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RP5063 in Subjects With Schizophrenia or Schizoaffective Disorder

REFRESH : Randomized Double-blind, Placebo-controlled, Multicenter Trial to Assess the Safety and Efficacy of RP5063 in Subjects With an Acute Exacerbation of Schizophrenia or Schizoaffective Disorder

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01490086
Acronym
REFRESH
Enrollment
234
Registered
2011-12-12
Start date
2011-12-31
Completion date
2013-03-31
Last updated
2025-08-08

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

Conditions

Acute Schizophrenia, Schizoaffective Disorder

Brief summary

The objective of this study is to evaluate the efficacy and safety of RP5063 relative to placebo for the treatment of schizophrenia or schizoaffective disorder.

Interventions

DRUGRP5063

daily

DRUGplacebo

daily

DRUGaripiprazole

daily

Sponsors

Reviva Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

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

Inclusion criteria

* Patients providing informed consent prior to any study specific procedures * Patients meeting 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), or schizoaffective disorder * Patients with normal physical examination, laboratory, vital signs,and electrocardiogram (ECG)

Exclusion criteria

* Patients with other primary psychiatric disorders as delirium, or bipolar I or II disorder

Design outcomes

Primary

MeasureTime frameDescription
Measurement of Schizophrenia Symptoms: Positive and Negative Syndrome Scale (PANSS) Total ScoreBaseline to Day 28PANSS total score comprises Positive (Delusions, Conceptual disorganization, Hallucinatory behavior, Excitement, Grandiosity, Suspiciousness/persecution, Hostility), Negative (Blunted affect, Emotional withdrawal, Poor rapport, Passive/apathetic social withdrawal, Difficulty in abstract thinking, Lack of spontaneity and flow of conversation, Stereotyped thinking), and General Psychopathology (Somatic concern, Anxiety, Guilt feelings, Tension, Mannerisms and posturing, Depression, Motor retardation, Uncooperativeness, Unusual thought content, Disorientation, Poor attention, Lack of judgment and insight, Disturbance of volition, Poor impulse control, Preoccupation, Active social avoidance) Scales. Scores are obtained by adding the ratings of each item in each scale. Range is 7-49 for Positive and Negative scores; 16-112 for General Psychopathology score; and 30-210 for Total score. Higher score reflects worse outcome; larger reduction from baseline reflects better outcome.

Secondary

MeasureTime frameDescription
Demonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the Clinical Global Impression Scale - Severity (CGI-S)Baseline to Day 28Clinical Global Impression, Severity (CGI-S) is a single-item (7-point) scale that evaluates the overall severity of the subject's mental illness. Scores range from 1 (not ill at all) to 7 (among the most extremely ill). A reduction in score indicates an improvement in the subject's condition.
Demonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Positive SubscaleBaseline to Day 28The Positive Scale includes 7 Items (Delusions, Conceptual disorganization, Hallucinations, Hyperactivity, Grandiosity, Suspiciousness/persecution, Hostility) and is calculated by adding the subscale item scores to obtain results ranging from 7 to 49. A higher score reflects worse outcome and a larger reduction in the score from baseline reflects better treatment efficacy.
Demonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Negative SubscaleBaseline to Day 28The Negative Scale includes 7 items (Blunted affect, Emotional withdrawal, Poor rapport, Passive/apathetic social withdrawal, Difficulty in abstract thinking, Lack of spontaneity and flow of conversation, Stereotyped thinking) and is calculated by adding the negative subscale item scores to obtain results ranging from 7 to 49. Minimum score is 7, maximum score is 49. A higher score reflects worse outcome and a larger reduction in the score from baseline reflects better treatment efficacy.
Demonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS General Psychopathology SubscaleBaseline to Day 28The General Psychopathology Scale consists of 16 items (Somatic concern, Anxiety, Guilt feelings, Tension, Mannerisms and posturing, Depression, Motor retardation, Uncooperativeness, Unusual thought content, Disorientation, Poor attention, Lack of judgment and insight, Disturbance of volition, Poor impulse control, Preoccupation, Active social avoidance). The General Psychopathology score is obtained by adding the ratings of each item in the scale, with results ranging from 16 to 112. A higher score reflects worse outcome and a larger reduction in the score from baseline reflects better treatment efficacy.

Countries

India, Malaysia, Moldova, Philippines, United States

Participant flow

Recruitment details

270 Subjects with acute exacerbation Schizophrenia and Schizoaffective disorder were selected from multiple sites in USA, Moldova, India, Philippines and Malaysia between December 2011 and January 2013.

Pre-assignment details

Subjects were screened over a period of 7 days in the site's in-patient facility. 270 subjects were recruited. Of these, 36 subjects did not meet the study eligibility criteria. Therefore, a total of 234 subjects were enrolled into the study.

Participants by arm

ArmCount
RP5063 15 mg
Participants with acute schizophrenia or schizoaffective disorder receiving 15 mg of RP5063 once daily for 28 days.
58
RP5063 30 mg
Participants with acute schizophrenia or schizoaffective disorder receiving 30 mg of RP5063 once daily for 28 days.
59
RP5063 50 mg
Participants with acute schizophrenia or schizoaffective disorder receiving 50 mg of RP5063 once daily for 28 days.
58
Aripiprazole 15 mg
Participants with acute schizophrenia or schizoaffective disorder receiving 15 mg of Aripiprazole once daily for 28 days.
20
Placebo
Participants with acute schizophrenia or schizoaffective disorder receiving Placebo once daily for 28 days.
38
Total233

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyAbnormal laboratory findings10000
Overall StudyAdverse Event00120
Overall StudyConsent withdrawn44301
Overall StudyLack of Efficacy03108
Overall StudyLost to Follow-up00001
Overall StudyNon-compliance01000
Overall StudyPhysician Decision34231
Overall StudySubject left hospital01010
Overall StudySubject uncontrollable and abusive01000
Overall StudyWorsening of symptoms01010

Baseline characteristics

CharacteristicPlaceboTotalRP5063 30 mgRP5063 50 mgAripiprazole 15 mgRP5063 15 mg
Age, Continuous36 years
STANDARD_DEVIATION 12
36 years
STANDARD_DEVIATION 11
37 years
STANDARD_DEVIATION 12
35 years
STANDARD_DEVIATION 9
35 years
STANDARD_DEVIATION 10
36 years
STANDARD_DEVIATION 10
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
37 Participants232 Participants59 Participants58 Participants20 Participants58 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
34 Participants208 Participants53 Participants52 Participants18 Participants51 Participants
Race (NIH/OMB)
Black or African American
1 Participants11 Participants3 Participants3 Participants1 Participants3 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
White
2 Participants12 Participants3 Participants3 Participants1 Participants3 Participants
Region of Enrollment
India
17 participants108 participants27 participants27 participants10 participants27 participants
Region of Enrollment
Malaysia
8 participants42 participants11 participants10 participants3 participants10 participants
Region of Enrollment
Moldova, Republic of
2 participants12 participants3 participants3 participants1 participants3 participants
Region of Enrollment
Philippines
9 participants59 participants15 participants15 participants5 participants15 participants
Region of Enrollment
United States
2 participants12 participants3 participants3 participants1 participants3 participants
Sex: Female, Male
Female
11 Participants55 Participants9 Participants16 Participants2 Participants17 Participants
Sex: Female, Male
Male
27 Participants178 Participants50 Participants42 Participants18 Participants41 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —
other
Total, other adverse events
29 / 5830 / 5937 / 5810 / 2023 / 38
serious
Total, serious adverse events
1 / 581 / 591 / 582 / 200 / 38

Outcome results

Primary

Measurement of Schizophrenia Symptoms: Positive and Negative Syndrome Scale (PANSS) Total Score

PANSS total score comprises Positive (Delusions, Conceptual disorganization, Hallucinatory behavior, Excitement, Grandiosity, Suspiciousness/persecution, Hostility), Negative (Blunted affect, Emotional withdrawal, Poor rapport, Passive/apathetic social withdrawal, Difficulty in abstract thinking, Lack of spontaneity and flow of conversation, Stereotyped thinking), and General Psychopathology (Somatic concern, Anxiety, Guilt feelings, Tension, Mannerisms and posturing, Depression, Motor retardation, Uncooperativeness, Unusual thought content, Disorientation, Poor attention, Lack of judgment and insight, Disturbance of volition, Poor impulse control, Preoccupation, Active social avoidance) Scales. Scores are obtained by adding the ratings of each item in each scale. Range is 7-49 for Positive and Negative scores; 16-112 for General Psychopathology score; and 30-210 for Total score. Higher score reflects worse outcome; larger reduction from baseline reflects better outcome.

Time frame: Baseline to Day 28

Population: The ITT population is comprised of participants who had received at least one dose of treatment, have baseline and at least one assessment of PANSS and CGI-S without major deviations at baseline.

ArmMeasureGroupValue (MEAN)Dispersion
RP5063 15 mgMeasurement of Schizophrenia Symptoms: Positive and Negative Syndrome Scale (PANSS) Total ScoreDay 2867.34 scores on a scaleStandard Deviation 21.98
RP5063 15 mgMeasurement of Schizophrenia Symptoms: Positive and Negative Syndrome Scale (PANSS) Total ScoreBaseline87.57 scores on a scaleStandard Deviation 13.3
RP5063 30 mgMeasurement of Schizophrenia Symptoms: Positive and Negative Syndrome Scale (PANSS) Total ScoreBaseline88.74 scores on a scaleStandard Deviation 13.37
RP5063 30 mgMeasurement of Schizophrenia Symptoms: Positive and Negative Syndrome Scale (PANSS) Total ScoreDay 2873.32 scores on a scaleStandard Deviation 20.24
RP5063 50 mgMeasurement of Schizophrenia Symptoms: Positive and Negative Syndrome Scale (PANSS) Total ScoreBaseline85.88 scores on a scaleStandard Deviation 14.86
RP5063 50 mgMeasurement of Schizophrenia Symptoms: Positive and Negative Syndrome Scale (PANSS) Total ScoreDay 2866.67 scores on a scaleStandard Deviation 19.66
Aripiprazole 15 mgMeasurement of Schizophrenia Symptoms: Positive and Negative Syndrome Scale (PANSS) Total ScoreDay 2882.37 scores on a scaleStandard Deviation 22.13
Aripiprazole 15 mgMeasurement of Schizophrenia Symptoms: Positive and Negative Syndrome Scale (PANSS) Total ScoreBaseline91.68 scores on a scaleStandard Deviation 16.1
PlaceboMeasurement of Schizophrenia Symptoms: Positive and Negative Syndrome Scale (PANSS) Total ScoreDay 2878.43 scores on a scaleStandard Deviation 24.14
PlaceboMeasurement of Schizophrenia Symptoms: Positive and Negative Syndrome Scale (PANSS) Total ScoreBaseline89.84 scores on a scaleStandard Deviation 15.6
Secondary

Demonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the Clinical Global Impression Scale - Severity (CGI-S)

Clinical Global Impression, Severity (CGI-S) is a single-item (7-point) scale that evaluates the overall severity of the subject's mental illness. Scores range from 1 (not ill at all) to 7 (among the most extremely ill). A reduction in score indicates an improvement in the subject's condition.

Time frame: Baseline to Day 28

Population: The ITT population is comprised of participants who had received at least one dose of treatment, have baseline and at least one assessment of PANSS and CGI-S without major deviations at baseline.

ArmMeasureGroupValue (MEAN)Dispersion
RP5063 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the Clinical Global Impression Scale - Severity (CGI-S)Baseline4.79 scores on a scaleStandard Deviation 0.56
RP5063 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the Clinical Global Impression Scale - Severity (CGI-S)Day 283.48 scores on a scaleStandard Deviation 1.22
RP5063 30 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the Clinical Global Impression Scale - Severity (CGI-S)Baseline4.81 scores on a scaleStandard Deviation 0.77
RP5063 30 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the Clinical Global Impression Scale - Severity (CGI-S)Day 283.93 scores on a scaleStandard Deviation 1.24
RP5063 50 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the Clinical Global Impression Scale - Severity (CGI-S)Baseline4.75 scores on a scaleStandard Deviation 0.71
RP5063 50 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the Clinical Global Impression Scale - Severity (CGI-S)Day 283.54 scores on a scaleStandard Deviation 1.05
Aripiprazole 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the Clinical Global Impression Scale - Severity (CGI-S)Day 284.53 scores on a scaleStandard Deviation 1.02
Aripiprazole 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the Clinical Global Impression Scale - Severity (CGI-S)Baseline4.84 scores on a scaleStandard Deviation 0.6
PlaceboDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the Clinical Global Impression Scale - Severity (CGI-S)Baseline4.76 scores on a scaleStandard Deviation 0.55
PlaceboDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the Clinical Global Impression Scale - Severity (CGI-S)Day 284.05 scores on a scaleStandard Deviation 1.27
Secondary

Demonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS General Psychopathology Subscale

The General Psychopathology Scale consists of 16 items (Somatic concern, Anxiety, Guilt feelings, Tension, Mannerisms and posturing, Depression, Motor retardation, Uncooperativeness, Unusual thought content, Disorientation, Poor attention, Lack of judgment and insight, Disturbance of volition, Poor impulse control, Preoccupation, Active social avoidance). The General Psychopathology score is obtained by adding the ratings of each item in the scale, with results ranging from 16 to 112. A higher score reflects worse outcome and a larger reduction in the score from baseline reflects better treatment efficacy.

Time frame: Baseline to Day 28

Population: The ITT population is comprised of participants who had received at least one dose of treatment, have baseline and at least one assessment of PANSS and CGI-S without major deviations at baseline.

ArmMeasureGroupValue (MEAN)Dispersion
RP5063 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS General Psychopathology SubscaleBaseline40.98 scores on a scaleStandard Deviation 7.3
RP5063 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS General Psychopathology SubscaleDay 2832.55 scores on a scaleStandard Deviation 11.26
RP5063 30 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS General Psychopathology SubscaleDay 2835.35 scores on a scaleStandard Deviation 10.12
RP5063 30 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS General Psychopathology SubscaleBaseline42.07 scores on a scaleStandard Deviation 7.08
RP5063 50 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS General Psychopathology SubscaleBaseline40.82 scores on a scaleStandard Deviation 7.61
RP5063 50 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS General Psychopathology SubscaleDay 2832.23 scores on a scaleStandard Deviation 9.79
Aripiprazole 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS General Psychopathology SubscaleDay 2839.42 scores on a scaleStandard Deviation 11.25
Aripiprazole 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS General Psychopathology SubscaleBaseline43.74 scores on a scaleStandard Deviation 9.41
PlaceboDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS General Psychopathology SubscaleBaseline43.05 scores on a scaleStandard Deviation 8.36
PlaceboDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS General Psychopathology SubscaleDay 2837.92 scores on a scaleStandard Deviation 13.03
Secondary

Demonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Negative Subscale

The Negative Scale includes 7 items (Blunted affect, Emotional withdrawal, Poor rapport, Passive/apathetic social withdrawal, Difficulty in abstract thinking, Lack of spontaneity and flow of conversation, Stereotyped thinking) and is calculated by adding the negative subscale item scores to obtain results ranging from 7 to 49. Minimum score is 7, maximum score is 49. A higher score reflects worse outcome and a larger reduction in the score from baseline reflects better treatment efficacy.

Time frame: Baseline to Day 28

Population: The ITT population is comprised of participants who had receiving at least one dose of treatment, have baseline and at least one assessment of PANSS and CGI-S without major deviations at baseline.

ArmMeasureGroupValue (MEAN)Dispersion
RP5063 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Negative SubscaleBaseline21.80 scores on a scaleStandard Deviation 5.63
RP5063 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Negative SubscaleDay 2816.96 scores on a scaleStandard Deviation 5.11
RP5063 30 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Negative SubscaleDay 2819.21 scores on a scaleStandard Deviation 5.92
RP5063 30 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Negative SubscaleBaseline22.89 scores on a scaleStandard Deviation 5.25
RP5063 50 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Negative SubscaleDay 2817.72 scores on a scaleStandard Deviation 5.89
RP5063 50 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Negative SubscaleBaseline21.37 scores on a scaleStandard Deviation 5.91
Aripiprazole 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Negative SubscaleDay 2819.47 scores on a scaleStandard Deviation 5.16
Aripiprazole 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Negative SubscaleBaseline22.53 scores on a scaleStandard Deviation 4.38
PlaceboDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Negative SubscaleDay 2820.57 scores on a scaleStandard Deviation 6.64
PlaceboDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Negative SubscaleBaseline22.24 scores on a scaleStandard Deviation 6.34
Secondary

Demonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Positive Subscale

The Positive Scale includes 7 Items (Delusions, Conceptual disorganization, Hallucinations, Hyperactivity, Grandiosity, Suspiciousness/persecution, Hostility) and is calculated by adding the subscale item scores to obtain results ranging from 7 to 49. A higher score reflects worse outcome and a larger reduction in the score from baseline reflects better treatment efficacy.

Time frame: Baseline to Day 28

Population: The ITT population is comprised of participants who had received at least one dose of treatment, have baseline and at least one assessment of PANSS and CGI-S without major deviations at baseline.

ArmMeasureGroupValue (MEAN)Dispersion
RP5063 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Positive SubscaleDay 2817.82 scores on a scaleStandard Deviation 7.95
RP5063 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Positive SubscaleBaseline24.79 scores on a scaleStandard Deviation 4.21
RP5063 30 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Positive SubscaleBaseline23.77 scores on a scaleStandard Deviation 4.66
RP5063 30 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Positive SubscaleDay 2818.75 scores on a scaleStandard Deviation 7.27
RP5063 50 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Positive SubscaleDay 2816.72 scores on a scaleStandard Deviation 6.66
RP5063 50 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Positive SubscaleBaseline23.68 scores on a scaleStandard Deviation 4.73
Aripiprazole 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Positive SubscaleBaseline25.42 scores on a scaleStandard Deviation 6.77
Aripiprazole 15 mgDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Positive SubscaleDay 2823.47 scores on a scaleStandard Deviation 7.88
PlaceboDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Positive SubscaleDay 2819.95 scores on a scaleStandard Deviation 6.84
PlaceboDemonstrates Antipsychotic Efficacy as Assessed by Change From Baseline on the PANSS Positive SubscaleBaseline24.54 scores on a scaleStandard Deviation 3.78

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