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PaliperidoNe Extended-Release [ER] Dosing and Clinical Response in Acute Schizophrenia

An Open Label, Prospective, Non-comparative Study to Evaluate Flexible Dose of Paliperidone Extended-Release and Clinical Response in the Treatment of Subjects With Schizophrenia

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00761189
Acronym
PANDORA
Enrollment
491
Registered
2008-09-29
Start date
2008-02-29
Completion date
2010-07-31
Last updated
2014-03-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Schizophrenia

Keywords

Paliperidone, R076477, Schizophrenia

Brief summary

The purpose of this study is to evaluate the efficacy of paliperidone extended-release (ER) in participants with schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self).

Detailed description

This is an open-label (all people know the identity of the intervention), multi-centric (conducted in more than one center), prospective (study following participants forward in time), single arm, and non-comparative study of paliperidone Extended Release(ER) in participants with schizophrenia. The total study duration will be approximately of 104 weeks per participant. The study consists of following parts: Screening (that is, 14 days before study commences on Day 1); acute Treatment phase (single-oral dose of paliperidone for 12 weeks, dose ranging from 3 to 12 milligram); Extension phase 1 (12 weeks) and Maintenance treatment which will be followed by additional Extension phase 2 and long-term maintenance treatment. Efficacy of the participants will primarily be evaluated by Clinical Global Impression-Improvement (CGI-I) scale score. Participants' safety will be monitored throughout the study.

Interventions

DRUGPaliperidone

Paliperidone extended-release (ER) tablet will be administered orally in dose range of 3 to 12 milligram (mg) per day for 12 weeks as per Investigator's discretion.

Sponsors

Janssen Korea, Ltd., Korea
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Participants with Clinical Global Impression-Severity (CGI-S) score greater than or equal to 4 points (moderately ill) at Screening * Childbearing potential women who consent to the consistent use of the acceptable contraception (oral contraceptive, contraceptive injection, intrauterine device, double barrier method and contraceptive patch) * Participants who are capable of and willing to fill out the questionnaire for themselves * Participants who are compliant with self-medication or can receive consistent help or support * Have schizophrenia diagnosis by Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV)

Exclusion criteria

* Participants with the past history of neuroleptic malignant syndrome (NMS) * Participants with Treatment Resistance history who have failed to be properly treated with more than two other kinds of antipsychotic agents (at least 4 weeks of the therapeutic dose administration) * Participants with severe (pathologic or iatrogenic) gastrointestinal stenosis or participants who can not swallow the drug whole (The study drug must not be chewed, divided, melted or grinded because it can impact the study drug release profile.) * Participants who have been exposed to the study drug within one month before screening * Participants with significant risk including suicide or aggressive behavior

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Assessed as Very Much Improved or Much Improved Based on Clinical Global Impression-Improvement (CGI-I) Scale - Intent-to-treat (ITT) PopulationWeek 12The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse.
Percentage of Participants Assessed as Very Much Improved or Much Improved Based on Clinical Global Impression-Improvement (CGI-I) Scale - Per Protocol (PP) PopulationWeek 12The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse.

Secondary

MeasureTime frameDescription
Percentage of Participants Continuously Treated With 6 Milligram Per Day Regimen Until Week 12 - Intent-to-treat (ITT) PopulationWeek 12Percentage of participants who were continuously treated with paliperidone extended-release (ER) 6 milligram per day regimen until Week 12 are reported here.
Percentage of Participants Continuously Treated With 6 Milligram Per Day Regimen Until Week 12 - Per Protocol (PP) PopulationWeek 12Percentage of participants who were continuously treated with paliperidone extended-release (ER) 6 milligram per day regimen until week 12 are reported here.
Drug Attitude Inventory (DAI) Score - Intent-to-treat (ITT) PopulationBaseline, Week 4 and 12The DAI-10 is a 10-item questionnaire to assess 1) subjective experience of drug and 2) attitudes and beliefs toward neuroleptics which may influence compliance in schizophrenia participants. It is the binary scale assessing the participant's subjective response. A 'compliant' response is scored as +1; a dysphoric response is scored as -1. A positive sum of items indicates a positive subjective response (SR); a negative sum of scores indicates a negative SR (non-compliant). The final score is the grand total of the positive and negative points. Total score ranges from (-) 10 to (+) 10, higher score indicates positive SR (compliant) and lower score indicates negative SR (non-compliant).
Drug Attitude Inventory (DAI) Score - Per Protocol (PP) PopulationBaseline, Week 4 and 12The DAI-10 is a 10-item questionnaire to assess 1) subjective experience of drug and 2) attitudes and beliefs toward neuroleptics which may influence compliance in schizophrenia participants. It is the binary scale assessing the participant's subjective response. A 'compliant' response is scored as +1; a dysphoric response is scored as -1. A positive sum of items indicates a positive subjective response (SR); a negative sum of scores indicates a negative SR (non-compliant). The final score is the grand total of the positive and negative points. Total score ranges from (-) 10 to (+) 10, higher score indicates positive SR (compliant) and lower score indicates negative SR (non-compliant).
Personal and Social Performance (PSP) Scale Score - Intent-to-treat (ITT) PopulationBaseline, Week 4 and 12The PSP scale assesses the degree of dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Participants with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; less or equal to 30, functioning so poorly as to require intensive supervision.
Clinical Global Impression - Severity (CGI-S) Score - Per Protocol (PP) PopulationBaseline, Week 2, 4, 8 and 12The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate worsening.
Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Intent-to-treat (ITT) PopulationWeek 12The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse.
Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Per Protocol (PP) PopulationWeek 12The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse.
Clinical Global Impression - Severity (CGI-S) Score - Intent-to-treat (ITT) PopulationBaseline, Week 2, 4, 8 and 12The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate worsening.
Personal and Social Performance (PSP) Scale Score - Per Protocol (PP) PopulationBaseline, Week 4 and Week 12The PSP scale assesses the degree of dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Participants with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; less or equal to 30, functioning so poorly as to require intensive supervision.

Countries

South Korea

Participant flow

Participants by arm

ArmCount
Paliperidone
Paliperidone extended-release (ER) tablet was administered orally in dose range of 3 to 12 milligram (mg) per day for 12 weeks as per Investigator's discretion.
491
Total491

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event42
Overall StudyLack of Efficacy45
Overall StudyLost to Follow-up36
Overall StudyOther13
Overall StudyWithdrawal by Subject49

Baseline characteristics

CharacteristicPaliperidone
Age, Continuous36.7 years
STANDARD_DEVIATION 10.44
Sex: Female, Male
Female
247 Participants
Sex: Female, Male
Male
244 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
243 / 491
serious
Total, serious adverse events
55 / 491

Outcome results

Primary

Percentage of Participants Assessed as Very Much Improved or Much Improved Based on Clinical Global Impression-Improvement (CGI-I) Scale - Intent-to-treat (ITT) Population

The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse.

Time frame: Week 12

Population: Intent to Treat (ITT) population for efficacy included all the eligible participants who received paliperidone extended-release (ER) at least once and who completed post baseline efficacy assessments.

ArmMeasureValue (NUMBER)
Paliperidone Extended-release (ER)Percentage of Participants Assessed as Very Much Improved or Much Improved Based on Clinical Global Impression-Improvement (CGI-I) Scale - Intent-to-treat (ITT) Population34.78 Percentage of participants
Primary

Percentage of Participants Assessed as Very Much Improved or Much Improved Based on Clinical Global Impression-Improvement (CGI-I) Scale - Per Protocol (PP) Population

The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse.

Time frame: Week 12

Population: Per protocol (PP) population included all the participants who received paliperidone extended-release (ER) at least once and who completed the clinical study without violating the study protocol.

ArmMeasureValue (NUMBER)
Paliperidone Extended-release (ER)Percentage of Participants Assessed as Very Much Improved or Much Improved Based on Clinical Global Impression-Improvement (CGI-I) Scale - Per Protocol (PP) Population41.92 Percentage of participants
Secondary

Clinical Global Impression - Severity (CGI-S) Score - Intent-to-treat (ITT) Population

The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate worsening.

Time frame: Baseline, Week 2, 4, 8 and 12

Population: Intent to Treat (ITT) population for efficacy included all the eligible participants who received paliperidone extended-release (ER) at least once and who completed post baseline efficacy assessments.

ArmMeasureGroupValue (MEAN)Dispersion
Paliperidone Extended-release (ER)Clinical Global Impression - Severity (CGI-S) Score - Intent-to-treat (ITT) PopulationBaseline4.62 Units on a scaleStandard Deviation 0.7
Paliperidone Extended-release (ER)Clinical Global Impression - Severity (CGI-S) Score - Intent-to-treat (ITT) PopulationWeek 24.08 Units on a scaleStandard Deviation 0.81
Paliperidone Extended-release (ER)Clinical Global Impression - Severity (CGI-S) Score - Intent-to-treat (ITT) PopulationWeek 43.73 Units on a scaleStandard Deviation 0.87
Paliperidone Extended-release (ER)Clinical Global Impression - Severity (CGI-S) Score - Intent-to-treat (ITT) PopulationWeek 83.50 Units on a scaleStandard Deviation 0.91
Paliperidone Extended-release (ER)Clinical Global Impression - Severity (CGI-S) Score - Intent-to-treat (ITT) PopulationWeek 123.29 Units on a scaleStandard Deviation 0.98
Secondary

Clinical Global Impression - Severity (CGI-S) Score - Per Protocol (PP) Population

The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate worsening.

Time frame: Baseline, Week 2, 4, 8 and 12

Population: Per protocol (PP) population included all the participants who received paliperidone extended-release (ER) at least once and who completed the clinical study without violating the study protocol.

ArmMeasureGroupValue (MEAN)Dispersion
Paliperidone Extended-release (ER)Clinical Global Impression - Severity (CGI-S) Score - Per Protocol (PP) PopulationBaseline4.60 Units on a scaleStandard Deviation 0.68
Paliperidone Extended-release (ER)Clinical Global Impression - Severity (CGI-S) Score - Per Protocol (PP) PopulationWeek 24.02 Units on a scaleStandard Deviation 0.81
Paliperidone Extended-release (ER)Clinical Global Impression - Severity (CGI-S) Score - Per Protocol (PP) PopulationWeek 43.66 Units on a scaleStandard Deviation 0.85
Paliperidone Extended-release (ER)Clinical Global Impression - Severity (CGI-S) Score - Per Protocol (PP) PopulationWeek 83.40 Units on a scaleStandard Deviation 0.87
Paliperidone Extended-release (ER)Clinical Global Impression - Severity (CGI-S) Score - Per Protocol (PP) PopulationWeek 123.10 Units on a scaleStandard Deviation 0.91
Secondary

Drug Attitude Inventory (DAI) Score - Intent-to-treat (ITT) Population

The DAI-10 is a 10-item questionnaire to assess 1) subjective experience of drug and 2) attitudes and beliefs toward neuroleptics which may influence compliance in schizophrenia participants. It is the binary scale assessing the participant's subjective response. A 'compliant' response is scored as +1; a dysphoric response is scored as -1. A positive sum of items indicates a positive subjective response (SR); a negative sum of scores indicates a negative SR (non-compliant). The final score is the grand total of the positive and negative points. Total score ranges from (-) 10 to (+) 10, higher score indicates positive SR (compliant) and lower score indicates negative SR (non-compliant).

Time frame: Baseline, Week 4 and 12

Population: Intent to Treat (ITT) population for efficacy included all the eligible participants who received paliperidone extended-release (ER) at least once and who completed post baseline efficacy assessments. N (number of participants analyzed) signifies the participants evaluable for this measure.

ArmMeasureGroupValue (MEAN)Dispersion
Paliperidone Extended-release (ER)Drug Attitude Inventory (DAI) Score - Intent-to-treat (ITT) PopulationBaseline-2.34 Units on a scaleStandard Deviation 4.78
Paliperidone Extended-release (ER)Drug Attitude Inventory (DAI) Score - Intent-to-treat (ITT) PopulationWeek 4-3.37 Units on a scaleStandard Deviation 4.53
Paliperidone Extended-release (ER)Drug Attitude Inventory (DAI) Score - Intent-to-treat (ITT) PopulationWeek 12-3.57 Units on a scaleStandard Deviation 4.54
Secondary

Drug Attitude Inventory (DAI) Score - Per Protocol (PP) Population

The DAI-10 is a 10-item questionnaire to assess 1) subjective experience of drug and 2) attitudes and beliefs toward neuroleptics which may influence compliance in schizophrenia participants. It is the binary scale assessing the participant's subjective response. A 'compliant' response is scored as +1; a dysphoric response is scored as -1. A positive sum of items indicates a positive subjective response (SR); a negative sum of scores indicates a negative SR (non-compliant). The final score is the grand total of the positive and negative points. Total score ranges from (-) 10 to (+) 10, higher score indicates positive SR (compliant) and lower score indicates negative SR (non-compliant).

Time frame: Baseline, Week 4 and 12

Population: Per protocol (PP) population included all the participants who received paliperidone extended-release (ER) at least once and who completed the clinical study without violating the study protocol. N (number of participants analyzed) signifies the participants evaluable for this measure.

ArmMeasureGroupValue (MEAN)Dispersion
Paliperidone Extended-release (ER)Drug Attitude Inventory (DAI) Score - Per Protocol (PP) PopulationBaseline-2.39 Units on a scaleStandard Deviation 4.81
Paliperidone Extended-release (ER)Drug Attitude Inventory (DAI) Score - Per Protocol (PP) PopulationWeek 4-3.49 Units on a scaleStandard Deviation 4.53
Paliperidone Extended-release (ER)Drug Attitude Inventory (DAI) Score - Per Protocol (PP) PopulationWeek 12-4.02 Units on a scaleStandard Deviation 4.26
Secondary

Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Intent-to-treat (ITT) Population

The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse.

Time frame: Week 12

Population: Intent to Treat (ITT) population for efficacy included all the eligible participants who received paliperidone extended-release (ER) at least once and who completed post baseline efficacy assessments.

ArmMeasureGroupValue (NUMBER)
Paliperidone Extended-release (ER)Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Intent-to-treat (ITT) PopulationVery much improved5 Participants
Paliperidone Extended-release (ER)Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Intent-to-treat (ITT) PopulationMuch improved115 Participants
Paliperidone Extended-release (ER)Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Intent-to-treat (ITT) PopulationMinimally Improved158 Participants
Paliperidone Extended-release (ER)Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Intent-to-treat (ITT) PopulationNo change46 Participants
Paliperidone Extended-release (ER)Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Intent-to-treat (ITT) PopulationMinimally worse15 Participants
Paliperidone Extended-release (ER)Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Intent-to-treat (ITT) PopulationMuch worse6 Participants
Paliperidone Extended-release (ER)Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Intent-to-treat (ITT) PopulationVery much worse0 Participants
Secondary

Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Per Protocol (PP) Population

The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse.

Time frame: Week 12

Population: Per protocol (PP) population included all the participants who received paliperidone extended-release (ER) at least once and who completed the clinical study without violating the study protocol. N (number of participants analyzed) signifies the participants evaluable for this measure.

ArmMeasureGroupValue (NUMBER)
Paliperidone Extended-release (ER)Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Per Protocol (PP) PopulationVery much improved5 Participants
Paliperidone Extended-release (ER)Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Per Protocol (PP) PopulationMuch improved104 Participants
Paliperidone Extended-release (ER)Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Per Protocol (PP) PopulationMinimally Improved118 Participants
Paliperidone Extended-release (ER)Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Per Protocol (PP) PopulationNo change28 Participants
Paliperidone Extended-release (ER)Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Per Protocol (PP) PopulationMinimally worse5 Participants
Paliperidone Extended-release (ER)Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Per Protocol (PP) PopulationMuch worse0 Participants
Paliperidone Extended-release (ER)Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Per Protocol (PP) PopulationVery much worse0 Participants
Secondary

Percentage of Participants Continuously Treated With 6 Milligram Per Day Regimen Until Week 12 - Intent-to-treat (ITT) Population

Percentage of participants who were continuously treated with paliperidone extended-release (ER) 6 milligram per day regimen until Week 12 are reported here.

Time frame: Week 12

Population: Intent to Treat (ITT) population for efficacy included all the eligible participants who received paliperidone extended-release (ER) at least once and who completed post baseline efficacy assessments.

ArmMeasureValue (NUMBER)
Paliperidone Extended-release (ER)Percentage of Participants Continuously Treated With 6 Milligram Per Day Regimen Until Week 12 - Intent-to-treat (ITT) Population38.84 Percentage of participants
Secondary

Percentage of Participants Continuously Treated With 6 Milligram Per Day Regimen Until Week 12 - Per Protocol (PP) Population

Percentage of participants who were continuously treated with paliperidone extended-release (ER) 6 milligram per day regimen until week 12 are reported here.

Time frame: Week 12

Population: Per protocol (PP) population included all the participants who received paliperidone extended-release (ER) at least once and who completed the clinical study without violating the study protocol.

ArmMeasureValue (NUMBER)
Paliperidone Extended-release (ER)Percentage of Participants Continuously Treated With 6 Milligram Per Day Regimen Until Week 12 - Per Protocol (PP) Population41.54 Percentage of Participants
Secondary

Personal and Social Performance (PSP) Scale Score - Intent-to-treat (ITT) Population

The PSP scale assesses the degree of dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Participants with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; less or equal to 30, functioning so poorly as to require intensive supervision.

Time frame: Baseline, Week 4 and 12

Population: Intent to Treat (ITT) population for efficacy included all the eligible participants who received paliperidone extended-release (ER) at least once and who completed post baseline efficacy assessments.

ArmMeasureGroupValue (MEAN)Dispersion
Paliperidone Extended-release (ER)Personal and Social Performance (PSP) Scale Score - Intent-to-treat (ITT) PopulationBaseline49.39 Units on a scaleStandard Deviation 14.69
Paliperidone Extended-release (ER)Personal and Social Performance (PSP) Scale Score - Intent-to-treat (ITT) PopulationWeek 459.44 Units on a scaleStandard Deviation 13.54
Paliperidone Extended-release (ER)Personal and Social Performance (PSP) Scale Score - Intent-to-treat (ITT) PopulationWeek 1262.76 Units on a scaleStandard Deviation 13.93
Secondary

Personal and Social Performance (PSP) Scale Score - Per Protocol (PP) Population

The PSP scale assesses the degree of dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Participants with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; less or equal to 30, functioning so poorly as to require intensive supervision.

Time frame: Baseline, Week 4 and Week 12

Population: Per protocol (PP) population included all the participants who received paliperidone extended-release (ER) at least once and who completed the clinical study without violating the study protocol.

ArmMeasureGroupValue (MEAN)Dispersion
Paliperidone Extended-release (ER)Personal and Social Performance (PSP) Scale Score - Per Protocol (PP) PopulationBaseline49.70 Units on a scaleStandard Deviation 14.73
Paliperidone Extended-release (ER)Personal and Social Performance (PSP) Scale Score - Per Protocol (PP) PopulationWeek 460.27 Units on a scaleStandard Deviation 13.34
Paliperidone Extended-release (ER)Personal and Social Performance (PSP) Scale Score - Per Protocol (PP) PopulationWeek 1264.73 Units on a scaleStandard Deviation 13.09

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026