ClinicalTrials.gg
CompletedNCT03485417Updated Mar 27, 2026

Substance Misuse To Psychosis for Stimulants

A Phase 2/3 interventional study of Aripiprazole and Paliperidone in Stimulant Use With Stimulant-Induced Psychotic Disorder (Diagnosis), Schizophrenia and Related Disorders and Stimulant Dependence, sponsored by The University of Hong Kong. Completed at 1 site in Hong Kong. Open to participants aged 16 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-03-27.

Primary conditionSchizophreniaRegistry: DiseaseReclassifiedWhy we changed it
Registry
Disease — the first condition term the registry derived for this study.
ClinicalTrials.gg
Schizophrenia
Why
  1. Disease describes something many studies share rather than a condition a study is about.
  2. The study's listed conditions name Schizophrenia.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by The University of Hong Kong · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was May 2024, 2 years 5 months ago, and no results have been posted to the registry.
Phase
Phase 2/3
Study type
Interventional
Enrollment
165
Allocation
Randomized
Ages
16 Years to 50 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 126 studies testing aripiprazole in Schizophrenia — 4 open to participants now, 4 under way, 1 of them phase 3. Aripiprazole · Schizophrenia.

Enrollment
56th of 125
165 · median 130
Started
2019
with 5 others
Phase 2/3
4 of 126
none open now
Registered
110th of 126
by date

Among the 126 studies testing aripiprazole in Schizophrenia, this one is the 56th largest by enrollment of the 125 interventional ones, is one of 6 that started in 2019, is one of 4 in phase 2/3, and was the 110th registered.

By phase

126 studies; the count open now beside each. This study's row is marked.

Phase 456 · 2 open
Phase 334 · 1 open
No phase13 · 1 open
Phase 113 · 0 open
Phase 24 · 0 open
Phase 2/3this study4 · 0 open
Phase 1/22 · 0 open

By the year they started

First in 1998; this study’s year is marked. 6 started in 2019.

Size and results

Median enrollment 130 across the 125 interventional studies. Of the 105 that completed or were terminated, 47 (45%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 126 studies testing aripiprazole in Schizophrenia, or all of them as a file.
02

Study summary

In Hong Kong, less than 5% of stimulants abusers were reported to misuse these substances via injection. Also, it is well known that patients with co-morbid substance abuse/dependence and psychosis or schizophrenia-related disorders are prone to earlier treatment discontinuation and high oral medication non-adherence, resulting in poorer overall outcomes. With the recent availabilities of the 4-weekly long-acting injectable form of aripiprazole, and the 4-weekly and the 3-monthly long-acting injectable form of paliperidone palmitate, on the background of the surging phenomenon of stimulant misuses in Hong Kong, it is a timely opportunity to conduct an early pharmacotherapy intervention study to offer an evidence-based strategy aiming to stop individuals with substance use disorders with psychosis to develop into a more chronic disabling dependence or co-morbid state.

03

Conditions studied

  • Stimulant Use With Stimulant-Induced Psychotic Disorder (Diagnosis)
  • Schizophrenia and Related Disorders
  • Stimulant Dependence
  • Stimulant Abuse
  • Pharmacotherapy

Browse trials for

Keywords

  • stimulant
  • psychosis
  • schizophrenia
  • dependence
  • pharmacotherapy
04

In context

Schizophrenia Reclassified

3,563 studies on the registry are indexed under Schizophrenia; 491 are open to participants now.

This study's enrollment of 165 is above the median of 71 across 2,944 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

The University of Hong Kong is the lead sponsor of 1,292 studies on the registry; 348 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Compared within Schizophrenia, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Disease. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
16 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Stimulant use disorder with psychosis or positive stimulant urine test results twice in a month with psychosis

Exclusion criteria

Exclusion Criteria:

  • Age \<16 years old
  • Unable to read English or Chinese
  • Unable to give
  • Had been diagnosed to have Intellectual Disabilities () or Mental Retardation (ICD-10 F70-73)
  • Had been diagnosed to have Schizophrenia
  • Had been diagnosed to have other substance-induced psychotic or mood disorder, including alcohol
  • Had been diagnosed to have bipolar disorder viii. Had been diagnosed to have major depressive disorder with psychotic features
  • Had been taking any maintenance dose of oral antipsychotics continuously ≥12 weeks AND with psychotic symptoms in remission
  • Had been receiving any maintenance dose of long-acting injectable (LAI/depot) antipsychotics continuously ≥4 month AND with psychotic symptoms in remission
  • Had known to risperidone (oral or LAI), paliperidone (oral or LAI), or aripiprazole (oral or LAI)
  • Had known history of tardive dyskinesia
  • Had known history of neuroleptic malignant syndrome
  • Pregnant
  • Mother currently breast-feeding
  • Had history of prolonged interval (QTc) ≥500ms and/or known unstable or untreated cardiac disorder
  • Had mild to severe renal impairment with \<80 mililitre /min
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

06

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
165 participants (actual)

Study arms

  • Active comparator
    Aripiprazole Arm

    Aripiprazole (oral or depot) Oral: 10-30mg daily Depot: 300-400mg every four week; Intramuscularly

    Drug: Aripiprazole

  • Active comparator
    Paliperidone Arm

    Paliperidone (oral or depot) Oral: 3-12mg Depot: Intramuscularly; a) sustenna 50-150mg every four weekly, or b) trinza 273-819mg every 12 weekly

    Drug: Paliperidone

  • Other
    Treatment as Usual Arm

    Treatment as Usual arm

    Other: Treatment as Usual

Interventions

  • for oral or depot preparation

  • for oral or depot

  • OtherTreatment as Usual

    to be decided by treating psychiatrist with Rx other than aripiprazole or paliperidone

07

What researchers measure

Primary outcomes

  1. Efficacy on psychosis management as measured by the Clinical Global Impression

    The efficacy for managing stimulant associated psychosis for subjects receiving the active treatments with aripiprazole and paliperidone as compared to treatment-as-usual is measured by the Clinical Global Impression (CGI). The Clinical global impression consists of 3 components: CGI-severity (CGI-S), CGI-Improvement (CGI-I) and CGI-efficacy (CGI-E). CGI-S and CGI-I are both 7-point item, ranging from 0 (normal) to 7 (severely ill) and 0 (very much improved) to 7 (very much worse), respectively. The CGI-efficacy is the composite measured of its therapeutic effect and side effects, with scoring ranging from 1 (marked therapeutic effect) to 16 (unchanged with side effects outweighed therapeutic effects).

    Time frame: at 12th and at 24th months

Secondary outcomes

  1. transition from diagnosis of substance induced psychosis to Schizophrenia as defined by DSM-5

    The rate of transition from substance induced psychosis To schizophrenia in all 3 different arms

    Time frame: 24 months

  2. Efficacy on psychosis symptom control as measured by the Brief Psychiatric Rating Scale - 24 items (BPRS-24)

    The efficacy for controlling symptoms of stimulant associated psychosis for subjects receiving the active treatments with paliperidone and aripiprazole as compared to treatment as usual is measured by BPRS. The lowest score of BPRS-24 is 24. The lower the score of BPRS refers to better efficacy in controlling psychosis symptoms.

    Time frame: at 12th and at 24th months

  3. change in stimulant use disorder as defined by DSM-5

    The change is severity of the Stimulant Use Disorder in subjects in the 3 different arms by DSM-5 criteria

    Time frame: At 12th month and at 24th month

  4. Montreal Cognitive Assessment (MoCA)

    Difference in cognitive outcome measured using MoCA in subjects randomized to the 3 arms. MoCA has the maximum score of 30. A cut-off score of higher than or equal to 26 refers to normal cognition.

    Time frame: At 12th month and at 24th month

  5. Addiction Severity Index (ASL)-lite

    Difference in functional outcome measured using ASL-lite in subjects randomized to the 3 treatment arms

    Time frame: At 12th and 24th months

08

Study locations

1 site
  • Queen Mary Hospital
    Hong Kong, 000000, Hong Kong
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2019 to primary completion in May 2024, 59 months.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 14, 2018
First posted
Apr 2, 2018
StartActual
Jun 1, 2019
Primary completionActual
May 31, 2024
CompletionActual
May 31, 2025
Last update
Mar 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03485417
Collaborators
Queen Mary Hospital, Hong Kong, North District Hospital
Responsible party
Dr. Albert Kar-Kin Chung (Clinical Assistant Professor, The University of Hong Kong) — Principal investigator
First posted
Apr 2, 2018
Start date
Jun 1, 2019
Primary completion
May 31, 2024
Completion
May 31, 2025
Last update
Mar 27, 2026

Study contacts

albert KK Chung, Dr
principal investigator · The University of Hong Kong

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Aripiprazole · Paliperidone

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