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This is a single ascending dose phase 1 study to evaluate the pharmacokinetics (PK), safety, and tolerability of a single intramuscular (IM) injection of quarterly Risperidone (QUAR) for different formulations and dose strengths in participants with schizophrenia.
The study will assess the PK, safety and tolerability of QUAR when administered as a single IM injection, in patients with schizophrenia. The study will be conducted with 3 different dose strengths and up to two formulations.
After eligibility confirmation, an oral treatment period follow by a washout period will be performed before QUAR IM administration.
The different cohorts will be administered with one of the following dosages of Risperidone QUAR:
Cohort 1/2: Formulation 1 or 2. Dose level 1 (Gluteal); Cohort 1a/2a: Formulation 1 or 2. Dose level 2 (Gluteal); Cohort 1b/2b: Formulation 1 or 2. Dose level 3 (Gluteal); Cohort 1c/2c: Formulation 1 or 2. Dose level 3 (Deltoid);
The progression to the next cohorts will take place after a clinical safety assessment. Several blood samples for plasma pharmacokinetic (PK) assessments will be obtained pre-dose and post-dose. Safety assessments will be conducted at each pre-specified time points.
After assessment of Cohort 1 (formulation 1, Dose Level 1, -gluteus-) progression to the next cohort with same formulation and escalating dose will take place (Cohort 1a -gluteus-). After assessment of Cohort 1a, progression and randomization (gluteus/deltoid) to the next cohorts with same formulation and escalating dose will take place (Cohort 1b -gluteus- and Cohort 1c -deltoid-). In this scenario, none of the Cohorts 2 will be conducted.
If the assessment for Cohort 1 is not adequate, none of the subsequent Cohorts 1 (a/b/c) will be conducted and progression to the next cohort (Cohort 2) with different formulation and same level of dose as Cohort 1 will take place (Cohort 2: Formulation 2, Dose Level 1 -gluteus-). After assessment of Cohort 2, progression to the next cohort with same formulation and escalating dose will take place (Cohort 2a -gluteus-). After assessment of Cohort 2a, progression and randomization (gluteus/deltoid) to the next cohorts with same formulation and escalating dose will take place (Cohort 2b -gluteus- and Cohort 2c -deltoid-).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1/2 | Experimental | Patient will recieve oral risperidone for one week followed by a single IM injection of Risperidone QUAR out of two possible formulations (F1/F2) with a level 1 dose. |
|
| Cohort 1a/2a | Experimental | Patient will recieve oral risperidone for one week followed by a single IM injection of Risperidone QUAR out of two possible formulations (F1/F2) with a level 2 dose. |
|
| Cohort 1b//2b | Experimental | Patient will recieve oral risperidone for one week followed by a single IM injection of Risperidone QUAR out of two possible formulations (F1/F2) with a level 3 dose. |
|
| Cohort 1c/2c | Experimental | Patient will recieve oral risperidone for one week followed by a single IM injection of Risperidone QUAR out of two possible formulations (F1/F2) with a level 3 dose. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oral risperidone; QUAR F1/2, Dose 1 - Gluteal | Drug | Dose level 1 |
| |
| Measure | Description | Time Frame |
|---|---|---|
| λz | Terminal elimination rate constant | Following Oral and QUAR administration until day 17 or 196 respectively |
| t1/2 | Terminal elimination half-life | Following Oral and QUAR administration until day 17 or 196 respectively |
| Tmax | Time to peak concentration | Following Oral and QUAR administration until day 17 or 196 respectively |
| Cmax | Peak plasma concentration | Following Oral and QUAR administration until day 17 or 196 respectively |
| Cmin | Minimum plasma concentration | Following Oral and QUAR administration until day 17 or 196 respectively |
| Clast | Last observed plasma concentration | Following Oral and QUAR administration until day 17 or 196 respectively |
| AUC0-t | Area under the curve | Following Oral and QUAR administration until day 17 or 196 respectively |
| AUCinf | Area under the curve | Following QUAR administration until day 196 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigational Site | Amman | Jordan |
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| Oral risperidone; QUAR F1/2, Dose 2 - Gluteal |
| Drug |
Dose level 2 |
|
| Oral risperidone; QUAR F1/2, Dose 3 - Gluteal | Drug | Dose level 3 |
|
| Oral risperidone; QUAR F1/2, Dose 3 - Deltoids | Drug | Dose level 3 |
|
| AUCextrap | Area under the curve | Following QUAR administration until day 196 |
| Vd/F | Apparent volume of distribution | Following Oral and QUAR administration until day 17 or 196 respectively |
| Cl/F | Apparent total body clearance | Following Oral and QUAR administration until day 17 or 196 respectively |
| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D018967 | Risperidone |
| ID | Term |
|---|---|
| D011744 | Pyrimidinones |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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