CClinicalTrials.gg
CompletedNCT01448720Updated Sep 18, 2014

Treatment of Patients With Recently Exacerbated Schizophrenia With Paliperidone Palmitate

A Phase 3 interventional study of Paliperidone palmitate in Schizophrenia, sponsored by Janssen-Cilag Farmaceutica Ltda.. Completed at 12 sites in 3 countries. Open to participants aged 18 Years to 49 Years. Per ClinicalTrials.gov, last updated 2014-09-18.

Sponsored by Janssen-Cilag Farmaceutica Ltda. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
142
Allocation
Non-randomized
Ages
18 Years to 49 Years
Sex
All
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Study summary

The purpose of this study is to explore the efficacy of paliperidone palmitate administered as a once monthly injection in patients with an acute exacerbation of schizophrenia.

Read the detailed description

This is an open-label (patients and study staff will know the identity of treatments assigned) study of paliperidone palmitate in patients with acute an exacerbation of schizophrenia. The total duration of the study will be approximately 4 months. Eligible patients without a documented history of exposure to oral risperidone or paliperidone extended-release (ER), or intramuscular (IM) RISPERDAL CONSTA or paliperidone palmitate will receive oral risperidone 1 mg/day or extended release (ER) OROS paliperidone 3 mg/day for at least 3 days before the first injection of the study drug (paliperidone palmitate) for tolerability testing. Paliperidone palmitate will be administered to patients as an intramuscular (IM) injection in the deltoid (upper arm) or gluteal (buttocks) muscle.

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Conditions studied

  • Schizophrenia

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Keywords

  • Schizophrenia
  • Paliperidone palmitate
  • Long-acting injectable antipsychotic medication
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In context

Schizophrenia

3,471 studies on the registry are indexed under Schizophrenia; 472 are open to participants now.

This study's enrollment of 142 is above the median of 70 across 2,872 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Janssen-Cilag Farmaceutica Ltda. is the lead sponsor of 13 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 49 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Be otherwise healthy on the basis of physical examination and vital signs at Screening (Baseline) and have a current diagnosis of schizophrenia according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) for at least 1 year before screening and no longer than 5 years (early diagnosed patients)
  • Have acute exacerbation of psychosis defined as: less than 4 weeks but more than 4 days, PANSS total score of 70 to 120 (inclusive) at screening (moderate symptomatology), a score of 4 or more (at least moderately ill) at screening on the severity scale of the CGI-S
  • If a woman, before entry she must be postmenopausal for at least 1 year, surgically sterile or abstinent. If sexually active, agree to practice an effective method of birth control before entry and throughout the study as specified in the protocol; If a man is heterosexually active with a woman of childbearing potential, he must agree to use a double-barrier method of birth control and to not donate sperm during the study and for 50 days after receiving the last dose of the study drug

Exclusion criteria

Exclusion Criteria:

  • Has evidence of clinically significant cardiovascular, renal, hepatic, gastrointestinal, neurological, endocrine, metabolic or pulmonary disease in the past 6 months (as determined by medical history, clinical laboratory or electrocardiogram [ECG] results, or physical examination) that would increase the risk associated with taking study medication or would confound the interpretation of the study
  • The psychiatric diagnosis is due to direct pharmacological effects of a substance (eg, a drug of abuse or medication) or a general medical condition (eg, clinically notable hypothyroidism, delirium)
  • Meets the DSM-IV definition of substance dependence (except for nicotine and caffeine) within 6 months prior to entry
  • Has history or current symptoms of tardive dyskinesia (involuntary repetitive body movements)
  • Has history of neuroleptic malignant syndrome
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
142 participants (actual)

Study arms

  • Experimental
    Paliperidone palmitate

    Drug: Paliperidone palmitate

Interventions

  • DrugPaliperidone palmitate

    Type=exact number, unit=mg, number=150, 100, 75 mg equivalent (eq), form=suspension for injection, route=intramuscular use. One IM injection of 150 mq on Day 1, 100 mg eq. on Day 8 (+/- 4 days), and 75 mg eq. is recommended on Days 36, 64, and 92.

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What researchers measure

Primary outcomes

  1. Change in the Positive and Negative Syndrome Scale (PANSS)

    The neuropsychiatric symptoms of schizophrenia will be assessed using the 30-item PANSS, which provides a total score (sum of the scores of all 30 items) and scores for 3 subscales, the positive subscale (7 items), the negative subscale (7 items), and the general psychopathology subscale (16 items). Each question is rated on a scale of 1 (absent) to 7 (extreme).

    Time frame: Baseline to 4 months

Secondary outcomes

  1. Change from Baseline in global severity of illness using the clinical global impression - severity (CGI-S) scores

    The CGI-S is a 7-point scale that requires the clinician to rate the severity of the 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, the patient will be assessed on severity of mental illness at the time of rating between 1 (not ill) and 7 (extremely severe).

    Time frame: Baseline to 4 months

  2. Change from Baseline in the personal and social performance scale (PSP)

    The PSP scale assesses the degree of dysfunction a patient exhibits over a 7-day period within 4 domains of behavior:(a) socially useful activities, (b) personal and social relationships, (c) self-care, and (d) disturbing and aggressive behavior. A score between 71 and 100 indicates only mild difficulties, and one between 31 and 70 indicates varying degrees of disability. A patient with a score of 30 or less has functioning so poor he or she requires intensive support or supervision..

    Time frame: Baseline to 4 months

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Study locations

12 sites
  • Porto Alegre, Brazil
  • Riberao Preto, Brazil
  • Sao Jose, Brazil
  • Sao Paulo, Brazil
  • Barranquilla, Colombia
  • Bogota, Colombia
  • Bucarmanga, Colombia
  • Medellin, Colombia
  • Acapulco, Mexico
  • Guadalajara, Mexico
  • Mexico, Mexico
  • Monterrey, Mexico
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References and documents

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01448720
Lead sponsor
Janssen-Cilag Farmaceutica Ltda.
Responsible party
Sponsor
First posted
Oct 7, 2011
Start date
Sep 2011
Primary completion
Dec 2013
Completion
Dec 2013
Last update
Sep 18, 2014

Study contacts

Johnson & Johnson Pharmaceutical Research & Development, L.L. Clinical Trial
study director · Johnson & Johnson Pharmaceutical Research & Development, L.L.C.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2014. You cannot join it, but the record below documents what was studied.

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