NCT01515423

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

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
1,429

participants targeted

Target at P75+ for phase_3 schizophrenia

Timeline
Completed

Started May 2012

Typical duration for phase_3 schizophrenia

Geographic Reach
25 countries

173 active sites

Status
completed

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

Completed
7 days until next milestone

First Posted

Study publicly available on registry

January 24, 2012

Completed
3 months until next milestone

Study Start

First participant enrolled

May 1, 2012

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2015

Completed
28 days until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2015

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

May 2, 2016

Completed
Last Updated

May 2, 2016

Status Verified

April 1, 2016

Enrollment Period

2.8 years

First QC Date

January 17, 2012

Results QC Date

February 1, 2016

Last Update Submit

April 28, 2016

Conditions

Keywords

SchizophreniaR092670Paliperidone PalmitatePaliperidone palmitate 1 month formulation (PP1M)Paliperidone palmitate 3 month formulation (PP3M)

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)

EXPERIMENTAL

A formulation of paliperidone palmitate with a 3-month injection interval

Drug: PP3M 175 mg eq.Drug: PP3M 263 mg eq.Drug: PP3M 350 mg eq.Drug: PP3M 525 mg eq.Drug: Placebo (20% Intralipid)

Paliperidone palmitate 1-month (PP1M)

ACTIVE COMPARATOR

A formulation of paliperidone palmitate with a 1-month injection interval

Drug: PP1M 50 mg eq.Drug: PP1M 75 mg eq.Drug: PP1M 100 mg eq.Drug: PP1M 150 mg eq.

Interventions

Type= exact number, unit= mg eq., number= 175, form= injection, route= intramuscular use. One injection every third month for 48 weeks.

Paliperidone palmitate 3-month (PP3M)

Type= exact number, unit= mg eq., number= 263, form= injection, route= intramuscular use. One injection every third month for 48 weeks.

Paliperidone palmitate 3-month (PP3M)

Type= exact number, unit= mg eq., number= 350, form= injection, route= intramuscular use. One injection every third month for 48 weeks.

Paliperidone palmitate 3-month (PP3M)

Type= exact number, unit= mg eq., number= 525, form= injection, route= intramuscular use. One injection every third month for 48 weeks.

Paliperidone palmitate 3-month (PP3M)

Form= injection, route= intramuscular use. One injection monthly when not receiving active medication for 48 weeks.

Paliperidone palmitate 3-month (PP3M)

Type= exact number, unit= mg eq., number= 50, form= injection, route= intramuscular use. One injection every month for 48 weeks.

Paliperidone palmitate 1-month (PP1M)

Type= exact number, unit= mg eq., number= 75, form= injection, route= intramuscular use. One injection every month for 48 weeks.

Paliperidone palmitate 1-month (PP1M)

Type= exact number, unit= mg eq., number= 100, form= injection, route= intramuscular use. One injection every month for 48 weeks.

Paliperidone palmitate 1-month (PP1M)

Type= exact number, unit= mg eq., number= 150, form= injection, route= intramuscular use. One injection every month for 48 weeks.

Paliperidone palmitate 1-month (PP1M)

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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)

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Little Rock, Arkansas, United States

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Glendale, California, United States

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Long Beach, California, United States

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Oakland, California, United States

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Oceanside, California, United States

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Orange, California, United States

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San Diego, California, United States

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New Britain, Connecticut, United States

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Bradenton, Florida, United States

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Kissimmee, Florida, United States

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Tampa, Florida, United States

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Wichita, Kansas, United States

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East Lansing, Michigan, United States

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St Louis, Missouri, United States

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Las Vegas, Nevada, United States

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Jamaica, New York, United States

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Durham, North Carolina, United States

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Canton, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Philadelphia, Pennsylvania, United States

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Charleston, South Carolina, United States

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Memphis, Tennessee, United States

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Austin, Texas, United States

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Bothell, Washington, United States

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Buenos Aires, Argentina

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Córdoba, Argentina

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Rosario, Argentina

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Elizabeth Vale, Australia

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Frankston, Australia

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Innsbruck, Austria

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Assebroek, Belgium

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Bertrix, Belgium

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Dave, Belgium

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Heusden, Belgium

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Jette, Belgium

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Marchienne-au-Pont, Belgium

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Sint-Denijs-Westrem, Belgium

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Rio de Janeiro, Brazil

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Burgas, Bulgaria

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Kazanlak, Bulgaria

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Radnevo, Bulgaria

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Sofia, Bulgaria

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Calgary, Alberta, Canada

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Halifax, Ontario, Canada

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Montreal, Quebec, Canada

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Burlington, Canada

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Baoding, China

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Beijing, China

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Changsha, China

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Guangdong, China

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Guangzhou, China

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Hangzhou, China

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Kunming, China

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Shanghai, China

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Tianjin, China

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Wuhan, China

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Xi'an, China

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Brno, Czechia

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Hořovice, Czechia

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Liberec, Czechia

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Prague, Czechia

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Přerov, Czechia

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Clermont-Ferrand, France

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Dole, France

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Montpellier, France

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Toulon, France

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Bochum, Germany

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Gelsenkirchen, Germany

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Hamburg, Germany

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Heidelberg, Germany

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München, Germany

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Arta, Greece

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Athens, Greece

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Katerini, Greece

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Balassagyarmat, Hungary

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Budapest, Hungary

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Gyõr, Hungary

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Kalocsa, Hungary

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Sopron, Hungary

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Aizu-Wakamatsu, Japan

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Fujioka, Japan

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Fujisawa, Japan

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Hadano, Japan

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Himeji, Japan

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Hitachi, Japan

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Ichikawa, Japan

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Kanuma, Japan

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Kanzaki, Japan

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Kashihara, Japan

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Kashiwara, Japan

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Kasuya, Japan

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Kawasaki, Japan

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Kitagunma, Japan

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Kochi, Japan

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Kodaira, Japan

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Kumagaya, Japan

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Kumamoto, Japan

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Kure, Japan

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Matsusaka, Japan

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Mitaka, Japan

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Moriguchi, Japan

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Nagasaki, Japan

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Naha, Japan

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Nirasaki, Japan

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Ohta, Japan

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Okayama, Japan

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Okinawa, Japan

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Sakai, Japan

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Shibukawa, Japan

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Takatsuki, Japan

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Toki, Japan

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Tokushima, Japan

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Tokyo, Japan

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Toyoake, Japan

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Ueda, Japan

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Yatsushiro, Japan

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Yokkaichi, Japan

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Yokohama, Japan

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Guadalajara, Mexico

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Monterrey, Mexico

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Tlalnepantla, Mexico

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Bełchatów, Poland

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Bydgoszcz, Poland

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Chełmno, Poland

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Gdynia Na, Poland

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Lubin, Poland

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Lubliniec, Poland

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Piekary Śląskie, Poland

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Torun, Poland

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Ząbki, Poland

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Almada, Portugal

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Angra do Heroísmo, Portugal

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Coimbra, Portugal

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Lisbon, Portugal

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Porto, Portugal

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Brasov, Romania

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Cluj-Napoca, Romania

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Arkhangelsk, Russia

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Gatchina, Russia

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Krasnodar, Russia

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Moscow, Russia

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Nizhny Novgorod, Russia

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Saint Petersburg, Russia

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Saratov, Russia

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Smolensk, Russia

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Smolensk Region N/A, Russia

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St-Peterburg, Russia

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Tomsk Na, Russia

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Yaroslavl, Russia

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Yekaterinburg, Russia

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Bratislava, Slovakia

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Michalovce, Slovakia

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Rimavská Sobota, Slovakia

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Trenčín, Slovakia

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Busan, South Korea

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Gwangju, South Korea

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Gyeonggi-do, South Korea

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Seoul, South Korea

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Alicante, Spain

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Barakaldo, Spain

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Barcelona, Spain

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Coslada, Spain

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Elche, Spain

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Madrid, Spain

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Zamora, Spain

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Uppsala, Sweden

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Bali Township, Taipei County, Taiwan

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Kaohsiung City, Taiwan

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Taoyuan District, Taiwan

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Hlevakha, Ukraine

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Kharkiv, Ukraine

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Kiev, Ukraine

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Odesa, Ukraine

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Poltava, Ukraine

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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.

  • Gopal 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.

  • Savitz 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.

  • Nash 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.

  • Mathews 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.

  • Magnusson 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.

  • Samtani 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.

MeSH Terms

Conditions

Schizophrenia

Interventions

soybean oil, phospholipid emulsion

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic DisordersMental Disorders

Results Point of Contact

Title
Director Clinical Research
Organization
Janssen Research & Development, LLC

Study Officials

  • Janssen Research & Development, LLC Clinical Trial

    Janssen Research & Development, LLC

    STUDY DIRECTOR

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

Locations