A Study of Transition to the Paliperidone Palmitate 3-Month Formulation In Participants With Schizophrenia Previously Stabilized on the Paliperidone Palmitate 1-Month Formulation

NCT ID: NCT02713282

Last Updated: 2025-04-27

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

PHASE3

Total Enrollment

306 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-28

Study Completion Date

2018-03-26

Brief Summary

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The purpose of this study is to estimate the proportion of participants fulfilling criteria for symptomatic remission following a transition to 12 months treatment with flexible-dose paliperidone palmitate 3 month formulation (PP3M) in participants with schizophrenia previously adequately treated with paliperidone palmitate 1 month formulation (PP1M) for at least 4 months.

Detailed Description

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This is an international, multicenter (study conducted at multiple sites) study designed to estimate remission rates and assess treatment response, tolerability, and patterns of use of Paliperidone Palmitate 3-Month Formulation (PP3M) in a diverse population of participants with schizophrenia. The study will consist of a screening phase (Day -7 to Day 1), a 52-week, open-label, flexible-dose PP3M treatment phase and a follow up safety assessment 3 months ( +/-14 days ) after the month 12 visit or early discontinuation. Participants' Safety will be monitored throughout the study.

Conditions

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Schizophrenia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Paliperidone palmitate 3 month formulation (PP3M)

Participants will receive intramuscular injection of Paliperidone Palmitate 3-Month Formulation (PP3M) on Day 1 at a starting dose of 175 milligram equivalent (mg eq.) up to 525 mg eq. based on last Paliperidone Palmitate 1-Month Formulation (PP1M) dose (at a dose of 3.5-fold multiple of the participant's last PP1M dose). Subsequent PP3M injections will be given at Month 3, Month 6, and Month 9 and dose can be adjusted flexibly in increments within the range of 175 to 525 mg eq.

Group Type EXPERIMENTAL

Paliperidone palmitate 3 month formulation (PP3M)

Intervention Type DRUG

Participants will receive intramuscular injection of Paliperidone Palmitate 3-Month Formulation (PP3M) on Day 1 at a starting dose of 175 milligram equivalent (mg eq) up to 525 mg eq based on last Paliperidone Palmitate 1-Month Formulation (PP1M) dose (at a dose of 3.5-fold multiple of the participant's last PP1M dose). Subsequent PP3M injections will be given at Month 3, Month 6, and Month 9 and dose can be adjusted flexibly in increments within the range of 175 to 525 mg eq.

Interventions

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Paliperidone palmitate 3 month formulation (PP3M)

Participants will receive intramuscular injection of Paliperidone Palmitate 3-Month Formulation (PP3M) on Day 1 at a starting dose of 175 milligram equivalent (mg eq) up to 525 mg eq based on last Paliperidone Palmitate 1-Month Formulation (PP1M) dose (at a dose of 3.5-fold multiple of the participant's last PP1M dose). Subsequent PP3M injections will be given at Month 3, Month 6, and Month 9 and dose can be adjusted flexibly in increments within the range of 175 to 525 mg eq.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Meets Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) criteria for a diagnosis of schizophrenia
* Able to read, understand, and sign the informed consent form (ICF) indicating that he or she understands the purpose of and procedures required for the study and are willing to participate in the study
* Willing and able to fill out self-administered questionnaires
* Willing and able to adhere to the prohibitions and restrictions specified in the protocol
* A woman of childbearing potential must have a negative urine pregnancy test at Screening and baseline
* A woman must agree not to donate eggs (ova, oocytes) for the purposes of assisted reproduction during the study and for 6 months after receiving the last dose of study drug

Exclusion Criteria

* His/her psychiatric diagnosis is due to direct pharmacological effects of a substance (example, a drug of abuse or medication) or a general medical condition (example, clinically notable hypothyroidism, organic brain disorder)
* Experienced intolerable side effects during treatment with paliperidone palmitate 1-month formulation (PP1M)
* Has a known hypersensitivity to paliperidone or risperidone
* Has received any other long-acting injectable antipsychotic medication other than PP1M within the last 4 months before the first injection of the study drug paliperidone palmitate 3-month formulation (PP3M)
* Has received clozapine during the last 3 months before the Screening visit
* Is considered to be at imminent risk of suicide, even after clinical intervention
* Has a serious unstable medical condition, including recent and present clinically relevant laboratory abnormalities
* Has a history or current symptoms of tardive dyskinesia or neuroleptic malignant syndrome
* Is a woman who is pregnant or breast-feeding, or planning to become pregnant while enrolled in this study or within 6 months after the last dose of PP3M
* Has participated in an investigational drug trial in the 30 days prior to the Screening visit or is currently enrolled in an investigational study
* Has a current DSM-5 diagnosis of dissociative disorder, bipolar disorder, major depressive disorder, schizoaffective disorder, autistic disorder, or intellectual disabilities and/or meets the DSM-5 definition of severe substance use disorder (except for nicotine and caffeine) within 6 months prior to screening; however, participants with mild or moderate substance use disorder, with the exception of intravenous drug use, will be eligible for enrollment
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen-Cilag Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen-Cilag Limited Clinical Trial

Role: STUDY_DIRECTOR

Janssen-Cilag Limited

Locations

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Rijeka, , Croatia

Site Status

Zagreb, , Croatia

Site Status

Esbjerg, , Denmark

Site Status

Clermont-Ferrand, , France

Site Status

Montpellier, , France

Site Status

Paris, , France

Site Status

Rennes, , France

Site Status

Toulon, , France

Site Status

Berlin, , Germany

Site Status

Hamburg, , Germany

Site Status

Oranienburg, , Germany

Site Status

Stralsund, , Germany

Site Status

Athens, , Greece

Site Status

Heraklion, , Greece

Site Status

Nea Kifissia, , Greece

Site Status

Thessaloniki, , Greece

Site Status

Beer Yaakov, , Israel

Site Status

Ramat Gan, , Israel

Site Status

Ipoh, , Malaysia

Site Status

Johor Bahru, , Malaysia

Site Status

Kuala Lumpur, , Malaysia

Site Status

Assen, , Netherlands

Site Status

Groningen, , Netherlands

Site Status

Moscow, , Russia

Site Status

Saint Petersburg, , Russia

Site Status

Jeddah, , Saudi Arabia

Site Status

Gwangju, , South Korea

Site Status

Gyeonggi-do, , South Korea

Site Status

Jeonju, , South Korea

Site Status

Seoul, , South Korea

Site Status

Bilbao, , Spain

Site Status

Madrid, , Spain

Site Status

Oviedo, , Spain

Site Status

Sabadell, , Spain

Site Status

Torrevieja, , Spain

Site Status

Valencia, , Spain

Site Status

New Taipei City, , Taiwan

Site Status

Tainan City, , Taiwan

Site Status

Taoyuan District, , Taiwan

Site Status

Ankara, , Turkey (Türkiye)

Site Status

Bursa, , Turkey (Türkiye)

Site Status

Istanbul, , Turkey (Türkiye)

Site Status

Sakarya, , Turkey (Türkiye)

Site Status

Derby, , United Kingdom

Site Status

Edinburgh, , United Kingdom

Site Status

Reading, , United Kingdom

Site Status

Countries

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Croatia Denmark France Germany Greece Israel Malaysia Netherlands Russia Saudi Arabia South Korea Spain Taiwan Turkey (Türkiye) United Kingdom

References

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Pungor K, Bozikas VP, Emsley R, Llorca PM, Gopal S, Mathews M, Wooller A, Bergmans P. Stable patients with schizophrenia switched to paliperidone palmitate 3-monthly formulation in a naturalistic setting: impact of patient age and disease duration on outcomes. Ther Adv Psychopharmacol. 2020 Dec 23;10:2045125320981500. doi: 10.1177/2045125320981500. eCollection 2020.

Reference Type DERIVED
PMID: 35186258 (View on PubMed)

Related Links

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Other Identifiers

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2015-004835-10

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

R092670SCH3015

Identifier Type: OTHER

Identifier Source: secondary_id

CR108121

Identifier Type: -

Identifier Source: org_study_id

NCT02772393

Identifier Type: -

Identifier Source: nct_alias

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