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The purpose of this study is to test the long-term safety and tolerability of oral aripiprazole in adolescent patients with schizophrenia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Oral Aripiprazole | Experimental | Flexible dose of oral aripiprazole between 5 mg and 30 mg once daily for 72 months. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aripiprazole | Drug | Flexible dose between 5 mg and 30 mg Aripiprazole tablets. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Discontinuation Due to AEs and Deaths | An AE was defined as any new medical problem, or exacerbation of an existing problem, experienced by a subject. Change in clinical relevance (severity increased) was entered as a new AE in the current trial. Abnormal laboratory test findings were considered AEs if, in the opinion of the investigator, they represented an abnormal (clinically significant) change from baseline for that individual subject. An AE was considered serious if it was fatal; life-threatening; persistently or significantly disabling or incapacitating; required in-patient hospitalization or prolonged hospitalization; a congenital anomaly/birth defect; or other medically significant event that, based upon appropriate medical judgment, may have jeopardized the subject and may have required medical or surgical intervention. Additional information about Adverse Events can be found in the Adverse Event section. | Up to 72 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Clinical Global Impression Severity of Illness (CGI-S) Score | The rater or investigator answered the following question: "Considering your total clinical experience with this particular population, how mentally ill is the patient at this time?" Response choices included: 0=not assessed; 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 negative change from Baseline indicated improvement |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Study site | Buenos Aires | Argentina | ||||
| Study site |
An open-label rollover study for participants who completed study 31-03-241 (NCT00102518). The withdrawal criteria for this open label rollover study was completion by 31 December 2012 (or if Month 72 occurred within 6 months of this date) or if there was commercial availability.
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| ID | Title | Description |
|---|---|---|
| FG000 | Oral Aripiprazole | Flexible dose of oral aripiprazole between 5 mg and 30 mg once daily for 72 months. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Oral Aripiprazole | Flexible dose of oral aripiprazole between 5 mg and 30 mg once daily for 72 months. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Mean |
| 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 | Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Discontinuation Due to AEs and Deaths | An AE was defined as any new medical problem, or exacerbation of an existing problem, experienced by a subject. Change in clinical relevance (severity increased) was entered as a new AE in the current trial. Abnormal laboratory test findings were considered AEs if, in the opinion of the investigator, they represented an abnormal (clinically significant) change from baseline for that individual subject. An AE was considered serious if it was fatal; life-threatening; persistently or significantly disabling or incapacitating; required in-patient hospitalization or prolonged hospitalization; a congenital anomaly/birth defect; or other medically significant event that, based upon appropriate medical judgment, may have jeopardized the subject and may have required medical or surgical intervention. Additional information about Adverse Events can be found in the Adverse Event section. | Safety population included all participants who received at least one dose of study drug. | Posted | Number | Participants | Up to 72 months |
|
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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 | Oral Aripiprazole | Flexible dose of oral aripiprazole between 5 mg and 30 mg once daily for 72 months. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pneumonia bacterial | Infections and infestations | MedDRA (13.1) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA (13.1) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Medical Affair | Otsuka Pharmaceutical Development and Commercialization | 800 562-3974 |
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| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D000068180 | Aripiprazole |
| ID | Term |
|---|---|
| D010879 | Piperazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D015363 | Quinolones |
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| Baseline, Last Visit (Up to 72 Months) |
| Number of Participants With Clinical Significant Laboratory Tests | Blood was collected for Fasting clinical laboratory tests (serum chemistry and hematology) at Baseline, Months 12, 24, 36, 48, 60, and 72 and were analyzed at a central laboratory. Clinically significant values are defined as the following: Bilirubin, total ≥ 2.0 mg/dL. Creatine phosphokinase > 500 U/L for participants 13-17 years or 3 times the upper limit of normal for participants ≥ 18 years [Reference Range (0 to 190 IU/L (females) and 0 to 235 IU/L (males)]. Eosinophils ≥ 10 %. Hematocrit < 30 % for participants 13-17 years old or ≥ 18 year old participants female ≤ 32 % and a 3 point decrease from baseline or male ≤ 37 % and a 3 point decrease from baseline. Hemoglobin female ≤ 9.5 g/dL or male ≤ 11.5 g/dL. Prolactin > 1 times the upper limit of normal [Reference range: 2 to 18 ng/mL (males) and 3 to 30 ng/mL (females)]. | Baseline, Up to 72 Months |
| Number of Participants With Clinically Significant Heart Rate | Heart rate was measured at Baseline and at each visit supine (lying on the back) and standing. A heart rate increase is an increase of ≥ 15 beats per minute (bpm) compared to Baseline. A heart rate decrease is a decrease of ≥ 15 bpm compared to Baseline. | Baseline, Up to 72 months |
| Number of Participants With Clinically Significant Blood Pressure | Systolic and Diastolic blood pressure was measured at Baseline and at all visits supine (lying on the back) and standing. Systolic increase was an increase of ≥ 20 mm Hg compared to Baseline and systolic decrease was a decrease of ≥ 20 mm Hg compared to Baseline. A diastolic increase was an increase of ≥ 15 mm Hg compared to Baseline and a diastolic decrease was a decrease of ≥ 15 mm Hg compared to Baseline. | Baseline, Up to 72 months |
| Number of Participants With Clinically Abnormal Changes in Electrocardiograms (ECGs) Evaluations | A 12-lead ECG was recorded at Baseline, Months 6, 12, 24, 36, 48, 60 and 72. Three readings taken 5 minutes were read by a central ECG reading service and averaged. Clinically significant ECGs were defined as: Sinus Bradycardia: ≤ 50 beats per minute (bpm), decrease of ≥ 15 bpm from Baseline. Supraventricular premature beat: ≥ 2 per 10 seconds, increase from Baseline. Ventricular premature beat: ≥ 1 per 10 seconds, increase from Baseline. Right bundle branch block: present. Other intraventricular block: QRS ≥ 0.10 seconds for age 13-17 years or QRS ≥ 0.11 seconds for age ≥ 18 years, an increase of ≥ 0.02 seconds from Baseline. Symmetrical T-wave inversion: present. QTcB (QT interval corrected Bazett's formula), QTcF (QT interval corrected Fridericia's formula), QTcN (QT corrected FDA Neuropharmacology Division formula), QTcE (QT corrected fractional exponent correction method: ≥ 420 msec for age 13-17 years or ≥ 450 msec for age ≥ 18 years, ≥ 10 % increase from Baseline. | Baseline, Up to 72 months |
| Number of Participants Showing Significant Weight Gain or Loss | Weight was measured at Baseline, Months 6, 12, 18, 24, 30, 36, 42, 48, 54, 60, 66, and 72. A clinically significant weight gain was defined as a ≥ 7 % increase from Baseline. A clinically significant Weight loss was defined as a ≥ 7% decrease from Baseline. | Baseline, Up to 72 months |
| Number of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) | The C-SSRS consisted of a baseline evaluation (completed at the first scheduled visit upon approval of protocol Amendment 3) that assessed the lifetime experience of the participant with suicide events and suicidal ideation and a post-baseline evaluation at each visit that focused on suicidality since the last trial visit. Some questions are yes/no and some are on a scale of 1 (low severity) to 5 (high severity). The number of participants experiencing suicidal ideation or suicidal behavior is reported. | Baseline, Up to 72 months |
| Mendoza |
| Argentina |
| Study site | Split | Croatia |
| Study site | Hyderabad | India |
| Study site | Ludhiana | India |
| Study site | Mumbai | India |
| Study site | Tamilnadu | India |
| Study site | Moscow | Russia |
| Study site | Rostov-on-Don | Russia |
| Study site | Saint Petersburg | Russia |
| Study site | Yaroslavl | Russia |
| Study site | Belgrade | Serbia |
| Study site | Novi Sad | Serbia |
| Study site | Kharkiv | Ukraine |
| Study site | Kiev | Ukraine |
| Subject met Withdrawal Criteria |
|
| Investigator withdrew Subject |
|
| Withdrawal by Subject |
|
| Lack of Efficacy per Investigator |
|
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Title |
|---|
| Description |
|---|
| OG000 | Oral Aripiprazole | Flexible dose of oral aripiprazole between 5 mg and 30 mg once daily for 72 months. |
|
|
| Secondary | Change From Baseline in Clinical Global Impression Severity of Illness (CGI-S) Score | The rater or investigator answered the following question: "Considering your total clinical experience with this particular population, how mentally ill is the patient at this time?" Response choices included: 0=not assessed; 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 negative change from Baseline indicated improvement | Participants with baseline assessment and at least one post-baseline measurement for analysis. | Posted | Mean | Standard Deviation | Score on a scale | Baseline, Last Visit (Up to 72 Months) |
|
|
|
| Secondary | Number of Participants With Clinical Significant Laboratory Tests | Blood was collected for Fasting clinical laboratory tests (serum chemistry and hematology) at Baseline, Months 12, 24, 36, 48, 60, and 72 and were analyzed at a central laboratory. Clinically significant values are defined as the following: Bilirubin, total ≥ 2.0 mg/dL. Creatine phosphokinase > 500 U/L for participants 13-17 years or 3 times the upper limit of normal for participants ≥ 18 years [Reference Range (0 to 190 IU/L (females) and 0 to 235 IU/L (males)]. Eosinophils ≥ 10 %. Hematocrit < 30 % for participants 13-17 years old or ≥ 18 year old participants female ≤ 32 % and a 3 point decrease from baseline or male ≤ 37 % and a 3 point decrease from baseline. Hemoglobin female ≤ 9.5 g/dL or male ≤ 11.5 g/dL. Prolactin > 1 times the upper limit of normal [Reference range: 2 to 18 ng/mL (males) and 3 to 30 ng/mL (females)]. | Participants with at least one post-baseline numeric result for the given laboratory test are included in the analysis. | Posted | Number | Participants | Baseline, Up to 72 Months |
|
|
|
| Secondary | Number of Participants With Clinically Significant Heart Rate | Heart rate was measured at Baseline and at each visit supine (lying on the back) and standing. A heart rate increase is an increase of ≥ 15 beats per minute (bpm) compared to Baseline. A heart rate decrease is a decrease of ≥ 15 bpm compared to Baseline. | Participants with baseline assessment and at least one post-baseline numeric result for the given parameter. | Posted | Number | Participants | Baseline, Up to 72 months |
|
|
|
| Secondary | Number of Participants With Clinically Significant Blood Pressure | Systolic and Diastolic blood pressure was measured at Baseline and at all visits supine (lying on the back) and standing. Systolic increase was an increase of ≥ 20 mm Hg compared to Baseline and systolic decrease was a decrease of ≥ 20 mm Hg compared to Baseline. A diastolic increase was an increase of ≥ 15 mm Hg compared to Baseline and a diastolic decrease was a decrease of ≥ 15 mm Hg compared to Baseline. | Participants with baseline assessment and at least one post-baseline numeric result for the given parameter. | Posted | Number | Participants | Baseline, Up to 72 months |
|
|
|
| Secondary | Number of Participants With Clinically Abnormal Changes in Electrocardiograms (ECGs) Evaluations | A 12-lead ECG was recorded at Baseline, Months 6, 12, 24, 36, 48, 60 and 72. Three readings taken 5 minutes were read by a central ECG reading service and averaged. Clinically significant ECGs were defined as: Sinus Bradycardia: ≤ 50 beats per minute (bpm), decrease of ≥ 15 bpm from Baseline. Supraventricular premature beat: ≥ 2 per 10 seconds, increase from Baseline. Ventricular premature beat: ≥ 1 per 10 seconds, increase from Baseline. Right bundle branch block: present. Other intraventricular block: QRS ≥ 0.10 seconds for age 13-17 years or QRS ≥ 0.11 seconds for age ≥ 18 years, an increase of ≥ 0.02 seconds from Baseline. Symmetrical T-wave inversion: present. QTcB (QT interval corrected Bazett's formula), QTcF (QT interval corrected Fridericia's formula), QTcN (QT corrected FDA Neuropharmacology Division formula), QTcE (QT corrected fractional exponent correction method: ≥ 420 msec for age 13-17 years or ≥ 450 msec for age ≥ 18 years, ≥ 10 % increase from Baseline. | Participants with at least one post-baseline numeric result for the given parameter. | Posted | Number | Participants | Baseline, Up to 72 months |
|
|
|
| Secondary | Number of Participants Showing Significant Weight Gain or Loss | Weight was measured at Baseline, Months 6, 12, 18, 24, 30, 36, 42, 48, 54, 60, 66, and 72. A clinically significant weight gain was defined as a ≥ 7 % increase from Baseline. A clinically significant Weight loss was defined as a ≥ 7% decrease from Baseline. | Participants with baseline assessment and at least one post-baseline numeric result for the given parameter. | Posted | Number | Participants | Baseline, Up to 72 months |
|
|
|
| Secondary | Number of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) | The C-SSRS consisted of a baseline evaluation (completed at the first scheduled visit upon approval of protocol Amendment 3) that assessed the lifetime experience of the participant with suicide events and suicidal ideation and a post-baseline evaluation at each visit that focused on suicidality since the last trial visit. Some questions are yes/no and some are on a scale of 1 (low severity) to 5 (high severity). The number of participants experiencing suicidal ideation or suicidal behavior is reported. | All participants with available assessment. | Posted | Number | Participants | Baseline, Up to 72 months |
|
|
|
| 11 |
| 85 |
| 45 |
| 85 |
| Ligament rupture | Injury, poisoning and procedural complications | MedDRA (13.1) | Systematic Assessment |
|
| Psychomotor hyperactivity | Nervous system disorders | MedDRA (13.1) | Systematic Assessment |
|
| Aggression | Psychiatric disorders | MedDRA (13.1) | Systematic Assessment |
|
| Impulsive behaviour | Psychiatric disorders | MedDRA (13.1) | Systematic Assessment |
|
| Psychotic disorder | Psychiatric disorders | MedDRA (13.1) | Systematic Assessment |
|
| Schizophrenia | Psychiatric disorders | MedDRA (13.1) | Systematic Assessment |
|
| Suicide attempt | Psychiatric disorders | MedDRA (13.1) | Systematic Assessment |
|
| Social stay hospitalisation | Social circumstances | MedDRA (13.1) | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (13.1) | Systematic Assessment |
|
| Pain | General disorders | MedDRA (13.1) | Systematic Assessment |
|
| Influenza | Infections and infestations | MedDRA (13.1) | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (13.1) | Systematic Assessment |
|
| Weight increased | Investigations | MedDRA (13.1) | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA (13.1) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (13.1) | Systematic Assessment |
|
| Somnolence | Nervous system disorders | MedDRA (13.1) | Systematic Assessment |
|
| Anxiety | Psychiatric disorders | MedDRA (13.1) | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (13.1) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (13.1) | Systematic Assessment |
|
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| D011804 |
| Quinolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| Title | Measurements |
|---|---|
|
| Hematocrit (%) |
|
| Hemoglobin (g/dL) |
|
| Prolactin (ng/mL) |
|
| Title | Measurements |
|---|---|
|
| Standing Heart Rate Decrease |
|
| Title | Measurements |
|---|---|
|
| Standing Systolic Blood Pressure Decrease |
|
| Supine Diastolic Blood Pressure Increase |
|
| Supine Diastolic Blood Pressure Decrease |
|
| Standing Diastolic Blood Pressure Increase |
|
| Standing Diastolic Blood Pressure Decrease |
|
| Title | Measurements |
|---|---|
|
| Right bundle branch block |
|
| Other intraventricular block |
|
| Symmetrical T-wave inversion |
|
| QTcB |
|
| QTcF |
|
| QTcN |
|
| QTcE |
|