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This study will evaluate the efficacy of ALKS 3831 in adult subjects with acute exacerbation of schizophrenia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ALKS 3831 | Experimental | Administered as a coated bilayer tablet |
|
| Olanzapine | Active Comparator | Administered as a coated bilayer tablet |
|
| Placebo | Placebo Comparator | Administered as a coated bilayer tablet |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ALK3831 | Drug | Daily dosing |
| |
| Olanzapine |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 4 | This scale consists of symptom constructs (7 positive, 7 negative, 16 general psychopathology), each to be rated on a 7-point Likert-type scale of severity with 1 being absent to 7 being extreme. Minimum scores (best outcome) equals 30 (total scale); maximum scores (worst outcome) equals 210 (total scale). Change is calculated between the baseline visit and Week 4. | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Clinical Global Impressions-Severity (CGIS) Score at Week 4 | The CGI-S is a 7-point scale that requires the clinician to assess how mentally ill the patient is in a specific point in time. Results indicate participants evaluated at one of the following categories: "1: normal, not at all ill"; "2: borderline mentally ill"; "3: mildly ill"; "4: moderately ill"; "5: markedly ill"; "6: severely ill"; and "7: among the most extremely ill patients". Results indicate a change in CGI-S score from baseline to Week 4 based on the observed data. Change is calculated between the baseline visit and Week 4. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David McDonnell, MD | Alkermes, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alkermes Investigational Site | Little Rock | Arkansas | 72211 | United States | ||
| Alkermes Investigational Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41944743 | Derived | McIntyre RS, Matthews DM, Arevalo C, McDonnell D, Correll CU. The Efficacy of Olanzapine/Samidorphan on Negative Symptoms: A Post Hoc Analysis of 56-Week Treatment in Patients With Schizophrenia. J Clin Psychiatry. 2026 Mar 9;87(2):25m16170. doi: 10.4088/JCP.25m16170. | |
| 32141723 | Derived | Potkin SG, Kunovac J, Silverman BL, Simmons A, Jiang Y, DiPetrillo L, McDonnell D. Efficacy and Safety of a Combination of Olanzapine and Samidorphan in Adult Patients With an Acute Exacerbation of Schizophrenia: Outcomes From the Randomized, Phase 3 ENLIGHTEN-1 Study. J Clin Psychiatry. 2020 Mar 3;81(2):19m12769. doi: 10.4088/JCP.19m12769. |
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Disposition is shown for the safety population - subjects who were randomized and received at least 1 dose of study drug. 1 subject in the placebo group and 1 subject in the olanzapine-only group were randomized but not treated, and thus were not included in the safety population.
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| ID | Title | Description |
|---|---|---|
| FG000 | ALKS 3831 | Olanzapine + samidorphan; administered as a coated bilayer tablet ALK3831: Daily dosing |
| FG001 | Olanzapine | Administered as a coated bilayer tablet Olanzapine: Daily dosing |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Sep 22, 2016 | May 25, 2018 |
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| Drug |
Daily dosing |
|
| Placebo | Drug | Daily dosing |
|
| 4 weeks |
| Incidence of Adverse Events | Approximately 4 weeks |
| Springdale |
| Arkansas |
| 72764 |
| United States |
| Alkermes Investigational Site | Culver City | California | 90230 | United States |
| Alkermes Investigational Site | Garden Grove | California | 92845 | United States |
| Alkermes Investigational Site | Lemon Grove | California | 91945 | United States |
| Alkermes Investigational Site | Long Beach | California | 90822 | United States |
| Alkermes Investigational Site | Orange | California | 92868 | United States |
| Alkermes Investigational Site | San Diego | California | 92103 | United States |
| Alkermes Investigational Site | Washington D.C. | District of Columbia | 20016 | United States |
| Alkermes Investigational Site | North Miami | Florida | 33161 | United States |
| Alkermes Investigational Site | Chicago | Illinois | 60640 | United States |
| Alkermes Investigational Site | St Louis | Missouri | 63141 | United States |
| Alkermes Investigational Site | Las Vegas | Nevada | 89102 | United States |
| Alkermes Investigational Site | Marlton | New Jersey | 08053 | United States |
| Alkermes Investigational Site | Dayton | Ohio | 45417 | United States |
| Alkermes Investigational Site | Dallas | Texas | 75243 | United States |
| Alkermes Investigational Site | Burgas | Bulgaria |
| Alkermes Investigational Site | Kazanlak | Bulgaria |
| Alkermes Investigational Site | Lovech | Bulgaria |
| Alkermes Investigational Site | Novi Iskar | Bulgaria |
| Alkermes Investigational Site | Plovdiv | Bulgaria |
| Alkermes Investigational Site | Veliko Tarnovo | Bulgaria |
| Alkermes Investigational Site | Vratsa | Bulgaria |
| Alkermes Investigational Site | Belgrade | Serbia |
| Alkermes Investigational Site | Kragujevac | Serbia |
| Alkermes Investigational Site | Novi Kneževac | Serbia |
| Alkermes Investigational Site | Cherkasy | Ukraine |
| Alkermes Investigational Site | Kherson | Ukraine |
| Alkermes Investigational Site | Kiev | Ukraine |
| Alkermes Investigational Site | Lviv | Ukraine |
| Alkermes Investigational Site | Vinnytsia | Ukraine |
| FG002 | Placebo | Administered as a coated bilayer tablet Placebo: Daily dosing |
| COMPLETED |
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| NOT COMPLETED |
|
|
Disposition is shown for all subjects randomized.
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| ID | Title | Description |
|---|---|---|
| BG000 | ALKS 3831 | Administered as a coated bilayer tablet ALK3831: Daily dosing |
| BG001 | Olanzapine | Administered as a coated bilayer tablet Olanzapine: Daily dosing |
| BG002 | Placebo | Administered as a coated bilayer tablet Placebo: Daily dosing |
| 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 |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | 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 Syndrome Scale (PANSS) Total Score at Week 4 | This scale consists of symptom constructs (7 positive, 7 negative, 16 general psychopathology), each to be rated on a 7-point Likert-type scale of severity with 1 being absent to 7 being extreme. Minimum scores (best outcome) equals 30 (total scale); maximum scores (worst outcome) equals 210 (total scale). Change is calculated between the baseline visit and Week 4. | Subjects that received at least 1 dose of study drug and had at least 1 post-baseline PANSS assessment. | Posted | Least Squares Mean | Standard Error | units on a scale | 4 weeks |
|
|
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change From Baseline in Clinical Global Impressions-Severity (CGIS) Score at Week 4 | The CGI-S is a 7-point scale that requires the clinician to assess how mentally ill the patient is in a specific point in time. Results indicate participants evaluated at one of the following categories: "1: normal, not at all ill"; "2: borderline mentally ill"; "3: mildly ill"; "4: moderately ill"; "5: markedly ill"; "6: severely ill"; and "7: among the most extremely ill patients". Results indicate a change in CGI-S score from baseline to Week 4 based on the observed data. Change is calculated between the baseline visit and Week 4. | Subjects who received at least 1 dose of study drug and had at least 1 post-baseline PANSS assessment. | Posted | Least Squares Mean | Standard Error | units on a scale | 4 weeks |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Incidence of Adverse Events | Number of subjects who received study drug and had a treatment-emergent adverse event | Posted | Count of Participants | Participants | Approximately 4 weeks |
|
|
Treatment emergent adverse events (TEAEs) are presented for the double-blind treatment period (4 weeks).
The safety population includes all subjects who received at least 1 dose of study drug.
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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 | ALKS 3831 | Administered as a coated bilayer tablet ALK3831: Daily dosing | 0 | 134 | 1 | 134 | 50 | 134 |
| EG001 | Olanzapine | Administered as a coated bilayer tablet Olanzapine: Daily dosing | 1 | 133 | 1 | 133 | 45 | 133 |
| EG002 | Placebo | Administered as a coated bilayer tablet Placebo: Daily dosing | 0 | 134 | 0 | 134 | 24 | 134 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Catatonia | Psychiatric disorders | MedDRA 19 | Non-systematic Assessment |
| |
| Toxicity to Various Agents | Injury, poisoning and procedural complications | MedDRA 19 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Weight increased | Investigations | MedDRA 19 | Non-systematic Assessment |
| |
| Somnolence | Nervous system disorders | MedDRA 19 | Non-systematic Assessment |
| |
| Dry mouth | Gastrointestinal disorders | MedDRA 19 | Non-systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA 19 | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 19 | Non-systematic Assessment |
| |
| Schizophrenia | Psychiatric disorders | MedDRA 19 | Non-systematic Assessment |
|
The dose of olanzapine was not fixed and could be titrated during the first 2 weeks of the study.
Should an Investigator desire to disclose study results, Sponsor will review the results disclosure prior to public release and can embargo the disclosure for a period of at least 60 days. Revisions to the disclosure will be negotiated in good faith. For a multicenter study the Investigators agree to publish/publicly present the results together with the other sites for the 12 month period after study results are available unless Sponsor grants written permission in advance.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Eva Stroynowski | Alkermes | 781-609-7000 | Eva.Stroynowski@alkermes.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jun 23, 2017 | May 25, 2018 | SAP_001.pdf |
| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D000077152 | Olanzapine |
| ID | Term |
|---|---|
| D001569 | Benzodiazepines |
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Ukraine |
|
| Bulgaria |
|
| Serbia |
|
| Mixed Models Analysis |
Mixed model for repeated measures is based on observed data without imputation of missing data. |
| 0.004 |
| Least square mean difference |
| -5.3 |
| Standard Error of the Mean |
| 1.84 |
| 2-Sided |
| 95 |
| -8.9 |
| -1.7 |
| Superiority |
| Units | Counts |
|---|---|
| Participants |
|
|
|
|