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Long-term Extension Study of SM-13496 (Lurasidone HCl) in Patients With Schizophrenia

Long-term Extension Study of SM-13496 (Lurasidone HCl) in Patients With Schizophrenia <Phase 3>

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01614912
Enrollment
284
Registered
2012-06-08
Start date
2012-08-31
Completion date
2015-05-31
Last updated
2022-04-12

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

Conditions

Schizophrenia

Brief summary

The study evaluates the long term safety and efficacy of SM-13496 in patients with schizophrenia.

Interventions

40 or 80 mg once daily orally

Sponsors

Sumitomo Pharma Co., Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 74 Years
Healthy volunteers
No

Inclusion criteria

* Patients who are considered by the investigator eligible for the present study with no significant safety concerns * Patients who are fully informed of and understand the objectives, procedures, and possible benefits and risks of the study and who provide written voluntarily consent to participate in the study

Exclusion criteria

* Patients who are planning pregnancy for the expected duration of the study * Patients who are otherwise considered ineligible for the study by the investigator

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at LOCF EndpointDB baseline and up to 32 weeks (LOCF endpoint)The PANSS is an interview-based measure of the severity of psychopathology in adults with psychotic disorders. The measure is comprised of 30 items and three subscales: the Positive subscale contains seven questions to assess delusions, conceptual disorganization, hallucinations behavior, excitement, grandiosity, suspiciousness/persecution, and hostility; the Negative subscale contains seven questions to assess blunted effect, emotional withdrawal, poor rapport, passive/apathetic social withdrawal, lack of motivation, and similar symptoms; and the General Psychopathology subscale addresses other symptoms such as anxiety, somatic concern, and disorientation. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. The PANSS total score is the sum of all 30 items and ranges from 30 through 210. A higher score is associated with greater illness severity.

Secondary

MeasureTime frameDescription
Change From Baseline in PANSS Positive Subscale Score at LOCF EndpointDB baseline and up to 32 weeks (LOCF endpoint)The PANSS is comprised of 30 items and three subscales. The Positive subscale contains seven questions to assess delusions, conceptual disorganization, hallucinations behavior, excitement, grandiosity, suspiciousness/persecution, and hostility. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. The PANSS Positive subscale score is the sum of all 7 items and ranges from 7 through 49. A higher score is associated with greater illness severity.
Change From Baseline in PANSS Negative Subscale Score at LOCF EndpointDB baseline and up to 32 weeks (LOCF endpoint)The PANSS is comprised of 30 items and three subscales. The Negative subscale contains seven questions to assess blunted effect, emotional withdrawal, poor rapport, passive/apathetic social withdrawal, lack of motivation, and similar symptoms. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. The PANSS Negative subscale score is the sum of all 7 items and ranges from 7 through 49. A higher score is associated with greater illness severity.
Change From Baseline in PANSS General Psychopathology Subscale Score at LOCF EndpointDB baseline and up to 32 weeks (LOCF endpoint)The PANSS is comprised of 30 items and three subscales. The General Psychopathology subscale addresses other 16 symptoms such as anxiety, somatic concern, and disorientation. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. The PANSS General Psychopathology subscale score is the sum of all 16 items and ranges from 16 through 112. A higher score is associated with greater illness severity.
Change From Baseline in the Clinical Global Impression - Severity of Illness (CGI-S) Score at LOCF EndpointDB baseline and up to 32 weeks (LOCF endpoint)CGI-S is a clinician-rated assessment of the participant's current disease state on a 7-point scale, where a higher score is associated with greater severity of the disease. Baseline in the prior study (D1001056, double-blind \[DB\] baseline) was defined as baseline of the prior study. Baseline in the present study (D1001057, extension \[EXT\] baseline) was defined as Week 6 in the prior study. The last post-baseline visit data collected during the study treatment of the present study were carried forward and defined as the last observation carried forward (LOCF) endpoint.
Proportion of Participants With TEAEs Leading to DiscontinuationEXT baseline and up to 26 weeks
Proportion of Participants With Treatment-emergent Serious Adverse Events (SAEs)EXT baseline and up to 26 weeksProportion of participants with treatment-emergent adverse events. A serious adverse event was defined as an AE that met one or more of the following criteria: Resulted in death; Was life-threatening (i.e., a patient was at immediate risk of death at the time of the event, not an event where occurrence in a more severe form might have caused death); Required hospitalization or prolongation of existing hospitalization; Resulted in persistent or significant disability or incapacity; Was a congenital anomaly or birth defect; Was an important medical event that might jeopardize the patient or might require medical intervention to prevent one of the outcomes listed above.
Proportion of Participants With Treatment-Emergent Adverse Events (TEAEs)EXT baseline and up to 26 weeksProportion of participants with treatment-emergent adverse events. An adverse event was defined as any untoward medical occurrence in a patient treated with a medicinal (investigational) product and which did not necessarily have a causal relationship with this treatment. Treatment-emergent adverse events are defined as adverse events with a start date on or after the date of initial administration of study drug in the present study through the end of follow-up or adverse events occurring before the date of initial administration of study drug in the present study and worsening during the study treatment in the present study.

Countries

Japan, Malaysia, South Korea, Taiwan

Participant flow

Participants by arm

ArmCount
SM-13496 (Lurasidone HCl) 40-mg or 80-mg Group
SM-13496 40 mg or 80 mg was orally administered for 26 weeks to the participants who completed the prior study (D1001056), in which, SM-13496 (40 mg or 80 mg) or placebo was administered for 6 weeks.
281
Total281

Baseline characteristics

CharacteristicSM-13496 (Lurasidone HCl) 40-mg or 80-mg Group
Age, Continuous43.2 years
STANDARD_DEVIATION 13.8
Region of Enrollment
Japan
126 participants
Region of Enrollment
Korea, Republic of
76 participants
Region of Enrollment
Malaysia
40 participants
Region of Enrollment
Taiwan
39 participants
Sex: Female, Male
Female
129 Participants
Sex: Female, Male
Male
152 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
1 / 282
other
Total, other adverse events
184 / 282
serious
Total, serious adverse events
31 / 282

Outcome results

Primary

Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at LOCF Endpoint

The PANSS is an interview-based measure of the severity of psychopathology in adults with psychotic disorders. The measure is comprised of 30 items and three subscales: the Positive subscale contains seven questions to assess delusions, conceptual disorganization, hallucinations behavior, excitement, grandiosity, suspiciousness/persecution, and hostility; the Negative subscale contains seven questions to assess blunted effect, emotional withdrawal, poor rapport, passive/apathetic social withdrawal, lack of motivation, and similar symptoms; and the General Psychopathology subscale addresses other symptoms such as anxiety, somatic concern, and disorientation. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. The PANSS total score is the sum of all 30 items and ranges from 30 through 210. A higher score is associated with greater illness severity.

Time frame: DB baseline and up to 32 weeks (LOCF endpoint)

Population: ITT (intent-to-treat) population

ArmMeasureValue (MEAN)Dispersion
SM-13496 (Lurasidone HCl) 40-mg or 80-mg GroupChange From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at LOCF Endpoint-28.4 units on a scaleStandard Deviation 22.2
Secondary

Change From Baseline in PANSS General Psychopathology Subscale Score at LOCF Endpoint

The PANSS is comprised of 30 items and three subscales. The General Psychopathology subscale addresses other 16 symptoms such as anxiety, somatic concern, and disorientation. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. The PANSS General Psychopathology subscale score is the sum of all 16 items and ranges from 16 through 112. A higher score is associated with greater illness severity.

Time frame: DB baseline and up to 32 weeks (LOCF endpoint)

Population: ITT (intent-to-treat) population

ArmMeasureValue (MEAN)Dispersion
SM-13496 (Lurasidone HCl) 40-mg or 80-mg GroupChange From Baseline in PANSS General Psychopathology Subscale Score at LOCF Endpoint-13.1 units on a scaleStandard Deviation 11.7
Secondary

Change From Baseline in PANSS Negative Subscale Score at LOCF Endpoint

The PANSS is comprised of 30 items and three subscales. The Negative subscale contains seven questions to assess blunted effect, emotional withdrawal, poor rapport, passive/apathetic social withdrawal, lack of motivation, and similar symptoms. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. The PANSS Negative subscale score is the sum of all 7 items and ranges from 7 through 49. A higher score is associated with greater illness severity.

Time frame: DB baseline and up to 32 weeks (LOCF endpoint)

Population: ITT (intent-to-treat) population

ArmMeasureValue (MEAN)Dispersion
SM-13496 (Lurasidone HCl) 40-mg or 80-mg GroupChange From Baseline in PANSS Negative Subscale Score at LOCF Endpoint-6.9 units on a scaleStandard Deviation 5.9
Secondary

Change From Baseline in PANSS Positive Subscale Score at LOCF Endpoint

The PANSS is comprised of 30 items and three subscales. The Positive subscale contains seven questions to assess delusions, conceptual disorganization, hallucinations behavior, excitement, grandiosity, suspiciousness/persecution, and hostility. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. The PANSS Positive subscale score is the sum of all 7 items and ranges from 7 through 49. A higher score is associated with greater illness severity.

Time frame: DB baseline and up to 32 weeks (LOCF endpoint)

Population: ITT (intent-to-treat) population

ArmMeasureValue (MEAN)Dispersion
SM-13496 (Lurasidone HCl) 40-mg or 80-mg GroupChange From Baseline in PANSS Positive Subscale Score at LOCF Endpoint-8.4 units on a scaleStandard Deviation 6.8
Secondary

Change From Baseline in the Clinical Global Impression - Severity of Illness (CGI-S) Score at LOCF Endpoint

CGI-S is a clinician-rated assessment of the participant's current disease state on a 7-point scale, where a higher score is associated with greater severity of the disease. Baseline in the prior study (D1001056, double-blind \[DB\] baseline) was defined as baseline of the prior study. Baseline in the present study (D1001057, extension \[EXT\] baseline) was defined as Week 6 in the prior study. The last post-baseline visit data collected during the study treatment of the present study were carried forward and defined as the last observation carried forward (LOCF) endpoint.

Time frame: DB baseline and up to 32 weeks (LOCF endpoint)

Population: ITT (intent-to-treat) population

ArmMeasureValue (MEAN)Dispersion
SM-13496 (Lurasidone HCl) 40-mg or 80-mg GroupChange From Baseline in the Clinical Global Impression - Severity of Illness (CGI-S) Score at LOCF Endpoint-1.46 units on a scaleStandard Deviation 1.36
Secondary

Proportion of Participants With TEAEs Leading to Discontinuation

Time frame: EXT baseline and up to 26 weeks

Population: Safety population defined as subjects who receive at least one dose of the study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
SM-13496 (Lurasidone HCl) 40-mg or 80-mg GroupProportion of Participants With TEAEs Leading to Discontinuation39 Participants
Secondary

Proportion of Participants With Treatment-Emergent Adverse Events (TEAEs)

Proportion of participants with treatment-emergent adverse events. An adverse event was defined as any untoward medical occurrence in a patient treated with a medicinal (investigational) product and which did not necessarily have a causal relationship with this treatment. Treatment-emergent adverse events are defined as adverse events with a start date on or after the date of initial administration of study drug in the present study through the end of follow-up or adverse events occurring before the date of initial administration of study drug in the present study and worsening during the study treatment in the present study.

Time frame: EXT baseline and up to 26 weeks

Population: Safety population defined as subjects who receive at least one dose of the study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
SM-13496 (Lurasidone HCl) 40-mg or 80-mg GroupProportion of Participants With Treatment-Emergent Adverse Events (TEAEs)215 Participants
Secondary

Proportion of Participants With Treatment-emergent Serious Adverse Events (SAEs)

Proportion of participants with treatment-emergent adverse events. A serious adverse event was defined as an AE that met one or more of the following criteria: Resulted in death; Was life-threatening (i.e., a patient was at immediate risk of death at the time of the event, not an event where occurrence in a more severe form might have caused death); Required hospitalization or prolongation of existing hospitalization; Resulted in persistent or significant disability or incapacity; Was a congenital anomaly or birth defect; Was an important medical event that might jeopardize the patient or might require medical intervention to prevent one of the outcomes listed above.

Time frame: EXT baseline and up to 26 weeks

Population: Safety population defined as subjects who receive at least one dose of the study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
SM-13496 (Lurasidone HCl) 40-mg or 80-mg GroupProportion of Participants With Treatment-emergent Serious Adverse Events (SAEs)31 Participants

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