Efficacy and Safety of Asenapine With Placebo and Haloperidol (41023)(P05926)(COMPLETED)
Primary Purpose
Schizophrenia
Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Asenapine
Asenapine
Haloperidol
Placebo arm
Sponsored by

About this trial
This is an interventional treatment trial for Schizophrenia
Eligibility Criteria
Inclusion Criteria: Currently suffering from an acute exacerbation of schizophrenia. Caregiver required. Exclusion Criteria: Have an uncontrolled, unstable medical condition. Have any other pyschiatric disorder other than schizophrenia as a primary diagnosis.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Active Comparator
Placebo Comparator
Arm Label
1
2
3
4
Arm Description
Asenapine 5 mg BID
Asenapine 10 mg BID
Haloperidol 4m mg BID
placebo
Outcomes
Primary Outcome Measures
Improvement in schizophrenia (change in total PANSS score) from baseline to endpoint (LOCF/MMRM)
Secondary Outcome Measures
Other dimensions of schizophrenia (positive, negative, disorganized thought, hostility/excitement, anxiety/depression, and general psychopathology) CGI-S; CGI-I
Neurocognition and cognitive functioning
CDSS
Suicidal thinking ( ISST modified)
Quality of life and patient functionality (QLS; Q-LES-Q ;PETIT0; Physical exam; Pregnancy test
Readiness to discharge
EPS ( AIMS; BARS; SARS)
Labs; Vital Signs; Weight and girth; ECG
Safety and Tolerability
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00156104
Brief Title
Efficacy and Safety of Asenapine With Placebo and Haloperidol (41023)(P05926)(COMPLETED)
Official Title
A Multicenter, Randomized, Double-Blind, Fixed-Dose, 6-Week Trial of the Efficacy and Safety of Asenapine Compared With Placebo Using Haloperidol Positive Control in Subjects With an Acute Exacerbation of Schizophrenia
Study Type
Interventional
2. Study Status
Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
July 1, 2005 (Actual)
Primary Completion Date
August 18, 2006 (Actual)
Study Completion Date
September 16, 2006 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Organon and Co
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Schizophrenia is a brain disease. The primary features of schizophrenia are characterized by Positive symptoms (symptoms that should not be there, inability to think clearly, to distinguish reality from fantasy i.e., hearing voices) and Negative symptoms (a reduction or absence of normal behaviors or emotions, i.e., unable to manage emotions, make decisions and relate to others). Other symptoms include reduced ability to recall and learn new information, difficulty with problem solving, or maintaining productive employment. The symptoms of schizophrenia may be due to an imbalance in chemicals in the brain, primarily dopamine and serotonin, which enables brain cells to communicate with each other.
Asenapine is an investigational drug that may help to correct the inbalance in dopamine and serotonin. This is a 6-week trial to test the efficacy and safety of asenapine, compared with placebo, using an active comparator agent (haloperidol) in the treatment of patients with an acute exacerbation of schizophrenia. Patients who complete the 6-week trial will have the option of continuing in an additional one year extension trial.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Schizophrenia
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
460 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Experimental
Arm Description
Asenapine 5 mg BID
Arm Title
2
Arm Type
Experimental
Arm Description
Asenapine 10 mg BID
Arm Title
3
Arm Type
Active Comparator
Arm Description
Haloperidol 4m mg BID
Arm Title
4
Arm Type
Placebo Comparator
Arm Description
placebo
Intervention Type
Drug
Intervention Name(s)
Asenapine
Intervention Description
5 mg BID
Intervention Type
Drug
Intervention Name(s)
Asenapine
Intervention Description
10 mg BID
Intervention Type
Drug
Intervention Name(s)
Haloperidol
Intervention Description
4 mg BID
Intervention Type
Other
Intervention Name(s)
Placebo arm
Primary Outcome Measure Information:
Title
Improvement in schizophrenia (change in total PANSS score) from baseline to endpoint (LOCF/MMRM)
Time Frame
Primary outcome measured weekly for 6 weeks
Secondary Outcome Measure Information:
Title
Other dimensions of schizophrenia (positive, negative, disorganized thought, hostility/excitement, anxiety/depression, and general psychopathology) CGI-S; CGI-I
Time Frame
At weekly intervals throughout the 6-week trial.
Title
Neurocognition and cognitive functioning
Time Frame
Baseline and Endpoint ( Day 42)
Title
CDSS
Time Frame
Days 21 and 42(Endpoint).
Title
Suicidal thinking ( ISST modified)
Time Frame
Days 14 and 42 (Endpoint)
Title
Quality of life and patient functionality (QLS; Q-LES-Q ;PETIT0; Physical exam; Pregnancy test
Time Frame
Baseline and Day 42(Endpoint)
Title
Readiness to discharge
Time Frame
At weekly intervals during the 6-week trial
Title
EPS ( AIMS; BARS; SARS)
Time Frame
At weekly intervals during the 6-week triaL
Title
Labs; Vital Signs; Weight and girth; ECG
Time Frame
Days 14; 28 and 42 (Endpoint)
Title
Safety and Tolerability
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Currently suffering from an acute exacerbation of schizophrenia. Caregiver required.
Exclusion Criteria:
Have an uncontrolled, unstable medical condition. Have any other pyschiatric disorder other than schizophrenia as a primary diagnosis.
12. IPD Sharing Statement
Citations:
PubMed Identifier
20520283
Citation
Kane JM, Cohen M, Zhao J, Alphs L, Panagides J. Efficacy and safety of asenapine in a placebo- and haloperidol-controlled trial in patients with acute exacerbation of schizophrenia. J Clin Psychopharmacol. 2010 Apr;30(2):106-15. doi: 10.1097/JCP.0b013e3181d35d6b.
Results Reference
result
PubMed Identifier
25367164
Citation
Castle DJ, Slott Jensen JK. Management of depressive symptoms in schizophrenia. Clin Schizophr Relat Psychoses. 2015 Apr;9(1):13-20. doi: 10.3371/CSRP.CAJE.103114.
Results Reference
derived
Available IPD and Supporting Information:
Available IPD/Information Type
CSR Synopsis
Available IPD/Information URL
http://www.merck.com/clinical-trials/policies-perspectives.html
Learn more about this trial
Efficacy and Safety of Asenapine With Placebo and Haloperidol (41023)(P05926)(COMPLETED)
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