Trial Outcomes & Findings for An Extension of a Long-term Safety Study of ALKS 9072 (Also Known as ALKS 9070) (NCT NCT01895452)

NCT ID: NCT01895452

Last Updated: 2017-08-25

Results Overview

This measure includes all incidences, including those that occurred \>5%.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

291 participants

Primary outcome timeframe

Up to 12 months

Results posted on

2017-08-25

Participant Flow

Subjects who successfully completed the treatment period in Study ALK9072-003EXT and continued to meet eligibility criteria were eligible to enroll in this extension study.

Participant milestones

Participant milestones
Measure
ALKS 9072, Low
ALKS 9072, Low : IM injection, given monthly
ALKS 9072, High
ALKS 9072, High: IM injection, given monthly
Overall Study
STARTED
65
226
Overall Study
COMPLETED
61
198
Overall Study
NOT COMPLETED
4
28

Reasons for withdrawal

Reasons for withdrawal
Measure
ALKS 9072, Low
ALKS 9072, Low : IM injection, given monthly
ALKS 9072, High
ALKS 9072, High: IM injection, given monthly
Overall Study
Adverse Event
1
4
Overall Study
Lost to Follow-up
1
5
Overall Study
Pregnancy
0
1
Overall Study
Withdrawal by Subject
2
14
Overall Study
Underlying disease
0
3
Overall Study
Noncompliance with study drug
0
1

Baseline Characteristics

An Extension of a Long-term Safety Study of ALKS 9072 (Also Known as ALKS 9070)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ALKS 9072, Low
n=65 Participants
ALKS 9072, Low : IM injection, given monthly
ALKS 9072, High
n=226 Participants
ALKS 9072, High: IM injection, given monthly
Total
n=291 Participants
Total of all reporting groups
Age, Continuous
38.0 years
STANDARD_DEVIATION 11.02 • n=5 Participants
40.1 years
STANDARD_DEVIATION 11.59 • n=7 Participants
39.6 years
STANDARD_DEVIATION 11.47 • n=5 Participants
Sex: Female, Male
Female
28 Participants
n=5 Participants
107 Participants
n=7 Participants
135 Participants
n=5 Participants
Sex: Female, Male
Male
37 Participants
n=5 Participants
119 Participants
n=7 Participants
156 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
16 Participants
n=5 Participants
49 Participants
n=7 Participants
65 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
19 Participants
n=7 Participants
21 Participants
n=5 Participants
Race (NIH/OMB)
White
47 Participants
n=5 Participants
157 Participants
n=7 Participants
204 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
South Korea
0 participants
n=5 Participants
5 participants
n=7 Participants
5 participants
n=5 Participants
Region of Enrollment
Romania
2 participants
n=5 Participants
1 participants
n=7 Participants
3 participants
n=5 Participants
Region of Enrollment
United States
4 participants
n=5 Participants
32 participants
n=7 Participants
36 participants
n=5 Participants
Region of Enrollment
Philippines
15 participants
n=5 Participants
27 participants
n=7 Participants
42 participants
n=5 Participants
Region of Enrollment
Ukraine
15 participants
n=5 Participants
64 participants
n=7 Participants
79 participants
n=5 Participants
Region of Enrollment
Malaysia
1 participants
n=5 Participants
17 participants
n=7 Participants
18 participants
n=5 Participants
Region of Enrollment
Bulgaria
13 participants
n=5 Participants
32 participants
n=7 Participants
45 participants
n=5 Participants
Region of Enrollment
Russia
15 participants
n=5 Participants
48 participants
n=7 Participants
63 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 12 months

Population: Safety population includes all subjects who received at least 1 dose of ALKS 9072 in the current study.

This measure includes all incidences, including those that occurred \>5%.

Outcome measures

Outcome measures
Measure
ALKS 9072, Low
n=65 Participants
ALKS 9072, Low : IM injection, given monthly
ALKS 9072, High
n=226 Participants
ALKS 9072, High: IM injection, given monthly
Number and Percentage of Subjects With Treatment-emergent Adverse Events (TEAEs)
21 Participants
94 Participants

SECONDARY outcome

Timeframe: Up to 12 months

Population: The full analysis set consisted of all subjects who received at least 1 dose of ALKS 9072 and had at least 1 postbaseline assessment of PANSS total score after administration of ALKS 9072.

This scale consists of symptom constructs (7 positive, 7 negative, 16 general psychopathology), each to be rated on a 7-point Likert-type scale of severity with 1 being absent to 7 being extreme. Minimum scores (best outcome) equals 30 (total scale); maximum scores (worst outcome) equals 210 (total scale). Change is calculated between the baseline visit and the subject's last visit in the treatment period.

Outcome measures

Outcome measures
Measure
ALKS 9072, Low
n=65 Participants
ALKS 9072, Low : IM injection, given monthly
ALKS 9072, High
n=221 Participants
ALKS 9072, High: IM injection, given monthly
Change in Baseline of Positive and Negative Syndrome Scale (PANSS) Total Score Over Time
-0.7 units on a scale
Standard Deviation 6.73
-0.9 units on a scale
Standard Deviation 6.07

SECONDARY outcome

Timeframe: Up to 12 months

Population: The full analysis set consists of all subjects who received at least 1 dost of ALKS 9072 and had at least 1 postbaseline assessment of PANSS score after administration of ALKS 9072.

The CGI-S is a 7-point scale that requires the clinician to assess how mentally ill the patient is in a specific point in time. Results indicate participants evaluated at one of the following categories: "1: normal, not at all ill"; "2: borderline mentally ill"; "3: mildly ill"; "4: moderately ill"; "5: markedly ill"; "6: severely ill"; and "7: among the most extremely ill patients". Results indicate a change in CGI-S score from baseline to Day 365 based on the observed data. Change is calculated between the baseline visit and the subject's last visit in the treatment period.

Outcome measures

Outcome measures
Measure
ALKS 9072, Low
n=65 Participants
ALKS 9072, Low : IM injection, given monthly
ALKS 9072, High
n=221 Participants
ALKS 9072, High: IM injection, given monthly
Mean Change From Baseline to Endpoint in Clinical Global Impression - Severity (CGI-S) Over Time
-0.1 units on a scale
Standard Deviation 0.48
-0.1 units on a scale
Standard Deviation 0.52

Adverse Events

ALKS 9072, Low

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

ALKS 9072, High

Serious events: 4 serious events
Other events: 26 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ALKS 9072, Low
n=65 participants at risk
ALKS 9072, Low : IM injection, given monthly
ALKS 9072, High
n=226 participants at risk
ALKS 9072, High: IM injection, given monthly
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma of lung
0.00%
0/65 • Adverse events were collected at every study visit for up to 35 months.
0.44%
1/226 • Number of events 1 • Adverse events were collected at every study visit for up to 35 months.
Infections and infestations
Pneumonia
0.00%
0/65 • Adverse events were collected at every study visit for up to 35 months.
0.44%
1/226 • Number of events 1 • Adverse events were collected at every study visit for up to 35 months.
Infections and infestations
Sepsis
0.00%
0/65 • Adverse events were collected at every study visit for up to 35 months.
0.44%
1/226 • Number of events 1 • Adverse events were collected at every study visit for up to 35 months.
Psychiatric disorders
Suicidal ideation
0.00%
0/65 • Adverse events were collected at every study visit for up to 35 months.
0.44%
1/226 • Number of events 1 • Adverse events were collected at every study visit for up to 35 months.
Gastrointestinal disorders
Pancreatitis
0.00%
0/65 • Adverse events were collected at every study visit for up to 35 months.
0.44%
1/226 • Number of events 1 • Adverse events were collected at every study visit for up to 35 months.
Psychiatric disorders
Schizophrenia
0.00%
0/65 • Adverse events were collected at every study visit for up to 35 months.
0.44%
1/226 • Number of events 1 • Adverse events were collected at every study visit for up to 35 months.

Other adverse events

Other adverse events
Measure
ALKS 9072, Low
n=65 participants at risk
ALKS 9072, Low : IM injection, given monthly
ALKS 9072, High
n=226 participants at risk
ALKS 9072, High: IM injection, given monthly
Gastrointestinal disorders
Diarrhoea
6.2%
4/65 • Number of events 4 • Adverse events were collected at every study visit for up to 35 months.
3.1%
7/226 • Number of events 8 • Adverse events were collected at every study visit for up to 35 months.
Gastrointestinal disorders
Toothache
6.2%
4/65 • Number of events 4 • Adverse events were collected at every study visit for up to 35 months.
1.3%
3/226 • Number of events 4 • Adverse events were collected at every study visit for up to 35 months.
Infections and infestations
Nasopharyngitis
6.2%
4/65 • Number of events 4 • Adverse events were collected at every study visit for up to 35 months.
4.0%
9/226 • Number of events 11 • Adverse events were collected at every study visit for up to 35 months.
Psychiatric disorders
Insomnia
3.1%
2/65 • Number of events 4 • Adverse events were collected at every study visit for up to 35 months.
7.1%
16/226 • Number of events 20 • Adverse events were collected at every study visit for up to 35 months.

Additional Information

ARISTADA Medical Information

Alkermes, Inc.

Phone: 866-204-7823

Results disclosure agreements

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

Restriction type: OTHER