Pediatric Open-Label Extension Study
Primary Purpose
Schizophrenia, Autism, Bipolar Depression
Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Lurasidone 20, 40, 60, 80 mg, flexibly dosed
Sponsored by
About this trial
This is an interventional treatment trial for Schizophrenia focused on measuring Schizophrenia, Autism, Lurasidone, Latuda
Eligibility Criteria
Inclusion Criteria:
- Written informed consent from parent(s) or legal guardian(s) with sufficient intellectual capacity to understand the study and support subjects' participation in the study procedures must be obtained for subjects who are not emancipated. In accordance with Institutional Review Board (IRB) or Independent Ethics Committee (IEC) requirements, the subject will complete an informed assent when developmentally appropriate, to participate in the study before conduct of any study-specific procedures.
- Subject has completed Study D1050301 (Visit 9) OR
- Subject has completed Study D1050325 (Visit 9) OR
- Subject has completed Study D1050326 (Visit 8)
- Subject is judged by the investigator to be appropriate for participation in a 104-week clinical trial in an outpatient setting involving open-label lurasidone treatment, and is able to comply with the protocol.
- A reliable informant (eg, parent, legal guardian, or caregiver) must be available to accompany the subject at each visit. For subjects entering from Study D1050325, the reliable caregiver must also oversee the administration of the study drug throughout the study
Females who participate in this study:
- are unable to become pregnant (eg, premenarchal, surgically sterile, etc.) -OR-
- practices true abstinence (consistent with lifestyle) and must agree to remain abstinent from signing informed consent to at least 7 days after the last dose of study drug has been taken; -OR-
- are sexually active and willing to use a medically effective method of birth control (eg, male using condom and female using condom, diaphragm, contraceptive sponge, spermicide, contraceptive pill, or intrauterine device) from signing informed consent to at least 7 days after the last dose of study drug has been taken.
- Males must be willing to remain sexually abstinent (consistent with lifestyle) or use an effective method of birth control (eg, male using condom and female using condom, diaphragm, contraceptive sponge, spermicide, contraceptive pill, or intrauterine device) from signing informed consent to at least 7 days after the last dose of study drug has been taken.
Exclusion Criteria:
- Subject is considered by the investigator to be at imminent risk of suicide.
- Exhibits evidence of moderate or severe extrapyramidal symptoms, dystonia, tardive dyskinesia, or any other moderate or severe movement disorder. Severity to be determined by the investigator.
Sites / Locations
- Harmonex Neuroscience Research
- Diligent Clinical Trials, Inc
- University of California San Francisco Medical Center
- Neuropsychiatric Research Center of Orange County
- Sarkis Clinical Trials - Parent
- Clinical Neuroscience Solutions, Inc.
- APG Research, LLC
- University of South Florida
- Medical Research Group of Central Florida
- University of South Florida Rothman Center of Neuropychiatry
- Atlanta Center for Medical Research
- Attalla Consultants, LLC
- Psychiatric Associates
- University Of Kentucky
- Lake Charles Clinical Trials LLC,2770 3rd Avenue,Suite 340
- Kennedy Krieger Institute
- Neurobehavioral medicine Group, LLC
- St. Charles Psychiatric Associates
- Jersey Shore University Medical Center
- North Shore/Long Island Jewish PRIME
- Dr. Jeanette Cueva
- Montefiore Medical Center PRIME
- Finger Lakes Clinical Research
- Richmond Behavioral Associates
- University of Cincinnati Medical Center
- University Hospitals Case Medical Center
- The Ohio State University Nisonger Center
- Cutting Edge Research Group
- Pillar Clinical Research, LLC
- Family Psychiatry of The Woodlands, P.A.
- Ericksen Research & Development, LLC
- University of Virginia
- Neuroscience, Inc.
- Clinical Research Partners, LLC
- Carilion Clinic
- MHC - Ruse, EOOD
- UMHAT "Alexandrovska" EAD
- MHAT-Targovishte, AD
- DCC "Mladost M" - Varna, OOD
- Centro de Investigaciones y Proyectos en Neurociencias CIPNA
- E.S.E. Hospital Mental de Antioquia
- Centro de Investigaciones del Sistema Nervioso Limitada - Grupo CISNE Ltda
- CHU Nantes - Hôpital Mère-Enfant
- Vadaskert Alapitvany a Gyermekek Lelki Egeszsegeert
- Bekes Megyei Pandy Kalman Korhaz
- Seoul National University Hospital
- Chonnam National University Hospital
- Inha University Hospital
- Chonbuk National University Hospital
- University Malaya Medical Centre
- Centro para el Desarrollo de la Medicina y de Asistencia Medica Especializada S.C.
- Dr. Jessica Rosas Escobar
- Instituto de Investigaciones Aplicadas a la Neurociencia A.C.
- Accelerium S. de R.L. de C.V.
- Instituto de Informacion de Investigacion en Salud Mental
- Av Modesto Arreola #917 Ote. Col Centro
- Alexian Brothers Health and Wellness Center
- West Visayas State University Medical Center
- National Center for Mental Health
- Veterans Memorial Medical Center
- NZOZ Poradnia Zdrowia Psychicznego
- Wojewodzki Szpital Zespolony im. L. Rydygiera w Toruniu, Oddzial Kliniczmy VI Psychiatrii Mlodziezy
- Centro de Investigacion Clinica Psiquiatrica
- Spitalul Clinic de Psihiatrie Prof. Dr. Alexandru Obregia
- Spitalul Clinic de Psihiatrie Socola
- Spitalul Clinic de Urgenta pentru Copii "Louis Turcanu" Timisoara
- Sverdiovsk Regional Clinical Psychiatric Hospital
- GUZ Lipetsk Regional psychoneurological Hospital #1
- Closed corporation "Scientific Center of Personalized Psychiatry"
- Scientific Center of Personalized Psychiatry
- State Healthcare Institution of Nizhniy Novgordo region "Clinical Psychiatric Hospital #1 of City of Nizhniy Novgorod"
- SHI "City Psychoneurological dispensary #7 (with Hospital)"
- Center of Recovery Treatment "Pediatric Psychiatry" named after S.S. Mnukhin
- Bekhterev Institute
- Regional Clinical Mental Hospital of Saint Sofiya
- FSBSI "Scientific Research Institute of Mental Health"
- State Healthcare Institution of Yaroslavl Rgion "Yaroslavl Regional clinical Mental Hospital"
- Hospital Marítimo de Torremolinos
- RPsH #3 Сhildren Dept SHEI Ivano-Frankivsk SMU
- SI Institute of Neurology, Psychiatry and Narcology of NAMSU
- SI Institute of Children and Adolescents Healthcare of NAMSU
- TMA Psychiatry in Kyiv Center of NT & Rehabilitation of Psychotic Conditions
- CI Lviv Regional Clinical Psychiatric Hospital
- Odesa Regional Psychoneurological Dispensary, Outpatient Dept.
- O.F. Maltcev Poltava RCPsH Children Dept Ukrainian Medical Stomatological Academy
- CI Kherson Regional Psychiatric Hospital of Kherson RC
- Ternopil RCCPH Dept of Psychiatry #9 (adolescent)& #8 (pediatric) Ternopil I.Ya. Gorbachevskyi SMU
- Reg. Psych. Hosp.n.a. O.Yuschenko, Dept. #121 VNMI
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Lurasidone 20, 40, 60, 80 mg, flexibly dosed
Arm Description
Lurasidone 20, 40, 60, 80 mg, flexibly dosed, once daily
Outcomes
Primary Outcome Measures
Number of Subjects With Adverse Events (AEs), Discontinuations Due to AEs and Serious AEs (SAEs)
The Safety population consists of all subjects who received at least one dose of study drug in this study.
Secondary Outcome Measures
Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score
Change from Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score for subjects continued from study D1050301.
PANSS is comprised of 30 items and 3 subscales (Positive, Negative, General Psychopathology). An anchored Likert scale from 1 - 7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. Individual items are then summed to determine scores for the 3 subscales, as well as a total score. PANSS Positive subscale score range: 7-49. PANSS Negative subscale score range: 7-49. PANSS General Psychopathology subscale score range: 16-112. PANSS total score range: 30-210 Higher values of PANSS total score represents greater severity of illness.
Change From Baseline in PANSS Positive Subscale Score
Change from Baseline in PANSS Positive Subscale Score for subjects continued from study D1050301 The Positive scale contains seven questions to assess delusions, conceptual disorganization, hallucinations behavior, excitement, grandiosity, suspiciousness /persecution, and hostility; Positive subscale (range 7-49) is calculated as sum of Items P1 to P7 in the positive subscale Higher values of PANSS sub-scale scores represent greater severity
Change From Baseline in PANSS Negative Subscale Score
Change from Baseline in PANSS Negative Subscale Score for subjects continued from study D1050301 The Negative scale contains seven questions to assess blunted effect, emotional withdrawal, poor rapport, passive/apathetic social withdrawal, lack of motivation, and similar symptoms; Negative subscale (range 7-49) is calculated as sum of Items N1 to N7 in the negative subscale Higher values of PANSS sub-scale scores represent greater severity of illness.
Change From Baseline in PANSS General Psychopathology Subscale Score
Change from Baseline in PANSS General Psychopathology Subscale Score for subjects continued from study D1050301 The General Psychopathology subscale addresses other symptoms such as anxiety, somatic concern, and disorientation; General psychopathology subscale (range 16-112) is calculated as sum of Items G1 to G16 in the general psychopathology subscale Higher values of PANSS sub-scale scores represent greater severity of illness.
Change From Baseline in PANSS Excitability Subscale Score
Change from Baseline in PANSS Excitability Subscale Score for subjects continued from study D1050301 Subscale of Excitability consists of the following four items from the PANSS: excitement, hostility, uncooperativeness, and poor impulse control. The sum of the four items ranges from 4 to 28 Higher values of PANSS sub-scale scores represent greater severity of illness.
Change From Baseline in the Clinical Global Impression -Severity Score
Change from Baseline in the Clinical Global Impression -Severity Score for subjects continued from study D1050301 The CGI-S is a single value, clinician-rated assessment of illness severity, and 7-point scale with range from 1='Normal, not at all ill' to 7='Among the most extremely ill patients'. A higher score is associated with greater illness severity
Change From Baseline in Clinician-Rated Children's Global Assessment Score (CGAS) Score
Change from Baseline in Clinician-Rated Children's Global Assessment Score (CGAS) Score for subjects continued from study D1050301 The Children's Global Assessment Scale (CGAS) is a numeric scale (1 through 100) used by mental health clinicians to rate the general functioning of children under the age of 18, where 1 represents the most impaired functioning and 100, superior functioning. Each decile (e.g., 1-10, 11-20) has a descriptive header (e.g., "Moderate impairment in functioning in most domains") and examples of behaviors and types of environmental accommodations that might be seen at that level of functioning. Scores above 70 on the CGAS indicate functioning within the range of typically developing children of the same age as the child being rated while scores below 60 indicate a definite clinical case
Change From Baseline in Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) Percentage Maximum Possible Score
Change from Baseline in Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) Percentage Maximum Possible Score for subjects continued from study D1050301
The Pediatric Q-LES-Q is a 15-item self-report measure of the degree of enjoyment and satisfaction in various areas of daily living, based on the content of the Short From of the Q-LES-Q. Each item is rated on a 5-point scale, ranging from 1 (very poor) to 5 (very good). The first 14 items are the same as the General Activities section of the regular Q-LES-Q form and are used to compute the raw score. The PQ-LES-Q-SF percentage maximum possible score is calculated as follows:
% Max = 100 × (Raw Score - Minimum Score) / (Maximum Score - Minimum Score), where the Minimum Score equals 14 and the Maximum Score equals 70, and the % maximum possible score can range from 0% to 100%. Higher scores indicate better quality of life.
Change From Baseline in Aberrant Behavior Checklist (ABC) Irritability Subscale Score
Change from Baseline in ABC Irritability Subscale Score for subjects continued from study D1050325 The Aberrant Behavior Checklist (ABC) contains 58 items resolve into five subscales: (1) irritability and agitation (15 items), (2) lethargy and social withdrawal (16 items), (3) stereotypic behavior (7 items), (4) hyperactivity and noncompliance (16 items), and (5) inappropriate speech (4 items). Each item is rated for severity on a 4-point Likert scale ranging from 0 (not at all a problem) to 3 (the problem is severe in degree).
Irritability Subscale Score is calculated as summing of items 2, 4, 8, 10, 14, 19, 25, 29, 34, 36, 41, 47, 50, 52, and 57; as a result, ABC irritability subscale score ranges from 0 to 45.
In general, higher values of ABC subscale scores represent greater severity of illness. If one or more items are missing, no imputation was performed and the scores of the subscales that include these items was left missing
Change From Baseline in Aberrant Behavior Checklist (ABC) Lethargy and Social Withdrawal Subscale Score
Change from Baseline in ABC Lethargy and Social Withdrawal Subscale Score for subjects continued from study D1050325 The ABC contains 58 items resolve into five subscales: (1) irritability and agitation (15 items), (2) lethargy and social withdrawal (16 items), (3) stereotypic behavior (7 items), (4) hyperactivity and noncompliance (16 items), and (5) inappropriate speech (4 items). Each item is rated for severity on a 4-point Likert scale ranging from 0 (not at all a problem) to 3 (the problem is severe in degree).
Lethargy and Social Withdrawal Subscale Score is calculated as summing of items 3, 5, 12, 16, 20, 23, 26, 30, 32, 37, 40, 42, 43, 53, 55, and 58. ABC Lethargy and Social Withdrawal Subscale Score ranges from 0 to 48.
In general, higher values of ABC subscale scores represent greater severity of illness. If one or more items are missing, no imputation was performed and the scores of the subscales that include these items was left missing
Change From Baseline in Aberrant Behavior Checklist (ABC) Stereotypic Behavior Subscale Score
Change from Baseline in ABC Stereotypic Behavior Subscale Score for subjects continued from study D1050325. The ABC contains 58 items resolve into five subscales: (1) irritability and agitation (15 items), (2) lethargy and social withdrawal (16 items), (3) stereotypic behavior (7 items), (4) hyperactivity and noncompliance (16 items), and (5) inappropriate speech (4 items). Stereotypic behavior Subscale Score is calculated as summing of 6, 11, 17, 27, 35, 45, and 49 items . ABC Stereotypic behavior Subscale Score ranges from 0 to 21. Each item is rated for severity on a 4-point Likert scale ranging from 0 (not at all a problem) to 3 (the problem is severe in degree). To score the ABC, the individual items for each subscale are simply summed to their respective totals. It is inappropriate to compute a "total aberrant score", based on a summation of all 58 items, as the subscales are largely independent. In general, higher values of ABC subscale scores represent greater severity
Change From Baseline in Aberrant Behavior Checklist (ABC) Hyperactivity and Noncompliance Subscale Score
Change from Baseline in ABC Hyperactivity and Noncompliance Subscale Score for subjects continued from study D1050325 The ABC contains 58 items resolve into five subscales: (1) irritability and agitation (15 items), (2) lethargy and social withdrawal (16 items), (3) stereotypic behavior (7 items), (4) hyperactivity and noncompliance (16 items), and (5) inappropriate speech (4 items). Each item is rated for severity on a 4-point Likert scale ranging from 0 (not at all a problem) to 3 (the problem is severe in degree).
Hyperactivity and noncompliance Subscale Score is calculated as summing of 1, 7, 13, 15, 18, 21, 24, 28, 31, 38, 39, 44, 48, 51, 54, and 56 items. ABC hyperactivity and noncompliance Subscale Score ranges from 0 to 48.
In general, higher values of ABC subscale scores represent greater severity of illness. If one or more items are missing, no imputation was performed and the scores of the subscales that include these items was left missing
Change From Baseline in Aberrant Behavior Checklist (ABC) Inappropriate Speech Subscale Score
Change from Baseline in ABC Inappropriate Speech Subscale Score for subjects continued from study D1050325 The ABC contains 58 items resolve into five subscales: (1) irritability and agitation (15 items), (2) lethargy and social withdrawal (16 items), (3) stereotypic behavior (7 items), (4) hyperactivity and noncompliance (16 items), and (5) inappropriate speech (4 items). Each item is rated for severity on a 4-point Likert scale ranging from 0 (not at all a problem) to 3 (the problem is severe in degree).
Inappropriate speech Subscale Score is calculated as summing of 9, 22, 33, and 46 items. ABC inappropriate speech Subscale Score ranges from 0 to 12.
In general, higher values of ABC subscale scores represent greater severity of illness. If one or more items are missing, no imputation was performed and the scores of the subscales that include these items was left missing
Change From Baseline in Clinical Global Impression (CGI) - Severity Score
Change from Baseline in Clinical Global Impression (CGI) - Severity Score for subjects continued from study D1050325 The CGI-S is a single value, clinician-rated assessment of illness severity, and 7-point scale with range from 1='Normal, not at all ill' to 7='Among the most extremely ill patients'. A higher score is associated with greater illness severity
Change From Baseline in Children's Yale-Brown Obsessive Compulsive Score (CY-BOCS)
Change from Baseline in CY-BOCS for subjects continued from study D1050325 CY-BOCS used in the study is a modification of the Yale-Brown Obsessive Compulsive Scale and contains total 7 items for compulsion. "Obsessions" section was removed as it is difficult to obtain valid information given typical language/cognitive delays in the population. Each item of the compulsive scale ranges from 0 to 4. At this time, item 1b ("compulsion-free interval") and item 6 ("peculiarity of the behavior") are not being used in the scoring. Item 7 is a rating for reliability, ranging from 0 (excellent) to 3 (poor). It reflects the interview's judgment regarding the confidence in the data collected hence it is not counted in the CY-BOCS total score. The CY-BOCS compulsion total score is the sums of item 1-5. As a result, the CY-BOCS compulsion total score may range from 0 to 20. In general, higher values of CY-BOCS scores represent greater severity of illness
Change From Baseline in Caregiver Strain Questionnaire (CGSQ) Global Strain Score
Change from Baseline in Caregiver Strain Questionnaire (CGSQ) Global Strain Score for subjects continued from study D1050325 The CGSQ is comprised of total 21 items. Each item is rated on a 5-point Likert-type scale (1 (not at all a problem) to 5 (very much a problem)) and is grouped into three subscales: objective strain, subjective externalized strain, and subjective internalized strain. The 3 subscale scores are calculated as the averages of the corresponding individual items, which range in severity from 1 to 5.
Higher scores on each of these subscale scales indicate greater strain. A global strain score is calculated by summing the three subscales (i.e., objective strain, subjective externalized strain, and subjective internalized strain) to provide an indication of the total impact of the special demands on the family. Global strain scores range from 3 to 15. As with the individual subscales, higher scores indicate greater strain
Change From Baseline in Children's Depression Rating Scale, Revised (CDRS-R) Total Score
Change from Baseline in CDRS-R Total Score for subjects continued from study D1050326 CDRS-R is a semi-structured, clinician-rated instrument designed for use with children and adolescents between the ages of 6 17 years. It contains 17 ordinally-scaled items that evaluate the presence and severity of symptoms commonly associated with depression in childhood. The CDRS-R is administered separately to the patient and to the caregiver; among 17 items, 14 items are based on separate interviews with child and parent, 3 items are based solely on the rater's observation of child (ie, no questions).The 14 items are rated on a 1 (no psychopathology) to 7 (most psychopathology) scale, where a rating of 3 represents mild psychopathology. The 3 items (sleep disturbance, appetite disturbance, listless speech) are rated on a 1 (no pathology) to 5 (most pathology) scale. The CDRS-R total score ranges from 17-113. In general, higher values of CDRS-R total score represent greater severity of illness
Change From Baseline in Clinical Global Impression Bipolar Version (CGI-BP-S) Depression Score
Change from Baseline in Clinical Global Impression Bipolar Version (CGI-BP-S) Depression Score for subjects continued from study D1050326 The CGI-BP-S is a three-question clinician-rated assessment of the subject's current illness state (depression, mania, and overall) using a 7-point scale (1(normal, not ill) to 7 (very severely ill)) for each question, where a higher score is associated with greater illness severity.
Change From Baseline in Clinician-rated Children's Global Assessment Scale (CGAS) Score
Change from Baseline in Clinician-rated Children's Global Assessment Scale (CGAS) Score for subjects continued from study D1050326 The Children's Global Assessment Scale (CGAS) is a numeric scale (1 through 100) used by mental health clinicians to rate the general functioning of children under the age of 18, where 1 represents the most impaired functioning and 100, superior functioning. Each decile (e.g., 1-10, 11-20) has a descriptive header (e.g., "Moderate impairment in functioning in most domains") and examples of behaviors and types of environmental accommodations that might be seen at that level of functioning. Scores above 70 on the CGAS indicate functioning within the range of typically developing children of the same age as the child being rated while scores below 60 indicate a definite clinical case
Change From Baseline in Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) Percentage Maximum Possible Score
Change from Baseline in Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) Percentage Maximum Possible Score for subjects continued from study D1050326
The Pediatric Q-LES-Q is a 15-item self-report measure of the degree of enjoyment and satisfaction in various areas of daily living, based on the content of the Short From of the Q-LES-Q. Each item is rated on a 5-point scale, ranging from 1 (very poor) to 5 (very good). The first 14 items are the same as the General Activities section of the regular Q-LES-Q form and are used to compute the raw score. The PQ-LES-Q-SF percentage maximum possible score is calculated as follows:
% Max = 100 × (Raw Score - Minimum Score) / (Maximum Score - Minimum Score), where the Minimum Score equals 14 and the Maximum Score equals 70, and the % maximum possible score can range from 0% to 100%. Higher scores indicate better quality of life.
Change From Baseline in Pediatric Anxiety Rating Scale (PAR) Total Score
Change from Baseline in PAR Total Score for subjects continued from study D1050326 The PARS is a clinician-rated instrument for assessing over time the severity of anxiety symptoms associated with common DSM-IV anxiety disorders in children ages 6 17 years. The PARS is administered separately to the subject and to the caregiver. The instrument has 2 sections. The first section includes a 50-item symptom checklist, which the clinician rates as present or absent during the past week. The second section is comprised of 7 severity impairment items reflecting the severity/impairment of all symptoms endorsed in Section 1 of the PARS (during the past week). Each question is answered on a 0-5 Likert scale (0 for none, and 1-5 for minimal to extreme) with alternative responses of 8=Not Applicable and 9=Does Not Know. Scores of 8 or 9 are not counted in the summation as per the PARS instructions. The PARS total score over all 7 questions ranges in value from 0 to 35.A higher PARS total score
Change From Baseline in Attention-Deficity/Hyperactivity Disorder Rating Scale (ADHD-RS) Total Score
Change from Baseline in Attention-Deficity/Hyperactivity Disorder Rating Scale (ADHD-RS) Total Score for subjects continued from study D1050326 The ADHD-RS IV is a validated scale that measures the behaviors of children with ADHD. The ADHD-RS IV consists of 18 items reflecting current symptomatology of ADHD based on DSM-IV-TR criteria. Each item is scored from a range of 0 (no symptoms) to 3 (severe symptoms) with total scores ranging from 0 to 54. The 18 items may be grouped into two sub-scales: hyperactivity/impulsivity (even number items 2 through 18) and inattentiveness (odd number items 1 through 17), ranging from 0 to 27. A higher ADHD-RS total score and sub-scales scores are associated with greater illness severity
Full Information
NCT ID
NCT01914393
First Posted
July 30, 2013
Last Updated
December 18, 2019
Sponsor
Sumitomo Pharma America, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT01914393
Brief Title
Pediatric Open-Label Extension Study
Official Title
A 104-Week, Flexible-Dose, Open-Label, Multicenter, Extension Study to Evaluate the Long-Term Safety and Effectiveness of Lurasidone in Pediatric Subjects
Study Type
Interventional
2. Study Status
Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
September 30, 2013 (Actual)
Primary Completion Date
October 17, 2018 (Actual)
Study Completion Date
October 17, 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sumitomo Pharma America, Inc.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is an open-label, 104-week, multicenter, extension study designed to evaluate the long-term safety, tolerability and effectiveness of flexibly dosed lurasidone (20, 40, 60 or 80 mg/day) in pediatric subjects who have completed the 6-week treatment period in the preceding studies, D1050301, D1050325, and D1050326
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Schizophrenia, Autism, Bipolar Depression
Keywords
Schizophrenia, Autism, Lurasidone, Latuda
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Masking Description
Open Label
Allocation
N/A
Enrollment
702 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Lurasidone 20, 40, 60, 80 mg, flexibly dosed
Arm Type
Experimental
Arm Description
Lurasidone 20, 40, 60, 80 mg, flexibly dosed, once daily
Intervention Type
Drug
Intervention Name(s)
Lurasidone 20, 40, 60, 80 mg, flexibly dosed
Other Intervention Name(s)
Latuda
Intervention Description
Lurasidone 20, 40, 60, 80 mg once daily, flexibly dosed
Primary Outcome Measure Information:
Title
Number of Subjects With Adverse Events (AEs), Discontinuations Due to AEs and Serious AEs (SAEs)
Description
The Safety population consists of all subjects who received at least one dose of study drug in this study.
Time Frame
During 104 Weeks (2-years) treatment period
Secondary Outcome Measure Information:
Title
Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score
Description
Change from Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score for subjects continued from study D1050301.
PANSS is comprised of 30 items and 3 subscales (Positive, Negative, General Psychopathology). An anchored Likert scale from 1 - 7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. Individual items are then summed to determine scores for the 3 subscales, as well as a total score. PANSS Positive subscale score range: 7-49. PANSS Negative subscale score range: 7-49. PANSS General Psychopathology subscale score range: 16-112. PANSS total score range: 30-210 Higher values of PANSS total score represents greater severity of illness.
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in PANSS Positive Subscale Score
Description
Change from Baseline in PANSS Positive Subscale Score for subjects continued from study D1050301 The Positive scale contains seven questions to assess delusions, conceptual disorganization, hallucinations behavior, excitement, grandiosity, suspiciousness /persecution, and hostility; Positive subscale (range 7-49) is calculated as sum of Items P1 to P7 in the positive subscale Higher values of PANSS sub-scale scores represent greater severity
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in PANSS Negative Subscale Score
Description
Change from Baseline in PANSS Negative Subscale Score for subjects continued from study D1050301 The Negative scale contains seven questions to assess blunted effect, emotional withdrawal, poor rapport, passive/apathetic social withdrawal, lack of motivation, and similar symptoms; Negative subscale (range 7-49) is calculated as sum of Items N1 to N7 in the negative subscale Higher values of PANSS sub-scale scores represent greater severity of illness.
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in PANSS General Psychopathology Subscale Score
Description
Change from Baseline in PANSS General Psychopathology Subscale Score for subjects continued from study D1050301 The General Psychopathology subscale addresses other symptoms such as anxiety, somatic concern, and disorientation; General psychopathology subscale (range 16-112) is calculated as sum of Items G1 to G16 in the general psychopathology subscale Higher values of PANSS sub-scale scores represent greater severity of illness.
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in PANSS Excitability Subscale Score
Description
Change from Baseline in PANSS Excitability Subscale Score for subjects continued from study D1050301 Subscale of Excitability consists of the following four items from the PANSS: excitement, hostility, uncooperativeness, and poor impulse control. The sum of the four items ranges from 4 to 28 Higher values of PANSS sub-scale scores represent greater severity of illness.
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in the Clinical Global Impression -Severity Score
Description
Change from Baseline in the Clinical Global Impression -Severity Score for subjects continued from study D1050301 The CGI-S is a single value, clinician-rated assessment of illness severity, and 7-point scale with range from 1='Normal, not at all ill' to 7='Among the most extremely ill patients'. A higher score is associated with greater illness severity
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Clinician-Rated Children's Global Assessment Score (CGAS) Score
Description
Change from Baseline in Clinician-Rated Children's Global Assessment Score (CGAS) Score for subjects continued from study D1050301 The Children's Global Assessment Scale (CGAS) is a numeric scale (1 through 100) used by mental health clinicians to rate the general functioning of children under the age of 18, where 1 represents the most impaired functioning and 100, superior functioning. Each decile (e.g., 1-10, 11-20) has a descriptive header (e.g., "Moderate impairment in functioning in most domains") and examples of behaviors and types of environmental accommodations that might be seen at that level of functioning. Scores above 70 on the CGAS indicate functioning within the range of typically developing children of the same age as the child being rated while scores below 60 indicate a definite clinical case
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) Percentage Maximum Possible Score
Description
Change from Baseline in Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) Percentage Maximum Possible Score for subjects continued from study D1050301
The Pediatric Q-LES-Q is a 15-item self-report measure of the degree of enjoyment and satisfaction in various areas of daily living, based on the content of the Short From of the Q-LES-Q. Each item is rated on a 5-point scale, ranging from 1 (very poor) to 5 (very good). The first 14 items are the same as the General Activities section of the regular Q-LES-Q form and are used to compute the raw score. The PQ-LES-Q-SF percentage maximum possible score is calculated as follows:
% Max = 100 × (Raw Score - Minimum Score) / (Maximum Score - Minimum Score), where the Minimum Score equals 14 and the Maximum Score equals 70, and the % maximum possible score can range from 0% to 100%. Higher scores indicate better quality of life.
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Aberrant Behavior Checklist (ABC) Irritability Subscale Score
Description
Change from Baseline in ABC Irritability Subscale Score for subjects continued from study D1050325 The Aberrant Behavior Checklist (ABC) contains 58 items resolve into five subscales: (1) irritability and agitation (15 items), (2) lethargy and social withdrawal (16 items), (3) stereotypic behavior (7 items), (4) hyperactivity and noncompliance (16 items), and (5) inappropriate speech (4 items). Each item is rated for severity on a 4-point Likert scale ranging from 0 (not at all a problem) to 3 (the problem is severe in degree).
Irritability Subscale Score is calculated as summing of items 2, 4, 8, 10, 14, 19, 25, 29, 34, 36, 41, 47, 50, 52, and 57; as a result, ABC irritability subscale score ranges from 0 to 45.
In general, higher values of ABC subscale scores represent greater severity of illness. If one or more items are missing, no imputation was performed and the scores of the subscales that include these items was left missing
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Aberrant Behavior Checklist (ABC) Lethargy and Social Withdrawal Subscale Score
Description
Change from Baseline in ABC Lethargy and Social Withdrawal Subscale Score for subjects continued from study D1050325 The ABC contains 58 items resolve into five subscales: (1) irritability and agitation (15 items), (2) lethargy and social withdrawal (16 items), (3) stereotypic behavior (7 items), (4) hyperactivity and noncompliance (16 items), and (5) inappropriate speech (4 items). Each item is rated for severity on a 4-point Likert scale ranging from 0 (not at all a problem) to 3 (the problem is severe in degree).
Lethargy and Social Withdrawal Subscale Score is calculated as summing of items 3, 5, 12, 16, 20, 23, 26, 30, 32, 37, 40, 42, 43, 53, 55, and 58. ABC Lethargy and Social Withdrawal Subscale Score ranges from 0 to 48.
In general, higher values of ABC subscale scores represent greater severity of illness. If one or more items are missing, no imputation was performed and the scores of the subscales that include these items was left missing
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Aberrant Behavior Checklist (ABC) Stereotypic Behavior Subscale Score
Description
Change from Baseline in ABC Stereotypic Behavior Subscale Score for subjects continued from study D1050325. The ABC contains 58 items resolve into five subscales: (1) irritability and agitation (15 items), (2) lethargy and social withdrawal (16 items), (3) stereotypic behavior (7 items), (4) hyperactivity and noncompliance (16 items), and (5) inappropriate speech (4 items). Stereotypic behavior Subscale Score is calculated as summing of 6, 11, 17, 27, 35, 45, and 49 items . ABC Stereotypic behavior Subscale Score ranges from 0 to 21. Each item is rated for severity on a 4-point Likert scale ranging from 0 (not at all a problem) to 3 (the problem is severe in degree). To score the ABC, the individual items for each subscale are simply summed to their respective totals. It is inappropriate to compute a "total aberrant score", based on a summation of all 58 items, as the subscales are largely independent. In general, higher values of ABC subscale scores represent greater severity
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Aberrant Behavior Checklist (ABC) Hyperactivity and Noncompliance Subscale Score
Description
Change from Baseline in ABC Hyperactivity and Noncompliance Subscale Score for subjects continued from study D1050325 The ABC contains 58 items resolve into five subscales: (1) irritability and agitation (15 items), (2) lethargy and social withdrawal (16 items), (3) stereotypic behavior (7 items), (4) hyperactivity and noncompliance (16 items), and (5) inappropriate speech (4 items). Each item is rated for severity on a 4-point Likert scale ranging from 0 (not at all a problem) to 3 (the problem is severe in degree).
Hyperactivity and noncompliance Subscale Score is calculated as summing of 1, 7, 13, 15, 18, 21, 24, 28, 31, 38, 39, 44, 48, 51, 54, and 56 items. ABC hyperactivity and noncompliance Subscale Score ranges from 0 to 48.
In general, higher values of ABC subscale scores represent greater severity of illness. If one or more items are missing, no imputation was performed and the scores of the subscales that include these items was left missing
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Aberrant Behavior Checklist (ABC) Inappropriate Speech Subscale Score
Description
Change from Baseline in ABC Inappropriate Speech Subscale Score for subjects continued from study D1050325 The ABC contains 58 items resolve into five subscales: (1) irritability and agitation (15 items), (2) lethargy and social withdrawal (16 items), (3) stereotypic behavior (7 items), (4) hyperactivity and noncompliance (16 items), and (5) inappropriate speech (4 items). Each item is rated for severity on a 4-point Likert scale ranging from 0 (not at all a problem) to 3 (the problem is severe in degree).
Inappropriate speech Subscale Score is calculated as summing of 9, 22, 33, and 46 items. ABC inappropriate speech Subscale Score ranges from 0 to 12.
In general, higher values of ABC subscale scores represent greater severity of illness. If one or more items are missing, no imputation was performed and the scores of the subscales that include these items was left missing
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Clinical Global Impression (CGI) - Severity Score
Description
Change from Baseline in Clinical Global Impression (CGI) - Severity Score for subjects continued from study D1050325 The CGI-S is a single value, clinician-rated assessment of illness severity, and 7-point scale with range from 1='Normal, not at all ill' to 7='Among the most extremely ill patients'. A higher score is associated with greater illness severity
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Children's Yale-Brown Obsessive Compulsive Score (CY-BOCS)
Description
Change from Baseline in CY-BOCS for subjects continued from study D1050325 CY-BOCS used in the study is a modification of the Yale-Brown Obsessive Compulsive Scale and contains total 7 items for compulsion. "Obsessions" section was removed as it is difficult to obtain valid information given typical language/cognitive delays in the population. Each item of the compulsive scale ranges from 0 to 4. At this time, item 1b ("compulsion-free interval") and item 6 ("peculiarity of the behavior") are not being used in the scoring. Item 7 is a rating for reliability, ranging from 0 (excellent) to 3 (poor). It reflects the interview's judgment regarding the confidence in the data collected hence it is not counted in the CY-BOCS total score. The CY-BOCS compulsion total score is the sums of item 1-5. As a result, the CY-BOCS compulsion total score may range from 0 to 20. In general, higher values of CY-BOCS scores represent greater severity of illness
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Caregiver Strain Questionnaire (CGSQ) Global Strain Score
Description
Change from Baseline in Caregiver Strain Questionnaire (CGSQ) Global Strain Score for subjects continued from study D1050325 The CGSQ is comprised of total 21 items. Each item is rated on a 5-point Likert-type scale (1 (not at all a problem) to 5 (very much a problem)) and is grouped into three subscales: objective strain, subjective externalized strain, and subjective internalized strain. The 3 subscale scores are calculated as the averages of the corresponding individual items, which range in severity from 1 to 5.
Higher scores on each of these subscale scales indicate greater strain. A global strain score is calculated by summing the three subscales (i.e., objective strain, subjective externalized strain, and subjective internalized strain) to provide an indication of the total impact of the special demands on the family. Global strain scores range from 3 to 15. As with the individual subscales, higher scores indicate greater strain
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Children's Depression Rating Scale, Revised (CDRS-R) Total Score
Description
Change from Baseline in CDRS-R Total Score for subjects continued from study D1050326 CDRS-R is a semi-structured, clinician-rated instrument designed for use with children and adolescents between the ages of 6 17 years. It contains 17 ordinally-scaled items that evaluate the presence and severity of symptoms commonly associated with depression in childhood. The CDRS-R is administered separately to the patient and to the caregiver; among 17 items, 14 items are based on separate interviews with child and parent, 3 items are based solely on the rater's observation of child (ie, no questions).The 14 items are rated on a 1 (no psychopathology) to 7 (most psychopathology) scale, where a rating of 3 represents mild psychopathology. The 3 items (sleep disturbance, appetite disturbance, listless speech) are rated on a 1 (no pathology) to 5 (most pathology) scale. The CDRS-R total score ranges from 17-113. In general, higher values of CDRS-R total score represent greater severity of illness
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Clinical Global Impression Bipolar Version (CGI-BP-S) Depression Score
Description
Change from Baseline in Clinical Global Impression Bipolar Version (CGI-BP-S) Depression Score for subjects continued from study D1050326 The CGI-BP-S is a three-question clinician-rated assessment of the subject's current illness state (depression, mania, and overall) using a 7-point scale (1(normal, not ill) to 7 (very severely ill)) for each question, where a higher score is associated with greater illness severity.
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Clinician-rated Children's Global Assessment Scale (CGAS) Score
Description
Change from Baseline in Clinician-rated Children's Global Assessment Scale (CGAS) Score for subjects continued from study D1050326 The Children's Global Assessment Scale (CGAS) is a numeric scale (1 through 100) used by mental health clinicians to rate the general functioning of children under the age of 18, where 1 represents the most impaired functioning and 100, superior functioning. Each decile (e.g., 1-10, 11-20) has a descriptive header (e.g., "Moderate impairment in functioning in most domains") and examples of behaviors and types of environmental accommodations that might be seen at that level of functioning. Scores above 70 on the CGAS indicate functioning within the range of typically developing children of the same age as the child being rated while scores below 60 indicate a definite clinical case
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) Percentage Maximum Possible Score
Description
Change from Baseline in Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) Percentage Maximum Possible Score for subjects continued from study D1050326
The Pediatric Q-LES-Q is a 15-item self-report measure of the degree of enjoyment and satisfaction in various areas of daily living, based on the content of the Short From of the Q-LES-Q. Each item is rated on a 5-point scale, ranging from 1 (very poor) to 5 (very good). The first 14 items are the same as the General Activities section of the regular Q-LES-Q form and are used to compute the raw score. The PQ-LES-Q-SF percentage maximum possible score is calculated as follows:
% Max = 100 × (Raw Score - Minimum Score) / (Maximum Score - Minimum Score), where the Minimum Score equals 14 and the Maximum Score equals 70, and the % maximum possible score can range from 0% to 100%. Higher scores indicate better quality of life.
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Pediatric Anxiety Rating Scale (PAR) Total Score
Description
Change from Baseline in PAR Total Score for subjects continued from study D1050326 The PARS is a clinician-rated instrument for assessing over time the severity of anxiety symptoms associated with common DSM-IV anxiety disorders in children ages 6 17 years. The PARS is administered separately to the subject and to the caregiver. The instrument has 2 sections. The first section includes a 50-item symptom checklist, which the clinician rates as present or absent during the past week. The second section is comprised of 7 severity impairment items reflecting the severity/impairment of all symptoms endorsed in Section 1 of the PARS (during the past week). Each question is answered on a 0-5 Likert scale (0 for none, and 1-5 for minimal to extreme) with alternative responses of 8=Not Applicable and 9=Does Not Know. Scores of 8 or 9 are not counted in the summation as per the PARS instructions. The PARS total score over all 7 questions ranges in value from 0 to 35.A higher PARS total score
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
Title
Change From Baseline in Attention-Deficity/Hyperactivity Disorder Rating Scale (ADHD-RS) Total Score
Description
Change from Baseline in Attention-Deficity/Hyperactivity Disorder Rating Scale (ADHD-RS) Total Score for subjects continued from study D1050326 The ADHD-RS IV is a validated scale that measures the behaviors of children with ADHD. The ADHD-RS IV consists of 18 items reflecting current symptomatology of ADHD based on DSM-IV-TR criteria. Each item is scored from a range of 0 (no symptoms) to 3 (severe symptoms) with total scores ranging from 0 to 54. The 18 items may be grouped into two sub-scales: hyperactivity/impulsivity (even number items 2 through 18) and inattentiveness (odd number items 1 through 17), ranging from 0 to 27. A higher ADHD-RS total score and sub-scales scores are associated with greater illness severity
Time Frame
Open-Label Baseline, Week 28, Week 52, and Week 104
10. Eligibility
Sex
All
Minimum Age & Unit of Time
6 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Written informed consent from parent(s) or legal guardian(s) with sufficient intellectual capacity to understand the study and support subjects' participation in the study procedures must be obtained for subjects who are not emancipated. In accordance with Institutional Review Board (IRB) or Independent Ethics Committee (IEC) requirements, the subject will complete an informed assent when developmentally appropriate, to participate in the study before conduct of any study-specific procedures.
Subject has completed Study D1050301 (Visit 9) OR
Subject has completed Study D1050325 (Visit 9) OR
Subject has completed Study D1050326 (Visit 8)
Subject is judged by the investigator to be appropriate for participation in a 104-week clinical trial in an outpatient setting involving open-label lurasidone treatment, and is able to comply with the protocol.
A reliable informant (eg, parent, legal guardian, or caregiver) must be available to accompany the subject at each visit. For subjects entering from Study D1050325, the reliable caregiver must also oversee the administration of the study drug throughout the study
Females who participate in this study:
are unable to become pregnant (eg, premenarchal, surgically sterile, etc.) -OR-
practices true abstinence (consistent with lifestyle) and must agree to remain abstinent from signing informed consent to at least 7 days after the last dose of study drug has been taken; -OR-
are sexually active and willing to use a medically effective method of birth control (eg, male using condom and female using condom, diaphragm, contraceptive sponge, spermicide, contraceptive pill, or intrauterine device) from signing informed consent to at least 7 days after the last dose of study drug has been taken.
Males must be willing to remain sexually abstinent (consistent with lifestyle) or use an effective method of birth control (eg, male using condom and female using condom, diaphragm, contraceptive sponge, spermicide, contraceptive pill, or intrauterine device) from signing informed consent to at least 7 days after the last dose of study drug has been taken.
Exclusion Criteria:
Subject is considered by the investigator to be at imminent risk of suicide.
Exhibits evidence of moderate or severe extrapyramidal symptoms, dystonia, tardive dyskinesia, or any other moderate or severe movement disorder. Severity to be determined by the investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lurasidone Medical Director, MD
Organizational Affiliation
Sumitomo Pharma America, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Harmonex Neuroscience Research
City
Dothan
State/Province
Alabama
ZIP/Postal Code
36303
Country
United States
Facility Name
Diligent Clinical Trials, Inc
City
Downey
State/Province
California
ZIP/Postal Code
90241
Country
United States
Facility Name
University of California San Francisco Medical Center
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States
Facility Name
Neuropsychiatric Research Center of Orange County
City
Santa Ana
State/Province
California
ZIP/Postal Code
92701
Country
United States
Facility Name
Sarkis Clinical Trials - Parent
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32607
Country
United States
Facility Name
Clinical Neuroscience Solutions, Inc.
City
Orlando
State/Province
Florida
ZIP/Postal Code
32801
Country
United States
Facility Name
APG Research, LLC
City
Orlando
State/Province
Florida
ZIP/Postal Code
32803
Country
United States
Facility Name
University of South Florida
City
Saint Petersburg
State/Province
Florida
ZIP/Postal Code
33701
Country
United States
Facility Name
Medical Research Group of Central Florida
City
Sanford
State/Province
Florida
ZIP/Postal Code
32771
Country
United States
Facility Name
University of South Florida Rothman Center of Neuropychiatry
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613
Country
United States
Facility Name
Atlanta Center for Medical Research
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30308
Country
United States
Facility Name
Attalla Consultants, LLC
City
Smyrna
State/Province
Georgia
ZIP/Postal Code
30080
Country
United States
Facility Name
Psychiatric Associates
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66211
Country
United States
Facility Name
University Of Kentucky
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40509
Country
United States
Facility Name
Lake Charles Clinical Trials LLC,2770 3rd Avenue,Suite 340
City
Lake Charles
State/Province
Louisiana
ZIP/Postal Code
70601
Country
United States
Facility Name
Kennedy Krieger Institute
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21205
Country
United States
Facility Name
Neurobehavioral medicine Group, LLC
City
Bloomfield Hills
State/Province
Michigan
ZIP/Postal Code
48302
Country
United States
Facility Name
St. Charles Psychiatric Associates
City
Saint Charles
State/Province
Missouri
ZIP/Postal Code
63301
Country
United States
Facility Name
Jersey Shore University Medical Center
City
Neptune
State/Province
New Jersey
ZIP/Postal Code
07753
Country
United States
Facility Name
North Shore/Long Island Jewish PRIME
City
Glen Oaks
State/Province
New York
ZIP/Postal Code
11004
Country
United States
Facility Name
Dr. Jeanette Cueva
City
Mount Kisco
State/Province
New York
ZIP/Postal Code
10549
Country
United States
Facility Name
Montefiore Medical Center PRIME
City
New York
State/Province
New York
ZIP/Postal Code
10467
Country
United States
Facility Name
Finger Lakes Clinical Research
City
Rochester
State/Province
New York
ZIP/Postal Code
10618
Country
United States
Facility Name
Richmond Behavioral Associates
City
Staten Island
State/Province
New York
ZIP/Postal Code
10312
Country
United States
Facility Name
University of Cincinnati Medical Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Facility Name
University Hospitals Case Medical Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Facility Name
The Ohio State University Nisonger Center
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Facility Name
Cutting Edge Research Group
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73116
Country
United States
Facility Name
Pillar Clinical Research, LLC
City
Dallas
State/Province
Texas
ZIP/Postal Code
75243
Country
United States
Facility Name
Family Psychiatry of The Woodlands, P.A.
City
The Woodlands
State/Province
Texas
ZIP/Postal Code
77381
Country
United States
Facility Name
Ericksen Research & Development, LLC
City
Clinton
State/Province
Utah
ZIP/Postal Code
84015
Country
United States
Facility Name
University of Virginia
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22903
Country
United States
Facility Name
Neuroscience, Inc.
City
Herndon
State/Province
Virginia
ZIP/Postal Code
20170
Country
United States
Facility Name
Clinical Research Partners, LLC
City
Petersburg
State/Province
Virginia
ZIP/Postal Code
23805
Country
United States
Facility Name
Carilion Clinic
City
Roanoke
State/Province
Virginia
ZIP/Postal Code
24014
Country
United States
Facility Name
MHC - Ruse, EOOD
City
Ruse
ZIP/Postal Code
7003
Country
Bulgaria
Facility Name
UMHAT "Alexandrovska" EAD
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
Facility Name
MHAT-Targovishte, AD
City
Targovishte
ZIP/Postal Code
7700
Country
Bulgaria
Facility Name
DCC "Mladost M" - Varna, OOD
City
Varna
ZIP/Postal Code
9020
Country
Bulgaria
Facility Name
Centro de Investigaciones y Proyectos en Neurociencias CIPNA
City
Barranquilla
Country
Colombia
Facility Name
E.S.E. Hospital Mental de Antioquia
City
Bello
ZIP/Postal Code
0000
Country
Colombia
Facility Name
Centro de Investigaciones del Sistema Nervioso Limitada - Grupo CISNE Ltda
City
Bogota
ZIP/Postal Code
00000
Country
Colombia
Facility Name
CHU Nantes - Hôpital Mère-Enfant
City
Nantes Cedex 1
ZIP/Postal Code
44093
Country
France
Facility Name
Vadaskert Alapitvany a Gyermekek Lelki Egeszsegeert
City
Budapest
ZIP/Postal Code
1021
Country
Hungary
Facility Name
Bekes Megyei Pandy Kalman Korhaz
City
Gyula
ZIP/Postal Code
57--
Country
Hungary
Facility Name
Seoul National University Hospital
City
Seoul
State/Province
Gyeonggi-do
ZIP/Postal Code
110774
Country
Korea, Republic of
Facility Name
Chonnam National University Hospital
City
Gwangju
ZIP/Postal Code
501-757
Country
Korea, Republic of
Facility Name
Inha University Hospital
City
Incheon
ZIP/Postal Code
400-711
Country
Korea, Republic of
Facility Name
Chonbuk National University Hospital
City
Jeonju
ZIP/Postal Code
561-712
Country
Korea, Republic of
Facility Name
University Malaya Medical Centre
City
Kuala Lumpur
ZIP/Postal Code
59100
Country
Malaysia
Facility Name
Centro para el Desarrollo de la Medicina y de Asistencia Medica Especializada S.C.
City
Culiacan
State/Province
Sinaloa
ZIP/Postal Code
80020
Country
Mexico
Facility Name
Dr. Jessica Rosas Escobar
City
Durango
ZIP/Postal Code
34000
Country
Mexico
Facility Name
Instituto de Investigaciones Aplicadas a la Neurociencia A.C.
City
Durango
ZIP/Postal Code
34000
Country
Mexico
Facility Name
Accelerium S. de R.L. de C.V.
City
Monterrey
ZIP/Postal Code
64000
Country
Mexico
Facility Name
Instituto de Informacion de Investigacion en Salud Mental
City
Monterrey
ZIP/Postal Code
64710
Country
Mexico
Facility Name
Av Modesto Arreola #917 Ote. Col Centro
City
Nuevo León
ZIP/Postal Code
64000
Country
Mexico
Facility Name
Alexian Brothers Health and Wellness Center
City
Davao City
ZIP/Postal Code
8000
Country
Philippines
Facility Name
West Visayas State University Medical Center
City
Iloilo
ZIP/Postal Code
5000
Country
Philippines
Facility Name
National Center for Mental Health
City
Mandaluyong City
ZIP/Postal Code
1553
Country
Philippines
Facility Name
Veterans Memorial Medical Center
City
Quezon City
ZIP/Postal Code
1101
Country
Philippines
Facility Name
NZOZ Poradnia Zdrowia Psychicznego
City
Kobierzyce
ZIP/Postal Code
55-040
Country
Poland
Facility Name
Wojewodzki Szpital Zespolony im. L. Rydygiera w Toruniu, Oddzial Kliniczmy VI Psychiatrii Mlodziezy
City
Toruń
ZIP/Postal Code
87-100
Country
Poland
Facility Name
Centro de Investigacion Clinica Psiquiatrica
City
Caguas
ZIP/Postal Code
00725
Country
Puerto Rico
Facility Name
Spitalul Clinic de Psihiatrie Prof. Dr. Alexandru Obregia
City
Bucuresti
ZIP/Postal Code
041914
Country
Romania
Facility Name
Spitalul Clinic de Psihiatrie Socola
City
Iasi
ZIP/Postal Code
700282
Country
Romania
Facility Name
Spitalul Clinic de Urgenta pentru Copii "Louis Turcanu" Timisoara
City
Timisoara
ZIP/Postal Code
300239
Country
Romania
Facility Name
Sverdiovsk Regional Clinical Psychiatric Hospital
City
Ekaterinburg
ZIP/Postal Code
62003
Country
Russian Federation
Facility Name
GUZ Lipetsk Regional psychoneurological Hospital #1
City
Lipetsk
ZIP/Postal Code
399313
Country
Russian Federation
Facility Name
Closed corporation "Scientific Center of Personalized Psychiatry"
City
Moscow
ZIP/Postal Code
119180
Country
Russian Federation
Facility Name
Scientific Center of Personalized Psychiatry
City
Moscow
ZIP/Postal Code
119180
Country
Russian Federation
Facility Name
State Healthcare Institution of Nizhniy Novgordo region "Clinical Psychiatric Hospital #1 of City of Nizhniy Novgorod"
City
Nizhny Novgorod
ZIP/Postal Code
603155
Country
Russian Federation
Facility Name
SHI "City Psychoneurological dispensary #7 (with Hospital)"
City
Saint Petersburg
ZIP/Postal Code
190005
Country
Russian Federation
Facility Name
Center of Recovery Treatment "Pediatric Psychiatry" named after S.S. Mnukhin
City
Saint Petersburg
ZIP/Postal Code
197022
Country
Russian Federation
Facility Name
Bekhterev Institute
City
Saint Petersburg
Country
Russian Federation
Facility Name
Regional Clinical Mental Hospital of Saint Sofiya
City
Saratow
ZIP/Postal Code
410060
Country
Russian Federation
Facility Name
FSBSI "Scientific Research Institute of Mental Health"
City
Tomsk
ZIP/Postal Code
634014
Country
Russian Federation
Facility Name
State Healthcare Institution of Yaroslavl Rgion "Yaroslavl Regional clinical Mental Hospital"
City
Yaroslavl
ZIP/Postal Code
150003
Country
Russian Federation
Facility Name
Hospital Marítimo de Torremolinos
City
Torremolinos
State/Province
Málaga
ZIP/Postal Code
29620
Country
Spain
Facility Name
RPsH #3 Сhildren Dept SHEI Ivano-Frankivsk SMU
City
Ivano Frankivsk
ZIP/Postal Code
76014
Country
Ukraine
Facility Name
SI Institute of Neurology, Psychiatry and Narcology of NAMSU
City
Kharkiv
ZIP/Postal Code
61068
Country
Ukraine
Facility Name
SI Institute of Children and Adolescents Healthcare of NAMSU
City
Kharkiv
ZIP/Postal Code
61153
Country
Ukraine
Facility Name
TMA Psychiatry in Kyiv Center of NT & Rehabilitation of Psychotic Conditions
City
Kyiv
ZIP/Postal Code
04080
Country
Ukraine
Facility Name
CI Lviv Regional Clinical Psychiatric Hospital
City
Lviv
ZIP/Postal Code
79021
Country
Ukraine
Facility Name
Odesa Regional Psychoneurological Dispensary, Outpatient Dept.
City
Odesa
ZIP/Postal Code
65014
Country
Ukraine
Facility Name
O.F. Maltcev Poltava RCPsH Children Dept Ukrainian Medical Stomatological Academy
City
Poltava
ZIP/Postal Code
36006
Country
Ukraine
Facility Name
CI Kherson Regional Psychiatric Hospital of Kherson RC
City
Stepanivka
ZIP/Postal Code
73488
Country
Ukraine
Facility Name
Ternopil RCCPH Dept of Psychiatry #9 (adolescent)& #8 (pediatric) Ternopil I.Ya. Gorbachevskyi SMU
City
Ternopil
ZIP/Postal Code
46020
Country
Ukraine
Facility Name
Reg. Psych. Hosp.n.a. O.Yuschenko, Dept. #121 VNMI
City
Vinnitsia
ZIP/Postal Code
21018
Country
Ukraine
12. IPD Sharing Statement
Citations:
PubMed Identifier
34324397
Citation
DelBello MP, Tocco M, Pikalov A, Deng L, Goldman R. Tolerability, Safety, and Effectiveness of Two Years of Treatment with Lurasidone in Children and Adolescents with Bipolar Depression. J Child Adolesc Psychopharmacol. 2021 Sep;31(7):494-503. doi: 10.1089/cap.2021.0040. Epub 2021 Jul 29.
Results Reference
derived
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Pediatric Open-Label Extension Study
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