search
Back to results

Evaluate the PK of LY03010 Process 1 and Process 2 Drug Product vs INVEGA SUSTENNA After Intramuscular Injection in Schizophrenia Patients

Primary Purpose

Schizophrenia Patients

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Paliperidone Palmitate
Sponsored by
Luye Pharma Group Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Schizophrenia Patients

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female ≥18 to ≤65 years of age who meets diagnostic criteria for schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-V) for at least 1 year before screening
  • Have been on a stable dose of oral antipsychotic medication(s) other than risperidone, paliperidone, clozapine, ziprasidone, or thioridazine for at least 4 weeks prior to screening
  • Clinically stable based on clinical assessments and a Positive and Negative Syndrome Scale (PANSS) total score ≤70 as well as a PANSS HATE (hostility, anxiety, tension and excitement) subtotal score <16 at screening
  • Clinical Global Impression-Severity (CGI-S) score of 1 to 4, inclusive
  • Body mass index (BMI) ≥17.0 and ≤37kg/m2; body weight ≥50 kg
  • Creatinine level within the normal range
  • All female patients (childbearing potential and non-childbearing potential) must have a negative pregnancy test result at both screening and baseline.
  • Sexually active fertile male patients must be willing to use acceptable contraception methods (such as double barrier methods of a combination of male condom with either cap, diaphragm or sponge with spermicide) from study drug dosing, throughout the study, and for another 80 days after the EOT visit (or at least 200 days after the dose, whichever is longer) if their partners are women of childbearing potential.

Exclusion Criteria:

  • Primary and active DSM-V Axis I diagnosis other than schizophrenia
  • Patients who meet DSM-V criteria for substance abuse (moderate or severe) with the exception of caffeine or nicotine in the past 6 months prior to screening, or test positive for barbiturate or alcohol at screening or baseline
  • Patients who received any of following treatment:

    • Use of oral risperidone or paliperidone within 2 weeks before screening.
    • Use of clozapine, thioridazine or ziprasidone within 4 weeks before screening.
    • Use of 2-week depot formulation of risperidone within 3 months, 1-month depot formulation of risperidone or 9-hydroxy risperidone (INVEGA SUSTENNA) within 1 year,
  • Known or suspected hypersensitivity or intolerance of risperidone, paliperidone, or any of their excipients (oral risperidone tolerability test should be completed during the screening period
  • QTcF interval greater than 450 msec for males and 470 msec for females or a prior history or presence of circumstances
  • Medical history (within 2 years) of clinically significant, gastrointestinal, cardiovascular, cerebrovascular, musculoskeletal, endocrine, hematologic, renal, hepatic, bronchopulmonary, neurologic, immunologic disorders, or drug hypersensitivity which, in the judgement of the Investigator, would interfere with the patient's ability to participate in the study
  • History of dementia-related psychosis or Parkinson's Disease

Sites / Locations

  • Hassman Research Institute

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

LY03010 Process 1

LY03010 Process 2

INVEGA SUSTENNA

Arm Description

Drug Product of Process 1 ( P1): 156 mg/vial; Single Injection on Day 1 during the entire 120 Day's study. LY03010 P1 using a non-sterile Active Pharmaceutical Ingredients (API) with an absolute ethanol recrystallization was manufactured by an optimized production process

Drug Product of Process 2 (P2): 156 mg/vial; Single Injection on Day 1 during the entire 120 Day's study. LY03010 P2 using a sterile Active Pharmaceutical Ingredients (API) with an isopropanol recrystallization was manufactured by the same optimized production process as that used in P1.

INVEGA SUSTENNA 156 mg/vial; Single Injection on Day 1 during the entire 120 Day's study

Outcomes

Primary Outcome Measures

To characterize the Maximum Plasma Concentration [Cmax]of LY03010 P1, P2 and INVEGA SUSTENNA following a single IM injection of 156 mg dosage level in schizophrenia patients
The Cmax of LY03010 P1, P2 and INVEGA SUSTENNA will be measured
To characterize Area under the plasma concentration versus time curve (AUC) of LY03010 P1 and P2 and INVEGA SUSTENNA following a single IM injection of 156 mg dosage level in schizophrenia patients.
The AUCs of LY03010 P1, P2 and INVEGA SUSTENNA will be evaluated
To compare the Cmax of LY03010 P1 and P2 with the Cmax of INVEGA SUSTENNA
The relative bioavailability of LY03010 P1 and P2 to Invega Sustenna will be assessed
To compare the AUCs of LY03010 P1 and P2 with the AUCs of INVEGA SUSTENNA
The relative bioavailability of LY03010 P1 and P2 to Invega Sustenna will be assessed

Secondary Outcome Measures

To evaluate the safety and tolerability of tested drugs. Safety assessments include Incidence of adverse events.
AE will be monitored throughout of the study course
To evaluate the safety of the tested drugs-- Incident of abnormal vital sign
Vital Sign will be measured on Day1 ,2, 4, 6, 8,10,12,15, 17,19, 22 ,29, 64, 92 and Day 120
To evaluate the safety of the tested drugs-- Incident of abnormal ECG Findings
12-Lead ECG will be measured on Day 0, 29, 64, 92 and Day 120
To evaluate any abnormal movement symptoms measured by Abnormal Involuntary Movement Scale (AIMS). AIMS measures movement of each part of body muscle with score range of 0-4, 0 means None and 4 means Severe.
AIMS will be measured on Day 0, 15, 29, 64, 92 and Day 120
To evaluate any abnormal movement symptoms measured by Barnes Akathisia Rating Scale (BARS). BARS is a rating scale for drug-induced akathisia with a range of 0-14; 0 means Normal and 14 means Severe.
BARS will be measured on Day 0, 15, 29, 64, 92 and Day 120
To evaluate any suicidal attempts measured by Columbia Suicide Severity Rating Scale ( C-SRRS). C-SRRS measures the suicidal intensity of ideation and attempt with score of 1-5; 1 means the least severe and 5 means the most severe.
C-SSRS will be measured on Day 0, 29, 64, 92 and Day 120

Full Information

First Posted
May 8, 2020
Last Updated
November 5, 2020
Sponsor
Luye Pharma Group Ltd.
Collaborators
Alliance for Clinical Trials in Oncology, Evolution Research Group
search

1. Study Identification

Unique Protocol Identification Number
NCT04572685
Brief Title
Evaluate the PK of LY03010 Process 1 and Process 2 Drug Product vs INVEGA SUSTENNA After Intramuscular Injection in Schizophrenia Patients
Official Title
A Randomized, Open-Label, Parallel, Single-Dose Study to Evaluate the Pharmacokinetic Characteristics of LY03010 Process 1 and Process 2 Drug Product Versus INVEGA SUSTENNA After Intramuscular Injection in Schizophrenia Patients
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
January 22, 2020 (Actual)
Primary Completion Date
June 26, 2020 (Actual)
Study Completion Date
August 20, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Luye Pharma Group Ltd.
Collaborators
Alliance for Clinical Trials in Oncology, Evolution Research Group

4. Oversight

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

5. Study Description

Brief Summary
The primary objectives of the study are to characterize the pharmacokinetic (PK) profiles of paliperidone in LY03010 P1 and P2 following a single IM injection in schizophrenia patients and to compare the PK of LY03010 P1 and P2 with that of INVEGA SUSTENNA® following a single IM injection of 156 mg dosage level.
Detailed Description
This is a randomized, open-label, parallel-group, single-dose study. Patients will undergo screening evaluations to determine eligibility within 28 days prior to study drug administration. About 36 patients will be randomized in a 1:1:1 ratio to 1 of 3 treatment groups. Patients will be admitted to the clinical facility the day before dosing (Day 0) and will be receiving an IM injection of study drug and completing the assigned study activity including PK sample collection on Day 1. Patients will be discharged on Day 2 after PK collection. All patients will return to the clinical site at designated study days for PK sample collections and assigned clinical procedures. End of study evaluation will be completed on Day 120. Pharmacokinetics of the study medication will be assessed as primary outcome. Participants' safety will be monitored throughout the study.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
A single dose study in three parallel dosing groups of schizophrenia patients
Masking
None (Open Label)
Allocation
Randomized
Enrollment
36 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LY03010 Process 1
Arm Type
Experimental
Arm Description
Drug Product of Process 1 ( P1): 156 mg/vial; Single Injection on Day 1 during the entire 120 Day's study. LY03010 P1 using a non-sterile Active Pharmaceutical Ingredients (API) with an absolute ethanol recrystallization was manufactured by an optimized production process
Arm Title
LY03010 Process 2
Arm Type
Experimental
Arm Description
Drug Product of Process 2 (P2): 156 mg/vial; Single Injection on Day 1 during the entire 120 Day's study. LY03010 P2 using a sterile Active Pharmaceutical Ingredients (API) with an isopropanol recrystallization was manufactured by the same optimized production process as that used in P1.
Arm Title
INVEGA SUSTENNA
Arm Type
Experimental
Arm Description
INVEGA SUSTENNA 156 mg/vial; Single Injection on Day 1 during the entire 120 Day's study
Intervention Type
Drug
Intervention Name(s)
Paliperidone Palmitate
Other Intervention Name(s)
Paliperidone Injectable Product
Intervention Description
A long acting extended release injectable suspension intended for monthly intramuscular administration
Primary Outcome Measure Information:
Title
To characterize the Maximum Plasma Concentration [Cmax]of LY03010 P1, P2 and INVEGA SUSTENNA following a single IM injection of 156 mg dosage level in schizophrenia patients
Description
The Cmax of LY03010 P1, P2 and INVEGA SUSTENNA will be measured
Time Frame
120-Day
Title
To characterize Area under the plasma concentration versus time curve (AUC) of LY03010 P1 and P2 and INVEGA SUSTENNA following a single IM injection of 156 mg dosage level in schizophrenia patients.
Description
The AUCs of LY03010 P1, P2 and INVEGA SUSTENNA will be evaluated
Time Frame
120-Day
Title
To compare the Cmax of LY03010 P1 and P2 with the Cmax of INVEGA SUSTENNA
Description
The relative bioavailability of LY03010 P1 and P2 to Invega Sustenna will be assessed
Time Frame
120-Day
Title
To compare the AUCs of LY03010 P1 and P2 with the AUCs of INVEGA SUSTENNA
Description
The relative bioavailability of LY03010 P1 and P2 to Invega Sustenna will be assessed
Time Frame
120-Day
Secondary Outcome Measure Information:
Title
To evaluate the safety and tolerability of tested drugs. Safety assessments include Incidence of adverse events.
Description
AE will be monitored throughout of the study course
Time Frame
120 day
Title
To evaluate the safety of the tested drugs-- Incident of abnormal vital sign
Description
Vital Sign will be measured on Day1 ,2, 4, 6, 8,10,12,15, 17,19, 22 ,29, 64, 92 and Day 120
Time Frame
120 Day
Title
To evaluate the safety of the tested drugs-- Incident of abnormal ECG Findings
Description
12-Lead ECG will be measured on Day 0, 29, 64, 92 and Day 120
Time Frame
120 Day
Title
To evaluate any abnormal movement symptoms measured by Abnormal Involuntary Movement Scale (AIMS). AIMS measures movement of each part of body muscle with score range of 0-4, 0 means None and 4 means Severe.
Description
AIMS will be measured on Day 0, 15, 29, 64, 92 and Day 120
Time Frame
120-Day
Title
To evaluate any abnormal movement symptoms measured by Barnes Akathisia Rating Scale (BARS). BARS is a rating scale for drug-induced akathisia with a range of 0-14; 0 means Normal and 14 means Severe.
Description
BARS will be measured on Day 0, 15, 29, 64, 92 and Day 120
Time Frame
120-Day
Title
To evaluate any suicidal attempts measured by Columbia Suicide Severity Rating Scale ( C-SRRS). C-SRRS measures the suicidal intensity of ideation and attempt with score of 1-5; 1 means the least severe and 5 means the most severe.
Description
C-SSRS will be measured on Day 0, 29, 64, 92 and Day 120
Time Frame
120-Day

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female ≥18 to ≤65 years of age who meets diagnostic criteria for schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-V) for at least 1 year before screening Have been on a stable dose of oral antipsychotic medication(s) other than risperidone, paliperidone, clozapine, ziprasidone, or thioridazine for at least 4 weeks prior to screening Clinically stable based on clinical assessments and a Positive and Negative Syndrome Scale (PANSS) total score ≤70 as well as a PANSS HATE (hostility, anxiety, tension and excitement) subtotal score <16 at screening Clinical Global Impression-Severity (CGI-S) score of 1 to 4, inclusive Body mass index (BMI) ≥17.0 and ≤37kg/m2; body weight ≥50 kg Creatinine level within the normal range All female patients (childbearing potential and non-childbearing potential) must have a negative pregnancy test result at both screening and baseline. Sexually active fertile male patients must be willing to use acceptable contraception methods (such as double barrier methods of a combination of male condom with either cap, diaphragm or sponge with spermicide) from study drug dosing, throughout the study, and for another 80 days after the EOT visit (or at least 200 days after the dose, whichever is longer) if their partners are women of childbearing potential. Exclusion Criteria: Primary and active DSM-V Axis I diagnosis other than schizophrenia Patients who meet DSM-V criteria for substance abuse (moderate or severe) with the exception of caffeine or nicotine in the past 6 months prior to screening, or test positive for barbiturate or alcohol at screening or baseline Patients who received any of following treatment: Use of oral risperidone or paliperidone within 2 weeks before screening. Use of clozapine, thioridazine or ziprasidone within 4 weeks before screening. Use of 2-week depot formulation of risperidone within 3 months, 1-month depot formulation of risperidone or 9-hydroxy risperidone (INVEGA SUSTENNA) within 1 year, Known or suspected hypersensitivity or intolerance of risperidone, paliperidone, or any of their excipients (oral risperidone tolerability test should be completed during the screening period QTcF interval greater than 450 msec for males and 470 msec for females or a prior history or presence of circumstances Medical history (within 2 years) of clinically significant, gastrointestinal, cardiovascular, cerebrovascular, musculoskeletal, endocrine, hematologic, renal, hepatic, bronchopulmonary, neurologic, immunologic disorders, or drug hypersensitivity which, in the judgement of the Investigator, would interfere with the patient's ability to participate in the study History of dementia-related psychosis or Parkinson's Disease
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Luye Pharma
Organizational Affiliation
Luye Pharma Group
Official's Role
Study Chair
Facility Information:
Facility Name
Hassman Research Institute
City
Berlin
State/Province
New Jersey
ZIP/Postal Code
08009
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Evaluate the PK of LY03010 Process 1 and Process 2 Drug Product vs INVEGA SUSTENNA After Intramuscular Injection in Schizophrenia Patients

We'll reach out to this number within 24 hrs