search
Back to results

A Study of Paliperidone Palmitate 6-Month Formulation

Primary Purpose

Schizophrenia

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
PP6M
PP3M 350 mg eq.
PP3M 525 mg eq.
PP1M
Placebo
Sponsored by
Janssen Research & Development, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Schizophrenia

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Must meet the diagnostic criteria for schizophrenia according to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5) for at least 6 months before screening
  • Must be receiving treatment with paliperidone palmitate (as either the paliperidone palmitate 1-month (PP1M) or paliperidone palmitate 3-month (PP3M) formulation), or injectable risperidone, or any oral antipsychotic
  • Must be able, in the opinion of the investigator, to discontinue any antipsychotic medication other than PP1M) or PP3M during the Screening Phase
  • Must have a full Positive and Negative Syndrome Scale (PANSS) score of less than (<) 70 points at screening
  • Must have a body mass index (BMI) between 17 and 40 kilogram (kg)/meter (m)^2 (inclusive) and must have a body weight of at least 47 kg at screening
  • Must be willing to receive gluteal injections of medication during the Double-blind Phase

Exclusion Criteria

  • Must not be receiving any form of involuntary treatment, such as involuntary psychiatric hospitalization, parole-mandated treatment, or court-mandated treatment
  • Must not have attempted suicide within 12 months before screening and must not be at imminent risk of suicide or violent behavior, as clinically assessed by the investigator at the time of screening
  • Must not have a DSM-5 diagnosis of moderate or severe substance use disorder (except for nicotine and caffeine) within 6 months of screening; however, acute or intermittent substance use prior to screening is not exclusionary, depending upon the clinical judgment of the investigator
  • Must not have a history of neuroleptic malignant syndrome or tardive dyskinesia
  • Must not have a history of intolerability or severe reactions to moderate or higher doses of antipsychotic medications and must not have any other factors that would, in the judgment of the investigator, indicate that treatment with moderate or higher doses of paliperidone palmitate would be intolerable or unsafe

Sites / Locations

  • Woodland Research Northwest
  • California Pharmaceutical Research Institute, Inc.
  • ATP Clinical Research
  • Collaborative NeuroScience Network
  • Synergy East
  • Pacific Research Partners
  • SF-Care, Inc
  • New Life Medical Research Center, Inc.
  • Clintex Research Group
  • Florida Research Center Inc.
  • Olympian Clinical Research
  • Atlanta Center for Medical Research
  • Uptown Research Institute
  • Alexian Behavioral Health Hospital
  • Ascension via Christi Research
  • Massachusetts General Hospital
  • Cherry Street Services, Inc.
  • St. Louis Clinical Trials
  • The Zucker Hillside Hospital
  • Clinical Trials of America Inc
  • Wexner Medical Center at the Ohio State University
  • Midwest Clinical Research Center
  • University of Pennsylvania Medical Center
  • Future Search Trials of Dallas
  • Psychiatric and Behavioral Solutions
  • Fundacion para el Estudio y Tratamiento de las Enfermedades Mentales
  • CEN
  • Sanatorio Prof. Leon S. Morra
  • Instituto de Neurociencias San Agustín
  • Clinica Privada de Salud Mental Santa Teresa de Ávila
  • C.I.A.P. (Centro de investigación y Asistencia en Psiquiatría)
  • The Lyell McEwin Hospital
  • Neuro Trials Victoria
  • Trial Tech Tecnologia em Pesquisas com Medicamentos
  • Instituto Bairral de Psiquiatria
  • Hospital das Clinicas de Porto Alegre
  • Ruschel Medicina e Pesquisa Clínica Ltda
  • SPDM - Associacao Paulista para o Desenvolvimento da Medicina - Hospital Sao Paulo
  • CPQuali Pesquisa Clinica LTDA ME
  • Hospital Das Clinicas Da Faculdade De Medicina Da USP
  • Mental Health Center Prof. Dr. Ivan Temkov
  • State Psychiatric Hospital Pazardzhik
  • UMHAT 'Sveti Georgi'-Plovdiv
  • State Psychiatric HospitalDr.Georgi Kissiov
  • Centre for Mental Health Prof.N.Shipkovenski EOOD
  • Medical Center Intermedica, OOD
  • Psychiatricka ambulance, MUDr. Marta Holanova
  • NeuropsychiatrieHK, s.r.o.
  • A-Shine s.r.o.
  • Institut Neuropsychiatricke pece
  • Psychiatricka ambulance MUDr. Simona Papezova
  • PRAGTIS s.r.o.
  • C.H.S. Charles Perrens
  • CHRU La Colombière
  • CHU Caremeau
  • Hopital Sainte Anne
  • Hôpital Sainte Musse
  • Kwai Chung Hospital
  • Queen Mary Hospital
  • Józsefvarosi Szent Kozma Egészségügyi Központ
  • Petz Aladar Megyei Oktato Korhaz
  • Bács-Kiskun Megyei Kórház a Szegedi Tudományegyetem Általános Orvostudományi Kar Oktató Kórháza
  • CRU Hungary Kft.
  • Ratandeep Multispeciality Hospital
  • Sri Ramachandra Medical Centre
  • Asha hospital
  • Ahana Hospitals
  • Vinaya Hospital and Research Center
  • Kasturba Medical College Hospital
  • Jehangir Clinical Development Center Pvt Ltd
  • Deva Institute of Health Care and Research Pvt Ltd
  • Clinica Psichiatrica - Università di Cagliari
  • Dipartimento di Salute Mentale
  • Seconda Universita degli Studi di Napoli - Azienda Ospedaliera Universitaria
  • Universita degli Studi di Roma 'La Sapienza' - Azienda Ospedaliera Sant Andrea
  • Chonnam National University Hospital
  • CHA Bundang Medical Center, CHA University
  • Chonbuk National Univ Hospital
  • Seoul National University Hospital
  • Hospital Bahagia Ulu Kinta
  • Hospital Kuala Lumpur
  • University Malaya Medical Centre
  • Sarawak General Hospital
  • Gabipros SC.
  • Instituto Neuropsique
  • Centro de Estudios Clinicos y Especialidades Medicas, S.C.
  • Infosame/Research
  • Centro de Atencion e Investigacion Cardiovascular del Potosi, S.C.
  • Mlynowamed Specjalistyczny Psychiatryczny Gabinet Lekarski Joanna Lazarczyk
  • Wlokiennicza MED Specjalistyczna Praktyka Lekarska dr n.med. Tomasz Markowski
  • Zespol Opieki Zdrowotnej w Chelmnie
  • Centrum Badań Klinicznych PI-House sp. z o.o.
  • Szpital Specjalistyczny im. H. Klimontowicza, Oddzial Psychiatryczny
  • Niepubliczny Zaklad Opieki Psychiatrycznej MENTIS
  • Centrum Medyczne Luxmed Sp z o o
  • Poradnia Zdrowia Psychicznego 'Syntonia' w Pruszczu Gdanskim
  • Mazowieckie Specjalistyczne Centrum Zdrowia im. Prof. Jana Mazurkiewicza w Pruszkowie
  • Wojewodzki Szpital Zespolony im. L. Rydygiera w Toruniu
  • Sverdlovsk Regional Clinical Psychiatric Hospital
  • Clinical Psychiatric Hospital #3 Named After V.A. Gilyarovsky
  • Psychiatric Clinical hospital 1 named after N.A. Alekseev
  • Nizny Novgorod clinical psychiatric hospital 1
  • SHI 'Saratov City Clinical Hospital 2 n.a V.I. Razumovsky
  • Saratov Regional Psychiatric hospital named after St. Sofia
  • Psychoneurological Dispensary of Frunzensky District
  • Psychoneurological dispensary 10
  • St-Petersburg Bekhterev Psychoneurological Research Institute
  • Psychoneurological dispensary 1
  • Psychoneurological Dispensary #4
  • Research Institute of Mental Health
  • Flexivest 14 Research
  • Gert Bosch - Pretoria South Africa
  • Juan Schrönen - Western Cape South Africa
  • Hosp. Univ. Vall D Hebron
  • Inst. Internac. Neurociencias Aplicadas
  • Hosp. Univ. de Basurto
  • Centro Salud Mental La Corredoria
  • Hosp. El Bierzo
  • Hosp. Clinico Univ. de Valencia
  • Hosp. Prov. de Zamora
  • National Cheng Kung University Hospital
  • Mackay Memorial Hospital
  • Taipei Veterans General Hospital
  • Chang Gung Memorial Hospital
  • Abdurrah Yurtarslan Training and Research Hospital
  • Ankara Numune Research and Training Hospital
  • Erenkoy Mental Health Hospital
  • Selcuk University, Medical School, Department of Psychiatry
  • Sakarya University Medical Faculty Psychiatry Department
  • MNCE of Kyiv RC Regional Psychiatric and Narcological Medical Association
  • Mnpe of Kharkiv Regional Council 'Regional Clinical Psychiatric Hospital #3'
  • CNPE'Kherson Regional Institution of Mental Care'of Kherson Regional Council
  • Kyiv Territorial Medical Incorporation 'Psychiatry'
  • Municipal Institution 'Lviv Regional Clinical Psycho-Neurological Dispensary'
  • CNCE of the Lviv Regional Council 'Lviv Regional Clinical Psychiatric Hospital'
  • CNCE Odesa regional psychiatric hospital #2 Odesa regional council
  • CNCE 'Cherkasy Regional Psychiatric Hospital of Cherkasy Regional Council'
  • CNCE 'Vinnytsya RC Psychoneurological Hospital n.a. O.I. Yushchenko Vinnytsya RC'

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

PP1M: Transition Phase

PP1M/PP3M: Maintenance Phase

PP6M or Placebo: Double-Blind Phase

PP3M: Double-Blind Phase

Arm Description

Participants who previously have not achieved stability with moderate to higher doses of Paliperidone palmitate 1-month (PP1M) or Paliperidone palmitate 3-month (PP3M) will enter into a transition period of up to 4 months. During transition period participants will receive 1 to 5 injections of PP1M 50 to 100 milligrams equivalent (mg eq.). The participants who achieved stability (stability is defined as at least 3 months of injections with the last 2 doses being the same strength) with PP1M 100 mg eq. will precede from transition phase to maintenance phase.

All the participants will receive only 1 dose of PP1M 100 or 150 mg eq. or PP3M 350 or 525 mg eq. The participants will precede from maintenance phase to double-blind phase.

Participants will receive intramuscular injection of PP6M in left gluteal muscle on Day 1 and right gluteal muscle on Day 183 with alternating placebo in right gluteal muscle on Day 92 and left gluteal muscle on Day 274.

Participants will receive intramuscular injections of PP3M at dose of 350 mg eq. or 525 mg eq. in left gluteal muscle on Day 1 and 274 and right gluteal muscle on Day 92 and 183.

Outcomes

Primary Outcome Measures

Time to Relapse During the Double-Blind (DB) Phase
Time to relapse is time between participant randomization in DB Phase and first documentation of relapse event by end of Month 12 of DB phase. Relapse is defined as: a) Psychiatric hospitalization; b) Positive and Negative Syndrome Scale (PANSS) total score: Increase of 25 percentage (%), 10 point increase in PANSS for 2 analysis separated by 3-7 days if score was greater than (>) 40, less than or equal to (<=)40; c) Participants inflicted knowing self-injury/shown violent behavior leading to suicide, clinically significant injury to him/herself or other person/property; d) Participants had suicidal/homicidal ideation/violent behavior that was clinically significant as per investigator; e) PANSS items P1- delusions, P2- conceptual disorganization, P3-hallucinatory behavior, P6- suspiciousness/ persecution, P7-hostility, G8-uncooperativeness: score: greater than or equal to (>=)5, >=6 for 2 analysis separated by 3-7 days on any items if maximum score for PANSS: <=3 or 4, respectively.

Secondary Outcome Measures

Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score
The neuropsychiatric symptoms of schizophrenia were assessed using the 30-item PANSS scale, which provides a total score (sum of the scores for all 30 items) and scores for 3 subscales: the 7-item positive-symptom (P) subscale, the 7-item negative-symptom (N) subscale, and the 16-item general-psychopathology symptom (G) subscale. Each item is rated on a scale from 1 (absent) to 7 (extreme). The PANSS total score ranges from 30 (absent disease)-210 (more severe neuropsychiatric symptoms of schizophrenia).
Change From Baseline in the Clinical Global Impression - Severity (CGI-S) Score
CGI-S is defined as clinician-rated scale that assesses the severity of mental illness on a scale of 0 to 7. Considering total clinical experience, a participant was assessed on severity of mental illness at the time of rating according to:1: normal, not at all ill; 2: borderline mentally ill; 3: mildly ill; 4: moderately ill; 5: markedly ill; 6: severely ill; 7: among the most extremely ill patients. A higher score implies a more severe condition.
Change From Baseline in the Personal and Social Performance (PSP) Scale Total Score
The Personal and Social Performance (PSP) scale assesses degree of a participant's dysfunction within 4 domains of behavior: 1) socially useful activities, 2) personal and social relationships, 3) self-care, and 4) disturbing and aggressive behavior. Each domain was assessed on a 6-point scale, from 1 (absent) to 6 (very severe) (1 = absent, 2 = mild, 3 = manifest, 4 = marked, 5 = severe, and 6 = very severe). PSP total score was calculated as sum of all the domain scores and ranges from 1 to 100. Participants with score of 71 to 100 have mild degree of difficulty; from 31 to 70, varying degrees of disability; less than or equal to 30, functioning so poorly as to require intensive supervision. Higher score indicates better performance.
Percentage of Participants With Symptomatic Remission Based on PANSS Score During DB Phase
Symptomatic remission was defined as achieving intensity level of mild or moderate on PANSS scale by all 8 items as the determinants for symptomatic remission: delusions, unusual thought content, hallucinatory behavior, conceptual disorganization, mannerisms/posturing, blunted affect, social withdrawal, lack of spontaneity. The PANSS is a 30-item scale to assess the neuropsychiatric symptoms of schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self). The PANSS provides a total score and scores for 3 subscales, the positive subscale (7 items), the negative subscale (7 items), and the general psychopathology subscale (16 items), each item scored on a scale of 1 (absent), 2 (minimal), 3 (mild), 4 (moderate), 5 (moderately severe), 6 (severe) and 7 (extreme). The total score ranges from 30 to 210 and higher score indicates greater severity.
Change From Baseline in the Satisfaction With Participants in Social Roles (SPSR) Score
The SPSR Short Form 8a is a participant-reported outcome used to assess the satisfaction with participation in social roles. The participants were asked to rate 8 items on 5-point Likert scale, with scores ranging from 8 to 40, where higher scores represents higher satisfaction.
Change From Baseline in the Treatment Satisfaction Questionnaire for Medication (TSQM-9) Total Score
TSQM-9 consists of 9 questions to assess patients' satisfaction with medication using a range of responses from 1 (extremely dissatisfied) to (7 extremely satisfied). This patient reported outcome provides scores on three parts: effectiveness, convenience, and global satisfaction. The sum of the 9-questions were calculated and used for analysis. The total score ranges from 0 to 63, with higher scores indicating better treatment satisfaction.
Change From Baseline in the Simpson-Angus Rating Scale (SAS) Total Score
The SAS rates 10 items for general extrapyramidal symptoms (EPS) on a 5-point scale from 0 (normal) to 4 (extreme), including gait, arm dropping, shoulder shaking, elbow rigidity, wrist rigidity, leg pendulousness, head rotation, Glabellar tap, tremor, and salivation. The SAS total score is the average score (total sum of item scores divided by the number of items) and ranges between 0 and 4. Negative change in score indicates improvement. Higher scores denote more severe condition of EPS.
Number of Participants With Symptoms of Akathisia Assessed Using Barnes Akathisia Rating Scale (BARS) Score
BARS is used to rate observable, restless movements of drug induced akathisia and subjective awareness of restlessness and any distress associated with the akathisia. BARS consists of the following 4 items: objective assessment of akathisia symptoms, subjective assessment of the participants's awareness of inner restlessness, distress restlessness, and global clinical assessment of akathisia. First three items are rated on a 4-point scale ranging from 0 (no abnormal movements or absence of inner restlessness or no distress) to 3 (severe akathisia or awareness of intense compulsion to move most of the time or severe distress). The last item, the global clinical assessment of akathisia, is rated on a 6-point scale, ranging from 0 (no evidence of akathisia) to 5 (severe akathisia).
Change From Baseline in the Abnormal Involuntary Movement Scale (AIMS) Total Score
AIMS is a 14-item scale. Items 1 to 8 are rated on a 5-point scale ranging from 0 (no dyskinetic movements) to 4 (severe dyskinetic movements). Item 9 assesses the participant's incapacitation due to abnormal movements, and item 10 assesses the participant's awareness of the abnormal movements and associated distress. Items 9 and 10 are rated on 5-point scales ranging from 0 (none or no awareness) to 4 (severe or aware, severe distress). Items 11 to 14 are yes/no questions regarding the global judgement and dental status of the participant. The total score is the sum of the scores for the 14 items and the possible total score ranges from 0 to 44. A higher total score is indicative of more severe dyskinetic movements.
Number of Participants Based on Columbia Suicide Severity Rating Scale (C-SSRS) Total Score
The C-SSRS is a questionnaire used for suicide risk assessment. Affirmative or negative responses are provided to items 1 to 5 for suicidal ideation (1. Wish to be dead, 2. Non-specific active suicidal thoughts, 3. Active suicidal ideation with any methods [not plan] without intent to act, 4. Active suicidal ideation with some intent to act, without specific plan, 5. Active suicidal ideation with specific plan and intent) and items 6 to 10 for suicide behavior (6. Preparatory acts or behavior, 7. Aborted attempt, 8. Interrupted attempt, 9. Actual attempt, 10. Completed suicide). Total score ranges from 1 to 10. Higher scores indicate more severe suicidal ideation.
Number of Participants With Treatment-emergent Abnormal Electrocardiogram (ECG) Values During DB Phase
Number of participants with treatment-emergent abnormal ECG values were reported. It includes heart rate (abnormally low refers to less than or equal to [<=] 50 beats per minute (bpm) , abnormally high refers greater than or equal to [>=] 100 bpm), pulse rate (PR) interval (abnormally high refers to >= 210 milliseconds [msec]), QRS interval (abnormally Low refers to <= 50, abnormally high refers to >= 120 msec) and QT interval (abnormally low refers to <= 200, abnormally high >= 500 msec).
Change From Baseline in the Body Mass Index (BMI) During DB Phase
Change from baseline in BMI was reported.
Change From Baseline in the Waist Circumference During DB Phase
Change from baseline in waist circumference was reported.
Change From Baseline in the Body Weight During DB Phase
Change from baseline in body weight was reported.
Change From Baseline in the Vital Signs (Pulse Rate) During DB Phase
Change from baseline vital signs (pulse rate) were reported. This included supine pulse rate, standing pulse rate and supine-standing pulse rate.
Change From Baseline in the Vital Signs (Systolic Blood Pressure [SBP] and Diastolic Blood Pressure [DBP]) During DB Phase
Change from baseline in vital signs including SBP and DBP (supine/standing) were reported.
Change From Baseline in Positive and Syndrome Scale (PANSS) Subscales Score During DB Phase
The neuropsychiatric symptoms of schizophrenia were assessed using the 30-item PANSS scale, which provides a total score (sum of the scores for all 30 items) and Scores for 3 subscales, that is, for positive subscale (sum of the scores of all 7 items) and negative subscale (sum of the scores of all 7 items) ranges from 7 (absent) to 49 (extreme psychopathology), and for the general psychopathology subscale (sum of the scores of all 16 items) score ranges from 16 (absent) to 112 (extreme psychopathology).
Number of Participants With Treatment-emergent Clinically Significant Abnormal Laboratory Values in Chemistry During DB Phase
Number of participants with clinically significant abnormal laboratory values in chemistry included alanine aminotransferase (Unit per Litre [U/L]), albumin (Gram per Litre [g/L]), alkaline phosphatase (U/L), aspartate aminotransferase (U/L), bicarbonate (millimoles per litre [mmol/L]), bilirubin (micromoles per litre [umol/L]), calcium (mmol/L), chloride (mmol/L), cholesterol (mmol/L), creatinine (umol/L), gamma glutamyl transferase (GGT) (U/L), glucose (mmol/L), high-density lipoproteins (HDL) cholesterol (mmol/L), low density lipoproteins (LDL) cholesterol (mmol/L), lactate dehydrogenase (U/L), phosphate (mmol/L), potassium (mmol/L), protein (mmol/L), sodium (mmol/L), triglycerides (mmol/L), urate (umol/L), urea nitrogen (mmol/L) were reported. Here, ABL signifies abnormally low and ABH signifies abnormally high levels.
Number of Participants With Treatment-emergent Clinically Significant Abnormal Laboratory Values in Hematology During DB Phase
Number of participants with clinically significant abnormal laboratory values in hematology included hemoglobin (Hb), hematocrit (Hct), red blood cell (RBC) count, white blood cell (WBC) count with differential, platelets, hemoglobin A1c. Here, ABL signifies abnormally low and ABH signifies abnormally high levels.

Full Information

First Posted
November 14, 2017
Last Updated
September 13, 2023
Sponsor
Janssen Research & Development, LLC
search

1. Study Identification

Unique Protocol Identification Number
NCT03345342
Brief Title
A Study of Paliperidone Palmitate 6-Month Formulation
Official Title
A Double-blind, Randomized, Active-controlled, Parallel-group Study of Paliperidone Palmitate 6-Month Formulation
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
November 20, 2017 (Actual)
Primary Completion Date
May 8, 2020 (Actual)
Study Completion Date
May 8, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Janssen Research & Development, LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No

5. Study Description

Brief Summary
The purpose of this study is to demonstrate that injection cycles consisting of a single administration of paliperidone palmitate 6-month (PP6M) are not less effective than 2 sequentially administered injections of paliperidone palmitate 3-month PP3M) (350 or 525 mg eq.) for the prevention of relapse in participants with schizophrenia previously stabilized on corresponding doses of paliperidone palmitate 1-month (PP1M) (100 or 150 mg eq.) or PP3M (350 or 525 mg eq.).
Detailed Description
The primary hypothesis of this study is that the efficacy of PP6M is non-inferior to PP3M for preventing relapse in participants with schizophrenia who were previously stabilized on corresponding doses of PP1M or PP3M. The study consists of mainly 3 phases: a screening phase (up to 28 days), a maintenance phase (of 1 or 3 months), and a double-blind phase (of 12 months [neither the researchers nor the participants know what treatment the participant is receiving]). Additional/conditional phases include a transition phase (before maintenance phase). Study evaluations include efficacy, pharmacokinetics, pharmacodynamics, and safety. The study duration will vary from approximately 13 months to 19 months.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
841 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PP1M: Transition Phase
Arm Type
Experimental
Arm Description
Participants who previously have not achieved stability with moderate to higher doses of Paliperidone palmitate 1-month (PP1M) or Paliperidone palmitate 3-month (PP3M) will enter into a transition period of up to 4 months. During transition period participants will receive 1 to 5 injections of PP1M 50 to 100 milligrams equivalent (mg eq.). The participants who achieved stability (stability is defined as at least 3 months of injections with the last 2 doses being the same strength) with PP1M 100 mg eq. will precede from transition phase to maintenance phase.
Arm Title
PP1M/PP3M: Maintenance Phase
Arm Type
Experimental
Arm Description
All the participants will receive only 1 dose of PP1M 100 or 150 mg eq. or PP3M 350 or 525 mg eq. The participants will precede from maintenance phase to double-blind phase.
Arm Title
PP6M or Placebo: Double-Blind Phase
Arm Type
Experimental
Arm Description
Participants will receive intramuscular injection of PP6M in left gluteal muscle on Day 1 and right gluteal muscle on Day 183 with alternating placebo in right gluteal muscle on Day 92 and left gluteal muscle on Day 274.
Arm Title
PP3M: Double-Blind Phase
Arm Type
Experimental
Arm Description
Participants will receive intramuscular injections of PP3M at dose of 350 mg eq. or 525 mg eq. in left gluteal muscle on Day 1 and 274 and right gluteal muscle on Day 92 and 183.
Intervention Type
Drug
Intervention Name(s)
PP6M
Other Intervention Name(s)
R092670
Intervention Description
Participants will receive intramuscular injection of PP6M.
Intervention Type
Drug
Intervention Name(s)
PP3M 350 mg eq.
Other Intervention Name(s)
R092670
Intervention Description
Participants will receive intramuscular injection of PP3M 350 mg eq.
Intervention Type
Drug
Intervention Name(s)
PP3M 525 mg eq.
Other Intervention Name(s)
R092670
Intervention Description
Participants will receive intramuscular injection of PP3M 525 mg eq.
Intervention Type
Drug
Intervention Name(s)
PP1M
Other Intervention Name(s)
R092670
Intervention Description
Participants will receive intramuscular injection of PP1M 50 to 150 mg eq.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Participants will receive matching placebo.
Primary Outcome Measure Information:
Title
Time to Relapse During the Double-Blind (DB) Phase
Description
Time to relapse is time between participant randomization in DB Phase and first documentation of relapse event by end of Month 12 of DB phase. Relapse is defined as: a) Psychiatric hospitalization; b) Positive and Negative Syndrome Scale (PANSS) total score: Increase of 25 percentage (%), 10 point increase in PANSS for 2 analysis separated by 3-7 days if score was greater than (>) 40, less than or equal to (<=)40; c) Participants inflicted knowing self-injury/shown violent behavior leading to suicide, clinically significant injury to him/herself or other person/property; d) Participants had suicidal/homicidal ideation/violent behavior that was clinically significant as per investigator; e) PANSS items P1- delusions, P2- conceptual disorganization, P3-hallucinatory behavior, P6- suspiciousness/ persecution, P7-hostility, G8-uncooperativeness: score: greater than or equal to (>=)5, >=6 for 2 analysis separated by 3-7 days on any items if maximum score for PANSS: <=3 or 4, respectively.
Time Frame
Up to 12 months of DB Phase
Secondary Outcome Measure Information:
Title
Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score
Description
The neuropsychiatric symptoms of schizophrenia were assessed using the 30-item PANSS scale, which provides a total score (sum of the scores for all 30 items) and scores for 3 subscales: the 7-item positive-symptom (P) subscale, the 7-item negative-symptom (N) subscale, and the 16-item general-psychopathology symptom (G) subscale. Each item is rated on a scale from 1 (absent) to 7 (extreme). The PANSS total score ranges from 30 (absent disease)-210 (more severe neuropsychiatric symptoms of schizophrenia).
Time Frame
Baseline (DB) to 12 Months of DB Phase
Title
Change From Baseline in the Clinical Global Impression - Severity (CGI-S) Score
Description
CGI-S is defined as clinician-rated scale that assesses the severity of mental illness on a scale of 0 to 7. Considering total clinical experience, a participant was assessed on severity of mental illness at the time of rating according to:1: normal, not at all ill; 2: borderline mentally ill; 3: mildly ill; 4: moderately ill; 5: markedly ill; 6: severely ill; 7: among the most extremely ill patients. A higher score implies a more severe condition.
Time Frame
Baseline (DB) to 12 Months of DB Phase
Title
Change From Baseline in the Personal and Social Performance (PSP) Scale Total Score
Description
The Personal and Social Performance (PSP) scale assesses degree of a participant's dysfunction within 4 domains of behavior: 1) socially useful activities, 2) personal and social relationships, 3) self-care, and 4) disturbing and aggressive behavior. Each domain was assessed on a 6-point scale, from 1 (absent) to 6 (very severe) (1 = absent, 2 = mild, 3 = manifest, 4 = marked, 5 = severe, and 6 = very severe). PSP total score was calculated as sum of all the domain scores and ranges from 1 to 100. Participants with score of 71 to 100 have mild degree of difficulty; from 31 to 70, varying degrees of disability; less than or equal to 30, functioning so poorly as to require intensive supervision. Higher score indicates better performance.
Time Frame
Baseline (DB) to 12 Months of DB Phase
Title
Percentage of Participants With Symptomatic Remission Based on PANSS Score During DB Phase
Description
Symptomatic remission was defined as achieving intensity level of mild or moderate on PANSS scale by all 8 items as the determinants for symptomatic remission: delusions, unusual thought content, hallucinatory behavior, conceptual disorganization, mannerisms/posturing, blunted affect, social withdrawal, lack of spontaneity. The PANSS is a 30-item scale to assess the neuropsychiatric symptoms of schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self). The PANSS provides a total score and scores for 3 subscales, the positive subscale (7 items), the negative subscale (7 items), and the general psychopathology subscale (16 items), each item scored on a scale of 1 (absent), 2 (minimal), 3 (mild), 4 (moderate), 5 (moderately severe), 6 (severe) and 7 (extreme). The total score ranges from 30 to 210 and higher score indicates greater severity.
Time Frame
Up to 12 months of DB Phase
Title
Change From Baseline in the Satisfaction With Participants in Social Roles (SPSR) Score
Description
The SPSR Short Form 8a is a participant-reported outcome used to assess the satisfaction with participation in social roles. The participants were asked to rate 8 items on 5-point Likert scale, with scores ranging from 8 to 40, where higher scores represents higher satisfaction.
Time Frame
Baseline (DB) to 12 Months of DB Phase
Title
Change From Baseline in the Treatment Satisfaction Questionnaire for Medication (TSQM-9) Total Score
Description
TSQM-9 consists of 9 questions to assess patients' satisfaction with medication using a range of responses from 1 (extremely dissatisfied) to (7 extremely satisfied). This patient reported outcome provides scores on three parts: effectiveness, convenience, and global satisfaction. The sum of the 9-questions were calculated and used for analysis. The total score ranges from 0 to 63, with higher scores indicating better treatment satisfaction.
Time Frame
Baseline (DB) to 12 Months of DB Phase
Title
Change From Baseline in the Simpson-Angus Rating Scale (SAS) Total Score
Description
The SAS rates 10 items for general extrapyramidal symptoms (EPS) on a 5-point scale from 0 (normal) to 4 (extreme), including gait, arm dropping, shoulder shaking, elbow rigidity, wrist rigidity, leg pendulousness, head rotation, Glabellar tap, tremor, and salivation. The SAS total score is the average score (total sum of item scores divided by the number of items) and ranges between 0 and 4. Negative change in score indicates improvement. Higher scores denote more severe condition of EPS.
Time Frame
Baseline (DB) to 12 Months of DB Phase
Title
Number of Participants With Symptoms of Akathisia Assessed Using Barnes Akathisia Rating Scale (BARS) Score
Description
BARS is used to rate observable, restless movements of drug induced akathisia and subjective awareness of restlessness and any distress associated with the akathisia. BARS consists of the following 4 items: objective assessment of akathisia symptoms, subjective assessment of the participants's awareness of inner restlessness, distress restlessness, and global clinical assessment of akathisia. First three items are rated on a 4-point scale ranging from 0 (no abnormal movements or absence of inner restlessness or no distress) to 3 (severe akathisia or awareness of intense compulsion to move most of the time or severe distress). The last item, the global clinical assessment of akathisia, is rated on a 6-point scale, ranging from 0 (no evidence of akathisia) to 5 (severe akathisia).
Time Frame
Up to 12 Months of DB Phase
Title
Change From Baseline in the Abnormal Involuntary Movement Scale (AIMS) Total Score
Description
AIMS is a 14-item scale. Items 1 to 8 are rated on a 5-point scale ranging from 0 (no dyskinetic movements) to 4 (severe dyskinetic movements). Item 9 assesses the participant's incapacitation due to abnormal movements, and item 10 assesses the participant's awareness of the abnormal movements and associated distress. Items 9 and 10 are rated on 5-point scales ranging from 0 (none or no awareness) to 4 (severe or aware, severe distress). Items 11 to 14 are yes/no questions regarding the global judgement and dental status of the participant. The total score is the sum of the scores for the 14 items and the possible total score ranges from 0 to 44. A higher total score is indicative of more severe dyskinetic movements.
Time Frame
Baseline (DB) to 12 Months of DB Phase
Title
Number of Participants Based on Columbia Suicide Severity Rating Scale (C-SSRS) Total Score
Description
The C-SSRS is a questionnaire used for suicide risk assessment. Affirmative or negative responses are provided to items 1 to 5 for suicidal ideation (1. Wish to be dead, 2. Non-specific active suicidal thoughts, 3. Active suicidal ideation with any methods [not plan] without intent to act, 4. Active suicidal ideation with some intent to act, without specific plan, 5. Active suicidal ideation with specific plan and intent) and items 6 to 10 for suicide behavior (6. Preparatory acts or behavior, 7. Aborted attempt, 8. Interrupted attempt, 9. Actual attempt, 10. Completed suicide). Total score ranges from 1 to 10. Higher scores indicate more severe suicidal ideation.
Time Frame
Baseline and endpoint (12 Months of DB Phase)
Title
Number of Participants With Treatment-emergent Abnormal Electrocardiogram (ECG) Values During DB Phase
Description
Number of participants with treatment-emergent abnormal ECG values were reported. It includes heart rate (abnormally low refers to less than or equal to [<=] 50 beats per minute (bpm) , abnormally high refers greater than or equal to [>=] 100 bpm), pulse rate (PR) interval (abnormally high refers to >= 210 milliseconds [msec]), QRS interval (abnormally Low refers to <= 50, abnormally high refers to >= 120 msec) and QT interval (abnormally low refers to <= 200, abnormally high >= 500 msec).
Time Frame
Baseline (DB) to 12 Months of DB Phase
Title
Change From Baseline in the Body Mass Index (BMI) During DB Phase
Description
Change from baseline in BMI was reported.
Time Frame
Baseline (DB) to 12 Months of DB Phase
Title
Change From Baseline in the Waist Circumference During DB Phase
Description
Change from baseline in waist circumference was reported.
Time Frame
Baseline (DB) to 12 Months of DB Phase
Title
Change From Baseline in the Body Weight During DB Phase
Description
Change from baseline in body weight was reported.
Time Frame
Baseline (DB) to 12 Months of DB Phase
Title
Change From Baseline in the Vital Signs (Pulse Rate) During DB Phase
Description
Change from baseline vital signs (pulse rate) were reported. This included supine pulse rate, standing pulse rate and supine-standing pulse rate.
Time Frame
Baseline (DB) to 12 Months of DB Phase
Title
Change From Baseline in the Vital Signs (Systolic Blood Pressure [SBP] and Diastolic Blood Pressure [DBP]) During DB Phase
Description
Change from baseline in vital signs including SBP and DBP (supine/standing) were reported.
Time Frame
Baseline (DB) to 12 Months of DB Phase
Title
Change From Baseline in Positive and Syndrome Scale (PANSS) Subscales Score During DB Phase
Description
The neuropsychiatric symptoms of schizophrenia were assessed using the 30-item PANSS scale, which provides a total score (sum of the scores for all 30 items) and Scores for 3 subscales, that is, for positive subscale (sum of the scores of all 7 items) and negative subscale (sum of the scores of all 7 items) ranges from 7 (absent) to 49 (extreme psychopathology), and for the general psychopathology subscale (sum of the scores of all 16 items) score ranges from 16 (absent) to 112 (extreme psychopathology).
Time Frame
Baseline (DB) to 12 Months of DB Phase
Title
Number of Participants With Treatment-emergent Clinically Significant Abnormal Laboratory Values in Chemistry During DB Phase
Description
Number of participants with clinically significant abnormal laboratory values in chemistry included alanine aminotransferase (Unit per Litre [U/L]), albumin (Gram per Litre [g/L]), alkaline phosphatase (U/L), aspartate aminotransferase (U/L), bicarbonate (millimoles per litre [mmol/L]), bilirubin (micromoles per litre [umol/L]), calcium (mmol/L), chloride (mmol/L), cholesterol (mmol/L), creatinine (umol/L), gamma glutamyl transferase (GGT) (U/L), glucose (mmol/L), high-density lipoproteins (HDL) cholesterol (mmol/L), low density lipoproteins (LDL) cholesterol (mmol/L), lactate dehydrogenase (U/L), phosphate (mmol/L), potassium (mmol/L), protein (mmol/L), sodium (mmol/L), triglycerides (mmol/L), urate (umol/L), urea nitrogen (mmol/L) were reported. Here, ABL signifies abnormally low and ABH signifies abnormally high levels.
Time Frame
Up to 12 Months of DB Phase
Title
Number of Participants With Treatment-emergent Clinically Significant Abnormal Laboratory Values in Hematology During DB Phase
Description
Number of participants with clinically significant abnormal laboratory values in hematology included hemoglobin (Hb), hematocrit (Hct), red blood cell (RBC) count, white blood cell (WBC) count with differential, platelets, hemoglobin A1c. Here, ABL signifies abnormally low and ABH signifies abnormally high levels.
Time Frame
Up to 12 Months of DB Phase

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Must meet the diagnostic criteria for schizophrenia according to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5) for at least 6 months before screening Must be receiving treatment with paliperidone palmitate (as either the paliperidone palmitate 1-month (PP1M) or paliperidone palmitate 3-month (PP3M) formulation), or injectable risperidone, or any oral antipsychotic Must be able, in the opinion of the investigator, to discontinue any antipsychotic medication other than PP1M) or PP3M during the Screening Phase Must have a full Positive and Negative Syndrome Scale (PANSS) score of less than (<) 70 points at screening Must have a body mass index (BMI) between 17 and 40 kilogram (kg)/meter (m)^2 (inclusive) and must have a body weight of at least 47 kg at screening Must be willing to receive gluteal injections of medication during the Double-blind Phase Exclusion Criteria Must not be receiving any form of involuntary treatment, such as involuntary psychiatric hospitalization, parole-mandated treatment, or court-mandated treatment Must not have attempted suicide within 12 months before screening and must not be at imminent risk of suicide or violent behavior, as clinically assessed by the investigator at the time of screening Must not have a DSM-5 diagnosis of moderate or severe substance use disorder (except for nicotine and caffeine) within 6 months of screening; however, acute or intermittent substance use prior to screening is not exclusionary, depending upon the clinical judgment of the investigator Must not have a history of neuroleptic malignant syndrome or tardive dyskinesia Must not have a history of intolerability or severe reactions to moderate or higher doses of antipsychotic medications and must not have any other factors that would, in the judgment of the investigator, indicate that treatment with moderate or higher doses of paliperidone palmitate would be intolerable or unsafe
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Janssen Research & Development, LLC Clinical Trial
Organizational Affiliation
Janssen Research & Development, LLC
Official's Role
Study Director
Facility Information:
Facility Name
Woodland Research Northwest
City
Rogers
State/Province
Arkansas
ZIP/Postal Code
72758
Country
United States
Facility Name
California Pharmaceutical Research Institute, Inc.
City
Anaheim
State/Province
California
ZIP/Postal Code
92804
Country
United States
Facility Name
ATP Clinical Research
City
Costa Mesa
State/Province
California
ZIP/Postal Code
92626
Country
United States
Facility Name
Collaborative NeuroScience Network
City
Garden Grove
State/Province
California
ZIP/Postal Code
92845
Country
United States
Facility Name
Synergy East
City
Lemon Grove
State/Province
California
ZIP/Postal Code
91945
Country
United States
Facility Name
Pacific Research Partners
City
Oakland
State/Province
California
ZIP/Postal Code
94607
Country
United States
Facility Name
SF-Care, Inc
City
San Rafael
State/Province
California
ZIP/Postal Code
94901
Country
United States
Facility Name
New Life Medical Research Center, Inc.
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33012
Country
United States
Facility Name
Clintex Research Group
City
Miami
State/Province
Florida
ZIP/Postal Code
33135
Country
United States
Facility Name
Florida Research Center Inc.
City
Miami
State/Province
Florida
ZIP/Postal Code
33174
Country
United States
Facility Name
Olympian Clinical Research
City
Tampa
State/Province
Florida
ZIP/Postal Code
33614
Country
United States
Facility Name
Atlanta Center for Medical Research
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30331
Country
United States
Facility Name
Uptown Research Institute
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60640
Country
United States
Facility Name
Alexian Behavioral Health Hospital
City
Hoffman Estates
State/Province
Illinois
ZIP/Postal Code
60169
Country
United States
Facility Name
Ascension via Christi Research
City
Wichita
State/Province
Kansas
ZIP/Postal Code
67214
Country
United States
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Cherry Street Services, Inc.
City
Grand Rapids
State/Province
Michigan
ZIP/Postal Code
49503
Country
United States
Facility Name
St. Louis Clinical Trials
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
The Zucker Hillside Hospital
City
Glen Oaks
State/Province
New York
ZIP/Postal Code
11004
Country
United States
Facility Name
Clinical Trials of America Inc
City
Hickory
State/Province
North Carolina
ZIP/Postal Code
28601
Country
United States
Facility Name
Wexner Medical Center at the Ohio State University
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Facility Name
Midwest Clinical Research Center
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45417
Country
United States
Facility Name
University of Pennsylvania Medical Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Future Search Trials of Dallas
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Psychiatric and Behavioral Solutions
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84105-2425
Country
United States
Facility Name
Fundacion para el Estudio y Tratamiento de las Enfermedades Mentales
City
Ciudad Autónoma De Buenos Aires
ZIP/Postal Code
C1133AAH
Country
Argentina
Facility Name
CEN
City
Cordoba
ZIP/Postal Code
X5004FJF
Country
Argentina
Facility Name
Sanatorio Prof. Leon S. Morra
City
Cordoba
ZIP/Postal Code
X5009BIN
Country
Argentina
Facility Name
Instituto de Neurociencias San Agustín
City
La Plata
ZIP/Postal Code
1900
Country
Argentina
Facility Name
Clinica Privada de Salud Mental Santa Teresa de Ávila
City
La Plata
ZIP/Postal Code
B1904ADM
Country
Argentina
Facility Name
C.I.A.P. (Centro de investigación y Asistencia en Psiquiatría)
City
Rosario
ZIP/Postal Code
2000
Country
Argentina
Facility Name
The Lyell McEwin Hospital
City
Elizabeth Vale
ZIP/Postal Code
5112
Country
Australia
Facility Name
Neuro Trials Victoria
City
Noble Park
ZIP/Postal Code
3174
Country
Australia
Facility Name
Trial Tech Tecnologia em Pesquisas com Medicamentos
City
Curitiba
ZIP/Postal Code
80240-280
Country
Brazil
Facility Name
Instituto Bairral de Psiquiatria
City
Itapira
ZIP/Postal Code
13970-905
Country
Brazil
Facility Name
Hospital das Clinicas de Porto Alegre
City
Porto Alegre
ZIP/Postal Code
90035-903
Country
Brazil
Facility Name
Ruschel Medicina e Pesquisa Clínica Ltda
City
Rio de Janeiro
ZIP/Postal Code
22270-060
Country
Brazil
Facility Name
SPDM - Associacao Paulista para o Desenvolvimento da Medicina - Hospital Sao Paulo
City
Sao Paulo
ZIP/Postal Code
04020-060
Country
Brazil
Facility Name
CPQuali Pesquisa Clinica LTDA ME
City
São Paulo
ZIP/Postal Code
01228-900
Country
Brazil
Facility Name
Hospital Das Clinicas Da Faculdade De Medicina Da USP
City
São Paulo
ZIP/Postal Code
05403-903
Country
Brazil
Facility Name
Mental Health Center Prof. Dr. Ivan Temkov
City
Bourgas
ZIP/Postal Code
8001
Country
Bulgaria
Facility Name
State Psychiatric Hospital Pazardzhik
City
Pazardzhik
ZIP/Postal Code
4400
Country
Bulgaria
Facility Name
UMHAT 'Sveti Georgi'-Plovdiv
City
Plovdiv
ZIP/Postal Code
4002
Country
Bulgaria
Facility Name
State Psychiatric HospitalDr.Georgi Kissiov
City
Radnevo
ZIP/Postal Code
6260
Country
Bulgaria
Facility Name
Centre for Mental Health Prof.N.Shipkovenski EOOD
City
Sofia
ZIP/Postal Code
1377
Country
Bulgaria
Facility Name
Medical Center Intermedica, OOD
City
Sofia
ZIP/Postal Code
1680
Country
Bulgaria
Facility Name
Psychiatricka ambulance, MUDr. Marta Holanova
City
Brno
ZIP/Postal Code
61500
Country
Czechia
Facility Name
NeuropsychiatrieHK, s.r.o.
City
Hradec Kralove-Vekose
ZIP/Postal Code
50341
Country
Czechia
Facility Name
A-Shine s.r.o.
City
Plzen
ZIP/Postal Code
31200
Country
Czechia
Facility Name
Institut Neuropsychiatricke pece
City
Prague
ZIP/Postal Code
18600
Country
Czechia
Facility Name
Psychiatricka ambulance MUDr. Simona Papezova
City
Prague
ZIP/Postal Code
19000
Country
Czechia
Facility Name
PRAGTIS s.r.o.
City
Praha 2
ZIP/Postal Code
12000
Country
Czechia
Facility Name
C.H.S. Charles Perrens
City
Bordeaux
ZIP/Postal Code
33076
Country
France
Facility Name
CHRU La Colombière
City
Montpellier
ZIP/Postal Code
34090
Country
France
Facility Name
CHU Caremeau
City
Nimes Cedex 9
ZIP/Postal Code
30029
Country
France
Facility Name
Hopital Sainte Anne
City
Paris
ZIP/Postal Code
75674
Country
France
Facility Name
Hôpital Sainte Musse
City
Toulon Cedex
ZIP/Postal Code
83000
Country
France
Facility Name
Kwai Chung Hospital
City
Hong Kong
Country
Hong Kong
Facility Name
Queen Mary Hospital
City
Hong Kong
Country
Hong Kong
Facility Name
Józsefvarosi Szent Kozma Egészségügyi Központ
City
Budapest
ZIP/Postal Code
1084
Country
Hungary
Facility Name
Petz Aladar Megyei Oktato Korhaz
City
Gyor
ZIP/Postal Code
9023
Country
Hungary
Facility Name
Bács-Kiskun Megyei Kórház a Szegedi Tudományegyetem Általános Orvostudományi Kar Oktató Kórháza
City
Kalocsa
ZIP/Postal Code
6300
Country
Hungary
Facility Name
CRU Hungary Kft.
City
Miskolc
ZIP/Postal Code
3529
Country
Hungary
Facility Name
Ratandeep Multispeciality Hospital
City
Ahmedabad
ZIP/Postal Code
380008
Country
India
Facility Name
Sri Ramachandra Medical Centre
City
Chennai
ZIP/Postal Code
600116
Country
India
Facility Name
Asha hospital
City
Hyderabad
ZIP/Postal Code
500034
Country
India
Facility Name
Ahana Hospitals
City
Madurai
ZIP/Postal Code
625020
Country
India
Facility Name
Vinaya Hospital and Research Center
City
Mangalore
ZIP/Postal Code
575003
Country
India
Facility Name
Kasturba Medical College Hospital
City
Manipal
ZIP/Postal Code
576104
Country
India
Facility Name
Jehangir Clinical Development Center Pvt Ltd
City
Pune
ZIP/Postal Code
411001
Country
India
Facility Name
Deva Institute of Health Care and Research Pvt Ltd
City
Varanasi
ZIP/Postal Code
221005
Country
India
Facility Name
Clinica Psichiatrica - Università di Cagliari
City
Cagliari
ZIP/Postal Code
09127
Country
Italy
Facility Name
Dipartimento di Salute Mentale
City
Lecce
ZIP/Postal Code
73100
Country
Italy
Facility Name
Seconda Universita degli Studi di Napoli - Azienda Ospedaliera Universitaria
City
Napoli
ZIP/Postal Code
80138
Country
Italy
Facility Name
Universita degli Studi di Roma 'La Sapienza' - Azienda Ospedaliera Sant Andrea
City
Roma
ZIP/Postal Code
00189
Country
Italy
Facility Name
Chonnam National University Hospital
City
Gwangju
ZIP/Postal Code
61469
Country
Korea, Republic of
Facility Name
CHA Bundang Medical Center, CHA University
City
Gyeonggi-do
ZIP/Postal Code
13496
Country
Korea, Republic of
Facility Name
Chonbuk National Univ Hospital
City
Jeonju
ZIP/Postal Code
54907
Country
Korea, Republic of
Facility Name
Seoul National University Hospital
City
Seoul
ZIP/Postal Code
03080
Country
Korea, Republic of
Facility Name
Hospital Bahagia Ulu Kinta
City
Ipoh
ZIP/Postal Code
31250
Country
Malaysia
Facility Name
Hospital Kuala Lumpur
City
Kuala Lumpur
ZIP/Postal Code
50586
Country
Malaysia
Facility Name
University Malaya Medical Centre
City
Kuala Lumpur
ZIP/Postal Code
59100
Country
Malaysia
Facility Name
Sarawak General Hospital
City
Kuching
ZIP/Postal Code
93586
Country
Malaysia
Facility Name
Gabipros SC.
City
Mexico City
ZIP/Postal Code
07810
Country
Mexico
Facility Name
Instituto Neuropsique
City
Monterrey
ZIP/Postal Code
64610
Country
Mexico
Facility Name
Centro de Estudios Clinicos y Especialidades Medicas, S.C.
City
Monterrey
ZIP/Postal Code
64620
Country
Mexico
Facility Name
Infosame/Research
City
Monterrey
ZIP/Postal Code
64710
Country
Mexico
Facility Name
Centro de Atencion e Investigacion Cardiovascular del Potosi, S.C.
City
San Luis Potosí
ZIP/Postal Code
78200
Country
Mexico
Facility Name
Mlynowamed Specjalistyczny Psychiatryczny Gabinet Lekarski Joanna Lazarczyk
City
Bialystok
ZIP/Postal Code
15-404
Country
Poland
Facility Name
Wlokiennicza MED Specjalistyczna Praktyka Lekarska dr n.med. Tomasz Markowski
City
Bialystok
ZIP/Postal Code
15-464
Country
Poland
Facility Name
Zespol Opieki Zdrowotnej w Chelmnie
City
Chelmno
ZIP/Postal Code
86-200
Country
Poland
Facility Name
Centrum Badań Klinicznych PI-House sp. z o.o.
City
Gdansk
ZIP/Postal Code
80-546
Country
Poland
Facility Name
Szpital Specjalistyczny im. H. Klimontowicza, Oddzial Psychiatryczny
City
Gorlice
ZIP/Postal Code
38-300
Country
Poland
Facility Name
Niepubliczny Zaklad Opieki Psychiatrycznej MENTIS
City
Leszno
ZIP/Postal Code
64-100
Country
Poland
Facility Name
Centrum Medyczne Luxmed Sp z o o
City
Lublin
ZIP/Postal Code
20-109
Country
Poland
Facility Name
Poradnia Zdrowia Psychicznego 'Syntonia' w Pruszczu Gdanskim
City
Pruszcz Gdanski
ZIP/Postal Code
83-000
Country
Poland
Facility Name
Mazowieckie Specjalistyczne Centrum Zdrowia im. Prof. Jana Mazurkiewicza w Pruszkowie
City
Pruszkow
ZIP/Postal Code
05-802
Country
Poland
Facility Name
Wojewodzki Szpital Zespolony im. L. Rydygiera w Toruniu
City
Torun
ZIP/Postal Code
87-100
Country
Poland
Facility Name
Sverdlovsk Regional Clinical Psychiatric Hospital
City
Ekaterinburg
Country
Russian Federation
Facility Name
Clinical Psychiatric Hospital #3 Named After V.A. Gilyarovsky
City
Moscow
ZIP/Postal Code
107076
Country
Russian Federation
Facility Name
Psychiatric Clinical hospital 1 named after N.A. Alekseev
City
Moscow
ZIP/Postal Code
117152
Country
Russian Federation
Facility Name
Nizny Novgorod clinical psychiatric hospital 1
City
Nizny Novgorod
ZIP/Postal Code
603155
Country
Russian Federation
Facility Name
SHI 'Saratov City Clinical Hospital 2 n.a V.I. Razumovsky
City
Saratov
ZIP/Postal Code
410028
Country
Russian Federation
Facility Name
Saratov Regional Psychiatric hospital named after St. Sofia
City
Saratov
ZIP/Postal Code
410060
Country
Russian Federation
Facility Name
Psychoneurological Dispensary of Frunzensky District
City
St-Petersburg
ZIP/Postal Code
190013
Country
Russian Federation
Facility Name
Psychoneurological dispensary 10
City
St-Petersburg
ZIP/Postal Code
190121
Country
Russian Federation
Facility Name
St-Petersburg Bekhterev Psychoneurological Research Institute
City
St-Petersburg
ZIP/Postal Code
192109
Country
Russian Federation
Facility Name
Psychoneurological dispensary 1
City
St-Petersburg
ZIP/Postal Code
199178
Country
Russian Federation
Facility Name
Psychoneurological Dispensary #4
City
St.Peterburg
ZIP/Postal Code
197110
Country
Russian Federation
Facility Name
Research Institute of Mental Health
City
Tomsk
ZIP/Postal Code
634014
Country
Russian Federation
Facility Name
Flexivest 14 Research
City
Cape Town
ZIP/Postal Code
7550
Country
South Africa
Facility Name
Gert Bosch - Pretoria South Africa
City
Pretoria
ZIP/Postal Code
0042
Country
South Africa
Facility Name
Juan Schrönen - Western Cape South Africa
City
Welgemoed
ZIP/Postal Code
7530
Country
South Africa
Facility Name
Hosp. Univ. Vall D Hebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Inst. Internac. Neurociencias Aplicadas
City
Barcelona
ZIP/Postal Code
8006
Country
Spain
Facility Name
Hosp. Univ. de Basurto
City
Bilbao
ZIP/Postal Code
48013
Country
Spain
Facility Name
Centro Salud Mental La Corredoria
City
Oviedo
ZIP/Postal Code
33011
Country
Spain
Facility Name
Hosp. El Bierzo
City
Ponferrada
ZIP/Postal Code
24404
Country
Spain
Facility Name
Hosp. Clinico Univ. de Valencia
City
Valencia
ZIP/Postal Code
46010
Country
Spain
Facility Name
Hosp. Prov. de Zamora
City
Zamora
ZIP/Postal Code
49021
Country
Spain
Facility Name
National Cheng Kung University Hospital
City
Tainan
ZIP/Postal Code
70403
Country
Taiwan
Facility Name
Mackay Memorial Hospital
City
Taipei
ZIP/Postal Code
10449
Country
Taiwan
Facility Name
Taipei Veterans General Hospital
City
Taipei
ZIP/Postal Code
11217
Country
Taiwan
Facility Name
Chang Gung Memorial Hospital
City
Taoyuan
ZIP/Postal Code
333
Country
Taiwan
Facility Name
Abdurrah Yurtarslan Training and Research Hospital
City
Ankara
ZIP/Postal Code
6200
Country
Turkey
Facility Name
Ankara Numune Research and Training Hospital
City
Ankara
ZIP/Postal Code
6800
Country
Turkey
Facility Name
Erenkoy Mental Health Hospital
City
Istanbul
ZIP/Postal Code
34736
Country
Turkey
Facility Name
Selcuk University, Medical School, Department of Psychiatry
City
Konya
ZIP/Postal Code
42130
Country
Turkey
Facility Name
Sakarya University Medical Faculty Psychiatry Department
City
Sakarya
ZIP/Postal Code
54187
Country
Turkey
Facility Name
MNCE of Kyiv RC Regional Psychiatric and Narcological Medical Association
City
Glevakha
ZIP/Postal Code
8630
Country
Ukraine
Facility Name
Mnpe of Kharkiv Regional Council 'Regional Clinical Psychiatric Hospital #3'
City
Kharkiv
ZIP/Postal Code
61068
Country
Ukraine
Facility Name
CNPE'Kherson Regional Institution of Mental Care'of Kherson Regional Council
City
Kherson
ZIP/Postal Code
73488
Country
Ukraine
Facility Name
Kyiv Territorial Medical Incorporation 'Psychiatry'
City
Kyiv
ZIP/Postal Code
04080
Country
Ukraine
Facility Name
Municipal Institution 'Lviv Regional Clinical Psycho-Neurological Dispensary'
City
Lviv
ZIP/Postal Code
79017
Country
Ukraine
Facility Name
CNCE of the Lviv Regional Council 'Lviv Regional Clinical Psychiatric Hospital'
City
Lviv
ZIP/Postal Code
79021
Country
Ukraine
Facility Name
CNCE Odesa regional psychiatric hospital #2 Odesa regional council
City
Oleksandrivka
ZIP/Postal Code
67513
Country
Ukraine
Facility Name
CNCE 'Cherkasy Regional Psychiatric Hospital of Cherkasy Regional Council'
City
Smila
ZIP/Postal Code
20708
Country
Ukraine
Facility Name
CNCE 'Vinnytsya RC Psychoneurological Hospital n.a. O.I. Yushchenko Vinnytsya RC'
City
Vinnytsia
ZIP/Postal Code
21005
Country
Ukraine

12. IPD Sharing Statement

Citations:
PubMed Identifier
34791283
Citation
Najarian D, Sanga P, Wang S, Lim P, Singh A, Robertson MJ, Cohen K, Schotte A, Milz R, Venkatasubramanian R, T'Jollyn H, Walling DP, Galderisi S, Gopal S. A Randomized, Double-Blind, Multicenter, Noninferiority Study Comparing Paliperidone Palmitate 6-Month Versus the 3-Month Long-Acting Injectable in Patients With Schizophrenia. Int J Neuropsychopharmacol. 2022 Mar 17;25(3):238-251. doi: 10.1093/ijnp/pyab071.
Results Reference
derived

Learn more about this trial

A Study of Paliperidone Palmitate 6-Month Formulation

We'll reach out to this number within 24 hrs