A Study of Paliperidone Palmitate 6-Month Formulation
Schizophrenia

About this trial
This is an interventional treatment trial for Schizophrenia
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
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
Experimental
Experimental
Experimental
Experimental
PP1M: Transition Phase
PP1M/PP3M: Maintenance Phase
PP6M or Placebo: Double-Blind Phase
PP3M: Double-Blind Phase
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.