Trial Outcomes & Findings for A Phase 3, Long-term Safety and Tolerability Study of ALKS 3831 in Adults With Schizophrenia (NCT NCT02873208)

NCT ID: NCT02873208

Last Updated: 2021-07-21

Results Overview

Overall summary of treatment emergent adverse events during the treatment period

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

266 participants

Primary outcome timeframe

Up to 52 weeks

Results posted on

2021-07-21

Participant Flow

Subjects that had completed the 24-week treatment period of the antecedent study ALK3831-A303 within seven days prior to enrollment were eligible to be enrolled in the study.

One patient was enrolled and not dosed. A total of 265 patients were administered at least one dose of ALKS 3831 and included in the safety population.

Participant milestones

Participant milestones
Measure
ALKS 3831
All subjects assigned to ALKS 3831 ALKS 3831: Coated bilayer tablet containing 10 mg, 15 mg or 20 mg olanzapine and 10 mg samidorphan Oral tablet, daily dosing
Overall Study
STARTED
265
Overall Study
COMPLETED
167
Overall Study
NOT COMPLETED
98

Reasons for withdrawal

Reasons for withdrawal
Measure
ALKS 3831
All subjects assigned to ALKS 3831 ALKS 3831: Coated bilayer tablet containing 10 mg, 15 mg or 20 mg olanzapine and 10 mg samidorphan Oral tablet, daily dosing
Overall Study
Withdrawal by Subject
36
Overall Study
Lost to Follow-up
22
Overall Study
Adverse Event
15
Overall Study
Non-compliance with study drug
12
Overall Study
Protocol Violation
8
Overall Study
Pregnancy
2
Overall Study
Incarceration
1
Overall Study
Lack of Efficacy
1
Overall Study
Physician Decision
1

Baseline Characteristics

A Phase 3, Long-term Safety and Tolerability Study of ALKS 3831 in Adults With Schizophrenia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ALKS 3831
n=265 Participants
All subjects assigned to ALKS 3831 ALKS 3831: Coated bilayer tablet containing 10 mg, 15 mg or 20 mg olanzapine and 10 mg samidorphan Oral tablet, daily dosing
Age, Continuous
40.7 years
STANDARD_DEVIATION 9.74 • n=5 Participants
Sex: Female, Male
Female
73 Participants
n=5 Participants
Sex: Female, Male
Male
192 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
40 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
225 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
187 Participants
n=5 Participants
Race (NIH/OMB)
White
64 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
6 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
Height
173.24 centimeters
STANDARD_DEVIATION 8.992 • n=5 Participants
Weight
80.64 kilograms
STANDARD_DEVIATION 14.698 • n=5 Participants
Body Mass Index (BMI)
26.76 kg/m²
STANDARD_DEVIATION 3.756 • n=5 Participants
Body Mass Index (BMI) Group
Underweight (<18.5)
1 Participants
n=5 Participants
Body Mass Index (BMI) Group
Normal (18.5 to <25)
85 Participants
n=5 Participants
Body Mass Index (BMI) Group
Overweight (>=25 to <30)
121 Participants
n=5 Participants
Body Mass Index (BMI) Group
Obese (>=30)
58 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 52 weeks

Population: Safety population was defined as all subjects who received at least one dose of the study drug

Overall summary of treatment emergent adverse events during the treatment period

Outcome measures

Outcome measures
Measure
ALKS 3831
n=265 Participants
All subjects assigned to ALKS 3831 ALKS 3831: Coated bilayer tablet containing 10 mg, 15 mg or 20 mg olanzapine and 10 mg samidorphan Oral tablet, daily dosing
Number of Subjects With Adverse Events
Any Treatment Emergent Adverse Event (TEAE)
161 Participants
Number of Subjects With Adverse Events
Mild Treatment Emergent Adverse Event (TEAE)
93 Participants
Number of Subjects With Adverse Events
Moderate Treatment- Emergent Adverse Event (TEAE)
61 Participants
Number of Subjects With Adverse Events
Severe Treatment- Emergent Adverse Event (TEAE)
7 Participants
Number of Subjects With Adverse Events
Treatment- Emergent Adverse Event (TEAE)-Not Related
82 Participants
Number of Subjects With Adverse Events
Treatment- Emergent Adverse Event (TEAE)-Related
79 Participants
Number of Subjects With Adverse Events
Adverse Event Leading to Treatment Discontinuation
15 Participants
Number of Subjects With Adverse Events
Any Serious Adverse Event (SAE)
5 Participants
Number of Subjects With Adverse Events
Serious Adverse Event (SAE) -Not Related
4 Participants
Number of Subjects With Adverse Events
Serious Adverse Event (SAE)-Related
1 Participants
Number of Subjects With Adverse Events
Serious Adverse Event (SAE) leading to Death
0 Participants

Adverse Events

ALKS 3831

Serious events: 5 serious events
Other events: 103 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ALKS 3831
n=265 participants at risk
All subjects assigned to ALKS 3831 in ALKS 3831-A303 and ALKS 3831-A304 ALKS 3831: Coated bilayer tablet containing 10 mg, 15 mg or 20 mg olanzapine and 10 mg samidorphan Oral tablet, daily dosing
Gastrointestinal disorders
Gastritis alcoholic
0.38%
1/265 • 52 weeks
Psychiatric disorders
Schizophrenia
0.75%
2/265 • 52 weeks
Psychiatric disorders
Agitation
0.38%
1/265 • 52 weeks
Psychiatric disorders
Psychotic disorder
0.38%
1/265 • 52 weeks
Renal and urinary disorders
Acute kidney injury
0.38%
1/265 • 52 weeks
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.38%
1/265 • 52 weeks

Other adverse events

Other adverse events
Measure
ALKS 3831
n=265 participants at risk
All subjects assigned to ALKS 3831 in ALKS 3831-A303 and ALKS 3831-A304 ALKS 3831: Coated bilayer tablet containing 10 mg, 15 mg or 20 mg olanzapine and 10 mg samidorphan Oral tablet, daily dosing
Gastrointestinal disorders
Toothache
2.6%
7/265 • 52 weeks
Gastrointestinal disorders
Nausea
2.3%
6/265 • 52 weeks
Infections and infestations
Upper respiratory tract infection
4.5%
12/265 • 52 weeks
Infections and infestations
Nasopharyngitis
3.8%
10/265 • 52 weeks
Injury, poisoning and procedural complications
Extra dose administered
7.9%
21/265 • 52 weeks
Investigations
Weight decreased
8.7%
23/265 • 52 weeks
Investigations
Weight increased
6.0%
16/265 • 52 weeks
Investigations
Blood creatine phosphokinase increased
3.0%
8/265 • 52 weeks
Musculoskeletal and connective tissue disorders
Back pain
3.4%
9/265 • 52 weeks
Nervous system disorders
Headache
6.8%
18/265 • 52 weeks
Vascular disorders
Hypertension
2.3%
6/265 • 52 weeks

Additional Information

Director, Corporate and R&D Communications

Alkermes

Phone: 781-609-7000

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