Parallel Group, Multiple Dose Pharmacokinetics Study of Five Antipsychotic Medications in Psychiatric Participants

NCT ID: NCT02087579

Last Updated: 2015-10-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

305 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-28

Study Completion Date

2014-12-31

Brief Summary

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The purpose of this study is to gather information about the steady-state plasma concentrations of aripiprazole, olanzapine, quetiapine and their relevant metabolites, at various dose levels and at different time points after dosing. In addition, comparison of capillary drug concentrations vs. venous drug concentrations will be performed for aripiprazole, olanzapine, paliperidone, quetiapine, risperidone and their relevant metabolites.

Detailed Description

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This is an open-label (physicians and participants know the identity of the assigned treatment), parallel-group, multiple-dose, multicenter study to assess pharmacokinetics (what the body does to the medication) of five antipsychotics (APS) drugs: aripiprazole, olanzapine, paliperidone, quetiapine and risperidone in psychiatric participants who are receiving stable doses of these drugs for the treatment of their disease.

Pharmacokinetics data will be generated from venous and fingerstick-based capillary plasma concentrations of the drugs and their metabolites. The total number of enrolled participants in this study will be at least 265. Seventy-five participants will be enrolled for the aripiprazole, olanzapine and quetiapine cohorts (groups) each, and 20 participants will be enrolled for the paliperidone and risperidone cohorts each. In aripiprazole, olanzapine and quetiapine cohorts there will be two subgroups. Subgroup one, 20 participants for fingerstick capillary + venous blood sampling and subgroup two, 55 participants for only venous sampling. Paliperidone and risperidone cohorts will be subjected only to capillary + venous blood sampling.

The study will consist of a screening phase (within 21 days before Day 1) followed by a 3-day observation phase (Day 1 to Day 3). Participants will be admitted to the study center in the evening of Day -1 and will remain in the study center until discharged on Day 3 after completion of the last study-related procedure. During the observation phase, the administration of the prior antipsychotic medication will continue at a participant's usual dose and dosing schedule, under direct observation of the study staff. There will be no modification of the participant's medication during the study. Safety will be evaluated throughout the study and a mandatory pharmacogenomic blood sample will be collected for analysis of genes that may influence exposure of the APS studied.

Conditions

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Psychotic Disorders Schizophrenia Bipolar Disorder Depressive Disorder

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Cohort A: Aripiprazole

Administration of oral formulation will continue at a participant's usual dose and dosing schedule.

Group Type EXPERIMENTAL

Aripiprazole, oral formulation

Intervention Type DRUG

Aripiprazole tablets will be administered orally (by mouth), at no dose restriction, as per the locally approved label indications.

Cohort B: Olanzapine

Administration of oral formulation will continue at a participant's usual dose and dosing schedule.

Group Type EXPERIMENTAL

Olanzapine, oral formulation

Intervention Type DRUG

Olanzapine tablets will be administered orally, at no dose restriction as per the locally approved label indications.

Cohort C: Paliperidone

Administration of prolonged-release (extended-release) tablets or long-acting injectables (LAI) will continue at a participant's usual dose and dosing schedule.

Group Type EXPERIMENTAL

Paliperidone, oral formulation

Intervention Type DRUG

Paliperidone prolonged-release/extended-release (XR) formulation tablets will be administered orally, at no dose restriction, as per the locally approved label indications.

Paliperidone, LAI

Intervention Type DRUG

Paliperidone long-acting injectable (LAI) i.e., paliperidone palmitate injections, will be administered per the locally approved label indications.

Cohort D: Quetiapine

Administration of oral formulation will continue at a participant's usual dose and dosing schedule.

Group Type EXPERIMENTAL

Quetiapine, oral formulation

Intervention Type DRUG

Quetiapine immediate-release (IR) formulation or extended-release (XR) formulation tablets will be administered orally, at no dose restriction, as per the locally approved label indications.

Cohort E: Risperidone

Administration of oral formulation or LAI will continue at a participant's usual dose and dosing schedule.

Group Type EXPERIMENTAL

Risperidone, oral formulation

Intervention Type DRUG

Risperidone tablets will be administered orally, at no dose restriction, as per the locally approved label indications.

Risperidone, LAI

Intervention Type DRUG

Risperidone LAI injections will be administered will be administered per the locally approved label indications.

Interventions

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Aripiprazole, oral formulation

Aripiprazole tablets will be administered orally (by mouth), at no dose restriction, as per the locally approved label indications.

Intervention Type DRUG

Olanzapine, oral formulation

Olanzapine tablets will be administered orally, at no dose restriction as per the locally approved label indications.

Intervention Type DRUG

Paliperidone, oral formulation

Paliperidone prolonged-release/extended-release (XR) formulation tablets will be administered orally, at no dose restriction, as per the locally approved label indications.

Intervention Type DRUG

Paliperidone, LAI

Paliperidone long-acting injectable (LAI) i.e., paliperidone palmitate injections, will be administered per the locally approved label indications.

Intervention Type DRUG

Quetiapine, oral formulation

Quetiapine immediate-release (IR) formulation or extended-release (XR) formulation tablets will be administered orally, at no dose restriction, as per the locally approved label indications.

Intervention Type DRUG

Risperidone, oral formulation

Risperidone tablets will be administered orally, at no dose restriction, as per the locally approved label indications.

Intervention Type DRUG

Risperidone, LAI

Risperidone LAI injections will be administered will be administered per the locally approved label indications.

Intervention Type DRUG

Other Intervention Names

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INVEGA® INVEGA® RISPERDAL® RISPERDAL®

Eligibility Criteria

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Inclusion Criteria

* Must be clinically stable as per the investigator's judgment (no suicidal behavior or current significant suicidal judgment based on C-SSRS rating scale)
* No hospitalization for exacerbation of psychiatric symptoms during 3 months before screening
* Receiving treatment with aripiprazole, olanzapine, paliperidone, quetiapine or risperidone, or their combination before the study
* Must have body mass index between 17 and 40 kg/m2 (inclusive), and body weight not less than 47 kg
* Except for the indication for which the antipsychotic treatment is given, generally healthy with no clinically significant or unstable medical problems
* Must be able to give informed consent

Exclusion Criteria

* Clinically significant abnormal physical examination, vital signs or 12-lead ECG at screening as determined by the investigator
* Administering of strong inhibitors or inducers of CYP3A4, CYP2D6 enzymes, like fluoxetine
* History of or current clinically significant (particularly unstable) medical illness other than the indication
* Donated blood or blood products or had substantial loss of blood (more than 450 mL) within 3 months before Day -1
* Lack of 6 suitable puncture sites for capillary blood draws
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Garden Grove, California, United States

Site Status

Kissimmee, Florida, United States

Site Status

Atlanta, Georgia, United States

Site Status

Hoffman Estates, Illinois, United States

Site Status

Cedarhurst, New York, United States

Site Status

Austin, Texas, United States

Site Status

Banfield, , Argentina

Site Status

Buenos Aires, , Argentina

Site Status

Córdoba, , Argentina

Site Status

La Plata, , Argentina

Site Status

Aalst, , Belgium

Site Status

Antwerp, , Belgium

Site Status

Brussels, , Belgium

Site Status

Kortenberg, , Belgium

Site Status

Rio de Janeiro, , Brazil

Site Status

Valinhos, , Brazil

Site Status

Burgas, , Bulgaria

Site Status

Berlin, , Germany

Site Status

Hamburg, , Germany

Site Status

Lübeck, , Germany

Site Status

Badajoz, , Spain

Site Status

Barcelona, , Spain

Site Status

Torrevieja, , Spain

Site Status

Zamora, , Spain

Site Status

Countries

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United States Argentina Belgium Brazil Bulgaria Germany Spain

Related Links

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http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_JNJ_7051&studyid=6425&filename=CR103695_CSR.pdf

Open-Label Pharmacokinetic Study to Evaluate the Steady-State Venous and Capillary Plasma Concentrations of 5 Antipsychotics: Aripiprazole, Olanzapine, Paliperidone, Quetiapine and Risperidone

Other Identifiers

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2013-005289-20

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

INDIGOAPS1003

Identifier Type: OTHER

Identifier Source: secondary_id

CR103695

Identifier Type: -

Identifier Source: org_study_id

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