04-30

Brief Summary

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The purpose of this study is to evaluate the efficacy of paliperidone palmitate 3 month formulation (PP3M) compared with placebo in delay of the time to first occurrence of relapse of the symptoms of schizophrenia.

Detailed Description

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This is a randomized (the study drug is assigned by chance), double blind (neither physician nor patient knows the treatment that the patient receives), parallel group (each group of patients will be treated at the same time), placebo-controlled (an inactive substance is compared with a drug to test whether the drug has a real effect in a clinical trial) multicenter study. The study consists of 4 phases: a Screening Phase (up to 3 weeks); a 17-week flexible dose open-label Transition Phase (open-label phase means that all people know the identity of the intervention); a 12-week fixed dose open-label Maintenance Phase; and a randomized, double-blind, fixed dose, placebo-controlled relapse prevention phase (referred to as the Double-blind Phase). Patients who meet specific stabilization criteria will enter the Double-blind Phase at Week 29. Patients will be randomly assigned, in a 1:1 ratio, to receive either a fixed dose of PP3M or placebo. The Double-blind Phase will be of variable duration; patients will remain in the study until they experience a relapse event or meet discontinuation criteria.

Conditions

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Schizophrenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Paliperidone palmitate 3-month (PP3M)

Group Type EXPERIMENTAL

PP3M 175 mg eq.

Intervention Type DRUG

Type= exact number, unit= mg eq., number= 175, form= injection, route= intramuscular use. One injection every three months up to the patient has a relapse event or meet discontinuation criteria.

PP3M 263 mg eq.

Intervention Type DRUG

Type= exact number, unit= mg eq., number= 263, form= injection, route= intramuscular use. One injection every three months up to the patient has a relapse event or meet discontinuation criteria.

PP3M 350 mg eq.

Intervention Type DRUG

Type= exact number, unit= mg eq., number= 350, form= injection, route= intramuscular use. One injection every three months up to the patient has a relapse event or meet discontinuation criteria.

PP3M 525 mg eq.

Intervention Type DRUG

Type= exact number, unit= mg eq., number= 525, form= injection, route= intramuscular use. One injection every three months up to the patient has a relapse event or meet discontinuation criteria.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo (20% Intralipid emulsion)

Intervention Type DRUG

Form= injection, route= intramuscular use. One injection every three months up to the patient has a relapse event or meet discontinuation criteria.

Interventions

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PP3M 175 mg eq.

Type= exact number, unit= mg eq., number= 175, form= injection, route= intramuscular use. One injection every three months up to the patient has a relapse event or meet discontinuation criteria.

Intervention Type DRUG

PP3M 263 mg eq.

Type= exact number, unit= mg eq., number= 263, form= injection, route= intramuscular use. One injection every three months up to the patient has a relapse event or meet discontinuation criteria.

Intervention Type DRUG

PP3M 350 mg eq.

Type= exact number, unit= mg eq., number= 350, form= injection, route= intramuscular use. One injection every three months up to the patient has a relapse event or meet discontinuation criteria.

Intervention Type DRUG

PP3M 525 mg eq.

Type= exact number, unit= mg eq., number= 525, form= injection, route= intramuscular use. One injection every three months up to the patient has a relapse event or meet discontinuation criteria.

Intervention Type DRUG

Placebo (20% Intralipid emulsion)

Form= injection, route= intramuscular use. One injection every three months up to the patient has a relapse event or meet discontinuation criteria.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with schizophrenia for more than 1 year
* A total score in the Positive and Negative Syndrome Scale (PANSS) \< 120
* Signed informed consent
* Women must not be pregnant, breastfeeding, and if capable of pregnancy must practice an effective method of birth control
* Men must agree to use a double-barrier method of birth control

Exclusion Criteria

* A diagnosis other than schizophrenia, e.g., dissociative disorder, bipolar disorder, major depressive disorder, schizoaffective disorder, schizophreniform disorder, autistic disorder, primary substance-induced psychotic disorder, dementia-related psychosis
* Relevant history or current presence of any significant or unstable medical condition(s) determined to be clinically significant by the Investigator (ie, obesity, diabetes, heart disease etc)
* A diagnosis of substance dependence within 6 months before screening
* History of neuroleptic malignant syndrome (NMS) or tardive dyskinesia
* Clozapine use in the last 2 months when used for treatment-resistant or treatment-refractory illness
* Clinically significant findings in biochemistry, hematology, ECG or urinalysis results
* Any other disease or condition that, in the opinion of the investigator, would make participation not in the best interest of the patient or that could prevent, limit, or confound the protocol-specified assessments
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Little Rock, Arkansas, United States

Site Status

San Fran Cisco, California, United States

Site Status

Washington D.C., District of Columbia, United States

Site Status

Lauderhill, Florida, United States

Site Status

Chicago, Illinois, United States

Site Status

Hoffman Estates, Illinois, United States

Site Status

Topeka, Kansas, United States

Site Status

Baltimore, Maryland, United States

Site Status

Flowood, Mississippi, United States

Site Status

Marlton, New Jersey, United States

Site Status

Cedarhurst, New York, United States

Site Status

Oklahoma City, Oklahoma, United States

Site Status

Austin, Texas, United States

Site Status

Dallas, Texas, United States

Site Status

Salt Lake City, Utah, United States

Site Status

Barranquilla, , Colombia

Site Status

Bogotá, , Colombia

Site Status

Medellín, , Colombia

Site Status

Pereira, , Colombia

Site Status

Johor Bahru, , Malaysia

Site Status

Kuala Lumpur, , Malaysia

Site Status

Tanjong Rambutan, , Malaysia

Site Status

Guadajalara, , Mexico

Site Status

Mexico City, , Mexico

Site Status

Monterrey, , Mexico

Site Status

San Luis Potosí City, , Mexico

Site Status

Zapopan, , Mexico

Site Status

Arad, , Romania

Site Status

Craiova, , Romania

Site Status

Iași, , Romania

Site Status

Sibiu, , Romania

Site Status

Tg Mures, , Romania

Site Status

Deajun, , South Korea

Site Status

Gyeongsangnam-Do, , South Korea

Site Status

Incheon, , South Korea

Site Status

Seongnam, , South Korea

Site Status

Diyarbakır, , Turkey (Türkiye)

Site Status

Sakarya, , Turkey (Türkiye)

Site Status

Donetsk, , Ukraine

Site Status

Evpatoriya, , Ukraine

Site Status

Hlevakha, , Ukraine

Site Status

Ivano-Frankivsk, , Ukraine

Site Status

Kerch, , Ukraine

Site Status

Kharkiv, , Ukraine

Site Status

Kherson, , Ukraine

Site Status

Kiev, , Ukraine

Site Status

Lviv, , Ukraine

Site Status

Odesa, , Ukraine

Site Status

Poltava, , Ukraine

Site Status

Smila, , Ukraine

Site Status

Ternopil, , Ukraine

Site Status

Uzhhorod, , Ukraine

Site Status

Vinnitsa, , Ukraine

Site Status

Countries

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United States Colombia Malaysia Mexico Romania South Korea Turkey (Türkiye) Ukraine

References

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Mathews M, Gopal S, Singh A, Nuamah I, Pungor K, Tan W, Soares B, Kim E, Savitz AJ. Comparison of Relapse Prevention with 3 Different Paliperidone Formulations in Patients with Schizophrenia Continuing versus Discontinuing Active Antipsychotic Treatment: A Post-Hoc Analysis of 3 Similarly Designed Randomized Studies. Neuropsychiatr Dis Treat. 2020 Jun 19;16:1533-1542. doi: 10.2147/NDT.S221242. eCollection 2020.

Reference Type DERIVED
PMID: 32606705 (View on PubMed)

Savitz AJ, Xu H, Gopal S, Nuamah I, Mathews M, Soares B. Efficacy and safety of paliperidone palmitate 3-month formulation in Latin American patients with schizophrenia: A subgroup analysis of data from two large phase 3 randomized, double-blind studies. Braz J Psychiatry. 2019 Nov-Dec;41(6):499-510. doi: 10.1590/1516-4446-2018-0153.

Reference Type DERIVED
PMID: 30994855 (View on PubMed)

Weiden PJ, Kim E, Bermak J, Turkoz I, Gopal S, Berwaerts J. Does Half-Life Matter After Antipsychotic Discontinuation? A Relapse Comparison in Schizophrenia With 3 Different Formulations of Paliperidone. J Clin Psychiatry. 2017 Jul;78(7):e813-e820. doi: 10.4088/JCP.16m11308.

Reference Type DERIVED
PMID: 28640988 (View on PubMed)

Magnusson MO, Samtani MN, Plan EL, Jonsson EN, Rossenu S, Vermeulen A, Russu A. Population Pharmacokinetics of a Novel Once-Every 3 Months Intramuscular Formulation of Paliperidone Palmitate in Patients with Schizophrenia. Clin Pharmacokinet. 2017 Apr;56(4):421-433. doi: 10.1007/s40262-016-0459-3.

Reference Type DERIVED
PMID: 27743205 (View on PubMed)

Gopal S, Vermeulen A, Nandy P, Ravenstijn P, Nuamah I, Buron Vidal JA, Berwaerts J, Savitz A, Hough D, Samtani MN. Practical guidance for dosing and switching from paliperidone palmitate 1 monthly to 3 monthly formulation in schizophrenia. Curr Med Res Opin. 2015 Nov;31(11):2043-54. doi: 10.1185/03007995.2015.1085849. Epub 2015 Oct 2.

Reference Type DERIVED
PMID: 26306819 (View on PubMed)

Berwaerts J, Liu Y, Gopal S, Nuamah I, Xu H, Savitz A, Coppola D, Schotte A, Remmerie B, Maruta N, Hough DW. Efficacy and Safety of the 3-Month Formulation of Paliperidone Palmitate vs Placebo for Relapse Prevention of Schizophrenia: A Randomized Clinical Trial. JAMA Psychiatry. 2015 Aug;72(8):830-9. doi: 10.1001/jamapsychiatry.2015.0241.

Reference Type DERIVED
PMID: 25820612 (View on PubMed)

Other Identifiers

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R092670PSY3012

Identifier Type: OTHER

Identifier Source: secondary_id

2011-004676-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1135-1969

Identifier Type: OTHER

Identifier Source: secondary_id

CR100717

Identifier Type: -

Identifier Source: org_study_id

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