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Long-term Study of Cariprazine in Patients With Schizophrenia

Evaluation of the Long-term Safety, Tolerability, and Pharmacokinetics of Cariprazine in Patients With Schizophrenia

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01104792
Enrollment
752
Registered
2010-04-15
Start date
2010-05-31
Completion date
2013-01-31
Last updated
2019-07-26

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

Conditions

Schizophrenia

Keywords

Schizophrenia, Acute schizophrenia, Psychotropic drugs, Antipsychotic agents, Mental disorders, Dopamine agents, Central nervous system agents

Brief summary

The objective of this study is to evaluate the long-term safety, tolerability, and pharmacokinetics of cariprazine in patients with schizophrenia.

Interventions

DRUGCariprazine

Cariprazine was supplied in capsules.

Sponsors

Gedeon Richter Ltd.
CollaboratorINDUSTRY
Forest Laboratories
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No

Inclusion criteria

* Patients and corresponding caregivers who have provided informed consents prior to any study specific procedures. * Patients currently meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria for schizophrenia (paranoid type, disorganized type, catatonic type, or undifferentiated type), as confirmed by the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (SCID). * Patients with normal physical examination, laboratory, vital signs, and electrocardiogram (ECG).

Exclusion criteria

* Patients with a DSM-IV-TR diagnosis of schizoaffective disorder, schizophreniform disorder, bipolar I or bipolar II disorder, or psychotic disorders other than schizophrenia.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline to Week 48 in the PANSS Total ScoreBaseline to Week 48The Positive and Negative Syndrome Scale (PANSS) is a 30-item rating scale that assesses the positive and negative symptoms of individuals with schizophrenia. Responses to the 30 items are based on a structured clinical interview with the patient and on supporting clinical information obtained from family, hospital staff, or other reliable informants. Of the 30 psychiatric parameters measured by the scale, 7 assess positive symptoms (eg, delusions, grandiosity); 7 assess negative symptoms (eg, blunted affect, emotional withdrawal); and 16 assess general psychopathology (eg, poor attention, active social avoidance). Each item is scored on a 7-point scale (1 = absent, 2 = minimal, 3 = mild, 4 = moderate, 5 = moderately severe, 6 = severe, and 7 = extreme). The PANSS total score can range from 30 to 210. A higher score indicates worse symptoms. A negative change score indicates improvement.

Secondary

MeasureTime frameDescription
Change From Baseline to Week 48 in the CGI-S ScoreBaseline to Week 48The Clinical Global Impressions-Severity (CGI-S) scale is a 7-point scale that measures the overall severity of the illness compared with the severity of illness in other patients the Investigator has observed. The Investigator assesses the severity of the patient's illness as one of the following: 1 = Normal, not at all ill; 2 = Borderline ill; 3 = Mildly ill; 4 = Moderately ill; 5 = Markedly ill; 6 = Severely ill; 7 = Among the most extremely ill patients. The CGI-S score can range from 1 to 7. A higher score indicates more severe illness. A negative change score indicates improvement.

Countries

Colombia, India, Romania, Russia, Ukraine, United States

Participant flow

Pre-assignment details

The flexible-dose design for this study was selected to examine the relative safety and tolerability of a range of dosages of cariprazine. The starting dose of 1.5 mg/day was titrated as needed within the range of 3.0 - 9.0 mg/day based on the Investigator's judgment of response and tolerability.

Participants by arm

ArmCount
Cariprazine
Participants received cariprazine 3.0, 4.5, 6.0, or 9.0 mg orally once a day for 48 weeks.
586
Total586

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event77
Overall StudyDid Not Meet Eligibility Criteria133
Overall StudyInsufficient Therapeutic Response22
Overall StudyLost to Follow-up43
Overall StudyProtocol Violation45
Overall StudyReasons Not Specified27
Overall StudyWithdrawal of Consent179

Baseline characteristics

CharacteristicCariprazine
Age, Continuous39.1 years
STANDARD_DEVIATION 10.8
Body Mass Index (BMI)27.10 kg/m^2
STANDARD_DEVIATION 5.8
Ethnicity (NIH/OMB)
Hispanic or Latino
48 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
523 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
15 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
Race (NIH/OMB)
Asian
68 Participants
Race (NIH/OMB)
Black or African American
229 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
3 Participants
Race (NIH/OMB)
Unknown or Not Reported
35 Participants
Race (NIH/OMB)
White
250 Participants
Sex: Female, Male
Female
178 Participants
Sex: Female, Male
Male
408 Participants
Waist circumference91.76 cm
STANDARD_DEVIATION 15.85
Weight79.94 kg
STANDARD_DEVIATION 20.26

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 586
other
Total, other adverse events
419 / 586
serious
Total, serious adverse events
59 / 586

Outcome results

Primary

Change From Baseline to Week 48 in the PANSS Total Score

The Positive and Negative Syndrome Scale (PANSS) is a 30-item rating scale that assesses the positive and negative symptoms of individuals with schizophrenia. Responses to the 30 items are based on a structured clinical interview with the patient and on supporting clinical information obtained from family, hospital staff, or other reliable informants. Of the 30 psychiatric parameters measured by the scale, 7 assess positive symptoms (eg, delusions, grandiosity); 7 assess negative symptoms (eg, blunted affect, emotional withdrawal); and 16 assess general psychopathology (eg, poor attention, active social avoidance). Each item is scored on a 7-point scale (1 = absent, 2 = minimal, 3 = mild, 4 = moderate, 5 = moderately severe, 6 = severe, and 7 = extreme). The PANSS total score can range from 30 to 210. A higher score indicates worse symptoms. A negative change score indicates improvement.

Time frame: Baseline to Week 48

Population: Intent-to-treat population: All participants who took at least 1 dose of cariprazine and who had at least 1 post-baseline efficacy assessment. Only participants with data at both Baseline and Week 48 were included in the analysis.

ArmMeasureGroupValue (MEAN)Dispersion
CariprazineChange From Baseline to Week 48 in the PANSS Total ScoreBaseline66.5 Units on a scaleStandard Deviation 12.1
CariprazineChange From Baseline to Week 48 in the PANSS Total ScoreChange From Baseline-5.0 Units on a scaleStandard Deviation 14
Secondary

Change From Baseline to Week 48 in the CGI-S Score

The Clinical Global Impressions-Severity (CGI-S) scale is a 7-point scale that measures the overall severity of the illness compared with the severity of illness in other patients the Investigator has observed. The Investigator assesses the severity of the patient's illness as one of the following: 1 = Normal, not at all ill; 2 = Borderline ill; 3 = Mildly ill; 4 = Moderately ill; 5 = Markedly ill; 6 = Severely ill; 7 = Among the most extremely ill patients. The CGI-S score can range from 1 to 7. A higher score indicates more severe illness. A negative change score indicates improvement.

Time frame: Baseline to Week 48

Population: Intent-to-treat population: All participants who took at least 1 dose of cariprazine and who had at least 1 post-baseline efficacy assessment.

ArmMeasureGroupValue (MEAN)Dispersion
CariprazineChange From Baseline to Week 48 in the CGI-S ScoreBaseline3.0 Units on a scaleStandard Deviation 0.4
CariprazineChange From Baseline to Week 48 in the CGI-S ScoreChange From Baseline-0.1 Units on a scaleStandard Deviation 0.8

Source: ClinicalTrials.gov · Data processed: Feb 26, 2026