Phase 3
Completed N=64
An Open Label Multicentre Study to Determine the Dose Distribution of Paliperidone ER in Patients With Schizophrenia
Source: ClinicalTrials.gov NCT00473434 ↗Enrolled (actual)
64
Serious AEs
42.2%
Results posted
Oct 2012
Primary outcomePrimary: The Mean Modal Prescribed Daily Dose of Paliperidone Extended Release (ER) From Day 1 to Day 84 — 6.9 mg
Summary
The purpose of this trial is to evaluate the dose distribution, effectiveness and safety in patients with schizophrenia who are switched from an oral atypical antipsychotic to Paliperidone ER. In this study patients and physicians know the name and the dose of the study drug. Newly diagnosed patients will also be included in the study. In general, the recommended Paliperidone ER dose will be 6 mg once daily, however some patients may require a higher or lower initial dose in the recommended range of 3 to 12 mg once daily. The dose can be adjusted any point during the study, to a maximum dose of 12mg/day. Flexible dosing was chosen to best mimic actual clinical practice.The safety assessments to be conducted throughout this study including the regular monitoring and recording of all Adverse Events and Serious Adverse Events.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY The Mean Modal Prescribed Daily Dose of Paliperidone Extended Release (ER) From Day 1 to Day 84 |
6.9 | — |
| PRIMARY The Median Modal Prescribed Daily Dose of Paliperidone Extended Release (ER) From Day 1 to Day 84 |
6 | — |
| PRIMARY The Mean Modal Prescribed Daily Dose of Paliperidone Extended Release (ER) From Day 57 to Day 84 |
7.5 | — |
| PRIMARY The Median Modal Prescribed Daily Dose of Paliperidone Extended Release (ER) From Day 57 to Day 84 |
6 | — |
| PRIMARY The Mean Overall Average Daily-prescribed Dose of Paliperidone Extended Release (ER) From Week 0 to Week 12 |
6.8 | — |
| PRIMARY The Median Overall Average Daily-prescribed Dose of Paliperidone Extended Release (ER) From Week 0 to Week 12 |
6 | — |
| SECONDARY The Clinical Global Impression of Severity (CGI-S) Throughout the Study |
3.7; 3.3; 3.2; 3.1; 2.8; 2.8 | — |
| SECONDARY The Global Assessment of Functioning (GAF) Throughout the Study |
54.6; 58.9; 63.9; 63.9; 66.3; 65.4 | — |
| SECONDARY The Percentage of Participants Presenting Clinical Deterioration Throughout the Study |
0; 5.3; 13.5; 5.9; 7.1; 3.2 | — |
| SECONDARY The Number of Hospitalizations Throughout the Study |
15; 2; 6; 2; 3; 1 | — |
| SECONDARY The Length of Hospitalizations Throughout the Study |
12.4; 66; 7.3; 28.0; 179.0; 34 | — |
Eligibility Criteria
Inclusion Criteria
- Patients must satisfy the following criteria to be eligible for this study: patients with diagnoses of schizophrenia according to the DSM-IV criteria including newly diagnosed patients
- Out-patients or in-patients with expected discharge within 8 weeks
- Patients or their legally acceptable representatives must have signed an informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study.
Exclusion Criteria
- Patients who meet any of the following criteria will be excluded from participating in the study: patients who are resistant to antipsychotic treatment
- Patients who have been on clozapine or long-acting injectable antipsychotic medication during the last 3 months
- Patients with CGl-S scores > 6 or who who have been hospitalized for longer than 8 continuous weeks during the past 6 months
- Pregnant or breast-feeding females
- Patients with a history or current symptoms of tardive dyskinesia or neuroleptic malignant syndrome.
Data sourced from ClinicalTrials.gov (NCT00473434). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.