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Efficacy and Safety of Asenapine Using an Active Control in Subjects With Schizophrenia or Schizoaffective Disorder (25520)(P05846) (ACTAMESA)

Primary Purpose

Schizophrenia, Schizoaffective Disorder

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
asenapine
olanzapine
Sponsored by
Organon and Co
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Schizophrenia

Eligibility Criteria

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

Inclusion Criteria: Subject with schizophrenia or schizoaffective disorder. Must have completed 12 months treatment under protocol 25517. Subject must sign a written informed consent. Exclusion Criteria: Have an uncontrolled, unstable, clinically significant medical condition.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Arm 1

    Arm 2

    Arm Description

    Outcomes

    Primary Outcome Measures

    Change in total PANSS score at endpoint

    Secondary Outcome Measures

    Changes in PANSS subscale scores and Marder factor scores
    Changes in CGI-S
    Patient functionality and subjective well-being (as measured by LOF, SF-12 and SWN)
    Severity of depressed mood (as measured by the Calgary Depression Scale for Schizophrenia)
    Resource utilization (as measured by frequency and length of hospital stay)
    Safety and tolerability: EPS (AIMS, BARS, SARS)
    Adverse Events
    Pregnancy Test
    Blood Tests
    Weight and vital signs
    ECGs

    Full Information

    First Posted
    September 13, 2005
    Last Updated
    February 7, 2022
    Sponsor
    Organon and Co
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00212771
    Brief Title
    Efficacy and Safety of Asenapine Using an Active Control in Subjects With Schizophrenia or Schizoaffective Disorder (25520)(P05846)
    Acronym
    ACTAMESA
    Official Title
    Long-Term Efficacy and Safety Evaluation of Asenapine (10-20 mg/Day) in With Schizophrenia or Schizoaffective Disorder, in a Multicenter Trial Using (10-20 mg/Day) as a Control
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2022
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2004 (undefined)
    Primary Completion Date
    September 2006 (Actual)
    Study Completion Date
    October 2006 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Organon and Co

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The primary features of schizophrenia and schizoaffective disorder are positive (inability to think clearly and distinguish reality from fantasy) and negative symptoms (reduction or absence of normal behavior or emotions). Other symptoms include reduced ability to recall and learn information, difficulty in problem solving maintaining productive employment. Asenapine is an investigational drug that may help to correct the above schizophrenia by altering the inbalance of brain hormones such as dopamine serotonin. This is a long-term extension trial to further test the efficacy and safety asenapine and a comparator agent (olanzapine) in the treatment of patients with schizophrenia.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    440 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Arm 1
    Arm Type
    Experimental
    Arm Title
    Arm 2
    Arm Type
    Active Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    asenapine
    Other Intervention Name(s)
    Org 5222, SCH 900274
    Intervention Description
    Flexible dose, 1-2 tablets sublingual two times per day (1 or 2 tablets in the morning and 1 or 2 tablets in the evening). Each tablet contains either 5 mg asenapine or matching placebo.
    Intervention Type
    Drug
    Intervention Name(s)
    olanzapine
    Other Intervention Name(s)
    Zyprexa
    Intervention Description
    Flexible dose, 1-2 capsules oral once per day (in the morning). Each capsule contains 10 mg olanzapine or matching placebo.
    Primary Outcome Measure Information:
    Title
    Change in total PANSS score at endpoint
    Time Frame
    Screening, Week 76, 100, and once every 24 weeks thereafter until endpoint
    Secondary Outcome Measure Information:
    Title
    Changes in PANSS subscale scores and Marder factor scores
    Time Frame
    Every 24 weeks after baseline
    Title
    Changes in CGI-S
    Time Frame
    Every 12 weeks after baseline
    Title
    Patient functionality and subjective well-being (as measured by LOF, SF-12 and SWN)
    Time Frame
    Every 48 weeks after baseline
    Title
    Severity of depressed mood (as measured by the Calgary Depression Scale for Schizophrenia)
    Time Frame
    Every 24 weeks after baseline
    Title
    Resource utilization (as measured by frequency and length of hospital stay)
    Time Frame
    During the entire study period
    Title
    Safety and tolerability: EPS (AIMS, BARS, SARS)
    Time Frame
    Every 24 weeks after baseline
    Title
    Adverse Events
    Time Frame
    Continuously and up to 7 days after endpoint
    Title
    Pregnancy Test
    Time Frame
    At endpoint
    Title
    Blood Tests
    Time Frame
    Every 12 weeks after baseline
    Title
    Weight and vital signs
    Time Frame
    Every 4 weeks after baseline
    Title
    ECGs
    Time Frame
    Every 24 weeks after baseline

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subject with schizophrenia or schizoaffective disorder. Must have completed 12 months treatment under protocol 25517. Subject must sign a written informed consent. Exclusion Criteria: Have an uncontrolled, unstable, clinically significant medical condition.

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    22454251
    Citation
    Schoemaker J, Stet L, Vrijland P, Naber D, Panagides J, Emsley R. Long-term efficacy and safety of asenapine or olanzapine in patients with schizophrenia or schizoaffective disorder: an extension study. Pharmacopsychiatry. 2012 Jul;45(5):196-203. doi: 10.1055/s-0031-1301310. Epub 2012 Mar 27.
    Results Reference
    result

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    Efficacy and Safety of Asenapine Using an Active Control in Subjects With Schizophrenia or Schizoaffective Disorder (25520)(P05846)

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