28-30 Month Study Comparing Paliperidone Palmitate With Oral Risperidone for Treating Adults Diagnosed With Schizophrenia Within the Past 5 Years
Primary Purpose
Schizophrenia
Status
Terminated
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
paliperidone palmitate
oral risperidone
Sponsored by

About this trial
This is an interventional prevention trial for Schizophrenia focused on measuring Schizophrenia, Risperidone, Risperdal, Paliperidone Palmitate, Invega Sustenna
Eligibility Criteria
Inclusion Criteria:
- Patients must be, in the opinion of the investigator, able to understand the informed consent form approved by the Institutional Review Board (IRB) or Independent Ethics Committee (IEC), as appropriate
- All patients must sign the study informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study
- Must have a current diagnosis of schizophrenia
- must have had 3 periods of breakthrough symptoms that required a change in patient care as determined by the investigator (e.g. increase in dose, addition of a new drug, hospitalization, increase in the level of psychiatric care, notable increases in the frequency or intensity of patient contact required to maintain outpatient status, etc.) within the previous 24 months, including 1 such period within the previous 6 months
- Women must be postmenopausal, surgically sterile, or otherwise be incapable of pregnancy, abstinent, or if sexually active, be practicing a highly effective method of birth control before entry, and must agree to continue to use the same method of contraception throughout the study
- Women of childbearing potential must have a negative urine pregnancy test at screening
- Patients must be cooperative and reliable, agree to receive regular injections, and be willing/able to adhere to the prohibitions and restrictions specified in this protocol.
Exclusion Criteria:
- Patients who are unable to provide their own consent or are involuntarily committed to psychiatric hospitalization
- Have attempted suicide within 12 months before screening or are at imminent risk of suicide or violent behavior
- Have a positive urine drug screen test for barbiturates, cocaine, amphetamines, or opiates at screening
- Patients who are in their first episode of psychosis
- Patients currently meeting criteria for any other Axis I diagnosis except substance abuse or an Axis II diagnosis of Mental Retardation or Borderline Personality Disorder
- Meet the Diagnostic and Statistical Manual of Mental Health Disorders fourth edition (DSM-IV) definition of substance dependence (except for nicotine and caffeine dependence) within 6-months prior to entry
- Patients with known allergies, hypersensitivity (anaphylaxis-type reaction), or intolerance to paliperidone palmitate, risperidone, Risperdal®, Risperdal® Consta®, or INVEGA® or its excipients
- Patients who received Long Acting Therapy (LAT) treatment within 2 injection cycles prior to screening
- Women who are pregnant or breast-feeding, or planning to become pregnant.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
001
002
Arm Description
paliperidone palmitate 50 75 100 or 150 mg eq. monthly injection for 2 years
oral risperidone 2 4 6 or 8 mg tabs once daily for two years
Outcomes
Primary Outcome Measures
Time to Relapse During Relapse Prevention Phase
Time to relapse during the relapse prevention phase was the primary efficacy variable of the study. Each case of potential relapse event were to be reviewed in a blinded fasion by an independent Relapse Monitoring Board, comprised of experts in the diagnostic, clinical and therapeutic management of schizophrenia.
Secondary Outcome Measures
Full Information
NCT ID
NCT00946985
First Posted
July 2, 2009
Last Updated
September 3, 2012
Sponsor
Ortho-McNeil Janssen Scientific Affairs, LLC
1. Study Identification
Unique Protocol Identification Number
NCT00946985
Brief Title
28-30 Month Study Comparing Paliperidone Palmitate With Oral Risperidone for Treating Adults Diagnosed With Schizophrenia Within the Past 5 Years
Official Title
A Prospective, Randomized, Active-controlled, Rater-blinded Study of the Prevention of Relapse Comparing Paliperidone Palmitate With Oral Risperidone in Adults With Recently-Diagnosed Schizophrenia Who Are at High Risk of Relapse
Study Type
Interventional
2. Study Status
Record Verification Date
September 2012
Overall Recruitment Status
Terminated
Why Stopped
The recruitment rate for the study was inadequate to achieve its enrollment goals.
Study Start Date
June 2009 (undefined)
Primary Completion Date
March 2010 (Actual)
Study Completion Date
March 2010 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ortho-McNeil Janssen Scientific Affairs, LLC
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The study will assess the use of paliperidone palmitate compared with oral risperidone in delaying time to relapse in patients recently diagnosed with schizophrenia who are at high risk of relapse.
Detailed Description
This is a Prospective, Randomized, Active-controlled, Rater-blinded Study to to assess the efficacy of paliperidone palmitate compared with oral risperidone in delaying time to relapse in patients recently diagnosed with schizophrenia who are at high risk of relapse. Recently diagnosed is defined as first diagnosis of any psychotic disorder within 5 years prior to screening. High risk of relapse is defined as having documented occurrence of 3 periods of breakthrough symptoms that required a change in patient care per the investigator's judgment (e.g., increase in dose, addition of a new drug, increase in the level of psychiatric care, notable increases in the frequency or intensity of patient contact required to maintain outpatient status, psychiatric hospitalization, etc.) within the previous 24 months, including 1 such period within the previous 6 months. Safety evaluations will include Adverse Event (AE) reporting, hematology and clinical chemistry laboratory tests, vital signs, electrocardiogram (ECG), and evaluations of suicidality and sexual functioning. Patients will receive either paliperidone palmitate 50, 75, 100, or 150 mg eq. monthly by injection for two years or oral risperidone 2, 4, 6, or 8 mg tabs once daily for two years.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Schizophrenia
Keywords
Schizophrenia, Risperidone, Risperdal, Paliperidone Palmitate, Invega Sustenna
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
163 (Actual)
8. Arms, Groups, and Interventions
Arm Title
001
Arm Type
Experimental
Arm Description
paliperidone palmitate 50 75 100 or 150 mg eq. monthly injection for 2 years
Arm Title
002
Arm Type
Active Comparator
Arm Description
oral risperidone 2 4 6 or 8 mg tabs once daily for two years
Intervention Type
Drug
Intervention Name(s)
paliperidone palmitate
Intervention Description
50, 75, 100, or 150 mg eq. monthly injection for 2 years
Intervention Type
Drug
Intervention Name(s)
oral risperidone
Intervention Description
2, 4, 6, or 8 mg tabs once daily for two years
Primary Outcome Measure Information:
Title
Time to Relapse During Relapse Prevention Phase
Description
Time to relapse during the relapse prevention phase was the primary efficacy variable of the study. Each case of potential relapse event were to be reviewed in a blinded fasion by an independent Relapse Monitoring Board, comprised of experts in the diagnostic, clinical and therapeutic management of schizophrenia.
Time Frame
24 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients must be, in the opinion of the investigator, able to understand the informed consent form approved by the Institutional Review Board (IRB) or Independent Ethics Committee (IEC), as appropriate
All patients must sign the study informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study
Must have a current diagnosis of schizophrenia
must have had 3 periods of breakthrough symptoms that required a change in patient care as determined by the investigator (e.g. increase in dose, addition of a new drug, hospitalization, increase in the level of psychiatric care, notable increases in the frequency or intensity of patient contact required to maintain outpatient status, etc.) within the previous 24 months, including 1 such period within the previous 6 months
Women must be postmenopausal, surgically sterile, or otherwise be incapable of pregnancy, abstinent, or if sexually active, be practicing a highly effective method of birth control before entry, and must agree to continue to use the same method of contraception throughout the study
Women of childbearing potential must have a negative urine pregnancy test at screening
Patients must be cooperative and reliable, agree to receive regular injections, and be willing/able to adhere to the prohibitions and restrictions specified in this protocol.
Exclusion Criteria:
Patients who are unable to provide their own consent or are involuntarily committed to psychiatric hospitalization
Have attempted suicide within 12 months before screening or are at imminent risk of suicide or violent behavior
Have a positive urine drug screen test for barbiturates, cocaine, amphetamines, or opiates at screening
Patients who are in their first episode of psychosis
Patients currently meeting criteria for any other Axis I diagnosis except substance abuse or an Axis II diagnosis of Mental Retardation or Borderline Personality Disorder
Meet the Diagnostic and Statistical Manual of Mental Health Disorders fourth edition (DSM-IV) definition of substance dependence (except for nicotine and caffeine dependence) within 6-months prior to entry
Patients with known allergies, hypersensitivity (anaphylaxis-type reaction), or intolerance to paliperidone palmitate, risperidone, Risperdal®, Risperdal® Consta®, or INVEGA® or its excipients
Patients who received Long Acting Therapy (LAT) treatment within 2 injection cycles prior to screening
Women who are pregnant or breast-feeding, or planning to become pregnant.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ortho-McNeil Janssen Scientific Affairs, LLC Clinical Trial
Organizational Affiliation
Ortho-McNeil Janssen Scientific Affairs, LLC
Official's Role
Study Director
Facility Information:
City
Little Rock
State/Province
Arkansas
Country
United States
City
Garden Grove
State/Province
California
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United States
City
San Diego
State/Province
California
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United States
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Washington
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District of Columbia
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United States
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Kissimmee
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Florida
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United States
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Tampa
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Florida
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United States
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Chicago
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Illinois
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United States
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Hoffman Estates
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Illinois
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United States
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Kingsport
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Indiana
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United States
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Lake Charles
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Louisiana
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United States
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Shreveport
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Louisiana
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United States
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Pittsfield
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Massachusetts
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United States
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Minneapolis
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Minnesota
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United States
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Flowood
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Mississippi
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United States
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Creve Coeur
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Missouri
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United States
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Saint Louis
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Missouri
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United States
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Omaha
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Nebraska
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United States
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Brooklyn
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New York
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United States
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Middleburg Heights
State/Province
Ohio
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United States
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Arlington
State/Province
Texas
Country
United States
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Austin
State/Province
Texas
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United States
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Irving
State/Province
Texas
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United States
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Portsmount
State/Province
Virginia
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United States
City
Curitiba
Country
Brazil
City
Salvador
Country
Brazil
City
Sao Paulo
Country
Brazil
City
Kazanlak
Country
Bulgaria
City
Pleven
Country
Bulgaria
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Radnevo N/A
Country
Bulgaria
City
Calgary
State/Province
Alberta
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Canada
City
Halifax
State/Province
Nova Scotia
Country
Canada
City
Sudbury
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Ontario
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Canada
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Montreal
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Quebec
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Canada
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Quebec
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Canada
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Baoding
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China
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Beijing
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China
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Changsha
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China
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Guangzhou
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China
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Kunming
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China
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Shanghai
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China
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Wuhan
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China
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Xi'An
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China
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Bogota
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Colombia
City
Kutná Hora 1
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Czech Republic
City
Olomouc 9
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Czech Republic
City
Praha 10
Country
Czech Republic
City
Praha 8
Country
Czech Republic
City
Praha 9
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Czech Republic
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Strakonice 1
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Czech Republic
City
Ahmedabad
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India
City
Aurangabad
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India
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Calicut
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India
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Hyderabad
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India
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Jaipur
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India
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Lucknow Gpo
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India
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Mangalore
Country
India
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Pune
Country
India
City
Varanasi
Country
India
City
Chonju
Country
Korea, Republic of
City
Gwangju
Country
Korea, Republic of
City
Gyeonggi-Do
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Korea, Republic of
City
Seoul
Country
Korea, Republic of
City
Johor Bahru
Country
Malaysia
City
Kuala Lumpur
Country
Malaysia
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Moscow
Country
Russian Federation
City
Nizny Novgorod
Country
Russian Federation
City
Samara N/A
Country
Russian Federation
City
St Petersburg N/A
Country
Russian Federation
City
St Petersburg
Country
Russian Federation
City
St-Petersburg
Country
Russian Federation
City
Yaroslavl N/A
Country
Russian Federation
City
Kharkov
Country
Ukraine
City
Kherson
Country
Ukraine
City
Kiev
Country
Ukraine
City
Odessa
Country
Ukraine
City
Simferopol
Country
Ukraine
12. IPD Sharing Statement
Learn more about this trial
28-30 Month Study Comparing Paliperidone Palmitate With Oral Risperidone for Treating Adults Diagnosed With Schizophrenia Within the Past 5 Years
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