A Phase 3 interventional study of Aripiprazole and Oanzapine, risperidone, or quetiapine in Schizophrenia, Schizoaffective Disorder and Bipolar I Disorder, sponsored by Otsuka Pharmaceutical Development & Commercialization, Inc.. Terminated at 14 sites in Canada. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2013-12-02.
Sponsored by Otsuka Pharmaceutical Development & Commercialization, Inc. · Phase 3, Interventional, and Treatment
The purpose of this study was to determine whether patients with schizophrenia, schizoaffective disorder, or bipolar I disorder who also have metabolic syndrome have a larger decrease in fasting non-high density lipoprotein (non-HDL) cholesterol levels with aripiprazole than with their current atypical antipsychotic treatment (olanzapine, risperidone, or quetiapine).
1,964 studies on the registry are indexed under Metabolic Syndrome; 330 are open to participants now.
This study's enrollment of 64 is close to the median of 60 across 1,460 interventional studies indexed under Metabolic Syndrome.
Browse Metabolic Syndrome studies →Otsuka Pharmaceutical Development & Commercialization, Inc. is the lead sponsor of 289 studies on the registry; 18 are open to participants now.
Of its 104 completed or terminated interventional studies of FDA-regulated products, 69 (66%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Drug: Aripiprazole
Drug: Oanzapine, risperidone, or quetiapine
Aripiprazole administered orally as tablets, 5 mg once daily (QD) in Week 1; 10 mg QD in Week 2. Flexible dosing allowed after Week 2, adjusted in 5-mg increments every 7 days within a range of 10 to 30 mg daily, for 16 weeks
Also known as: Abilify, BMS-334039
Oanzapine, risperidone, or quetiapine administered orally as tablets at prior dosage for 16 weeks
Mean Percent Change From Baseline in Fasting Non-high Density Lipoprotein (Non-HDL) Cholesterol Levels
Based on Last Observation Carried Forward data. Non-HDL cholesterol is defined as the difference between total cholesterol and high-density lipoprotein (HDL) cholesterol levels. Fasting non-HDL cholesterol is defined as the measured fasting HDL cholesterol level subtracted from the measured fasting total cholesterol level.
Time frame: Baseline to Weeks 4, 8, and 16
Mean Baseline Fasting Non-HDL Levels
Time frame: At baseline (Day 1)
Number of Participants With Death, Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Discontinuation, and 1 or More AEs
AE=any new untoward medical event or worsening of a preexisting medical condition that may or may not be causally related to treatment. SAE=any untoward medical occurrence that at any dose results in death; is life-threatening, a congenital anomaly/birth defect, or an important medical event; requires or prolongs inpatient hospitalization, or results in persistent or significant incapacity or drug dependency or abuse.
Time frame: Baseline to Week 16, continuously
Mean Percent Changes From Baseline in Fasting Triglyceride and Total, High-Density Lipoprotein, and Low-Density Lipoprotein Cholesterol Levels
Time frame: Baseline to Week 16
Mean Changes From Baseline in Fasting Glucose Levels
Time frame: Baseline to Week 16
Percent of Participants Showing a Decrease or Increase in Body Weight of 7% or Greater From Baseline
Time frame: Baseline and Weeks 4, 8, and 16
Mean Changes From Baseline in Clinical Global Impression-Severity (CGI-S) Scale
The CGI-S scale is a 7-point scale that requires the clinician to rate the severity of a patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness at the time of rating 1=normal, not at all ill; 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; or 7=extremely ill.
Time frame: Baseline and Weeks 4, 8, and 16
Number of Participants With Potentially Clinically Relevant Changes From Baseline in Blood Pressure, Heart Rate, Hemoglobin Levels, White Blood Cell Count, Differential Count, and Absolute Platelet Count
Any value falling outside of the normal range will be flagged for the attention of the investigator at the site. The investigator will indicate whether or not a flagged value is of clinical significance.
Time frame: Baseline and Weeks 4, 8, and 16
Mean Change From Baseline in Impact of Weight on Quality of Life (IWQoL-Lite) Scores
The IWQoL-Lite is a 31-item self-report survey that assesses the impact of weight on quality of life (QoL) in obese patients. Total score=the sum of scores(ranging from 1-5 for each item) for all 31 items. The sum is then rescaled to a 0-100 scoring, with 0 representing the poorest and 100 the best QoL. The survey also assesses improvements in QoL that occur with weight losses of 5% or greater and deteriorations in QoL with weight gain of 5% or greater. A change of 7.8 to 12.0 points from baseline=meaningful improvement. A change of -4.5 to -7.6 points from baseline=meaningful deterioration.
Time frame: Baseline to Weeks 4, 8, and 16
Mean Changes in Weight From Baseline
Time frame: Baseline to Weeks 4, 8, and 16
Median Changes in Body Mass Index From Baseline
Time frame: Baseline to Weeks 4, 8, and 16
Mean Changes in Serum Prolactin Levels From Baseline
Time frame: Baseline to Weeks 4, 8. and 16
| Milestone | Aripiprazole | Control Group (Olanzapine, Risperidone, or Quetiapine) |
|---|---|---|
| Started | 14 | 14 |
| Received treatment | 14 | 12 |
| Completed | 3 | 6 |
| Not completed | 11 | 8 |
| Withdrew: Lack of efficacy | 1 | 0 |
| Withdrew: Adverse event | 3 | 0 |
| Withdrew: Withdrawal by subject | 0 | 4 |
| Withdrew: Sponsor terminated study | 6 | 4 |
| Withdrew: Investigator decision | 1 | 0 |
Based on Last Observation Carried Forward data. Non-HDL cholesterol is defined as the difference between total cholesterol and high-density lipoprotein (HDL) cholesterol levels. Fasting non-HDL cholesterol is defined as the measured fasting HDL cholesterol level subtracted from the measured fasting total cholesterol level.
| Percentage of change | Aripiprazole | Control Group (Olanzapine, Risperidone, or Quetiapine) |
|---|---|---|
| Week 4 | -7.54 ± 3.22 | 0.19 ± 3.60 |
| Week 8 | -18.45 ± 2.37 | -4.44 ± 2.86 |
| Week 16 | -14.72 ± 3.86 | -2.47 ± 4.55 |
AE=any new untoward medical event or worsening of a preexisting medical condition that may or may not be causally related to treatment. SAE=any untoward medical occurrence that at any dose results in death; is life-threatening, a congenital anomaly/birth defect, or an important medical event; requires or prolongs inpatient hospitalization, or results in persistent or significant incapacity or drug dependency or abuse.
| Participants | Aripiprazole | Control Group (Olanzapine, Risperidone, or Quetiapine) |
|---|---|---|
| Deaths | 0 | 0 |
| SAEs | 2 | 0 |
| AEs leading to discontinuation | 3 | 0 |
| 1 or more AEs | 11 | 6 |
No measurements were reported for this outcome.
No measurements were reported for this outcome.
No measurements were reported for this outcome.
The CGI-S scale is a 7-point scale that requires the clinician to rate the severity of a patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness at the time of rating 1=normal, not at all ill; 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; or 7=extremely ill.
No measurements were reported for this outcome.
Any value falling outside of the normal range will be flagged for the attention of the investigator at the site. The investigator will indicate whether or not a flagged value is of clinical significance.
No measurements were reported for this outcome.
The IWQoL-Lite is a 31-item self-report survey that assesses the impact of weight on quality of life (QoL) in obese patients. Total score=the sum of scores(ranging from 1-5 for each item) for all 31 items. The sum is then rescaled to a 0-100 scoring, with 0 representing the poorest and 100 the best QoL. The survey also assesses improvements in QoL that occur with weight losses of 5% or greater and deteriorations in QoL with weight gain of 5% or greater. A change of 7.8 to 12.0 points from baseline=meaningful improvement. A change of -4.5 to -7.6 points from baseline=meaningful deterioration.
No measurements were reported for this outcome.
No measurements were reported for this outcome.
No measurements were reported for this outcome.
No measurements were reported for this outcome.
| mg/dL | Aripiprazole | Control Group (Olanzapine, Risperidone, or Quetiapine) |
|---|---|---|
| Mean Baseline Fasting Non-HDL Levels | 176.07 ± 13.76 | 167.14 ± 14.01 |
Non-serious events are listed at a 4% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| ARIPIPRAZOLE | — | 2/14 (14.3%) | 11/14 (78.6%) |
| CONTROL GROUP | — | 0/12 (0%) | 6/12 (50%) |
| Event | ARIPIPRAZOLE | CONTROL GROUP |
|---|---|---|
| HALLUCINATION, VISUALPsychiatric disorders | 1/14 | 0/12 |
| HALLUCINATION, AUDITORYPsychiatric disorders | 1/14 | 0/12 |
| PSYCHIATRIC DECOMPENSATIONPsychiatric disorders | 1/14 | 0/12 |
| NEUROLEPTIC MALIGNANT SYNDROMENervous system disorders | 1/14 | 0/12 |
| Event | ARIPIPRAZOLE | CONTROL GROUP |
|---|---|---|
| INSOMNIAPsychiatric disorders | 3/14 | 0/12 |
| TREMORNervous system disorders | 3/14 | 0/12 |
| LOWER RESPIRATORY TRACT INFECTIONInfections and infestations | 0/14 | 2/12 |
| VISION BLURREDEye disorders | 2/14 | 0/12 |
| ANXIETYPsychiatric disorders | 2/14 | 0/12 |
| SOMNOLENCENervous system disorders | 1/14 | 1/12 |
| NAUSEAGastrointestinal disorders | 1/14 | 1/12 |
| ABDOMINAL PAINGastrointestinal disorders | 0/14 | 1/12 |
| WOUNDInjury, poisoning and procedural complications | 0/14 | 1/12 |
| PAIN IN JAWMusculoskeletal and connective tissue disorders | 0/14 | 1/12 |
| Age Continuous(years) | Aripiprazole | Control Group (Olanzapine, Risperidone, or Quetiapine) | Total |
|---|---|---|---|
| Mean | 39.0 ± 10.36 | 32.9 ± 9.10 | 35.9 ± 10.06 |
| Sex: Female, Male(Participants) | Aripiprazole | Control Group (Olanzapine, Risperidone, or Quetiapine) | Total |
|---|---|---|---|
| Female | 2 | 5 | 7 |
| Male | 12 | 9 | 21 |
| Race (NIH/OMB)(Participants) | Aripiprazole | Control Group (Olanzapine, Risperidone, or Quetiapine) | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 1 | 1 |
| Asian | 1 | 1 | 2 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 1 | 0 | 1 |
| White | 12 | 12 | 24 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
This study is terminated, as verified in Jul 2011. You cannot join it, but the record below documents what was studied.
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Otsuka Pharmaceutical Development & Commercialization, Inc.