Schizophrenia MedDRA version: 14.0 Level: PT Classification code 10039638 Term: Schizophrenia, disorganised type System Organ Class: 10037175 - Psychiatric disorders MedDRA version: 14.0 Level: PT Classification code 10039639 Term: Schizophrenia, paranoid type System Organ Class: 10037175 - Psychiatric disorders MedDRA version: 14.0 Level: PT Classification code 10052792 Term: Schizophrenia, undifferentiated type System Organ Class: 10037175 - Psychiatric disorders MedDRA version: 14.0 Level
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - The patient meets the DSM-IV-TR criteria for schizophrenia (codes 295.10, 295.20, 295.30, 295.90) - The patient is a man or woman, =18 and =65 years old - The patient has a PANSS total score =60 and =100 at screening and baseline Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 160 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - The patient has a current Axis I psychiatric disorder other than schizophrenia as defined in the DSM-IV-TR - The patient has a current diagnosis or a history of substance dependence (except nicotine) or substance abuse (except cannabis) according to the DSM-IV-TR? criteria =6 months prior to screening - The patient is at significant risk of harming himself/herself or others according to the investigator’s judgement (assisted by the assessment of suicidal ideation and behaviour using the C-SSRS) - The patient is resistant to antipsychotic treatment according to the investigator’s judgement or has been treated with clozapine = 3 months prior to screening - The patient has experienced an acute exacerbation requiring hospitalisation = 3 months prior to screening or between screening and baseline - The patient has been treated with risperidone or paliperidone =6 months prior to screening - The patient has been treated with an adequate course of risperidone or paliperidone and failed to respond or has shown intolerance to the drug according to the investigator`s judgement
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the effect of zicronapine versus risperidone on metabolic parameters comprising body weight, BMI, waist circumference, levels of fasting blood lipids and glucose during 6 months of treatment;Secondary Objective: - to assess the overall safety and tolerability of zicronapine (ZIC) versus risperidone (RIS) - to assess the potential of ZIC versus RIS to induce EPS - to assess the effect of ZIC versus RIS on serum prolactin levels - to assess the effect of ZIC on suicidal ideation and behaviour - to assess the effect of ZIC versus RIS on ECG - to assess the efficacy of ZIC versus RIS - to assess the efficacy of ZIC versus RIS by comparing the proportions of responders - to assess the efficacy of ZIC versus RIS on global improvement - to assess the effect of ZIC versus RIS on personal and social functioning - to assess the effect of ZIC versus RIS on functioning - to assess the effect of ZIC versus RIS on quality of life - to assess the effect of ZIC versus RIS on the patient’s satisfaction with treatment - to assess the PK properties of ZIC and its major metabolite Lu AA22774 - to explore biological parameters;Primary end point(s): To assess the effect of zicronapine versus risperidone on metabolic parameters comprising body weight, body mass index (BMI), waist circumference, levels of fasting blood lipids and glucose during 6 months of treatment;Timepoint(s) of evaluation of this end point: Evaluation at the end of the study | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Safety endpoints: • To assess the overall safety and tolerability of zicronapine versus risperidone during 6 months of treatment • To assess the potential of zicronapine versus risperidone to induce extrapyramidal symptoms using change from baseline to each assessment in the AIMS, BARS, and SAS total scores • To assess the effect of zicronapine versus risperidone on serum prolactin levels • To assess the effect of zicronapine on suicidal ideation and behaviour using the Columbia Suicide-Severity Rating Scale (C-SSRS) • To assess the effect of zicronapine versus risperidone on electrocardiogram (ECG) parameters Efficacy endpoints: • To assess the efficacy of zicronapine versus risperidone following 6 months of treatment using change from baseline in the Positive and Negative Syndrome Scale (PANSS) total score • To assess the efficacy of zicronapine versus risperidone using change from baseline to each assessment in the PANSS total score and PANSS subscale scores (Positive Symptoms, Negative Symptoms, and General Psychopathology • To assess the efficacy of zicronapine versus risperidone by comparing the proportions of responders (using two definitions of response: =20% and =50% decrease from baseline in PANSS total score) • To assess the efficacy of zicronapine versus risperidone on global improvement using change from baseline to each assessment in the Clinical Global Impression – Severity of Illness (CGI-S) score • To assess the effect of zicronapine versus risperidone on personal and social functioning using the Personal and Social Performance Scale (PSP) • To assess the effect of zicronapine versus risperidone on functioning using the Global Assessment of Functioning scale (GAF) • To assess the effect of zicronapine versus risperidone on quality of life using the disease-specific Schizophrenia Quality of Life scale (S-QoL) • To assess the effect of zicronapine versus risperidone on the patient’s satisfaction with treatment | — |
Countries
Czech Republic, Estonia, Finland, Poland
Contacts
H. Lundbeck A/S