Bipolar I Disorder, Schizophrenia
Conditions
Keywords
Aripiprazole, Aripiprazole Intramuscular Depot, Gluteal Muscle, Long Acting Injection
Brief summary
The purpose of this trial is to determine the safety and tolerability of multiple-dose administrations of aripiprazole, to establish the similarity of aripiprazole concentrations on the last day of the dosing interval following the final administration of aripiprazole into the gluteal muscle site, and to establish the similarity of aripiprazole exposure over the dosing interval following the administration of aripiprazole into the gluteal muscle site in adult participants with schizophrenia or bipolar I disorder.
Interventions
Administered as an intramuscular (IM) depot injection.
Sponsors
Study design
Eligibility
Inclusion criteria
* A current diagnosis of schizophrenia or bipolar I disorder, as defined by Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria. * Body mass index of 18 to 35 kilograms per meter square (kg/m\^2). * On a stable dose of an atypical oral antipsychotic medication for at least 2 months prior to screening.
Exclusion criteria
* Participants who have: * Met DSM-5 criteria for substance use disorder within the past 180 days. * A positive drug screen for drugs of abuse * Use of any psychotropic medications other than their current non-aripiprazole antipsychotic or mood stabilizer(s) medication; or participants who use more than one antipsychotic or mood stabilizer(s) medication at screening. * Females who are pregnant, breast-feeding, lactating, and/or have a positive pregnancy test result prior to receiving investigational medicinal product (IMP). A negative serum pregnancy test must be confirmed prior to the first dose of IMP for all female participants. * Any major surgery within 30 days prior to enrollment or scheduled/elective surgery during the trial. * Evidence of organ dysfunction or any clinically significant deviation from normal in the physical, electrocardiographic, or clinical laboratory examinations. * Participants currently in an acute relapse of schizophrenia. * Participants with a current DSM-5 diagnosis other than schizophrenia or bipolar I disorder, including schizoaffective disorder, major depressive disorder, delirium, dementia, amnestic, or other cognitive disorders. Also, participants with borderline, paranoid, histrionic, or antisocial personality disorder. * Participants with a history of neuroleptic malignant syndrome or clinically significant tardive dyskinesia. * History of any significant drug allergy or known or suspected hypersensitivity, in particular to aripiprazole or other quinolinones. * History of or current hepatitis or acquired immunodeficiency syndrome or carriers of Hepatitis B surface antigen (HBsAg) or Hepatitis C antibodies (anti-HCV), and/or Human immunodeficiency virus (HIV) antibodies. * Participants deemed intolerant of receiving injections. * Participants who have had electroconvulsive therapy within 2 months of administration of IMP.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With One or More Treatment-Emergent Adverse Events (TEAEs) | From first dose of study drug up to 56 days (2M LAI 960 mg) or 28 days (IM depot 400 mg) post last dose of study drug (up to approximately 11 months) | An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical trial participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. A TEAE is defined as an AE that started after investigational medicinal product (IMP) treatment; or if the event was continuous from baseline and was serious, IMP-related, or resulted in death, discontinuation, interruption, or reduction of the IMP. |
| Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | From first dose of study drug up to Day 225 | Potentially clinically significant vital sign abnormalities included: heart rate supine (high: \>120 beats per minute \[BPM\] and increase \>=15 BPM; low: \<50 BPM and decrease \>=15 BPM), systolic blood pressure supine (high \>180 (millimetres of mercury \[mmHg\] and increase \>=20 mmHg); low: \<90 mmHg and decrease \>=20 mmHg), diastolic blood pressure supine (high: \>105 mmHg and increase \>=15 mmHg; low: \<50 mmHg and decrease \>=15 mmHg), heart rate standing (high: \>120 BPM and increase \>=15 BPM), systolic blood pressure standing (high: \>180 mmHg and increase \>= 20 mmHg; low: \<90 mmHg and decrease \>=20 mmHg), diastolic blood pressure standing (high: \>105 mmHg and increase \>=15 mmHg), weight in kilograms (kg) (high: increase \>=7%; low: decrease \>=7%), temperature (high: \>=37.8 degree celsius \[°C\] and increase \>=1.1°C), orthostatic hypotension (low: \>=20 mmHg decrease in systolic blood pressure and \>=25 BPM increase in heart rate from supine to standing. |
| Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | From first dose of study drug up to Day 225 | Potentially clinically significant ECG abnormalities included rate: bradycardia (vent \<=50 BPM\] and decrease \>=15 BPM); rhythm: sinus bradycardia (\<= 50 BPM and decrease \>= 15 BPM and no current diagnosis of atrial fibrillation, atrial flutter, or other rhythm abnormality); supraventricular premature beat (not present at baseline and present post baseline); ventricular premature beat (not present at baseline and present post baseline); conduction: right bundle branch block (not present at baseline and present post baseline); ST/T morphology: myocardial ischemia and symmetrical T-wave inversion (not present at baseline and present post baseline), QTcB, QTcF, and QTcN (\>=450 milliseconds \[msec\] and \>= 10% increase). |
| Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | From first dose of study drug up to Day 225 | Potentially clinically relevant laboratory abnormalities included: In units per liter \[U/L\] (alanine aminotransferase: male\[M\]/female\[F\] \>=3 x upper limit of normal (ULN); aspartate aminotransferase: M/F \>= 3 x ULN; creatine kinase: M/F \>= 3 x ULN); in milligrams per deciliter (mg/dL) (creatinine: M/F \>= 2.0; glucose: M/F \>= 200; urate: M \>=10.5, F \>=8.5); potassium \[milliequivalents per liter (mEq/L)\]: M/F \>=5.5, in percentage (%) (eosinophils/leukocytes: M/F\>=10%, hematocrit: M\<=37%/F\<=32% and 3 point decrease from baseline); hemoglobin (grams per deciliter \[g/dL\]): M\<=11.5/F\<=9.5; leukocytes \[10\^9 per liter (/L)\]: M/F\<=2.8 x 10\^3 per microliters (/uL); platelets (10\^9/L): M/F\>=700 x 10\^3/uL; glucose, urine and protein, urine: increase of \>=2 units; and prolactin (nanograms per milliliter \[ng/mL\]: M/F \> 1 x ULN. |
| Mean Change From Baseline in Simpson-Angus Neurologic Rating Scale (SAS) Total Score | Baseline, Week 32 | The SAS scale is used to evaluate extrapyramidal symptoms (EPS) and consists of a list of 10 symptoms of Parkinsonism (gait, arm dropping, shoulder shaking, elbow rigidity, wrist rigidity, head rotation, glabella tap, tremor, salivation, and akathisia). Each item is rated on a 5-point scale, with a score of range of 0 (absence of symptoms) to 4 (severe condition). The SAS total score is the sum of the scores for all 10 items, possible total score is 0 to 40. Negative change from baseline indicates less symptoms. |
| Mean Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Movement Score | Baseline, Week 32 | The AIMS assessment consists of 10 items describing symptoms of dyskinesia. Facial and oral movements (items 1 through 4), extremity movements (items 5 and 6), and trunk movements (item 7), dyskinesias (items 8 through 10). Each item is rated on a 5-point scale, with a score of 0 representing absence of symptoms (for item 10, no awareness), and a score of 4 indicating a severe condition (for item 10, aware/severe distress). AIMS movement score is the sum of the ratings for the first seven items with the possible total scores of 0 to 28. Negative change from baseline indicates less symptoms. |
| Mean Change From Baseline in Barnes Akathisia Rating Score (BARS) Global Score | Baseline, Week 32 | The BARS consists of 4 items related to akathisia: objective observation of akathisia by the investigator, subjective feelings of restlessness by the participant, participant distress due to akathisia, and global evaluation of akathisia. The first 3 items are rated on a 4-point scale, with a score of 0 representing absence of symptoms and a score of 3 representing a severe condition. The global clinical evaluation is made on a 6-point scale, with 0 representing absence of symptoms and a score of 5 representing severe akathisia. Total BARS score ranges from 0 to 14 where lower scores indicate less symptoms and negative change from baseline indicate less symptoms. |
| Visual Analog Scale (VAS) Scores for Pain Perception of Aripiprazole 2M LAI 960 mg | Day 1 (First injection) to Day 169 (Last injection) | Injection-site pain was evaluated by mean VAS scores as reported by the participant after each injection at visits where an injection occurred. The last injection was the final injection for any given participant. Ratings ranged from 0 (no pain) to 100 (unbearably painful). |
| VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Day 1 (First injection) to Day 197 (Last injection) | Injection-site pain was evaluated by mean VAS scores as reported by the participant after each injection at visits where an injection occurred. The last injection was the final injection for any given participant. Ratings ranged from 0 (no pain) to 100 (unbearably painful). |
| Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole 2M LAI 960 mg Injection | Day 1 (First injection) to Day 169 (Last injection) | Injection-site reactions were assessed by the investigator (or qualified designee) and the participant. Investigators rated localized pain, redness, swelling, and induration at the most recent injection site using a 4-point categorical scale (absent, mild, moderate, severe). The participant indicated the degree of pain at the most recent injection site using a VAS instrument. Ratings included were: 0 = absent, 1 = mild, 2 = moderate, 3 = severe. The last injection was the final injection for any given participant. |
| Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole IM Depot 400 mg Injection | Day 1 (First injection) to Day 197 (Last injection) | Injection-site reactions were assessed by the investigator (or qualified designee) and the participant. Investigators rated localized pain, redness, swelling, and induration at the most recent injection site using a 4-point categorical scale (absent, mild, moderate, severe). The participant indicated the degree of pain at the most recent injection site using a VAS instrument. Ratings included were: 0 = absent, 1 = mild, 2 = moderate, 3 = severe. The last injection was the final injection for any given participant. |
| Number of Participants With Suicidality as Assessed by Columbia-Suicide Severity Rating Scale (C-SSRS) | Baseline to Day 225 | C-SSRS was used to assess the suicidality of participants during the study. The assessment included yes or no responses for 5 questions, each related to suicidal ideation (wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with any methods, active suicidal ideation with some intent, active suicidal ideation with specific plan) and suicidal behavior (preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, suicide). Numeric ratings were provided for suicidal ideation: Score range of 1 (wish to be dead) to 5 (active suicidal ideation with specific plan and intent), higher total scores indicate more suicidal ideation; Suicidal behavior: Score range of 0 (no suicidal behavior) to 4 (actual suicide attempt), higher total scores indicate more suicidal behavior. Suicidality was defined as reporting any suicidal ideation or behavior. |
| Plasma Concentration of Aripiprazole 56 Days Postdose (C56) of Aripiprazole 2M LAI 960 mg After the Fourth Dose | Day 225 | — |
| Plasma Concentration of Aripiprazole 28 Days Postdose (C28) of Aripiprazole IM Depot 400 mg After the Eighth Dose | Day 225 | — |
| Area Under the Plasma Concentration-Time Curve From Time 0 to 28 Days (AUC0-28) of Aripiprazole After the Seventh and Eighth Doses of Aripiprazole IM Depot 400 mg | Days 169 (predose and 4, 8, 12 hours post dose), 170, 171, 173, 176, 178, 181, 183, 186, 190, 197 (predose and 4, 8, 12 hours post dose), 198, 199, 201, 204, 206, 209, 211, 214, 218, 225 | — |
| Area Under the Plasma Concentration-Time Curve From Time 0 to 56 Days (AUC0-56) of Aripiprazole After the Fourth Dose of Aripiprazole 2M LAI 960 mg | Days 169 (predose and 4, 8, 12 hours post dose), 170, 171, 173, 176, 178, 181, 183, 186, 190, 197, 204, 211, 218, and 225 | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Maximum Observed Plasma Concentration (Cmax) of Aripiprazole After First and Fourth Doses of Aripiprazole 2M LAI 960 mg | Days 1(predose [within 2 hours(h) prior to dosing]&4,8,12 h postdose),2,3,5,8,10,13,15,18,22,29,36,43,50,57(predose),85,113(predose),141,169(predose [within 2 h prior to dosing]& 4,8,12 h postdose),170,171,173,176,178,181,183,186,190,197,204,211,218 & 225 | — |
| Time to Reach the Maximum Plasma Concentration (Tmax) of Aripiprazole After First and Fourth Doses of Aripiprazole 2M LAI 960 mg | Days 1(predose [within 2 hours(h) prior to dosing]&4,8,12 h postdose),2,3,5,8,10,13,15,18,22,29,36,43,50,57(predose),85,113(predose),141,169(predose [within 2 h prior to dosing]& 4,8,12 h postdose),170,171,173,176,178,181,183,186,190,197,204,211,218 & 225 | — |
| AUC0-56 After the First Dose of Aripiprazole 2M LAI 960 mg | Days 1 (predose and 4, 8, 12 hours post-dose), 2, 3, 5, 8, 10, 13, 15, 18, 22, 29, 36, 43, 50 and 57 (pre-dose) | — |
| Plasma Concentration of Aripiprazole 56 Days (C56) After the First Dose of Aripiprazole 2M LAI 960 mg | Predose on Day 57 | — |
| AUC0-28 After the Fourth Dose of Aripiprazole 2M LAI 960 mg | Days 169 (predose and 4, 8, 12 hours postdose), 170, 171, 173, 176, 178, 181, 183, 186, 190, and 197 | — |
| Area Under the Plasma Concentration-Time Curve From Time 29 to 56 Days (AUC29-56) After the Fourth Dose of Aripiprazole 2M LAI 960 mg | Days 204, 211, 218, and 225 | — |
| Peak-to-Trough Percent Fluctuation (PTF%) After the Fourth Dose of Aripiprazole 2M LAI 960 mg | Days 169 (Predose [within 2 hours prior to dosing] and 4, 8, 12 hours post dose), 170, 171, 173, 176, 178, 181, 183, 186, 190, 197, 204, 211, 218, and 225 | PTF% was determined as 100\*(Cmax - Cmin \[minimum plasma concentration of the drug\])/Caverage (average steady-state plasma drug concentration during multiple-dose administration) following fourth dose. |
| Cmax of Aripiprazole After the First, Seventh, and Eighth Doses of Aripiprazole IM Depot 400 mg | Predose [within 2 hours prior to dosing; 4,8,12h postdose] on Days 1,169,197; Predose on Days 29,57,85,113,141; and on Days 2, 3, 5, 8, 10, 13, 15, 18, 22, 170, 171, 173, 176, 178, 181, 183, 186, 190,198, 199, 201, 204, 206, 209, 211, 214, 218, 225 | — |
| Tmax of Aripiprazole After the First, Seventh, and Eighth Doses of Aripiprazole IM Depot 400 mg | Predose [within 2 hours prior to dosing; 4,8,12h postdose] on Days 1,169,197; Predose on Days 29,57,85,113,141; and on Days 2, 3, 5, 8, 10, 13, 15, 18, 22, 170, 171, 173, 176, 178, 181, 183, 186, 190,198, 199, 201, 204, 206, 209, 211, 214, 218, 225 | — |
| AUC0-28 After the First Dose of Aripiprazole IM Depot 400 mg | Days 1 (predose and 4, 8, and 12 hours postdose), 2, 3, 5, 8, 10, 13, 15, 18, 22 and 29 (predose) | — |
| Plasma Concentration of Aripiprazole 28 Days (C28) After the First Dose of Aripiprazole IM Depot 400 mg | Predose on Day 29 | — |
| PTF% After the Eighth Dose of Aripiprazole IM Depot 400 mg | Days 197 (Predose [within 2 hours prior to dosing] and 4, 8, 12 hours post dose),198, 199, 201, 204, 206, 209, 211, 214, 218, 225 | PTF% was determined as 100\*(Cmax - Cmin \[minimum plasma concentration of the drug\])/Caverage (average steady-state plasma drug concentration during multiple-dose administration) following eighth dose. |
| Plasma Concentration of Aripiprazole 7 Days Post First Dose (C7) of Aripiprazole 2M LAI 960 mg | Day 8 | — |
| Plasma Concentration of Aripiprazole Post First Dose (C14) of Aripiprazole IM Depot 400 mg | Day 15 | — |
| Mean Change From Baseline in Positive and Negative Syndrome Scale Rating Criteria (PANSS) Total Score | Baseline, Week 32 | The PANSS consisted of three subscales: a total of 30 symptom constructs. For each symptom construct, severity was rated on a 7-point scale, with a score of 1 (absence of symptoms) and a score of 7 (extremely severe symptoms). The PANSS total score was the sum of the rating scores for 7 positive scale items, 7 negative scale items, and 16 general psychopathology scale items from the PANSS panel. The PANSS total score ranged from 30 (best possible outcome) to 210 (worst possible outcome). Higher scores indicate worse condition. The PANSS was assessed for schizophrenia participants only. |
| Mean Change From Baseline in Clinical Global Impression - Severity Scale (CGI-S) Score | Baseline, Week 32 | The CGI-S is a standardized, clinician-administered global rating scale that measures disease severity. To assess CGI-S, the rater or investigator answered the following question: Considering your total clinical experience with this particular population, how mentally ill is the participant at this time? Response choices include: 0 = not assessed; 1 = normal, not ill at all; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; and 7 = among the most extremely ill participants. The cumulative score range is 0-7. A higher score on the CGI-S represents a higher severity of disease. The CGI-S scale was assessed for schizophrenia participants only. |
| Mean Change From Baseline in Clinical Global Impression - Improvement Scale (CGI-I) Score | Baseline, Week 32 | The CGI-I scale is a clinician rated scale which assesses the improvement of illness for each participant. To assess CGI-I, the rater or investigator rated the participant's total improvement whether or not it is due entirely to drug treatment. All responses were compared with the participant's condition at baseline. Response choices include: 0 = not assessed, 1 = very much improved, 2 = much improved, 3 = minimally improved, 4 = no change, 5 = minimally worse, 6 = much worse, and 7 = very much worse. Scores range from 0 to 7. Higher scores indicate worse condition. |
| Mean Change From Baseline in Subjective Well-Being Under Neuroleptic Treatment-Short Form (SWN-S) Total Score | Baseline, Week 32 | The participant's feeling of their own well-being was assessed using the 20-question SWN-S. The SWN-S was a validated self-report instrument that evaluated the participant's perception of well-being while receiving antipsychotic medication. The questionnaire consisted of 20 items (10 positive and 10 negative statements) and 5 subscales (mental functioning, social integration, emotional regulation, physical functioning, self-control) whose items followed in random order. For items marked with a '+', the response choices and scoring is not at all = 1, hardly at all = 2, a little = 3, somewhat = 4, much = 5, and very much = 6. For items marked with a '- ', the scoring is reversed; response choices and scoring are as follows: not at all = 6, hardly at all = 5, a little = 4, somewhat = 3, much = 2, very much = 1. SWN-S subscale score's each item was rated on a score of 1 (none) to 6 (severe), and total score ranged from 20 to 120, with higher scores indicating stronger subjective feeling |
| Mean Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score | Baseline, Week 32 | The MADRS is a diagnostic questionnaire used by clinician to assess the participant's severity of depression. This scale consists of 10 items each with 7 defined grades of severity on 0 to 6 scale (reported sadness, apparent sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts). MADRS total score is sum of 10 individual item scores ranging from 0-60 categorized as: 0 to 6: normal/symptoms absent, 7 to 19: mild depression, 20 to 34: moderate depression, and 35 to 60: severe depression. Higher score indicates more depressive symptoms. The MADRS was assessed for bipolar I disorder participants only. |
| Mean Change From Baseline in Young Mania Rating Scale (YMRS) Total Score | Baseline, Week 32 | The YMRS is an 11-item, multiple-choice diagnostic questionnaire which psychiatrists use to assess the core symptoms of mania and is based on the participants subjective report of their condition. There are four items that are graded on a 0 to 8 scale (irritability, speech, thought content, and disruptive/aggressive behavior), while the remaining seven items are graded on a 0 to 4 scale. Total score is summed of 11 items. Total score range is from 0 to 60 and the higher score represent a worse outcome. The YMRS was assessed for bipolar I disorder participants only. |
| Mean Change From Baseline in Clinical Global Impression - Bipolar Version (CGI-BP) Severity of Illness Score | Baseline, Week 32 | The CGI-BP scale refers to the global impression of the participants with respect to bipolar disorder. The scale rates the participant's severity of illness (CGI-BP-Severity: mania, depression, and overall bipolar illness) and change from preceding phase (CGI-BP change from preceding phase: mania, depression, and overall bipolar illness) based on a 7-point scale ranging from 1 (normal, not ill) to 7 (very severely ill). A negative change score signifies improvement. The CGI-BP was assessed for bipolar I disorder participants only. |
Countries
United States
Participant flow
Recruitment details
Participants were enrolled in the study at 16 investigational sites in the United States from 01 August 2019 to 08 July 2020.
Participants by arm
| Arm | Count |
|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder Participants with schizophrenia or bipolar I disorder received aripiprazole 2M LAI 960 mg, for a total of 4 injections administered every 56 days (± 2 days) over the course of 32 weeks. | 132 |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder Participants with schizophrenia or bipolar I disorder received aripiprazole IM 400 mg, for a total of 8 injections administered every 28 days (± 2 days) over the course of 32 weeks. | 134 |
| Total | 266 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 5 | 10 |
| Overall Study | Due to Covid-19 | 2 | 3 |
| Overall Study | Lost to Follow-up | 3 | 7 |
| Overall Study | Not Due to Covid-19 | 1 | 1 |
| Overall Study | Physician Decision | 1 | 1 |
| Overall Study | Protocol Deviation | 2 | 2 |
| Overall Study | Withdrawal by Subject | 16 | 18 |
Baseline characteristics
| Characteristic | Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Total |
|---|---|---|---|
| Age, Continuous | 47.8 years STANDARD_DEVIATION 10.8 | 46.8 years STANDARD_DEVIATION 11.7 | 47.3 years STANDARD_DEVIATION 11.3 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 12 Participants | 11 Participants | 23 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 119 Participants | 122 Participants | 241 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 1 Participants | 1 Participants | 2 Participants |
| Race/Ethnicity, Customized Race Asian | 3 Participants | 4 Participants | 7 Participants |
| Race/Ethnicity, Customized Race Black or African American | 99 Participants | 95 Participants | 194 Participants |
| Race/Ethnicity, Customized Race Other | 1 Participants | 2 Participants | 3 Participants |
| Race/Ethnicity, Customized Race White | 29 Participants | 33 Participants | 62 Participants |
| Sex: Female, Male Female | 42 Participants | 48 Participants | 90 Participants |
| Sex: Female, Male Male | 90 Participants | 86 Participants | 176 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 1 / 132 | 0 / 134 |
| other Total, other adverse events | 92 / 132 | 92 / 134 |
| serious Total, serious adverse events | 6 / 132 | 8 / 134 |
Outcome results
Area Under the Plasma Concentration-Time Curve From Time 0 to 28 Days (AUC0-28) of Aripiprazole After the Seventh and Eighth Doses of Aripiprazole IM Depot 400 mg
Time frame: Days 169 (predose and 4, 8, 12 hours post dose), 170, 171, 173, 176, 178, 181, 183, 186, 190, 197 (predose and 4, 8, 12 hours post dose), 198, 199, 201, 204, 206, 209, 211, 214, 218, 225
Population: PK sample included all dosed participants who had 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. 'Number Analyzed' signifies number of participants with available data for this outcome measure at the specified timepoint. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole IM Depot 400 mg.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Area Under the Plasma Concentration-Time Curve From Time 0 to 28 Days (AUC0-28) of Aripiprazole After the Seventh and Eighth Doses of Aripiprazole IM Depot 400 mg | AUC0-28 After Seventh Dose (Day 169) | 7760 day*ng/mL | Standard Deviation 4300 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Area Under the Plasma Concentration-Time Curve From Time 0 to 28 Days (AUC0-28) of Aripiprazole After the Seventh and Eighth Doses of Aripiprazole IM Depot 400 mg | AUC0-28 After Eighth Dose (Day 197) | 7840 day*ng/mL | Standard Deviation 5170 |
Area Under the Plasma Concentration-Time Curve From Time 0 to 56 Days (AUC0-56) of Aripiprazole After the Fourth Dose of Aripiprazole 2M LAI 960 mg
Time frame: Days 169 (predose and 4, 8, 12 hours post dose), 170, 171, 173, 176, 178, 181, 183, 186, 190, 197, 204, 211, 218, and 225
Population: PK sample included all dosed participants who had 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole 2M LAI 960 mg.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Area Under the Plasma Concentration-Time Curve From Time 0 to 56 Days (AUC0-56) of Aripiprazole After the Fourth Dose of Aripiprazole 2M LAI 960 mg | 14700 day*ng/mL | Standard Deviation 7460 |
Mean Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Movement Score
The AIMS assessment consists of 10 items describing symptoms of dyskinesia. Facial and oral movements (items 1 through 4), extremity movements (items 5 and 6), and trunk movements (item 7), dyskinesias (items 8 through 10). Each item is rated on a 5-point scale, with a score of 0 representing absence of symptoms (for item 10, no awareness), and a score of 4 indicating a severe condition (for item 10, aware/severe distress). AIMS movement score is the sum of the ratings for the first seven items with the possible total scores of 0 to 28. Negative change from baseline indicates less symptoms.
Time frame: Baseline, Week 32
Population: Safety sample included all randomized participants who receive at least 1 dose of aripiprazole injection, regardless of any protocol violation. 'Number Analyzed' signifies number of participants with available data for this outcome measure at the specified timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Movement Score | Baseline | 0.1 score on a scale | Standard Deviation 1 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Movement Score | Change from Baseline at Week 32 | 0.0 score on a scale | Standard Deviation 0.5 |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Movement Score | Baseline | 0.1 score on a scale | Standard Deviation 0.7 |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Movement Score | Change from Baseline at Week 32 | -0.1 score on a scale | Standard Deviation 0.6 |
Mean Change From Baseline in Barnes Akathisia Rating Score (BARS) Global Score
The BARS consists of 4 items related to akathisia: objective observation of akathisia by the investigator, subjective feelings of restlessness by the participant, participant distress due to akathisia, and global evaluation of akathisia. The first 3 items are rated on a 4-point scale, with a score of 0 representing absence of symptoms and a score of 3 representing a severe condition. The global clinical evaluation is made on a 6-point scale, with 0 representing absence of symptoms and a score of 5 representing severe akathisia. Total BARS score ranges from 0 to 14 where lower scores indicate less symptoms and negative change from baseline indicate less symptoms.
Time frame: Baseline, Week 32
Population: Safety sample included all randomized participants who received at least 1 dose of aripiprazole injection, regardless of any protocol violation. 'Number Analyzed' signifies number of participants with available data for this outcome measure at the specified timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Barnes Akathisia Rating Score (BARS) Global Score | Baseline | 0.1 score on a scale | Standard Deviation 0.3 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Barnes Akathisia Rating Score (BARS) Global Score | Change from Baseline at Week 32 | 0.1 score on a scale | Standard Deviation 0.6 |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Barnes Akathisia Rating Score (BARS) Global Score | Baseline | 0.1 score on a scale | Standard Deviation 0.3 |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Barnes Akathisia Rating Score (BARS) Global Score | Change from Baseline at Week 32 | 0.1 score on a scale | Standard Deviation 0.4 |
Mean Change From Baseline in Simpson-Angus Neurologic Rating Scale (SAS) Total Score
The SAS scale is used to evaluate extrapyramidal symptoms (EPS) and consists of a list of 10 symptoms of Parkinsonism (gait, arm dropping, shoulder shaking, elbow rigidity, wrist rigidity, head rotation, glabella tap, tremor, salivation, and akathisia). Each item is rated on a 5-point scale, with a score of range of 0 (absence of symptoms) to 4 (severe condition). The SAS total score is the sum of the scores for all 10 items, possible total score is 0 to 40. Negative change from baseline indicates less symptoms.
Time frame: Baseline, Week 32
Population: Safety sample included all randomized participants who received at least 1 dose of aripiprazole injection, regardless of any protocol violation. 'Number Analyzed' signifies number of participants with available data for this outcome measure at the specified timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Simpson-Angus Neurologic Rating Scale (SAS) Total Score | Baseline | 0.2 score on a scale | Standard Deviation 0.6 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Simpson-Angus Neurologic Rating Scale (SAS) Total Score | Change From Baseline at Week 32 | -0.0 score on a scale | Standard Deviation 0.7 |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Simpson-Angus Neurologic Rating Scale (SAS) Total Score | Baseline | 0.2 score on a scale | Standard Deviation 0.4 |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Simpson-Angus Neurologic Rating Scale (SAS) Total Score | Change From Baseline at Week 32 | 0.1 score on a scale | Standard Deviation 0.6 |
Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole 2M LAI 960 mg Injection
Injection-site reactions were assessed by the investigator (or qualified designee) and the participant. Investigators rated localized pain, redness, swelling, and induration at the most recent injection site using a 4-point categorical scale (absent, mild, moderate, severe). The participant indicated the degree of pain at the most recent injection site using a VAS instrument. Ratings included were: 0 = absent, 1 = mild, 2 = moderate, 3 = severe. The last injection was the final injection for any given participant.
Time frame: Day 1 (First injection) to Day 169 (Last injection)
Population: Safety sample included all randomized participants who received at least 1 dose of aripiprazole injection, regardless of any protocol violation. Overall number analyzed is the number of participants with data available for outcome measure analysis. 'Number Analyzed' signifies number of participants with available data for this outcome measure at the specified timepoint.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole 2M LAI 960 mg Injection | First Injection: Mild Pain | 11 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole 2M LAI 960 mg Injection | Second Injection: Mild Pain | 2 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole 2M LAI 960 mg Injection | Third Injection: Mild Pain | 5 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole 2M LAI 960 mg Injection | Fourth Injection: Mild Pain | 5 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole 2M LAI 960 mg Injection | Last injection: Mild Pain | 5 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole 2M LAI 960 mg Injection | First injection: Mild Redness | 3 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole 2M LAI 960 mg Injection | Third injection: Mild Redness | 1 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole 2M LAI 960 mg Injection | Last injection: Mild Redness | 1 Participants |
Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole IM Depot 400 mg Injection
Injection-site reactions were assessed by the investigator (or qualified designee) and the participant. Investigators rated localized pain, redness, swelling, and induration at the most recent injection site using a 4-point categorical scale (absent, mild, moderate, severe). The participant indicated the degree of pain at the most recent injection site using a VAS instrument. Ratings included were: 0 = absent, 1 = mild, 2 = moderate, 3 = severe. The last injection was the final injection for any given participant.
Time frame: Day 1 (First injection) to Day 197 (Last injection)
Population: Safety sample included all randomized participants who received at least 1 dose of aripiprazole injection, regardless of any protocol violation. 'Number Analyzed' signifies number of participants with available data for this outcome measure at the specified timepoint. Participants whose injection-site reactions were assessed by the investigator, are reported in this outcome measure, and may differ from participants whose VAS scores were assessed for pain.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole IM Depot 400 mg Injection | First Injection: Mild Pain | 7 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole IM Depot 400 mg Injection | Second Injection: Mild Pain | 3 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole IM Depot 400 mg Injection | Third Injection: Mild Pain | 7 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole IM Depot 400 mg Injection | Fourth Injection: Mild Pain | 1 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole IM Depot 400 mg Injection | Fifth Injection: Mild Pain | 3 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole IM Depot 400 mg Injection | Seventh Injection: Mild Pain | 1 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole IM Depot 400 mg Injection | Eighth Injection: Mild Pain | 1 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole IM Depot 400 mg Injection | Last injection: Mild Pain | 3 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole IM Depot 400 mg Injection | First injection: Mild Redness | 1 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Injection Site Evaluations (Pain, Redness, Swelling, Induration) Measured by Investigator Rating After Aripiprazole IM Depot 400 mg Injection | Second injection: Mild Redness | 3 Participants |
Number of Participants With One or More Treatment-Emergent Adverse Events (TEAEs)
An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical trial participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. A TEAE is defined as an AE that started after investigational medicinal product (IMP) treatment; or if the event was continuous from baseline and was serious, IMP-related, or resulted in death, discontinuation, interruption, or reduction of the IMP.
Time frame: From first dose of study drug up to 56 days (2M LAI 960 mg) or 28 days (IM depot 400 mg) post last dose of study drug (up to approximately 11 months)
Population: Safety sample included all randomized participants who received at least 1 dose of aripiprazole injection, regardless of any protocol violation.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With One or More Treatment-Emergent Adverse Events (TEAEs) | 94 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With One or More Treatment-Emergent Adverse Events (TEAEs) | 95 Participants |
Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities
Potentially clinically relevant laboratory abnormalities included: In units per liter \[U/L\] (alanine aminotransferase: male\[M\]/female\[F\] \>=3 x upper limit of normal (ULN); aspartate aminotransferase: M/F \>= 3 x ULN; creatine kinase: M/F \>= 3 x ULN); in milligrams per deciliter (mg/dL) (creatinine: M/F \>= 2.0; glucose: M/F \>= 200; urate: M \>=10.5, F \>=8.5); potassium \[milliequivalents per liter (mEq/L)\]: M/F \>=5.5, in percentage (%) (eosinophils/leukocytes: M/F\>=10%, hematocrit: M\<=37%/F\<=32% and 3 point decrease from baseline); hemoglobin (grams per deciliter \[g/dL\]): M\<=11.5/F\<=9.5; leukocytes \[10\^9 per liter (/L)\]: M/F\<=2.8 x 10\^3 per microliters (/uL); platelets (10\^9/L): M/F\>=700 x 10\^3/uL; glucose, urine and protein, urine: increase of \>=2 units; and prolactin (nanograms per milliliter \[ng/mL\]: M/F \> 1 x ULN.
Time frame: From first dose of study drug up to Day 225
Population: Safety sample included all randomized participants who received at least 1 dose of aripiprazole injection, regardless of any protocol violation. Overall number analyzed is the number of participants with data available for outcome measure analysis. 'Number Analyzed' signifies number of participants with data available for analysis of specified parameter.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Glucose (mg/dL) | 7 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | Low Hematocrit (%) | 7 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Aspartate Aminotransferase (U/L) | 0 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | Low Hemoglobin (g/dL) | 4 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Potassium (mEq/L) | 5 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | Low Leukocytes (10^9/L) | 0 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Creatinine (mg/dL) | 2 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Platelets (10^9/L) | 0 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Urate (mg/dL) | 2 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Glucose, Urine | 5 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Creatine Kinase (U/L) | 12 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Protein, Urine | 1 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Eosinophils/Leukocytes (%) | 2 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Prolactin (ng/mL) | 2 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Alanine Aminotransferase (U/L) | 1 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Prolactin (ng/mL) | 4 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Alanine Aminotransferase (U/L) | 2 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Aspartate Aminotransferase (U/L) | 2 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Creatine Kinase (U/L) | 1 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Creatinine (mg/dL) | 1 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Glucose (mg/dL) | 3 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Potassium (mEq/L) | 4 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Urate (mg/dL) | 0 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Eosinophils/Leukocytes (%) | 0 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | Low Hematocrit (%) | 8 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | Low Hemoglobin (g/dL) | 9 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | Low Leukocytes (10^9/L) | 3 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Platelets (10^9/L) | 1 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Glucose, Urine | 6 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Clinical Laboratory Abnormalities | High Protein, Urine | 2 Participants |
Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities
Potentially clinically significant ECG abnormalities included rate: bradycardia (vent \<=50 BPM\] and decrease \>=15 BPM); rhythm: sinus bradycardia (\<= 50 BPM and decrease \>= 15 BPM and no current diagnosis of atrial fibrillation, atrial flutter, or other rhythm abnormality); supraventricular premature beat (not present at baseline and present post baseline); ventricular premature beat (not present at baseline and present post baseline); conduction: right bundle branch block (not present at baseline and present post baseline); ST/T morphology: myocardial ischemia and symmetrical T-wave inversion (not present at baseline and present post baseline), QTcB, QTcF, and QTcN (\>=450 milliseconds \[msec\] and \>= 10% increase).
Time frame: From first dose of study drug up to Day 225
Population: Safety sample included all randomized participants who receive at least 1 dose of aripiprazole injection, regardless of any protocol violation. Overall number analyzed is the number of participants with data available for outcome measure analysis. 'Number Analyzed' signifies number of participants with data available for analysis of specified parameter.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | Bradycardia | 0 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | Sinus Bradycardia | 0 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | Supraventricular Premature Beat | 13 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | Ventricular Premature Beat | 17 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | Right Bundle Branch Block | 1 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | Myocardial Ischemia | 3 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | Symmetrical T-Wave Inversion | 12 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | QTcB | 1 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | QTcF | 0 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | QTcN | 0 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | QTcB | 1 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | Bradycardia | 2 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | Myocardial Ischemia | 7 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | Sinus Bradycardia | 2 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | QTcN | 1 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | Supraventricular Premature Beat | 10 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | Symmetrical T-Wave Inversion | 12 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | Ventricular Premature Beat | 12 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | QTcF | 1 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Electrocardiogram (ECG) Abnormalities | Right Bundle Branch Block | 0 Participants |
Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities
Potentially clinically significant vital sign abnormalities included: heart rate supine (high: \>120 beats per minute \[BPM\] and increase \>=15 BPM; low: \<50 BPM and decrease \>=15 BPM), systolic blood pressure supine (high \>180 (millimetres of mercury \[mmHg\] and increase \>=20 mmHg); low: \<90 mmHg and decrease \>=20 mmHg), diastolic blood pressure supine (high: \>105 mmHg and increase \>=15 mmHg; low: \<50 mmHg and decrease \>=15 mmHg), heart rate standing (high: \>120 BPM and increase \>=15 BPM), systolic blood pressure standing (high: \>180 mmHg and increase \>= 20 mmHg; low: \<90 mmHg and decrease \>=20 mmHg), diastolic blood pressure standing (high: \>105 mmHg and increase \>=15 mmHg), weight in kilograms (kg) (high: increase \>=7%; low: decrease \>=7%), temperature (high: \>=37.8 degree celsius \[°C\] and increase \>=1.1°C), orthostatic hypotension (low: \>=20 mmHg decrease in systolic blood pressure and \>=25 BPM increase in heart rate from supine to standing.
Time frame: From first dose of study drug up to Day 225
Population: Safety sample included all randomized participants who receive at least 1 dose of aripiprazole injection, regardless of any protocol violation. Overall number analyzed is the number of participants with data available for outcome measure analysis. 'Number Analyzed' signifies number of participants with data available for analysis of specified parameter.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Heart Rate Supine: Low | 0 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Heart Rate Supine: High | 2 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Systolic Blood Pressure Supine: Low | 1 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Systolic Blood Pressure Supine: High | 0 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Diastolic Blood Pressure Supine: Low | 1 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Diastolic Blood Pressure Supine: High | 1 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Heart Rate Standing: High | 4 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Systolic Blood Pressure Standing: Low | 1 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Systolic Blood Pressure Standing: High | 0 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Diastolic Blood Pressure Standing: High | 2 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Weight: Low | 12 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Weight: High | 52 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Temperature: High | 4 Participants |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Orthostatic Hypotension: Low | 2 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Weight: Low | 11 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Heart Rate Supine: Low | 1 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Systolic Blood Pressure Standing: Low | 4 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Heart Rate Supine: High | 1 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Temperature: High | 4 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Systolic Blood Pressure Supine: Low | 2 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Systolic Blood Pressure Standing: High | 2 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Systolic Blood Pressure Supine: High | 1 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Weight: High | 54 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Diastolic Blood Pressure Supine: Low | 1 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Diastolic Blood Pressure Standing: High | 3 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Diastolic Blood Pressure Supine: High | 1 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Orthostatic Hypotension: Low | 2 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Potentially Clinically Relevant Vital Signs Abnormalities | Heart Rate Standing: High | 6 Participants |
Number of Participants With Suicidality as Assessed by Columbia-Suicide Severity Rating Scale (C-SSRS)
C-SSRS was used to assess the suicidality of participants during the study. The assessment included yes or no responses for 5 questions, each related to suicidal ideation (wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with any methods, active suicidal ideation with some intent, active suicidal ideation with specific plan) and suicidal behavior (preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, suicide). Numeric ratings were provided for suicidal ideation: Score range of 1 (wish to be dead) to 5 (active suicidal ideation with specific plan and intent), higher total scores indicate more suicidal ideation; Suicidal behavior: Score range of 0 (no suicidal behavior) to 4 (actual suicide attempt), higher total scores indicate more suicidal behavior. Suicidality was defined as reporting any suicidal ideation or behavior.
Time frame: Baseline to Day 225
Population: Safety sample included all randomized participants who received at least 1 dose of aripiprazole injection, regardless of any protocol violation. Overall number analyzed is the number of participants with data available for outcome measure analysis.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Suicidality as Assessed by Columbia-Suicide Severity Rating Scale (C-SSRS) | 4 Participants |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Number of Participants With Suicidality as Assessed by Columbia-Suicide Severity Rating Scale (C-SSRS) | 4 Participants |
Plasma Concentration of Aripiprazole 28 Days Postdose (C28) of Aripiprazole IM Depot 400 mg After the Eighth Dose
Time frame: Day 225
Population: PK sample included all dosed participants who had 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole IM Depot 400 mg.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Plasma Concentration of Aripiprazole 28 Days Postdose (C28) of Aripiprazole IM Depot 400 mg After the Eighth Dose | 257 ng/mL | Standard Deviation 162 |
Plasma Concentration of Aripiprazole 56 Days Postdose (C56) of Aripiprazole 2M LAI 960 mg After the Fourth Dose
Time frame: Day 225
Population: Pharmacokinetics (PK) sample included all dosed participants who had 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure (OM) analysis. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole 2M LAI 960 mg.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Plasma Concentration of Aripiprazole 56 Days Postdose (C56) of Aripiprazole 2M LAI 960 mg After the Fourth Dose | 250 ng/mL (nanogram per milliliter) | Standard Deviation 128 |
VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg
Injection-site pain was evaluated by mean VAS scores as reported by the participant after each injection at visits where an injection occurred. The last injection was the final injection for any given participant. Ratings ranged from 0 (no pain) to 100 (unbearably painful).
Time frame: Day 1 (First injection) to Day 197 (Last injection)
Population: Safety sample included all randomized participants who receive at least 1 dose of aripiprazole injection, regardless of any protocol violation. 'Number Analyzed' signifies number of participants with available data for this outcome measure at the specified timepoint. Participants whose VAS scores were analyzed for pain perception, are reported in this outcome measure, and may differ from participants who were assessed by Investigator for pain on 4-point scale.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | First Injection: Predose | 1.6 score on a scale | Standard Deviation 2.37 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | First Injection: Post dose | 3.0 score on a scale | Standard Deviation 5.28 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Second Injection: Predose | 1.5 score on a scale | Standard Deviation 2.66 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Second Injection: Post dose | 1.6 score on a scale | Standard Deviation 3.09 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Third Injection: Predose | 0.8 score on a scale | Standard Deviation 1.1 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Third Injection: Post dose | 1.2 score on a scale | Standard Deviation 2.09 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Fourth Injection: Predose | 0.7 score on a scale | Standard Deviation 0.79 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Fourth Injection: Post dose | 1.1 score on a scale | Standard Deviation 2.39 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Fifth Injection: Predose | 0.7 score on a scale | Standard Deviation 0.82 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Fifth Injection: Post dose | 0.8 score on a scale | Standard Deviation 1.12 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Sixth Injection: Predose | 0.8 score on a scale | Standard Deviation 1.11 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Sixth Injection: Post dose | 0.8 score on a scale | Standard Deviation 1.2 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Seventh Injection: Predose | 0.6 score on a scale | Standard Deviation 0.77 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Seventh Injection: Post dose | 1.0 score on a scale | Standard Deviation 2.3 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Eighth Injection: Predose | 0.6 score on a scale | Standard Deviation 0.69 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Eighth Injection: Post dose | 0.8 score on a scale | Standard Deviation 0.85 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Last Injection: Predose | 0.9 score on a scale | Standard Deviation 1 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | VAS Scores for Pain Perception of Aripiprazole IM Depot 400 mg | Last Injection: Post dose | 1.3 score on a scale | Standard Deviation 2.62 |
Visual Analog Scale (VAS) Scores for Pain Perception of Aripiprazole 2M LAI 960 mg
Injection-site pain was evaluated by mean VAS scores as reported by the participant after each injection at visits where an injection occurred. The last injection was the final injection for any given participant. Ratings ranged from 0 (no pain) to 100 (unbearably painful).
Time frame: Day 1 (First injection) to Day 169 (Last injection)
Population: Safety sample included all randomized participants who receive at least 1 dose of aripiprazole injection, regardless of any protocol violation. 'Number Analyzed' signifies number of participants with available data for this outcome measure at the specified timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Visual Analog Scale (VAS) Scores for Pain Perception of Aripiprazole 2M LAI 960 mg | First Injection: Predose | 1.0 score on a scale | Standard Deviation 1.29 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Visual Analog Scale (VAS) Scores for Pain Perception of Aripiprazole 2M LAI 960 mg | First Injection: Post dose | 3.7 score on a scale | Standard Deviation 9.09 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Visual Analog Scale (VAS) Scores for Pain Perception of Aripiprazole 2M LAI 960 mg | Second Injection: Predose | 1.0 score on a scale | Standard Deviation 2.32 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Visual Analog Scale (VAS) Scores for Pain Perception of Aripiprazole 2M LAI 960 mg | Second Injection: Post dose | 1.4 score on a scale | Standard Deviation 2.78 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Visual Analog Scale (VAS) Scores for Pain Perception of Aripiprazole 2M LAI 960 mg | Third Injection: Predose | 1.0 score on a scale | Standard Deviation 2.58 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Visual Analog Scale (VAS) Scores for Pain Perception of Aripiprazole 2M LAI 960 mg | Third Injection: Post dose | 2.0 score on a scale | Standard Deviation 6.01 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Visual Analog Scale (VAS) Scores for Pain Perception of Aripiprazole 2M LAI 960 mg | Fourth Injection: Predose | 0.8 score on a scale | Standard Deviation 1.02 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Visual Analog Scale (VAS) Scores for Pain Perception of Aripiprazole 2M LAI 960 mg | Fourth Injection: Post dose | 1.4 score on a scale | Standard Deviation 4.38 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Visual Analog Scale (VAS) Scores for Pain Perception of Aripiprazole 2M LAI 960 mg | Last Injection: Predose | 0.8 score on a scale | Standard Deviation 1.03 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Visual Analog Scale (VAS) Scores for Pain Perception of Aripiprazole 2M LAI 960 mg | Last Injection: Post dose | 1.4 score on a scale | Standard Deviation 3.98 |
Area Under the Plasma Concentration-Time Curve From Time 29 to 56 Days (AUC29-56) After the Fourth Dose of Aripiprazole 2M LAI 960 mg
Time frame: Days 204, 211, 218, and 225
Population: PK sample included all dosed participants who have 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole 2M LAI 960 mg.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Area Under the Plasma Concentration-Time Curve From Time 29 to 56 Days (AUC29-56) After the Fourth Dose of Aripiprazole 2M LAI 960 mg | 7500 day*ng/mL | Standard Deviation 4200 |
AUC0-28 After the First Dose of Aripiprazole IM Depot 400 mg
Time frame: Days 1 (predose and 4, 8, and 12 hours postdose), 2, 3, 5, 8, 10, 13, 15, 18, 22 and 29 (predose)
Population: PK sample included all dosed participants who had 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole IM Depot 400 mg.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | AUC0-28 After the First Dose of Aripiprazole IM Depot 400 mg | 5030 day*ng/mL | Standard Deviation 2580 |
AUC0-28 After the Fourth Dose of Aripiprazole 2M LAI 960 mg
Time frame: Days 169 (predose and 4, 8, 12 hours postdose), 170, 171, 173, 176, 178, 181, 183, 186, 190, and 197
Population: PK sample included all dosed participants who have 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole 2M LAI 960 mg.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | AUC0-28 After the Fourth Dose of Aripiprazole 2M LAI 960 mg | 7190 day*ng/mL | Standard Deviation 3470 |
AUC0-56 After the First Dose of Aripiprazole 2M LAI 960 mg
Time frame: Days 1 (predose and 4, 8, 12 hours post-dose), 2, 3, 5, 8, 10, 13, 15, 18, 22, 29, 36, 43, 50 and 57 (pre-dose)
Population: PK sample included all dosed participants who have 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole 2M LAI 960 mg.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | AUC0-56 After the First Dose of Aripiprazole 2M LAI 960 mg | 9180 day*ng/mL | Standard Deviation 4940 |
Cmax of Aripiprazole After the First, Seventh, and Eighth Doses of Aripiprazole IM Depot 400 mg
Time frame: Predose [within 2 hours prior to dosing; 4,8,12h postdose] on Days 1,169,197; Predose on Days 29,57,85,113,141; and on Days 2, 3, 5, 8, 10, 13, 15, 18, 22, 170, 171, 173, 176, 178, 181, 183, 186, 190,198, 199, 201, 204, 206, 209, 211, 214, 218, 225
Population: PK sample included all dosed participants who had 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. 'Number Analyzed' signifies number of participants with available data for this outcome measure at the specified timepoint. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole IM Depot 400 mg.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Cmax of Aripiprazole After the First, Seventh, and Eighth Doses of Aripiprazole IM Depot 400 mg | Cmax After First Dose (Day 1) | 280 ng/mL | Standard Deviation 123 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Cmax of Aripiprazole After the First, Seventh, and Eighth Doses of Aripiprazole IM Depot 400 mg | Cmax After Seventh Dose (Day 169) | 339 ng/mL | Standard Deviation 168 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Cmax of Aripiprazole After the First, Seventh, and Eighth Doses of Aripiprazole IM Depot 400 mg | Cmax After Eighth Dose (Day 197) | 344 ng/mL | Standard Deviation 212 |
Maximum Observed Plasma Concentration (Cmax) of Aripiprazole After First and Fourth Doses of Aripiprazole 2M LAI 960 mg
Time frame: Days 1(predose [within 2 hours(h) prior to dosing]&4,8,12 h postdose),2,3,5,8,10,13,15,18,22,29,36,43,50,57(predose),85,113(predose),141,169(predose [within 2 h prior to dosing]& 4,8,12 h postdose),170,171,173,176,178,181,183,186,190,197,204,211,218 & 225
Population: PK sample included all dosed participants who have 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. 'Number Analyzed' signifies number of participants with available data for this outcome measure at the specified timepoint. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole 2M LAI 960 mg.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Maximum Observed Plasma Concentration (Cmax) of Aripiprazole After First and Fourth Doses of Aripiprazole 2M LAI 960 mg | Cmax After First Dose (Day 1) | 286 ng/mL | Standard Deviation 203 |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Maximum Observed Plasma Concentration (Cmax) of Aripiprazole After First and Fourth Doses of Aripiprazole 2M LAI 960 mg | Cmax After Fourth Dose (Day 169) | 342 ng/mL | Standard Deviation 157 |
Mean Change From Baseline in Clinical Global Impression - Bipolar Version (CGI-BP) Severity of Illness Score
The CGI-BP scale refers to the global impression of the participants with respect to bipolar disorder. The scale rates the participant's severity of illness (CGI-BP-Severity: mania, depression, and overall bipolar illness) and change from preceding phase (CGI-BP change from preceding phase: mania, depression, and overall bipolar illness) based on a 7-point scale ranging from 1 (normal, not ill) to 7 (very severely ill). A negative change score signifies improvement. The CGI-BP was assessed for bipolar I disorder participants only.
Time frame: Baseline, Week 32
Population: Efficacy sample set included all randomized participants who received at least 1 dose of aripiprazole injection and have had at least 1 efficacy assessment. Overall number analyzed is the number of participants with data available for outcome measure analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Clinical Global Impression - Bipolar Version (CGI-BP) Severity of Illness Score | -0.2 score on a scale | Standard Deviation 1 |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Clinical Global Impression - Bipolar Version (CGI-BP) Severity of Illness Score | -0.6 score on a scale | Standard Deviation 1.2 |
Mean Change From Baseline in Clinical Global Impression - Improvement Scale (CGI-I) Score
The CGI-I scale is a clinician rated scale which assesses the improvement of illness for each participant. To assess CGI-I, the rater or investigator rated the participant's total improvement whether or not it is due entirely to drug treatment. All responses were compared with the participant's condition at baseline. Response choices include: 0 = not assessed, 1 = very much improved, 2 = much improved, 3 = minimally improved, 4 = no change, 5 = minimally worse, 6 = much worse, and 7 = very much worse. Scores range from 0 to 7. Higher scores indicate worse condition.
Time frame: Baseline, Week 32
Population: Efficacy sample set included all randomized participants who received at least 1 dose of aripiprazole injection and have had at least 1 efficacy assessment. Overall number analyzed is the number of participants with data available for outcome measure analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Clinical Global Impression - Improvement Scale (CGI-I) Score | 3.4 score on a scale | Standard Deviation 1.1 |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Clinical Global Impression - Improvement Scale (CGI-I) Score | 3.5 score on a scale | Standard Deviation 1.1 |
Mean Change From Baseline in Clinical Global Impression - Severity Scale (CGI-S) Score
The CGI-S is a standardized, clinician-administered global rating scale that measures disease severity. To assess CGI-S, the rater or investigator answered the following question: Considering your total clinical experience with this particular population, how mentally ill is the participant at this time? Response choices include: 0 = not assessed; 1 = normal, not ill at all; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; and 7 = among the most extremely ill participants. The cumulative score range is 0-7. A higher score on the CGI-S represents a higher severity of disease. The CGI-S scale was assessed for schizophrenia participants only.
Time frame: Baseline, Week 32
Population: Efficacy sample set included all randomized participants who received at least 1 dose of aripiprazole injection and have had at least 1 efficacy assessment. Overall number analyzed is the number of participants with data available for outcome measure analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Clinical Global Impression - Severity Scale (CGI-S) Score | -0.3 score on a scale | Standard Deviation 0.6 |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Clinical Global Impression - Severity Scale (CGI-S) Score | -0.1 score on a scale | Standard Deviation 0.7 |
Mean Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
The MADRS is a diagnostic questionnaire used by clinician to assess the participant's severity of depression. This scale consists of 10 items each with 7 defined grades of severity on 0 to 6 scale (reported sadness, apparent sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts). MADRS total score is sum of 10 individual item scores ranging from 0-60 categorized as: 0 to 6: normal/symptoms absent, 7 to 19: mild depression, 20 to 34: moderate depression, and 35 to 60: severe depression. Higher score indicates more depressive symptoms. The MADRS was assessed for bipolar I disorder participants only.
Time frame: Baseline, Week 32
Population: Efficacy sample set included all randomized participants who received at least 1 dose of aripiprazole injection and have had at least 1 efficacy assessment. Overall number analyzed is the number of participants with data available for outcome measure analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score | -3.5 score on a scale | Standard Deviation 9.1 |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score | -3.3 score on a scale | Standard Deviation 12.5 |
Mean Change From Baseline in Positive and Negative Syndrome Scale Rating Criteria (PANSS) Total Score
The PANSS consisted of three subscales: a total of 30 symptom constructs. For each symptom construct, severity was rated on a 7-point scale, with a score of 1 (absence of symptoms) and a score of 7 (extremely severe symptoms). The PANSS total score was the sum of the rating scores for 7 positive scale items, 7 negative scale items, and 16 general psychopathology scale items from the PANSS panel. The PANSS total score ranged from 30 (best possible outcome) to 210 (worst possible outcome). Higher scores indicate worse condition. The PANSS was assessed for schizophrenia participants only.
Time frame: Baseline, Week 32
Population: Efficacy sample set included all randomized participants who received at least 1 dose of aripiprazole injection and have had at least 1 efficacy assessment. Overall number analyzed is the number of participants with data available for outcome measure analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Positive and Negative Syndrome Scale Rating Criteria (PANSS) Total Score | -2.6 score on a scale | Standard Deviation 11.7 |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Positive and Negative Syndrome Scale Rating Criteria (PANSS) Total Score | -1.7 score on a scale | Standard Deviation 8.5 |
Mean Change From Baseline in Subjective Well-Being Under Neuroleptic Treatment-Short Form (SWN-S) Total Score
The participant's feeling of their own well-being was assessed using the 20-question SWN-S. The SWN-S was a validated self-report instrument that evaluated the participant's perception of well-being while receiving antipsychotic medication. The questionnaire consisted of 20 items (10 positive and 10 negative statements) and 5 subscales (mental functioning, social integration, emotional regulation, physical functioning, self-control) whose items followed in random order. For items marked with a '+', the response choices and scoring is not at all = 1, hardly at all = 2, a little = 3, somewhat = 4, much = 5, and very much = 6. For items marked with a '- ', the scoring is reversed; response choices and scoring are as follows: not at all = 6, hardly at all = 5, a little = 4, somewhat = 3, much = 2, very much = 1. SWN-S subscale score's each item was rated on a score of 1 (none) to 6 (severe), and total score ranged from 20 to 120, with higher scores indicating stronger subjective feeling
Time frame: Baseline, Week 32
Population: Efficacy sample set included all randomized participants who received at least 1 dose of aripiprazole injection and have had at least 1 efficacy assessment. Overall number analyzed is the number of participants with data available for outcome measure analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Subjective Well-Being Under Neuroleptic Treatment-Short Form (SWN-S) Total Score | 3.2 score on a scale | Standard Deviation 15.8 |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Subjective Well-Being Under Neuroleptic Treatment-Short Form (SWN-S) Total Score | 0.5 score on a scale | Standard Deviation 18.2 |
Mean Change From Baseline in Young Mania Rating Scale (YMRS) Total Score
The YMRS is an 11-item, multiple-choice diagnostic questionnaire which psychiatrists use to assess the core symptoms of mania and is based on the participants subjective report of their condition. There are four items that are graded on a 0 to 8 scale (irritability, speech, thought content, and disruptive/aggressive behavior), while the remaining seven items are graded on a 0 to 4 scale. Total score is summed of 11 items. Total score range is from 0 to 60 and the higher score represent a worse outcome. The YMRS was assessed for bipolar I disorder participants only.
Time frame: Baseline, Week 32
Population: Efficacy sample set included all randomized participants who received at least 1 dose of aripiprazole injection and have had at least 1 efficacy assessment. Overall number analyzed is the number of participants with data available for outcome measure analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Young Mania Rating Scale (YMRS) Total Score | -1.9 score on a scale | Standard Deviation 7.1 |
| Aripiprazole IM Depot 400 mg: Schizophrenia or Bipolar I Disorder | Mean Change From Baseline in Young Mania Rating Scale (YMRS) Total Score | -4.7 score on a scale | Standard Deviation 7.7 |
Peak-to-Trough Percent Fluctuation (PTF%) After the Fourth Dose of Aripiprazole 2M LAI 960 mg
PTF% was determined as 100\*(Cmax - Cmin \[minimum plasma concentration of the drug\])/Caverage (average steady-state plasma drug concentration during multiple-dose administration) following fourth dose.
Time frame: Days 169 (Predose [within 2 hours prior to dosing] and 4, 8, 12 hours post dose), 170, 171, 173, 176, 178, 181, 183, 186, 190, 197, 204, 211, 218, and 225
Population: PK sample included all dosed participants who have 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole 2M LAI 960 mg.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Peak-to-Trough Percent Fluctuation (PTF%) After the Fourth Dose of Aripiprazole 2M LAI 960 mg | 63.4 percentage fluctuation | Standard Deviation 25.1 |
Plasma Concentration of Aripiprazole 28 Days (C28) After the First Dose of Aripiprazole IM Depot 400 mg
Time frame: Predose on Day 29
Population: PK sample included all dosed participants who had 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole IM Depot 400 mg.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Plasma Concentration of Aripiprazole 28 Days (C28) After the First Dose of Aripiprazole IM Depot 400 mg | 112 ng/mL | Standard Deviation 82.9 |
Plasma Concentration of Aripiprazole 56 Days (C56) After the First Dose of Aripiprazole 2M LAI 960 mg
Time frame: Predose on Day 57
Population: PK sample included all dosed participants who have 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole 2M LAI 960 mg.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Plasma Concentration of Aripiprazole 56 Days (C56) After the First Dose of Aripiprazole 2M LAI 960 mg | 165 ng/mL | Standard Deviation 91.7 |
Plasma Concentration of Aripiprazole 7 Days Post First Dose (C7) of Aripiprazole 2M LAI 960 mg
Time frame: Day 8
Population: PK sample included all dosed participants who have 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole 2M LAI 960 mg.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Plasma Concentration of Aripiprazole 7 Days Post First Dose (C7) of Aripiprazole 2M LAI 960 mg | 221 ng/mL | Standard Deviation 178 |
Plasma Concentration of Aripiprazole Post First Dose (C14) of Aripiprazole IM Depot 400 mg
Time frame: Day 15
Population: PK sample included all dosed participants who have 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole IM Depot 400 mg.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Plasma Concentration of Aripiprazole Post First Dose (C14) of Aripiprazole IM Depot 400 mg | 229 ng/mL | Standard Deviation 121 |
PTF% After the Eighth Dose of Aripiprazole IM Depot 400 mg
PTF% was determined as 100\*(Cmax - Cmin \[minimum plasma concentration of the drug\])/Caverage (average steady-state plasma drug concentration during multiple-dose administration) following eighth dose.
Time frame: Days 197 (Predose [within 2 hours prior to dosing] and 4, 8, 12 hours post dose),198, 199, 201, 204, 206, 209, 211, 214, 218, 225
Population: PK sample included all dosed participants who had 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole IM Depot 400 mg.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | PTF% After the Eighth Dose of Aripiprazole IM Depot 400 mg | 48.3 percentage fluctuation | Standard Deviation 19 |
Time to Reach the Maximum Plasma Concentration (Tmax) of Aripiprazole After First and Fourth Doses of Aripiprazole 2M LAI 960 mg
Time frame: Days 1(predose [within 2 hours(h) prior to dosing]&4,8,12 h postdose),2,3,5,8,10,13,15,18,22,29,36,43,50,57(predose),85,113(predose),141,169(predose [within 2 h prior to dosing]& 4,8,12 h postdose),170,171,173,176,178,181,183,186,190,197,204,211,218 & 225
Population: PK sample included all dosed participants who have 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. 'Number Analyzed' signifies number of participants with available data for this outcome measure at the specified timepoint. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole 2M LAI 960 mg.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Time to Reach the Maximum Plasma Concentration (Tmax) of Aripiprazole After First and Fourth Doses of Aripiprazole 2M LAI 960 mg | Tmax After First Dose (Day 1) | 8.58 days |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Time to Reach the Maximum Plasma Concentration (Tmax) of Aripiprazole After First and Fourth Doses of Aripiprazole 2M LAI 960 mg | Tmax After Fourth Dose (Day 169) | 28.0 days |
Tmax of Aripiprazole After the First, Seventh, and Eighth Doses of Aripiprazole IM Depot 400 mg
Time frame: Predose [within 2 hours prior to dosing; 4,8,12h postdose] on Days 1,169,197; Predose on Days 29,57,85,113,141; and on Days 2, 3, 5, 8, 10, 13, 15, 18, 22, 170, 171, 173, 176, 178, 181, 183, 186, 190,198, 199, 201, 204, 206, 209, 211, 214, 218, 225
Population: PK sample included all dosed participants who had 1 or more evaluable aripiprazole PK parameters. Overall number analyzed is the number of participants with data available for outcome measure analysis. 'Number Analyzed' signifies number of participants with available data for this outcome measure at the specified timepoint. As pre-specified in protocol and SAP, data for this OM was reported for participants with schizophrenia or bipolar I disorder who received aripiprazole IM Depot 400 mg.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Tmax of Aripiprazole After the First, Seventh, and Eighth Doses of Aripiprazole IM Depot 400 mg | Tmax After First Dose (Day 1) | 9.04 days |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Tmax of Aripiprazole After the First, Seventh, and Eighth Doses of Aripiprazole IM Depot 400 mg | Tmax After Seventh Dose (Day 169) | 6.97 days |
| Aripiprazole 2M LAI 960 mg: Schizophrenia or Bipolar I Disorder | Tmax of Aripiprazole After the First, Seventh, and Eighth Doses of Aripiprazole IM Depot 400 mg | Tmax After Eighth Dose (Day 197) | 4.07 days |