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The purpose of this study is to determine the safety and efficacy of iloperidone compared to placebo and an active comparator in the treatment of patients with schizophrenia in acute exacerbation.
Schizophrenia is a severe mental illness affecting an estimated 1% of the world's population. Patients with schizophrenia suffer from productive symptoms (e.g., hallucinations and delusions), and deficit symptoms (e.g., a reduction or absence of normal behaviors or emotions). Other symptoms include a reduced ability to recall and learn new information.
Iloperidone is being development as a treatment for symptoms of schizophrenia. This trial will test the safety and efficacy of iloperidone in patients with an acute exacerbation of the disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Iloperidone | Experimental | Oral iloperidone |
|
| Ziprasidone | Active Comparator | Oral ziprasidone |
|
| Placebo | Placebo Comparator | Oral placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Iloperidone | Drug |
|
| |
| Ziprasidone |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Positive and Negative Symptom Scale Total (PANSS-T) Score | The PANSS is a 30-item scale developed to assess the severity of symptoms of schizophrenia. The PANSS items are divided into positive, negative, and general psychopathology factors. Items are rated on a scale of 1 (absent) to 7 (extremely severe). The PANSS-T score is the sum of scores for all 30 PANSS items (i.e., the sum of the three subscales), with a minimum score of 30 and a maximum score of 210. Higher scores indicate more severe symptoms. A negative change from baseline indicates improvement. | 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vanda Investigational Site | Little Rock | Arkansas | 72211 | United States | ||
| Vanda Investigational Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19573479 | Derived | Volpi S, Potkin SG, Malhotra AK, Licamele L, Lavedan C. Applicability of a genetic signature for enhanced iloperidone efficacy in the treatment of schizophrenia. J Clin Psychiatry. 2009 Jun;70(6):801-9. doi: 10.4088/jcp.08m04391. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Iloperidone | Oral iloperidone |
| FG001 | Ziprasidone | Oral ziprasidone |
| FG002 |
| Title | Milestones | Reasons Not Completed | ||||
|---|---|---|---|---|---|---|
| Overall Study |
|
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| Drug |
|
| Placebo | Drug |
|
| Anaheim |
| California |
| 92805 |
| United States |
| Vanda Investigational Site | Cerritos | California | 90703 | United States |
| Vanda Investigational Site | Garden Grove | California | 92845 | United States |
| Vanda Investigational Site | Glendale | California | 91206 | United States |
| Vanda Investigational Site | Los Angeles | California | 90048 | United States |
| Vanda Investigational Site | National City | California | 91950 | United States |
| Vanda Investigational Site | Oceanside | California | 92056 | United States |
| Vanda Investigational Site | Paramount | California | 90723 | United States |
| Vanda Investigational Site | Pico Rivera | California | 90660 | United States |
| Vanda Investigational Site | San Diego | California | 92123 | United States |
| Vanda Investigational Site | San Diego | California | 92126 | United States |
| Vanda Investigational Site | San Diego | California | 92161 | United States |
| Vanda Investigational Site | Santa Ana | California | 92705 | United States |
| Vanda Investigational Site | Upland | California | 91786 | United States |
| Vanda Investigational Site | Bradenton | Florida | 34208 | United States |
| Vanda Investigational Site | Fort Lauderdale | Florida | 33308 | United States |
| Vanda Investigational Site | Maitland | Florida | 32751 | United States |
| Vanda Investigational Site | Atlanta | Georgia | 30308 | United States |
| Vanda Investigational Site | Augusta | Georgia | 30912 | United States |
| Vanda Investigational Site | Hoffman Estates | Illinois | 60194 | United States |
| Vanda Investigational Site | Lake Charles | Louisiana | 70601 | United States |
| Vanda Investigational Site | Rockville | Maryland | 20850 | United States |
| Vanda Investigational Site | Saint Charles | Missouri | 63301 | United States |
| Vanda Investigational Site | St Louis | Missouri | 63118 | United States |
| Vanda Investigational Site | Clementon | New Jersey | 08021 | United States |
| Vanda Investigational Site | Brooklyn | New York | 11203 | United States |
| Vanda Investigational Site | Cincinnati | Ohio | 45267 | United States |
| Vanda Investigational Site | Philadelphia | Pennsylvania | 19131 | United States |
| Vanda Investigational Site | Austin | Texas | 78756 | United States |
| Vanda Investigational Site | Houston | Texas | 77057 | United States |
| Vanda Investigational Site | Irving | Texas | 75062 | United States |
| Vanda Investigational Site | Richmond | Virginia | 23229 | United States |
| Vanda Investigational Site | Tirupati | Andhra Pradesh | 517507 | India |
| Vanda Investigational Site | Ahmedabad | Gujarat | 380006 | India |
| Vanda Investigational Site | Manipal | Karnataka | 576104 | India |
| Vanda Investigational Site | Aurangabad | Maharashtra | 431005 | India |
| Vanda Investigational Site | Pune | Maharashtra | 411001 | India |
| Vanda Investigational Site | Jaipur | Rajasthan | 302004 | India |
| Vanda Investgational Site | Chennai | Tamil Nadu | 600003 | India |
| Vanda Investigational Site | Lucknow | Uttar Pradesh | 226003 | India |
| Vanda Investigational Site | Chinawaltair | Visakha Patnam | 530002 | India |
| Placebo |
Oral placebo |
|
| Safety Population |
|
| COMPLETED |
|
| NOT COMPLETED |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Iloperidone | Oral iloperidone |
| BG001 | Ziprasidone | Oral ziprasidone |
| BG002 | Placebo | Oral placebo |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in Positive and Negative Symptom Scale Total (PANSS-T) Score | The PANSS is a 30-item scale developed to assess the severity of symptoms of schizophrenia. The PANSS items are divided into positive, negative, and general psychopathology factors. Items are rated on a scale of 1 (absent) to 7 (extremely severe). The PANSS-T score is the sum of scores for all 30 PANSS items (i.e., the sum of the three subscales), with a minimum score of 30 and a maximum score of 210. Higher scores indicate more severe symptoms. A negative change from baseline indicates improvement. | The modified Intent-to-Treat (ITT) population comprise all randomized patients who receive at least one dose of study medication in the short-term double-blind phase and for whom a baseline PANSS score measurement is obtained and at least one post-baseline PANSS score measurement is obtained while on study medication. For patients randomized in error at a second site after being randomized once, the data from the second site were excluded from analysis in the modified ITT population. | Posted | Mean | Standard Error | score on a scale | 4 weeks |
|
|
|
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The safety analysis included patients who received 1 or more doses of study medication and 1 or more subsequent safety evaluations. To provide the most conservative assessment of safety, the 10 patients erroneously randomized twice, who received study drug at each site and met the safety criteria, were counted twice in the safety population.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Iloperidone | Oral iloperidone | 0 | 300 | 2 | 300 | 221 | 300 |
| EG001 | Ziprasidone | Oral ziprasidone | 0 | 150 | 2 | 150 | 118 | 150 |
| EG002 | Placebo | Oral placebo | 0 | 147 | 5 | 147 | 86 | 147 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Microcytic anemia | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Psychotic disorder | Psychiatric disorders | Systematic Assessment |
| ||
| Bradycardia | Cardiac disorders | Systematic Assessment |
| ||
| Chest pain | General disorders | Systematic Assessment |
| ||
| Myocardial infarction | Cardiac disorders | Systematic Assessment |
| ||
| Hyponatremia | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Convulsion | Nervous system disorders | Systematic Assessment |
| ||
| Schizophrenia | Psychiatric disorders | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dizziness | Nervous system disorders | Systematic Assessment |
| ||
| Sedation | Nervous system disorders | Systematic Assessment |
| ||
| Weight increased | Investigations | Systematic Assessment |
| ||
| Dry mouth | Gastrointestinal disorders | Systematic Assessment |
| ||
| Heart rate increased | Investigations | Systematic Assessment |
| ||
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Tachycardia | Cardiac disorders | Systematic Assessment |
| ||
| Extrapyramidal disorder | Nervous system disorders | Systematic Assessment |
| ||
| Agitation | Psychiatric disorders | Systematic Assessment |
| ||
| Orthostatic hypotension | Vascular disorders | Systematic Assessment |
| ||
| Somnolence | Nervous system disorders | Systematic Assessment |
| ||
| Restlessness | Psychiatric disorders | Systematic Assessment |
| ||
| Anxiety | Psychiatric disorders | Systematic Assessment |
| ||
| Akathisia | Nervous system disorders | Systematic Assessment |
| ||
| Headache | Nervous system disorders | Systematic Assessment |
| ||
| Nausea | Gastrointestinal disorders | Systematic Assessment |
| ||
| Dyspepsia | Gastrointestinal disorders | Systematic Assessment |
| ||
| Constipation | Gastrointestinal disorders | Systematic Assessment |
| ||
| Vomiting | Gastrointestinal disorders | Systematic Assessment |
| ||
| Diarrhoea | Gastrointestinal disorders | Systematic Assessment |
| ||
| Fatigue | General disorders | Systematic Assessment |
| ||
| Stomach discomfort | Gastrointestinal disorders | Systematic Assessment |
| ||
| Toothache | Gastrointestinal disorders | Systematic Assessment |
| ||
| Decreased appetite | Metabolism and nutrition disorders | Systematic Assessment |
| ||
| Insomnia | Psychiatric disorders | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Vanda Pharmaceuticals | Vanda Pharmaceuticals | 202-734-3400 | clinicaltrials@vandapharma.com |
| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| D011618 | Psychotic Disorders |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| C081732 | iloperidone |
| C092292 | ziprasidone |
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| Male |
|
| Asian |
|
| Black or African American |
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| Native Hawaiian or Other Pacific Islander |
|
| White |
|
| Other |
|