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An Open-Label, Multicenter, Rollover, Long-term Study of Aripiprazole Intramuscular Depot in Participants With Schizophrenia (ASPIRE)

Primary Purpose

Schizophrenia

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Aripiprazole
Sponsored by
Otsuka Pharmaceutical Development & Commercialization, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Schizophrenia focused on measuring Schizophrenia

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Participants with a current diagnosis of schizophrenia, as defined by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria, who completed the open-label extension Study 248 (completed Study 248 study completion visit, Week 52).
  • Participants who, in the investigator's judgment, may benefit from continued participation in an aripiprazole IM Depot study.
  • The baseline visit for Study 270 (which is the Week 52 visit of Study 248) and the first injection for Study 270 must occur within 4 weeks (which was defined as 28 [-2/+10] days) of the last injection in Study 248.
  • Participants who are able to provide written informed consent and/or consent obtained from a legally acceptable representative (as required by an Independent Review Board/Independent Ethics Committee (IRB/IEC), prior to the initiation of any protocol-required procedures.
  • Participants able to understand the nature of the study and follow protocol requirements and who can read and understand the written word in order to complete patient-reported outcomes measures.
  • Outpatient status.

Exclusion Criteria:

  • Participants with a current DSM-IV-TR diagnosis other than schizophrenia, including schizoaffective disorder, major depressive disorder, bipolar disorder, delirium, dementia, amnestic, or other cognitive disorders.
  • Participants with borderline, paranoid, histrionic, schizotypal, schizoid, or antisocial personality disorder.
  • Participants who currently meet DSM-IV-TR criteria for substance dependence, including alcohol and benzodiazepines, but excluding caffeine and nicotine.
  • Participants with a significant risk of violent behavior or a significant risk of committing suicide based on the investigator's judgment.
  • Participants who are known to be allergic, intolerant, or unresponsive to prior treatment with aripiprazole or other quinolinones.
  • Participants with a history of neuroleptic malignant syndrome or clinically significant tardive dyskinesia at screening.
  • Electroconvulsive therapy within 180 days prior to entry.
  • Any participant who requires or may need any other antipsychotic medications during the course of the study.
  • Aripiprazole IM Depot (including generic formulation) is commercially available in the participant's country.
  • Other protocol specific inclusion/exclusion criteria may apply.

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Aripiprazole IM depot

Arm Description

Active treatment of monthly doses of aripiprazole IM depot (300 mg or 400 mg)

Outcomes

Primary Outcome Measures

Number Of Participants Reporting Severe Treatment-Emergent Adverse Events (TEAE)
A TEAE was defined as an AE that started after start of investigational medicinal product (IMP) treatment or if the event was continuous from baseline and was serious, IMP-related, or resulted in death, discontinuation, interruption, or reduction of IMP. A severe AE was one that caused inability to work or perform normal daily activity. A summary of serious and all other non-serious adverse events, regardless of causality, is located in the Reported Adverse Events module.

Secondary Outcome Measures

Mean Change In Clinical Global Impression-Severity (CGI-S) of Illness Scale Score From Baseline To Last Visit
The severity of illness for each participant was rated using the CGI-S scale. To assess CGI-S, the rater or investigator answered the following question: "Considering your total clinical experience with this particular population, how mentally ill is the patient at this time?" Response choices included: 0 = not assessed; 1 = normal, not ill at all; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; and 7 = among the most extremely ill patients. The Last Visit was defined as the last available post-baseline evaluation. A decrease in the CGI-S score indicated disease stability or improvement.

Full Information

First Posted
May 22, 2010
Last Updated
December 17, 2019
Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01129882
Brief Title
An Open-Label, Multicenter, Rollover, Long-term Study of Aripiprazole Intramuscular Depot in Participants With Schizophrenia
Acronym
ASPIRE
Official Title
An Open-Label, Multicenter, Rollover, Long-term Study of Aripiprazole Intramuscular Depot in Patients With Schizophrenia
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
June 24, 2010 (Actual)
Primary Completion Date
December 6, 2018 (Actual)
Study Completion Date
December 6, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary objective of this study was to continue to provide aripiprazole intramuscular (IM) depot treatment (400 milligrams [mg] or 300 mg) to participants with schizophrenia completing the 52-week, open-label safety and tolerability Study 31-08-248. In addition, the secondary objective was to collect additional long-term safety data on aripiprazole IM depot treatment.
Detailed Description
This was an open-label study that enrolled participants with schizophrenia who had completed the 52-week, open-label safety and tolerability Study 31-08-248 and continued to provide aripiprazole IM depot treatment. Participants received this treatment until aripiprazole IM Depot was commercially available in any dosage (including generic formulations) in the country where the study was being conducted or the commercial availability of aripiprazole IM Depot was terminated by the sponsor, or until the study completion date of 06 Dec 2018 was reached. Eligible participants entered this study at the end of treatment visit (Week 52) of Study 31-08-248. Participants continued to receive aripiprazole IM depot every month (study months were every 4 weeks, which were defined as 28 [-2/+10] days) as a continuation of their previous monthly dose in Study 31-08-248.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Schizophrenia
Keywords
Schizophrenia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
709 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Aripiprazole IM depot
Arm Type
Experimental
Arm Description
Active treatment of monthly doses of aripiprazole IM depot (300 mg or 400 mg)
Intervention Type
Drug
Intervention Name(s)
Aripiprazole
Intervention Description
Aripiprazole IM depot - 300 mg or 400 mg
Primary Outcome Measure Information:
Title
Number Of Participants Reporting Severe Treatment-Emergent Adverse Events (TEAE)
Description
A TEAE was defined as an AE that started after start of investigational medicinal product (IMP) treatment or if the event was continuous from baseline and was serious, IMP-related, or resulted in death, discontinuation, interruption, or reduction of IMP. A severe AE was one that caused inability to work or perform normal daily activity. A summary of serious and all other non-serious adverse events, regardless of causality, is located in the Reported Adverse Events module.
Time Frame
Baseline to Month 97 (+/- 3 days)
Secondary Outcome Measure Information:
Title
Mean Change In Clinical Global Impression-Severity (CGI-S) of Illness Scale Score From Baseline To Last Visit
Description
The severity of illness for each participant was rated using the CGI-S scale. To assess CGI-S, the rater or investigator answered the following question: "Considering your total clinical experience with this particular population, how mentally ill is the patient at this time?" Response choices included: 0 = not assessed; 1 = normal, not ill at all; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; and 7 = among the most extremely ill patients. The Last Visit was defined as the last available post-baseline evaluation. A decrease in the CGI-S score indicated disease stability or improvement.
Time Frame
Baseline, Month 91

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: Participants with a current diagnosis of schizophrenia, as defined by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria, who completed the open-label extension Study 248 (completed Study 248 study completion visit, Week 52). Participants who, in the investigator's judgment, may benefit from continued participation in an aripiprazole IM Depot study. The baseline visit for Study 270 (which is the Week 52 visit of Study 248) and the first injection for Study 270 must occur within 4 weeks (which was defined as 28 [-2/+10] days) of the last injection in Study 248. Participants who are able to provide written informed consent and/or consent obtained from a legally acceptable representative (as required by an Independent Review Board/Independent Ethics Committee (IRB/IEC), prior to the initiation of any protocol-required procedures. Participants able to understand the nature of the study and follow protocol requirements and who can read and understand the written word in order to complete patient-reported outcomes measures. Outpatient status. Exclusion Criteria: Participants with a current DSM-IV-TR diagnosis other than schizophrenia, including schizoaffective disorder, major depressive disorder, bipolar disorder, delirium, dementia, amnestic, or other cognitive disorders. Participants with borderline, paranoid, histrionic, schizotypal, schizoid, or antisocial personality disorder. Participants who currently meet DSM-IV-TR criteria for substance dependence, including alcohol and benzodiazepines, but excluding caffeine and nicotine. Participants with a significant risk of violent behavior or a significant risk of committing suicide based on the investigator's judgment. Participants who are known to be allergic, intolerant, or unresponsive to prior treatment with aripiprazole or other quinolinones. Participants with a history of neuroleptic malignant syndrome or clinically significant tardive dyskinesia at screening. Electroconvulsive therapy within 180 days prior to entry. Any participant who requires or may need any other antipsychotic medications during the course of the study. Aripiprazole IM Depot (including generic formulation) is commercially available in the participant's country. Other protocol specific inclusion/exclusion criteria may apply.
Facility Information:
City
Bellevue
State/Province
California
ZIP/Postal Code
98007
Country
United States
City
Garden Grove
State/Province
California
ZIP/Postal Code
92845
Country
United States
City
Glendale
State/Province
California
ZIP/Postal Code
91204
Country
United States
City
Glendale
State/Province
California
ZIP/Postal Code
91206
Country
United States
City
Imperial
State/Province
California
ZIP/Postal Code
92251
Country
United States
City
Los Angeles
State/Province
California
ZIP/Postal Code
90024
Country
United States
City
National City
State/Province
California
ZIP/Postal Code
91950
Country
United States
City
National City
State/Province
California
Country
United States
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
City
Pasadena
State/Province
California
ZIP/Postal Code
91107
Country
United States
City
Pico Rivera
State/Province
California
ZIP/Postal Code
90660
Country
United States
City
Pico Rivera
State/Province
California
Country
United States
City
San Bernardino
State/Province
California
ZIP/Postal Code
92408-3304
Country
United States
City
San Diego
State/Province
California
Country
United States
City
Sherman Oaks
State/Province
California
ZIP/Postal Code
91403
Country
United States
City
Norwalk
State/Province
Connecticut
ZIP/Postal Code
06851
Country
United States
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20016
Country
United States
City
Washington
State/Province
District of Columbia
Country
United States
City
Bradenton
State/Province
Florida
Country
United States
City
Doral
State/Province
Florida
Country
United States
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33016
Country
United States
City
Homestead
State/Province
Florida
ZIP/Postal Code
33030
Country
United States
City
Orange City
State/Province
Florida
ZIP/Postal Code
32763
Country
United States
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613
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United States
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
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United States
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60640
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United States
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Oak Brook
State/Province
Illinois
ZIP/Postal Code
60523
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United States
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Indianapolis
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Indiana
ZIP/Postal Code
46222
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United States
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Shreveport
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Louisiana
ZIP/Postal Code
71101
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United States
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Flowood
State/Province
Mississippi
ZIP/Postal Code
39232
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United States
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63109
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United States
City
North Platte
State/Province
Nebraska
ZIP/Postal Code
69101
Country
United States
City
Buffalo
State/Province
New York
ZIP/Postal Code
14215
Country
United States
City
New York
State/Province
New York
ZIP/Postal Code
10035
Country
United States
City
Queens
State/Province
New York
Country
United States
City
Rochester
State/Province
New York
ZIP/Postal Code
14615
Country
United States
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28204
Country
United States
City
Akron
State/Province
Ohio
Country
United States
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
City
Toledo
State/Province
Ohio
ZIP/Postal Code
43609
Country
United States
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
City
Allentown
State/Province
Pennsylvania
ZIP/Postal Code
18104
Country
United States
City
Jenkintown
State/Province
Pennsylvania
ZIP/Postal Code
19046
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United States
City
Sellersville
State/Province
Pennsylvania
ZIP/Postal Code
18960
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United States
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29401
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United States
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38119
Country
United States
City
Austin
State/Province
Texas
ZIP/Postal Code
78731
Country
United States
City
Austin
State/Province
Texas
ZIP/Postal Code
78754
Country
United States
City
DeSoto
State/Province
Texas
ZIP/Postal Code
75115
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United States
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23230
Country
United States
City
Bothell
State/Province
Washington
ZIP/Postal Code
98011
Country
United States
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
City
Buenos Aires
ZIP/Postal Code
1900
Country
Argentina
City
Buenos Aires
ZIP/Postal Code
C1058AAH
Country
Argentina
City
Buenos Aires
ZIP/Postal Code
C1405BOA
Country
Argentina
City
Buenos Aires
ZIP/Postal Code
C1425AHQ
Country
Argentina
City
Mendoza
ZIP/Postal Code
M5500HYF
Country
Argentina
City
Epping
State/Province
Victoria
ZIP/Postal Code
3076
Country
Australia
City
Frankston
State/Province
Victoria
ZIP/Postal Code
3199
Country
Australia
City
Fremantle
State/Province
Western Australia
ZIP/Postal Code
6959
Country
Australia
City
Bourgas
ZIP/Postal Code
8000
Country
Bulgaria
City
Lovech
ZIP/Postal Code
5500
Country
Bulgaria
City
Pazardzhik
ZIP/Postal Code
4400
Country
Bulgaria
City
Pleven
ZIP/Postal Code
5800
Country
Bulgaria
City
Plovdiv
ZIP/Postal Code
4002
Country
Bulgaria
City
Plovdiv
Country
Bulgaria
City
Radnevo
ZIP/Postal Code
6260
Country
Bulgaria
City
Rousse
ZIP/Postal Code
7003
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1113
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1632
Country
Bulgaria
City
Tserova Koria
Country
Bulgaria
City
Varna
ZIP/Postal Code
9001
Country
Bulgaria
City
Varna
Country
Bulgaria
City
Santiago
ZIP/Postal Code
7500710
Country
Chile
City
Santiago
ZIP/Postal Code
7510186
Country
Chile
City
Santiago
ZIP/Postal Code
7580307
Country
Chile
City
Santiago
ZIP/Postal Code
8330838
Country
Chile
City
Santiago
ZIP/Postal Code
8780000
Country
Chile
City
Santiago
ZIP/Postal Code
8900085
Country
Chile
City
Temuco
ZIP/Postal Code
4781151
Country
Chile
City
Valdivia
ZIP/Postal Code
5090145
Country
Chile
City
Zagreb
ZIP/Postal Code
10000
Country
Croatia
City
Zagreb
ZIP/Postal Code
10090
Country
Croatia
City
Zagreb
Country
Croatia
City
Tallinn
ZIP/Postal Code
10614
Country
Estonia
City
Tallinn
ZIP/Postal Code
10617
Country
Estonia
City
Tartu
ZIP/Postal Code
50417
Country
Estonia
City
Tartu
Country
Estonia
City
Viljandi
ZIP/Postal Code
71024
Country
Estonia
City
Helsinki
ZIP/Postal Code
250
Country
Finland
City
Baja
ZIP/Postal Code
6500
Country
Hungary
City
Balassagyarmat
ZIP/Postal Code
2660
Country
Hungary
City
Gyõr
ZIP/Postal Code
9023
Country
Hungary
City
Ahmedabad
State/Province
Gujarat
ZIP/Postal Code
380006
Country
India
City
Mangalore
State/Province
Karnataka
ZIP/Postal Code
575018
Country
India
City
Bangalore
Country
India
City
Chennai
Country
India
City
Kanpur
ZIP/Postal Code
208005
Country
India
City
Pune
ZIP/Postal Code
411004
Country
India
City
Tirupati
ZIP/Postal Code
517507
Country
India
City
Daejeon
ZIP/Postal Code
301-721
Country
Korea, Republic of
City
Gwangju
ZIP/Postal Code
501-757
Country
Korea, Republic of
City
Incheon
ZIP/Postal Code
400-711
Country
Korea, Republic of
City
Seoul
ZIP/Postal Code
110-744
Country
Korea, Republic of
City
Ipoh
Country
Malaysia
City
Kajang
Country
Malaysia
City
Kuala Lumpur
ZIP/Postal Code
56000
Country
Malaysia
City
Kuala Lumpur
ZIP/Postal Code
59100
Country
Malaysia
City
Guadalajara
State/Province
Jalisco
ZIP/Postal Code
44280
Country
Mexico
City
Monterrey
State/Province
Nuevo León
ZIP/Postal Code
64040
Country
Mexico
City
Culiacan
State/Province
Sinaloa
ZIP/Postal Code
80020
Country
Mexico
City
Mexico
ZIP/Postal Code
7760
Country
Mexico
City
San Luis Potosí
ZIP/Postal Code
78218
Country
Mexico
City
Mandaluyong City
State/Province
NCR
ZIP/Postal Code
1553
Country
Philippines
City
Iloilo City
State/Province
Western Visayas
ZIP/Postal Code
5000
Country
Philippines
City
Mariveles
Country
Philippines
City
Belchatow
ZIP/Postal Code
97-400
Country
Poland
City
Bialystok
ZIP/Postal Code
15-879
Country
Poland
City
Bydgoszcz
ZIP/Postal Code
85096
Country
Poland
City
Choroszcz
ZIP/Postal Code
16-070
Country
Poland
City
Krakow
ZIP/Postal Code
31-501
Country
Poland
City
Leszno
ZIP/Postal Code
64-100
Country
Poland
City
Sosnowiec
ZIP/Postal Code
41-200
Country
Poland
City
Wroclaw
ZIP/Postal Code
50-227
Country
Poland
City
San Juan
ZIP/Postal Code
00918
Country
Puerto Rico
City
Arad
ZIP/Postal Code
310022
Country
Romania
City
Bucharest
ZIP/Postal Code
41914
Country
Romania
City
Cluj-Napoca
ZIP/Postal Code
400012
Country
Romania
City
Craiova
ZIP/Postal Code
200620
Country
Romania
City
Oradea
ZIP/Postal Code
410163
Country
Romania
City
Pitesti
ZIP/Postal Code
110069
Country
Romania
City
Leningrad
Country
Russian Federation
City
Lipetsk
ZIP/Postal Code
398007
Country
Russian Federation
City
Moscow
ZIP/Postal Code
115522
Country
Russian Federation
City
Moscow
ZIP/Postal Code
127083
Country
Russian Federation
City
Nizhny Novgorod
ZIP/Postal Code
603152
Country
Russian Federation
City
Nizhny Novgorod
ZIP/Postal Code
603155
Country
Russian Federation
City
Smolensk
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
190121
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
192019
Country
Russian Federation
City
Belgrade
ZIP/Postal Code
11000
Country
Serbia
City
Kragujevac
ZIP/Postal Code
34000
Country
Serbia
City
Bardejov
Country
Slovakia
City
Kosice
ZIP/Postal Code
041 90
Country
Slovakia
City
Liptovsky Mikulas
ZIP/Postal Code
3101
Country
Slovakia
City
Prešov
Country
Slovakia
City
Rimavská Sobota
Country
Slovakia
City
Cape Town
State/Province
Western Province
ZIP/Postal Code
7530
Country
South Africa
City
Bellville
ZIP/Postal Code
7530
Country
South Africa
City
Pretoria West
ZIP/Postal Code
1
Country
South Africa
City
Barcelona
ZIP/Postal Code
08006
Country
Spain
City
Barcelona
ZIP/Postal Code
8036
Country
Spain
City
Hospitalet de Llobregat
Country
Spain
City
Tainan
ZIP/Postal Code
704
Country
Taiwan
City
Taipei City
ZIP/Postal Code
110
Country
Taiwan
City
Chiang Mai
Country
Thailand

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Anonymized Individual participant data (IPD) that underlie the results of this study will be shared with researchers to achieve aims pre-specified in a methodologically sound research proposal. Small studies with less than 25 participants are excluded from data sharing.
IPD Sharing Time Frame
Data will be available after marketing approval in global markets, or beginning 1-3 years following article Publication. There is no end date to the availability of the data.
IPD Sharing Access Criteria
Otsuka will share data on an Otsuka-owned remotely accessible data sharing platform with Python and R analytical software. Research requests should be directed to clinicaltransparency@Otsuka-us.com.

Learn more about this trial

An Open-Label, Multicenter, Rollover, Long-term Study of Aripiprazole Intramuscular Depot in Participants With Schizophrenia

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