Trial Outcomes & Findings for A Study of the Efficacy and Safety of Asenapine in Participants With an Acute Exacerbation of Schizophrenia (P05688) (NCT NCT01617187)

NCT ID: NCT01617187

Last Updated: 2024-06-18

Results Overview

The PANSS is a 30-item clinician-rated instrument for assessing schizophrenia symptoms. It consists of 3 subscales: positive subscale (7 items), negative subscale (7 items), and general psychopathology subscale (16 items). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The PANSS total score for each participant was sum of the rating assigned to each of the 30 PANSS items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. The reported measure is the change from baseline at Day 42; improvement in symptoms is represented by negative values.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

360 participants

Primary outcome timeframe

Baseline and Day 42

Results posted on

2024-06-18

Participant Flow

One participant randomized to asenapine 2.5 mg BID did not receive study drug but was recorded in clinical database as completing the study. In Participant Flow table, this participant is presented as Not Completed in period "Randomization through Start Treatment" (Not Treated).

Participant milestones

Participant milestones
Measure
Asenapine 2.5 mg BID
Participants were administered one 2.5 mg asenapine tablet twice daily (BID) for 42 days
Asenapine 5 mg BID
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) once daily (QD) for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
Participants were administered placebo tablets BID for 42 days
Randomization Through Start Treatment
STARTED
98
113
46
103
Randomization Through Start Treatment
COMPLETED
97
113
46
101
Randomization Through Start Treatment
NOT COMPLETED
1
0
0
2
Treatment Through Study Completion
STARTED
97
113
46
101
Treatment Through Study Completion
COMPLETED
86
102
41
91
Treatment Through Study Completion
NOT COMPLETED
11
11
5
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Asenapine 2.5 mg BID
Participants were administered one 2.5 mg asenapine tablet twice daily (BID) for 42 days
Asenapine 5 mg BID
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) once daily (QD) for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
Participants were administered placebo tablets BID for 42 days
Randomization Through Start Treatment
Not Treated: Administrative Reason
0
0
0
1
Randomization Through Start Treatment
Not Treated: Adverse Event
0
0
0
1
Randomization Through Start Treatment
Not Treated: Completed study in database
1
0
0
0
Treatment Through Study Completion
Adverse Event
1
1
0
1
Treatment Through Study Completion
Lost to Follow-up
4
2
2
2
Treatment Through Study Completion
Withdrawal by Subject
5
8
3
6
Treatment Through Study Completion
Protocol Violation
1
0
0
1

Baseline Characteristics

A Study of the Efficacy and Safety of Asenapine in Participants With an Acute Exacerbation of Schizophrenia (P05688)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Asenapine 2.5 mg BID
n=97 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=113 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=46 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=101 Participants
Participants were administered placebo tablets BID for 42 days
Total
n=357 Participants
Total of all reporting groups
Age, Continuous
41.5 years
STANDARD_DEVIATION 10.79 • n=5 Participants
39.1 years
STANDARD_DEVIATION 10.68 • n=7 Participants
40.8 years
STANDARD_DEVIATION 11.15 • n=5 Participants
41.4 years
STANDARD_DEVIATION 12.05 • n=4 Participants
40.6 years
STANDARD_DEVIATION 11.18 • n=21 Participants
Sex: Female, Male
Female
39 Participants
n=5 Participants
44 Participants
n=7 Participants
18 Participants
n=5 Participants
47 Participants
n=4 Participants
148 Participants
n=21 Participants
Sex: Female, Male
Male
58 Participants
n=5 Participants
69 Participants
n=7 Participants
28 Participants
n=5 Participants
54 Participants
n=4 Participants
209 Participants
n=21 Participants
Positive and Negative Syndrome Scale (PANSS) total score
93.3 score on a scale
STANDARD_DEVIATION 11.10 • n=5 Participants
95.8 score on a scale
STANDARD_DEVIATION 13.77 • n=7 Participants
92.7 score on a scale
STANDARD_DEVIATION 10.47 • n=5 Participants
93.4 score on a scale
STANDARD_DEVIATION 11.16 • n=4 Participants
94.1 score on a scale
STANDARD_DEVIATION 11.97 • n=21 Participants
Clinical Global Impression Scale-Severity (CGI-S) score
4.8 score on a scale
STANDARD_DEVIATION 0.64 • n=5 Participants
4.9 score on a scale
STANDARD_DEVIATION 0.64 • n=7 Participants
4.8 score on a scale
STANDARD_DEVIATION 0.61 • n=5 Participants
4.8 score on a scale
STANDARD_DEVIATION 0.61 • n=4 Participants
4.8 score on a scale
STANDARD_DEVIATION 0.63 • n=21 Participants
Body Weight
81.6 kg
STANDARD_DEVIATION 17.73 • n=5 Participants
78.6 kg
STANDARD_DEVIATION 17.88 • n=7 Participants
80.7 kg
STANDARD_DEVIATION 17.79 • n=5 Participants
77.1 kg
STANDARD_DEVIATION 17.56 • n=4 Participants
79.3 kg
STANDARD_DEVIATION 17.75 • n=21 Participants
PANSS negative subscale score
23.5 score on a scale
STANDARD_DEVIATION 4.47 • n=5 Participants
24.1 score on a scale
STANDARD_DEVIATION 4.50 • n=7 Participants
23.4 score on a scale
STANDARD_DEVIATION 3.96 • n=5 Participants
23.9 score on a scale
STANDARD_DEVIATION 4.22 • n=4 Participants
23.8 score on a scale
STANDARD_DEVIATION 4.34 • n=21 Participants
PANSS positive subscale score
24.4 score on a scale
STANDARD_DEVIATION 4.05 • n=5 Participants
25.5 score on a scale
STANDARD_DEVIATION 4.76 • n=7 Participants
24.6 score on a scale
STANDARD_DEVIATION 3.46 • n=5 Participants
24.6 score on a scale
STANDARD_DEVIATION 3.88 • n=4 Participants
24.8 score on a scale
STANDARD_DEVIATION 4.19 • n=21 Participants
PANSS general psychopathology subscale score
45.5 score on a scale
STANDARD_DEVIATION 6.05 • n=5 Participants
46.3 score on a scale
STANDARD_DEVIATION 6.87 • n=7 Participants
44.7 score on a scale
STANDARD_DEVIATION 6.20 • n=5 Participants
44.9 score on a scale
STANDARD_DEVIATION 6.05 • n=4 Participants
45.5 score on a scale
STANDARD_DEVIATION 6.34 • n=21 Participants
PANSS Marder factor positive symptom score
29.3 score on a scale
STANDARD_DEVIATION 5.02 • n=5 Participants
30.0 score on a scale
STANDARD_DEVIATION 5.05 • n=7 Participants
29.0 score on a scale
STANDARD_DEVIATION 4.69 • n=5 Participants
29.4 score on a scale
STANDARD_DEVIATION 4.36 • n=4 Participants
29.5 score on a scale
STANDARD_DEVIATION 4.80 • n=21 Participants
PANSS Marder factor negative symptom score
22.6 score on a scale
STANDARD_DEVIATION 4.30 • n=5 Participants
23.0 score on a scale
STANDARD_DEVIATION 4.66 • n=7 Participants
23.0 score on a scale
STANDARD_DEVIATION 4.44 • n=5 Participants
22.8 score on a scale
STANDARD_DEVIATION 4.76 • n=4 Participants
22.8 score on a scale
STANDARD_DEVIATION 4.55 • n=21 Participants
PANSS Marder factor disorganized thought symptom score
21.5 score on a scale
STANDARD_DEVIATION 4.32 • n=5 Participants
22.6 score on a scale
STANDARD_DEVIATION 4.93 • n=7 Participants
21.2 score on a scale
STANDARD_DEVIATION 4.29 • n=5 Participants
21.6 score on a scale
STANDARD_DEVIATION 4.42 • n=4 Participants
21.8 score on a scale
STANDARD_DEVIATION 4.56 • n=21 Participants
PANSS Marder factor hostility/excitement symptom score
9.0 score on a scale
STANDARD_DEVIATION 2.99 • n=5 Participants
9.4 score on a scale
STANDARD_DEVIATION 3.49 • n=7 Participants
8.7 score on a scale
STANDARD_DEVIATION 3.11 • n=5 Participants
8.8 score on a scale
STANDARD_DEVIATION 3.22 • n=4 Participants
9.0 score on a scale
STANDARD_DEVIATION 3.23 • n=21 Participants
PANSS Marder factor anxiety/depression symptom score
11.0 score on a scale
STANDARD_DEVIATION 2.97 • n=5 Participants
10.9 score on a scale
STANDARD_DEVIATION 3.13 • n=7 Participants
10.9 score on a scale
STANDARD_DEVIATION 3.62 • n=5 Participants
10.7 score on a scale
STANDARD_DEVIATION 2.96 • n=4 Participants
10.9 score on a scale
STANDARD_DEVIATION 3.09 • n=21 Participants

PRIMARY outcome

Timeframe: Baseline and Day 42

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

The PANSS is a 30-item clinician-rated instrument for assessing schizophrenia symptoms. It consists of 3 subscales: positive subscale (7 items), negative subscale (7 items), and general psychopathology subscale (16 items). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The PANSS total score for each participant was sum of the rating assigned to each of the 30 PANSS items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. The reported measure is the change from baseline at Day 42; improvement in symptoms is represented by negative values.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Change From Baseline in PANSS Total Score at Day 42
-17.4 score on a scale
Standard Error 1.80
-21.7 score on a scale
Standard Error 1.60
-21.6 score on a scale
Standard Error 2.32
-16.2 score on a scale
Standard Error 1.71

SECONDARY outcome

Timeframe: Baseline and Day 42

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

Change from baseline in CGI-S score at Day 42 is a Key Secondary Outcome Measure. CGI-S is a 7-point scale for assessing the global severity of the participant's illness, with ratings from 1=normal, not ill to 7=very severely ill. The reported measure is the change from baseline at Day 42; improvement in symptoms is represented by negative values.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Change From Baseline in CGI-S Score at Day 42
-0.9 score on a scale
Standard Error 0.11
-1.2 score on a scale
Standard Error 0.10
-1.1 score on a scale
Standard Error 0.14
-1.0 score on a scale
Standard Error 0.11

SECONDARY outcome

Timeframe: Baseline and Day 42

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

Rate of PANSS responders at Day 42 is a Key Secondary Outcome Measure. A PANSS responder was defined as a participant who had a reduction from baseline of at least 30% in the PANSS total score at a post-baseline assessment. The PANSS is a 30-item clinician-rated instrument for assessing schizophrenia symptoms. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The Total score is the sum of the ratings for the individual items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. Missing data were imputed by Last Observation Carried Forward (LOCF).

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Percentage of Participants Who Are PANSS Responders (≥30% Reduction From Baseline in PANSS Total Score) at Day 42
14.6 percentage of participants
0.11
25.2 percentage of participants
0.10
26.7 percentage of participants
0.14
19.2 percentage of participants
0.11

SECONDARY outcome

Timeframe: Baseline and Day 42

Population: All randomized participants who received ≥1 dose of study drug

Change from baseline in body weight at Day 42 is the Key Safety Outcome Measure.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=97 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=113 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=46 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=101 Participants
Participants were administered placebo tablets BID for 42 days
Change From Baseline in Body Weight at Day 42
1.3 kg
Standard Error 0.38
1.3 kg
Standard Error 0.33
2.4 kg
Standard Error 0.47
0.3 kg
Standard Error 0.35

SECONDARY outcome

Timeframe: Baseline and Days 4, 7, 14, 21, 28 and 35

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

The PANSS is a 30-item clinician-rated instrument for assessing schizophrenia symptoms. It consists of 3 subscales: positive subscale (7 items), negative subscale (7 items), and general psychopathology subscale (16 items). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The PANSS total score for each participant was sum of the rating assigned to each of the 30 PANSS items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. The reported measure is the change from baseline; improvement in symptoms is represented by negative values.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Change From Baseline in PANSS Total Score at Days 4, 7, 14, 21, 28 and 35
Day 4
-4.0 score on a scale
Standard Error 0.80
-4.9 score on a scale
Standard Error 0.76
-5.5 score on a scale
Standard Error 1.15
-4.8 score on a scale
Standard Error 0.81
Change From Baseline in PANSS Total Score at Days 4, 7, 14, 21, 28 and 35
Day 7
-7.2 score on a scale
Standard Error 1.17
-9.1 score on a scale
Standard Error 1.09
-9.3 score on a scale
Standard Error 1.67
-7.1 score on a scale
Standard Error 1.16
Change From Baseline in PANSS Total Score at Days 4, 7, 14, 21, 28 and 35
Day 14
-9.9 score on a scale
Standard Error 1.31
-12.5 score on a scale
Standard Error 1.19
-12.4 score on a scale
Standard Error 1.80
-10.7 score on a scale
Standard Error 1.28
Change From Baseline in PANSS Total Score at Days 4, 7, 14, 21, 28 and 35
Day 21
-12.0 score on a scale
Standard Error 1.55
-14.8 score on a scale
Standard Error 1.40
-15.2 score on a scale
Standard Error 2.09
-13.2 score on a scale
Standard Error 1.50
Change From Baseline in PANSS Total Score at Days 4, 7, 14, 21, 28 and 35
Day 28
-12.3 score on a scale
Standard Error 1.69
-17.1 score on a scale
Standard Error 1.49
-17.3 score on a scale
Standard Error 2.21
-15.5 score on a scale
Standard Error 1.61
Change From Baseline in PANSS Total Score at Days 4, 7, 14, 21, 28 and 35
Day 35
-17.0 score on a scale
Standard Error 1.66
-19.0 score on a scale
Standard Error 1.48
-20.3 score on a scale
Standard Error 2.19
-15.4 score on a scale
Standard Error 1.58

SECONDARY outcome

Timeframe: Days 4, 7, 14, 21, 28 and 35

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

A PANSS responder was defined as a participant who had a reduction from baseline of at least 30% in the PANSS total score at a post-baseline assessment. The PANSS is a 30-item clinician-rated instrument for assessing schizophrenia symptoms. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The Total score is the sum of the ratings for the individual items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. Missing data were imputed by LOCF.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Percentage of Participants Who Are PANSS Responders (≥30% Reduction From Baseline in PANSS Total Score) at Days 4, 7, 14, 21, 28 and 35
Day 4 (n = 95,108,44,97)
0.0 percentage of participants
0.27
0.0 percentage of participants
0.25
0.0 percentage of participants
0.38
2.1 percentage of participants
0.27
Percentage of Participants Who Are PANSS Responders (≥30% Reduction From Baseline in PANSS Total Score) at Days 4, 7, 14, 21, 28 and 35
Day 7 (n = 96,111,45,99)
2.1 percentage of participants
0.30
5.4 percentage of participants
0.28
0.0 percentage of participants
0.43
5.1 percentage of participants
0.30
Percentage of Participants Who Are PANSS Responders (≥30% Reduction From Baseline in PANSS Total Score) at Days 4, 7, 14, 21, 28 and 35
Day 14 (n = 96,111,45,99)
5.2 percentage of participants
0.31
5.4 percentage of participants
0.28
4.4 percentage of participants
0.42
7.1 percentage of participants
0.30
Percentage of Participants Who Are PANSS Responders (≥30% Reduction From Baseline in PANSS Total Score) at Days 4, 7, 14, 21, 28 and 35
Day 21 (n = 96,111,45,99)
8.3 percentage of participants
0.32
14.4 percentage of participants
0.29
11.1 percentage of participants
0.42
13.1 percentage of participants
0.31
Percentage of Participants Who Are PANSS Responders (≥30% Reduction From Baseline in PANSS Total Score) at Days 4, 7, 14, 21, 28 and 35
Day 28 (n = 96,111,45,99)
10.4 percentage of participants
0.36
16.2 percentage of participants
0.32
15.6 percentage of participants
0.47
14.1 percentage of participants
0.35
Percentage of Participants Who Are PANSS Responders (≥30% Reduction From Baseline in PANSS Total Score) at Days 4, 7, 14, 21, 28 and 35
Day 35 (n = 96,111,45,99)
15.6 percentage of participants
0.34
21.6 percentage of participants
0.30
15.6 percentage of participants
0.44
17.2 percentage of participants
0.32

SECONDARY outcome

Timeframe: Baseline and Days 4, 7, 14, 21, 28 and 35

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

CGI-S is a 7-point scale for assessing the global severity of the participant's illness, with ratings from 1=normal, not ill to 7=very severely ill. The reported measure is the change from baseline; improvement in symptoms is represented by negative values.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Change From Baseline in CGI-S Score at Days 4, 7, 14, 21, 28 and 35
Day 4
-0.1 score on a scale
Standard Error 0.05
-0.2 score on a scale
Standard Error 0.05
-0.2 score on a scale
Standard Error 0.07
-0.2 score on a scale
Standard Error 0.05
Change From Baseline in CGI-S Score at Days 4, 7, 14, 21, 28 and 35
Day 7
-0.3 score on a scale
Standard Error 0.07
-0.3 score on a scale
Standard Error 0.06
-0.3 score on a scale
Standard Error 0.10
-0.3 score on a scale
Standard Error 0.07
Change From Baseline in CGI-S Score at Days 4, 7, 14, 21, 28 and 35
Day 14
-0.6 score on a scale
Standard Error 0.08
-0.6 score on a scale
Standard Error 0.07
-0.6 score on a scale
Standard Error 0.11
-0.5 score on a scale
Standard Error 0.08
Change From Baseline in CGI-S Score at Days 4, 7, 14, 21, 28 and 35
Day 21
-0.6 score on a scale
Standard Error 0.10
-0.8 score on a scale
Standard Error 0.09
-0.8 score on a scale
Standard Error 0.13
-0.7 score on a scale
Standard Error 0.09
Change From Baseline in CGI-S Score at Days 4, 7, 14, 21, 28 and 35
Day 28
-0.7 score on a scale
Standard Error 0.11
-0.9 score on a scale
Standard Error 0.09
-0.8 score on a scale
Standard Error 0.14
-0.8 score on a scale
Standard Error 0.10
Change From Baseline in CGI-S Score at Days 4, 7, 14, 21, 28 and 35
Day 35
-0.9 score on a scale
Standard Error 0.11
-1.1 score on a scale
Standard Error 0.10
-1.0 score on a scale
Standard Error 0.14
-0.8 score on a scale
Standard Error 0.10

SECONDARY outcome

Timeframe: Days 4, 7, 14, 21, 28, 35 and 42

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

A CGI-I responder was defined as a participant who had a CGI-I score of 1 (very much improved) or 2 (much improved) at a post-baseline assessment. CGI-I is a 7-point scale for assessing the global improvement of the participant's illness relative to baseline, with ratings from 1=very much improved to 7=very much worse. Missing data were imputed by LOCF.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Percentage of Participants Who Are Clinical Global Impression Scale-Improvement (CGI-I) Responders at Days 4, 7, 14, 21, 28, 35 and 42
Day 4 (n = 95,108,44,98)
34.7 percentage of participants
0.27
33.3 percentage of participants
0.25
43.2 percentage of participants
0.38
37.8 percentage of participants
0.27
Percentage of Participants Who Are Clinical Global Impression Scale-Improvement (CGI-I) Responders at Days 4, 7, 14, 21, 28, 35 and 42
Day 7 (n = 96,111,45,99)
51.0 percentage of participants
0.30
46.8 percentage of participants
0.28
60.0 percentage of participants
0.43
45.5 percentage of participants
0.30
Percentage of Participants Who Are Clinical Global Impression Scale-Improvement (CGI-I) Responders at Days 4, 7, 14, 21, 28, 35 and 42
Day 14 (n = 96,111,45,99)
51.0 percentage of participants
0.31
60.4 percentage of participants
0.28
71.1 percentage of participants
0.42
54.5 percentage of participants
0.30
Percentage of Participants Who Are Clinical Global Impression Scale-Improvement (CGI-I) Responders at Days 4, 7, 14, 21, 28, 35 and 42
Day 21 (n = 96,111,45,99)
54.2 percentage of participants
0.32
63.1 percentage of participants
0.29
75.6 percentage of participants
0.42
58.6 percentage of participants
0.31
Percentage of Participants Who Are Clinical Global Impression Scale-Improvement (CGI-I) Responders at Days 4, 7, 14, 21, 28, 35 and 42
Day 28 (n = 96,111,45,99)
58.3 percentage of participants
0.36
62.2 percentage of participants
0.32
73.3 percentage of participants
0.47
60.6 percentage of participants
0.35
Percentage of Participants Who Are Clinical Global Impression Scale-Improvement (CGI-I) Responders at Days 4, 7, 14, 21, 28, 35 and 42
Day 35 (n = 96,111,45,99)
60.4 percentage of participants
0.34
64.0 percentage of participants
0.30
82.2 percentage of participants
0.44
64.6 percentage of participants
0.32
Percentage of Participants Who Are Clinical Global Impression Scale-Improvement (CGI-I) Responders at Days 4, 7, 14, 21, 28, 35 and 42
Day 42 (n = 96,111,45,99)
59.4 percentage of participants
0.40
66.7 percentage of participants
0.35
84.4 percentage of participants
0.50
62.6 percentage of participants
0.38

SECONDARY outcome

Timeframe: Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

This measure reports results for the 7 items of the negative subscale of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Negative symptoms represent a diminution or loss of normal functions (e.g., emotional withdrawal). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS negative subscale score for each participant was sum of the rating assigned to each of the 7 subscale items, and ranged from 7 to 49 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Change From Baseline in PANSS Negative Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 4
-0.7 score on a scale
Standard Error 0.29
-0.5 score on a scale
Standard Error 0.27
-0.9 score on a scale
Standard Error 0.42
-0.8 score on a scale
Standard Error 0.29
Change From Baseline in PANSS Negative Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 7
-1.2 score on a scale
Standard Error 0.33
-1.3 score on a scale
Standard Error 0.31
-1.5 score on a scale
Standard Error 0.47
-1.1 score on a scale
Standard Error 0.33
Change From Baseline in PANSS Negative Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 14
-1.6 score on a scale
Standard Error 0.37
-2.3 score on a scale
Standard Error 0.34
-1.7 score on a scale
Standard Error 0.51
-1.8 score on a scale
Standard Error 0.37
Change From Baseline in PANSS Negative Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 21
-2.3 score on a scale
Standard Error 0.41
-2.5 score on a scale
Standard Error 0.37
-2.0 score on a scale
Standard Error 0.56
-2.3 score on a scale
Standard Error 0.40
Change From Baseline in PANSS Negative Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 28
-2.5 score on a scale
Standard Error 0.45
-3.1 score on a scale
Standard Error 0.40
-2.6 score on a scale
Standard Error 0.59
-3.0 score on a scale
Standard Error 0.43
Change From Baseline in PANSS Negative Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 35
-3.3 score on a scale
Standard Error 0.48
-3.4 score on a scale
Standard Error 0.43
-3.4 score on a scale
Standard Error 0.63
-2.6 score on a scale
Standard Error 0.46
Change From Baseline in PANSS Negative Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 42
-3.3 score on a scale
Standard Error 0.54
-4.3 score on a scale
Standard Error 0.48
-3.8 score on a scale
Standard Error 0.68
-3.2 score on a scale
Standard Error 0.51

SECONDARY outcome

Timeframe: Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

This measure reports results for the 7 items of the positive subscale of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Positive symptoms refer to an excess or distortion of normal mental status (e.g., delusions). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS positive subscale score for each participant was sum of the rating assigned to each of the 7 subscale items, and ranged from 7 to 49 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Change From Baseline in PANSS Positive Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 4
-1.2 score on a scale
Standard Error 0.29
-1.6 score on a scale
Standard Error 0.28
-2.3 score on a scale
Standard Error 0.42
-1.7 score on a scale
Standard Error 0.30
Change From Baseline in PANSS Positive Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 7
-2.3 score on a scale
Standard Error 0.39
-2.8 score on a scale
Standard Error 0.36
-3.6 score on a scale
Standard Error 0.55
-2.6 score on a scale
Standard Error 0.38
Change From Baseline in PANSS Positive Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 14
-3.4 score on a scale
Standard Error 0.45
-3.9 score on a scale
Standard Error 0.40
-4.4 score on a scale
Standard Error 0.61
-3.7 score on a scale
Standard Error 0.43
Change From Baseline in PANSS Positive Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 21
-4.0 score on a scale
Standard Error 0.52
-5.0 score on a scale
Standard Error 0.47
-5.7 score on a scale
Standard Error 0.70
-4.5 score on a scale
Standard Error 0.51
Change From Baseline in PANSS Positive Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 28
-4.1 score on a scale
Standard Error 0.59
-5.7 score on a scale
Standard Error 0.52
-6.2 score on a scale
Standard Error 0.77
-5.0 score on a scale
Standard Error 0.56
Change From Baseline in PANSS Positive Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 35
-5.2 score on a scale
Standard Error 0.60
-6.3 score on a scale
Standard Error 0.53
-6.8 score on a scale
Standard Error 0.78
-5.5 score on a scale
Standard Error 0.57
Change From Baseline in PANSS Positive Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 42
-5.6 score on a scale
Standard Error 0.65
-7.2 score on a scale
Standard Error 0.57
-7.5 score on a scale
Standard Error 0.83
-5.4 score on a scale
Standard Error 0.61

SECONDARY outcome

Timeframe: Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

This measure reports results for the 16 items of the general psychopathology subscale of the PANSS, which is a 30-item clinician-rated instrument used to assess the symptoms of schizophrenia. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The PANSS general psychopathology subscale score for each participant was calculated as the sum of the rating assigned to each of the 16 subscale items, and ranged from 16 to 112 with a higher score indicating greater severity of symptoms. The reported measure is the change from baseline; improvement in symptoms is represented by negative values.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Change From Baseline in PANSS General Psychopathology Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 4
-2.2 score on a scale
Standard Error 0.49
-2.7 score on a scale
Standard Error 0.46
-2.5 score on a scale
Standard Error 0.70
-2.4 score on a scale
Standard Error 0.49
Change From Baseline in PANSS General Psychopathology Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 7
-3.8 score on a scale
Standard Error 0.69
-4.9 score on a scale
Standard Error 0.64
-4.4 score on a scale
Standard Error 0.98
-3.6 score on a scale
Standard Error 0.68
Change From Baseline in PANSS General Psychopathology Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 14
-5.1 score on a scale
Standard Error 0.73
-6.2 score on a scale
Standard Error 0.66
-6.4 score on a scale
Standard Error 1.00
-5.4 score on a scale
Standard Error 0.71
Change From Baseline in PANSS General Psychopathology Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 21
-5.9 score on a scale
Standard Error 0.84
-7.4 score on a scale
Standard Error 0.76
-7.7 score on a scale
Standard Error 1.13
-6.7 score on a scale
Standard Error 0.81
Change From Baseline in PANSS General Psychopathology Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 28
-5.9 score on a scale
Standard Error 0.93
-8.2 score on a scale
Standard Error 0.82
-8.6 score on a scale
Standard Error 1.21
-7.7 score on a scale
Standard Error 0.88
Change From Baseline in PANSS General Psychopathology Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 35
-8.8 score on a scale
Standard Error 0.88
-9.2 score on a scale
Standard Error 0.79
-10.2 score on a scale
Standard Error 1.16
-7.6 score on a scale
Standard Error 0.84
Change From Baseline in PANSS General Psychopathology Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 42
-8.9 score on a scale
Standard Error 0.97
-10.1 score on a scale
Standard Error 0.86
-10.4 score on a scale
Standard Error 1.23
-8.0 score on a scale
Standard Error 0.92

SECONDARY outcome

Timeframe: Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

This measure reports results for the 8 items of the Marder positive symptom factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor positive symptom score for each participant was sum of rating assigned to each of the 8 applicable Marder factor items, and ranged from 8 to 56 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Change From Baseline in PANSS Marder Factor Positive Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 4
-1.3 score on a scale
Standard Error 0.29
-1.8 score on a scale
Standard Error 0.27
-2.0 score on a scale
Standard Error 0.41
-2.0 score on a scale
Standard Error 0.29
Change From Baseline in PANSS Marder Factor Positive Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 7
-2.5 score on a scale
Standard Error 0.41
-2.9 score on a scale
Standard Error 0.38
-3.2 score on a scale
Standard Error 0.58
-2.8 score on a scale
Standard Error 0.40
Change From Baseline in PANSS Marder Factor Positive Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 14
-3.9 score on a scale
Standard Error 0.49
-4.0 score on a scale
Standard Error 0.44
-4.4 score on a scale
Standard Error 0.67
-4.1 score on a scale
Standard Error 0.47
Change From Baseline in PANSS Marder Factor Positive Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 21
-4.5 score on a scale
Standard Error 0.55
-5.4 score on a scale
Standard Error 0.50
-5.5 score on a scale
Standard Error 0.74
-5.1 score on a scale
Standard Error 0.54
Change From Baseline in PANSS Marder Factor Positive Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 28
-4.8 score on a scale
Standard Error 0.60
-6.3 score on a scale
Standard Error 0.53
-6.6 score on a scale
Standard Error 0.78
-5.6 score on a scale
Standard Error 0.57
Change From Baseline in PANSS Marder Factor Positive Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 35
-6.1 score on a scale
Standard Error 0.64
-6.7 score on a scale
Standard Error 0.57
-6.9 score on a scale
Standard Error 0.84
-6.1 score on a scale
Standard Error 0.61
Change From Baseline in PANSS Marder Factor Positive Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 42
-6.8 score on a scale
Standard Error 0.67
-7.6 score on a scale
Standard Error 0.59
-7.8 score on a scale
Standard Error 0.86
-6.2 score on a scale
Standard Error 0.63

SECONDARY outcome

Timeframe: Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

This measure reports results for the 7 items of the Marder negative symptoms factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor negative symptom score for each participant was sum of the rating assigned to each of the 7 applicable Marder factor items, and ranged from 7 to 49 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Change From Baseline in PANSS Marder Factor Negative Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 4
-1.2 score on a scale
Standard Error 0.30
-0.8 score on a scale
Standard Error 0.28
-0.8 score on a scale
Standard Error 0.43
-0.7 score on a scale
Standard Error 0.30
Change From Baseline in PANSS Marder Factor Negative Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 7
-1.7 score on a scale
Standard Error 0.37
-1.9 score on a scale
Standard Error 0.34
-1.8 score on a scale
Standard Error 0.53
-1.3 score on a scale
Standard Error 0.37
Change From Baseline in PANSS Marder Factor Negative Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 14
-2.0 score on a scale
Standard Error 0.41
-2.8 score on a scale
Standard Error 0.37
-2.2 score on a scale
Standard Error 0.56
-2.0 score on a scale
Standard Error 0.40
Change From Baseline in PANSS Marder Factor Negative Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 21
-2.6 score on a scale
Standard Error 0.44
-3.2 score on a scale
Standard Error 0.40
-2.6 score on a scale
Standard Error 0.60
-2.5 score on a scale
Standard Error 0.43
Change From Baseline in PANSS Marder Factor Negative Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 28
-2.9 score on a scale
Standard Error 0.51
-3.8 score on a scale
Standard Error 0.45
-3.2 score on a scale
Standard Error 0.67
-3.5 score on a scale
Standard Error 0.49
Change From Baseline in PANSS Marder Factor Negative Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 35
-3.5 score on a scale
Standard Error 0.52
-3.9 score on a scale
Standard Error 0.46
-4.1 score on a scale
Standard Error 0.68
-3.0 score on a scale
Standard Error 0.49
Change From Baseline in PANSS Marder Factor Negative Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 42
-3.4 score on a scale
Standard Error 0.53
-4.7 score on a scale
Standard Error 0.47
-4.3 score on a scale
Standard Error 0.67
-4.0 score on a scale
Standard Error 0.51

SECONDARY outcome

Timeframe: Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

This measure reports results for the 7 items of the Marder disorganized thoughts factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor disorganized thought symptom score for each participant was sum of rating assigned to each of the 7 applicable Marder factor items, and ranged from 7 to 49 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Change From Baseline in PANSS Marder Factor Disorganized Thought Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 4
-0.3 score on a scale
Standard Error 0.24
-0.7 score on a scale
Standard Error 0.22
-1.1 score on a scale
Standard Error 0.34
-0.7 score on a scale
Standard Error 0.24
Change From Baseline in PANSS Marder Factor Disorganized Thought Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 7
-1.0 score on a scale
Standard Error 0.32
-1.4 score on a scale
Standard Error 0.29
-1.6 score on a scale
Standard Error 0.45
-0.7 score on a scale
Standard Error 0.31
Change From Baseline in PANSS Marder Factor Disorganized Thought Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 14
-1.3 score on a scale
Standard Error 0.36
-2.0 score on a scale
Standard Error 0.33
-2.2 score on a scale
Standard Error 0.49
-1.5 score on a scale
Standard Error 0.35
Change From Baseline in PANSS Marder Factor Disorganized Thought Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 21
-2.3 score on a scale
Standard Error 0.41
-2.5 score on a scale
Standard Error 0.37
-2.7 score on a scale
Standard Error 0.54
-2.1 score on a scale
Standard Error 0.39
Change From Baseline in PANSS Marder Factor Disorganized Thought Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 28
-2.4 score on a scale
Standard Error 0.42
-3.1 score on a scale
Standard Error 0.37
-3.1 score on a scale
Standard Error 0.54
-2.4 score on a scale
Standard Error 0.40
Change From Baseline in PANSS Marder Factor Disorganized Thought Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 35
-3.5 score on a scale
Standard Error 0.43
-3.5 score on a scale
Standard Error 0.38
-4.3 score on a scale
Standard Error 0.56
-2.4 score on a scale
Standard Error 0.41
Change From Baseline in PANSS Marder Factor Disorganized Thought Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 42
-3.8 score on a scale
Standard Error 0.45
-4.3 score on a scale
Standard Error 0.40
-4.7 score on a scale
Standard Error 0.58
-2.7 score on a scale
Standard Error 0.43

SECONDARY outcome

Timeframe: Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

This measure reports results for the 4 items of the Marder hostility/excitement factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor hostility/excitement symptom score for each participant was sum of rating assigned to each of the 4 applicable Marder factor items, and ranged from 4 to 28 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Change From Baseline in PANSS Marder Factor Hostility/Excitement Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 4
-0.4 score on a scale
Standard Error 0.25
-0.3 score on a scale
Standard Error 0.23
-0.7 score on a scale
Standard Error 0.36
-0.5 score on a scale
Standard Error 0.25
Change From Baseline in PANSS Marder Factor Hostility/Excitement Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 7
-0.5 score on a scale
Standard Error 0.28
-0.5 score on a scale
Standard Error 0.26
-1.0 score on a scale
Standard Error 0.40
-0.7 score on a scale
Standard Error 0.28
Change From Baseline in PANSS Marder Factor Hostility/Excitement Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 14
-0.9 score on a scale
Standard Error 0.30
-0.8 score on a scale
Standard Error 0.27
-1.2 score on a scale
Standard Error 0.41
-0.9 score on a scale
Standard Error 0.30
Change From Baseline in PANSS Marder Factor Hostility/Excitement Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 21
-0.8 score on a scale
Standard Error 0.33
-0.9 score on a scale
Standard Error 0.30
-1.8 score on a scale
Standard Error 0.44
-1.0 score on a scale
Standard Error 0.32
Change From Baseline in PANSS Marder Factor Hostility/Excitement Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 28
-0.5 score on a scale
Standard Error 0.41
-0.8 score on a scale
Standard Error 0.36
-1.6 score on a scale
Standard Error 0.53
-1.0 score on a scale
Standard Error 0.39
Change From Baseline in PANSS Marder Factor Hostility/Excitement Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 35
-1.4 score on a scale
Standard Error 0.37
-1.5 score on a scale
Standard Error 0.32
-2.0 score on a scale
Standard Error 0.47
-1.4 score on a scale
Standard Error 0.35
Change From Baseline in PANSS Marder Factor Hostility/Excitement Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 42
-1.1 score on a scale
Standard Error 0.41
-1.8 score on a scale
Standard Error 0.36
-1.9 score on a scale
Standard Error 0.52
-1.1 score on a scale
Standard Error 0.39

SECONDARY outcome

Timeframe: Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Population: FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score

This measure reports results for the 4 items of the Marder anxiety/depression factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor anxiety/depression symptom score for each participant was sum of rating assigned to each of the 4 applicable Marder factor items, and ranged from 4 to 28 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.

Outcome measures

Outcome measures
Measure
Asenapine 2.5 mg BID
n=96 Participants
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=111 Participants
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=45 Participants
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=99 Participants
Participants were administered placebo tablets BID for 42 days
Change From Baseline in PANSS Marder Factor Anxiety/Depression Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 4
-0.9 score on a scale
Standard Error 0.27
-1.2 score on a scale
Standard Error 0.25
-1.0 score on a scale
Standard Error 0.38
-0.9 score on a scale
Standard Error 0.27
Change From Baseline in PANSS Marder Factor Anxiety/Depression Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 7
-1.5 score on a scale
Standard Error 0.30
-2.2 score on a scale
Standard Error 0.28
-1.8 score on a scale
Standard Error 0.43
-1.7 score on a scale
Standard Error 0.30
Change From Baseline in PANSS Marder Factor Anxiety/Depression Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 14
-1.9 score on a scale
Standard Error 0.31
-2.9 score on a scale
Standard Error 0.28
-2.5 score on a scale
Standard Error 0.42
-2.5 score on a scale
Standard Error 0.30
Change From Baseline in PANSS Marder Factor Anxiety/Depression Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 21
-2.1 score on a scale
Standard Error 0.32
-3.0 score on a scale
Standard Error 0.29
-2.7 score on a scale
Standard Error 0.42
-3.1 score on a scale
Standard Error 0.31
Change From Baseline in PANSS Marder Factor Anxiety/Depression Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 28
-1.9 score on a scale
Standard Error 0.36
-3.2 score on a scale
Standard Error 0.32
-2.8 score on a scale
Standard Error 0.47
-3.4 score on a scale
Standard Error 0.35
Change From Baseline in PANSS Marder Factor Anxiety/Depression Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 35
-3.0 score on a scale
Standard Error 0.34
-3.6 score on a scale
Standard Error 0.30
-3.2 score on a scale
Standard Error 0.44
-3.2 score on a scale
Standard Error 0.32
Change From Baseline in PANSS Marder Factor Anxiety/Depression Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Day 42
-2.9 score on a scale
Standard Error 0.40
-3.4 score on a scale
Standard Error 0.35
-3.1 score on a scale
Standard Error 0.50
-3.0 score on a scale
Standard Error 0.38

Adverse Events

Asenapine 2.5 mg BID

Serious events: 5 serious events
Other events: 27 other events
Deaths: 0 deaths

Asenapine 5 mg BID

Serious events: 5 serious events
Other events: 47 other events
Deaths: 0 deaths

Olanzapine 15 mg QD

Serious events: 1 serious events
Other events: 17 other events
Deaths: 0 deaths

Placebo BID

Serious events: 8 serious events
Other events: 29 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Asenapine 2.5 mg BID
n=97 participants at risk
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=113 participants at risk
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=46 participants at risk
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=101 participants at risk
Participants were administered placebo tablets BID for 42 days
Gastrointestinal disorders
Small intestinal obstruction
0.00%
0/97 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.88%
1/113 • Number of events 1 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/101 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
General disorders
Chest pain
0.00%
0/97 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/113 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.99%
1/101 • Number of events 1 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Injury, poisoning and procedural complications
Road traffic accident
0.00%
0/97 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/113 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.99%
1/101 • Number of events 1 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Metabolism and nutrition disorders
Diabetes mellitus
1.0%
1/97 • Number of events 1 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/113 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/101 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Nervous system disorders
Epilepsy
0.00%
0/97 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/113 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.99%
1/101 • Number of events 1 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Nervous system disorders
Syncope
0.00%
0/97 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/113 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.99%
1/101 • Number of events 1 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Psychiatric disorders
Agitation
0.00%
0/97 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/113 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.99%
1/101 • Number of events 1 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Psychiatric disorders
Anxiety
0.00%
0/97 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/113 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.99%
1/101 • Number of events 1 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Psychiatric disorders
Homicidal ideation
1.0%
1/97 • Number of events 1 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/113 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/101 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Psychiatric disorders
Psychotic disorder
2.1%
2/97 • Number of events 2 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/113 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
2.2%
1/46 • Number of events 1 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/101 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Psychiatric disorders
Schizophrenia
0.00%
0/97 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
2.7%
3/113 • Number of events 3 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
2.0%
2/101 • Number of events 2 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Psychiatric disorders
Schizophrenia, paranoid type
0.00%
0/97 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.88%
1/113 • Number of events 1 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/101 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Skin and subcutaneous tissue disorders
Psoriasis
1.0%
1/97 • Number of events 1 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/113 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/101 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)

Other adverse events

Other adverse events
Measure
Asenapine 2.5 mg BID
n=97 participants at risk
Participants were administered one 2.5 mg asenapine tablet BID for 42 days
Asenapine 5 mg BID
n=113 participants at risk
Participants were administered one 5 mg asenapine tablet BID for 42 days
Olanzapine 15 mg QD
n=46 participants at risk
Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered
Placebo BID
n=101 participants at risk
Participants were administered placebo tablets BID for 42 days
Gastrointestinal disorders
Diarrhoea
0.00%
0/97 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
1.8%
2/113 • Number of events 2 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
6.5%
3/46 • Number of events 3 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
2.0%
2/101 • Number of events 2 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Gastrointestinal disorders
Dry mouth
0.00%
0/97 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
1.8%
2/113 • Number of events 2 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
10.9%
5/46 • Number of events 5 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.99%
1/101 • Number of events 1 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Gastrointestinal disorders
Dyspepsia
1.0%
1/97 • Number of events 1 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
1.8%
2/113 • Number of events 2 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
6.5%
3/46 • Number of events 3 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
2.0%
2/101 • Number of events 2 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Gastrointestinal disorders
Hypoaesthesia oral
4.1%
4/97 • Number of events 4 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
6.2%
7/113 • Number of events 7 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/101 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Investigations
Blood creatine phosphokinase increased
0.00%
0/97 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
5.3%
6/113 • Number of events 6 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/101 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Nervous system disorders
Headache
10.3%
10/97 • Number of events 12 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
8.8%
10/113 • Number of events 10 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
8.7%
4/46 • Number of events 6 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
2.0%
2/101 • Number of events 2 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Nervous system disorders
Somnolence
3.1%
3/97 • Number of events 3 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
6.2%
7/113 • Number of events 7 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
10.9%
5/46 • Number of events 5 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/101 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Psychiatric disorders
Agitation
3.1%
3/97 • Number of events 3 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
6.2%
7/113 • Number of events 8 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
3.0%
3/101 • Number of events 3 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Psychiatric disorders
Anxiety
7.2%
7/97 • Number of events 10 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
7.1%
8/113 • Number of events 9 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
8.7%
4/46 • Number of events 5 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
11.9%
12/101 • Number of events 13 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Psychiatric disorders
Insomnia
9.3%
9/97 • Number of events 9 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
15.0%
17/113 • Number of events 21 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
8.7%
4/46 • Number of events 4 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
13.9%
14/101 • Number of events 20 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Psychiatric disorders
Schizophrenia
6.2%
6/97 • Number of events 6 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
3.5%
4/113 • Number of events 4 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
0.00%
0/46 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
4.0%
4/101 • Number of events 4 • Up to 30 days after last dose of study drug (Up to approximately 10 weeks)

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme Corp.

Phone: 1-800-672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee It is planned to first publish/present trial results together with the other sites, unless permission is obtained from Sponsor to publish separate results. Sponsor must be able to review all proposed results communications regarding study 45 days prior to submission for publication/presentation. If there is disagreement concerning appropriateness of the materials, Investigator and Sponsor must meet to make a good faith effort to discuss/resolve disagreement prior to submission for publication.
  • Publication restrictions are in place

Restriction type: OTHER