Trial Outcomes & Findings for Phase 1 Study to Assess the Safety/Tolerability of Brexpiprazole as Adjunctive Therapy in Elderly Subjects With Major Depressive Disorder (NCT NCT01670279)

NCT ID: NCT01670279

Last Updated: 2016-02-04

Results Overview

Safety and tolerability of brexpiprazole was noted to be primary outcome measure. Brexpiprazole was judged to be tolerated if at least 6 out of 8 (75%) of the participants in a test cohort tolerated the dose after 14 days of QD dosing at the end of the fixed dose phase based on the blinded data. Dose toleration was defined as follows: during the course of the trial, the participants did not experience any moderate or severe adverse events (AEs) or potentially clinically relevant changes from Baseline in laboratory values, vital signs, electrocardiogram (ECG) tracings, Columbia-Suicide Severity Rating Scale (C-SSRS), or extrapyramidal symptom (EPS) ratings, which were assessed as possibly related to the study drug, and would have warranted a dose decrease or discontinuation of the study drug. The safety and tolerability of brexpiprazole was defined by parameters: AEs, laboratory values, vital signs, ECG, C-SSRS, or EPS ratings, the results of each of the parameters reported separately.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

18 participants

Primary outcome timeframe

45 Days

Results posted on

2016-02-04

Participant Flow

This was a phase 1, multicenter, randomized, double-blind, placebo-controlled, multiple ascending dose trial planned in 3 sequential cohorts of elderly participants (70 to 85 years old) with major depressive disorder (MDD). Brexpiprazole was administered as an adjunct treatment to the current antidepressant therapy that the participant received.

The study included a 30-day screening period, a 14-day washout period, up to 45-day inpatient treatment period (titration: received brexpiprazole or placebo once daily \[QD\] for 14 or 21 days and fixed dose phase: received assigned fixed dose for 14 or 28 days), and a 30-day follow-up after the last dose of study drug.

Participant milestones

Participant milestones
Measure
Brexpiprazole-Cohort 1
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 2 mg brexpiprazole QD for 14 days, followed by 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 2
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 3
In the titration phase, participants were to receive 0.5 mg brexpiprazole or placebo QD for 7 days, followed by 1 mg brexpiprazole or placebo QD for 7 days, and then 2 mg brexpiprazole or placebo QD for 7 days. In the fixed dose phase, participants were to receive 3 mg brexpiprazole or placebo QD for 14 days. However, Cohort 3 was not conducted due to safety and tolerability results from Cohorts 1 and 2.
Placebo
In the titration phase, participants received 0.5 mg placebo QD for 7 days, followed by 1 mg placebo QD for 7 days. In the fixed dose phase, Cohort 1: participants received 2 mg placebo QD for 14 days, followed by 3 mg placebo QD for 14 days. Cohort 2: participants received 3 mg placebo QD for 14 days.
Overall Study
STARTED
6
7
0
5
Overall Study
COMPLETED
6
5
0
4
Overall Study
NOT COMPLETED
0
2
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Brexpiprazole-Cohort 1
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 2 mg brexpiprazole QD for 14 days, followed by 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 2
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 3
In the titration phase, participants were to receive 0.5 mg brexpiprazole or placebo QD for 7 days, followed by 1 mg brexpiprazole or placebo QD for 7 days, and then 2 mg brexpiprazole or placebo QD for 7 days. In the fixed dose phase, participants were to receive 3 mg brexpiprazole or placebo QD for 14 days. However, Cohort 3 was not conducted due to safety and tolerability results from Cohorts 1 and 2.
Placebo
In the titration phase, participants received 0.5 mg placebo QD for 7 days, followed by 1 mg placebo QD for 7 days. In the fixed dose phase, Cohort 1: participants received 2 mg placebo QD for 14 days, followed by 3 mg placebo QD for 14 days. Cohort 2: participants received 3 mg placebo QD for 14 days.
Overall Study
Adverse Event
0
1
0
0
Overall Study
Physician Decision
0
1
0
0
Overall Study
Participant met withdrawal criteria
0
0
0
1

Baseline Characteristics

Phase 1 Study to Assess the Safety/Tolerability of Brexpiprazole as Adjunctive Therapy in Elderly Subjects With Major Depressive Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Brexpiprazole-Cohort 1
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 2 mg brexpiprazole QD for 14 days, followed by 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 2
n=7 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 3 mg brexpiprazole QD for 14 days.
Placebo
n=5 Participants
In the titration phase, participants received 0.5 mg placebo QD for 7 days, followed by 1 mg placebo QD for 7 days. In the fixed dose phase, Cohort 1: participants received 2 mg placebo QD for 14 days, followed by 3 mg placebo QD for 14 days. Cohort 2: participants received 3 mg placebo QD for 14 days.
Total
n=18 Participants
Total of all reporting groups
Age, Continuous
73.2 Years
STANDARD_DEVIATION 4.0 • n=5 Participants
76.0 Years
STANDARD_DEVIATION 5.3 • n=7 Participants
72.6 Years
STANDARD_DEVIATION 1.5 • n=5 Participants
74.1 Years
STANDARD_DEVIATION 4.2 • n=4 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
5 Participants
n=7 Participants
4 Participants
n=5 Participants
13 Participants
n=4 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
5 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 45 Days

Population: Tolerability assessed in phase 1 trial in healthy participants (18-45 years) with MDD as adjunct therapy to ADTs; the efficacy assessed in phase 3 trials in participants (18-65 years) with MDD as adjunct therapy to ADTs. Thus, safety/tolerability of brexpiprazole in participants (\>65 years) with MDD as adjunct therapy to ADTs was not characterized.

Safety and tolerability of brexpiprazole was noted to be primary outcome measure. Brexpiprazole was judged to be tolerated if at least 6 out of 8 (75%) of the participants in a test cohort tolerated the dose after 14 days of QD dosing at the end of the fixed dose phase based on the blinded data. Dose toleration was defined as follows: during the course of the trial, the participants did not experience any moderate or severe adverse events (AEs) or potentially clinically relevant changes from Baseline in laboratory values, vital signs, electrocardiogram (ECG) tracings, Columbia-Suicide Severity Rating Scale (C-SSRS), or extrapyramidal symptom (EPS) ratings, which were assessed as possibly related to the study drug, and would have warranted a dose decrease or discontinuation of the study drug. The safety and tolerability of brexpiprazole was defined by parameters: AEs, laboratory values, vital signs, ECG, C-SSRS, or EPS ratings, the results of each of the parameters reported separately.

Outcome measures

Outcome measures
Measure
Brexpiprazole-Cohort 1
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 2 mg brexpiprazole QD for 14 days, followed by 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 2
n=7 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 3 mg brexpiprazole QD for 14 days.
Placebo
n=5 Participants
In the titration phase, participants received 0.5 mg placebo QD for 7 days, followed by 1 mg placebo QD for 7 days. In the fixed dose phase, Cohort 1: participants received 2 mg placebo QD for 14 days, followed by 3 mg placebo QD for 14 days. Cohort 2: participants received 3 mg placebo QD for 14 days.
Number of Participants Who Tolerated Brexpiprazole
6 participants
7 participants
5 participants

PRIMARY outcome

Timeframe: Throughout the study, up to 119 days

Population: The safety dataset included all randomized participants who received at least one dose of study medication.

The AEs were one of the primary parameters to measure the safety and tolerability of individual participants. The AEs were captured for all participants from the time the ICF was signed until the end of the trial. AEs were measured throughout the 14-day titration and 28-day fixed dose phase until follow-up (30 \[±2\] days after last dose of study medication).

Outcome measures

Outcome measures
Measure
Brexpiprazole-Cohort 1
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 2 mg brexpiprazole QD for 14 days, followed by 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 2
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 3 mg brexpiprazole QD for 14 days.
Placebo
n=5 Participants
In the titration phase, participants received 0.5 mg placebo QD for 7 days, followed by 1 mg placebo QD for 7 days. In the fixed dose phase, Cohort 1: participants received 2 mg placebo QD for 14 days, followed by 3 mg placebo QD for 14 days. Cohort 2: participants received 3 mg placebo QD for 14 days.
Number of AEs Reported.
Adverse events
12 Events
33 Events
5 Events
Number of AEs Reported.
Serious adverse events
0 Events
0 Events
0 Events
Number of AEs Reported.
Treatment emergent adverse events (TEAEs)
6 Events
6 Events
3 Events

PRIMARY outcome

Timeframe: Titration Day 7, Fixed dose Day 14 and 28 and Last Visit

Population: The safety dataset included all randomized participants who received at least one dose of study medication.

The laboratory values were one of the primary parameters to measure the safety and tolerability of individual participants. Incidence of TEAEs of potential clinical relevance include abnormal values in serum chemistry, hematology, urinalyses and prolactin tests that were identified based on pre-defined criteria.

Outcome measures

Outcome measures
Measure
Brexpiprazole-Cohort 1
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 2 mg brexpiprazole QD for 14 days, followed by 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 2
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 3 mg brexpiprazole QD for 14 days.
Placebo
n=5 Participants
In the titration phase, participants received 0.5 mg placebo QD for 7 days, followed by 1 mg placebo QD for 7 days. In the fixed dose phase, Cohort 1: participants received 2 mg placebo QD for 14 days, followed by 3 mg placebo QD for 14 days. Cohort 2: participants received 3 mg placebo QD for 14 days.
Incidence of Laboratory Values of Potential Clinical Significance
Cholesterol, fasting
0 Participants
1 Participants
1 Participants
Incidence of Laboratory Values of Potential Clinical Significance
Glucose
0 Participants
0 Participants
1 Participants
Incidence of Laboratory Values of Potential Clinical Significance
Prolactin
2 Participants
0 Participants
0 Participants
Incidence of Laboratory Values of Potential Clinical Significance
LDL direct, fasting
0 Participants
0 Participants
1 Participants
Incidence of Laboratory Values of Potential Clinical Significance
Triglycerides, fasting
2 Participants
1 Participants
3 Participants
Incidence of Laboratory Values of Potential Clinical Significance
Uric acid
0 Participants
0 Participants
1 Participants
Incidence of Laboratory Values of Potential Clinical Significance
Hematocrit
0 Participants
2 Participants
1 Participants

PRIMARY outcome

Timeframe: Baseline, Titration Day 1, 2, 7, 8, Fixed Days 1, 2, 14, 15, 28, 29, Early Termination and Last Visit.

Population: The safety dataset included all randomized participants who received at least one dose of study medication.

The vital signs were one of the primary parameters to measure the safety and tolerability of individual participants. Incidence of TEAEs of potential clinical relevance included abnormal values in heart rate, systolic and diastolic blood pressure, respiratory rate and weight that were identified based on pre-defined criteria.

Outcome measures

Outcome measures
Measure
Brexpiprazole-Cohort 1
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 2 mg brexpiprazole QD for 14 days, followed by 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 2
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 3 mg brexpiprazole QD for 14 days.
Placebo
n=5 Participants
In the titration phase, participants received 0.5 mg placebo QD for 7 days, followed by 1 mg placebo QD for 7 days. In the fixed dose phase, Cohort 1: participants received 2 mg placebo QD for 14 days, followed by 3 mg placebo QD for 14 days. Cohort 2: participants received 3 mg placebo QD for 14 days.
Incidence of Vital Signs of Potential Clinical Significance
Weight increase
2 Participants
0 Participants
0 Participants
Incidence of Vital Signs of Potential Clinical Significance
Supine hypotension, decrease
1 Participants
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Titratrion Day 1 and 7, Fixed dose Day 1, 14, 28, Early Termination

Population: The safety dataset included all randomized participants who received at least one dose of study medication.

The measurement of ECG was one of the primary parameters to measure the safety and tolerability of individual participants. Incidence of TEAEs of potential clinical relevance include abnormal changes in heart rate and ECG intervals of PR, QRS, QT, QTcB, and QTcF that were identified based on pre-defined criteria.

Outcome measures

Outcome measures
Measure
Brexpiprazole-Cohort 1
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 2 mg brexpiprazole QD for 14 days, followed by 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 2
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 3 mg brexpiprazole QD for 14 days.
Placebo
n=5 Participants
In the titration phase, participants received 0.5 mg placebo QD for 7 days, followed by 1 mg placebo QD for 7 days. In the fixed dose phase, Cohort 1: participants received 2 mg placebo QD for 14 days, followed by 3 mg placebo QD for 14 days. Cohort 2: participants received 3 mg placebo QD for 14 days.
Incidence of ECG Evaluations of Potential Clinical Significance
Supraventricular premature beat
0 Participants
2 Participants
1 Participants
Incidence of ECG Evaluations of Potential Clinical Significance
Ventricular premature beat
3 Participants
0 Participants
1 Participants
Incidence of ECG Evaluations of Potential Clinical Significance
Left bundle-branch block
0 Participants
0 Participants
1 Participants
Incidence of ECG Evaluations of Potential Clinical Significance
Myocardial ischemia
1 Participants
0 Participants
0 Participants
Incidence of ECG Evaluations of Potential Clinical Significance
Symmetrical T-wave inversions
1 Participants
1 Participants
0 Participants
Incidence of ECG Evaluations of Potential Clinical Significance
Increase in QTcB
1 Participants
3 Participants
2 Participants
Incidence of ECG Evaluations of Potential Clinical Significance
Increase in QTcF
1 Participants
2 Participants
2 Participants

PRIMARY outcome

Timeframe: Physical examination was performed at Screening, check-in, and discharge

Population: Safety Sample was analyzed. Any clinically significant condition present at the post-treatment physical examination that was not present at the baseline examination was documented as an adverse event and followed to a satisfactory conclusion. There were no clinically significant physical examination findings reported in this study.

The physical examination evaluation was one of the primary parameters to measure the safety and tolerability of individual participants. Incidence of TEAEs of potential clinical relevance include abnormal changes in the following body systems: head, ears, eyes, nose, and throat; thorax; abdomen; urogenital; extremities; neurological; and skin and mucosae.

Outcome measures

Outcome measures
Measure
Brexpiprazole-Cohort 1
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 2 mg brexpiprazole QD for 14 days, followed by 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 2
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 3 mg brexpiprazole QD for 14 days.
Placebo
n=4 Participants
In the titration phase, participants received 0.5 mg placebo QD for 7 days, followed by 1 mg placebo QD for 7 days. In the fixed dose phase, Cohort 1: participants received 2 mg placebo QD for 14 days, followed by 3 mg placebo QD for 14 days. Cohort 2: participants received 3 mg placebo QD for 14 days.
Incidence of Physical Examination Evaluation of Potential Clinical Significance
0 Participants
0 Participants
0 Participants

PRIMARY outcome

Timeframe: End of Titration, Day 15, Day 29, Early Termination and Last visit

Population: Safety Sample includes all randomized participants who receive at least one dose of study medication.

EPS was one of the primary parameters to measure the safety and tolerability of individual participants. The SAS is a rating scale used to measure EPS. The SAS scale consists of a list of 10 symptoms of parkinsonism (gait, arm dropping, shoulder shaking, elbow rigidity, wrist rigidity, head rotation, glabella tap, tremor, salivation, and akathisia), with each item rated from 0 to 4, with 0 being normal and 4 being the worst. The SAS Total score is sum of ratings for all 10 items, with possible Total scores from 0 to 40.

Outcome measures

Outcome measures
Measure
Brexpiprazole-Cohort 1
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 2 mg brexpiprazole QD for 14 days, followed by 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 2
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 3 mg brexpiprazole QD for 14 days.
Placebo
n=5 Participants
In the titration phase, participants received 0.5 mg placebo QD for 7 days, followed by 1 mg placebo QD for 7 days. In the fixed dose phase, Cohort 1: participants received 2 mg placebo QD for 14 days, followed by 3 mg placebo QD for 14 days. Cohort 2: participants received 3 mg placebo QD for 14 days.
Mean Change From Baseline to Study Completion in Simpson-Angus Scale (SAS) Total Score
End of Titration (N= 6, 6, 4)
-0.3 Units on a scale
Standard Deviation 0.5
-0.5 Units on a scale
Standard Deviation 0.8
-1.0 Units on a scale
Standard Deviation 0.8
Mean Change From Baseline to Study Completion in Simpson-Angus Scale (SAS) Total Score
Day 29 (N=6, 0, 2)
-0.3 Units on a scale
Standard Deviation 0.4
NA Units on a scale
Standard Deviation NA
N=0, data not collected.
0.0 Units on a scale
Standard Deviation 0.0
Mean Change From Baseline to Study Completion in Simpson-Angus Scale (SAS) Total Score
Day 15 (N= 0, 5, 2)
NA Units on a scale
Standard Deviation NA
N=0, data not collected.
0.2 Units on a scale
Standard Deviation 0.4
-1.5 Units on a scale
Standard Deviation 0.7
Mean Change From Baseline to Study Completion in Simpson-Angus Scale (SAS) Total Score
Early Termination (N= 0, 1, 1)
NA Units on a scale
Standard Deviation NA
N=0, data not collected.
-1.0 Units on a scale
Standard Deviation NA
N=1, standard deviation is not applicable.
0.0 Units on a scale
Standard Deviation NA
N=1, standard deviation is not applicable.
Mean Change From Baseline to Study Completion in Simpson-Angus Scale (SAS) Total Score
Last visit (N= 6, 6, 5)
-0.2 Units on a scale
Standard Deviation 0.4
0.0 Units on a scale
Standard Deviation 0.6
-0.6 Units on a scale
Standard Deviation 0.9

PRIMARY outcome

Timeframe: End of Titration, Day 15, Day 29, Early Termination and Last visit

Population: Safety Sample includes all randomized participants who receive at least one dose of study medication.

EPS was one of the primary parameters to measure the safety and tolerability of individual participants. The Barnes Akathisia Rating Scale was an EPS rating scale. The Barnes Akathisia Rating Scale was used to assess the presence and severity of akathisia. This scale consists of 4 items. Only the 4th item, the Global Clinical Assessment of Akathisia, was evaluated in this trial. This item is rated on a 6 point scale, with 0 being best (absent) and 5 being worst (severe akathisia).

Outcome measures

Outcome measures
Measure
Brexpiprazole-Cohort 1
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 2 mg brexpiprazole QD for 14 days, followed by 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 2
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 3 mg brexpiprazole QD for 14 days.
Placebo
n=5 Participants
In the titration phase, participants received 0.5 mg placebo QD for 7 days, followed by 1 mg placebo QD for 7 days. In the fixed dose phase, Cohort 1: participants received 2 mg placebo QD for 14 days, followed by 3 mg placebo QD for 14 days. Cohort 2: participants received 3 mg placebo QD for 14 days.
Mean Change From Baseline to Study Completion in Barnes Akathisia Global Score
End of Titration (N= 6, 6, 4)
-0.2 Units on a scale
Standard Deviation 0.4
0.0 Units on a scale
Standard Deviation 0.0
-0.5 Units on a scale
Standard Deviation 0.6
Mean Change From Baseline to Study Completion in Barnes Akathisia Global Score
Day 15 (N= 0, 5, 2)
NA Units on a scale
Standard Deviation NA
N=0, data not collected.
0.0 Units on a scale
Standard Deviation 0.0
-0.5 Units on a scale
Standard Deviation 0.7
Mean Change From Baseline to Study Completion in Barnes Akathisia Global Score
Day 29 (N= 6, 0, 2)
0.0 Units on a scale
Standard Deviation 0.0
NA Units on a scale
Standard Deviation NA
N=0, data not collected.
-0.5 Units on a scale
Standard Deviation 0.7
Mean Change From Baseline to Study Completion in Barnes Akathisia Global Score
Early Termination (N= 0, 1, 1)
NA Units on a scale
Standard Deviation NA
N=0, data not collected.
0.0 Units on a scale
Standard Deviation NA
N=1, standard deviation is not applicable.
0.0 Units on a scale
Standard Deviation NA
N=1, standard deviation is not applicable.
Mean Change From Baseline to Study Completion in Barnes Akathisia Global Score
Last visit (N= 6, 6, 5)
0.0 Units on a scale
Standard Deviation 0.0
0.0 Units on a scale
Standard Deviation 0.0
-0.4 Units on a scale
Standard Deviation 0.5

PRIMARY outcome

Timeframe: End of Titration, Day 15, Day 29, Early Termination and Last visit

Population: Safety Sample includes all randomized participants who receive at least one dose of study medication.

EPS was one of the primary parameters to measure the safety and tolerability of individual participants. The AIMS Scale was an EPS rating scale. The AIMS is a 12 item scale. The first 10 items are rated from 0 to 4 (0=best, 4=worst). Items 11 and 12, related to dental status, have dichotomous responses, 0=no and 1=yes. The AIMS Total Score is the sum of the ratings for the first seven items. The possible total scores are from 0 to 28.

Outcome measures

Outcome measures
Measure
Brexpiprazole-Cohort 1
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 2 mg brexpiprazole QD for 14 days, followed by 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 2
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 3 mg brexpiprazole QD for 14 days.
Placebo
n=5 Participants
In the titration phase, participants received 0.5 mg placebo QD for 7 days, followed by 1 mg placebo QD for 7 days. In the fixed dose phase, Cohort 1: participants received 2 mg placebo QD for 14 days, followed by 3 mg placebo QD for 14 days. Cohort 2: participants received 3 mg placebo QD for 14 days.
Mean Change From Baseline to Study Completion in Abnormal Involuntary Movement Scale (AIMS) Rating Score.
Last Visit (N= 6, 6, 5)
0.0 Units on a scale
Standard Deviation 0.0
0.0 Units on a scale
Standard Deviation 0.0
0.0 Units on a scale
Standard Deviation 0.0
Mean Change From Baseline to Study Completion in Abnormal Involuntary Movement Scale (AIMS) Rating Score.
Day 15 (N= 0, 5, 2)
NA Units on a scale
Standard Deviation NA
N=0, data not collected.
0.0 Units on a scale
Standard Deviation 0.0
0.0 Units on a scale
Standard Deviation 0.0
Mean Change From Baseline to Study Completion in Abnormal Involuntary Movement Scale (AIMS) Rating Score.
Day 29 (N= 6, 0, 2)
0.0 Units on a scale
Standard Deviation 0.0
NA Units on a scale
Standard Deviation NA
N=0, data not collected.
0.0 Units on a scale
Standard Deviation 0.0
Mean Change From Baseline to Study Completion in Abnormal Involuntary Movement Scale (AIMS) Rating Score.
Early Termination (N= 0, 1, 1)
NA Units on a scale
Standard Deviation NA
N=0, data not collected.
0.0 Units on a scale
Standard Deviation NA
N=1, standard deviation is not applicable.
0.0 Units on a scale
Standard Deviation NA
N=1, standard deviation is not applicable.
Mean Change From Baseline to Study Completion in Abnormal Involuntary Movement Scale (AIMS) Rating Score.
End of Titration (N= 6, 6, 4)
0.0 Units on a scale
Standard Deviation 0.0
0.2 Units on a scale
Standard Deviation 0.4
0.0 Units on a scale
Standard Deviation 0.0

PRIMARY outcome

Timeframe: Baseline, End of Titration, Fixed dose Day 14 and 28, Day 15 and 29, Early Termination, Last Visit

Population: Safety Sample includes all randomized participants who receive at least one dose of study medication.

The C-SSRS was one of the primary parameters to measure the safety and tolerability of individual participants. Suicidality was monitored during the trial using the C-SSRS. This scale consists of a baseline evaluation that assesses the lifetime experience of the participant with suicide events and suicidal ideation and a post-baseline evaluation that focuses on suicidality since the last trial visit.

Outcome measures

Outcome measures
Measure
Brexpiprazole-Cohort 1
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 2 mg brexpiprazole QD for 14 days, followed by 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 2
n=6 Participants
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 3 mg brexpiprazole QD for 14 days.
Placebo
n=5 Participants
In the titration phase, participants received 0.5 mg placebo QD for 7 days, followed by 1 mg placebo QD for 7 days. In the fixed dose phase, Cohort 1: participants received 2 mg placebo QD for 14 days, followed by 3 mg placebo QD for 14 days. Cohort 2: participants received 3 mg placebo QD for 14 days.
Change From Baseline to Study Completion in C-SSRS Score.
Suicidality
0 Participants
0 Participants
0 Participants
Change From Baseline to Study Completion in C-SSRS Score.
Suicidal behaviour
0 Participants
0 Participants
0 Participants
Change From Baseline to Study Completion in C-SSRS Score.
Suicidal ideation
0 Participants
0 Participants
0 Participants

Adverse Events

Brexpiprazole-Cohort 1

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Brexpiprazole-Cohort 2

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Brexpiprazole-Cohort 1
n=6 participants at risk
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 2 mg brexpiprazole QD for 14 days, followed by 3 mg brexpiprazole QD for 14 days.
Brexpiprazole-Cohort 2
n=6 participants at risk
In the titration phase, participants received 0.5 mg brexpiprazole QD for 7 days, followed by 1 mg brexpiprazole QD for 7 days. In the fixed dose phase, participants received 3 mg brexpiprazole QD for 14 days.
Placebo
n=5 participants at risk
In the titration phase, participants received 0.5 mg placebo QD for 7 days, followed by 1 mg placebo QD for 7 days. In the fixed dose phase, Cohort 1: participants received 2 mg placebo QD for 14 days, followed by 3 mg placebo QD for 14 days. Cohort 2: participants received 3 mg placebo QD for 14 days.
Cardiac disorders
Atrioventricular block first degree
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Endocrine disorders
Hyperprolactinaemia
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Gastrointestinal disorders
Diarrhoea
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Gastrointestinal disorders
Dyspepsia
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
33.3%
2/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Gastrointestinal disorders
Nausea
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
33.3%
2/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Investigations
Cardiac murmur
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Investigations
Electrocardiogram QT prolonged
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Investigations
Weight increased
33.3%
2/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Nervous system disorders
Dizziness
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
50.0%
3/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Nervous system disorders
Headache
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
20.0%
1/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Nervous system disorders
Tremor
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Psychiatric disorders
Insomnia
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Renal and urinary disorders
Pollakiuria
33.3%
2/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
20.0%
1/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Musculoskeletal and connective tissue disorders
Arthritis
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Infections and infestations
Upper respiratory tract infection
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
General disorders
Oedema peripheral
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Gastrointestinal disorders
Constipation
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Gastrointestinal disorders
Dental caries
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Gastrointestinal disorders
Vomiting
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Eye disorders
Eye pruritis
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
20.0%
1/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Eye disorders
Dry eye
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
20.0%
1/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
Investigations
Blood pressure
16.7%
1/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/6 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.
0.00%
0/5 • AEs were captured for all participants from the signing of the informed consent and were measured throughout the 14-day titration period, 28-day fixed dose period until follow-up (30 [±2] days after last dose of study medication).
Participants who had received at least one dose of study medication were included in safety analysis.

Additional Information

Global Medical Affairs

Otsuka Pharmaceutical Development and Commercialization, Inc.

Phone: 800 562-3974

Results disclosure agreements

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