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The purpose of this study is to assess the safety, tolerability and PK profile of a single dose of 60mg RBO-7000 in stable subjects with schizophrenia who are on medication other than risperidone.
Twelve subjects with stable schizophrenia will be enrolled. The expected duration of participation is 88 days which includes at least a 2 days screening and an 85 day treatment period (15 -day inpatient stay in the clinical unit and an additional 70-day outpatient period, including the Day 85 end of study follow up or early termination visit. Visits will occur approximately weekly during the outpatient period.
Neurological and clinical symptom assessments (Positive and Negative Syndrome Scale [PANSS], Clinical Global Impressions-Schizophrenic Specific [CGI-SCH], Simpson-Angus Scale [SAS], Barnes Akathisia Scale [BAS], and Columbia-Suicide Severity Rating Scale [C-SSRS]) will be conducted at screening, on the day of admission to the clinical unit (Day -1), and at each post-dose visit throughout the study including the follow-up visit. Scale results will be reviewed by the Principal Investigator. The Abnormal Involuntary Movement Scale (AIMS) for Tardive Dyskinesia will be performed at screening and at each post-dose visit throughout the study including the end of study follow-up visit. CYP-2D6 genotyping will be conducted at screening. Tolerability will be measured using SAS, which will be conducted as described above.
Blood samples to assess the PK parameters will be taken from pre-dose until approximately 84 days post-dose.
End of study procedures will be conducted on follow-up Day 85 (84 days post-dose) or early termination (ET) to assess any adverse events (AEs) that were ongoing at the last visit, any new AEs that have developed, and for measurement of safety parameters.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RBP-7000 | Experimental | All subjects that meet initial study entry criteria will receive a test dose of 0.25mg of oral risperidone. Subjects who continue to be eligible will return to the clinical unit in one week and receive a single dose of 60mg RBP-7000 after a 2 hour fast. Subjects will remain in the clinical unit for 14 days, then return for 10 additional weeks after discharge. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RBP-7000 | Drug | Single dose |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of treatment emergent adverse and serious adverse events after a single injection of RBP-7000 | Adverse events, serious adverse events, discontinuations due to AEs, local injection site tolerability, vital signs, physical examinations, laboratory results, use of concomitant medications, clinical symptom assessments, 12-lead ECGs | Day 1-Day 85 |
| Maximum plasma concentration (Cmax) after a single injection of RBP-7000 | PK parameter will be determined for both risperidone and total risperidone (risperidone + 9-hydroxyrisperidone) at initial burst, secondary peak (if applicable) and overall. | Pre-Dose to 84 days post-dose |
| Time of occurrence of Cmax (Tmax) after a single injection of RBP-7000 | PK parameter will be determined for both risperidone and total risperidone (risperidone + 9-hydroxyrisperidone) at initial burst, secondary peak (if applicable) and overall. | Pre-Dose to 84 days post-dose |
| Area under the plasma concentration versus time curve (AUC) after a single injection of RBP-7000 | PK parameter will be determined for both risperidone and total risperidone (risperidone + 9-hydroxyrisperidone) at initial burst, secondary peak (if applicable) and overall. | Pre-Dose to 84 days post-dose |
| AUC last after a single injection of RBP-7000 | Overall PK parameter will be determined for both risperidone and total risperidone (risperidone + 9-hydroxyrisperidone). | Day 85 |
| C last | Overall PK parameter will be determined for both risperidone and total risperidone (risperidone + 9-hydroxyrisperidone). |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax versus RISPERDAL® CONSTA® historical data | The distribution of RBP-7000 compared to those obtained in a previous single-dose study of RISPERDAL® CONSTA®. | Pre-Dose to 84 days post-dose |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CRI Worldwide | Willingboro | New Jersey | 08046 | United States |
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| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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| Day 85 |
| T last | Overall PK parameter will be determined for both risperidone and total risperidone (risperidone + 9-hydroxyrisperidone). | Day 85 |
| Apparent elimination rate constant (AUC0-∞, λz) | Overall PK parameter will be determined for both risperidone and total risperidone (risperidone + 9-hydroxyrisperidone). | Pre-dose to 84 days post-dose |
| Half life (T1/2) | Overall PK parameter will be determined for both risperidone and total risperidone (risperidone + 9-hydroxyrisperidone). | Pre-dose to 84 days post-dose |