Trial Outcomes & Findings for A Study of Flexibly Dosed Paliperidone Extended Release Tablets in Participants With Schizophrenia (NCT NCT01541371)

NCT ID: NCT01541371

Last Updated: 2013-08-07

Results Overview

PANSS is a medical scale that assesses various symptoms of schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions \[a false belief held in the face of strong differing evidence, especially as a symptom of psychiatric disorder\] and hallucinations \[imagining things\], and withdrawal into the self). The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). The total score is the sum of all 30 PANSS items, with a range of 30 (absent) to 210 (extreme ill).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

405 participants

Primary outcome timeframe

Baseline and Week 12

Results posted on

2013-08-07

Participant Flow

Participants were recruited from 19 study centers between 30 July 2008 and 23 September 2009.

405 participants were enrolled, out of which 403 participants were recruited in Safety Analysis Set (randomized and took at least 1 dose of study drug) and 394 subjects were included in full analysis set (had at least 1 efficacy evaluation).

Participant milestones

Participant milestones
Measure
Paliperidone Extended Release (ER)
Paliperidone ER 3 milligram (mg) or 6 mg or 9 mg or 12 mg oral (by mouth) tablets depending on Investigator's discretion once daily for 12 weeks.
Overall Study
STARTED
403
Overall Study
Full Analysis Set
394
Overall Study
COMPLETED
326
Overall Study
NOT COMPLETED
77

Reasons for withdrawal

Reasons for withdrawal
Measure
Paliperidone Extended Release (ER)
Paliperidone ER 3 milligram (mg) or 6 mg or 9 mg or 12 mg oral (by mouth) tablets depending on Investigator's discretion once daily for 12 weeks.
Overall Study
Withdrawal by Subject
14
Overall Study
Lost to Follow-up
21
Overall Study
Adverse Event
15
Overall Study
Lack of Efficacy
12
Overall Study
Protocol Violation
6
Overall Study
Study medication non-compliance
3
Overall Study
Other
6

Baseline Characteristics

A Study of Flexibly Dosed Paliperidone Extended Release Tablets in Participants With Schizophrenia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Paliperidone Extended Release (ER)
n=394 Participants
Paliperidone ER 3 milligram (mg) or 6 mg or 9 mg or 12 mg oral tablets depending on Investigator's discretion once daily for 12 weeks.
Age Continuous
30.88 Years
STANDARD_DEVIATION 10.39 • n=5 Participants
Sex: Female, Male
Female
199 Participants
n=5 Participants
Sex: Female, Male
Male
195 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and Week 12

Population: Full analysis set (FAS) included all participants who received at least 1 dose of study medication and had at least 1 post baseline efficacy measurement.

PANSS is a medical scale that assesses various symptoms of schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions \[a false belief held in the face of strong differing evidence, especially as a symptom of psychiatric disorder\] and hallucinations \[imagining things\], and withdrawal into the self). The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). The total score is the sum of all 30 PANSS items, with a range of 30 (absent) to 210 (extreme ill).

Outcome measures

Outcome measures
Measure
Lack of Efficacy Group
n=238 Participants
Paliperidone extended release (ER) tablet in flexible dose of 3, 6, 9 or 12 milligram (mg) as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of efficacy (defined as participants with a baseline total Positive and Negative Syndrome Scale \[PANSS\] score more than \[\>\] or equal to \[=\] 70 or \>=2 items scoring \>=4 in the Positive or Negative Symptom Subscale or \>=3 items scoring \>=4 in the General Psychopathology Subscale).
Lack of Tolerability Group
n=115 Participants
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of tolerability (defined as the presence of clinically relevant side effects with the previous antipsychotic medication).
Other Group
n=41 Participants
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics due to other reasons.
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 12
Baseline
77.18 unit on a scale
Standard Deviation 17.50
58.46 unit on a scale
Standard Deviation 16.31
63.33 unit on a scale
Standard Deviation 19.08
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 12
Change at Week 12
-26.29 unit on a scale
Standard Deviation 20.77
-13.99 unit on a scale
Standard Deviation 15.74
-20.90 unit on a scale
Standard Deviation 18.20

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: FAS included all participants who received at least 1 dose of study medication and had at least 1 post baseline efficacy measurement.

PANSS is a medical scale that assesses various symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). The total score is the sum of all 30 PANSS items, with a range of 30 (absent) to 210 (extreme ill). Positive syndrome subscale ranges from 7 to 49, higher change scores indicate worsening. Negative syndrome subscale ranges from 7 to 49, higher change scores indicate worsening. General Psychopathology subscale ranges from 16 to112, higher change scores indicate worsening.

Outcome measures

Outcome measures
Measure
Lack of Efficacy Group
n=394 Participants
Paliperidone extended release (ER) tablet in flexible dose of 3, 6, 9 or 12 milligram (mg) as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of efficacy (defined as participants with a baseline total Positive and Negative Syndrome Scale \[PANSS\] score more than \[\>\] or equal to \[=\] 70 or \>=2 items scoring \>=4 in the Positive or Negative Symptom Subscale or \>=3 items scoring \>=4 in the General Psychopathology Subscale).
Lack of Tolerability Group
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of tolerability (defined as the presence of clinically relevant side effects with the previous antipsychotic medication).
Other Group
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics due to other reasons.
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Subscale Scores at Week 12
Positive: Baseline
17.07 Units on a scale
Standard Deviation 6.53
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Subscale Scores at Week 12
Positive: Change at Week 12
-6.59 Units on a scale
Standard Deviation 6.30
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Subscale Scores at Week 12
Negative: Baseline
18.57 Units on a scale
Standard Deviation 6.66
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Subscale Scores at Week 12
Negative: Change at Week 12
-6.14 Units on a scale
Standard Deviation 5.99
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Subscale Scores at Week 12
General psychopathology: Baseline
34.44 Units on a scale
Standard Deviation 9.75
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Subscale Scores at Week 12
General psychopathology: Change at Week 12
-10.84 Units on a scale
Standard Deviation 10.21

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: FAS included all participants who received at least 1 dose of study medication and had at least 1 post baseline efficacy measurement.

The PANSS is a 30-item scale to assess the neuropsychiatric symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). Positive symptoms subscale consists of 8 items with total score range of 8-56; negative symptoms subscale and disorganized thoughts subscale, each consists of 7 items with total score range of 7-49, uncontrolled hostility/excitement subscale and anxiety/depression subscale, each consists of 4 items with total score range of 4-28. Higher change score indicates greater severity.

Outcome measures

Outcome measures
Measure
Lack of Efficacy Group
n=394 Participants
Paliperidone extended release (ER) tablet in flexible dose of 3, 6, 9 or 12 milligram (mg) as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of efficacy (defined as participants with a baseline total Positive and Negative Syndrome Scale \[PANSS\] score more than \[\>\] or equal to \[=\] 70 or \>=2 items scoring \>=4 in the Positive or Negative Symptom Subscale or \>=3 items scoring \>=4 in the General Psychopathology Subscale).
Lack of Tolerability Group
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of tolerability (defined as the presence of clinically relevant side effects with the previous antipsychotic medication).
Other Group
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics due to other reasons.
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 12
Positive symptoms: Baseline
21.61 Units on a scale
Standard Deviation 7.15
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 12
Positive symptoms: Change at Week 12
-8.16 Units on a scale
Standard Deviation 7.18
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 12
Negative symptoms: Baseline
19.15 Units on a scale
Standard Deviation 7.10
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 12
Negative symptoms: Change at Week 12
-6.53 Units on a scale
Standard Deviation 6.60
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 12
Disorganized thoughts: Baseline
14.13 Units on a scale
Standard Deviation 4.65
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 12
Disorganized thoughts: Change at Week 12
-4.13 Units on a scale
Standard Deviation 4.28
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 12
Uncontrolled hostility/excitement: Baseline
7.73 Units on a scale
Standard Deviation 3.83
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 12
Uncontrolled hostility/excitement:Change at Week12
-2.74 Units on a scale
Standard Deviation 3.63
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 12
Anxiety/depression: Baseline
7.45 Units on a scale
Standard Deviation 2.76
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 12
Anxiety/depression: Change at Week 12
-2.00 Units on a scale
Standard Deviation 2.67

SECONDARY outcome

Timeframe: Week 12

Population: FAS included all participants who received at least 1 dose of study medication and had at least 1 post baseline efficacy measurement.

PANSS is a medical scale that assesses various symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). The total score is the sum of all 30 PANSS items, with a range of 30 (absent) to 210 (extreme ill). Percentage of participants with at least 20 percent improvement of PANSS total score was measured.

Outcome measures

Outcome measures
Measure
Lack of Efficacy Group
n=238 Participants
Paliperidone extended release (ER) tablet in flexible dose of 3, 6, 9 or 12 milligram (mg) as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of efficacy (defined as participants with a baseline total Positive and Negative Syndrome Scale \[PANSS\] score more than \[\>\] or equal to \[=\] 70 or \>=2 items scoring \>=4 in the Positive or Negative Symptom Subscale or \>=3 items scoring \>=4 in the General Psychopathology Subscale).
Lack of Tolerability Group
n=115 Participants
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of tolerability (defined as the presence of clinically relevant side effects with the previous antipsychotic medication).
Other Group
n=41 Participants
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics due to other reasons.
Percentage of Participants With Response to Positive and Negative Syndrome Scale (PANSS) Total Score
65.97 Percentage of participants
Interval 59.95 to 71.99
51.72 Percentage of participants
Interval 42.63 to 60.82
61.90 Percentage of participants
Interval 47.22 to 76.59

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: FAS included all participants who received at least 1 dose of study medication and had at least 1 post baseline efficacy measurement. Here "N" (Number of Participants Analyzed): number of participants who were evaluable for this measure. 'n': number of participants who were evaluable at given time point for each arm group, respectively.

The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to "normal, not at all ill" and a rating of 7 is equivalent to "among the most extremely ill participants". Higher change scores indicate worsening.

Outcome measures

Outcome measures
Measure
Lack of Efficacy Group
n=237 Participants
Paliperidone extended release (ER) tablet in flexible dose of 3, 6, 9 or 12 milligram (mg) as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of efficacy (defined as participants with a baseline total Positive and Negative Syndrome Scale \[PANSS\] score more than \[\>\] or equal to \[=\] 70 or \>=2 items scoring \>=4 in the Positive or Negative Symptom Subscale or \>=3 items scoring \>=4 in the General Psychopathology Subscale).
Lack of Tolerability Group
n=115 Participants
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of tolerability (defined as the presence of clinically relevant side effects with the previous antipsychotic medication).
Other Group
n=41 Participants
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics due to other reasons.
Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Week 12
Baseline (n=237,115,41)
4.54 units on a scale
Standard Deviation 0.91
3.20 units on a scale
Standard Deviation 1.11
3.86 units on a scale
Standard Deviation 1.09
Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Week 12
Change at Week 12 (n=208,103,40)
-1.77 units on a scale
Standard Deviation 0.09
-1.01 units on a scale
Standard Deviation 0.14
-1.66 units on a scale
Standard Deviation 0.23

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: FAS included all participants who received at least 1 dose of study medication and had at least 1 post baseline efficacy measurement. Here 'n': number of participants who were evaluable at given time point for each arm group, respectively.

PSP assesses the degree of a participant's dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Based on the four domains there will be one total score. Participants with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; =\<30, functioning so poorly as to require intensive supervision.

Outcome measures

Outcome measures
Measure
Lack of Efficacy Group
n=238 Participants
Paliperidone extended release (ER) tablet in flexible dose of 3, 6, 9 or 12 milligram (mg) as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of efficacy (defined as participants with a baseline total Positive and Negative Syndrome Scale \[PANSS\] score more than \[\>\] or equal to \[=\] 70 or \>=2 items scoring \>=4 in the Positive or Negative Symptom Subscale or \>=3 items scoring \>=4 in the General Psychopathology Subscale).
Lack of Tolerability Group
n=115 Participants
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of tolerability (defined as the presence of clinically relevant side effects with the previous antipsychotic medication).
Other Group
n=41 Participants
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics due to other reasons.
Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 12
Baseline (n=238,115,41)
53.16 Units on a scale
Standard Deviation 13.79
66.95 Units on a scale
Standard Deviation 12.89
66.00 Units on a scale
Standard Deviation 11.21
Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 12
Change at Week 12 (n=205,106,40)
18.57 Units on a scale
Standard Deviation 16.87
10.09 Units on a scale
Standard Deviation 13.75
12.40 Units on a scale
Standard Deviation 13.33

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: FAS included all participants who received at least 1 dose of study medication and had at least 1 post baseline efficacy measurement. Here "N" (Number of Participants Analyzed): number of participants who were evaluable for this measure. 'n': number of participants who were evaluable at given time point for each arm group, respectively.

Participants assessed their satisfaction with paliperidone ER on a 5-point scale: 1 (very good), 2 (good), 3 (moderate), 4 (poor) and 5 (very poor).

Outcome measures

Outcome measures
Measure
Lack of Efficacy Group
n=230 Participants
Paliperidone extended release (ER) tablet in flexible dose of 3, 6, 9 or 12 milligram (mg) as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of efficacy (defined as participants with a baseline total Positive and Negative Syndrome Scale \[PANSS\] score more than \[\>\] or equal to \[=\] 70 or \>=2 items scoring \>=4 in the Positive or Negative Symptom Subscale or \>=3 items scoring \>=4 in the General Psychopathology Subscale).
Lack of Tolerability Group
n=113 Participants
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of tolerability (defined as the presence of clinically relevant side effects with the previous antipsychotic medication).
Other Group
n=41 Participants
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics due to other reasons.
Number of Participants With Satisfaction With the Study Treatment
Week 12, Satisfied (n=208,105,40)
93 Participants
51 Participants
18 Participants
Number of Participants With Satisfaction With the Study Treatment
Baseline, Very satisfied (n=230,113,41)
1 Participants
3 Participants
0 Participants
Number of Participants With Satisfaction With the Study Treatment
Baseline, Satisfied (n=230,113,41)
15 Participants
30 Participants
15 Participants
Number of Participants With Satisfaction With the Study Treatment
Baseline, Generally satisfied (n=230,113,41)
84 Participants
58 Participants
25 Participants
Number of Participants With Satisfaction With the Study Treatment
Baseline, Dissatisfied (n=230,113,41)
124 Participants
21 Participants
1 Participants
Number of Participants With Satisfaction With the Study Treatment
Baseline, Very dissatisfied (n=230,113,41)
6 Participants
1 Participants
0 Participants
Number of Participants With Satisfaction With the Study Treatment
Week 12, Very satisfied (n=208,105,40)
30 Participants
23 Participants
10 Participants
Number of Participants With Satisfaction With the Study Treatment
Week 12, Generally satisfied (n=208,105,40)
62 Participants
24 Participants
10 Participants
Number of Participants With Satisfaction With the Study Treatment
Week 12, Dissatisfied (n=208,105,40)
23 Participants
6 Participants
2 Participants
Number of Participants With Satisfaction With the Study Treatment
Week 12, Very dissatisfied (n=208,105,40)
0 Participants
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: FAS included all participants who received at least 1 dose of study medication and had at least 1 post baseline efficacy measurement. Here "N" (Number of Participants Analyzed): number of participants who were evaluable for this measure. 'n': number of participants who were evaluable at given time point for each arm group, respectively.

The self-administered sleep VAS scale (0-100 milimeter \[mm\]) rates quality of sleep (QoS) and daytime drowsiness (DD). Participants indicate mark on the scale to represent how well they have slept in the previous 7 days, score ranges from 0 mm (very badly) to 100 mm (very well); and how often they have felt drowsy within the previous 7 days, from 0 mm (not at all) to 100 mm (all the time).

Outcome measures

Outcome measures
Measure
Lack of Efficacy Group
n=233 Participants
Paliperidone extended release (ER) tablet in flexible dose of 3, 6, 9 or 12 milligram (mg) as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of efficacy (defined as participants with a baseline total Positive and Negative Syndrome Scale \[PANSS\] score more than \[\>\] or equal to \[=\] 70 or \>=2 items scoring \>=4 in the Positive or Negative Symptom Subscale or \>=3 items scoring \>=4 in the General Psychopathology Subscale).
Lack of Tolerability Group
n=115 Participants
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics for the main reason of lack of tolerability (defined as the presence of clinically relevant side effects with the previous antipsychotic medication).
Other Group
n=41 Participants
Paliperidone ER tablet in flexible dose of 3, 6, 9 or 12 mg as per Investigator's discretion was given once daily orally for 12 weeks to participants who transitioned to paliperidone ER from other oral antipsychotics due to other reasons.
Change From Baseline in Sleep and Daytime Drowsiness Evaluation Score at Week 12
Quality of sleep score: Baseline (n=233,115,41)
60.76 mm
Standard Deviation 26.70
75.89 mm
Standard Deviation 20.24
70.31 mm
Standard Deviation 22.40
Change From Baseline in Sleep and Daytime Drowsiness Evaluation Score at Week 12
Quality of sleep: Change at Week 12 (n=202,106,40)
15.76 mm
Standard Deviation 29.46
2.90 mm
Standard Deviation 27.41
13.60 mm
Standard Deviation 26.94
Change From Baseline in Sleep and Daytime Drowsiness Evaluation Score at Week 12
Daytime drowsiness score: Baseline (n=233,115,41)
38.16 mm
Standard Deviation 23.70
44.77 mm
Standard Deviation 25.29
34.26 mm
Standard Deviation 23.64
Change From Baseline in Sleep and Daytime Drowsiness Evaluation Score at Week 12
Daytime drowsiness:Change at Week 12(n=202,106,40)
-15.76 mm
Standard Deviation 27.52
-21.66 mm
Standard Deviation 27.88
-18.10 mm
Standard Deviation 26.87

Adverse Events

Paliperidone Extended Release (ER)

Serious events: 1 serious events
Other events: 227 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Paliperidone Extended Release (ER)
n=403 participants at risk
Paliperidone ER 3 milligram (mg) or 6 mg or 9 mg or 12 mg oral tablets depending on Investigator's discretion once daily for 12 weeks.
Psychiatric disorders
Depression
0.25%
1/403 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.

Other adverse events

Other adverse events
Measure
Paliperidone Extended Release (ER)
n=403 participants at risk
Paliperidone ER 3 milligram (mg) or 6 mg or 9 mg or 12 mg oral tablets depending on Investigator's discretion once daily for 12 weeks.
Gastrointestinal disorders
Nausea
3.7%
15/403 • Number of events 15 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Gastrointestinal disorders
Vomiting
2.0%
8/403 • Number of events 8 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Gastrointestinal disorders
Salivary hypersecretion
1.7%
7/403 • Number of events 8 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Gastrointestinal disorders
Constipation
1.5%
6/403 • Number of events 6 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Gastrointestinal disorders
Diarrhoea
1.5%
6/403 • Number of events 6 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
General disorders
Fatigue
2.7%
11/403 • Number of events 14 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Hepatobiliary disorders
Hepatic function abnormal
1.5%
6/403 • Number of events 6 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Infections and infestations
Upper respiratory tract infection
3.7%
15/403 • Number of events 16 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Investigations
Weight increased
4.2%
17/403 • Number of events 18 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Investigations
Transaminases increased
2.2%
9/403 • Number of events 10 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Investigations
Blood prolactin increased
1.5%
6/403 • Number of events 7 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Metabolism and nutrition disorders
Obesity
2.0%
8/403 • Number of events 8 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Metabolism and nutrition disorders
Increased appetite
1.5%
6/403 • Number of events 6 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Nervous system disorders
Tremor
12.9%
52/403 • Number of events 56 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Nervous system disorders
Dystonia
8.7%
35/403 • Number of events 40 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Nervous system disorders
Extrapyramidal disorder
6.0%
24/403 • Number of events 28 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Nervous system disorders
Dizziness
4.2%
17/403 • Number of events 20 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Nervous system disorders
Headache
1.7%
7/403 • Number of events 9 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Psychiatric disorders
Akathisia
18.4%
74/403 • Number of events 76 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Psychiatric disorders
Somnolence
7.9%
32/403 • Number of events 33 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Psychiatric disorders
Insomnia
6.5%
26/403 • Number of events 28 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Psychiatric disorders
Sleep disorder
2.2%
9/403 • Number of events 9 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.
Reproductive system and breast disorders
Menstrual disorders
1.7%
7/403 • Number of events 7 • Baseline up to Week 12
An undesirable or unwanted consequence that occurs during the course of the clinical trial, but not necessarily because of study drug.

Additional Information

Therapeutic Area Manager

CDMA, Beijing

Phone: 00861058218352

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER