A Study to Evaluate the Ability of Conducting a Study of Oral Risperidone Followed by Paliperidone Palmitate in Rwandan Healthcare Facilities

NCT ID: NCT03713658

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

PHASE4

Total Enrollment

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-18

Study Completion Date

2019-12-02

Brief Summary

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The purpose of this study is to evaluate the feasibility of conducting a study of oral risperidone followed by paliperidone palmitate for once monthly (PP1M) and paliperidone palmitate for every 3 months (PP3M) in rwandan healthcare facilities with mental healthcare capabilities.

Detailed Description

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Conditions

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Schizophrenia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Oral Risperidone

Participants will receive 3 milligram (mg) oral risperidone tablets once daily for up to one Week to determine tolerability based on investigator review.

Group Type EXPERIMENTAL

Risperidone 3 mg

Intervention Type DRUG

Participants will receive 3 mg oral risperidone tablets once daily for up to one Week.

Paliperidone Palmitate Once Monthly (PP1M)

Participants will receive 50, 75, 100 or 150 mg eq. (\[paliperidone palmitate\] mg equivalent \[to paliperidone\]) long acting formulation of paliperidone palmitate once monthly (PP1M) intramuscular injection for 4 months (17 weeks) plus option to continue 3 more months if not stabilized depending on the participant's clinical safety, tolerability and efficacy requirements.

Group Type EXPERIMENTAL

Paliperidone Palmitate 50 mg eq.

Intervention Type DRUG

Participants will receive 50 mg eq. PP1M intramuscular injection for 17 Weeks.

Paliperidone Palmitate 75 mg eq.

Intervention Type DRUG

Participants will receive 75 mg eq. PP1M intramuscular injection for 17 Weeks.

Paliperidone Palmitate 100 mg eq.

Intervention Type DRUG

Participants will receive 100 mg eq. PP1M intramuscular injection for 17 Weeks.

Paliperidone Palmitate 150 mg eq.

Intervention Type DRUG

Participants will receive 150 mg eq. PP1M intramuscular injection for 17 Weeks.

Paliperidone Palmitate Every 3 Months (PP3M)

Participants will receive 175, 263, 350 or 525 mg eq. (\[paliperidone palmitate\] mg equivalent \[to paliperidone\]) long acting formulation of paliperidone palmitate every 3 months (PP3M) intramuscular injection for 24 Weeks.

Group Type EXPERIMENTAL

Paliperidone Palmitate 175 mg eq.

Intervention Type DRUG

Participants will receive 175 mg eq. PP3M intramuscular injection for 24 Weeks.

Paliperidone Palmitate 263 mg eq.

Intervention Type DRUG

Participants will receive 263 mg eq. PP3M intramuscular injection for 24 Weeks.

Paliperidone Palmitate 350 mg eq.

Intervention Type DRUG

Participants will receive 350 mg eq. PP3M intramuscular injection for 24 Weeks.

Paliperidone Palmitate 525 mg eq.

Intervention Type DRUG

Participants will receive 525 mg eq. PP3M intramuscular injection for 24 Weeks.

Interventions

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Risperidone 3 mg

Participants will receive 3 mg oral risperidone tablets once daily for up to one Week.

Intervention Type DRUG

Paliperidone Palmitate 50 mg eq.

Participants will receive 50 mg eq. PP1M intramuscular injection for 17 Weeks.

Intervention Type DRUG

Paliperidone Palmitate 75 mg eq.

Participants will receive 75 mg eq. PP1M intramuscular injection for 17 Weeks.

Intervention Type DRUG

Paliperidone Palmitate 100 mg eq.

Participants will receive 100 mg eq. PP1M intramuscular injection for 17 Weeks.

Intervention Type DRUG

Paliperidone Palmitate 150 mg eq.

Participants will receive 150 mg eq. PP1M intramuscular injection for 17 Weeks.

Intervention Type DRUG

Paliperidone Palmitate 175 mg eq.

Participants will receive 175 mg eq. PP3M intramuscular injection for 24 Weeks.

Intervention Type DRUG

Paliperidone Palmitate 263 mg eq.

Participants will receive 263 mg eq. PP3M intramuscular injection for 24 Weeks.

Intervention Type DRUG

Paliperidone Palmitate 350 mg eq.

Participants will receive 350 mg eq. PP3M intramuscular injection for 24 Weeks.

Intervention Type DRUG

Paliperidone Palmitate 525 mg eq.

Participants will receive 525 mg eq. PP3M intramuscular injection for 24 Weeks.

Intervention Type DRUG

Other Intervention Names

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R092670 R092670 R092670 R092670 R092670 R092670 R092670 R092670

Eligibility Criteria

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Inclusion Criteria

* Participants with diagnosis of schizophrenia by mini international neuropsychiatric interview (MINI)- Screen/ MINI (Module K) that requires treatment initiation or a change in treatment to better address safety or efficacy limitations of current treatment
* Participants at least moderately ill as measured by the clinical global impressions - severity of schizophrenia (CGI-SS) scale for schizophrenia, or experiencing poorly tolerated side effects from their current medications, or having difficulty with adequate adherence to treatment, per the investigator's judgement
* Participants have a primary caregiver who is willing to participate in this study (caregiver should be knowledgeable about the participant's condition and is expected to be with the participant for greater than (\>) 24 hours each week for the duration of the study)
* Participants able to give consent to participate in a clinical study that includes treatment with risperidone and long-acting injectable formulations of paliperidone palmitate. Participants must be willing to receive injections. The participant and the caregiver participant must sign an informed consent form (ICF) indicating that he or she understands the purpose of, and procedures required for, the study and is willing to participate in the study
* Participants must be willing and able to provide responses for all self-administered questionnaires

Exclusion Criteria

* Participants have a physical, mental, or legal incapacity that prevents a valid consent or capacity to complete about 12 months of treatment with antipsychotic medication and compliance with this study protocol
* Participants with history of organic brain syndromes, comorbid psychiatric and/or physical illnesses, or significant comorbid substance abuse that is likely to interfere with understanding of or compliance with study requirements
* Participants with known allergies, hypersensitivity, or intolerance to risperidone or paliperidone palmitate or their excipients
* Participants with poor prior response to risperidone
* Participants who received an investigational medication (including investigational vaccines) or used an invasive investigational medical device within 30 days before the planned first dose of study medication, or is currently enrolled in an investigational study
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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CARAES Ndera Neuro-Psychiatric Hospital

Kigali, , Rwanda

Site Status

Ruhengeri Referral Hospital, Public Hospital

Musanze District, , Rwanda

Site Status

Kibungo Referral Hospital

Ngoma District, , Rwanda

Site Status

Countries

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Rwanda

References

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Alphs L, Turkoz I, Smith-Swintosky V, Keenan A, Abraham E, Schotte A, Hooker E, Damascene Iyamuremye J, Kayiteshonga Y, Bizoza R, Mancevski B. Feasibility study to evaluate capabilities for conducting psychiatric clinical research within the Rwandan mental healthcare system. BMJ Open. 2023 Apr 18;13(4):e064675. doi: 10.1136/bmjopen-2022-064675.

Reference Type DERIVED
PMID: 37072361 (View on PubMed)

Related Links

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https://filehosting-v2.pharmacm.com/api/Attachment/Download?tenantId=80217051&parentIdentifier=CR108551&attachmentIdentifier=7d07c1a7-2442-4cfe-8f26-120828a27cd7&fileName=CR108551_CSR_Synopsis.pdf&versionIdentifier=

A Pilot-Study in Rwandan Health Care Settings to Examine the Feasibility of a Large Pragmatic Clinical Study to Assess the Value of Paliperidone Palmitate in Rwanda

Other Identifiers

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R092670PSY4001

Identifier Type: OTHER

Identifier Source: secondary_id

CR108551

Identifier Type: -

Identifier Source: org_study_id

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