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Study in Stabilized Schizophrenic Patients to Evaluate the Pharmacokinetics of Risperidone and 9-Hydroxy (OH)-Risperidone When Risperidone is Administered From a Polyurethane Implant

Primary Purpose

Schizophrenia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
EN3342
Sponsored by
Endo Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Schizophrenia focused on measuring Schizophrenia, Schizophrenic, Stable Schizophrenic

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Subject Inclusion Criteria

  1. Subject (and/or a subject's authorized legal representative) has provided written informed consent
  2. Subject has identified a caregiver or personal contact with whom the subject has significant contact with at least once per week
  3. Subject is male or female of non-child bearing potential between 18 to 60 years of age inclusive
  4. Subject has a diagnosis of schizophrenia according to DSM-IV criteria
  5. Subject has a body mass index (BMI) ≥18.5 and ≤35.0 kg/m2
  6. Subject is assessed to be symptomatically stable by the Investigator, with regard to his or her psychiatric condition
  7. Subject is assessed by the Investigator to be symptomatically stable with regard to pre existing medical conditions as evidenced by medical history, clinically significant findings on physical examination, vital signs, clinical laboratory evaluations (hematology, serum chemistries, and urinalysis) or 12-lead electrocardiogram (ECG). Subjects may continue on their current medication regimen to control pre-existing medical and psychiatric (other than schizophrenia) conditions including the use of PRN medications.
  8. Subject is currently stable on a 4-, 6-, or 8-mg oral dose of risperidone for 30 days prior to admission

Subject Exclusion Criteria

  1. Known hypersensitivity or allergy to lidocaine or any local anesthetic agent of the amide type (local anesthetic used during implant and explant procedures)
  2. Known sensitivity to polyurethane
  3. Hospitalized or required acute crisis intervention for symptom exacerbation in the 30 days prior to admission as determined by the Investigator
  4. Subject has a history of suicide attempt in the last year, or in the opinion of the investigator is currently at imminent risk of suicide
  5. Reports or reveals a presence of clinically significant skin disorders (such as, but not limited to, skin cancer, psoriasis, eczema, or atopic dermatitis), evidence of recent sunburn, scar tissue, tattoo, open sore, body piercing or branding at the intended implantation site that would interfere with the implantation procedure or interfere with implant site assessments as determined by the Investigator
  6. History of abnormal scar formation or family history of keloid formation
  7. Have a positive screen for substances of abuse conducted at screening or had any history of abuse in the last six months as defined by DSM-IV criteria
  8. Have impaired hepatic (ALT/AST >1.5 times higher than the upper limit of normal) or renal function (eGFR <50mL/min)
  9. Previously defined hypersensitivity to risperidone
  10. History of neuromalignant syndrome (NMS)
  11. Electroconvulsive therapy within 6 months of admission
  12. Treatment of coexisting medical conditions that require the introduction of cytochrome P450 2D6 inhibitors or inducers
  13. Positive screen for Hepatitis B Surface Antigen (HBsAg), Hepatitis C Antibody (anti HCV), or human immunodeficiency virus (HIV) antibody and/or antigen
  14. Participation in the treatment phase of a clinical study or receipt of an investigational drug within 30 days prior to study drug administration on Day 1; for investigational drugs with an elimination half-life greater than 15 days, this time period will be extended to 60 days
  15. Prior participation in a EN3342 study
  16. Involvement in the planning and/or conduct of the study (applies to both Endo staff or staff at the investigational site)
  17. History of difficulty with phlebotomy procedures

Sites / Locations

  • CRI Lifetree

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

EN3342

Arm Description

EN3342 (risperidone) subcutaneous implant

Outcomes

Primary Outcome Measures

PK parameters (Cmax and AUC) for active moiety, 9-OH-risperidone and risperidone

Secondary Outcome Measures

Full Information

First Posted
January 7, 2013
Last Updated
October 30, 2014
Sponsor
Endo Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01774435
Brief Title
Study in Stabilized Schizophrenic Patients to Evaluate the Pharmacokinetics of Risperidone and 9-Hydroxy (OH)-Risperidone When Risperidone is Administered From a Polyurethane Implant
Official Title
A Phase 1, Open-Label, Study in Stabilized Schizophrenic Patients to Evaluate the Pharmacokinetics of Risperidone and 9-Hydroxy (OH) Risperidone When Risperidone is Administered From a Polyurethane Implant
Study Type
Interventional

2. Study Status

Record Verification Date
October 2014
Overall Recruitment Status
Completed
Study Start Date
October 2012 (undefined)
Primary Completion Date
October 2013 (Actual)
Study Completion Date
October 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Endo Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is an study evaluating the safety, tolerability, and PK of EN3342 in implantation durations of 6 months.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
35 (Actual)

8. Arms, Groups, and Interventions

Arm Title
EN3342
Arm Type
Experimental
Arm Description
EN3342 (risperidone) subcutaneous implant
Intervention Type
Drug
Intervention Name(s)
EN3342
Primary Outcome Measure Information:
Title
PK parameters (Cmax and AUC) for active moiety, 9-OH-risperidone and risperidone
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Subject Inclusion Criteria Subject (and/or a subject's authorized legal representative) has provided written informed consent Subject has identified a caregiver or personal contact with whom the subject has significant contact with at least once per week Subject is male or female of non-child bearing potential between 18 to 60 years of age inclusive Subject has a diagnosis of schizophrenia according to DSM-IV criteria Subject has a body mass index (BMI) ≥18.5 and ≤35.0 kg/m2 Subject is assessed to be symptomatically stable by the Investigator, with regard to his or her psychiatric condition Subject is assessed by the Investigator to be symptomatically stable with regard to pre existing medical conditions as evidenced by medical history, clinically significant findings on physical examination, vital signs, clinical laboratory evaluations (hematology, serum chemistries, and urinalysis) or 12-lead electrocardiogram (ECG). Subjects may continue on their current medication regimen to control pre-existing medical and psychiatric (other than schizophrenia) conditions including the use of PRN medications. Subject is currently stable on a 4-, 6-, or 8-mg oral dose of risperidone for 30 days prior to admission Subject Exclusion Criteria Known hypersensitivity or allergy to lidocaine or any local anesthetic agent of the amide type (local anesthetic used during implant and explant procedures) Known sensitivity to polyurethane Hospitalized or required acute crisis intervention for symptom exacerbation in the 30 days prior to admission as determined by the Investigator Subject has a history of suicide attempt in the last year, or in the opinion of the investigator is currently at imminent risk of suicide Reports or reveals a presence of clinically significant skin disorders (such as, but not limited to, skin cancer, psoriasis, eczema, or atopic dermatitis), evidence of recent sunburn, scar tissue, tattoo, open sore, body piercing or branding at the intended implantation site that would interfere with the implantation procedure or interfere with implant site assessments as determined by the Investigator History of abnormal scar formation or family history of keloid formation Have a positive screen for substances of abuse conducted at screening or had any history of abuse in the last six months as defined by DSM-IV criteria Have impaired hepatic (ALT/AST >1.5 times higher than the upper limit of normal) or renal function (eGFR <50mL/min) Previously defined hypersensitivity to risperidone History of neuromalignant syndrome (NMS) Electroconvulsive therapy within 6 months of admission Treatment of coexisting medical conditions that require the introduction of cytochrome P450 2D6 inhibitors or inducers Positive screen for Hepatitis B Surface Antigen (HBsAg), Hepatitis C Antibody (anti HCV), or human immunodeficiency virus (HIV) antibody and/or antigen Participation in the treatment phase of a clinical study or receipt of an investigational drug within 30 days prior to study drug administration on Day 1; for investigational drugs with an elimination half-life greater than 15 days, this time period will be extended to 60 days Prior participation in a EN3342 study Involvement in the planning and/or conduct of the study (applies to both Endo staff or staff at the investigational site) History of difficulty with phlebotomy procedures
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert Litman, MD
Organizational Affiliation
CBH Health LLC
Official's Role
Principal Investigator
Facility Information:
Facility Name
CRI Lifetree
City
Marlton
State/Province
New Jersey
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study in Stabilized Schizophrenic Patients to Evaluate the Pharmacokinetics of Risperidone and 9-Hydroxy (OH)-Risperidone When Risperidone is Administered From a Polyurethane Implant

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