| ID | Type | Description | Link |
|---|---|---|---|
| R092670SCH3005 | Other Identifier | Janssen CTMS ID | |
| 2008-002247-16 | EudraCT Number |
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The purpose of this study is to assess the efficacy (how well the drug works; primarily through the time to relapse) of long-acting injectable paliperidone palmitate compared to treatment as usual with orally administered antipsychotics in monotherapy over 24 months in the treatment of recently diagnosed (1-5 years since diagnosis) schizophrenia.
This is a randomized (study drug assigned by chance), open-label (both physician and patient know the name of the assigned drug), rater-blinded (the person who assesses the condition of the patient does not know the name of the assigned drug), active-controlled, parallel-group, multicenter, prospective international study of paliperidone palmitate versus treatment as usual with oral antipsychotic agents in monotherapy in the prevention of relapse (return of symptoms). Patients who have been recently diagnosed with schizophrenia (within 5 years) and are suffering from a schizophrenic relapse (return of symptoms of schizophrenia) will be enrolled. This study consists of a 2-week initial acute oral treatment phase, followed by a treatment phase (core phase) until relapse or up to maximally 24 months, whichever comes first. Prior to a 2-week oral treatment phase, patients will be randomly (by chance) assigned in a 1:1 ratio to receive treatment with paliperidone palmitate injection (once-monthly) or oral antipsychotic medication (daily). Patients randomized to paliperidone palmitate will first receive oral paliperidone ER once daily for 2 weeks followed by paliperidone palmitate injections at a dose of 150 mg eq. on Day 1, 100 mg eq. on Day 8 both in the deltoid muscle and 75 mg eq. on Day 38 and doses in a dose range of 25 to 150 mg eq. in either the deltoid or the gluteal muscle thereafter. Patients randomized to oral comparator arm will receive oral antipsychotics (haloperidol, paliperidone ER, risperidone, olanzapine, quetiapine or aripiprazole) as per investigator discretion and prescribed according to the label. Total treatment duration is maximally 24 months. During the 24 month treatment phase, investigators will be allowed to flexibly decrease or increase the dose of paliperidone palmitate with one dose level in the range of 25 to 150 mg eq. or the oral antipsychotic in the respective locally approved dose range, all according to the patient's clinical needs. The primary endpoint of the 24-month treatment phase will be the time to relapse. Safety will be monitored by evaluating Adverse Events (AEs), rating of extrapyramidal symptoms (symptoms like abnormal muscle movements, abnormal movements of the tongue or jaw, slow or sustained muscle contractions, muscle spasms, shaking, abnormal movements of the eyes, involuntary muscle contractions, slow movements, or restlessness), vital signs measurements (including heart rate and blood pressure), body weight and physical examination findings. A urine pregnancy test will be performed in females of childbearing potential. Adverse events (unintended, but not necessarily unexpected, results of therapy that can be unpleasant or dangerous), associated concomitant medications, and symptoms of relapse will be recorded as needed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Paliperidone Palmitate | Experimental | paliperidone palmitate injection with 150 mg equivalent on Day 1 100 mg equivalent on Day 8 75 mg equivalent on Day 38 and flexible dosing with 25 50 75 100 or 150 mg equivalent once monthly thereafter |
|
| Oral Antipsychotics | Active Comparator | oral antipsychotics daily treatment according to local label for maximally 24 months |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| paliperidone palmitate injection | Drug | injection with 150 mg equivalent on Day 1, 100 mg equivalent on Day 8, 75 mg equivalent on Day 38 and flexible dosing with 25, 50, 75, 100 or 150 mg equivalent once monthly thereafter |
| Measure | Description | Time Frame |
|---|---|---|
| Time to First Relapse Event | Number of days from baseline (day 1 of core phase) to relapse as evaluated according the Csernansky criteria. A patient was considered to have relapsed if they met one or more of the following criteria: (1) psychiatric hospitalization; (2) an increase in the level of psychiatric care and an increase of 25 percent (%) from baseline in the Positive And Negative Syndrome Score (PANSS) total score (or an increase of 10 points if the baseline score was 40 or less); (3) deliberate self-injury; (4) suicidal or homicidal ideation that was clinically significant in the investigator's judgment; (5) violent behavior resulting in clinically significant injury to another person or property damage; (6) substantial clinical deterioration, defined as a change score of 6 ("much worse") or 7 ("very much worse") on the Clinical Global Impressions Scale (CGI-C); and/or (7) the required dose of the antipsychotic exceeds the maximum approved dose. | from baseline (Day 1 of core phase) up to maximally 24 months. |
| Number of Participants With a Relapse Event | Number of participants with a relapse event with relapses evaluated according the Csernansky criteria. A patient was considered to have relapsed if they met one or more of the following criteria: (1) psychiatric hospitalization; (2) an increase in the level of psychiatric care and an increase of 25% from baseline in the PANSS total score (or an increase of 10 points if the baseline score was 40 or less); (3) deliberate self-injury; (4) suicidal or homicidal ideation that was clinically significant in the investigator's judgment; (5) violent behavior resulting in clinically significant injury to another person or property damage; (6) substantial clinical deterioration, defined as a change score of 6 ("much worse") or 7 ("very much worse") on the Clinical Global Impressions Scale (CGI-C); and/or (7) the required dose of the antipsychotic exceeds the maximum approved dose. | from baseline (Day 1 of core phase) up to maximally 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Treatment Responders | The proportion of patients achieving a treatment response, defined as a ≥30% decrease (i.e., improvement) in Positive and Negative Syndrome Scale (PANSS) total score from baseline to endpoint. The PANSS is a 30-item scale (Range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items. Higher scores indicate increased severity of schizophrenia symptoms. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Janssen-Cilag International NV Clinical Trial | Janssen-Cilag International NV | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vienna | Austria | |||||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37756123 | Derived | Lopena OJ, Alphs LD, Sajatovic M, Turkoz I, Sun L, Johnston KL, Sliwa JK, Najarian DM, Starr HL. Earlier Use of Long-Acting Injectable Paliperidone Palmitate Versus Oral Antipsychotics in Patients With Schizophrenia: An Integrated Patient-Level Post Hoc Analysis. J Clin Psychiatry. 2023 Sep 25;84(6):23m14788. doi: 10.4088/JCP.23m14788. |
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After randomization patients enrolled in a 2-week oral treatment phase and were considered part of the whole Intent-to-Treat population (Whole ITT). Five patients did not receive study medication after randomization and were excluded from the whole ITT. Only responders were considered for continuation in the Core treatment phase (Core ITT).
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| ID | Title | Description |
|---|---|---|
| FG000 | Paliperidone Palmitate | 2 weeks oral paliperidone treatment followed by intramuscular injection with 150 mg paliperidone palmitate equivalent on Day 1 of the core treatment phase, 100 mg equivalent on Day 8, 75 mg equivalent on Day 38 and flexible dosing with 25, 50, 75, 100 or 150 mg equivalent once monthly thereafter |
| FG001 |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Whole Intent-to-Treat |
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| oral antipsychotics | Drug | daily treatment according to local label for maximally 24 months |
|
| from baseline (day 1 of core phase) up to maximally 24 months |
| Change From Baseline in PANSS Total Score | Change from baseline in the PANSS: The PANSS is a 30-item scale (Range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items. Higher scores indicate worsening. | Baseline, day 8, month 1, 2, 3, 4, 6, 9, 12, 15, 18, 21, 24 |
| Change From Baseline in PANSS Subscale Score | Change from baseline in positive symptom, negative symptom and general psychopathology subscales of the PANSS scale. The PANSS scale is designed to assess symptoms of schizophrenia by means of the 30-items. The PANSS scale provides subscores for 3 subscales, that is, the positive symptoms subscale (7 items, range 7-49), the negative symptoms subscale (7 items, range 7-49), and the general psychopathology subscale (16 items, range 16-112). Each item of the scale is to be scored on a scale of 1 (absent) to 7 (extreme). Higher scores indicate higher severity of schizophrenia symptoms. | Baseline (day 1 of core phase), day 8, month 12, 24 |
| Change From Baseline in PANSS Marder Factor Scores | Change from baseline in schizophrenia symptoms were assessed through the following PANSS factor scores as described by Marder: (1) positive symptoms (range 8-56): sum of delusions, hallucinatory behavior, grandiosity, suspiciousness, stereotyped thinking, somatic concern, unusual thought content, lack of judgment and insight; (2) negative symptoms (range 7-49): sum of blunted affect, emotional withdrawal, poor rapport, passive social withdrawal, lack of spontaneity, motor retardation, and active social avoidance; (3) disorganized thoughts (range 7-49): sum of conceptual disorganization, difficulty in abstract thinking, mannerisms and posturing, disorientation, poor attention, disturbance of volition, and preoccupation; (4) uncontrolled hostility/excitement (range 4-28): sum of excitement, hostility, uncooperativeness and poor impulse control; (5) anxiety/depression (range 4-28): sum of anxiety, guilt feelings, tension, and depression. Higher scores indicate higher severity of symptoms | Baseline (day 1 of core phase), day 8, month 12 and 24 |
| Change From Baseline in Clinical Global Impression Severity (CGI-S) Score | The Clinical Global Impression Severity (CGI-S) rating scale is a 7 point global clinical assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to "Normal, not at all ill" and a rating of 7 is equivalent to "Among the most extremely ill participants". Higher scores indicate higher impression of illness severity. | Baseline (day 1 of core phase), day 8, month 1, 2, 3, 4, 6, 9, 12, 15, 18, 21, 24 |
| Clinical Global Impression-Change (CGI-C) | The Clinical Global Impression-Change (CGI-C) rating scale is used to rate the change in severity of the patient's illness compared to baseline (day 1 of core phase) on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). | Month 24 and endpoint |
| Changes From Baseline in Personal and Social Performance (PSP) Total Score | The Personal and Social Performance (PSP) scale assesses degree of a participant's dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. Score ranges from 1 to 100, divided into 10 equal intervals to rate degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Based on 4 domains there will be 1 total score. Participants with score of 71 to 100 have mild degree of difficulty; from 31 to 70, varying degrees of disability; less than or equal to 30, functioning so poorly as to require intensive supervision. | baseline (day 1 of core phase), month 1, 3, 6, 9, 12, 15, 18, 21 and 24 |
| Change From Baseline in Short Form-36 Health Survey (SF-36) | The Short Form-36 Health Survey (SF-36) is a measure of Participant-reported health status. It is a 36-item questionnaire measuring 8 domains (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health). Two summary scale scores are computed based on weighted combinations of the 8 subscale scores: the Physical Component Summary and the Mental Component Summary. Each summary scale score ranges from 0 (worst) to 100 (best), with higher scores reflecting better health-related functional status. | baseline (day 1 of core phase), month 6, 12 and 24 |
| Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) VAS Score | The EQ-5D VAS records the respondent's self-rated health on a vertical, visual analog scale, with 0 representing the worst imaginable health state and 100 representing the best imaginable health state. The EQ VAS is used as a quantitative measure of health outcome as judged by the individual respondent. | baseline (day 1 of core phase), month 6, 12 and 24 |
| Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) Index Score | The EuroQol-5 is a five dimensional health state classification. Each dimension is assessed on a 3-point ordinal scale (1=no problems, 2=some problems, 3=extreme problems). The responses to the five EQ-5D dimensions were scored using a utility-weighted algorithm to derive an EQ-5D health status index score between 0 to 1, with 1.00 indicating "full health" and 0 representing dead. A higher score indicates an improvement in health in the Health Status Index. | baseline (day 1 of core phase), month 6, 12 and 24 |
| Change From Baseline in Subjective Well-Being Under Neuroleptics-Short Form (SWN-S) Total Score | The SWN-S is a patient self-rated scale developed to measure the subjective well-being for the previous 7 days of a patient under neuroleptic treatment. The SWN-S consists of 20 items (each item is rated from 1=not at all to 6=very much). The total score ranges from 20 to 120 with higher score indicating greater subjective well-being. | baseline (day 1 of core phase), month 6, 12 and 24 |
| Change From Baseline in Patient's Treatment Satisfaction | Patient's satisfaction with medication was assessed using the Treatment Satisfaction Questionnaire for Medication (TSQM). The TSQM is divided into 4 subscales (effectiveness, side effects, convenience, and global satisfaction), with the value of each subscale ranging from 0 to 100. Higher scores indicate greater treatment satisfaction. | baseline (day 1 of core phase), month 12 and 24 |
| Change From Baseline in Physician's Treatment Satisfaction | Physician's treatment satisfaction was assessed using the physician's treatment satisfaction scale which is designed to rate 4 aspects of treatment (efficacy, safety, mode of administration, and overall satisfaction), each on a scale ranging from 1 (extremely satisfied) to 7 (extremely dissatisfied). | baseline (day 1 of core phase), month 12 and 24 |
| Bertrix |
| Belgium |
| Ghent | Belgium |
| Liège | Belgium |
| Ostend | Belgium |
| Burgas | Bulgaria |
| Plovdiv | Bulgaria |
| Radnevo | Bulgaria |
| Zagreb | Croatia |
| Brno | Czechia |
| Litoměřice | Czechia |
| Olomouc | Czechia |
| Prague | Czechia |
| Přerov | Czechia |
| Alexandria | Egypt |
| Cairo | Egypt |
| Talinn | Estonia |
| Tartu | Estonia |
| Colombes | France |
| La Seyne-sur-Mer | France |
| Limoges | France |
| Metz | France |
| Paris | France |
| Saint-Avé | France |
| Berlin | Germany |
| Bochum | Germany |
| Mannheim | Germany |
| München | Germany |
| Thessalonikis | Greece |
| Budapest | Hungary |
| Kalocsa | Hungary |
| Nagykálló | Hungary |
| Sopron | Hungary |
| Bat Yam | Israel |
| Beer Yaakov | Israel |
| Hod HaSharon | Israel |
| Ramat Gan | Israel |
| Tirat Hacarmel | Israel |
| Amman | Jordan |
| Šiauliai | Lithuania |
| Vilnius | Lithuania |
| Chełmno | Poland |
| Gdansk | Poland |
| Torun | Poland |
| Ząbki | Poland |
| Arad | Romania |
| Bucharest | Romania |
| Jebel | Romania |
| Oradea | Romania |
| Sibiu | Romania |
| Ekaterinburg Na | Russia |
| Krasnodar | Russia |
| Nizny Novgorod | Russia |
| Saint Petersburg | Russia |
| Samara | Russia |
| Saratov | Russia |
| Tomsk | Russia |
| Yaroslavl | Russia |
| Bratislava | Slovakia |
| Michalovce | Slovakia |
| Rimavská Sobota | Slovakia |
| Cape Town | South Africa |
| Pretoria | South Africa |
| Goyang | South Korea |
| Incheon | South Korea |
| Kyounggi | South Korea |
| Seoul | South Korea |
| Barcelona | Spain |
| Burgos | Spain |
| Elche | Spain |
| Madrid | Spain |
| Sant Boi de Llobregat | Spain |
| Zamora | Spain |
| Taichung | Taiwan |
| Taipei | Taiwan |
| Taoyuan | Taiwan |
| Istanbul | Turkey (Türkiye) |
| Manisa Turkey | Turkey (Türkiye) |
| Zonguldak | Turkey (Türkiye) |
| Dnipropetrovsk | Ukraine |
| Donetsk | Ukraine |
| Hlevakha | Ukraine |
| Kharkiv | Ukraine |
| Kherson | Ukraine |
| Kiev | Ukraine |
| Lviv | Ukraine |
| Odesa | Ukraine |
| Poltava | Ukraine |
| Simferopol | Ukraine |
| Uzhhorod | Ukraine |
| Birmingham | United Kingdom |
| Exeter | United Kingdom |
| London | United Kingdom |
| Warrington | United Kingdom |
| Oral Antipsychotics |
Oral antipsychotics daily treatment according to local label for maximally 24 months |
| COMPLETED |
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| NOT COMPLETED |
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| CORE Intent-To-Treat |
|
|
Whole Intent-to-Treat population: All randomized patients who received at least 1 dose of study medication during the screening or treatment phase
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| ID | Title | Description |
|---|---|---|
| BG000 | Paliperidone Palmitate | 2 weeks oral paliperidone treatment followed by intramuscular injection with 150 mg paliperidone palmitate equivalent on Day 1 of the core treatment phase, 100 mg equivalent on Day 8, 75 mg equivalent on Day 38 and flexible dosing with 25, 50, 75, 100 or 150 mg equivalent once monthly thereafter |
| BG001 | Oral Antipsychotics | Oral antipsychotics daily treatment according to local label for maximally 24 months |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| 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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Time to First Relapse Event | Number of days from baseline (day 1 of core phase) to relapse as evaluated according the Csernansky criteria. A patient was considered to have relapsed if they met one or more of the following criteria: (1) psychiatric hospitalization; (2) an increase in the level of psychiatric care and an increase of 25 percent (%) from baseline in the Positive And Negative Syndrome Score (PANSS) total score (or an increase of 10 points if the baseline score was 40 or less); (3) deliberate self-injury; (4) suicidal or homicidal ideation that was clinically significant in the investigator's judgment; (5) violent behavior resulting in clinically significant injury to another person or property damage; (6) substantial clinical deterioration, defined as a change score of 6 ("much worse") or 7 ("very much worse") on the Clinical Global Impressions Scale (CGI-C); and/or (7) the required dose of the antipsychotic exceeds the maximum approved dose. | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Mean | Standard Error | days | from baseline (Day 1 of core phase) up to maximally 24 months. |
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| Secondary | Percentage of Treatment Responders | The proportion of patients achieving a treatment response, defined as a ≥30% decrease (i.e., improvement) in Positive and Negative Syndrome Scale (PANSS) total score from baseline to endpoint. The PANSS is a 30-item scale (Range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items. Higher scores indicate increased severity of schizophrenia symptoms. | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Number | 95% Confidence Interval | percentage of participants | from baseline (day 1 of core phase) up to maximally 24 months |
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| Secondary | Change From Baseline in PANSS Total Score | Change from baseline in the PANSS: The PANSS is a 30-item scale (Range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items. Higher scores indicate worsening. | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Mean | Standard Deviation | units on a scale | Baseline, day 8, month 1, 2, 3, 4, 6, 9, 12, 15, 18, 21, 24 |
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| Secondary | Change From Baseline in PANSS Subscale Score | Change from baseline in positive symptom, negative symptom and general psychopathology subscales of the PANSS scale. The PANSS scale is designed to assess symptoms of schizophrenia by means of the 30-items. The PANSS scale provides subscores for 3 subscales, that is, the positive symptoms subscale (7 items, range 7-49), the negative symptoms subscale (7 items, range 7-49), and the general psychopathology subscale (16 items, range 16-112). Each item of the scale is to be scored on a scale of 1 (absent) to 7 (extreme). Higher scores indicate higher severity of schizophrenia symptoms. | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Mean | Standard Deviation | units on a scale | Baseline (day 1 of core phase), day 8, month 12, 24 |
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| Secondary | Change From Baseline in PANSS Marder Factor Scores | Change from baseline in schizophrenia symptoms were assessed through the following PANSS factor scores as described by Marder: (1) positive symptoms (range 8-56): sum of delusions, hallucinatory behavior, grandiosity, suspiciousness, stereotyped thinking, somatic concern, unusual thought content, lack of judgment and insight; (2) negative symptoms (range 7-49): sum of blunted affect, emotional withdrawal, poor rapport, passive social withdrawal, lack of spontaneity, motor retardation, and active social avoidance; (3) disorganized thoughts (range 7-49): sum of conceptual disorganization, difficulty in abstract thinking, mannerisms and posturing, disorientation, poor attention, disturbance of volition, and preoccupation; (4) uncontrolled hostility/excitement (range 4-28): sum of excitement, hostility, uncooperativeness and poor impulse control; (5) anxiety/depression (range 4-28): sum of anxiety, guilt feelings, tension, and depression. Higher scores indicate higher severity of symptoms | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Mean | Standard Deviation | units on a scale | Baseline (day 1 of core phase), day 8, month 12 and 24 |
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| Secondary | Change From Baseline in Clinical Global Impression Severity (CGI-S) Score | The Clinical Global Impression Severity (CGI-S) rating scale is a 7 point global clinical assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to "Normal, not at all ill" and a rating of 7 is equivalent to "Among the most extremely ill participants". Higher scores indicate higher impression of illness severity. | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Mean | Standard Deviation | units on a scale | Baseline (day 1 of core phase), day 8, month 1, 2, 3, 4, 6, 9, 12, 15, 18, 21, 24 |
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| Secondary | Clinical Global Impression-Change (CGI-C) | The Clinical Global Impression-Change (CGI-C) rating scale is used to rate the change in severity of the patient's illness compared to baseline (day 1 of core phase) on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Number | percentage of participants | Month 24 and endpoint |
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| Secondary | Changes From Baseline in Personal and Social Performance (PSP) Total Score | The Personal and Social Performance (PSP) scale assesses degree of a participant's dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. Score ranges from 1 to 100, divided into 10 equal intervals to rate degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Based on 4 domains there will be 1 total score. Participants with score of 71 to 100 have mild degree of difficulty; from 31 to 70, varying degrees of disability; less than or equal to 30, functioning so poorly as to require intensive supervision. | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Mean | Standard Deviation | units on a scale | baseline (day 1 of core phase), month 1, 3, 6, 9, 12, 15, 18, 21 and 24 |
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| Secondary | Change From Baseline in Short Form-36 Health Survey (SF-36) | The Short Form-36 Health Survey (SF-36) is a measure of Participant-reported health status. It is a 36-item questionnaire measuring 8 domains (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health). Two summary scale scores are computed based on weighted combinations of the 8 subscale scores: the Physical Component Summary and the Mental Component Summary. Each summary scale score ranges from 0 (worst) to 100 (best), with higher scores reflecting better health-related functional status. | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Mean | Standard Deviation | units on a scale | baseline (day 1 of core phase), month 6, 12 and 24 |
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| Secondary | Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) VAS Score | The EQ-5D VAS records the respondent's self-rated health on a vertical, visual analog scale, with 0 representing the worst imaginable health state and 100 representing the best imaginable health state. The EQ VAS is used as a quantitative measure of health outcome as judged by the individual respondent. | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Mean | Standard Deviation | units on a scale | baseline (day 1 of core phase), month 6, 12 and 24 |
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| Secondary | Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) Index Score | The EuroQol-5 is a five dimensional health state classification. Each dimension is assessed on a 3-point ordinal scale (1=no problems, 2=some problems, 3=extreme problems). The responses to the five EQ-5D dimensions were scored using a utility-weighted algorithm to derive an EQ-5D health status index score between 0 to 1, with 1.00 indicating "full health" and 0 representing dead. A higher score indicates an improvement in health in the Health Status Index. | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Mean | Standard Deviation | units on a scale | baseline (day 1 of core phase), month 6, 12 and 24 |
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| Secondary | Change From Baseline in Subjective Well-Being Under Neuroleptics-Short Form (SWN-S) Total Score | The SWN-S is a patient self-rated scale developed to measure the subjective well-being for the previous 7 days of a patient under neuroleptic treatment. The SWN-S consists of 20 items (each item is rated from 1=not at all to 6=very much). The total score ranges from 20 to 120 with higher score indicating greater subjective well-being. | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Mean | Standard Deviation | units on a scale | baseline (day 1 of core phase), month 6, 12 and 24 |
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| Secondary | Change From Baseline in Patient's Treatment Satisfaction | Patient's satisfaction with medication was assessed using the Treatment Satisfaction Questionnaire for Medication (TSQM). The TSQM is divided into 4 subscales (effectiveness, side effects, convenience, and global satisfaction), with the value of each subscale ranging from 0 to 100. Higher scores indicate greater treatment satisfaction. | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Mean | Standard Deviation | units on a scale | baseline (day 1 of core phase), month 12 and 24 |
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| Secondary | Change From Baseline in Physician's Treatment Satisfaction | Physician's treatment satisfaction was assessed using the physician's treatment satisfaction scale which is designed to rate 4 aspects of treatment (efficacy, safety, mode of administration, and overall satisfaction), each on a scale ranging from 1 (extremely satisfied) to 7 (extremely dissatisfied). | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Mean | Standard Deviation | units on a scale | baseline (day 1 of core phase), month 12 and 24 |
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| Primary | Number of Participants With a Relapse Event | Number of participants with a relapse event with relapses evaluated according the Csernansky criteria. A patient was considered to have relapsed if they met one or more of the following criteria: (1) psychiatric hospitalization; (2) an increase in the level of psychiatric care and an increase of 25% from baseline in the PANSS total score (or an increase of 10 points if the baseline score was 40 or less); (3) deliberate self-injury; (4) suicidal or homicidal ideation that was clinically significant in the investigator's judgment; (5) violent behavior resulting in clinically significant injury to another person or property damage; (6) substantial clinical deterioration, defined as a change score of 6 ("much worse") or 7 ("very much worse") on the Clinical Global Impressions Scale (CGI-C); and/or (7) the required dose of the antipsychotic exceeds the maximum approved dose. | all randomized subjects who responded at the end of the 2-week initial acute oral treatment phase, who also received at least one dose of study medication during the 24-month core treatment phase and provided at least one post-baseline efficacy assessment | Posted | Number | number of participants | from baseline (Day 1 of core phase) up to maximally 24 months |
|
from randomization until maximally month 24
Only patients who had at least one of the TEAEs listed in the Other (non Serious) AE table are included in the Total no. subjects with Non-Serious Adverse Events
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Paliperidone Palmitate | 2 weeks oral paliperidone treatment followed by intramuscular injection with 150 mg paliperidone palmitate equivalent on Day 1 of the core treatment phase, 100 mg equivalent on Day 8, 75 mg equivalent on Day 38 and flexible dosing with 25, 50, 75, 100 or 150 mg equivalent once monthly thereafter | 42 | 376 | 208 | 376 | ||
| EG001 | Oral Antipsychotics | Oral antipsychotics daily treatment according to local label for maximally 24 months | 48 | 388 | 208 | 388 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cardiac arrest | Cardiac disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Haemorrhoids | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Salivary hypersecretion | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Sudden death | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Cholecystitis chronic | Hepatobiliary disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Hepatic echinococciasis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Foreign body | Injury, poisoning and procedural complications | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Multiple injuries | Injury, poisoning and procedural complications | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Overdose | Injury, poisoning and procedural complications | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Tibia fracture | Injury, poisoning and procedural complications | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Prognathism | Musculoskeletal and connective tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Epilepsy | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Acute psychosis | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Agitation | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Alcohol abuse | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Psychotic disorder | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Schizophrenia | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Schizophrenia, paranoid type | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Suicide attempt | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Calculus bladder | Renal and urinary disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Varicocele | Reproductive system and breast disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Vertigo | Ear and labyrinth disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Asthenia | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Fatigue | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Injection site pain | General disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Weight decreased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Weight increased | Investigations | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Increased appetite | Metabolism and nutrition disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Muscle rigidity | Musculoskeletal and connective tissue disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Akathisia | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Sedation | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Somnolence | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Tremor | Nervous system disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Agitation | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Schizophrenia | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Suicidal ideation | Psychiatric disorders | MedDRA Version 15.1 | Non-systematic Assessment |
| |
| Amenorrhoea | Reproductive system and breast disorders | MedDRA Version 15.1 | Non-systematic Assessment |
|
A copy of the manuscript must be provided to the Sponsor for review at least 60 days prior to submission for publication or presentation.
No paper that incorporates Confidential Information will be submitted for publication without Sponsor's prior written consent. If requested in writing, such publication will be withheld for up to an additional 60 calendar days. A publication from the individual Study site data will not be published until the combined results have been published.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| EMEA Medical Affairs Director Psychiatry | Janssen-Cilag Germany | ClinicalTrialDisclosure@its.jnj.com |
| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| D000068882 | Paliperidone Palmitate |
| D014150 | Antipsychotic Agents |
| ID | Term |
|---|---|
| D007555 | Isoxazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011743 | Pyrimidines |
| D014149 | Tranquilizing Agents |
| D002492 | Central Nervous System Depressants |
| D045505 | Physiological Effects of Drugs |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
| D002491 | Central Nervous System Agents |
| D045506 | Therapeutic Uses |
| D011619 | Psychotropic Drugs |
Not provided
Not provided
| Lack of Efficacy |
|
| Lost to Follow-up |
|
| Pregnancy |
|
| Withdrawal by Subject |
|
| Noncompliance With Study Drug |
|
| Other |
|
| Ineligibility |
|
| Visit Schedule Issues |
|
| Patient Moved |
|
| Male |
|
| BELGIUM |
|
| BULGARIA |
|
| CROATIA |
|
| CZECH REPUBLIC |
|
| EGYPT |
|
| ESTONIA |
|
| FRANCE |
|
| GERMANY |
|
| HUNGARY |
|
| ISRAEL |
|
| ITALY |
|
| JORDAN |
|
| KOREA, REPUBLIC OF KOREA |
|
| LITHUANIA |
|
| POLAND |
|
| ROMANIA |
|
| RUSSIAN FEDERATION |
|
| SLOVAKIA |
|
| SOUTH AFRICA |
|
| SPAIN |
|
| TAIWAN, PROVINCE OF CHINA |
|
| TURKEY |
|
| UKRAINE |
|
|
|
| Units |
|---|
| Counts |
|---|
| Participants |
|
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| Units | Counts |
|---|---|
| Participants |
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| OG001 | Oral Antipsychotics | oral antipsychotics daily treatment according to local label for maximally 24 months |
|
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| Units |
|---|
| Counts |
|---|
| Participants |
|
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|
|
| Units | Counts |
|---|---|
| Participants |
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| Participants |
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| Units | Counts |
|---|
| Participants |
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| Participants |
|
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| Participants |
|
|
|
|
oral antipsychotics daily treatment according to local label for maximally 24 months |
|
|
|