Study of Paliperidone Palmitate 3 Month and 1 Month Formulations for the Treatment of Patients With Schizophrenia
A Randomized, Multicenter, Double-Blind, Non-inferiority Study of Paliperidone Palmitate 3 Month and 1 Month Formulations for the Treatment of Subjects With Schizophrenia
4 other identifiers
interventional
1,429
25 countries
173
Brief Summary
The purpose of this study is to demonstrate that a paliperidone palmitate 3 month formulation (PP3M) is as effective as the paliperidone palmitate 1 month formulation (PP1M) in the treatment of patients with schizophrenia who have been stabilized on PP1M.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 schizophrenia
Started May 2012
Typical duration for phase_3 schizophrenia
173 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 17, 2012
CompletedFirst Posted
Study publicly available on registry
January 24, 2012
CompletedStudy Start
First participant enrolled
May 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2015
CompletedResults Posted
Study results publicly available
May 2, 2016
CompletedMay 2, 2016
April 1, 2016
2.8 years
January 17, 2012
February 1, 2016
April 28, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Without Relapse at Week 48 During the Double-Blind Phase
Relapse defined as: Psychiatric hospitalization;participant had an increase of 25 percent in total PANSS score from randomization for 2 consecutive assessments separated by 3-7 days if score at randomization was greater than (\>) 40; had a 10 point increase in total PANSS score from randomization for 2 consecutive assessments separated by 3-7 days if score at randomization was less than or equal to (\<=) 40; deliberate self-injury or exhibited violent behavior resulting in suicide, clinically significant injury;suicidal or homicidal ideation and aggressive behavior;For PANSS items-had a score of greater than or equal to (\>=) 5 after randomization for 2 consecutive assessments separated by 3-7 days on any of above items if maximum score for these above PANSS items was \<=3 at randomization; had a score of \>=6 after randomization for 2 consecutive assessments separated by 3-7 days on any of above items if maximum score for these above PANSS items was 4 at randomization.
Up to 48 weeks
Secondary Outcomes (6)
Change From Double-Blind (DB) Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 48
DB Baseline (Week 17) and 48 week or DB Endpoint
Change From DB Baseline in Clinical Global Impression Severity (CGI-S) Scale Score at Week 48
DB Baseline (Week 17) and 48 week or DB Endpoint
Change From DB Baseline in Personal and Social Performance (PSP) Total Score at Week 48
DB Baseline (Week 17) and 48 week or DB Endpoint
Percentage of Participants Who Met the Criteria for Symptomatic Remission Based on Andreasen Criteria
Weeks 41 to 65
Change From Baseline in Positive and Negative Syndrome Subscales Score at Week 48
DB Baseline (Week 17) and 48 week or DB Endpoint
- +1 more secondary outcomes
Study Arms (2)
Paliperidone palmitate 3-month (PP3M)
EXPERIMENTALA formulation of paliperidone palmitate with a 3-month injection interval
Paliperidone palmitate 1-month (PP1M)
ACTIVE COMPARATORA formulation of paliperidone palmitate with a 1-month injection interval
Interventions
Type= exact number, unit= mg eq., number= 175, form= injection, route= intramuscular use. One injection every third month for 48 weeks.
Type= exact number, unit= mg eq., number= 263, form= injection, route= intramuscular use. One injection every third month for 48 weeks.
Type= exact number, unit= mg eq., number= 350, form= injection, route= intramuscular use. One injection every third month for 48 weeks.
Type= exact number, unit= mg eq., number= 525, form= injection, route= intramuscular use. One injection every third month for 48 weeks.
Form= injection, route= intramuscular use. One injection monthly when not receiving active medication for 48 weeks.
Type= exact number, unit= mg eq., number= 50, form= injection, route= intramuscular use. One injection every month for 48 weeks.
Type= exact number, unit= mg eq., number= 75, form= injection, route= intramuscular use. One injection every month for 48 weeks.
Type= exact number, unit= mg eq., number= 100, form= injection, route= intramuscular use. One injection every month for 48 weeks.
Type= exact number, unit= mg eq., number= 150, form= injection, route= intramuscular use. One injection every month for 48 weeks.
Eligibility Criteria
You may qualify if:
- Patients with schizophrenia for more than 1 year and whose symptoms are worsening in the opinion of the investigator
- A total score in the Positive and Negative Syndrome Scale (PANSS) between 70 and 120
- Signed informed consent
- Women must not be pregnant, breastfeeding, and if capable of pregnancy must practice an effective method of birth control
- Men must agree to use a double-barrier method of birth control
- Be medically stable on the basis of clinical laboratory tests, physical examination, medical history, vital signs, and electrocardiogram (ECG)
You may not qualify if:
- A diagnosis other than schizophrenia, e.g., dissociative disorder, bipolar disorder, major depressive disorder, schizoaffective disorder, schizophreniform disorder, autistic disorder, primary substance-induced psychotic disorder, dementia-related psychosis
- Relevant history or current presence of any significant or unstable medical condition(s) determined to be clinically significant by the Investigator (ie, obesity, diabetes, heart disease etc)
- A diagnosis of substance dependence within 6 months before screening
- History of neuroleptic malignant syndrome (NMS) or tardive dyskinesia
- Clozapine use in the last 2 months when used for treatment-resistant or treatment-refractory illness
- Clinically significant findings in biochemistry, hematology, ECG or urinalysis results
- Any other disease or condition that, in the opinion of the investigator, would make participation not in the best interest of the patient or that could prevent, limit, or confound the protocol-specified assessments
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (174)
Unknown Facility
Little Rock, Arkansas, United States
Unknown Facility
Glendale, California, United States
Unknown Facility
Long Beach, California, United States
Unknown Facility
Oakland, California, United States
Unknown Facility
Oceanside, California, United States
Unknown Facility
Orange, California, United States
Unknown Facility
San Diego, California, United States
Unknown Facility
New Britain, Connecticut, United States
Unknown Facility
Bradenton, Florida, United States
Unknown Facility
Kissimmee, Florida, United States
Unknown Facility
Tampa, Florida, United States
Unknown Facility
Wichita, Kansas, United States
Unknown Facility
East Lansing, Michigan, United States
Unknown Facility
St Louis, Missouri, United States
Unknown Facility
Las Vegas, Nevada, United States
Unknown Facility
Jamaica, New York, United States
Unknown Facility
Durham, North Carolina, United States
Unknown Facility
Canton, Ohio, United States
Unknown Facility
Oklahoma City, Oklahoma, United States
Unknown Facility
Philadelphia, Pennsylvania, United States
Unknown Facility
Charleston, South Carolina, United States
Unknown Facility
Memphis, Tennessee, United States
Unknown Facility
Austin, Texas, United States
Unknown Facility
Bothell, Washington, United States
Unknown Facility
Buenos Aires, Argentina
Unknown Facility
Córdoba, Argentina
Unknown Facility
Rosario, Argentina
Unknown Facility
Elizabeth Vale, Australia
Unknown Facility
Frankston, Australia
Unknown Facility
Innsbruck, Austria
Unknown Facility
Assebroek, Belgium
Unknown Facility
Bertrix, Belgium
Unknown Facility
Dave, Belgium
Unknown Facility
Heusden, Belgium
Unknown Facility
Jette, Belgium
Unknown Facility
Marchienne-au-Pont, Belgium
Unknown Facility
Sint-Denijs-Westrem, Belgium
Unknown Facility
Rio de Janeiro, Brazil
Unknown Facility
Burgas, Bulgaria
Unknown Facility
Kazanlak, Bulgaria
Unknown Facility
Radnevo, Bulgaria
Unknown Facility
Sofia, Bulgaria
Unknown Facility
Calgary, Alberta, Canada
Unknown Facility
Halifax, Ontario, Canada
Unknown Facility
Montreal, Quebec, Canada
Unknown Facility
Burlington, Canada
Unknown Facility
Baoding, China
Unknown Facility
Beijing, China
Unknown Facility
Changsha, China
Unknown Facility
Guangdong, China
Unknown Facility
Guangzhou, China
Unknown Facility
Hangzhou, China
Unknown Facility
Kunming, China
Unknown Facility
Shanghai, China
Unknown Facility
Tianjin, China
Unknown Facility
Wuhan, China
Unknown Facility
Xi'an, China
Unknown Facility
Brno, Czechia
Unknown Facility
Hořovice, Czechia
Unknown Facility
Liberec, Czechia
Unknown Facility
Prague, Czechia
Unknown Facility
Přerov, Czechia
Unknown Facility
Clermont-Ferrand, France
Unknown Facility
Dole, France
Unknown Facility
Montpellier, France
Unknown Facility
Toulon, France
Unknown Facility
Bochum, Germany
Unknown Facility
Gelsenkirchen, Germany
Unknown Facility
Hamburg, Germany
Unknown Facility
Heidelberg, Germany
Unknown Facility
München, Germany
Unknown Facility
Arta, Greece
Unknown Facility
Athens, Greece
Unknown Facility
Katerini, Greece
Unknown Facility
Balassagyarmat, Hungary
Unknown Facility
Budapest, Hungary
Unknown Facility
Gyõr, Hungary
Unknown Facility
Kalocsa, Hungary
Unknown Facility
Sopron, Hungary
Unknown Facility
Aizu-Wakamatsu, Japan
Unknown Facility
Fujioka, Japan
Unknown Facility
Fujisawa, Japan
Unknown Facility
Hadano, Japan
Unknown Facility
Himeji, Japan
Unknown Facility
Hitachi, Japan
Unknown Facility
Ichikawa, Japan
Unknown Facility
Kanuma, Japan
Unknown Facility
Kanzaki, Japan
Unknown Facility
Kashihara, Japan
Unknown Facility
Kashiwara, Japan
Unknown Facility
Kasuya, Japan
Unknown Facility
Kawasaki, Japan
Unknown Facility
Kitagunma, Japan
Unknown Facility
Kochi, Japan
Unknown Facility
Kodaira, Japan
Unknown Facility
Kumagaya, Japan
Unknown Facility
Kumamoto, Japan
Unknown Facility
Kure, Japan
Unknown Facility
Matsusaka, Japan
Unknown Facility
Mitaka, Japan
Unknown Facility
Moriguchi, Japan
Unknown Facility
Nagasaki, Japan
Unknown Facility
Naha, Japan
Unknown Facility
Nirasaki, Japan
Unknown Facility
Ohta, Japan
Unknown Facility
Okayama, Japan
Unknown Facility
Okinawa, Japan
Unknown Facility
Sakai, Japan
Unknown Facility
Shibukawa, Japan
Unknown Facility
Takatsuki, Japan
Unknown Facility
Toki, Japan
Unknown Facility
Tokushima, Japan
Unknown Facility
Tokyo, Japan
Unknown Facility
Toyoake, Japan
Unknown Facility
Ueda, Japan
Unknown Facility
Yatsushiro, Japan
Unknown Facility
Yokkaichi, Japan
Unknown Facility
Yokohama, Japan
Unknown Facility
Guadalajara, Mexico
Unknown Facility
Monterrey, Mexico
Unknown Facility
Tlalnepantla, Mexico
Unknown Facility
Bełchatów, Poland
Unknown Facility
Bydgoszcz, Poland
Unknown Facility
Chełmno, Poland
Unknown Facility
Gdynia Na, Poland
Unknown Facility
Lubin, Poland
Unknown Facility
Lubliniec, Poland
Unknown Facility
Piekary Śląskie, Poland
Unknown Facility
Torun, Poland
Unknown Facility
Ząbki, Poland
Unknown Facility
Almada, Portugal
Unknown Facility
Angra do Heroísmo, Portugal
Unknown Facility
Coimbra, Portugal
Unknown Facility
Lisbon, Portugal
Unknown Facility
Porto, Portugal
Unknown Facility
Brasov, Romania
Unknown Facility
Cluj-Napoca, Romania
Unknown Facility
Arkhangelsk, Russia
Unknown Facility
Gatchina, Russia
Unknown Facility
Krasnodar, Russia
Unknown Facility
Moscow, Russia
Unknown Facility
Nizhny Novgorod, Russia
Unknown Facility
Saint Petersburg, Russia
Unknown Facility
Saratov, Russia
Unknown Facility
Smolensk, Russia
Unknown Facility
Smolensk Region N/A, Russia
Unknown Facility
St-Peterburg, Russia
Unknown Facility
Tomsk Na, Russia
Unknown Facility
Yaroslavl, Russia
Unknown Facility
Yekaterinburg, Russia
Unknown Facility
Bratislava, Slovakia
Unknown Facility
Michalovce, Slovakia
Unknown Facility
Rimavská Sobota, Slovakia
Unknown Facility
Trenčín, Slovakia
Unknown Facility
Busan, South Korea
Unknown Facility
Gwangju, South Korea
Unknown Facility
Gyeonggi-do, South Korea
Unknown Facility
Seoul, South Korea
Unknown Facility
Alicante, Spain
Unknown Facility
Barakaldo, Spain
Unknown Facility
Barcelona, Spain
Unknown Facility
Coslada, Spain
Unknown Facility
Elche, Spain
Unknown Facility
Madrid, Spain
Unknown Facility
Zamora, Spain
Unknown Facility
Uppsala, Sweden
Unknown Facility
Bali Township, Taipei County, Taiwan
Unknown Facility
Kaohsiung City, Taiwan
Unknown Facility
Taoyuan District, Taiwan
Unknown Facility
Hlevakha, Ukraine
Unknown Facility
Kharkiv, Ukraine
Unknown Facility
Kiev, Ukraine
Unknown Facility
Odesa, Ukraine
Unknown Facility
Poltava, Ukraine
Related Publications (7)
Li X, Ye C, Zhang W, Jia M, Wang G. Factors Associated with Symptom Stabilization that Allow for Successful Transition from Once-Monthly Paliperidone Palmitate to Three-Monthly Paliperidone Palmitate: A Post Hoc Analysis Examined Clinical Characteristics in Chinese Patients with Schizophrenia. CNS Drugs. 2024 Jan;38(1):55-65. doi: 10.1007/s40263-023-01056-x. Epub 2024 Jan 8.
PMID: 38190077DERIVEDGopal S, Gogate J, Pungor K, Kim E, Singh A, Mathews M. Improvement of Negative Symptoms in Schizophrenia with Paliperidone Palmitate 1-Month and 3-Month Long-Acting Injectables: Results from a Phase 3 Non-Inferiority Study. Neuropsychiatr Dis Treat. 2020 Mar 6;16:681-690. doi: 10.2147/NDT.S226296. eCollection 2020.
PMID: 32184607DERIVEDSavitz AJ, Xu H, Gopal S, Nuamah I, Mathews M, Soares B. Efficacy and safety of paliperidone palmitate 3-month formulation in Latin American patients with schizophrenia: A subgroup analysis of data from two large phase 3 randomized, double-blind studies. Braz J Psychiatry. 2019 Nov-Dec;41(6):499-510. doi: 10.1590/1516-4446-2018-0153.
PMID: 30994855DERIVEDNash AI, Turkoz I, Savitz AJ, Mathews M, Kim E. Predictors of achieving remission in schizophrenia patients treated with paliperidone palmitate 3-month formulation. Neuropsychiatr Dis Treat. 2019 Mar 22;15:731-737. doi: 10.2147/NDT.S194264. eCollection 2019.
PMID: 30962688DERIVEDMathews M, Pei H, Savitz A, Nuamah I, Hough D, Alphs L, Gopal S. Paliperidone Palmitate 3-Monthly Versus 1-Monthly Injectable in Patients With Schizophrenia With or Without Prior Exposure to Oral Risperidone or Paliperidone: A Post Hoc, Subgroup Analysis. Clin Drug Investig. 2018 Aug;38(8):695-702. doi: 10.1007/s40261-018-0647-z.
PMID: 29882073DERIVEDMagnusson MO, Samtani MN, Plan EL, Jonsson EN, Rossenu S, Vermeulen A, Russu A. Population Pharmacokinetics of a Novel Once-Every 3 Months Intramuscular Formulation of Paliperidone Palmitate in Patients with Schizophrenia. Clin Pharmacokinet. 2017 Apr;56(4):421-433. doi: 10.1007/s40262-016-0459-3.
PMID: 27743205DERIVEDSamtani MN, Nandy P, Ravenstijn P, Remmerie B, Vermeulen A, Russu A, D'hoore P, Baum EZ, Savitz A, Gopal S, Hough D. Prospective dose selection and acceleration of paliperidone palmitate 3-month formulation development using a pharmacometric bridging strategy. Br J Clin Pharmacol. 2016 Nov;82(5):1364-1370. doi: 10.1111/bcp.13050. Epub 2016 Jul 24.
PMID: 27333588DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Director Clinical Research
- Organization
- Janssen Research & Development, LLC
Study Officials
- STUDY DIRECTOR
Janssen Research & Development, LLC Clinical Trial
Janssen Research & Development, LLC
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 17, 2012
First Posted
January 24, 2012
Study Start
May 1, 2012
Primary Completion
February 1, 2015
Study Completion
March 1, 2015
Last Updated
May 2, 2016
Results First Posted
May 2, 2016
Record last verified: 2016-04