A Long-Term, Open-Label, Study on Schizophrenia
Primary Purpose
Schizophrenia
Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
LY2140023
Olanzapine
Aripiprazole
Risperidone
Quetiapine
Sponsored by
About this trial
This is an interventional treatment trial for Schizophrenia
Eligibility Criteria
Inclusion Criteria:
- Must have met all entry criteria for, and have completed, an acute, placebo-controlled clinical trial of LY2140023 (such as Study H8Y-MC-HBBM, or other acute, placebo-controlled LY2140023 studies if allowed by the protocols for those studies).
- Female patients of childbearing potential must agree to use a single, effective, medically acceptable method of birth control.
- Patients must be considered reliable and have a level of understanding sufficient to perform all tests and examinations required by the protocol.
- Patients must be able to understand the nature of the study and have given their own informed consent.
Exclusion Criteria:
- Are currently enrolled in, or discontinued within the last 30 days from a clinical trial involving an investigational product or nonapproved use of a drug or device (other than LY2140023), or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study.
- Patients for whom treatment with olanzapine, risperidone, aripiprazole, quetiapine, or LY2140023, as specified in this protocol, is relatively or absolutely clinically contraindicated.
- Patients who have received treatment with clozapine at doses greater than 200 mg daily within 12 months prior to study enrollment, or who have received any clozapine at all during the month before study enrollment.
- Patients who require concomitant treatment with any other medication with primary central nervous system activity, other than those allowed in study protocol.
- Patients have risk of suicide.
- Patients diagnosed with substance dependence or substance abuse within the 6 months prior to study enrollment.
- Patients diagnosed with substance-induced psychosis within 7 days of study enrollment or at any time during the study.
- Female patients who are pregnant, nursing, lactating or who intend to become pregnant within 30 days of completing the study.
- Have known glaucoma.
- Have a history of some types of seizures.
- Have seizure liability inconsistent with the exclusion criteria of the completed acute feeder study.
- Patients who have had electroconvulsive therapy (ECT) within 3 months of study enrollment or who will have ECT at any time during the study.
- Patients with known Human Immunodeficiency Virus positive (HIV+) status.
- Patients have a serious disease, such as recent stroke, heart, liver, kidney, lung or blood diseases
- Patients with Parkinson's disease
- Are incapable of participating in the study or are unwilling to engage in a meaningful way as study participants.
Sites / Locations
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Experimental
Arm Label
Standard of Care
LY2140023
Arm Description
20mg, 40mg or 80mg After 104 weeks, patients have the option to continue on treatment until the end of the study
Outcomes
Primary Outcome Measures
Time to discontinuation due to adverse events
Secondary Outcome Measures
Change from baseline to 52 weeks endpoint in PANSS (Positive and Negative Syndrome Scale)
Change from baseline to 52 week endpoint in Clinical Global Impression-Severity (CGI-S)
Change from baseline to 52 week endpoint in NSA-16 (16-item Negative Symptoms Assessment)
The number of patients with statistically significant changes (treatment emergent ideation and behavior; improvement) based on the Columbia Suicide Severity Rating Scale (C-SSRS)
Change from baseline to 52 week endpoint in PSP scale (Personal and Social Performance)
Change from baseline to 52 week endpoint in the SWN Scale (Subjective Well-Being Under Neuroleptic Treatment)
Change from baseline to 104 week endpoint in the Schizophrenia Resource Use Model (S-RUM)
Change from baseline to 104 week endpoint in the EuroQoL Questionnaire-5 Dimension (EQ-5D)
Change from 52 week to 104 week endpoint in PANSS (Positive and Negative Syndrome Scale)
Change from 52 week to 104 week endpoint in Clinical Global Impression-Severity (CGI-S)
Change from 52 week to 104 week endpoint in NSA-16 (16-item Negative Symptoms Assessment)
Change from 104 week to study endpoint in Clinical Global Impression-Severity (CGI-S)
Change from baseline to 104 week endpoint in PSP scale (Personal and Social Performance)
Change from baseline to 104 week endpoint in the SWN Scale (Subjective Well-Being Under Neuroleptic Treatment)
Change from Baseline to 52 week endpoint in the Schizophrenia Resource Use Model (S-RUM)
Change from 104 week to study endpoint in the EuroQoL Questionnaire-5 Dimension (EQ-5D)
Change from baseline to 52 weeks endpoint in PANSS (Positive and Negative Syndrome Scale) in a genetically defined subgroup
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01129674
Brief Title
A Long-Term, Open-Label, Study on Schizophrenia
Official Title
A Long-Term, Open-Label, Multicenter Study of LY2140023 Compared to Atypical Antipsychotic Standard of Care in Patients With DSM-IV-TR Schizophrenia
Study Type
Interventional
2. Study Status
Record Verification Date
October 2012
Overall Recruitment Status
Terminated
Why Stopped
The decision to stop the trial was based on efficacy results in the overall schizophrenia participant population.
Study Start Date
June 2010 (undefined)
Primary Completion Date
October 2012 (Actual)
Study Completion Date
October 2012 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Eli Lilly and Company
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The primary purpose of the study is to help answer the following research questions:
How LY 2140023 can be tolerated by patients with Schizophrenia compared to standard of care treatment in 52 weeks time period.
Whether LY 2140023 can help patients with Schizophrenia.
Detailed Description
The study includes 2 treatment periods. Study Period I will begin at patient randomization (enrollment into Study HBBO) and continue through the first 2 years of treatment. Study Period II will be only for patients randomized to treatment with LY2140023, and will begin after the patient has completed the second year of treatment. Patients who qualify for enrollment will be randomized in a 3:1 ratio (LY2140023 versus standard of care, respectively) into 2 treatment groups: flexible, twice-daily dose of LY2140023 or standard-of-care (olanzapine, risperidone, aripiprazole, or quetiapine). Those assigned to LY2140023 will have the option to continue on LY2140023 after 2 years if deemed appropriate by the investigator.
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 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
1210 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Standard of Care
Arm Type
Active Comparator
Arm Title
LY2140023
Arm Type
Experimental
Arm Description
20mg, 40mg or 80mg
After 104 weeks, patients have the option to continue on treatment until the end of the study
Intervention Type
Drug
Intervention Name(s)
LY2140023
Other Intervention Name(s)
mGlu 2/3 Prodrug II
Intervention Description
Administered orally, twice daily for 104 weeks
Intervention Type
Drug
Intervention Name(s)
Olanzapine
Other Intervention Name(s)
Zyprexa, LY170053
Intervention Description
Tablets or capsules, given orally, consistent with approved labeling and local practice for 104 weeks
Intervention Type
Drug
Intervention Name(s)
Aripiprazole
Intervention Description
Tablets or capsules, given orally, consistent with approved labeling and local practice for 104 weeks
Intervention Type
Drug
Intervention Name(s)
Risperidone
Intervention Description
Tablets or capsules, given orally, consistent with approved labeling and local practice for 104 weeks
Intervention Type
Drug
Intervention Name(s)
Quetiapine
Intervention Description
Tablets or capsules, given orally, consistent with approved labeling and local practice for 104 weeks
Primary Outcome Measure Information:
Title
Time to discontinuation due to adverse events
Time Frame
Baseline through 52 weeks
Secondary Outcome Measure Information:
Title
Change from baseline to 52 weeks endpoint in PANSS (Positive and Negative Syndrome Scale)
Time Frame
Baseline, 52 weeks
Title
Change from baseline to 52 week endpoint in Clinical Global Impression-Severity (CGI-S)
Time Frame
Baseline, 52 weeks
Title
Change from baseline to 52 week endpoint in NSA-16 (16-item Negative Symptoms Assessment)
Time Frame
Baseline, 52 weeks
Title
The number of patients with statistically significant changes (treatment emergent ideation and behavior; improvement) based on the Columbia Suicide Severity Rating Scale (C-SSRS)
Time Frame
52 weeks, 104 weeks, end of study
Title
Change from baseline to 52 week endpoint in PSP scale (Personal and Social Performance)
Time Frame
Baseline, 52 weeks
Title
Change from baseline to 52 week endpoint in the SWN Scale (Subjective Well-Being Under Neuroleptic Treatment)
Time Frame
Baseline, 52 weeks
Title
Change from baseline to 104 week endpoint in the Schizophrenia Resource Use Model (S-RUM)
Time Frame
Baseline, 104 weeks
Title
Change from baseline to 104 week endpoint in the EuroQoL Questionnaire-5 Dimension (EQ-5D)
Time Frame
Baseline, 104 weeks
Title
Change from 52 week to 104 week endpoint in PANSS (Positive and Negative Syndrome Scale)
Time Frame
52 weeks, 104 weeks
Title
Change from 52 week to 104 week endpoint in Clinical Global Impression-Severity (CGI-S)
Time Frame
52 weeks, 104 weeks
Title
Change from 52 week to 104 week endpoint in NSA-16 (16-item Negative Symptoms Assessment)
Time Frame
52 weeks, 104 weeks
Title
Change from 104 week to study endpoint in Clinical Global Impression-Severity (CGI-S)
Time Frame
104 weeks, end of study
Title
Change from baseline to 104 week endpoint in PSP scale (Personal and Social Performance)
Time Frame
Baseline, 104 weeks
Title
Change from baseline to 104 week endpoint in the SWN Scale (Subjective Well-Being Under Neuroleptic Treatment)
Time Frame
Baseline, 104 weeks
Title
Change from Baseline to 52 week endpoint in the Schizophrenia Resource Use Model (S-RUM)
Time Frame
Baseline, 52 weeks
Title
Change from 104 week to study endpoint in the EuroQoL Questionnaire-5 Dimension (EQ-5D)
Time Frame
104 weeks, end of study
Title
Change from baseline to 52 weeks endpoint in PANSS (Positive and Negative Syndrome Scale) in a genetically defined subgroup
Time Frame
Baseline, 52 Weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Must have met all entry criteria for, and have completed, an acute, placebo-controlled clinical trial of LY2140023 (such as Study H8Y-MC-HBBM, or other acute, placebo-controlled LY2140023 studies if allowed by the protocols for those studies).
Female patients of childbearing potential must agree to use a single, effective, medically acceptable method of birth control.
Patients must be considered reliable and have a level of understanding sufficient to perform all tests and examinations required by the protocol.
Patients must be able to understand the nature of the study and have given their own informed consent.
Exclusion Criteria:
Are currently enrolled in, or discontinued within the last 30 days from a clinical trial involving an investigational product or nonapproved use of a drug or device (other than LY2140023), or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study.
Patients for whom treatment with olanzapine, risperidone, aripiprazole, quetiapine, or LY2140023, as specified in this protocol, is relatively or absolutely clinically contraindicated.
Patients who have received treatment with clozapine at doses greater than 200 mg daily within 12 months prior to study enrollment, or who have received any clozapine at all during the month before study enrollment.
Patients who require concomitant treatment with any other medication with primary central nervous system activity, other than those allowed in study protocol.
Patients have risk of suicide.
Patients diagnosed with substance dependence or substance abuse within the 6 months prior to study enrollment.
Patients diagnosed with substance-induced psychosis within 7 days of study enrollment or at any time during the study.
Female patients who are pregnant, nursing, lactating or who intend to become pregnant within 30 days of completing the study.
Have known glaucoma.
Have a history of some types of seizures.
Have seizure liability inconsistent with the exclusion criteria of the completed acute feeder study.
Patients who have had electroconvulsive therapy (ECT) within 3 months of study enrollment or who will have ECT at any time during the study.
Patients with known Human Immunodeficiency Virus positive (HIV+) status.
Patients have a serious disease, such as recent stroke, heart, liver, kidney, lung or blood diseases
Patients with Parkinson's disease
Are incapable of participating in the study or are unwilling to engage in a meaningful way as study participants.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Organizational Affiliation
Eli Lilly and Company
Official's Role
Study Director
Facility Information:
Facility Name
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City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72201
Country
United States
Facility Name
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City
Escondido
State/Province
California
ZIP/Postal Code
92025
Country
United States
Facility Name
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City
Garden Grove
State/Province
California
ZIP/Postal Code
92845
Country
United States
Facility Name
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City
Long Beach
State/Province
California
ZIP/Postal Code
90813
Country
United States
Facility Name
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City
National City
State/Province
California
ZIP/Postal Code
91950
Country
United States
Facility Name
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City
Oakland
State/Province
California
ZIP/Postal Code
94612
Country
United States
Facility Name
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City
Oceanside
State/Province
California
ZIP/Postal Code
92056
Country
United States
Facility Name
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City
Paramount
State/Province
California
ZIP/Postal Code
90723
Country
United States
Facility Name
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City
Pasadena
State/Province
California
ZIP/Postal Code
91106
Country
United States
Facility Name
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City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
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City
Sherman Oaks
State/Province
California
ZIP/Postal Code
91403
Country
United States
Facility Name
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City
Torrance
State/Province
California
ZIP/Postal Code
90502
Country
United States
Facility Name
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City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20016
Country
United States
Facility Name
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City
Fort Lauderdale
State/Province
Florida
ZIP/Postal Code
33308
Country
United States
Facility Name
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City
Hollywood
State/Province
Florida
ZIP/Postal Code
33021
Country
United States
Facility Name
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City
Kissimmee
State/Province
Florida
ZIP/Postal Code
34741
Country
United States
Facility Name
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City
Maitland
State/Province
Florida
ZIP/Postal Code
32751
Country
United States
Facility Name
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City
University Park
State/Province
Florida
ZIP/Postal Code
34201
Country
United States
Facility Name
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City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30308
Country
United States
Facility Name
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City
Chicago
State/Province
Illinois
ZIP/Postal Code
60640
Country
United States
Facility Name
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City
Hoffman Estates
State/Province
Illinois
ZIP/Postal Code
60169
Country
United States
Facility Name
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City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46222
Country
United States
Facility Name
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City
Wichita
State/Province
Kansas
ZIP/Postal Code
67207
Country
United States
Facility Name
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City
Lake Charles
State/Province
Louisiana
ZIP/Postal Code
70629
Country
United States
Facility Name
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City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71104
Country
United States
Facility Name
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City
Flowood
State/Province
Mississippi
ZIP/Postal Code
39232
Country
United States
Facility Name
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City
Creve Coeur
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
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City
Marlton
State/Province
New Jersey
ZIP/Postal Code
08053
Country
United States
Facility Name
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City
Buffalo
State/Province
New York
ZIP/Postal Code
14215
Country
United States
Facility Name
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City
Cedarhurst
State/Province
New York
ZIP/Postal Code
11516
Country
United States
Facility Name
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City
Holliswood
State/Province
New York
ZIP/Postal Code
11423
Country
United States
Facility Name
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City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
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City
Rochester
State/Province
New York
ZIP/Postal Code
14615
Country
United States
Facility Name
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City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Facility Name
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City
Dayton
State/Province
Ohio
ZIP/Postal Code
45417
Country
United States
Facility Name
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City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19139
Country
United States
Facility Name
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City
Austin
State/Province
Texas
ZIP/Postal Code
78754
Country
United States
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City
Dallas
State/Province
Texas
ZIP/Postal Code
75243
Country
United States
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City
Desoto
State/Province
Texas
ZIP/Postal Code
75115
Country
United States
Facility Name
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City
Houston
State/Province
Texas
ZIP/Postal Code
77008
Country
United States
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City
Richmond
State/Province
Virginia
ZIP/Postal Code
23298
Country
United States
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City
Roanoke
State/Province
Virginia
ZIP/Postal Code
24014
Country
United States
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City
Zagreb
ZIP/Postal Code
10090
Country
Croatia
Facility Name
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City
Aichi
ZIP/Postal Code
470-1168
Country
Japan
Facility Name
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City
Kanagawa
ZIP/Postal Code
210-0013
Country
Japan
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City
Kumamoto
ZIP/Postal Code
861-0002
Country
Japan
Facility Name
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City
Kyoto
ZIP/Postal Code
625-8502
Country
Japan
Facility Name
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City
Nagano
ZIP/Postal Code
384-8540
Country
Japan
Facility Name
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City
Nagasaki
ZIP/Postal Code
856-0847
Country
Japan
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City
Nara
ZIP/Postal Code
634-8522
Country
Japan
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City
Osaka
ZIP/Postal Code
569-1041
Country
Japan
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City
Saga
ZIP/Postal Code
842-0192
Country
Japan
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City
Tokyo
ZIP/Postal Code
120-0033
Country
Japan
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City
Toyama
ZIP/Postal Code
939-8073
Country
Japan
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City
Goyang-Si
ZIP/Postal Code
410-719
Country
Korea, Republic of
Facility Name
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City
Incheon
ZIP/Postal Code
400-711
Country
Korea, Republic of
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City
Naju
ZIP/Postal Code
520-833
Country
Korea, Republic of
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City
Seoul
ZIP/Postal Code
150-713
Country
Korea, Republic of
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City
Suwon-City
ZIP/Postal Code
442-723
Country
Korea, Republic of
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City
Yongin
ZIP/Postal Code
446-769
Country
Korea, Republic of
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City
Guadalajara
ZIP/Postal Code
44340
Country
Mexico
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City
Monterrey
ZIP/Postal Code
64060
Country
Mexico
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City
Ponce
ZIP/Postal Code
00731
Country
Puerto Rico
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City
San Juan
ZIP/Postal Code
00926
Country
Puerto Rico
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City
Khotkovo
ZIP/Postal Code
127025
Country
Russian Federation
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City
Lipetsk
ZIP/Postal Code
399007
Country
Russian Federation
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City
Moscow
ZIP/Postal Code
115522
Country
Russian Federation
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City
Nizhniy Novgorod
ZIP/Postal Code
603155
Country
Russian Federation
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City
Saint Petersburg
ZIP/Postal Code
190121
Country
Russian Federation
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Samara
ZIP/Postal Code
443016
Country
Russian Federation
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Saratov
ZIP/Postal Code
410060
Country
Russian Federation
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Tomsk
ZIP/Postal Code
634014
Country
Russian Federation
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Voronezh
ZIP/Postal Code
394071
Country
Russian Federation
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Yaroslavl
ZIP/Postal Code
150003
Country
Russian Federation
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Changhua
ZIP/Postal Code
50550
Country
Taiwan
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Neihu Taipei
ZIP/Postal Code
114
Country
Taiwan
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Taipei
ZIP/Postal Code
100
Country
Taiwan
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Donetsk
ZIP/Postal Code
83037
Country
Ukraine
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Kherson
ZIP/Postal Code
73488
Country
Ukraine
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Kiev
ZIP/Postal Code
2660
Country
Ukraine
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Vinnytsya
ZIP/Postal Code
21005
Country
Ukraine
12. IPD Sharing Statement
Learn more about this trial
A Long-Term, Open-Label, Study on Schizophrenia
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