Schizophrenia
Conditions
Keywords
Schizophrenia, Paliperidone Extended-release, Paliperidone, R076477
Brief summary
The purpose of this study is to evaluate improvement and efficacy of paliperidone extended-release for subjective well-being and drug attitudes of participants, when switching from oral antipsychotics 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), and non-comparative study, in participants with schizophrenia. The study consists of following parts: Screening (that is, 14 days before study commences on Day 1); Acute Treatment phase (24 weeks); Extension phase 1 (24 weeks), which will be followed by additional Extension phase 2 (48 weeks). Total study duration per participant will be 96 weeks. Efficacy will primarily be evaluated by change from Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale score and change from Baseline in Drug Attitude Inventory scores. Participants' safety will be monitored throughout the study.
Interventions
Paliperidone ER oral tablet will be administered once daily at a starting dose of 6 milligram (mg) for 24 weeks, wherein dose range will be 3 to 12 mg per day.
Sponsors
Study design
Eligibility
Inclusion criteria
* Participants who are diagnosed with schizophrenia (diagnosis criteria: Diagnostic and Statistical Manual of Mental Disorders, fourth edition \[DSM-IV\]) * Participants who need to change the antipsychotic drug to another one for the following reasons among the participants treated with an antipsychotic drug for more than two weeks before the screening-Lack of efficacy, lack of tolerance or lack of compliance * Participants who are capable of and willing to fill out the questionnaire for themselves * Childbearing potential women who consent to the use of the consistently permissible contraception (oral contraceptive, contraceptive injection, intrauterine device, double barrier method and contraceptive patch) * Participants who are compliant with self-medication or can receive consistent help or support
Exclusion criteria
* Participants with the past history of neuroleptic malignant syndrome (NMS), or with allergy or hypersensitivity to risperidone or paliperidone * Participants who have taken clozapine within one month before screening * Participants who are suspicious of having clinically significant risk including suicide or aggressive behavior and are expected to unable to complete the study (based on the investigator's judgment) * Participants with severe preexisting gastrointestinal narrowing (pathologic or iatrogenic) or participants who cannot 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 with a known or suspected history (for 6 months and longer) of substance dependence according to the DSM-IV criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24 | Baseline and Week 24 | 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). Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. |
| Change From Baseline in Self-Control Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | Baseline and Week 24 | The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Self-Control subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. |
| Change From Baseline in Emotional Regulation Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | Baseline and Week 24 | The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Emotional Regulation subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. |
| Change From Baseline in Physical Functioning Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | Baseline and Week 24 | The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Physical Functioning subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. |
| Change From Baseline in Social Integration Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | Baseline and Week 24 | The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Social integration subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. |
| Drug Attitude Inventory (DAI-10) Total Score at Week 24 | Week 24 | 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). |
| Subjective Well-being Under Neuroleptic (SWN-20) Scale Total Score at Week 24 | Week 24 | The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. |
| Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | Baseline and Week 24 | The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. |
| Change From Baseline in Mental Functioning Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | Baseline and Week 24 | The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Mental functioning subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Krawiecka Scale Score at Week 24 | Baseline and Week 24 | Psychopathology of participants was assessed by Krawiecka scale. Psychopathology of participants was assessed by Krawiecka scale, score ranges from 0 to 16. Higher score indicates worsening of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. |
| Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24 | Baseline and Week 24 | 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. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. |
| Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24 | Baseline and Week 24 | Sleep quality was assessed by an 11-point visual analog scale that rates how well participants slept. Participants indicated on the scale (from 0 to 100 millimeter) how well they slept in the previous 7 days (from 0: very badly to 100: very well). Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. |
| Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24 | Baseline and Week 24 | Daytime drowsiness was assessed by an 11-point visual analog scale that rates how well participants slept. Participants indicated on the scale (from 0 to 100 millimeter) how often they felt drowsy in the previous 7 days (from 0: very badly to 100: very well). Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. |
| Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24 | Baseline and Week 24 | The SCL90-R (Derogatis, 1992) measures 9 domains, including somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, which provides a global index of distress, the Global Severity Index (GSI). SCL-90-R includes 90 items rated on 5-point scale, ranging from 0 (not at all) to 4 (extremely). Total scale score range from 0 to 360. Higher scores indicate worsening of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. |
Countries
South Korea
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Paliperidone Paliperidone Extended-Release (ER) oral tablet was administered once daily at a starting dose of 6 milligram (mg) for 24 weeks, wherein dose range was 3 to 12 mg per day. | 289 |
| Total | 289 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 14 |
| Overall Study | Death | 2 |
| Overall Study | Lack of Efficacy | 33 |
| Overall Study | Lost to Follow-up | 29 |
| Overall Study | Other | 14 |
| Overall Study | Pregnancy | 1 |
| Overall Study | Withdrawal by Subject | 26 |
Baseline characteristics
| Characteristic | Paliperidone |
|---|---|
| Age, Continuous | 36.4 years STANDARD_DEVIATION 10.09 |
| Sex: Female, Male Female | 153 Participants |
| Sex: Female, Male Male | 136 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 112 / 289 |
| serious Total, serious adverse events | 21 / 289 |
Outcome results
Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24
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). Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics.
Time frame: Baseline and Week 24
Population: The ITT population for efficacy included all the participants who received paliperidone ER at least once and who had at least 1 post baseline efficacy assessment.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Paliperidone | Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24 | Baseline | 3.12 Units on a scale | Standard Deviation 4.65 |
| Paliperidone | Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24 | Change at Week 24 | -0.46 Units on a scale | Standard Deviation 4.7 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24 | Baseline | 3.49 Units on a scale | Standard Deviation 4.67 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24 | Change at Week 24 | -0.21 Units on a scale | Standard Deviation 4.92 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24 | Baseline | 2.50 Units on a scale | Standard Deviation 4.88 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24 | Change at Week 24 | -1.00 Units on a scale | Standard Deviation 5.03 |
Change From Baseline in Emotional Regulation Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24
The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Emotional Regulation subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics.
Time frame: Baseline and Week 24
Population: The ITT population for efficacy included all the participants who received paliperidone ER at least once and who had at least 1 post baseline efficacy assessment.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Paliperidone | Change From Baseline in Emotional Regulation Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | -0.07 Units on a scale | Standard Deviation 3.61 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Emotional Regulation Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | 0.11 Units on a scale | Standard Deviation 4.07 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Emotional Regulation Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | 0.45 Units on a scale | Standard Deviation 3.97 |
Change From Baseline in Mental Functioning Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24
The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Mental functioning subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics.
Time frame: Baseline and Week 24
Population: The ITT population for efficacy included all the participants who received paliperidone ER at least once and who had at least 1 post baseline efficacy assessment.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Paliperidone | Change From Baseline in Mental Functioning Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | -0.14 Units on a scale | Standard Deviation 3.56 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Mental Functioning Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | -0.51 Units on a scale | Standard Deviation 3.62 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Mental Functioning Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | -0.24 Units on a scale | Standard Deviation 4.79 |
Change From Baseline in Physical Functioning Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24
The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Physical Functioning subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics.
Time frame: Baseline and Week 24
Population: The ITT population for efficacy included all the participants who received paliperidone ER at least once and who had at least 1 post baseline efficacy assessment.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Paliperidone | Change From Baseline in Physical Functioning Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | -0.11 Units on a scale | Standard Deviation 4.15 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Physical Functioning Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | -0.68 Units on a scale | Standard Deviation 4.25 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Physical Functioning Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | 0.47 Units on a scale | Standard Deviation 4.5 |
Change From Baseline in Self-Control Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24
The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Self-Control subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics.
Time frame: Baseline and Week 24
Population: The ITT population for efficacy included all the participants who received paliperidone ER at least once and who had at least 1 post baseline efficacy assessment.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Paliperidone | Change From Baseline in Self-Control Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | -0.72 Units on a scale | Standard Deviation 3.74 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Self-Control Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | -0.62 Units on a scale | Standard Deviation 4.05 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Self-Control Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | -0.29 Units on a scale | Standard Deviation 4.07 |
Change From Baseline in Social Integration Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24
The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Social integration subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics.
Time frame: Baseline and Week 24
Population: The ITT population for efficacy included all the participants who received paliperidone ER at least once and who had at least 1 post baseline efficacy assessment.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Paliperidone | Change From Baseline in Social Integration Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | -0.55 Units on a scale | Standard Deviation 3.33 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Social Integration Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | -0.96 Units on a scale | Standard Deviation 3.26 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Social Integration Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | -1.31 Units on a scale | Standard Deviation 4.04 |
Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24
The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics.
Time frame: Baseline and Week 24
Population: The ITT population for efficacy included all the participants who received paliperidone ER at least once and who had at least 1 post baseline efficacy assessment.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Paliperidone | Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | Baseline | 74.59 Units on a scale | Standard Deviation 17.81 |
| Paliperidone | Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | Change at Week 24 | -1.59 Units on a scale | Standard Deviation 13.75 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | Baseline | 76.51 Units on a scale | Standard Deviation 17.61 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | Change at Week 24 | -2.66 Units on a scale | Standard Deviation 13.72 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | Baseline | 81.19 Units on a scale | Standard Deviation 15.68 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24 | Change at Week 24 | -0.93 Units on a scale | Standard Deviation 16.93 |
Drug Attitude Inventory (DAI-10) Total Score at Week 24
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: Week 24
Population: The ITT population for efficacy included all the participants who received paliperidone ER at least once and who had at least 1 post baseline efficacy assessment.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Paliperidone | Drug Attitude Inventory (DAI-10) Total Score at Week 24 | 3.58 Units on a scale | Standard Deviation 4.73 |
Subjective Well-being Under Neuroleptic (SWN-20) Scale Total Score at Week 24
The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood.
Time frame: Week 24
Population: Intent to treat (ITT) population for efficacy included all the participants who received paliperidone extended-release (ER) at least once and who had at least 1 post baseline efficacy assessment.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Paliperidone | Subjective Well-being Under Neuroleptic (SWN-20) Scale Total Score at Week 24 | 77.89 Units on a scale | Standard Deviation 17.95 |
Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24
Daytime drowsiness was assessed by an 11-point visual analog scale that rates how well participants slept. Participants indicated on the scale (from 0 to 100 millimeter) how often they felt drowsy in the previous 7 days (from 0: very badly to 100: very well). Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics.
Time frame: Baseline and Week 24
Population: The ITT population for efficacy included all the participants who received paliperidone ER at least once and who had at least 1 post baseline efficacy assessment.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Paliperidone | Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24 | Change at Week 24 | -1.18 Millimeter (mm) | Standard Deviation 32.17 |
| Paliperidone | Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24 | Baseline | 40.57 Millimeter (mm) | Standard Deviation 31.79 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24 | Change at Week 24 | 3.94 Millimeter (mm) | Standard Deviation 28.02 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24 | Baseline | 45.96 Millimeter (mm) | Standard Deviation 31.18 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24 | Change at Week 24 | 10.05 Millimeter (mm) | Standard Deviation 25.75 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24 | Baseline | 46.55 Millimeter (mm) | Standard Deviation 28.65 |
Change From Baseline in Krawiecka Scale Score at Week 24
Psychopathology of participants was assessed by Krawiecka scale. Psychopathology of participants was assessed by Krawiecka scale, score ranges from 0 to 16. Higher score indicates worsening of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics.
Time frame: Baseline and Week 24
Population: The ITT population for efficacy included all the participants who received paliperidone ER at least once and who had at least 1 post baseline efficacy assessment.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Paliperidone | Change From Baseline in Krawiecka Scale Score at Week 24 | Baseline | 4.78 Units on a scale | Standard Deviation 3.12 |
| Paliperidone | Change From Baseline in Krawiecka Scale Score at Week 24 | Change at Week 24 | 0.94 Units on a scale | Standard Deviation 2.9 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Krawiecka Scale Score at Week 24 | Baseline | 3.45 Units on a scale | Standard Deviation 2.82 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Krawiecka Scale Score at Week 24 | Change at Week 24 | 1.09 Units on a scale | Standard Deviation 2.8 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Krawiecka Scale Score at Week 24 | Baseline | 3.86 Units on a scale | Standard Deviation 2.96 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Krawiecka Scale Score at Week 24 | Change at Week 24 | 1.09 Units on a scale | Standard Deviation 3 |
Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24
Sleep quality was assessed by an 11-point visual analog scale that rates how well participants slept. Participants indicated on the scale (from 0 to 100 millimeter) how well they slept in the previous 7 days (from 0: very badly to 100: very well). Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics.
Time frame: Baseline and Week 24
Population: The ITT population for efficacy included all the participants who received paliperidone ER at least once and who had at least 1 post baseline efficacy assessment.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Paliperidone | Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24 | Change at Week 24 | -0.84 Millimeter (mm) | Standard Deviation 31.22 |
| Paliperidone | Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24 | Baseline | 61.84 Millimeter (mm) | Standard Deviation 29.34 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24 | Baseline | 71.55 Millimeter (mm) | Standard Deviation 24.92 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24 | Change at Week 24 | -0.43 Millimeter (mm) | Standard Deviation 30.25 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24 | Baseline | 69.31 Millimeter (mm) | Standard Deviation 23.48 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24 | Change at Week 24 | -0.67 Millimeter (mm) | Standard Deviation 22.42 |
Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24
The SCL90-R (Derogatis, 1992) measures 9 domains, including somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, which provides a global index of distress, the Global Severity Index (GSI). SCL-90-R includes 90 items rated on 5-point scale, ranging from 0 (not at all) to 4 (extremely). Total scale score range from 0 to 360. Higher scores indicate worsening of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics.
Time frame: Baseline and Week 24
Population: The ITT population for efficacy included all the participants who received paliperidone ER at least once and who had at least 1 post baseline efficacy assessment. N (number of participants analyzed) signifies the participants evaluable for this measure.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Paliperidone | Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24 | Baseline | 109.65 Units on a scale | Standard Deviation 67 |
| Paliperidone | Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24 | Change at Week 24 | 2.42 Units on a scale | Standard Deviation 30.44 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24 | Baseline | 107.23 Units on a scale | Standard Deviation 72.17 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24 | Change at Week 24 | 9.40 Units on a scale | Standard Deviation 32.31 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24 | Change at Week 24 | 1.16 Units on a scale | Standard Deviation 17.83 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24 | Baseline | 83.39 Units on a scale | Standard Deviation 60.41 |
Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24
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. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics.
Time frame: Baseline and Week 24
Population: The ITT population for efficacy included all the participants who received paliperidone ER at least once and who had at least 1 post baseline efficacy assessment.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Paliperidone | Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24 | Baseline | 52.15 Units on a scale | Standard Deviation 15.44 |
| Paliperidone | Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24 | Change at Week 24 | -6.50 Units on a scale | Standard Deviation 14.36 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24 | Baseline | 57.91 Units on a scale | Standard Deviation 16.31 |
| Paliperidone (Lack of Tolerability Group) | Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24 | Change at Week 24 | -7.23 Units on a scale | Standard Deviation 12.49 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24 | Baseline | 58.71 Units on a scale | Standard Deviation 12.62 |
| Paliperidone (Lack of Compliance Group) | Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24 | Change at Week 24 | -6.28 Units on a scale | Standard Deviation 10.7 |