Skip to content

Efficacy Study of Paliperidone to Evaluate Subjective Change in Well-being and Drug Attitude in Schizophrenic Participants

An Open-label, Prospective, Non-Comparative Study to Evaluate Subjective Well-Being and Responses in Patients With Schizophrenia Who Had Switched to Paliperidone Extended-Release Tablets

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00784238
Acronym
Power
Enrollment
289
Registered
2008-11-03
Start date
2008-04-30
Completion date
2011-01-31
Last updated
2014-03-27

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

Conditions

Schizophrenia

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

DRUGPaliperidone

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

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 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

MeasureTime frameDescription
Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24Baseline and Week 24The 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 24Baseline and Week 24The 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 24Baseline and Week 24The 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 24Baseline and Week 24The 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 24Baseline and Week 24The 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 24Week 24The 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 24Week 24The 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 24Baseline and Week 24The 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 24Baseline and Week 24The 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

MeasureTime frameDescription
Change From Baseline in Krawiecka Scale Score at Week 24Baseline and Week 24Psychopathology 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 24Baseline and Week 24The 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 24Baseline and Week 24Sleep 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 24Baseline and Week 24Daytime 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 24Baseline and Week 24The 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

ArmCount
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
Total289

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event14
Overall StudyDeath2
Overall StudyLack of Efficacy33
Overall StudyLost to Follow-up29
Overall StudyOther14
Overall StudyPregnancy1
Overall StudyWithdrawal by Subject26

Baseline characteristics

CharacteristicPaliperidone
Age, Continuous36.4 years
STANDARD_DEVIATION 10.09
Sex: Female, Male
Female
153 Participants
Sex: Female, Male
Male
136 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
112 / 289
serious
Total, serious adverse events
21 / 289

Outcome results

Primary

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.

ArmMeasureGroupValue (MEAN)Dispersion
PaliperidoneChange From Baseline in Drug Attitude Inventory (DAI-10) at Week 24Baseline3.12 Units on a scaleStandard Deviation 4.65
PaliperidoneChange From Baseline in Drug Attitude Inventory (DAI-10) at Week 24Change at Week 24-0.46 Units on a scaleStandard Deviation 4.7
Paliperidone (Lack of Tolerability Group)Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24Baseline3.49 Units on a scaleStandard Deviation 4.67
Paliperidone (Lack of Tolerability Group)Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24Change at Week 24-0.21 Units on a scaleStandard Deviation 4.92
Paliperidone (Lack of Compliance Group)Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24Baseline2.50 Units on a scaleStandard Deviation 4.88
Paliperidone (Lack of Compliance Group)Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24Change at Week 24-1.00 Units on a scaleStandard Deviation 5.03
Primary

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.

ArmMeasureValue (MEAN)Dispersion
PaliperidoneChange 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 scaleStandard 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 240.11 Units on a scaleStandard 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 240.45 Units on a scaleStandard Deviation 3.97
Primary

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.

ArmMeasureValue (MEAN)Dispersion
PaliperidoneChange 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 scaleStandard 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 scaleStandard 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 scaleStandard Deviation 4.79
Primary

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.

ArmMeasureValue (MEAN)Dispersion
PaliperidoneChange 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 scaleStandard 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 scaleStandard 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 240.47 Units on a scaleStandard Deviation 4.5
Primary

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.

ArmMeasureValue (MEAN)Dispersion
PaliperidoneChange 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 scaleStandard 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 scaleStandard 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 scaleStandard Deviation 4.07
Primary

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.

ArmMeasureValue (MEAN)Dispersion
PaliperidoneChange 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 scaleStandard 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 scaleStandard 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 scaleStandard Deviation 4.04
Primary

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.

ArmMeasureGroupValue (MEAN)Dispersion
PaliperidoneChange From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24Baseline74.59 Units on a scaleStandard Deviation 17.81
PaliperidoneChange From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24Change at Week 24-1.59 Units on a scaleStandard Deviation 13.75
Paliperidone (Lack of Tolerability Group)Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24Baseline76.51 Units on a scaleStandard Deviation 17.61
Paliperidone (Lack of Tolerability Group)Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24Change at Week 24-2.66 Units on a scaleStandard Deviation 13.72
Paliperidone (Lack of Compliance Group)Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24Baseline81.19 Units on a scaleStandard Deviation 15.68
Paliperidone (Lack of Compliance Group)Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24Change at Week 24-0.93 Units on a scaleStandard Deviation 16.93
Primary

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.

ArmMeasureValue (MEAN)Dispersion
PaliperidoneDrug Attitude Inventory (DAI-10) Total Score at Week 243.58 Units on a scaleStandard Deviation 4.73
Primary

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.

ArmMeasureValue (MEAN)Dispersion
PaliperidoneSubjective Well-being Under Neuroleptic (SWN-20) Scale Total Score at Week 2477.89 Units on a scaleStandard Deviation 17.95
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
PaliperidoneChange From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24Change at Week 24-1.18 Millimeter (mm)Standard Deviation 32.17
PaliperidoneChange From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24Baseline40.57 Millimeter (mm)Standard Deviation 31.79
Paliperidone (Lack of Tolerability Group)Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24Change at Week 243.94 Millimeter (mm)Standard Deviation 28.02
Paliperidone (Lack of Tolerability Group)Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24Baseline45.96 Millimeter (mm)Standard Deviation 31.18
Paliperidone (Lack of Compliance Group)Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24Change at Week 2410.05 Millimeter (mm)Standard Deviation 25.75
Paliperidone (Lack of Compliance Group)Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24Baseline46.55 Millimeter (mm)Standard Deviation 28.65
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
PaliperidoneChange From Baseline in Krawiecka Scale Score at Week 24Baseline4.78 Units on a scaleStandard Deviation 3.12
PaliperidoneChange From Baseline in Krawiecka Scale Score at Week 24Change at Week 240.94 Units on a scaleStandard Deviation 2.9
Paliperidone (Lack of Tolerability Group)Change From Baseline in Krawiecka Scale Score at Week 24Baseline3.45 Units on a scaleStandard Deviation 2.82
Paliperidone (Lack of Tolerability Group)Change From Baseline in Krawiecka Scale Score at Week 24Change at Week 241.09 Units on a scaleStandard Deviation 2.8
Paliperidone (Lack of Compliance Group)Change From Baseline in Krawiecka Scale Score at Week 24Baseline3.86 Units on a scaleStandard Deviation 2.96
Paliperidone (Lack of Compliance Group)Change From Baseline in Krawiecka Scale Score at Week 24Change at Week 241.09 Units on a scaleStandard Deviation 3
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
PaliperidoneChange From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24Change at Week 24-0.84 Millimeter (mm)Standard Deviation 31.22
PaliperidoneChange From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24Baseline61.84 Millimeter (mm)Standard Deviation 29.34
Paliperidone (Lack of Tolerability Group)Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24Baseline71.55 Millimeter (mm)Standard Deviation 24.92
Paliperidone (Lack of Tolerability Group)Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24Change 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 24Baseline69.31 Millimeter (mm)Standard Deviation 23.48
Paliperidone (Lack of Compliance Group)Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24Change at Week 24-0.67 Millimeter (mm)Standard Deviation 22.42
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
PaliperidoneChange From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24Baseline109.65 Units on a scaleStandard Deviation 67
PaliperidoneChange From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24Change at Week 242.42 Units on a scaleStandard Deviation 30.44
Paliperidone (Lack of Tolerability Group)Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24Baseline107.23 Units on a scaleStandard Deviation 72.17
Paliperidone (Lack of Tolerability Group)Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24Change at Week 249.40 Units on a scaleStandard Deviation 32.31
Paliperidone (Lack of Compliance Group)Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24Change at Week 241.16 Units on a scaleStandard Deviation 17.83
Paliperidone (Lack of Compliance Group)Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24Baseline83.39 Units on a scaleStandard Deviation 60.41
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
PaliperidoneChange From Baseline in Total Personal and Social Performance (PSP) Score at Week 24Baseline52.15 Units on a scaleStandard Deviation 15.44
PaliperidoneChange From Baseline in Total Personal and Social Performance (PSP) Score at Week 24Change at Week 24-6.50 Units on a scaleStandard Deviation 14.36
Paliperidone (Lack of Tolerability Group)Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24Baseline57.91 Units on a scaleStandard Deviation 16.31
Paliperidone (Lack of Tolerability Group)Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24Change at Week 24-7.23 Units on a scaleStandard Deviation 12.49
Paliperidone (Lack of Compliance Group)Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24Baseline58.71 Units on a scaleStandard Deviation 12.62
Paliperidone (Lack of Compliance Group)Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24Change at Week 24-6.28 Units on a scaleStandard Deviation 10.7

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