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paliperidone palmitate

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Description

Paliperidone Palmitate: A benzisoxazole derivative and active metabolite of RISPERIDONE that functions as a DOPAMINE D2 RECEPTOR ANTAGONIST and SEROTONIN 5-HT2 RECEPTOR ANTAGONIST. It is an ANTIPSYCHOTIC AGENT used in the treatment of SCHIZOPHRENIA. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

3-{2-[4-(6-fluoro-1,2-benzoxazol-3-yl)piperidin-1-yl]ethyl}-2-methyl-4-oxo-6,7,8,9-tetrahydropyrido[1,2-a]pyrimidin-9-yl hexadecanoate : A fatty acid ester obtained by the formal condensation of the carboxy group of hexadecanoic acid with the hydroxy group of 3-{2-[4-(6-fluoro-1,2-benzoxazol-3-yl)piperidin-1-yl]ethyl}-9-hydroxy-2-methyl-6,7,8,9-tetrahydropyrido[1,2-a]pyrimidin-4-one. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

paliperidone palmitate : A racemate comprising equimolar amounts of (R)- and (S)-paliperidone palmitate. A long-acting injectable formulation of paliperidone (the major active metabolite of risperidone) that is used for treatment of schizophrenia. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID9852746
CHEMBL ID2107360
CHEBI ID83808
CHEBI ID83807
SCHEMBL ID1871384
SCHEMBL ID12415674
MeSH IDM0546009

Synonyms (69)

Synonym
199739-10-1
9-hydroxyrisperidone palmitate
SCHEMBL1871384
r-092670
jns010
ro-92670
CHEMBL2107360
chebi:83808 ,
jns-010
palperidone palmitate
r092670
FT-0673476
unii-r8p8usm8fr
r8p8usm8fr ,
ro92670
xeplion
ro 92670
trinza
paliperidone palmitate
jns 010
(9rs)-3-(2-(4-(6-fluoro-1,2-benzisoxazol-3-yl)piperidin-1-yl)ethyl)-2-methyl-4-oxo-6,7,8,9-tetrahydro-4h-pyrido(1,2-a)pyrimidin-9-yl hexadecanoate
invega trinza
paliperidone palmitate [usan]
invega sustenna
hexadecanoic acid, 3-(2-(4-(6-fluoro-1,2-benzisoxazol-3-yl)-1-piperidinyl)ethyl)-6,7,8,9-tetrahydro-2-methyl-4-oxo-4h-pyrido(1,2-a)pyrimidin-9-yl ester
S5624
3-{2-[4-(6-fluoro-1,2-benzoxazol-3-yl)piperidin-1-yl]ethyl}-2-methyl-4-oxo-6,7,8,9-tetrahydro-4h-pyrido[1,2-a]pyrimidin-9-yl hexadecanoate
3-{2-[4-(6-fluoro-1,2-benzoxazol-3-yl)piperidin-1-yl]ethyl}-2-methyl-4-oxo-6,7,8,9-tetrahydropyrido[1,2-a]pyrimidin-9-yl hexadecanoate
SCHEMBL12415674
AC-32485
palmitate, paliperidone
AKOS030526057
BCP08473
DTXSID70870217
Q27157250
HY-A0019A
[3-[2-[4-(6-fluoro-1,2-benzoxazol-3-yl)piperidin-1-yl]ethyl]-2-methyl-4-oxo-6,7,8,9-tetrahydropyrido[1,2-a]pyrimidin-9-yl] hexadecanoate
SB17398
hexadecanoic acid, 3-[2-[4-(6-fluoro-1,2-benzisoxazol-3-yl)-1-piperidinyl]ethyl]-6,7,8,9-tetrahydro-2-methyl-4-oxo-4h-pyrido[1,2-a]pyrimidin-9-yl ester
CS-0016387
mfcd24386477
NCGC00522023-01
3-(2-(4-(6-fluorobenzo[d]isoxazol-3-yl)piperidin-1-yl)ethyl)-2-methyl-4-oxo-6,7,8,9-tetrahydro-4h-pyrido[1,2-a]pyrimidin-9-yl palmitate
D83646
hexadecanoic acid, 3-[2-[4-(6-fluoro-1,2-benzisoxazol-3-yl)-1-piperidinyl]ethyl]-6,7,8,9-tetrahydro-2-methyl-4-oxo-4h-pyrido[1,2-a]pyrimidin-9-yl ester; 9-hydroxyrisperidone palmitate; invega sustenna; paliperidone palmitate; ro 92670
AS-77089
paliperidone palmitate [jan]
(9rs)-3-[2-[4-(6-fluoro-1,2-benzisoxazol-3-yl)piperidin-1-yl]ethyl]-2-methyl-4-oxo-6,7,8,9-tetrahydro-4h-pyrido[1,2-a]pyrimidin-9-yl hexadecanoate
paliperidone palmitate [who-dd]
paliperidone palmitate [orange book]
paliperidone janssen
paliperidone palmitate [ema epar]
paliperidone palmitate [mart.]
paliperidone palmitate [mi]
paliperidone palmitate [vandf]
pp3m
paliperidonepalmitate-d4
3-(2-(4-(6-fluorobenzo[d]isoxazol-3-yl)piperidin-1-yl)ethyl)-2-methyl-4-oxo-6,7,8,9-tetrahydro-4h-pyrido[1,2-a]pyrimidin-9-ylpalmitate
chebi:83807
rac-paliperidone palmitate
(9rs)-3-(2-(4-(6-fluoro-1,2-benzoisoxazol-3-yl)piperidin-1-yl)ethyl)-2-methyl-4-oxo-6,7,8,9-tetrahydro-4h-pyrido(1,2-a)pyrimidin-9-yl palmitate
trevicta
paliperidone palmitate (mart.)
(rs)-paliperidone palmitate
invega hafyera
(+-)-paliperidone palmitate
paliperidone hexadecanoate
rac-3-(2-(4-(6-fluoro-1,2-benzoxazol-3-yl)piperidin-1-yl)ethyl)-2-methyl-4-oxo-6,7,8,9-tetrahydro-4h-pyrido(1,2-a)pyrimidin-9-yl hexadecanoate
racemic paliperidone palmitate

Research Excerpts

Overview

Paliperidone palmitate (PP) is a long-acting injectable (LAI) antipsychotic, developed for monthly intramuscular (i.m.) administration into deltoid/gluteal muscle, approved for the treatment of schizophrenia in many countries. InVEGA SUSTENNA® (once monthly injection) and INVEGA TRINZA  (once every 3 months injection)

ExcerptReferenceRelevance
"Paliperidone palmitate is a second generation antipsychotic, approved for the treatment of schizophrenia in the form of the long-acting injectable (LAI) products INVEGA SUSTENNA® (once monthly injection) and INVEGA TRINZA® (once every 3 months injection). "( Need for Bioequivalence Standards that Reflect the Clinical Importance of the Complex Pharmacokinetics of Paliperidone Palmitate Long-Acting Injectable Suspension.
Katzman, MA; Lamoure, JW; Procyshyn, RM; Sherman, SE; Skinner, PL, 2019
)
2.17
"Paliperidone palmitate is an antipsychotic medication available as long-acting injectable (LAI) formulations. "( Impact of age and gender on paliperidone exposure in patients after administration of long-acting injectable formulations-an observational study using blood samples from 1223 patients.
Haslemo, T; Høiseth, G; Molden, E; Smith, RL; Tveito, M, 2021
)
2.06
"Paliperidone palmitate (PP) is a recently introduced long-acting atypical, or second-generation, antipsychotic. "( Long-acting paliperidone palmitate - interim results of an observational study of its effect on hospitalization.
Olofinjana, O; Taylor, D, 2014
)
2.22
"Paliperidone palmitate (PP) is a long-acting injectable (LAI) antipsychotic, developed for monthly intramuscular (i.m.) administration into deltoid/gluteal muscle, approved for the treatment of schizophrenia in many countries. "( A single-dose, open-label, parallel, randomized, dose-proportionality study of paliperidone after intramuscular injections of paliperidone palmitate in the deltoid or gluteal muscle in patients with schizophrenia.
Berwaerts, J; Cleton, A; Crauwels, H; De Meulder, M; Eerdekens, M; Gopal, S; Hough, D; Remmerie, B; Rossenu, S; Rosso, CM; Vandebosch, A, 2014
)
2.05
"Paliperidone palmitate (PP) is a once-monthly long-acting injectable antipsychotic approved for the treatment of schizophrenia in many countries. "( Pharmacokinetic profile after multiple deltoid or gluteal intramuscular injections of paliperidone palmitate in patients with schizophrenia.
Berwaerts, J; Cleton, A; Crauwels, H; De Meulder, M; Eerdekens, M; Francetic, I; Herben, V; Hough, D; Remmerie, B; Rossenu, S; Vandebosch, A, 2015
)
2.08
"Paliperidone palmitate is an investigational, injectable atypical antipsychotic. "( Safety and tolerability of deltoid and gluteal injections of paliperidone palmitate in schizophrenia.
Eerdekens, M; Gopal, S; Herben, V; Hough, D; Lim, P; Lindenmayer, JP; Melkote, R; Yuen, E, 2009
)
2.04
"Paliperidone palmitate is a newly available depot formulation of paliperidone (the 9-OH metabolite of risperidone). "( Paliperidone palmitate - review of the efficacy, safety and cost of a new second-generation depot antipsychotic medication.
Citrome, L, 2010
)
3.25
"Paliperidone palmitate is a long-acting injectable antipsychotic agent. "( A controlled, evidence-based trial of paliperidone palmitate, a long-acting injectable antipsychotic, in schizophrenia.
Eerdekens, M; Gassmann-Mayer, C; Gopal, S; Hough, D; Lim, P; Nasrallah, HA; Quiroz, JA; Yuen, E, 2010
)
2.07
"Paliperidone palmitate is a long-acting injectable atypical antipsychotic for the acute and maintenance treatment of adults with schizophrenia. "( Onset of efficacy and tolerability following the initiation dosing of long-acting paliperidone palmitate: post-hoc analyses of a randomized, double-blind clinical trial.
Alphs, L; Bossie, CA; Fu, DJ; Ma, YW; Sliwa, JK, 2011
)
2.04
"Paliperidone palmitate (PP) is a recently (USA) approved injectable new-generation antipsychotic. "( A randomized trial of paliperidone palmitate and risperidone long-acting injectable in schizophrenia.
Eerdekens, M; Fleischhacker, WW; Gassmann-Mayer, C; Gopal, S; Hough, D; Lane, R; Lim, P; Remmerie, B, 2012
)
2.14
"Paliperidone palmitate is a second-generation, long-acting injectable (LAI) antipsychotic recently approved by the US FDA and European Medicines Agency for use in patients with schizophrenia. "( Dosing and switching strategies for paliperidone palmitate: based on population pharmacokinetic modelling and clinical trial data.
Alphs, L; Gassmann-Mayer, C; Gopal, S; Palumbo, JM; Samtani, MN, 2011
)
2.09
"Paliperidone Palmitate is a long-acting intramuscular atypical antipsychotic drug indicated for the acute maintenance treatment of schizophrenia in adults. "( Clinical pharmacology of paliperidone palmitate a parenteral long-acting formulation for the treatment of schizophrenia.
Gilday, E; Nasrallah, HA, 2012
)
2.13
"Paliperidone palmitate is an atypical long-acting injectable (LAI) antipsychotic that has been approved for use in the US, EU, Australia and numerous other countries for acute and maintenance therapy of schizophrenia. "( Practical guidelines on the use of paliperidone palmitate in schizophrenia.
Hustig, H; Lakshmana, R; Lee, J; Motamarri, B; Newton, R; Norrie, P; Parker, R; Schreiner, A, 2012
)
2.1

Effects

ExcerptReferenceRelevance
"Paliperidone palmitate has been associated with serum prolactin elevations in some patients. "( An analysis of potentially prolactin-related adverse events and abnormal prolactin values in randomized clinical trials with paliperidone palmitate.
Coppola, D; Einarson, TR; Gopal, S; Hemels, ME; Hough, D; Nuamah, I, 2012
)
2.03

Treatment

Paliperidone palmitate (PP) is a useful treatment option for adults with acute symptoms of schizophrenia. PP can be initiated the day after discontinuing previous oral antipsychotic treatment. Treatment with PP at doses between 39 and 156 mg s was tolerated.

ExcerptReferenceRelevance
"Is paliperidone palmitate (PP) a useful treatment option for adults with acute symptoms of schizophrenia? We conducted a systematic review and a random-effects pairwise and network meta-analysis that compared PP (25-150 mg equivalent) with paliperidone extended-release (PAL-ER, 3-12 mg/d) regarding their efficacy and safety in adults with acute symptoms of schizophrenia. "( Paliperidone palmitate vs. paliperidone extended-release for the acute treatment of adults with schizophrenia: a systematic review and pairwise and network meta-analysis.
Iwata, N; Kishi, T; Sakuma, K, 2022
)
2.79
"Paliperidone palmitate treatment was tolerated, irrespective of injection site, and thus could offer the choice of administration into either the deltoid or gluteal muscle to meet patient and physician preference."( Safety and tolerability of deltoid and gluteal injections of paliperidone palmitate in schizophrenia.
Eerdekens, M; Gopal, S; Herben, V; Hough, D; Lim, P; Lindenmayer, JP; Melkote, R; Yuen, E, 2009
)
1.32
"Paliperidone palmitate treatment can be initiated the day after discontinuing previous oral antipsychotic treatment."( Practical guidance for dosing and switching paliperidone palmitate treatment in patients with schizophrenia.
Alphs, L; Gassmann-Mayer, C; Gopal, S; Palumbo, J; Samtani, MN; Shiwach, R, 2010
)
1.34
"Paliperidone palmitate treatment with this revised dosing regimen led to the achievement of rapid and consistent therapeutically effective plasma levels that were maintained by once-monthly dosing in either the deltoid or gluteal muscle."( A randomized, placebo-controlled study to assess the efficacy and safety of 3 doses of paliperidone palmitate in adults with acutely exacerbated schizophrenia.
Gopal, S; Herben, V; Kusumakar, V; Lim, P; Lindenmayer, JP; Lull, J; Palumbo, J; Pandina, GJ; Yuen, E, 2010
)
1.3
"Treatment with paliperidone palmitate at doses between 39 and 156 mg significantly delayed the time to recurrence of symptoms of schizophrenia after 24 weeks of maintained symptom stability."( Paliperidone palmitate - review of the efficacy, safety and cost of a new second-generation depot antipsychotic medication.
Citrome, L, 2010
)
2.14
"Treatment with paliperidone palmitate (100 mg eq.) was efficacious and all doses tested were tolerable."( Efficacy and safety of paliperidone palmitate in adult patients with acutely symptomatic schizophrenia: a randomized, double-blind, placebo-controlled, dose-response study.
Brown, DW; Eerdekens, MH; Gassmann-Mayer, C; Gopal, S; Hough, DW; Lull, JM; Remmerie, BM; Xu, H, 2010
)
1.01

Toxicity

Paliperidone palmitate is effective and safe in treatment of schizophrenic patients and in switching to PP treatment in patients with schizophrenia. In the DB phase, 183 of 305 patients had at least 1 treatment-emergent adverse event.

ExcerptReferenceRelevance
" No correlation between the serum concentration of the active moiety and the side effects evaluated by the UKU Side Effect Scale was found."( Serum concentrations and side effects in psychiatric patients during risperidone therapy.
Bruun, T; Licht, RW; Linnet, K; Olesen, OV; Thomsen, E; Viftrup, JE, 1998
)
0.3
" Galantamine and risperidone were both safe and well tolerated administered either alone or together."( Pharmacokinetic and safety assessments of galantamine and risperidone after the two drugs are administered alone and together.
Huang, F; Janssens, L; Lasseter, KC; Lau, H; Verhaeghe, T; Zhao, Q, 2002
)
0.31
" Overall, it was well-tolerated and had placebo-like discontinuation rates for adverse events."( Extended-release paliperidone: efficacy, safety and tolerability profile of a new atypical antipsychotic.
Owen, RT, 2007
)
0.34
" Paliperidone ER was associated with a low incidence of treatment-emergent adverse events."( Efficacy, safety and early response of paliperidone extended-release tablets (paliperidone ER): results of a 6-week, randomized, placebo-controlled study.
Davidson, M; Eerdekens, M; Emsley, R; Ford, L; Kramer, M; Lim, P; Pan, G, 2007
)
0.34
" The incidence of treatment-emergent adverse events (AEs) for paliperidone ER 6 mg was comparable with placebo and slightly greater with paliperidone ER 12 mg."( Efficacy and safety of paliperidone extended-release tablets: results of a 6-week, randomized, placebo-controlled study.
Eerdekens, E; Eerdekens, M; Ford, L; Kramer, M; Lim, P; Lowy, A; Marder, SR, 2007
)
0.34
" It has been developed as an osmotic controlled-release oral delivery system that minimizes peak-trough fluctuations in plasma concentrations, allowing once-daily administration and theoretically leading to a decreased incidence of adverse effects."( The pharmacology and safety of paliperidone extended-release in the treatment of schizophrenia.
Cavallaro, R; Spina, E, 2007
)
0.34
" Measurements included adverse events, laboratory tests, physical examinations, 12-lead electrocardiograms, movement disorder rating scales, Positive and Negative Syndrome Scale, and Clinical Global Impression scale."( Safety and tolerability of oral paliperidone extended-release tablets in elderly patients with schizophrenia: a double-blind, placebo-controlled study with six-month open-label extension.
Eerdekens, M; Ford, L; Gassmann-Mayer, C; Kramer, M; Lim, P; Samokhvalov, V; Tzimos, A, 2008
)
0.35
" During the double-blind phase, discontinuation rates resulting from adverse events were similar between groups (paliperidone ER: 7%, placebo: 8%) as were incidences of treatment-emergent adverse events (paliperidone ER: 67%, placebo: 71%)."( Safety and tolerability of oral paliperidone extended-release tablets in elderly patients with schizophrenia: a double-blind, placebo-controlled study with six-month open-label extension.
Eerdekens, M; Ford, L; Gassmann-Mayer, C; Kramer, M; Lim, P; Samokhvalov, V; Tzimos, A, 2008
)
0.35
" Most commonly (> or =10% patients) reported adverse events (AEs) were insomnia, headache, and akathisia."( Efficacy and safety of oral paliperidone extended-release tablets in the treatment of acute schizophrenia: pooled data from three 52-week open-label studies.
Berwaerts, J; Eerdekens, M; Emsley, R; Hough, D; Kramer, M; Lane, R; Lim, P; Palumbo, J, 2008
)
0.35
" The incidence of systemic treatment-emergent adverse events (TEAEs) was similar between the 2 injection sites across doses during period 1 (deltoid [D]: 61% to 67%; gluteus [G]: 58% to 65%), and during the last 8 weeks of the 2 study periods (DG: 32% to 45% [period 1], 29% to 42% [period 2]; GD: 31% to 40% [period 1], 30% to 41% [period 2])."( Safety and tolerability of deltoid and gluteal injections of paliperidone palmitate in schizophrenia.
Eerdekens, M; Gopal, S; Herben, V; Hough, D; Lim, P; Lindenmayer, JP; Melkote, R; Yuen, E, 2009
)
0.59
" Assessments included PANSS, Clinical Global Impressions-Severity (CGI-S), Personal and Social Performance (PSP) scale, and adverse events (AEs)."( Efficacy and safety of paliperidone extended-release in schizophrenia patients with prominent affective symptoms.
Bossie, CA; Canuso, CM; Sheehan, JJ; Turkoz, I, 2010
)
0.36
" In the safety analysis set (n=247), fewer PP-treated patients (2%) discontinued for treatment-emergent adverse events vs."( Paliperidone palmitate, a potential long-acting treatment for patients with schizophrenia. Results of a randomized, double-blind, placebo-controlled efficacy and safety study.
Eerdekens, M; Hough, D; Kramer, M; Lane, R; Lim, P; Litman, R; Liu, Y, 2010
)
1.8
" Common adverse events (in >or=2% of patients in any group) more frequent with paliperidone palmitate 50 or 100 mg eq."( Efficacy and safety of paliperidone palmitate in adult patients with acutely symptomatic schizophrenia: a randomized, double-blind, placebo-controlled, dose-response study.
Brown, DW; Eerdekens, MH; Gassmann-Mayer, C; Gopal, S; Hough, DW; Lull, JM; Remmerie, BM; Xu, H, 2010
)
0.9
" Common treatment-emergent adverse events (> or =2% of patients in any of the treatment groups) that occurred more frequently in the total paliperidone palmitate group versus the placebo group (with > or =1% difference) were injection-site pain (7."( A randomized, placebo-controlled study to assess the efficacy and safety of 3 doses of paliperidone palmitate in adults with acutely exacerbated schizophrenia.
Gopal, S; Herben, V; Kusumakar, V; Lim, P; Lindenmayer, JP; Lull, J; Palumbo, J; Pandina, GJ; Yuen, E, 2010
)
0.79
" The most frequent (≥ 5% in total group) adverse events were insomnia (7%); worsening of schizophrenia; nasopharyngitis; headache; and weight increase (6% each)."( A 52-week open-label study of the safety and tolerability of paliperidone palmitate in patients with schizophrenia.
Eerdekens, M; Gopal, S; Hough, D; Lim, P; Morozova, M; Vijapurkar, U, 2011
)
0.61
" Headache was the most common treatment-emergent adverse event (17% total paliperidone ER versus 12% placebo)."( Evaluation of the efficacy and safety of paliperidone extended-release in the treatment of acute mania: a randomized, double-blind, dose-response study.
Berwaerts, J; Hough, D; Lim, P; Nuamah, I; Xu, H, 2012
)
0.38
" Safety and tolerability assessments included incidence of adverse events and extrapyramidal symptoms."( One-year open-label safety and efficacy study of paliperidone extended-release tablets in patients with schizophrenia.
Eerdekens, M; Hough, D; Kramer, M; Kushner, S; Lim, P; Liu, Y; Maciulis, V; Palumbo, J; Simpson, G, 2010
)
0.36
" Twelve patients (5%) experienced an adverse event requiring treatment discontinuation."( One-year open-label safety and efficacy study of paliperidone extended-release tablets in patients with schizophrenia.
Eerdekens, M; Hough, D; Kramer, M; Kushner, S; Lim, P; Liu, Y; Maciulis, V; Palumbo, J; Simpson, G, 2010
)
0.36
"Long-acting injectable (LAI) formulations of antipsychotics are valuable treatment alternatives for patients with psychotic disorders, and understanding their safe use is critical."( Are the long-acting intramuscular formulations of risperidone or paliperidone palmitate associated with post-injection delirium/sedation syndrome? An assessment of safety databases.
Alphs, L; Gopal, S; Karcher, K; Kent, J; Kushner, S; Nuamah, I; Singh, J; Sliwa, JK, 2011
)
0.61
" No patient exhibited any noticeable prolongation of QTc interval and no adverse cardiac events, in particular arrhythmias, were noted."( Cardiac safety of the electroconvulsive therapy-paliperidone combination: a preliminary study.
Markatou, M; Masdrakis, VG; Oulis, P; Tzanoulinos, G,
)
0.13
" In the studies analyzed it was well tolerated and the most frequent reported adverse events were mild extrapyramidal symptoms and an increase in serum prolactin levels."( [Efficacy, tolerability and safety of paliperidone extended-release in the treatment of schizophrenia and schizoaffective disorder].
Bellantuono, C; Santone, G,
)
0.13
"Paliperidone has been shown to be an effective and safe medication for the treatment of schizophrenia and schizoaffective disorder."( [Efficacy, tolerability and safety of paliperidone extended-release in the treatment of schizophrenia and schizoaffective disorder].
Bellantuono, C; Santone, G,
)
0.13
" Most frequent (≥ 10%) treatment-emergent adverse events were nasopharyngitis (n = 37), insomnia (n = 32), injection-site pain (n = 32), headache (n = 28), and tachycardia (n = 27)."( A one-year prospective study of the safety, tolerability and pharmacokinetics of the highest available dose of paliperidone palmitate in patients with schizophrenia.
Coppola, D; Gopal, S; Hough, DW; Liu, Y; Nuamah, I; Pandina, G; Remmerie, B; Samtani, MN; Sulaiman, A, 2012
)
0.59
" Higher doses may provide additional benefit as well as dose-related increases in some adverse reactions."( Oral paliperidone extended-release: chemistry, pharmacodynamics, pharmacokinetics and metabolism, clinical efficacy, safety and tolerability.
Citrome, L, 2012
)
0.38
" In this context, newer SGAs were developed to further improve the adverse effect burden of available agents."( Body weight and metabolic adverse effects of asenapine, iloperidone, lurasidone and paliperidone in the treatment of schizophrenia and bipolar disorder: a systematic review and exploratory meta-analysis.
Correll, CU; De Hert, M; Detraux, J; Sweers, K; van Winkel, R; Yu, W, 2012
)
0.38
" However, few individuals with elevated prolactin levels (hyperprolactinemia) have symptomatic potentially prolactin-related adverse events (PPR-AEs)."( An analysis of potentially prolactin-related adverse events and abnormal prolactin values in randomized clinical trials with paliperidone palmitate.
Coppola, D; Einarson, TR; Gopal, S; Hemels, ME; Hough, D; Nuamah, I, 2012
)
0.59
"Hyperprolactinemia is a common side effect in young males treated over the long term with risperidone."( Risk of hyperprolactinemia and sexual side effects in males 10-20 years old diagnosed with autism spectrum disorders or disruptive behavior disorder and treated with risperidone.
Boot, AM; Buitelaar, JK; Roke, Y; Tenback, D; van Harten, PN, 2012
)
0.38
" Treatment-emergent adverse events (TEAEs), including those considered more relevant to antipsychotic treatment (prespecified adverse events [AEs]), were analyzed."( Safety of paliperidone extended-release in patients with schizophrenia or schizoaffective disorder and hepatic disease.
Alphs, L; Amatniek, J; Canuso, CM; Deutsch, SI; Henderson, DC; Mao, L; Mikesell, C; Rodriguez, S; Sheehan, J, 2014
)
0.4
" The objective of this analysis was to report the results of a population pharmacokinetic analysis and to describe the relationship between risperidone and 9-hydroxyrisperidone levels with dopamine (DA) D2-receptor occupancy, prolactin levels, and adverse events using data collected in 45 clinically stable schizophrenic patients receiving RBP-7000 in single ascending doses (risperidone) of 60, 90, and 120 mg."( A model-based approach to characterize the population pharmacokinetics and the relationship between the pharmacokinetic and safety profiles of RBP-7000, a new, long-acting, sustained-released formulation of risperidone.
Fudala, PJ; Gomeni, R; Heidbreder, C; Nasser, AF, 2013
)
0.39
" The conventional agents are also associated with adverse neurologic effects such as extrapyramidal symptoms (EPS)."( Paliperidone extended-release: safety and tolerability from a metabolic profile perspective.
Quilo, CG; Rodríguez-Martínez, A, 2013
)
0.39
"7%), and adverse drug reaction (11."( Toxicity and clinical outcomes of paliperidone exposures reported to U.S. Poison Centers.
Anderson, B; Klein-Schwartz, W; Tsay, ME, 2014
)
0.4
" The most common (>10% patients) treatment-emergent adverse events for paliperidone ER were akathisia, headache, somnolence, tremor, and weight gain, and for aripiprazole were worsening of schizophrenia and somnolence."( Efficacy and safety of paliperidone extended release in adolescents with schizophrenia: a randomized, double-blind study.
Gopal, S; Hough, D; Lane, R; Nuamah, I; Savitz, AJ, 2015
)
0.42
" In the DB phase, 183 of 305 patients (62% with 3-month paliperidone palmitate; 58% with placebo) had at least 1 treatment-emergent adverse event; those noted more frequently in the group receiving paliperidone palmitate than in the placebo group were headache (9% vs 4%), weight increased (9% vs 3%), nasopharyngitis (6% vs 1%), and akathisia (4% vs 1%)."( Efficacy and Safety of the 3-Month Formulation of Paliperidone Palmitate vs Placebo for Relapse Prevention of Schizophrenia: A Randomized Clinical Trial.
Berwaerts, J; Coppola, D; Gopal, S; Hough, DW; Liu, Y; Maruta, N; Nuamah, I; Remmerie, B; Savitz, A; Schotte, A; Xu, H, 2015
)
0.92
" Headache and nasopharyngitis were the most common (>7%) treatment-emergent adverse events."( Pharmacokinetics, safety, and tolerability of paliperidone palmitate 3-month formulation in patients with schizophrenia: A phase-1, single-dose, randomized, open-label study.
Chang, CT; De Meulder, M; Gopal, S; Hough, D; Nuamah, I; Ravenstijn, P; Remmerie, B; Samtani, MN; Savitz, A, 2016
)
0.69
" Safety parameters were treatment-emergent adverse events (TEAEs), weight, Tanner staging, blood chemistry (including prolactin, glucose, insulin, and lipid levels), and extrapyramidal symptom (EPS) scales."( Long-Term Safety of Paliperidone Extended Release in Adolescents with Schizophrenia: An Open-Label, Flexible Dose Study.
Gopal, S; Hough, D; Lane, R; Nuamah, I; Savitz, A; Singh, J, 2015
)
0.42
" Safety assessment variables included assessment of treatment emergent adverse events, clinical laboratory tests, vital sign measurements, ECG, Calgary Depression Scale for Schizophrenia (CDSS), mini-mental status examination, Abnormal Involuntary Movement Scale (AIMS), Barnes Akathisia Rating Scale (BARS), Simpson-Angus Scale for the Assessment of Extrapyramidal Side Effects (SAS) and WHO Quality of Life-BREF (WHO-QOL-BREF)."( Efficacy and safety of once-monthly paliperidone palmitate long-acting injection in an elderly patient with schizophrenia.
Lewis, M; Macfarlane, S; Rama Raj, P, 2015
)
0.69
" Both groups had similar tolerability profiles; increased weight was the most common treatment-emergent adverse event (double-blind phase; 21% each)."( Efficacy and Safety of Paliperidone Palmitate 3-Month Formulation for Patients with Schizophrenia: A Randomized, Multicenter, Double-Blind, Noninferiority Study.
Fleischhacker, WW; Gopal, S; Hough, D; Janik, A; Nuamah, I; Ravenstijn, P; Savitz, AJ; Schotte, A; Xu, H, 2016
)
0.74
" Paliperidone ER and PP are generally well tolerated with a predictable adverse event profile."( Paliperidone for the treatment of schizophrenia and schizoaffective disorders - a drug safety evaluation.
Altamura, AC; Di Pace, C; Mauri, MC; Paletta, S; Reggiori, A, 2017
)
0.46
"We conducted a cross-sectional study using the Korea Adverse Event Reporting System database between July 1, 2010, and June 30, 2015."( Current Status of Parkinsonism-Related Adverse Events and Associated Drugs in Korea.
Kim, S; Suh, HS, 2019
)
0.51
"There were 1402 adverse event reports associated with parkinsonism."( Current Status of Parkinsonism-Related Adverse Events and Associated Drugs in Korea.
Kim, S; Suh, HS, 2019
)
0.51
"Metoclopramide and antipsychotics were reported in most adverse event reports associated with parkinsonism in Korea."( Current Status of Parkinsonism-Related Adverse Events and Associated Drugs in Korea.
Kim, S; Suh, HS, 2019
)
0.51
"Overall, both 1-month and 3-month formulations of PDP are safe and effective in the treatment of schizophrenia and schizoaffective disorder."( Long-Acting Injectable Paliperidone Palmitate: A Review of Efficacy and Safety.
Morris, MT; Tarpada, SP, 2017
)
0.77
"Elevated prolactin levels (hyperprolactinemia) are a frequent adverse effect of antipsychotic medications, especially in young populations."( Evaluation of Potentially Prolactin-Related Adverse Events and Sexual Maturation in Adolescents with Schizophrenia Treated with Paliperidone Extended-Release (ER) for 2 Years: A Post Hoc Analysis of an Open-Label Multicenter Study.
Bach, M; Copenhaver, M; Gopal, S; Hough, D; Lane, R; Nuamah, I; Savitz, A; Singh, J, 2017
)
0.46
"This study assessed potentially prolactin-related treatment-emergent adverse events (PPRL-TEAEs) and sexual maturation during long-term treatment of adolescents with paliperidone extended-release (ER)."( Evaluation of Potentially Prolactin-Related Adverse Events and Sexual Maturation in Adolescents with Schizophrenia Treated with Paliperidone Extended-Release (ER) for 2 Years: A Post Hoc Analysis of an Open-Label Multicenter Study.
Bach, M; Copenhaver, M; Gopal, S; Hough, D; Lane, R; Nuamah, I; Savitz, A; Singh, J, 2017
)
0.46
" All the patients were administered the Positive and Negative Syndrome Scale, the Clinical Global Impression, the Extrapyramidal Symptom Rating Scale, the UKU (Ugvalg for Kliniske Undersgelser) Side Effect Rating Scale, the Short Form 36, the Morisky Medication Adherence Scale, and the Schedule for Assessing the Three Components of Insight."( Comparison of Paliperidone Palmitate and Second-Generation Oral Antipsychotics in Terms of Medication Adherence, Side Effects, and Quality of Life.
Sağlam Aykut, D,
)
0.49
" Treatment emergent adverse events with PP3M during DB phase were similar in Latin America (study A: 24/34 [70."( Efficacy and safety of paliperidone palmitate 3-month formulation in Latin American patients with schizophrenia: A subgroup analysis of data from two large phase 3 randomized, double-blind studies.
Gopal, S; Mathews, M; Nuamah, I; Savitz, AJ; Soares, B; Xu, H,
)
0.44
" Patients' characteristics, scale scores, and adverse events were recorded."( Efficacy and Safety of Paliperidone Palmitate Treatment in Patients With Schizophrenia: A Real-World Multicenter, Retrospective, Mirror-Image Study.
Atmaca, M; Baran, Z; Cengisiz, C; Çinar, C; Devrimci-Ozguven, H; Erol, A; Genç, Y; Karadağ, H; Karakülah, K; Karasu, U; Kaya, MC; Kizil, E; Özcan, H; Tiryaki, A; Üçok, A; Varlik, C; Yazar, SM; Yildiz, M,
)
0.44
" The frequency of adverse events did not differ between the period before and during PP treatment."( Efficacy and Safety of Paliperidone Palmitate Treatment in Patients With Schizophrenia: A Real-World Multicenter, Retrospective, Mirror-Image Study.
Atmaca, M; Baran, Z; Cengisiz, C; Çinar, C; Devrimci-Ozguven, H; Erol, A; Genç, Y; Karadağ, H; Karakülah, K; Karasu, U; Kaya, MC; Kizil, E; Özcan, H; Tiryaki, A; Üçok, A; Varlik, C; Yazar, SM; Yildiz, M,
)
0.44
"Paliperidone palmitate is effective and safe in treatment of schizophrenic patients and in switching to PP treatment in patients with schizophrenia, which reduced the percentage of patients admitted to the hospital for relapse and the median number hospitalization, and has positive effects on functionality."( Efficacy and Safety of Paliperidone Palmitate Treatment in Patients With Schizophrenia: A Real-World Multicenter, Retrospective, Mirror-Image Study.
Atmaca, M; Baran, Z; Cengisiz, C; Çinar, C; Devrimci-Ozguven, H; Erol, A; Genç, Y; Karadağ, H; Karakülah, K; Karasu, U; Kaya, MC; Kizil, E; Özcan, H; Tiryaki, A; Üçok, A; Varlik, C; Yazar, SM; Yildiz, M,
)
1.88
" Adverse events (AEs) and laboratory data were monitored."( Efficacy and Safety of a 2-Month Formulation of Aripiprazole Lauroxil With 1-Day Initiation in Patients Hospitalized for Acute Schizophrenia Transitioned to Outpatient Care: Phase 3, Randomized, Double-Blind, Active-Control ALPINE Study.
Bidollari, I; Cash, E; Claxton, A; Du, Y; Keane, E; Kunovac, J; Walling, DP; Weiden, PJ; Yagoda, S; Yao, B, 2020
)
0.56
" Several case reports about unexpected adverse drug reactions of paliperidone have been consistently reported around the world."( Signals of Adverse Drug Reactions of Paliperidone Compared to Other Atypical Antipsychotics Using the Korean Adverse Event Reporting System Database.
Kim, S; Park, BJ; Seo, DE, 2020
)
0.56
" Patient-reported sexual and endocrine side effects were assessed on the UKU Side Effect Rating Scale sexual function subscale and analyzed in study completers."( Analysis of prolactin and sexual side effects in patients with schizophrenia who switched from paliperidone palmitate to aripiprazole lauroxil.
Bidollari, I; Claxton, A; Du, Y; Kelly, DL, 2021
)
0.84
"We conducted a chart review to investigate the detailed outcomes of patients with schizophrenia who discontinued long-acting injectable second-generation antipsychotic (LAI-SGA) therapy due to adverse events (AEs)."( Outcomes of patients with schizophrenia who discontinued long-acting injectable antipsychotic therapy due to adverse events: A chart review.
Hatano, M; Iwata, N; Kishi, T; Okuya, M; Sakuma, K, 2021
)
0.62
"All of these diverse approaches were clinically relevant in enhancing treatment adherence and found to be safe and tolerable."( New approaches to antipsychotic medication adherence - safety, tolerability and acceptability.
Krivoy, A; Shergill, SS; Taub, S; Whiskey, E, 2022
)
0.72
"Retrospective studies using spontaneous reporting system databases have provided a great understanding of adverse drug reactions (ADRs) in the real world, complementing the data obtained from randomized controlled trials."( Characteristics of adverse reactions among antipsychotic drugs using the Korean Adverse Event Reporting System database from 2010 to 2019.
Byeon, SJ; Chung, SJ; Oh, S, 2022
)
0.72
"Data were collected from the Korea Adverse Event Reporting System database between 2010 and 2019."( Characteristics of adverse reactions among antipsychotic drugs using the Korean Adverse Event Reporting System database from 2010 to 2019.
Byeon, SJ; Chung, SJ; Oh, S, 2022
)
0.72
"In total, 5067 adverse events associated with antipsychotic drugs were reported."( Characteristics of adverse reactions among antipsychotic drugs using the Korean Adverse Event Reporting System database from 2010 to 2019.
Byeon, SJ; Chung, SJ; Oh, S, 2022
)
0.72
" Safety was assessed by treatment-emergent adverse events (TEAEs), physical examinations, and laboratory tests."( Long-Term Efficacy and Safety of Paliperidone 6-Month Formulation: An Open-Label 2-Year Extension of a 1-Year Double-Blind Study in Adult Participants With Schizophrenia.
Aravind, S; Galderisi, S; Knight, RK; Lamaison, HF; Najarian, D; Richarz, U; Turkoz, I; Zalitacz, P, 2023
)
0.91
" The secondary outcomes included the changed number of inpatient visits, changed length of stay hospitalisation, change from baseline in the Clinical Global Impressions-Severity (CGI-S) score and the personal and social performance (PSP) total score, response rate, proportion of treatment discontinuation, and adverse events."( Effectiveness and Safety of Switching from Oral Antipsychotics to Once-Monthly Paliperidone Palmitate (PP1M) in the Management of Schizophrenia: A Systematic Review and Meta-Analysis.
Jia, M; Li, Q; Li, X; Si, T; Ye, C, 2023
)
1.14
" Low discontinuation and adverse event rates were reported."( Effectiveness and Safety of Switching from Oral Antipsychotics to Once-Monthly Paliperidone Palmitate (PP1M) in the Management of Schizophrenia: A Systematic Review and Meta-Analysis.
Jia, M; Li, Q; Li, X; Si, T; Ye, C, 2023
)
1.14

Pharmacokinetics

We assessed the dosage strengths of paliperidone palmitate 1-month (PP1M) long-acting injectable resulting in similar steady-state (SS) exposures to oral risperidone using pharmacokinetic (PK) simulations. These data (Japanese, n = 509; Korean, n + 31; Taiwanese, n - 47) were used to describe the paliperidsone palMITate pharmacokinetics in Japanese and to compare with non-Japanese.

ExcerptReferenceRelevance
"An open-label study evaluated the effect of steady-state venlafaxine on the single-dose pharmacokinetic profile of risperidone, a CYP2D6 substrate; its active metabolite, 9-hydroxyrisperidone; and the total active moiety (risperidone plus 9-hydroxyrisperidone)."( Effect of venlafaxine on the pharmacokinetics of risperidone.
Albano, D; Amchin, J; Klockowski, PM; Taylor, KP; Zarycranski, W, 1999
)
0.3
"Following an oral dose of risperidone (RSP), concentrations of its major metabolite 9-hydroxyrisperidone (9-OHRSP) were high in plasma and tissues but disproportionately lower in the brain compared to RSP, indicating that 9-OHRSP may have different pharmacokinetic properties."( Brain, plasma and tissue pharmacokinetics of risperidone and 9-hydroxyrisperidone after separate oral administration to rats.
Aravagiri, M; Marder, SR, 2002
)
0.31
" The terminal elimination half-life (t(1/2) ) of RSP after the RSP dose was longest in the liver (17."( Brain, plasma and tissue pharmacokinetics of risperidone and 9-hydroxyrisperidone after separate oral administration to rats.
Aravagiri, M; Marder, SR, 2002
)
0.31
"To explore the steady-state pharmacokinetic profile after coadministration of galantamine and risperidone, an open-label, randomized, single-center, two-way crossover drug-drug interaction study was conducted in 16 healthy elderly subjects, ages 60 years and older."( Pharmacokinetic and safety assessments of galantamine and risperidone after the two drugs are administered alone and together.
Huang, F; Janssens, L; Lasseter, KC; Lau, H; Verhaeghe, T; Zhao, Q, 2002
)
0.31
" Blood samples for pharmacokinetic analysis of the active moiety (risperidone + 9-hydroxy-risperidone), risperidone, and its active metabolite 9-hydroxy-risperidone were obtained during a 96-hour period after dosing."( Pharmacokinetic comparison of fast-disintegrating and conventional tablet formulations of risperidone in healthy volunteers.
Ko, G; Lasseter, KC; Lechat, P; Mannaert, E; Remmerie, BM; van Schaick, EA, 2003
)
0.32
"The bioequivalence assessment was based on pharmacokinetic and statistical analysis of data from 37 subjects who completed both treatment periods."( Pharmacokinetic comparison of fast-disintegrating and conventional tablet formulations of risperidone in healthy volunteers.
Ko, G; Lasseter, KC; Lechat, P; Mannaert, E; Remmerie, BM; van Schaick, EA, 2003
)
0.32
" The AUC from 0 to 24 hours of 9-hydroxyrisperidone, but not other pharmacokinetic parameters, was significantly increased during verapamil treatment."( Effect of verapamil on pharmacokinetics and pharmacodynamics of risperidone: in vivo evidence of involvement of P-glycoprotein in risperidone disposition.
Kaneo, S; Nakagami, T; Saito, M; Tateishi, T; Yasui-Furukori, N, 2005
)
0.33
"A population model was developed with the aim to simultaneously describe risperidone and 9-hydroxyrisperidone pharmacokinetics; to obtain estimates for pharmacokinetic parameters and associated inter- and intra-individual variability of risperidone and 9-hydroxyrisperidone; and to evaluate the influence of patient demographic characteristics and other factors on risperidone, 9-hydroxyrisperidone, and active moiety pharmacokinetics."( Population pharmacokinetics of risperidone and 9-hydroxyrisperidone in patients with acute episodes associated with bipolar I disorder.
Ludwig, EA; Piotrovsky, V; Vermeulen, A, 2007
)
0.34
"To develop a parent-metabolite pharmacokinetic model for risperidone (RIP) and its major active metabolite (9-hydroxyrisperidone) and investigate their pharmacokinetics characteristics in healthy male volunteers, twenty-two healthy volunteers were orally given a single dose of 2 mg RIP."( [Development and identifiability analysis of parent-metabolite pharmacokinetic model for risperidone and its main active metabolite 9-hydroxyrisperidone].
Ding, JJ; Jiao, Z; Shi, XJ; Yu, YQ, 2007
)
0.34
"The goals of this study were to estimate the pharmacokinetic parameters of risperidone and its enantiomers in a pediatric population and explore relationships between saliva and plasma concentrations."( Plasma pharmacokinetic characteristics of risperidone and their relationship to saliva concentrations in children with psychiatric or neurodevelopmental disorders.
Aman, MG; Lindsay, RL; Malone, K; Mannaert, E; Masty, J; Ramadan, Y; Remmerie, B; Vinks, AA, 2007
)
0.34
" Standard pharmacokinetic parameters were calculated."( Plasma pharmacokinetic characteristics of risperidone and their relationship to saliva concentrations in children with psychiatric or neurodevelopmental disorders.
Aman, MG; Lindsay, RL; Malone, K; Mannaert, E; Masty, J; Ramadan, Y; Remmerie, B; Vinks, AA, 2007
)
0.34
"In this preliminary pharmacokinetic study of parameters for risperidone and the enantiomers of 9-OH-risperidone in a pediatric population, mean C(max) and t(1/2) of risperidone were generally similar to those previously described in adults."( Plasma pharmacokinetic characteristics of risperidone and their relationship to saliva concentrations in children with psychiatric or neurodevelopmental disorders.
Aman, MG; Lindsay, RL; Malone, K; Mannaert, E; Masty, J; Ramadan, Y; Remmerie, B; Vinks, AA, 2007
)
0.34
"3 mg/kg haloperidol, however, exhibited similar pharmacodynamic effects in both genotypes."( Pharmacodynamic consequences of P-glycoprotein-dependent pharmacokinetics of risperidone and haloperidol in mice.
Henken, S; Hiemke, C; Kirschbaum, KM; Schmitt, U, 2008
)
0.35
" These long-term effects would not be captured by a standard 5-day pharmacokinetic TDM developmental testing model for antipsychotics, and a new model for characterizing variation in C/D by time course is therefore proposed."( Long-term therapeutic drug monitoring of risperidone and olanzapine identifies altered steady-state pharmacokinetics: a clinical, two-group, naturalistic study.
Darby, JK; Herbert, J; Pasta, DJ; Wilson, MG, 2008
)
0.35
"To characterize pharmacokinetic (PK) variability of risperidone and 9-OH risperidone using sparse sampling and to evaluate the effect of covariates on PK parameters."( Population pharmacokinetic analysis for risperidone using highly sparse sampling measurements from the CATIE study.
Aravagiri, M; Bies, RR; Coley, K; Feng, Y; Kirshner, M; Marder, S; Miller, D; Pollock, BG; Schneider, L, 2008
)
0.35
"This randomized, crossover study examined the effects of paroxetine (a potent CYP2D6 inhibitor) on the pharmacokinetic parameters of a single dose of the novel antipsychotic agent, paliperidone extended-release tablets (paliperidone ER), in healthy subjects."( The effects of paroxetine on the pharmacokinetics of paliperidone extended-release tablets.
Berwaerts, J; Chang, I; Cleton, A; Eerdekens, M; Herben, V; van de Vliet, I; van Hoek, P, 2009
)
0.35
"Results suggest that no clinically relevant pharmacokinetic interaction occurs when paroxetine and paliperidone ER are co-administered and, therefore, initiation or discontinuation of concomitant treatment with CYP2D6-inhibiting drugs does not appear to warrant an adjustment in paliperidone ER dosage."( The effects of paroxetine on the pharmacokinetics of paliperidone extended-release tablets.
Berwaerts, J; Chang, I; Cleton, A; Eerdekens, M; Herben, V; van de Vliet, I; van Hoek, P, 2009
)
0.35
" Paliperidone is eliminated with a terminal half-life of approximately 24 hours."( Single- and multiple-dose pharmacokinetics and dose proportionality of the psychotropic agent paliperidone extended release.
Boom, S; Cleton, A; De Meulder, M; Eerdekens, M; Janssens, L; Remmerie, B; Rossenu, S; Talluri, K; van Osselaer, N, 2009
)
0.35
" A total of 18 530 pharmacokinetic samples with valid concentration timepoints were available for this analysis."( Population pharmacokinetics of intramuscular paliperidone palmitate in patients with schizophrenia: a novel once-monthly, long-acting formulation of an atypical antipsychotic.
Samtani, MN; Stuyckens, K; Vermeulen, A, 2009
)
0.61
"A dual-absorption pharmacokinetic model best described the complex pharmacokinetics of paliperidone after intramuscular administration of its palmitate ester."( Population pharmacokinetics of intramuscular paliperidone palmitate in patients with schizophrenia: a novel once-monthly, long-acting formulation of an atypical antipsychotic.
Samtani, MN; Stuyckens, K; Vermeulen, A, 2009
)
0.61
" The limited available paliperidone pharmacokinetic information suggests that there are four minor metabolic pathways."( The pharmacokinetics of paliperidone versus risperidone.
de Leon, J; Sandson, NB; Wynn, G,
)
0.13
" Plasma paliperidone concentrations were determined, and pharmacokinetic parameters were analyzed."( Single-dose pharmacokinetics of paliperidone extended-release tablets in healthy Chinese subjects.
Guo, C; Liu, Y; Shu, L; Si, T; Su, YA; Zhang, H, 2010
)
0.36
"Paliperidone's disposition after oral administration was characterized by a one-compartment pharmacokinetic model."( Single-dose pharmacokinetics of paliperidone extended-release tablets in healthy Chinese subjects.
Guo, C; Liu, Y; Shu, L; Si, T; Su, YA; Zhang, H, 2010
)
0.36
"The pharmacokinetic results obtained in Chinese subjects were similar to those obtained in Japanese and Caucasian subjects."( Single-dose pharmacokinetics of paliperidone extended-release tablets in healthy Chinese subjects.
Guo, C; Liu, Y; Shu, L; Si, T; Su, YA; Zhang, H, 2010
)
0.36
"Data regarding the pharmacokinetic properties of risperidone in the Thai population are limited."( Relative bioavailability and pharmacokinetic comparison of two 2-mg risperidone tablet formulations: A single dose, randomized-sequence, double-blind, 2-way crossover study in healthy male volunteers in Thailand.
Boonleang, J; Mahatthanatrakul, W; Pipatrattanaseree, W; Tanthana, C, 2010
)
0.36
"The aim of this study was to evaluate and compare the pharmacokinetic properties of risperidone and its active metabolite, 9-hydroxyrisperidone (which reportedly contributes to the drug's pharmacodynamic effects), in a newly developed generic tablet formulation (test) and a branded formulation (reference) in healthy, fasting, male Thai volunteers."( Relative bioavailability and pharmacokinetic comparison of two 2-mg risperidone tablet formulations: A single dose, randomized-sequence, double-blind, 2-way crossover study in healthy male volunteers in Thailand.
Boonleang, J; Mahatthanatrakul, W; Pipatrattanaseree, W; Tanthana, C, 2010
)
0.36
" The effects of formulation, period, sequence, and subject (within sequence) on pharmacokinetic parameters were analyzed using ANOVA."( Relative bioavailability and pharmacokinetic comparison of two 2-mg risperidone tablet formulations: A single dose, randomized-sequence, double-blind, 2-way crossover study in healthy male volunteers in Thailand.
Boonleang, J; Mahatthanatrakul, W; Pipatrattanaseree, W; Tanthana, C, 2010
)
0.36
" The ANOVA suggested no statistically significant effect of formulation, period, or sequence on the studied pharmacokinetic parameters of the active moiety, risperidone, or 9-hydroxyrisperidone."( Relative bioavailability and pharmacokinetic comparison of two 2-mg risperidone tablet formulations: A single dose, randomized-sequence, double-blind, 2-way crossover study in healthy male volunteers in Thailand.
Boonleang, J; Mahatthanatrakul, W; Pipatrattanaseree, W; Tanthana, C, 2010
)
0.36
"The single-dose pharmacokinetic data in this small, all-male, selected sample of fasting, healthy volunteers met Thailand's regulatory criteria for assuming bioequivalence of the tested generic and reference 2-mg risperidone tablets."( Relative bioavailability and pharmacokinetic comparison of two 2-mg risperidone tablet formulations: A single dose, randomized-sequence, double-blind, 2-way crossover study in healthy male volunteers in Thailand.
Boonleang, J; Mahatthanatrakul, W; Pipatrattanaseree, W; Tanthana, C, 2010
)
0.36
"Significant differences were observed between the ABCB1 3435C>T genotypes for the pharmacokinetic parameters (peak serum concentration) of risperidone and the active moiety (risperidone and its main metabolite, 9-hydroxyrisperidone)."( Influence of ABCB1 genetic polymorphisms on the pharmacokinetics of risperidone in healthy subjects with CYP2D6*10/*10.
Cho, HY; Kang, HA; Lee, IK; Lee, SN; Lee, YB; Yoo, HD, 2011
)
0.37
" The dosing recommendations that were approved by the FDA and other regulatory agencies around the world are based on the results of population pharmacokinetic (PK) simulations and data from clinical trials that are presented in this review."( Dosing and switching strategies for paliperidone palmitate: based on population pharmacokinetic modelling and clinical trial data.
Alphs, L; Gassmann-Mayer, C; Gopal, S; Palumbo, JM; Samtani, MN, 2011
)
0.64
"Due to high interindividual variability in peripheral pharmacokinetic parameters, dosing of antipsychotics relies on clinical trial and error."( Predicting plasma concentration of risperidone associated with dosage change: a population pharmacokinetic study.
Bies, RR; Mamo, DC; Mimura, M; Pollock, BG; Suzuki, T; Tsunoda, K; Uchida, H; Watanabe, K, 2012
)
0.38
" We conducted the population pharmacokinetic analysis of risperidone and 9-hydroxyrisperidone using a nonlinear mixed effects modeling (NONMEM) method and explored the possible influence of genetic polymorphisms in CYP2D6 alleles and ABCB1 (2677G>T/A and 3435C>T) on the population pharmacokinetics of risperidone and 9-hydroxyrisperidone."( Population pharmacokinetic analysis of risperidone and 9-hydroxyrisperidone with genetic polymorphisms of CYP2D6 and ABCB1.
Cho, HY; Lee, SN; Lee, YB; Yoo, HD; Yoon, H, 2012
)
0.38
"The purpose of this review is to describe the pharmacokinetic profile of paliperidone and its clinical implications in the treatment of schizophrenia and schizoaffective disorder."( Oral paliperidone extended-release: chemistry, pharmacodynamics, pharmacokinetics and metabolism, clinical efficacy, safety and tolerability.
Citrome, L, 2012
)
0.38
"The study aims were to characterize risperidone and (±)-9-hydroxyrisperidone pharmacokinetic (PK) variability in children and adolescents and to evaluate covariate effects on PK parameters."( Population pharmacokinetic modeling of risperidone and 9-hydroxyrisperidone to estimate CYP2D6 subpopulations in children and adolescents.
Aman, MG; Bies, RR; Saldaña, SN; Sherwin, CM; Vinks, AA, 2012
)
0.38
"05), while the other pharmacokinetic parameters did not show any significant differences."( Effects of single or repeated silymarin administration on pharmacokinetics of risperidone and its major metabolite, 9-hydroxyrisperidone in rats.
Chae, SW; Choi, JM; Lee, HJ; Lee, KS; Park, JH; Rhie, SJ, 2013
)
0.39
" The objective of this analysis was to report the results of a population pharmacokinetic analysis and to describe the relationship between risperidone and 9-hydroxyrisperidone levels with dopamine (DA) D2-receptor occupancy, prolactin levels, and adverse events using data collected in 45 clinically stable schizophrenic patients receiving RBP-7000 in single ascending doses (risperidone) of 60, 90, and 120 mg."( A model-based approach to characterize the population pharmacokinetics and the relationship between the pharmacokinetic and safety profiles of RBP-7000, a new, long-acting, sustained-released formulation of risperidone.
Fudala, PJ; Gomeni, R; Heidbreder, C; Nasser, AF, 2013
)
0.39
" An integrated population pharmacokinetic model describing simultaneously risperidone and 9-hydroxyrisperidone after risperidone oral intake and RBP-7000 administration was developed in NON-MEM using 5,232 quantifiable plasma concentrations."( Population pharmacokinetics and prediction of dopamine D2 receptor occupancy after multiple doses of RBP-7000, a new sustained-release formulation of risperidone, in schizophrenia patients on stable oral risperidone treatment.
Fudala, PJ; Gomeni, R; Heidbreder, C; Laffont, CM; Nasser, AF; Zheng, B, 2014
)
0.4
" The pharmacokinetic (PK) parameters, such as time to maximum concentration, t1/2, and CL/F, were comparable across the three treatment groups (p = 0."( Pharmacokinetics and tolerability of paliperidone palmitate injection in Chinese subjects.
Li, H; Liu, Y; Rui, Q; Shu, L; Si, T; Su, Y; Zhang, H, 2014
)
0.68
" The objective of this study was to use pharmacokinetic and pharmacodynamic modeling tools to relate CAT with D2RO in rats and to compare that with the relationship between D2RO and EPS in humans."( Dopamine D2 receptor occupancy as a predictor of catalepsy in rats: a pharmacokinetic-pharmacodynamic modeling approach.
Barton, HA; Danhof, M; de Greef, R; Grimwood, S; Groothuis, GM; Johnson, M; Kozielska, M; Pilla Reddy, V; Proost, JH; Vermeulen, A, 2014
)
0.4
" Pharmacodynamic assessments (apomorphine-induced compulsive behavior and spontaneous motor activity) were performed using mice."( Paliperidone microemulsion for nose-to-brain targeted drug delivery system: pharmacodynamic and pharmacokinetic evaluation.
Bhatt, KK; Gaikwad, RV; Patel, BG; Patel, MR; Patel, RB, 2016
)
0.43
" A population pharmacokinetic model of RBP-7000 was developed in 90 clinically stable schizophrenic patients having received single/repeated doses of 60, 90, or 120 mg."( Population pharmacokinetic modeling and simulation to guide dose selection for RBP-7000, a new sustained-release formulation of risperidone.
Fudala, PJ; Gomeni, R; Heidbreder, C; Laffont, CM; Nasser, AF; Zheng, B, 2015
)
0.42
" The validated UPLC method was successfully applied to the pharmacokinetic study of RIS and 9-OHRIS in human plasma."( Concurrent determination of olanzapine, risperidone and 9-hydroxyrisperidone in human plasma by ultra performance liquid chromatography with diode array detection method: application to pharmacokinetic study.
Ramanathan, M; Siva Selva Kumar, M, 2016
)
0.43
"Using a population pharmacokinetic approach, we aimed to characterize the genetic and non-genetic sources of variability affecting risperidone and 9-hydroxyrisperidone pharmacokinetics, and relate them to common side effects."( Genetics-Based Population Pharmacokinetics and Pharmacodynamics of Risperidone in a Psychiatric Cohort.
Choong, E; Conus, P; Csajka, C; Eap, CB; Guidi, M; Vandenberghe, F; von Gunten, A, 2015
)
0.42
" Peak paliperidone plasma concentration was achieved between 23 and 34 days, and apparent half-life was ∼2-4 months."( Pharmacokinetics, safety, and tolerability of paliperidone palmitate 3-month formulation in patients with schizophrenia: A phase-1, single-dose, randomized, open-label study.
Chang, CT; De Meulder, M; Gopal, S; Hough, D; Nuamah, I; Ravenstijn, P; Remmerie, B; Samtani, MN; Savitz, A, 2016
)
0.69
"29); Cmax : 62."( Effect of carbamazepine on the pharmacokinetics of paliperidone extended-release tablets at steady-state.
Berwaerts, J; Cleton, A; Kerbusch-Herben, V; Remmerie, B; Vandebosch, A, 2014
)
0.4
" To evaluate the different injection-site options, we compared the pharmacokinetic profile of paliperidone after multiple injections of PP 100 mg eq."( Pharmacokinetic profile after multiple deltoid or gluteal intramuscular injections of paliperidone palmitate in patients with schizophrenia.
Berwaerts, J; Cleton, A; Crauwels, H; De Meulder, M; Eerdekens, M; Francetic, I; Herben, V; Hough, D; Remmerie, B; Rossenu, S; Vandebosch, A, 2015
)
0.64
"Our data show a potential pharmacokinetic interaction, most likely via CYP3A4 between amlodipine and RIS, reflected in significantly different C/Ds for RIS, 9-OH-RIS and AM."( Pharmacokinetic considerations in the treatment of hypertension in risperidone-medicated patients - thinking of clinically relevant CYP2D6 interactions.
Gründer, G; Haen, E; Lammertz, SE; Paulzen, M; Schoretsanitis, G; Schruers, KR; Stegmann, B; Walther, S, 2016
)
0.43
" The objective of the study was to identify pharmacokinetic interactions of different mood stabilizers on the metabolism of risperidone (RIS) under natural conditions."( Pharmacokinetic Drug-Drug Interactions of Mood Stabilizers and Risperidone in Patients Under Combined Treatment.
Gründer, G; Haen, E; Hiemke, C; Lammertz, SE; Paulzen, M; Schoretsanitis, G; Schruers, KR; Stegmann, B, 2016
)
0.43
"The data give evidence for pharmacokinetic interactions between RIS and different anticonvulsant mood stabilizers."( Pharmacokinetic Drug-Drug Interactions of Mood Stabilizers and Risperidone in Patients Under Combined Treatment.
Gründer, G; Haen, E; Hiemke, C; Lammertz, SE; Paulzen, M; Schoretsanitis, G; Schruers, KR; Stegmann, B, 2016
)
0.43
"To disentangle an association between tobacco smoking, smoking habits and pharmacokinetic patterns such as plasma concentrations of risperidone (RIS), its active metabolite 9-hydroxyrisperidone (9-OH-RIS) and the active moiety, AM, (RIS+9-OH-RIS) in a naturalistic sample."( Effect of smoking on risperidone pharmacokinetics - A multifactorial approach to better predict the influence on drug metabolism.
Gründer, G; Haen, E; Hiemke, C; Paulzen, M; Schoretsanitis, G; Stegmann, B, 2017
)
0.46
"011) for the group of moderate smokers while other pharmacokinetic parameters did not differ."( Effect of smoking on risperidone pharmacokinetics - A multifactorial approach to better predict the influence on drug metabolism.
Gründer, G; Haen, E; Hiemke, C; Paulzen, M; Schoretsanitis, G; Stegmann, B, 2017
)
0.46
" This article reviews the pharmacokinetic rationale for the approved dosing regimens for PP3M, dosing windows, management of missed doses and treatment discontinuation, switching to other formulations, and dosing in special populations."( Dosing and Switching Strategies for Paliperidone Palmitate 3-Month Formulation in Patients with Schizophrenia Based on Population Pharmacokinetic Modeling and Simulation, and Clinical Trial Data.
Jonsson, EN; Magnusson, MO; Plan, EL; Rossenu, S; Russu, A; Samtani, MN; Vermeulen, A, 2017
)
0.73
" The purpose of this paper is to provide a clinically oriented review of the pharmacokinetic and pharmacodynamic properties of paliperidone including receptor binding, clinical efficacy, safety and tolerability."( Pharmacokinetic drug evaluation of paliperidone in the treatment of schizoaffective disorder.
Macaluso, M; Oliver, H; Sohail, Z, 2017
)
0.46
"We assessed the dosage strengths of paliperidone palmitate 1-month (PP1M) long-acting injectable resulting in similar steady-state (SS) exposures to the dosage strengths of oral risperidone using pharmacokinetic (PK) simulations."( Maintenance dose conversion between oral risperidone and paliperidone palmitate 1 month: Practical guidance based on pharmacokinetic simulations.
Gopal, S; Kern Sliwa, J; Kim, E; Mathews, M; Ravenstijn, P; Russu, A; Singh, A, 2018
)
1
" The goal of this study was to develop a physiologically based pharmacokinetic (PBPK) model considering the CYP2D6 genetic polymorphism for risperidone and 9-hydroxyrisperidone (9-OH-RIS) taking CYP3A4 into account."( Physiologically Based Pharmacokinetic Modelling to Describe the Pharmacokinetics of Risperidone and 9-Hydroxyrisperidone According to Cytochrome P450 2D6 Phenotypes.
Abad-Santos, F; Hempel, G; Kneller, LA, 2020
)
0.56
" The pharmacokinetic (PK) profile of the INVEGA SUSTENNA® formulation is biphasic, comprised of an initial relatively fast zero-order input, which allows rapid attainment of therapeutic concentrations without oral supplementation; and a subsequent maintained second-stage, first-order input, allowing for once monthly administration."( Need for Bioequivalence Standards that Reflect the Clinical Importance of the Complex Pharmacokinetics of Paliperidone Palmitate Long-Acting Injectable Suspension.
Katzman, MA; Lamoure, JW; Procyshyn, RM; Sherman, SE; Skinner, PL, 2019
)
0.73
" These data (Japanese, n = 509; Korean, n = 31; Taiwanese, n = 47) were used to describe the paliperidone palmitate pharmacokinetics in Japanese, to compare with non-Japanese, and to validate the historical population pharmacokinetic (Pop-PK) model for paliperidone palmitate, developed using data from studies in patients with schizophrenia outside Japan."( Population Pharmacokinetics of Paliperidone Palmitate (Once-Monthly Formulation) in Japanese, Korean, and Taiwanese Patients With Schizophrenia.
De Meulder, M; Gopal, S; Neyens, M; Remmerie, B; Samtani, MN; Shimizu, H; Tsukamoto, Y, 2020
)
1.06
" The goal of the study was to develop physiologically based pharmacokinetic (PBPK) models for the elderly aged 65+ years."( Modelling Age-Related Changes in the Pharmacokinetics of Risperidone and 9-Hydroxyrisperidone in Different CYP2D6 Phenotypes Using a Physiologically Based Pharmacokinetic Approach.
Hempel, G; Kneller, LA, 2020
)
0.56
" Overall, age-related changes of the pharmacokinetics in the elderly were mainly observed in Cmax and AUC."( Modelling Age-Related Changes in the Pharmacokinetics of Risperidone and 9-Hydroxyrisperidone in Different CYP2D6 Phenotypes Using a Physiologically Based Pharmacokinetic Approach.
Hempel, G; Kneller, LA, 2020
)
0.56
"The objective of this study was to investigate associations between pharmacokinetic correlates and once-monthly paliperidone palmitate (PP1M)-related adverse drug reactions (ADRs)."( Pharmacokinetic Correlates of Once-Monthly Paliperidone Palmitate-Related Adverse Drug Reactions.
Carpi, F; Conca, A; Endres, K; Gründer, G; Haen, E; Hiemke, C; Paulzen, M; Piacentino, D; Schoretsanitis, G, 2021
)
1.1
" The rate of removal of LAIs is regulated by the slow rate of absorption in the site of injection and the phenomenon of their increased half-life is called flip-flop pharmacokinetics."( [Clinical pharmacokinetics and pharmaceutical forms of long-acting injectable antipsychotics].
Kyziridis, TC, 2022
)
0.72
" A population pharmacokinetic (PPK) modeling and simulation approach was implemented to identify TV-46000 doses and dosing schedules for clinical development that would provide the best balance between clinical efficacy and safety."( Population Pharmacokinetic Modeling and Simulation of TV-46000: A Long-Acting Injectable Formulation of Risperidone.
Elgart, A; Gomeni, R; Harary, E; Kalmanczhelyi, A; Lamson, M; Levi, M; Loupe, P; Merenlender Wagner, A; Perlstein, I; Spiegelstein, O; Tiver, R, 2022
)
0.72
"This study aimed to determine the effects of pregnancy and ontogeny on risperidone and paliperidone pharmacokinetics by assessing their serum concentrations in two subjects and constructing a customized physiologically-based pharmacokinetic (PBPK) model."( Physiologically-based pharmacokinetic model to investigate the effect of pregnancy on risperidone and paliperidone pharmacokinetics: Application to a pregnant woman and her neonate.
Fujioka, K; Fujiwara, N; Horai, T; Iijima, K; Imafuku, H; Ito, T; Mahdy, WYB; Omura, T; Otsuka, I; Yamamoto, K; Yano, I, 2023
)
0.91

Compound-Compound Interactions

ExcerptReferenceRelevance
" In conclusion, both Risp and OH-Risp interact with P-gp in vitro, and P-gp has a profound effect on Risp and OH-Risp distribution over the BBB, as is evident from the knock-out mice experiments."( P-glycoprotein interaction with risperidone and 9-OH-risperidone studied in vitro, in knock-out mice and in drug-drug interaction experiments.
Ejsing, TB; Linnet, K; Pedersen, AD, 2005
)
0.33
"The combination of anticonvulsant mood stabilizers with antipsychotic drugs may lead to clinically relevant drug-drug interactions."( Pharmacokinetic Drug-Drug Interactions of Mood Stabilizers and Risperidone in Patients Under Combined Treatment.
Gründer, G; Haen, E; Hiemke, C; Lammertz, SE; Paulzen, M; Schoretsanitis, G; Schruers, KR; Stegmann, B, 2016
)
0.43

Bioavailability

ExcerptReferenceRelevance
"The bioavailability of risperidone was evaluated in an open-label, randomized, two-way, crossover study comparing a 1-mg tablet with a 1-mg/ml oral solution."( Risperidone: effects of formulations on oral bioavailability.
Gutierrez, R; Huang, ML; Lee, PI; Woestenborghs, R,
)
0.13
" The results showed that risperidone, when administered with galantamine, did not change the bioavailability of galantamine at steady state."( Pharmacokinetic and safety assessments of galantamine and risperidone after the two drugs are administered alone and together.
Huang, F; Janssens, L; Lasseter, KC; Lau, H; Verhaeghe, T; Zhao, Q, 2002
)
0.31
"This study demonstrated that the bioavailability of risperidone was increased by verapamil, suggesting in vivo involvement of P-glycoprotein in the pharmacokinetics of risperidone."( Effect of verapamil on pharmacokinetics and pharmacodynamics of risperidone: in vivo evidence of involvement of P-glycoprotein in risperidone disposition.
Kaneo, S; Nakagami, T; Saito, M; Tateishi, T; Yasui-Furukori, N, 2005
)
0.33
" The oral bioavailability of the polymer was 40%."( Intestinal uptake and biodistribution of novel polymeric micelles after oral administration.
Ariën, A; Brewster, M; Mathot, F; Préat, V; van Beijsterveldt, L, 2006
)
0.33
"The objective of the study was to compare the bioavailability of a generic oral solution of risperidone (Test formulation) and Risperdal tablets (Reference formulation)."( Lack of bioequivalence between generic risperidone oral solution and originator risperidone tablets.
Piniella, PM; Relleke, M; van Os, S, 2007
)
0.34
" Thus, rifampin reduced the exposure to risperidone, probably because of a decrease in its bioavailability through the induction of CYP3A and probably P-glycoprotein."( Effect of rifampin, an inducer of CYP3A and P-glycoprotein, on the pharmacokinetics of risperidone.
Kim, KA; Kim, KB; Lee, HJ; Liu, KH; Park, JY; Park, PW; Shin, JG, 2008
)
0.35
" Interindividual variability (IIV) in clearance (CL), central volume of distribution (V(d)) and the absorption rate constant (k(a)) were estimated at a 40%, 69% and 59% coefficient of variation (CV), respectively."( Population pharmacokinetics of intramuscular paliperidone palmitate in patients with schizophrenia: a novel once-monthly, long-acting formulation of an atypical antipsychotic.
Samtani, MN; Stuyckens, K; Vermeulen, A, 2009
)
0.61
" Paliperidone was well absorbed (median t(max): 24 h after a 3-mg dose, and 26 h after a 9-mg dose)."( Single-dose pharmacokinetics of paliperidone extended-release tablets in healthy Chinese subjects.
Guo, C; Liu, Y; Shu, L; Si, T; Su, YA; Zhang, H, 2010
)
0.36
"The aims of this study were to compare the relative bioavailability of a pharmaceutical-equivalent (test) formulation with a reference formulation of oral RSP 2 mg, both available commercially on the Brazilian pharmaceutical market, and to generate data regarding the oral bioavailability of the tested drug in healthy Brazilian volunteers."( Relative bioavailability of two oral formulations of risperidone 2 mg: A single-dose, randomized-sequence, open-label, two-period crossover comparison in healthy Brazilian volunteers.
Belotto, KC; Ferreira, AS; Gattaz, WF; Raposo, NR, 2010
)
0.36
" There was significant difference in the absorption rate constant (k ( a )) of risperidone among the CYP2D6*10 genotype groups."( Population pharmacokinetic analysis of risperidone and 9-hydroxyrisperidone with genetic polymorphisms of CYP2D6 and ABCB1.
Cho, HY; Lee, SN; Lee, YB; Yoo, HD; Yoon, H, 2012
)
0.38
" The repeated exposures of silymarin, compared to single administration of silymarin, increased oral bioavailability and affected the pharmacokinetics of risperidone and 9-hydroxyrisperidone, by inhibiting P-gp."( Effects of single or repeated silymarin administration on pharmacokinetics of risperidone and its major metabolite, 9-hydroxyrisperidone in rats.
Chae, SW; Choi, JM; Lee, HJ; Lee, KS; Park, JH; Rhie, SJ, 2013
)
0.39
" Currently, the literature on this topic is sparse, but the published pharmacokinetic studies and Food and Drug Administration submission data on paliperidone palmitate show discrepancies in the elimination half-life, peak plasma concentration, and absorption rate that are dependent on the site of injection."( Paliperidone Palmitate Long-Acting Injectable Given Intramuscularly in the Deltoid Versus the Gluteal Muscle: Are They Therapeutically Equivalent?
Barr, AM; Collier, AC; Honer, WG; Procyshyn, RM; Yin, J, 2015
)
2.06
" Relative bioavailability in comparison with paliperidone was ∼100% independent of the dose and injection site."( Pharmacokinetics, safety, and tolerability of paliperidone palmitate 3-month formulation in patients with schizophrenia: A phase-1, single-dose, randomized, open-label study.
Chang, CT; De Meulder, M; Gopal, S; Hough, D; Nuamah, I; Ravenstijn, P; Remmerie, B; Samtani, MN; Savitz, A, 2016
)
0.69
" The oral bioavailability of paliperidone was increased by an estimated 51% (Cmax ) and 51%-52% (AUCs) when coadministered with divalproex sodium ER."( Drug-Drug Interaction Studies of Paliperidone and Divalproex Sodium Extended-Release Tablets in Healthy Participants and Patients with Psychiatric Disorders.
Ariyawansa, J; Berwaerts, J; Coppola, D; De Meulder, M; Remmerie, B, 2016
)
0.43
" In Canada, no LAI product-specific bioequivalence guidance exists for multiphasic medication delivery systems, and the recently revised Comparative Bioavailability Standards: Formulations Used for Systemic Effects guidance applies only to oral and non-injectable formulations."( Need for Bioequivalence Standards that Reflect the Clinical Importance of the Complex Pharmacokinetics of Paliperidone Palmitate Long-Acting Injectable Suspension.
Katzman, MA; Lamoure, JW; Procyshyn, RM; Sherman, SE; Skinner, PL, 2019
)
0.73
" The rate of removal of LAIs is regulated by the slow rate of absorption in the site of injection and the phenomenon of their increased half-life is called flip-flop pharmacokinetics."( [Clinical pharmacokinetics and pharmaceutical forms of long-acting injectable antipsychotics].
Kyziridis, TC, 2022
)
0.72
"46-fold improvement in the relative bioavailability in the brain for PPD-LNC compared to a drug suspension."( Unraveling enhanced brain delivery of paliperidone-loaded lipid nanoconstructs: pharmacokinetic, behavioral, biochemical, and histological aspects.
Ali, J; Ansari, MJ; Baboota, S; Iqubal, A; Javed, A; Khan, T; Nabi, B; Rehman, S, 2022
)
0.72

Dosage Studied

This article overviews the recommended dosing strategies for the treatment of schizophrenia patients using the recently FDA-approved once-monthly long-acting injectable atypical antipsychotic, paliperidone palmitate.

ExcerptRelevanceReference
" Thirty healthy subjects received a 1 mg oral dose of risperidone before and after venlafaxine dosing to steady state."( Effect of venlafaxine on the pharmacokinetics of risperidone.
Albano, D; Amchin, J; Klockowski, PM; Taylor, KP; Zarycranski, W, 1999
)
0.3
" Adding risperidone to mirtazapine probably does not necessitate a change of the dosage of either drug, but more extensive investigations are needed."( Lack of drug interactions between mirtazapine and risperidone in psychiatric patients: a pilot study.
Doorschot, CH; Loonen, AJ; Oostelbos, MC; Sitsen, JM, 1999
)
0.3
"The optimal risperidone dosing strategy for acute schizophrenia requires elucidation."( Risperidone in acutely exacerbated schizophrenia: dosing strategies and plasma levels.
Chang, WH; Chiu, WC; Chou, JC; Lane, HY; Su, MH; Wu, ST, 2000
)
0.31
"Evaluation of relationships between serum antipsychotic drug concentrations and clinical response may provide valuable information for rational dosage adjustments."( Relationship between plasma risperidone and 9-hydroxyrisperidone concentrations and clinical response in patients with schizophrenia.
Ancione, M; Avenoso, A; Facciolà, G; Madia, AG; Perucca, E; Salemi, M; Scordo, MG; Spina, E, 2001
)
0.31
" The design of the study was open and risperidone dosage could be adjusted individually according to clinical response."( Relationship between plasma risperidone and 9-hydroxyrisperidone concentrations and clinical response in patients with schizophrenia.
Ancione, M; Avenoso, A; Facciolà, G; Madia, AG; Perucca, E; Salemi, M; Scordo, MG; Spina, E, 2001
)
0.31
"We investigated the relationships between extrapyramidal symptoms (EPS) induced by risperidone, the dosage of risperidone and the combined plasma concentrations of risperidone plus its active metabolite, 9-hydroxyrisperidone, in 20 schizophrenic patients."( Possible relationship between combined plasma concentrations of risperidone plus 9-hydroxyrisperidone and extrapyramidal symptoms. Preliminary study.
Nakamura, J; Ueda, N; Yoshimura, R, 2001
)
0.31
" Twenty geriatric inpatients were evaluated in a naturalistic setting with regard to total daily risperidone dose and dosing interval."( Risperidone and 9-hydroxyrisperidone concentrations are not dependent on age or creatinine clearance among elderly subjects.
Kastango, KB; Kirshner, MA; Maxwell, RA; Mulsant, BH; Pollock, BG; Rosen, J; Sweet, RA, 2002
)
0.31
" Since the estimated risk of the extrapyramidal side effects varied with the dose, the present method of predicting the extrapyramidal side effects of risperidone may provide a basis for developing a rational dosing regimen for the drug."( Prediction and assessment of extrapyramidal side effects induced by risperidone based on dopamine D(2) receptor occupancy.
Fukuda, M; Iga, T; Nakashima, Y; Ohno, Y; Sato, H; Sawada, Y; Takayanagi, R; Tsuchiya, F; Yamada, Y, 2002
)
0.31
" This may provide valuable information for rational dosage titration."( Correlation between scores on Continuous Performance Test and plasma concentration for schizophrenic patients on risperidone.
Chang, JW; Chen, PS; Liao, YC; Su, SF; Yang, YK; Yeh, TL, 2004
)
0.32
" Larger studies regarding the PK/PD relationship may be required to develop a reasonable clinical dosage regimen for Chinese female patients."( Multiple dose pharmacokinetics of risperidone and 9-hydroxyrisperidone in Chinese female patients with schizophrenia.
Deng, CY; Li, HD; Li, WB; Li, X; Lin, QX; Lin, SG; Peng, HY; Su, FL; Wang, CY; Wang, F; Yang, M; Yu, XY; Zhou, ZL; Zhu, RH, 2006
)
0.33
" Data were obtained from 407 patients enrolled in four Phase 1 (serial blood sampling) and three Phase 3 trials (sparse sampling), representing dosage regimens ranging from 4 mg single dose to flexible 1-6 mg once daily."( Population pharmacokinetics of risperidone and 9-hydroxyrisperidone in patients with acute episodes associated with bipolar I disorder.
Ludwig, EA; Piotrovsky, V; Vermeulen, A, 2007
)
0.34
" In this randomized, double-blind, placebo-controlled, multicenter study, patients' symptoms were stabilized during an 8-week run-in and a 6-week stabilization phases using open-label, flexibly dosed paliperidone ER (3-15 mg once daily, starting dose = 9 mg)."( Paliperidone extended-release tablets for prevention of symptom recurrence in patients with schizophrenia: a randomized, double-blind, placebo-controlled study.
Eerdekens, M; Kramer, M; Kushner, S; Lim, P; Maciulis, V; Simpson, G; Vijapurkar, U, 2007
)
0.34
" It has been formulated in an osmotic controlled-release oral delivery system that minimizes peak-trough fluctuations and, by obviating dose-titration, allows once-daily dosing with a therapeutically active dose from the first day."( Extended-release paliperidone: efficacy, safety and tolerability profile of a new atypical antipsychotic.
Owen, RT, 2007
)
0.34
" Both formulations contained 1 mg risperidone per dosing unit."( Lack of bioequivalence between generic risperidone oral solution and originator risperidone tablets.
Piniella, PM; Relleke, M; van Os, S, 2007
)
0.34
" It has a unique extended-release delivery system, allowing once/day dosing with steady plasma concentrations of the medication."( Paliperidone: a new extended-release oral atypical antipsychotic.
Dlugosz, H; Nasrallah, HA, 2007
)
0.34
" Paliperidone's advanced-generation osmotic release delivery system allows for the avoidance of dosage adjustment when initiating therapy and may decrease the frequency of antido-paminergic effects that would occur with an immediate-release formulation."( Paliperidone for schizophrenia.
Deyo, Z; Dolder, C; Nelson, M, 2008
)
0.35
"To evaluate the efficacy and safety of an extended-release (ER) formulation of paliperidone in patients with an acute episode of schizophrenia, in the dosage range of 3 to 15 mg daily."( Efficacy and tolerability of oral paliperidone extended-release tablets in the treatment of acute schizophrenia: pooled data from three 6-week, placebo-controlled studies.
Bobo, WV; Eerdekens, M; Hough, D; Kramer, M; Lane, R; Meltzer, HY; Nuamah, IF, 2008
)
0.35
" Paliperidone ER appears to be well tolerated at the recommended starting dosage of 6 mg/day."( Paliperidone extended-release for the treatment of schizophrenia.
Caballero, J; Marino, J, 2008
)
0.35
" This finding has important implications for dosing of antipsychotics in older patients with schizophrenia."( Sensitivity of older patients to antipsychotic motor side effects: a PET study examining potential mechanisms.
Graff-Guerrero, A; Kapur, S; Mamo, DC; Mulsant, BH; Pollock, BG; Uchida, H, 2009
)
0.35
" Following oral dosing of antipsychotics, peaks and troughs in plasma drug concentrations may be mirrored by fluctuations in D(2)-receptor occupancy."( A comparison of continuous subcutaneous paliperidone infusion and repeated subcutaneous injection of risperidone free-base in rats.
Casu, G; Deriu, A; Lazzari, P; Marchese, G; Pani, L; Peddio, G; Pira, M; Pisu, C; Pittau, B; Portesani, F; Spada, GP, 2010
)
0.36
" The controlled rate of release of paliperidone from the ER formulation is designed to have a slower absorption rate, which results in gradual ascending plasma concentrations with observed maximum plasma concentrations occurring at 24 hours after dosing on the first dosing day."( Single- and multiple-dose pharmacokinetics and dose proportionality of the psychotropic agent paliperidone extended release.
Boom, S; Cleton, A; De Meulder, M; Eerdekens, M; Janssens, L; Remmerie, B; Rossenu, S; Talluri, K; van Osselaer, N, 2009
)
0.35
" Dosage adjustments of paliperidone are not required in subjects with mild or moderate hepatic impairment."( The influence of hepatic impairment on the pharmacokinetics of paliperidone.
Boom, S; Cleton, A; Crauwels, H; Eerdekens, M; Janssens, L; Molz, KH; Talluri, K; Thyssen, A, 2009
)
0.35
" It offers several advantages over other available second-generation depot antipsychotics: it comes in prefilled syringes in a number of different dosage strengths; it does not require refrigeration; it does not require supplementation with oral antipsychotics; it can be administered once monthly; it can be administered with a very small bore needle; the injection volume is small; the injection site can be either the deltoid or gluteal muscles; it does not require an additional precautionary observation period after the injection."( Paliperidone palmitate - review of the efficacy, safety and cost of a new second-generation depot antipsychotic medication.
Citrome, L, 2010
)
1.8
"This article overviews the recommended dosing strategies for the treatment of schizophrenia patients using the recently FDA-approved once-monthly long-acting injectable atypical antipsychotic, paliperidone palmitate."( Practical guidance for dosing and switching paliperidone palmitate treatment in patients with schizophrenia.
Alphs, L; Gassmann-Mayer, C; Gopal, S; Palumbo, J; Samtani, MN; Shiwach, R, 2010
)
0.81
"Using pharmacokinetic (PK), efficacy and safety data from clinical trials and a comprehensive population PK simulation model, dosing recommendations for paliperidone palmitate have been generated."( Practical guidance for dosing and switching paliperidone palmitate treatment in patients with schizophrenia.
Alphs, L; Gassmann-Mayer, C; Gopal, S; Palumbo, J; Samtani, MN; Shiwach, R, 2010
)
0.82
" In patients with mild renal impairment (creatinine clearance [CrCL]: 50-80 mL/min), dosage should be adjusted."( Practical guidance for dosing and switching paliperidone palmitate treatment in patients with schizophrenia.
Alphs, L; Gassmann-Mayer, C; Gopal, S; Palumbo, J; Samtani, MN; Shiwach, R, 2010
)
0.62
" The entrance prescription has been with paliperidone ER in a dosage of 6mg once a day."( [Treatment with paliperidone extended-release tablets in a case of resistant undifferentiated schizophrenia: clinical improvement with 12 mg and evaluation through 3TRE scale].
Carlone, C; Muscillo, M; Piccione, M; Rusconi, AC,
)
0.13
" However, these data were utilized to optimize the intramuscular paliperidone palmitate dosage regimen."( Intramuscular paliperidone palmitate.
Hoy, SM; Keating, GM; Scott, LJ, 2010
)
0.96
"This study assessed the efficacy and the safety of a dosing regimen that was revised from earlier studies for the investigational injectable atypical antipsychotic paliperidone palmitate (approved in the USA, August 2009) for adult patients with acutely exacerbated schizophrenia."( A randomized, placebo-controlled study to assess the efficacy and safety of 3 doses of paliperidone palmitate in adults with acutely exacerbated schizophrenia.
Gopal, S; Herben, V; Kusumakar, V; Lim, P; Lindenmayer, JP; Lull, J; Palumbo, J; Pandina, GJ; Yuen, E, 2010
)
0.78
" Patients [n = 493; Young Mania Rating Scale (YMRS) score >or= 20] were randomized (2:2:1) to flexibly dosed paliperidone ER (3-12 mg/day), quetiapine (400-800 mg/day), or placebo for the acute treatment phase."( A randomized, placebo- and active-controlled study of paliperidone extended release for the treatment of acute manic and mixed episodes of bipolar I disorder.
Berwaerts, J; Hough, DW; Lim, P; Nuamah, IF; Palumbo, JM; Vieta, E; Yuen, EC, 2010
)
0.36
"In the male patients, there was no correlation between the RIS dosage and plasma PRL levels, between plasma RIS levels and PRL levels, or between the plasma 9-OH-RIS levels and PRL levels."( Gender differences in the relationship between the risperidone metabolism and the plasma prolactin levels in psychiatric patients.
Fukui, N; Inoue, Y; Ono, S; Someya, T; Sugai, T; Suzuki, Y; Tsuneyama, N; Watanabe, J, 2010
)
0.36
" Subjects were randomized to 6 mg/d paliperidone ER or placebo with flexible dosing (3-12 mg/d) until day 15."( Paliperidone extended-release in schizoaffective disorder: a randomized, controlled study comparing a flexible dose with placebo in patients treated with and without antidepressants and/or mood stabilizers.
Bossie, CA; Canuso, CM; Carothers, J; Kosik-Gonzalez, C; Lindenmayer, JP; Schooler, N; Turkoz, I; Walling, D, 2010
)
0.36
"), and once-monthly flexible dosing as deltoid or gluteal injections on day 36 (50 mg eq."( A double-blind study of paliperidone palmitate and risperidone long-acting injectable in adults with schizophrenia.
Gassmann-Mayer, C; Gopal, S; Hough, D; Lane, R; Pandina, G; Remmerie, B; Simpson, G, 2011
)
0.68
" The dosage range of paliperidone ER (6-12 mg/day) was compared with 2 risperidone dosage ranges: 2-4 and 4-6 mg/day."( Paliperidone ER and oral risperidone in patients with schizophrenia: a comparative database analysis.
Bossie, CA; Canuso, CM; Lindenmayer, JP; Schooler, N; Turkoz, I, 2011
)
0.37
"]; then once-monthly deltoid or gluteal injections, flexibly dosed [50, 100, or 150 mg eq."( A comparative study of paliperidone palmitate and risperidone long-acting injectable therapy in schizophrenia.
Gu, N; Li, H; Ning, X; Rui, Q; Xu, H, 2011
)
0.68
"This study aimed to explore the relationship between dosage of paliperidone and drug attitude, and also clarify the factors associated with drug attitude, using Intention-to-Treat (ITT) analysis."( Social interaction and drug attitude effectiveness in patients with schizophrenia.
Lin, WK; Lung, FW; Tsai, JK, 2011
)
0.37
" The recommended initiation dosing regimen is 234 mg on Day 1 and 156 mg on Day 8 via intramuscular (deltoid) injection; followed by 39 to 234 mg once-monthly thereafter (deltoid or gluteal)."( Onset of efficacy and tolerability following the initiation dosing of long-acting paliperidone palmitate: post-hoc analyses of a randomized, double-blind clinical trial.
Alphs, L; Bossie, CA; Fu, DJ; Ma, YW; Sliwa, JK, 2011
)
0.59
" on days 1 and 8, and flexible dosing [25-100 mg eq."( A randomized trial of paliperidone palmitate and risperidone long-acting injectable in schizophrenia.
Eerdekens, M; Fleischhacker, WW; Gassmann-Mayer, C; Gopal, S; Hough, D; Lane, R; Lim, P; Remmerie, B, 2012
)
0.69
" Weight-based dosing of paliperidone ER in adolescents with schizophrenia does not appear to be necessary."( A randomized, double-blind study of paliperidone extended-release in treatment of acute schizophrenia in adolescents.
Hough, D; Nuamah, I; Robb, A; Singh, J; Vijapurkar, U, 2011
)
0.37
" This article reviews the recommended dosing regimens for initiation and maintenance treatment with paliperidone palmitate in adult patients with schizophrenia."( Dosing and switching strategies for paliperidone palmitate: based on population pharmacokinetic modelling and clinical trial data.
Alphs, L; Gassmann-Mayer, C; Gopal, S; Palumbo, JM; Samtani, MN, 2011
)
0.86
"There was no correlation between risperidone dosage and QTc or plasma risperidone levels and QTc."( QT prolongation of the antipsychotic risperidone is predominantly related to its 9-hydroxy metabolite paliperidone.
Fukui, N; Inoue, Y; Ono, S; Saito, M; Someya, T; Sugai, T; Suzuki, Y; Tsuneyama, N; Watanabe, J, 2012
)
0.38
"We aimed to explore relations between symptomatic remission and functionality evaluation in schizophrenia patients treated with paliperidone extended-release (ER), as seen in a normal day-to-day practice, using flexible dosing regimens of paliperidone ER."( Effects of paliperidone extended release on the symptoms and functioning of schizophrenia.
Chan, CH; Cheng, KS; Chiu, WC; Huang, MW; Lan, TH; Li, CY; Liu, IC; Su, PW; Ten, PR; Wu, BJ; Yang, TT; Yeh, YC, 2012
)
0.38
" Flexible dosing in the range 3-12 mg/day was used throughout the study."( Effects of paliperidone extended release on the symptoms and functioning of schizophrenia.
Chan, CH; Cheng, KS; Chiu, WC; Huang, MW; Lan, TH; Li, CY; Liu, IC; Su, PW; Ten, PR; Wu, BJ; Yang, TT; Yeh, YC, 2012
)
0.38
"Due to high interindividual variability in peripheral pharmacokinetic parameters, dosing of antipsychotics relies on clinical trial and error."( Predicting plasma concentration of risperidone associated with dosage change: a population pharmacokinetic study.
Bies, RR; Mamo, DC; Mimura, M; Pollock, BG; Suzuki, T; Tsunoda, K; Uchida, H; Watanabe, K, 2012
)
0.38
" In light of the known relationship between plasma drug concentration, dopamine D2 receptor occupancy, and clinical effects, our results confirm that individualized dosing with the measurement of antipsychotic plasma concentrations has the potential for bedside clinical application."( Predicting plasma concentration of risperidone associated with dosage change: a population pharmacokinetic study.
Bies, RR; Mamo, DC; Mimura, M; Pollock, BG; Suzuki, T; Tsunoda, K; Uchida, H; Watanabe, K, 2012
)
0.38
" The dosing initiation regimen resulted in rapidly achieved and maintained therapeutic paliperidone levels over the study (average concentrations during the dosing interval were 34."( A one-year prospective study of the safety, tolerability and pharmacokinetics of the highest available dose of paliperidone palmitate in patients with schizophrenia.
Coppola, D; Gopal, S; Hough, DW; Liu, Y; Nuamah, I; Pandina, G; Remmerie, B; Samtani, MN; Sulaiman, A, 2012
)
0.59
" Multiple linear regression analysis (95 samples) revealed that sex, smoking habit, and dose explained 21% of the variation in plasma total risperidone after oral dosage (dose alone only explained 11% of the variation)."( Risperidone and total 9-hydroxyrisperidone in relation to prescribed dose and other factors: data from a therapeutic drug monitoring service, 2002-2010.
Bowskill, SV; Fisher, DS; Flanagan, RJ; Handley, SA; Patel, MX, 2012
)
0.38
"Risperidone therapeutic drug monitoring can help assess adherence and guide dosage even after RLAI."( Risperidone and total 9-hydroxyrisperidone in relation to prescribed dose and other factors: data from a therapeutic drug monitoring service, 2002-2010.
Bowskill, SV; Fisher, DS; Flanagan, RJ; Handley, SA; Patel, MX, 2012
)
0.38
" In two 13-week trials, one of which was conducted in Chinese patients, intramuscular paliperidone palmitate administered using the recommended initiation dosage regimen was noninferior to LAI-risperidone in patients with schizophrenia in terms of the between-group treatment difference (intramuscular paliperidone palmitate vs LAI-risperidone) for the mean change from baseline to endpoint in PANSS total score."( Extended-release intramuscular paliperidone palmitate: a review of its use in the treatment of schizophrenia.
Carter, NJ, 2012
)
0.89
" Although paliperidone is the active metabolite of risperidone, paliperidone's route of metabolism and elimination is quite different from that for risperidone and paliperidone ER may be preferred over risperidone when liver disease, drug-drug interactions or other alterations in metabolism render the appropriate dosing of risperidone difficult to determine for an individual patient."( Oral paliperidone extended-release: chemistry, pharmacodynamics, pharmacokinetics and metabolism, clinical efficacy, safety and tolerability.
Citrome, L, 2012
)
0.38
" When flexibly dosed with a mean doses of approximately 70 to 110 mg every four weeks, paliperidone palmitate appears comparable in efficacy and tolerability to risperidone long-acting injection flexibly dosed with mean doses of approximately 35 mg every two weeks."( Paliperidone palmitate for schizophrenia.
Nussbaum, AM; Stroup, TS, 2012
)
2.04
" This model may aid the development of individualized risperidone dosing regimens in children and adolescents."( Population pharmacokinetic modeling of risperidone and 9-hydroxyrisperidone to estimate CYP2D6 subpopulations in children and adolescents.
Aman, MG; Bies, RR; Saldaña, SN; Sherwin, CM; Vinks, AA, 2012
)
0.38
" This achieves therapeutic levels rapidly and simplifies dosing regimens, leading to potentially better adherence and improved outcome."( The pharmacology and formulation of paliperidone extended release.
Baker, GB; Chue, JA; Chue, PS; MacKenzie, EM, 2012
)
0.38
" They responded well to the reduction in dosage or to withdrawal of the apparent causing agent."( [Medication-related oculogyric crises: a description of four cases and a review of the literature].
Campistol, J; Darling, A; Perez-Duenas, B; Poo, P, 2013
)
0.39
" If dosing recommendations for this population would have been based only on the results of the single efficacy trial included in this program, paliperidone dosing in adolescents might have been limited to 3 mg/d in adolescents less than 51 kg and to 6 mg/d in adolescents greater than or equal to 51 kg."( An integrated approach for establishing dosing recommendations: paliperidone for the treatment of adolescent schizophrenia.
Gobburu, JV; Laughren, TP; Mathis, M; Wang, Y; Younis, IR, 2013
)
0.39
" Phase 1 (4 weeks) was a continuation of usual antipsychotic treatment (UAT); phase 2 (5 weeks) consisted of a 1-week cross-titration from UAT to flexibly dosed paliperidone ER (3-12 mg/d), followed by 4 weeks of paliperidone ER alone."( Safety of paliperidone extended-release in patients with schizophrenia or schizoaffective disorder and hepatic disease.
Alphs, L; Amatniek, J; Canuso, CM; Deutsch, SI; Henderson, DC; Mao, L; Mikesell, C; Rodriguez, S; Sheehan, J, 2014
)
0.4
"The results of this study suggest that switching elderly patients from risperidone to PAL may result in superior safety and patient satisfaction, and may also make it possible to reduce the dosage of biperiden."( Study of the efficacy and safety of switching from risperidone to paliperidone in elderly patients with schizophrenia.
Gen, K; Hibino, H; Inoue, Y; Matsumoto, H; Mikami, A; Mikami, K; Otomo, M; Suzuki, H, 2013
)
0.39
" Subjects received either: 1) paliperidone palmitate (PP; 234 mg day 1 and 156 mg day 8 [corresponding to 150 and 100 milligram equivalents of paliperidone, respectively], both administered in deltoid muscle, followed by once-monthly flexible dosing in deltoid or gluteal muscle) and risperidone long-acting injection (RLAI)-matched placebo injections; or, 2) RLAI (25 mg, days 8 and 22; followed by biweekly flexible dosing) and PP-matched placebo injections."( Paliperidone palmitate versus risperidone long-acting injection in markedly-to-severely ill schizophrenia subjects: onset of efficacy with recommended initiation regimens.
Alphs, L; Bossie, CA; Fu, DJ; Kern Sliwa, J; Ma, YW, 2014
)
2.13
"Using the recommended dosing regimens for PP and RLAI, both PP and oral risperidone (used during RLAI initiation) improved symptoms of schizophrenia in markedly-to-severely ill subjects at days 4-22."( Paliperidone palmitate versus risperidone long-acting injection in markedly-to-severely ill schizophrenia subjects: onset of efficacy with recommended initiation regimens.
Alphs, L; Bossie, CA; Fu, DJ; Kern Sliwa, J; Ma, YW, 2014
)
1.85
"Clinical pharmacology as an interdisciplinary science is unique in its capacity and the diversity of the methods and approaches it can provide to derive dosing recommendations in various subpopulations."( An integrated clinical pharmacology approach for deriving dosing recommendations in a regulatory setting: review of recent cases in psychiatry drugs.
Mehta, MU; Rogers, H; Uppoor, RS; Younis, IR; Zhang, H; Zhu, H, 2013
)
0.39
" A biweekly simulation of multiple dosing revealed that Formulation C, the selected formulation, with a high load and large particle size would provide adequate initial and maintenance levels of the active moiety (Risperidone and its metabolite, 9-hydroxyrisperidone)."( Microsphere delivery of Risperidone as an alternative to combination therapy.
D'Souza, S; DeLuca, P; Faraj, J, 2013
)
0.39
" In the USA, dosing tends to be expressed in mg] or oral risperidone [during initiation of risperidone long-acting injection (RLAI) days 1-28] and biweekly flexible-dose RLAI (n=173; initial injection day 8)."( Paliperidone palmitate versus oral risperidone and risperidone long-acting injection in patients with recently diagnosed schizophrenia: a tolerability and efficacy comparison.
Alphs, L; Bossie, CA; Fu, DJ; Ma, YW; Sliwa, JK, 2014
)
1.85
"The purpose of this prospective study was to evaluate the effects of switching from oral risperidone to flexibly dosed oral paliperidone extended-release (ER) in Brazilian adults with schizophrenia because of lack of efficacy, intolerability, or nonadherence after a minimum trial of 30 days on adequate (labeled) doses of oral risperidone, according to individual clinical judgment."( Switching from oral risperidone to flexibly dosed oral paliperidone extended-release: core symptoms, satisfaction, and quality of life in patients with stable but symptomatic schizophrenia: the RISPALI study.
Appolinário, JC; Bressan, RA; Campos, JA; de Oliveira, IR; Elkis, H; Gattaz, WF; Grabowski, HM; Henna, E; Lacerda, AL; Lawson, FL; Louzã, MR; Périco, Cde A; Quevedo, J; Rocha, FL; Ruschel, SI; Sacomani, E; Zorzetto Filho, D, 2014
)
0.4
"This study explores relevant outcomes with flexibly dosed paliperidone extended-release (ER) in a real-world design."( Paliperidone extended-release in patients with non-acute schizophrenia previously unsuccessfully treated with other oral antipsychotics.
Dilbaz, N; Franco, MA; Lahaye, M; Lara, E; Millet, B; Naber, D; Neznanov, NG; Peuskens, J; Rancans, E; Schreiner, A; Smeraldi, E; Turczynski, J, 2014
)
0.4
" Analyses were performed assuming dosing of clinical trials, real-world practice, PIs, and highest therapeutic dose available, because of variation in practice settings."( Cost-effectiveness of aripiprazole once-monthly compared with paliperidone palmitate once-monthly injectable for the treatment of schizophrenia in the United States.
Baker, RA; Bentley, TG; Citrome, L; Eramo, A; Gutierrez, B; Hansen, K; Kamat, SA; Ortendahl, J; Sapin, C, 2014
)
0.64
" When PI dosing was assumed, this ICER increased to US$19,968/relapse averted."( Cost-effectiveness of aripiprazole once-monthly compared with paliperidone palmitate once-monthly injectable for the treatment of schizophrenia in the United States.
Baker, RA; Bentley, TG; Citrome, L; Eramo, A; Gutierrez, B; Hansen, K; Kamat, SA; Ortendahl, J; Sapin, C, 2014
)
0.64
" Under various dosing scenarios, AOM results indicated fewer relapses at lower overall costs or a reasonable cost-effectiveness threshold (i."( Cost-effectiveness of aripiprazole once-monthly compared with paliperidone palmitate once-monthly injectable for the treatment of schizophrenia in the United States.
Baker, RA; Bentley, TG; Citrome, L; Eramo, A; Gutierrez, B; Hansen, K; Kamat, SA; Ortendahl, J; Sapin, C, 2014
)
0.64
"The goal of this study was to explore the tolerability, safety, and treatment response of flexible doses of once-monthly paliperidone palmitate (PP) in the subset of nonacute but symptomatic adult patients with schizophrenia previously unsuccessfully treated with oral antipsychotic agents in the PALMFlexS (Paliperidone Palmitate Flexible Dosing in Schizophrenia) study."( A prospective flexible-dose study of paliperidone palmitate in nonacute but symptomatic patients with schizophrenia previously unsuccessfully treated with oral antipsychotic agents.
Bergmans, P; Bez, Y; Carpiniello, B; Cherubin, P; Hargarter, L; Keim, S; Parellada, E; Rancans, E; Schreiner, A; Vidailhet, P, 2014
)
0.88
" They also demonstrate that a clinically relevant treatment response is possible in patients who are considered to be clinically stable by their physician, supporting the use of flexibly dosed PP in such patients."( A prospective flexible-dose study of paliperidone palmitate in nonacute but symptomatic patients with schizophrenia previously unsuccessfully treated with oral antipsychotic agents.
Bergmans, P; Bez, Y; Carpiniello, B; Cherubin, P; Hargarter, L; Keim, S; Parellada, E; Rancans, E; Schreiner, A; Vidailhet, P, 2014
)
0.68
"In this prospective multicentre, open-label, 6-month study (Paliperidone Palmitate Flexible Dosing in Schizophrenia [PALMFlexS]), tolerability, safety and treatment response with paliperidone palmitate (PP) were explored in patients with acute symptoms of schizophrenia following switching from previously unsuccessful treatment with oral antipsychotics."( Intramuscular long-acting paliperidone palmitate in acute patients with schizophrenia unsuccessfully treated with oral antipsychotics.
Bergmans, P; Bez, Y; Carpiniello, B; Cherubin, P; Hargarter, L; Keim, S; Parellada, E; Rancans, E; Schreiner, A; Vidailhet, P, 2015
)
0.96
"In this multicenter, double-blind, phase 3 study (screening [≤3 weeks], with an acute treatment period [8 weeks] and a maintenance period [18 weeks]), adolescents (12-17 years old) with schizophrenia (DSM-IV diagnosis; Positive and Negative Symptom Score [PANSS] total score 60-120) were randomized (1:1) to once-daily paliperidone ER (6 mg per day [days 1-7], flexibly dosed 3, 6, or 9 mg per day from week 2 to end of study [EOS]), or to aripiprazole (2 mg per day [days 1 and 2], 5 mg per day [days 3 and 4], 10 mg per day [days 5-7], flexibly dosed 5, 10, or 15 mg per day [week 2 to EOS])."( Efficacy and safety of paliperidone extended release in adolescents with schizophrenia: a randomized, double-blind study.
Gopal, S; Hough, D; Lane, R; Nuamah, I; Savitz, AJ, 2015
)
0.42
"PALMFlexS, a prospective multicentre, open-label, 6-month, phase IIIb interventional study, explored tolerability, safety and treatment response in adults (n = 231) with non-acute but symptomatic schizophrenia switching to flexibly dosed paliperidone palmitate (PP) after unsuccessful treatment with risperidone long-acting injectable therapy (RLAT) or conventional depot antipsychotics (APs)."( Paliperidone palmitate in non-acute patients with schizophrenia previously unsuccessfully treated with risperidone long-acting therapy or frequently used conventional depot antipsychotics.
Bergmans, P; Cherubin, P; Corrivetti, G; Cosar, B; Hargarter, L; Keim, S; Llorca, PM; Petralia, A; Schreiner, A, 2015
)
2.04
" Thus, using the same maintenance dosing regimen at both sites or switching between sites of injection may result in unforeseen consequences in patient outcomes."( Paliperidone Palmitate Long-Acting Injectable Given Intramuscularly in the Deltoid Versus the Gluteal Muscle: Are They Therapeutically Equivalent?
Barr, AM; Collier, AC; Honer, WG; Procyshyn, RM; Yin, J, 2015
)
1.86
" These results highlight the importance of a personalized dosage adjustment during risperidone treatment."( Genetics-Based Population Pharmacokinetics and Pharmacodynamics of Risperidone in a Psychiatric Cohort.
Choong, E; Conus, P; Csajka, C; Eap, CB; Guidi, M; Vandenberghe, F; von Gunten, A, 2015
)
0.42
" Results support a once-every-3-months dosing interval in patients with schizophrenia or schizoaffective disorder."( Pharmacokinetics, safety, and tolerability of paliperidone palmitate 3-month formulation in patients with schizophrenia: A phase-1, single-dose, randomized, open-label study.
Chang, CT; De Meulder, M; Gopal, S; Hough, D; Nuamah, I; Ravenstijn, P; Remmerie, B; Samtani, MN; Savitz, A, 2016
)
0.69
"Population pharmacokinetics can predict antipsychotic blood concentrations at a given time point prior to a dosage change."( Dopamine D2/3 Receptor Occupancy Following Dose Reduction Is Predictable With Minimal Plasma Antipsychotic Concentrations: An Open-Label Clinical Trial.
Bies, RR; Caravaggio, F; Gerretsen, P; Graff-Guerrero, A; Mamo, DC; Mar, W; Mulsant, BH; Nakajima, S; Plitman, E; Pollock, BG; Suzuki, T; Uchida, H, 2016
)
0.43
"D2/3R occupancy levels can be predicted from blood drug concentrations collected prior to dosage change."( Dopamine D2/3 Receptor Occupancy Following Dose Reduction Is Predictable With Minimal Plasma Antipsychotic Concentrations: An Open-Label Clinical Trial.
Bies, RR; Caravaggio, F; Gerretsen, P; Graff-Guerrero, A; Mamo, DC; Mar, W; Mulsant, BH; Nakajima, S; Plitman, E; Pollock, BG; Suzuki, T; Uchida, H, 2016
)
0.43
"This commentary summarizes recommended dosing strategies for a recently developed 3 monthly long-acting injectable 1 (LAI) formulation of paliperidone palmitate (PP3M) for the treatment of schizophrenia in adults."( Practical guidance for dosing and switching from paliperidone palmitate 1 monthly to 3 monthly formulation in schizophrenia.
Berwaerts, J; Buron Vidal, JA; Gopal, S; Hough, D; Nandy, P; Nuamah, I; Ravenstijn, P; Samtani, MN; Savitz, A; Vermeulen, A, 2015
)
0.87
"Recommendations for different dosing scenarios are based on the pharmacokinetic, efficacy and safety outcomes from phase 1 and phase 3 studies, population pharmacokinetic models, and model based simulations."( Practical guidance for dosing and switching from paliperidone palmitate 1 monthly to 3 monthly formulation in schizophrenia.
Berwaerts, J; Buron Vidal, JA; Gopal, S; Hough, D; Nandy, P; Nuamah, I; Ravenstijn, P; Samtani, MN; Savitz, A; Vermeulen, A, 2015
)
0.67
"), with a dosing window of ± 1 week."( Practical guidance for dosing and switching from paliperidone palmitate 1 monthly to 3 monthly formulation in schizophrenia.
Berwaerts, J; Buron Vidal, JA; Gopal, S; Hough, D; Nandy, P; Nuamah, I; Ravenstijn, P; Samtani, MN; Savitz, A; Vermeulen, A, 2015
)
0.67
" The efficacy and tolerability of paliperidone palmitate one-month (PP1M) in Chinese patients switched from previous antipsychotic treatments were examined in order to develop effective switching and dosing strategies."( A Subgroup Analysis of Chinese Patients Switched to Paliperidone Palmitate One-Month Injectable by Prior Oral Antipsychotic Treatment.
Fan, J; Feng, Y; Si, T; Wang, C; Wang, X; Xu, C; Zhuo, J, 2016
)
0.96
" Analyses were conducted assuming pooled dosing from randomised clinical trials included in the MTCs."( Cost-effectiveness Analysis of Aripiprazole Once-Monthly for the Treatment of Schizophrenia in the UK.
Beillat, M; Robinson, P; Sapin, C; Tempest, M; Treur, M, 2015
)
0.42
" The treatment response was described using a drug-disease model accounting for multiple components such as the dosage regimen, the pharmacokinetic characteristics of a drug (including the mechanism and the rate of drug delivery), and the exposure-response relationship."( Response Surface Analysis and Nonlinear Optimization Algorithm for Maximization of Clinical Drug Performance: Application to Extended-Release and Long-Acting Injectable Paliperidone.
Bressolle-Gomeni, F; Fava, M; Gomeni, R, 2016
)
0.43
"Taken together, PP3M with its 3-month dosing interval is a unique option for relapse prevention in schizophrenia."( Efficacy and Safety of Paliperidone Palmitate 3-Month Formulation for Patients with Schizophrenia: A Randomized, Multicenter, Double-Blind, Noninferiority Study.
Fleischhacker, WW; Gopal, S; Hough, D; Janik, A; Nuamah, I; Ravenstijn, P; Savitz, AJ; Schotte, A; Xu, H, 2016
)
0.74
" The dosage of risperidone and paliperidone were maintained; and aripiprazole was maintained at 5mg/day during the 8-week study period."( Add-on effects of a low-dose aripiprazole in resolving hyperprolactinemia induced by risperidone or paliperidone.
Guo, Q; Li, C; Ouyang, Q; Qiao, Y; Shen, W; Sheng, J; Wen, H; Yang, F; Zhu, S, 2016
)
0.43
" Semi-quantitative histopathology of the IM administration sites at day 1, 3, 7, 14, 21 and 28 after dosing with PP-LAI illustrated that CLO significantly decreased the rate and extent of the granulomatous inflammatory reaction."( The effect of macrophage and angiogenesis inhibition on the drug release and absorption from an intramuscular sustained-release paliperidone palmitate suspension.
Annaert, P; Darville, N; De Jonghe, S; De Meulder, M; Mariën, D; Rossenu, S; Sterkens, P; Van den Mooter, G; van Heerden, M; Vermeulen, A; Vynckier, A, 2016
)
0.64
" 3MPP offers a substantially longer dosing interval than other options, which may be a potential advancement to reduce nonadherence."( Three-month paliperidone palmitate - a new treatment option for schizophrenia.
Bernardo, M; Bioque, M, 2016
)
0.81
"The median daily dosage of RIS did not differ between the groups (p=0."( Pharmacokinetic considerations in the treatment of hypertension in risperidone-medicated patients - thinking of clinically relevant CYP2D6 interactions.
Gründer, G; Haen, E; Lammertz, SE; Paulzen, M; Schoretsanitis, G; Schruers, KR; Stegmann, B; Walther, S, 2016
)
0.43
" Higher RIS dosage has a tendency to produce higher RIS plasma levels."( Development and Validation of Liquid Chromatography/Tandem Mass Spectrometry Analysis for Therapeutic Drug Monitoring of Risperidone and 9-Hydroxyrisperidone in Pediatric Patients with Autism Spectrum Disorders.
Hongkaew, Y; Limsila, P; Nakorn, CN; Ngamsamut, N; Nuntamool, N; Prommas, S; Puangpetch, A; Sukasem, C; Vanwong, N, 2016
)
0.43
" This open-label, parallel-group study was performed to compare finger-stick-based capillary with corresponding venous plasma concentrations for risperidone, paliperidone, quetiapine, olanzapine, and aripiprazole and their major metabolites after repeated dosing in patients with schizophrenia or related illnesses."( Comparison of Capillary and Venous Plasma Drug Concentrations After Repeated Administration of Risperidone, Paliperidone, Quetiapine, Olanzapine, or Aripiprazole.
Ariyawansa, J; De Meulder, M; Remmerie, B; Savitz, A, 2016
)
0.43
" It is a convenient alternative to the commercially available dosage form of PPD."( Paliperidone-Loaded Nanolipomer System for Sustained Delivery and Enhanced Intestinal Permeation: Superiority to Polymeric and Solid Lipid Nanoparticles.
Helal, HM; Mortada, SM; Sallam, MA, 2017
)
0.46
"Daily dosage of risperidone differed significantly with smokers receiving higher doses than patients in the control group (p=0."( Effect of smoking on risperidone pharmacokinetics - A multifactorial approach to better predict the influence on drug metabolism.
Gründer, G; Haen, E; Hiemke, C; Paulzen, M; Schoretsanitis, G; Stegmann, B, 2017
)
0.46
"Three-month long-acting paliperidone is a new, recently marketed, formulation of paliperidone, characterised by the longest available dosing interval among long-acting antipsychotics."( New EMA report on paliperidone 3-month injections: taking clinical and policy decisions without an adequate evidence base.
Barbui, C; Gastaldon, C; Ostuzzi, G; Papola, D, 2017
)
0.46
" UKU, Clinical Global Impression-Severity (CGI-S), Personal and Social Performance (PSP) and dosage of paliperidone were collected."( Reliability and Validity of the Short Version of Udvalg for Kliniske Undersogelser in Antipsychotic Treatment.
Chen, KP; Lung, FW, 2017
)
0.46
" Groups were matched for demographic characteristics and daily dosage of RIS."( Cytochrome P450-mediated interaction between perazine and risperidone: implications for antipsychotic polypharmacy.
Gründer, G; Haen, E; Hiemke, C; Lammertz, SE; Paulzen, M; Schoretsanitis, G; Stegmann, B, 2017
)
0.46
" This article reviews the pharmacokinetic rationale for the approved dosing regimens for PP3M, dosing windows, management of missed doses and treatment discontinuation, switching to other formulations, and dosing in special populations."( Dosing and Switching Strategies for Paliperidone Palmitate 3-Month Formulation in Patients with Schizophrenia Based on Population Pharmacokinetic Modeling and Simulation, and Clinical Trial Data.
Jonsson, EN; Magnusson, MO; Plan, EL; Rossenu, S; Russu, A; Samtani, MN; Vermeulen, A, 2017
)
0.73
" Following patients were given a dosage ranging from 50 mg to 150 mg every 28 days."( Paliperidone Long-Acting Plasma Level Monitoring and a New Method of Evaluation of Clinical Stability.
Altamura, CA; Di Pace, C; Fiorentini, A; Mauri, MC; Paletta, S; Reggiori, A; Rovera, C, 2017
)
0.46
"Second-generation long-acting injectable therapies (SGA-LAIs) may reduce health care resource utilization (HRU) and health care costs compared with daily oral atypical antipsychotics (OAAs) in patients with schizophrenia due to reduced dosing frequency, delivery/monitoring by a health care provider, and improved adherence."( Treatment Patterns, Health Care Resource Utilization, and Spending in Medicaid Beneficiaries Initiating Second-generation Long-acting Injectable Agents Versus Oral Atypical Antipsychotics.
Emond, B; Joshi, K; Kamstra, R; Lafeuille, MH; Lefebvre, P; Pilon, D; Tandon, N, 2017
)
0.46
"We assessed the dosage strengths of paliperidone palmitate 1-month (PP1M) long-acting injectable resulting in similar steady-state (SS) exposures to the dosage strengths of oral risperidone using pharmacokinetic (PK) simulations."( Maintenance dose conversion between oral risperidone and paliperidone palmitate 1 month: Practical guidance based on pharmacokinetic simulations.
Gopal, S; Kern Sliwa, J; Kim, E; Mathews, M; Ravenstijn, P; Russu, A; Singh, A, 2018
)
1
"This was a post-hoc analysis from an open-label, single-arm study of stable patients (Positive and Negative Syndrome Scale total score <70; n=367) receiving paliperidone palmitate one-month formulation at the end of an acute 13-week treatment phase, who entered a naturalistic one-year follow-up period, either continuing with flexibly dosed paliperidone palmitate one-month formulation (75-150 mg eq."( Impact of paliperidone palmitate one-month formulation on relapse prevention in patients with schizophrenia: A post-hoc analysis of a one-year, open-label study stratified by medication adherence.
Cai, S; Correll, CU; Feng, Y; Li, N; Lu, H; Si, T; Zhang, L; Zhuo, J, 2018
)
1.08
" Reasons for prescribing were convenience of 3-monthly dosing for patients (94."( Early Australian experience in the maintenance of schizophrenia management with 3-monthly paliperidone palmitate.
Pai, N; Warden, M, 2018
)
0.7
"Convenient 3-monthly dosing was preferred by clinicians and patients, and symptoms were adequately managed."( Early Australian experience in the maintenance of schizophrenia management with 3-monthly paliperidone palmitate.
Pai, N; Warden, M, 2018
)
0.7
" Veterans were eligible for inclusion if they were aged 18years or older, had ≥1 dispensation of PP3M, were enrolled with VHA benefits for ≥24 months prior to transition to PP3M, had ≥1 schizophrenia diagnosis, were transitioned to PP3M according to prescribing-information guidelines (operationalized as no gap in PP1M treatment of >45days during the 4 months prior to PP3M transition, with the same dosage in the last 2 PP1M dispensations), and had appropriate dose conversion."( Health Care Resource Utilization and Costs Associated with Transitioning to 3-month Paliperidone Palmitate Among US Veterans.
Bhak, RH; Bobbili, P; Brown, B; DerSarkissian, M; El Khoury, AC; Hellstern, M; Joshi, K; Lafeuille, MH; Lefebvre, P; Shiner, B; Young-Xu, Y, 2018
)
0.71
" Expert opinion: PP3M offers a substantially longer dosing interval than other options, which may be a potential advancement to reduce nonadherence in some patients."( The current data on the 3-month paliperidone palmitate formulation for the treatment of schizophrenia.
Bernardo, M; Bioque, M, 2018
)
0.76
" Early TDM studies may help orient PP1M dosing but steady state may not be reached until after the ninth injection (8 months)."( A systematic review and combined analysis of therapeutic drug monitoring studies for long-acting paliperidone.
de Leon, J; Hiemke, C; Schoretsanitis, G; Spina, E, 2018
)
0.48
" no gap of >45 days in PP1M coverage for ≥4 months, same PP1M dosage for the last two PP1M claims, and appropriate PP1M to PP3M dosing conversion) were selected from the IQVIA PharMetrics Plus database (May 2014-February 2018)."( Real-world outcomes post-transition to once-every-3-months paliperidone palmitate in patients with schizophrenia within US commercial plans.
El Khoury, AC; Emond, B; Joshi, K; Lefebvre, P; Morrison, L; Patel, C; Pilon, D; Tandon, N; Zhdanava, M, 2019
)
0.76
" Hence, a different dosing strategy is required among smoking and nonsmoking patients."( Analysis of smoking behavior on the pharmacokinetics of antidepressants and antipsychotics: evidence for the role of alternative pathways apart from CYP1A2.
Deckert, J; Hommers, LG; Menke, A; Samanski, L; Scherf-Clavel, M; Unterecker, S, 2019
)
0.51
" Paliperidone LAI (P-LAI), an atypical antipsychotic, has benefits over other antipsychotics LAI with its long dosing interval and no initial oral overlap, but has no documented cases for this indication."( Paliperidone Long-Acting Injections in Huntington's Disease for Motor and Behavioural Disturbances.
Theodoros, T; van Oosterom, N, 2019
)
0.51
"Modeling dose-response relationships of drugs is essential to understanding their safety effects on patients under realistic circumstances."( Bayesian Meta-analysis of Multiple Continuous Treatments with Individual Participant-Level Data: An Application to Antipsychotic Drugs.
Horvitz-Lennon, M; Normand, ST; Spertus, J, 2019
)
0.51
" The novel three-monthly paliperidone palmitate treatment (PP3M) offers the longest dosing interval currently available in France."( The clinical and economic impact of three-monthly long-acting formulation of paliperidone palmitate versus the one-monthly formulation in the treatment of schizophrenia in France: A cost-utility study.
Arteaga Duarte, CH; Fakra, E; Guillon, P; Van Gils, C, 2019
)
1.05
"We report the case of a 7-year-old girl who was accidentally dosed with paliperidone for 3 days."( Accidental Pediatric Paliperidone Ingestion Resulting in Delayed Profound Tachycardia.
Borek, HA; Charlton, NP, 2019
)
0.51
" Conversely, a delay in attaining therapeutic plasma concentrations of paliperidone on initiation of treatment, or a return to low plasma concentrations before the end of a dosing interval during repeated dosing, increases the risk of relapse."( Need for Bioequivalence Standards that Reflect the Clinical Importance of the Complex Pharmacokinetics of Paliperidone Palmitate Long-Acting Injectable Suspension.
Katzman, MA; Lamoure, JW; Procyshyn, RM; Sherman, SE; Skinner, PL, 2019
)
0.73
"The dose-response relationships of antipsychotic drugs for schizophrenia are not well defined, but such information would be important for decision making by clinicians."( Dose-Response Meta-Analysis of Antipsychotic Drugs for Acute Schizophrenia.
Crippa, A; Davis, JM; Leucht, S; Orsini, N; Patel, MX; Siafis, S, 2020
)
0.56
" Dose-response curves were constructed with random-effects dose-response meta-analyses and a spline model."( Dose-Response Meta-Analysis of Antipsychotic Drugs for Acute Schizophrenia.
Crippa, A; Davis, JM; Leucht, S; Orsini, N; Patel, MX; Siafis, S, 2020
)
0.56
" For some drugs, higher than currently licensed doses might be tested in further trials, because their dose-response curves did not plateau."( Dose-Response Meta-Analysis of Antipsychotic Drugs for Acute Schizophrenia.
Crippa, A; Davis, JM; Leucht, S; Orsini, N; Patel, MX; Siafis, S, 2020
)
0.56
"Three-monthly dosage of paliperidone palmitate entails longer time to relapse after discontinuation, is similarly tolerable and safe compared to monthly injections of paliperidone palmitate and is beneficial for the caregivers."( Patients' perspectives on three-monthly administration of antipsychotic treatment with paliperidone palmitate - a qualitative interview study.
Erdner, A; Hedberg, B; Jedenius, E; Møllerhøj, J; Riise, J; Rise, MB; Stahl, K; Stølan, LO, 2021
)
1.15
"Antipsychotics with reduced dosing frequency may improve adherence and clinical outcomes for patients with schizophrenia."( Medication adherence, healthcare resource utilization, and costs among Medicaid beneficiaries with schizophrenia treated with once-monthly paliperidone palmitate or once-every-three-months paliperidone palmitate.
Côté-Sergent, A; Joshi, K; Lafeuille, MH; Lefebvre, P; Lin, D; Pilon, D; Vermette-Laforme, M; Zhdanava, M, 2021
)
0.82
" Particularly, older female patients (>50 years) are likely exposed to high concentration and cautious dosing in this subgroup is required."( Impact of age and gender on paliperidone exposure in patients after administration of long-acting injectable formulations-an observational study using blood samples from 1223 patients.
Haslemo, T; Høiseth, G; Molden, E; Smith, RL; Tveito, M, 2021
)
0.62
"In this work, the versatility of pressure extrusion-based printing (PEBP) was used as 3D printing process to create long-acting implantable dosage forms."( Long-acting implantable dosage forms containing paliperidone palmitate obtained by 3D printing.
Benali, S; Deldime, M; Goole, J; Manini, G; Raquez, JM, 2021
)
0.88
"The efficacy of a twice-yearly dosing regimen of PP6M was noninferior to that of PP3M in preventing relapse in patients with schizophrenia adequately treated with PP1M or PP3M."( A Randomized, Double-Blind, Multicenter, Noninferiority Study Comparing Paliperidone Palmitate 6-Month Versus the 3-Month Long-Acting Injectable in Patients With Schizophrenia.
Cohen, K; Galderisi, S; Gopal, S; Lim, P; Milz, R; Najarian, D; Robertson, MJ; Sanga, P; Schotte, A; Singh, A; T'Jollyn, H; Venkatasubramanian, R; Walling, DP; Wang, S, 2022
)
0.95
"PP3M is mostly prescribed in adherent patients with fairly stable schizophrenia, and the longer dosing interval does not substantially affect patient care."( Initiation of quarterly palmitate paliperidone in French clinical practice: Results from the observational, cross-sectional OPTIMUS study.
Bouju, S; Boursicot-Beuzelin, J; Déal, C; Fakra, E; Falissard, B; Gary, C; Giordana, JY; Samalin, L, 2022
)
0.72
" A population pharmacokinetic (PPK) modeling and simulation approach was implemented to identify TV-46000 doses and dosing schedules for clinical development that would provide the best balance between clinical efficacy and safety."( Population Pharmacokinetic Modeling and Simulation of TV-46000: A Long-Acting Injectable Formulation of Risperidone.
Elgart, A; Gomeni, R; Harary, E; Kalmanczhelyi, A; Lamson, M; Levi, M; Loupe, P; Merenlender Wagner, A; Perlstein, I; Spiegelstein, O; Tiver, R, 2022
)
0.72
"In the pharmaceutical field, there is a growing interest in manufacturing of drug delivery dosage forms adapted to the needs of a large variety of patients."( Proof of concept of a predictive model of drug release from long-acting implants obtained by fused-deposition modeling.
Benali, S; Goole, J; Manini, G; Raquez, JM, 2022
)
0.72
"In this work, two technologies were used to prepare long-acting implantable dosage forms in the treatment of schizophrenia."( Paliperidone palmitate as model of heat-sensitive drug for long-acting 3D printing application.
Benali, S; Goole, J; Manini, G; Mathew, A; Napolitano, S; Raquez, JM, 2022
)
2.16
" For 25 years, this author has focused on a circumscribed type of precision medicine: personalized dosing using pharmacokinetic mechanisms to stratified patients."( Precision psychiatry: The complexity of personalizing antipsychotic dosing.
de Leon, J, 2022
)
0.72
" We also determine a range of products that are bioequivalent after both multiple dosing and single dosing."( Determining bioequivalence possibilities of long acting injectables through population PK modelling.
Dickinson, H; Dickinson, J; Dickinson, PA; Gajjar, P; Mistry, HB; Patterson, C; Ruston, L, 2022
)
0.72
" Treatments for schizophrenia with longer dosing intervals may provide patients with symptomatic stability that could allow for reduced hospitalisations/relapse and increased focus on functional recovery."( Persistence and adherence to second-generation antipsychotic long-acting injectable medications for schizophrenia: A comparative study in the Australian context.
Brahmbhatt, P; Huang, TH; McGeachie, AB; Pai, N; Puig, A, 2023
)
0.91
" Our constructed PBPK model can predict risperidone and paliperidone pharmacokinetics in pregnant and neonatal populations, which could help with precision dosing using the PBPK model-informed approach in special populations."( Physiologically-based pharmacokinetic model to investigate the effect of pregnancy on risperidone and paliperidone pharmacokinetics: Application to a pregnant woman and her neonate.
Fujioka, K; Fujiwara, N; Horai, T; Iijima, K; Imafuku, H; Ito, T; Mahdy, WYB; Omura, T; Otsuka, I; Yamamoto, K; Yano, I, 2023
)
0.91
" Both prognostic factors and predictors with increased risk after discontinuation were oral antipsychotic treatment (lower risk for long-acting injectables), higher last dosage of the antipsychotic study drug, shorter duration of antipsychotic treatment, and higher score on the Clinical Global Impression (CGI) severity scale The predictive performance (concordance index) for participants who were not used to train the model was 0·707 (chance level is 0·5)."( Predicting psychotic relapse following randomised discontinuation of paliperidone in individuals with schizophrenia or schizoaffective disorder: an individual participant data analysis.
Ayrilmaz, H; Bermpohl, F; Brandt, L; Gutwinski, S; Hasan, A; Heinz, A; Leucht, S; Montag, C; Ritter, K; Schneider-Thoma, J; Siafis, S; Stuke, H, 2023
)
0.91
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Drug Classes (5)

ClassDescription
1,2-benzoxazolesCompounds based on a fused 1,2-oxazole and benzene bicyclic ring skeleton, with the O atom positioned adjacent to one of the positions of ring fusion.
heteroarylpiperidine
organofluorine compoundAn organofluorine compound is a compound containing at least one carbon-fluorine bond.
pyridopyrimidineAny organic heterobicyclic compound consisting of a pyridine ring ortho-fused at any position to a pyrimidine ring.
fatty acid esterA carboxylic ester in which the carboxylic acid component can be any fatty acid.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Research

Studies (970)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's19 (1.96)18.2507
2000's159 (16.39)29.6817
2010's615 (63.40)24.3611
2020's177 (18.25)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 68.41

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index68.41 (24.57)
Research Supply Index7.13 (2.92)
Research Growth Index5.48 (4.65)
Search Engine Demand Index118.53 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (68.41)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials208 (20.02%)5.53%
Reviews125 (12.03%)6.00%
Case Studies172 (16.55%)4.05%
Observational42 (4.04%)0.25%
Other492 (47.35%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (171)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
An Open-Label, Long-Term, Multiple-Dose, Safety and Tolerability, Pharmacokinetic Study of 150 mg eq. Paliperidone Palmitate in the Treatment of Subjects With Schizophrenia [NCT01150448]Phase 1212 participants (Actual)Interventional2007-09-30Completed
Research and Evaluation of Antipsychotic Treatment in Community Behavioral Health Organizations [NCT01181960]1,066 participants (Actual)Observational2010-08-31Completed
Clinical Study to Assess the Treatment of Schizophrenia With Paliperidone Palmitate in Rwandan Healthcare Settings [NCT04940039]Phase 493 participants (Actual)Interventional2021-07-22Active, not recruiting
A Long-Term, Open-Label Study of Flexibly Dosed Paliperidone Palmitate Long-Acting Intramuscular Injection in Japanese Patients With Schizophrenia [NCT01258920]Phase 3201 participants (Actual)Interventional2010-10-31Completed
A Twelve-Month, Prospective, Randomized, Active-Controlled, Open-Label, Flexible-Dose Study of Paliperidone Palmitate Compared With Oral Antipsychotic Treatment in Adults With Schizophrenia Who Have Been Recently Discharged From an Inpatient Psychiatric H [NCT01193166]Phase 40 participants (Actual)Interventional2010-08-31Withdrawn(stopped due to This study was stopped due to an internal reconsideration of priorities of the product portfolio.)
A Randomized, Single-Dose, Open-Label, Parallel-Group Study to Determine the Relative Pharmacokinetic Characteristics of LY03010 Versus INVEGA SUSTENNA® in Schizophrenia Patients [NCT03751488]Phase 148 participants (Actual)Interventional2018-12-12Completed
Long Acting Paliperidone in Dually Diagnosed People With Schizophrenia: An Open-label Pilot Study [NCT01584466]0 participants (Actual)Interventional2014-01-31Withdrawn
A Quality Use of Medicine Clinical Registry to Assess Clinical Outcomes in Patients With Schizophrenia Treated With Intramuscular Injections of Paliperidone Palmitate [NCT01362426]127 participants (Actual)Observational2011-03-31Completed
A Phase 3b, Multicenter, Randomized, Double-blind Study to Evaluate the Efficacy and Safety of Aripiprazole Lauroxil or Paliperidone Palmitate for the Treatment of Schizophrenia in Subjects Hospitalized for Acute Exacerbation [NCT03345979]Phase 3200 participants (Actual)Interventional2017-11-15Completed
An Observational Drug Utilization Study of SYCREST^® (Asenapine) in the United Kingdom [NCT01498770]42 participants (Actual)Observational2013-04-01Completed
A Pilot-Study in Rwandan Health Care Settings to Examine the Feasibility of a Large Pragmatic Clinical Study to Assess the Value of Paliperidone Palmitate in Rwanda [NCT03713658]Phase 434 participants (Actual)Interventional2018-10-18Completed
Early Prediction of Clinical Response, Metabolic Change, and Pharmacokinetics in Taiwanese Patients With Schizophrenia Patients Treated by Paliperidone ER: an Open-Label Study [NCT02075528]Phase 441 participants (Actual)Interventional2009-07-31Completed
A Randomized, Double-blind, Placebo-controlled, Parallel- Group Study to Evaluate the Efficacy and Safety of Flexible-dose Paliperidone ER in the Treatment of Patients With Schizoaffective Disorder. [NCT00412373]Phase 3307 participants (Actual)Interventional2006-12-31Completed
Substance Misuse To Psychosis for Stimulants (SToP-S)--An Early Assertive Pharmacotherapy Intervention Study [NCT03485417]Phase 2/Phase 3240 participants (Anticipated)Interventional2019-06-01Recruiting
Paliperidone Extended Release Tablets for the Prevention of Relapse in Subjects With Schizophrenia: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study [NCT01662310]Phase 3201 participants (Actual)Interventional2011-06-30Completed
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Dose-Response, Multicenter Study to Evaluate the Efficacy and Safety of Three Fixed Doses of Extended-Release Paliperidone in the Treatment of Subjects With Acute Manic and Mixed Episodes Ass [NCT00299715]Phase 3473 participants (Actual)Interventional2006-02-28Completed
A Multicenter Retrospective Study to Analyse the Impact of Treatment With Paliperidone Palmitate on Clinical Outcomes and Hospital Resource Utilization in Adult Patients With Schizophrenia in Portugal [NCT03666715]55 participants (Actual)Observational2018-08-07Completed
Α Randomized, Two-way, Two-treatment, Two-period, Crossover, Open Label, Laboratory-blind, Comparative Bioavailability Study at Steady State Between Paliperidone 100 mg Prolonged Release Suspension for Injection (Test Product) and Xeplion® 100 mg Prolonge [NCT03425552]Phase 1/Phase 270 participants (Actual)Interventional2018-03-11Completed
Evaluation of the Necessity of Long-term Pharmacological Treatment With Antipsychotics for the Prevention of Relapse in Long-term Stabilized Schizophrenic Patients: a Randomized, Single-blind, Longitudinal Trial [NCT02307396]Phase 421 participants (Actual)Interventional2015-02-01Completed
Paliperidone Palmitate Efficacy and Safety in Bipolar Disorder Complicated by Alcoholism: A Double-blind, Placebo-controlled, Randomized, Parallel Groups, Multi-center Study. [NCT01211704]Phase 40 participants (Actual)Interventional2010-10-31Withdrawn(stopped due to lack of funding)
An Open-Label, Drug-Drug Interaction Study to Evaluate the Effect of Paliperidone Extended-Release on the Steady-State Pharmacokinetics of Valproic Acid in Clinically Stable Subjects With Schizophrenia, Bipolar I Disorder or Schizoaffective Disorder [NCT01094249]Phase 19 participants (Actual)Interventional2009-02-28Completed
A Prospective, Matched-Control, Randomized, Open-Label, Flexible-Dose, Study in Subjects With Recent-Onset Schizophrenia or Schizophreniform Disorder to Compare Disease Progression and Disease Modification Following Treatment With Paliperidone Palmitate L [NCT02431702]Phase 3337 participants (Actual)Interventional2015-07-08Completed
Open-Label, Parallel, Randomized, Multiple-Dose Pharmacokinetic Study of Paliperidone After Intramuscular Injection of Paliperidone Palmitate in the Deltoid or Gluteal Muscle in Subjects With Schizophrenia [NCT01110317]Phase 149 participants (Actual)Interventional2005-07-31Completed
Mirror-image Study Exploring Relapse and Resource Utilization of Paliperidone Palmitate and Risperidone Long-acting Injection in Vitalité Health Network Patients [NCT03390712]328 participants (Anticipated)Observational2018-01-02Enrolling by invitation
Efficacy and Safety of Paliperidone ER in Patients With First Episode Psychosis: an Open-label, Prospective Multi-center Study [NCT01157585]Phase 475 participants (Actual)Interventional2010-02-28Completed
A 6-month, Open Label, Prospective, Multicenter, International, Exploratory Study of a Transition to Flexibly Dosed Paliperidone Palmitate in Patients With Schizophrenia Previously Unsuccessfully Treated With Oral or Long-acting Injectable Antipsychotics [NCT01281527]Phase 31,044 participants (Actual)Interventional2010-11-30Completed
A Study to Evaluate Switching From Risperidone to Paliperidone ER (Extended Release) in the Treatment of Stable But Symptomatic Schizophrenia Outpatients: Patients Satisfaction and Quality of Life [NCT01010776]Phase 4223 participants (Actual)Interventional2008-02-29Completed
A Single-dose, Open-label, Randomized, 2-way Crossover Pivotal Bioequivalence Study of 12 mg Paliperidone Extended Release Tablets Manufactured at Gurabo and Vacaville Under Fasted Condition in Healthy Subjects [NCT00790777]Phase 172 participants (Actual)Interventional2007-03-31Completed
Evaluation of the Dose Proportionality of Two Dose Strengths (1.5 and 3 mg) of Extended-release Paliperidone After a Single Administration to Healthy Men [NCT00791167]Phase 158 participants (Actual)Interventional2006-06-30Completed
The Pharmacokinetics of ER OROS Paliperidone in Subjects With Varying Degrees of Impaired Renal Function (Mild, Moderate, and Severe) as Compared to Subjects With Normal Renal Function [NCT00791401]Phase 147 participants (Actual)Interventional2004-04-30Completed
A Randomized, Open-label, Single-center, Crossover Study of the Potential Effects of Paroxetine on the Pharmacokinetics of a Single Dose of Paliperidone Extended-release in Healthy Men [NCT00791713]Phase 160 participants (Actual)Interventional2006-03-31Completed
Open-label Study to Evaluate the Safety and Pharmacokinetics of Single- and Multiple-dose Extended-release OROS Paliperidone in Pediatric Subjects (=10 to =17 Years of Age) With Schizophrenia, Schizoaffective Disorder, or Schizophreniform Disorder [NCT00796081]Phase 125 participants (Actual)Interventional2006-01-31Completed
A Comparative Evaluation of the Pharmacokinetics and Pharmacodynamics Under Fasting and Fed Conditions of 2 Paliperidone Extended-release Formulations With Paliperidone Oral Solution in Healthy Adults [NCT00796471]Phase 135 participants (Actual)Interventional2003-06-30Completed
Evaluation of the Effect of Food and Posture on the Pharmacokinetics of Paliperidone After a Single Administration of 12 mg ER OROS Paliperidone to Healthy Men [NCT00838669]Phase 174 participants (Actual)Interventional2005-08-31Completed
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Dose Response Study to Evaluate the Efficacy and Safety of 3 Fixed Doses (25 mg eq., 100 mg eq., and 150 mg eq.) of Paliperidone Palmitate in Subjects With Schizophrenia [NCT00590577]Phase 3652 participants (Actual)Interventional2007-03-31Completed
European Long-acting Antipsychotics in Schizophrenia Trial [NCT02146547]Phase 4536 participants (Actual)Interventional2015-02-28Completed
Open-Label Pharmacokinetic Study to Evaluate the Steady-State Venous and Capillary Plasma Concentrations of Five Antipsychotics: Aripiprazole, Olanzapine, Paliperidone, Quetiapine and Risperidone [NCT02087579]Phase 1305 participants (Actual)Interventional2014-02-28Completed
A Study on the Efficacy, Pharmacokinetics and Adverse Effects of Paliperidone ER [NCT02433717]Phase 440 participants (Anticipated)Interventional2015-04-30Recruiting
A Randomized, Double-Blind, Placebo- and Active-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of a Fixed Dosage of 1.5 mg/Day of Paliperidone Extended Release (ER) in the Treatment of Subjects With Schizophrenia [NCT00524043]Phase 4201 participants (Actual)Interventional2007-09-30Completed
A Randomized, Double-Blind, Active- and Placebo-controlled, Parallel-group, Multicenter Study to Evaluate the Efficacy and Safety of Extended-Release Paliperidone as Maintenance Treatment After an Acute Manic or Mixed Episode Associated With Bipolar I Dis [NCT00490971]Phase 3768 participants (Actual)Interventional2006-05-31Completed
Dose-proportionality Study of the Five ER OROS Paliperidone To-be-marketed Tablet Strengths (3, 6, 9, 12, and 15 mg) in Healthy Male Subjects [NCT00796835]Phase 150 participants (Actual)Interventional2004-07-31Completed
A 6-Month, Open-Label, Single-Arm Safety Study of Flexibly Dosed Paliperidone Extended Release (1.5 - 12 mg/Day) in the Treatment of Adolescents (12 to 17 Years of Age) With Schizophrenia [NCT00488319]Phase 3400 participants (Actual)Interventional2007-06-30Completed
Open-label, Single Arm, Interventional Study to Explore the Efficacy and Safety of Paliperidone ER in the Management of Patients With Acute Agitation and/or Aggression [NCT01050478]Phase 456 participants (Actual)Interventional2010-03-31Completed
A Prospective, Randomized, Active-controlled, Rater-blinded Study of the Prevention of Relapse Comparing Paliperidone Palmitate With Oral Risperidone in Adults With Recently-Diagnosed Schizophrenia Who Are at High Risk of Relapse [NCT00946985]Phase 4163 participants (Actual)Interventional2009-06-30Terminated(stopped due to The recruitment rate for the study was inadequate to achieve its enrollment goals.)
Pivotal Bioequivalence Study With 15 mg ER OROS Paliperidone Comparing the Phase 3 Formulation With the To-be-marketed Formulation and Evaluation of Food Effect on the to be Marketed Formulation in Healthy Male Subjects [NCT00892489]Phase 180 participants (Actual)Interventional2004-07-31Completed
A Randomized, Open-Label, Parallel Group Comparative Study of Paliperidone Palmitate (50, 100, 150 mg eq) and Risperidone LAI (25, 37.5, or 50 mg) in Subjects With Schizophrenia [NCT00604279]Phase 3452 participants (Actual)Interventional2008-01-31Completed
Contrasting the Brain Effects of Risperidone and Invega With fMRI and PET Scanning [NCT00937261]Phase 496 participants (Anticipated)Interventional2009-07-31Recruiting
A Randomized, DB, PC and AC, Parallel Group, Dose-Response Study to Evaluate the Efficacy and Safety of 3 Fixed Dosages of Extended Release OROS� Paliperidone (6, 9, 12 mg/Day) and Olanzapine (10 mg/Day), With Open-Label Extension, in the Treatment of Sub [NCT00650793]Phase 3473 participants (Actual)Interventional2004-03-31Completed
Investigation of the Potential Effects of Trimethoprim on the Pharmacokinetics of ER OROS Paliperidone in Healthy Male Subjects [NCT00892541]Phase 130 participants (Actual)Interventional2004-10-31Completed
An Open-Label, Drug-Drug Interaction Study Between Steady-State Valproic Acid and Single-Dose Paliperidone Extended-Release in Healthy Men [NCT01060228]Phase 124 participants (Actual)Interventional2009-01-31Completed
A Single-arm Evaluation of the Safety of Paliperidone Extended-Release (ER) in Subjects With Schizophrenia or Schizoaffective Disorder With Hepatic Disease [NCT00535145]Phase 4121 participants (Actual)Interventional2007-10-31Completed
Early Predictors of Poor Treatment Response in Patients With Schizophrenia Treated With Atypical Antipsychotics [NCT03730857]Phase 1111 participants (Actual)Interventional2008-01-31Completed
A Phase 2a, Randomized, Double-Blind, Placebo-Controlled, Parallel-group Study to Assess the Safety and Efficacy of ASP4345 as Add-on Treatment for Cognitive Impairment in Subjects With Schizophrenia on Stable Doses of Antipsychotic Medication [NCT03557931]Phase 2233 participants (Actual)Interventional2018-07-13Completed
INVega Is Studied In an Observational Design in the Netherlands [NCT00697658]27 participants (Actual)Observational2008-03-31Completed
Open Label Extension to R076477-SCH-305 to Evaluate the Safety and Tolerability of Paliperidone ER in Subjects With Schizophrenia. [NCT00668837]Phase 3407 participants (Actual)Interventional2004-02-29Completed
An Open-label, Single-arm, Multicenter, Phase IV Study to Evaluate the Response to Treatment and Safety of Flexible Dose Treatment With Extended-release Paliperidone in Patients With Schizophrenia [NCT00915512]Phase 484 participants (Actual)Interventional2009-05-31Completed
An Open-label, Prospective, Non-Comparative Study to Evaluate Subjective Well-Being and Responses in Patients With Schizophrenia Who Had Switched to Paliperidone Extended-Release Tablets [NCT00784238]Phase 4289 participants (Actual)Interventional2008-04-30Completed
Disposition of Paliperidone Enantiomers After Treatment With Different Formulations of the Racemate and the Separate Enantiomers and the Determination of the Absolute Bioavailability of IR and ER OROS Paliperidone [NCT00796276]Phase 120 participants (Actual)Interventional2004-05-31Completed
Open-label Positron Emission Tomography (PET) Study of Central D2-receptor Occupancy in Healthy Subjects Following a Single Oral Dose of OROS Paliperidone [NCT00796432]Phase 14 participants (Actual)Interventional2003-03-31Completed
Pharmacokinetics of Paliperidone in Subjects With Moderate Hepatic Impairment as Compared to Subjects With Normal Hepatic Function. [NCT00791284]Phase 120 participants (Actual)Interventional2004-08-31Completed
Open-Label Study of Invega for the Treatment of Mania in Children and Adolescents Ages 6-17 With Bipolar I, Bipolar II, and Bipolar Spectrum Disorder [NCT00592358]Phase 417 participants (Actual)Interventional2007-11-30Terminated(stopped due to Slow enrollment.)
A Randomized, Double-Blind, Parallel-Group, Comparative Study of Flexible Doses of Paliperidone Palmitate and Flexible Doses of Risperidone Long-Acting Intramuscular Injection in Subjects With Schizophrenia [NCT00589914]Phase 31,221 participants (Actual)Interventional2007-03-31Completed
Atypical Antipsychotics and Hyperglycemic Emergencies: Multicentre, Retrospective Cohort Study of Administrative Data [NCT02582736]725,489 participants (Actual)Observational2012-04-30Completed
R076477-SCH-702: a 24 Week Open-Label Extension to R076477-SCH-302 [NCT00752427]Phase 386 participants (Actual)Interventional2004-06-30Completed
A Randomized, Multicenter, Double-Blind, Active-Controlled, Flexible-Dose, Parallel-Group Study of the Efficacy and Safety of Extended Release Paliperidone for the Treatment of Symptoms of Schizophrenia in Adolescent Subjects, 12 to 17 Years of Age [NCT01009047]Phase 3228 participants (Actual)Interventional2009-12-31Completed
A Randomized, Double-Blind, Placebo-Controlled, Parellel-Group Study of Paliperidone Palmitate Evaluating Time to Relapse in Subjects With Schizoaffective Disorder [NCT01193153]Phase 3667 participants (Actual)Interventional2010-09-30Completed
Pharmacokinetic Evaluation of the Relative Bioavailability of Three Paliperidone Extended Release (ER) Formulations With Different in Vitro Release Profiles, and Comparison to Paliperidone Immediate Release (IR), in Healthy Male Subjects [NCT00791193]Phase 180 participants (Actual)Interventional2007-03-31Completed
A Placebo- and Positive-controlled, Randomized Study Evaluating QT and QTc Intervals Following Administration of Immediate-release Paliperidone in Subjects With Schizophrenia or Schizoaffective Disorder [NCT00791349]Phase 1141 participants (Actual)Interventional2005-02-28Completed
Comparison of Steady-state Pharmacokinetics of Paliperidone After Extended-release OROS� Paliperidone 15 mg and Immediate-release Oral Risperidone 8 mg b.i.d. in Subjects With Schizophrenia or Schizoaffective Disorder [NCT00796185]Phase 162 participants (Actual)Interventional2003-08-31Completed
A Comparison of Long-Acting Injectable Medications for Schizophrenia [NCT01136772]Phase 4311 participants (Actual)Interventional2011-03-31Completed
Whole Blood and Plasma Sample Collection for the Development of Antipsychotic Immunoassays From Participants Taking Aripiprazole, Olanzapine, Paliperidone, or Risperidone [NCT02634463]Phase 181 participants (Actual)Interventional2015-11-30Completed
A Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy and Safety of Two Dosages of Paliperidone ER in the Treatment of Patients With Schizoaffective Disorder. [NCT00397033]Phase 3316 participants (Actual)Interventional2006-11-30Completed
Paliperidone and Lithium in the Treatment of Suicidality - Treatment Indication and Epigenetic Regulation [NCT01134731]Phase 454 participants (Actual)Interventional2010-05-31Completed
A Placebo-Controlled Double Blind Comparative Study of JNS007ER in Patients With Schizophrenia [NCT00396565]Phase 3394 participants (Actual)Interventional2006-07-31Completed
A Randomized, Single-Dose, Open-Label, Parallel-Group Study to Evaluate the Pharmacokinetic Profiles of LY03010 in Patients With Schizophrenia or Schizoaffective Disorder [NCT05321602]Phase 180 participants (Anticipated)Interventional2021-09-08Recruiting
A Prospective, Open-Label Study of Paliperidone ER in Adolescents and Young Adults With Autism [NCT00549562]Phase 325 participants (Actual)Interventional2007-11-30Completed
Safety, Tolerability, and Treatment Response of Paliperidone Palmitate in Subjects With Schizophrenia When Switching From Oral Antipsychotics [NCT01051531]Phase 3546 participants (Actual)Interventional2010-04-30Completed
Tolerability, Safety and Treatment Response of Flexible Doses of Paliperidone ER in Acutely Exacerbated Subjects With Schizophrenia [NCT00566631]Phase 3294 participants (Actual)Interventional2007-07-31Completed
A Randomized, Double-blind, Placebo- and Active-controlled, Parallel-group, Phase 1 Study to Compare the Tolerability of OROS Paliperidone (Extended Release) With Immediate-release (IR) Risperidone in Subjects With Schizophrenia [NCT00791232]Phase 1113 participants (Actual)Interventional2003-03-31Completed
A Randomized, Double-blind, Placebo-controlled, Parallel-group Study Evaluating QT/QTc Intervals Following Administration of Extended-release Paliperidone and Quetiapine in Subjects With Schizophrenia or Schizoaffective Disorder [NCT00791622]Phase 1110 participants (Actual)Interventional2006-01-31Completed
An Open-label Prospective, Non-comparative Study to Evaluate the Subjective Experiences Upon Transition to Paliperidone Extended Release(ER) in Subjects With Schizophrenia [NCT00761605]Phase 4387 participants (Actual)Interventional2008-04-30Completed
A Randomized, Double-Blind, Placebo-Controlled, Single and Multiple Dose Study to Evaluate and Compare the Pharmacokinetics of ER OROS Paliperidone in Healthy Japanese and Caucasian Subjects. [NCT00758030]Phase 160 participants (Actual)Interventional2004-03-31Completed
An Open-label Prospective Trial to Evaluate the Tolerability, Safety and Maintained Efficacy of a Transition to Paliperidone ER in Subjects With Schizophrenia Previously Unsuccessfully Treated With Other Oral Antipsychotics [NCT00757705]Phase 4299 participants (Actual)Interventional2008-03-31Completed
Effects of Paliperidone in Posttraumatic Stress Disorder (PTSD) [NCT00766064]Phase 40 participants (Actual)Interventional2008-09-30Withdrawn
A Blinded-initiation Study of Medication Satisfaction in Subjects With Schizophrenia Treated With Paliperidone ER After Suboptimal Response to Oral Risperidone [NCT00535132]Phase 4201 participants (Actual)Interventional2007-10-31Completed
An Open-Label Prospective, Non-Comparative Study To Explore The Tolerability, Safety and Effectiveness Upon Transition to Paliperidone Slow-Release Tablet in Schizophrenic Patients [NCT00761579]Phase 4190 participants (Actual)Interventional2008-04-30Completed
An Open Label, Prospective, Non-comparative Study to Evaluate Flexible Dose of Paliperidone Extended-Release and Clinical Response in the Treatment of Subjects With Schizophrenia [NCT00761189]Phase 4491 participants (Actual)Interventional2008-02-29Completed
A 12-Month Randomized, Open-Label Study of Caregiver Psycho-education and Skills Training in Patients Recently Diagnosed With Schizophrenia, Schizoaffective Disorder, or Schizophreniform Disorder and Receiving Paliperidone Palmitate or Oral Antipsychotic [NCT02600741]296 participants (Actual)Observational2015-07-24Completed
The Effect of Paliperidone Palmitate in Schizophrenia: A Prospective Naturalistic Case Series Study [NCT01860781]Phase 430 participants (Actual)Interventional2011-08-31Completed
A Comparative Evaluation of the Pharmacokinetics and Pharmacodynamics Under Fasting and Fed Conditions of 2 Paliperidone Extended-release Pellet Formulations With Paliperidone Oral Solution in Healthy Adults [NCT00796640]Phase 135 participants (Actual)Interventional2003-09-30Completed
Paliperidone ER Versus Risperidone for Neurocognitive Function in Patients With Schizophrenia: a Randomized, Open-label, Controlled Trial [NCT00827840]Phase 458 participants (Actual)Interventional2008-11-30Completed
An Exploratory Analysis of Immune and Inflammatory Response Associated With Clozapine Versus Non-Clozapine Antipsychotics in Individuals With Treatment-resistant Schizophrenia [NCT05741502]Phase 460 participants (Anticipated)Interventional2023-08-16Recruiting
Clinical Pharmacology Study of JNS010 (Paliperidone Palmitate) in Subjects With Schizophrenia [NCT01942382]Phase 176 participants (Actual)Interventional2009-04-30Completed
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Dose-Response Study to Evaluate the Efficacy and Safety of 3 Fixed Doses (50 mg eq., 100 mg eq., and 150 mg eq.) of Paliperidone Palmitate in Subjects With Schizophrenia [NCT00210548]Phase 3366 participants (Actual)Interventional2005-04-30Completed
Safety and Effectiveness of Paliperidone Palmitate in 25-week Treatment on Chinese Patients With Schizophrenia: an Open-label, Single-arm, Multicenter Prospective Study [NCT01947803]Phase 4353 participants (Actual)Interventional2013-09-30Completed
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Fixed-Dose, Multicenter Study of JNS010 (Paliperidone Palmitate) in Patients With Schizophrenia [NCT01299389]Phase 3323 participants (Actual)Interventional2010-10-31Completed
A 24-month, Prospective, Randomized, Active-Controlled, Open-Label, Rater-Blinded, Multicenter, International Study of the Prevention of Relapse Comparing Long-Acting Injectable Paliperidone Palmitate to Treatment as Usual With Oral Antipsychotic Monother [NCT01081769]Phase 3769 participants (Actual)Interventional2010-02-28Completed
Effectiveness, Safety and Tolerability of Flexibly Dosed Paliperidone Palmitate in Patients With Schizophrenia Previously Unsuccessfully Treated by Oral Antipsychotics and With Acute Symptom of Schizophrenia: A 13-Week, Open-label, Single-arm, Multicenter [NCT01685931]Phase 4617 participants (Actual)Interventional2012-11-30Completed
Longitudinal Comparative Effectiveness of Bipolar Disorder Therapies [NCT02893371]1,037,352 participants (Actual)Observational2016-09-30Completed
Comparison of Single-Dose Plasma and Blood Concentrations of Aripiprazole, Olanzapine, Quetiapine, Paliperidone and Risperidone After Capillary and Venous Blood Sample Collection [NCT01607762]Phase 131 participants (Actual)Interventional2012-02-29Completed
Plasma Concentrations, Metabolism and Excretion of 14C-paliperidone After a Single Oral Dose in Healthy Male Subjects [NCT00796029]Phase 15 participants (Actual)Interventional2003-07-31Completed
A Prospective Randomized Open-label 6-Month Head-To-Head Trial to Compare Metabolic Effects of Paliperidone ER and Olanzapine in Subjects With Schizophrenia [NCT00645099]Phase 3462 participants (Actual)Interventional2007-10-31Completed
Evaluation of the Effect of Carbamazepine on the Steady-state Pharmacokinetics of Paliperidone Extended Release in Clinically Stable Subjects With Schizophrenia or Bipolar I Disorder [NCT00892125]Phase 164 participants (Actual)Interventional2006-09-30Completed
A Randomized, Open-label, Crossover Study to Evaluate the Effect of Food on the Pharmacokinetics of ER OROS Paliperidone in Healthy Japanese Subjects [NCT00892320]Phase 120 participants (Actual)Interventional2004-03-31Completed
A Randomized, Multicenter, Double-Blind, Weight-Based, Fixed-Dose, Parallel-Group, Placebo-Controlled Study of the Efficacy and Safety of Extended Release Paliperidone for the Treatment of Schizophrenia in Adolescent Subjects, 12 to 17 Years of Age [NCT00518323]Phase 3201 participants (Actual)Interventional2007-08-31Completed
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study With an Open-Label Extension Evaluating Extended Release OROS® Paliperidone in the Prevention of Recurrence in Subjects With Schizophrenia - Open Label Phase [NCT00645307]Phase 3235 participants (Actual)Interventional2004-05-31Completed
A Fifteen-month, Prospective, Randomized, Active-controlled, Open-label, Flexible Dose Study of Paliperidone Palmitate Compared With Oral Antipsychotic Treatment in Delaying Time to Treatment Failure in Adults With Schizophrenia Who Have Been Incarcerated [NCT01157351]Phase 4450 participants (Actual)Interventional2010-05-31Completed
A 52-Week, Open-Label, Prospective, Multicenter, International Study of a Transition to the Paliperidone Palmitate 3-Month Formulation In Patients With Schizophrenia Previously Stabilized on the Paliperidone Palmitate 1-Month Formulation [NCT02713282]Phase 3306 participants (Actual)Interventional2016-04-28Completed
The Effect of Long-acting Antipsychotic on Schizophrenia Patients With Violence Risk : a Observational Cohort Study [NCT04064476]225 participants (Anticipated)Observational2019-08-18Enrolling by invitation
Effectiveness of Paliperidone ER(Invega®) on Depressive Symptoms of Schizophrenia Patients: A 8-week Open-label Prospective, Non-comparative Study [NCT01399450]Phase 411 participants (Actual)Interventional2011-08-31Completed
A Randomized, Double-blind, Placebo-controlled, Parallel-group Study With an Open-label Extension Evaluating Paliperidone Extended Release Tablets in the Prevention of Recurrence in Subjects With Schizophrenia [NCT00086320]Phase 3111 participants (Actual)Interventional2004-03-31Completed
The Treatment Efficacy of Combination Atypical Antipsychotics With Sertraline in Patients With Schizophrenia [NCT04076371]1,640 participants (Actual)Interventional2012-01-31Completed
The Paliperidone ER Outcomes Study of Schizophrenia Patients in Typical Clinical Practice [NCT00488891]43 participants (Actual)Observational2007-04-30Terminated(stopped due to The study was terminated because it was not enrolling at the expected rate)
A Randomized Trial to Compare the Efficiency and Side Effect Between Olanzapine and Long-acting Paliperidone Palmitate Injection in Schizophrenia [NCT02918825]100 participants (Actual)Interventional2016-09-01Completed
"The Therapeutic Window of the Atypical Antipsychotic Paliperidone Extended Release (ER)-A Positron Emission Tomography Study With [18F]Fallypride as the Radiotracer" [NCT00934635]Phase 42 participants (Actual)Interventional2009-09-30Terminated
Exploratory Study of Paliperidone in Patients With Schizophrenia to Investigate the Safety and Efficacy [NCT00257023]Phase 252 participants (Actual)Interventional2005-02-28Completed
A Randomized, Double-blind, Placebo-controlled, Parallel-group, Dose-response Study to Evaluate the Efficacy and Safety of 3 Fixed Doses (25 mg eq, 50 mg eq, and 100 mg eq) of Paliperidone Palmitate in Patients With Schizophrenia [NCT00101634]Phase 3518 participants (Actual)Interventional2004-12-31Completed
A Randomized, Double-blind, Placebo- and Active-controlled, Parallel-group, Dose-response Study to Evaluate the Efficacy and Safety of 2 Fixed Dosages of Paliperidone Extended Release Tablets and Olanzapine, With Open-label Extension, in the Treatment of [NCT00077714]Phase 312 participants (Actual)Interventional2004-01-31Completed
A Randomized Double-blind Placebo-controlled Parallel Group Study Evaluating Paliperidone Palmitate in the Prevention of Recurrence in Patients With Schizophrenia. Placebo Consists of 20% Intralipid (200 mg/mL) Injectable Emulsion. [NCT00111189]Phase 3414 participants (Actual)Interventional2005-02-28Completed
A Randomized, 6-Week Double-Blind, Placebo-Controlled Study With an Optional 24-Week Open-Label Extension to Evaluate the Safety and Tolerability of Flexible Doses of Paliperidone Extended Release in the Treatment of Geriatric Patients With Schizophrenia [NCT00085748]Phase 3114 participants (Actual)Interventional2004-08-31Completed
A Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Paliperidone ER Compared to Quetiapine in Subjects With an Acute Exacerbation of Schizophrenia [NCT00334126]Phase 3399 participants (Actual)Interventional2006-04-30Completed
A Double-blind, Placebo-controlled, Randomized Study Evaluating the Effect of Paliperidone ER Compared With Placebo on Sleep Architecture in Subjects With Schizophrenia [NCT00105326]Phase 25 participants (Actual)Interventional2005-02-28Completed
A Randomized, 6-week Double-blind, Parallel Study to Evaluate the Efficacy and the Safety of Flexible Doses of Extended Release OROS Paliperidone Compared With Olanzapine in the Treatment of Patients With Schizophrenia [NCT00350467]Phase 3288 participants (Actual)Interventional2006-06-30Completed
A Randomized, Crossover Study to Evaluate the Overall Safety and Tolerability of Paliperidone Palmitate Injected in the Deltoid or Gluteus Muscle in Patients With Schizophrenia [NCT00119756]Phase 3253 participants (Actual)Interventional2005-06-30Completed
A Randomized, Double-Blind, Parallel Group, Comparative Study of Flexibly Dosed Paliperidone Palmitate (25, 50, 75, or 100 mg eq.) Administered Every 4 Weeks and Flexibly Dosed RISPERDAL CONSTA (25, 37.5, or 50 mg) Administered Every 2 Weeks in Subjects W [NCT00210717]Phase 3748 participants (Actual)Interventional2005-02-28Completed
An Open Label Multicentre Study to Determine the Dose Distribution of Paliperidone ER in Patients With Schizophrenia [NCT00473434]Phase 364 participants (Actual)Interventional2007-04-30Completed
Different Safety Profile of Risperidone and Paliperidone Extended-release: a Double-blind, Placebo-controlled Trial With Healthy Volunteers [NCT01284959]Phase 434 participants (Actual)Interventional2010-06-30Completed
An Open-label Prospective Trial to Explore the Tolerability, Safety and Efficacy of Flexibly Dosed Paliperidone ER in Subjects With Schizophrenia [NCT00460512]Phase 31,814 participants (Actual)Interventional2007-04-25Completed
An Open-Label, Prospective, Non-Comparative Study to Evaluate the Efficacy and Safety of Paliperidone Palmitate in Subjects With Acute Schizophrenia [NCT01527305]Phase 4212 participants (Actual)Interventional2012-06-30Completed
A Randomized, Double-blind, Placebo- and Active-controlled, Parallel-group, Dose-response Study to Evaluate the Efficacy and Safety of 3 Fixed Dosages of Paliperidone Extended Release (ER) Tablets and Olanzapine, With Open-label Extension, in the Treatmen [NCT00083668]Phase 3619 participants (Actual)Interventional2004-04-30Completed
Open-label Extension of A Randomized, Double-Blind, Placebo- and Active-Controlled, Parallel-Group, Dose-Response Study to Evaluate the Efficacy and Safety of 2 Fixed Dosages of Extended Release OROS� Paliperidone (6 and 12 mg/Day) and Olanzapine (10 mg/D [NCT00210769]Phase 3203 participants (Actual)Interventional2004-01-31Completed
Pharmacokinetics, Tolerability, and Safety of Paliperidone After Repeated Intramuscular Injection of Paliperidone Palmitate in the Arm or the Buttock of Subjects With Schizophrenia [NCT00073320]Phase 388 participants (Actual)Interventional2003-08-31Completed
Randomized, Double-blind, Placebo- and Active-controlled Parallel Group, Dose-response Study to Evaluate the Efficacy and Safety of 3 Fixed Dosages of Paliperidone Extended Release (6, 9, and 12 mg/Day) and Olanzapine (10 mg/Day) With Open-label Extension [NCT00078039]Phase 3630 participants (Actual)Interventional2004-03-31Completed
Preventing Relapse: Oral Antipsychotics Compared To Injectables: Evaluating Efficacy (PROACTIVE) [NCT00330863]Phase 4357 participants (Actual)Interventional2006-05-31Completed
Augmentation of Clozapine With Paliperidone in the Treatment of Resistant Schizophrenia Randomized Controlled Study [NCT01279213]Phase 470 participants (Actual)Interventional2009-01-31Completed
A Randomized, Open-Label, Parallel, Single-Dose Study to Evaluate the Pharmacokinetic Characteristics of LY03010 Process 1 and Process 2 Drug Product Versus INVEGA SUSTENNA After Intramuscular Injection in Schizophrenia Patients [NCT04572685]Phase 136 participants (Actual)Interventional2020-01-22Completed
An Open-Label, Comparative Study of Immediate or Delayed Switch to Paliperidone Palmitate in Patients Unsatisfied With Current Oral Atypical Antipsychotics to Evaluate the Evolution of Medication Satisfaction and Adherence [NCT01682161]Phase 4154 participants (Actual)Interventional2012-01-31Completed
Randomized, Double-Blind, Active- and Placebo-Controlled, Parallel Group, Multicenter Study to Evaluate the Efficacy and Safety of Flexibly-Dosed Extended-Release Paliperidone Compared With Flexibly-Dosed Quetiapine and Placebo in the Treatment of Acute M [NCT00309699]Phase 3493 participants (Actual)Interventional2006-04-30Completed
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter Study to Evaluate the Efficacy and Safety of Flexibly-Dosed Extended-Release Paliperidone as Adjunctive Therapy to Mood Stabilizers in the Treatment of Acute Manic and Mixed Episo [NCT00309686]Phase 3300 participants (Actual)Interventional2006-04-30Completed
[NCT01742390]Phase 4120 participants (Anticipated)Interventional2013-02-28Recruiting
Randomized Multicentric Open-label Phase III Clinical Trial to Evaluate the Efficacy of Continual Treatment Versus Discontinuation Based in the Presence of Prodromes in a First Episode of Non-affective Psychosis. [NCT01765829]Phase 3104 participants (Anticipated)Interventional2012-11-30Recruiting
A Multiple-Center, Randomized, Double-Blind Study of Comparison of Paliperidone and Risperidone for Treatment of Patirnts With Methamphetamine-Associated Psychosis [NCT01822730]Phase 4120 participants (Actual)Interventional2013-02-28Completed
Randomized, Double-blind, Placebo-controlled Trial of Paliperidone Extended-Release Tablets for The Treatment of Methamphetamine Dependence in Chinese Patients After Detoxification [NCT01825928]80 participants (Actual)Interventional2013-02-28Completed
Correlation Between Cognitive Function and Relapse of Schizophrenia Regarding Dose Reduction in Patients Undergoing High-dose Antipsychotic Therapy [NCT03019887]139 participants (Actual)Interventional2011-04-30Completed
Treatment of Patients With Recently Exacerbated Schizophrenia With Paliperidone Palmitate - A Pilot Study [NCT01448720]Phase 3142 participants (Actual)Interventional2011-09-30Completed
Risk of Breakthrough Symptoms On Antipsychotic Maintenance Medication When Remitted Patients Are Treated With Long-Acting Injectable Medications [NCT05473741]180 participants (Anticipated)Observational2023-01-09Recruiting
An Open-label Prospective Trial to Explore the Tolerability, Safety and Efficacy of Flexibly Dosed Paliperidone ER in Subjects With Schizophrenia [NCT01662648]Phase 31,117 participants (Actual)Interventional2007-06-30Completed
Differences in Lipid and Cognitive Change Between One-month and 3-month Paliperidone Palmitate Treatment in Stable Schizophrenia [NCT04754750]Phase 1/Phase 272 participants (Actual)Interventional2015-01-31Completed
A Single-Dose, Open-Label, Randomized, Parallel-Group Study to Assess the Pharmacokinetics, Safety, and Tolerability of a Paliperidone Palmitate 3-Month Formulation in Subjects With Schizophrenia [NCT01559272]Phase 1328 participants (Actual)Interventional2008-02-21Completed
Clinical and Cognitive Effects of Paliperidone Palmitate vs. Oral Risperidone in First-Episode Schizophrenia [NCT01451736]Phase 4146 participants (Actual)Interventional2011-10-31Completed
Double Blinded, Placebo-Controlled Trial of Paliperidone Addition in SRI-Resistant Obsessive-Compulsive Disorder [NCT00632229]Phase 234 participants (Actual)Interventional2007-10-31Completed
A Sequential and Parallel Cohort Design to Test the Clinical Utility of Antipsychotic Medication Levels in Plasma as Determined by Liquid Chromatography-Tandem Mass Spectrometry [NCT02462473]Phase 29 participants (Actual)Interventional2015-05-31Terminated(stopped due to Due to poor enrollment sponsor terminated early after enrolling 9 in Cohort 1 and no enrollment in Cohorts 2 and 3.)
A Study to Evaluate the PK Profiles of LY03010 and Relative Bioavailability at Steady-state of LY03010 Versus INVEGA SUSTENNA in Schizophrenia Patients [NCT04922593]Phase 1281 participants (Actual)Interventional2021-01-13Completed
A Long-Term Study of JNS007ER in Patients With Schizophrenia [NCT01561898]Phase 3228 participants (Actual)Interventional2006-06-30Completed
Symptomatic Remission and Social Function in Patients Treated With Paliperidone ER [NCT01577186]Phase 4480 participants (Actual)Interventional2008-07-31Completed
Pharmacovigilance in Gerontopsychiatric Patients [NCT02374567]Phase 3407 participants (Actual)Interventional2015-01-31Terminated
The Effect of a Community-based Long-acting Antipsychotic-treated Management Model on the Violence Risk of Patients With Schizophrenia: a 1-year, Open-label Randomized Controlled Study [NCT03080194]Phase 4150 participants (Anticipated)Interventional2017-04-30Not yet recruiting
Open-label, Multicenter, Randomized Clinical Trial to Evaluate the Efficacy and Safety of Aripiprazole vs Paliperidone/Risperidone Using Multi-omics Data in Patients With a First Episode Psychosis [NCT06060886]Phase 4244 participants (Anticipated)Interventional2023-11-01Not yet recruiting
An Open-label Prospective Trial to Explore the Tolerability, Safety and Efficacy of Flexibly Dosed Paliperidone ER in Subjects With Schizophrenia [NCT01724359]Phase 495 participants (Actual)Interventional2008-02-29Completed
Efficacy and Tolerability of Flexible Doses of Paliperidone ER in Symptomatic Subjects With Schizophrenia With Duration of Illness < 10 Years [NCT01362439]Phase 4133 participants (Actual)Interventional2009-01-31Completed
A Repeated Dose Study of JNS010 (Paliperidone Palmitate) in Patients With Schizophrenia [NCT01606254]Phase 256 participants (Actual)Interventional2007-01-31Completed
Improving Metabolic Parameters of Antipsychotic Child Treatment (IMPACT) [NCT00806234]Phase 4127 participants (Actual)Interventional2009-01-31Completed
A 28-week, Randomised, Open-label Study Evaluating the Effectiveness of Aripiprazole Once-monthly Versus Paliperidone Palmitate in Adult Patients With Schizophrenia [NCT01795547]Phase 3295 participants (Actual)Interventional2013-02-28Completed
A Concierge Model of Customized Adherence Enhancement Plus Long-acting Injectable Antipsychotic (CAL-C) in Individuals With Schizophrenia at Risk for Treatment Non-adherence and for Homelessness [NCT02085447]30 participants (Actual)Interventional2014-05-31Completed
An Open Label, Prospective, Non-Comparative Study to Evaluate Flexible Dose of Paliperidone ER and Clinical Response in the Treatment of Subjects With Schizophrenia [NCT01577160]Phase 4353 participants (Actual)Interventional2008-05-31Completed
A Randomized, Open-Label, Study To Evaluate The Effect of Oral Paliperidone Extended-Release and Oral Risperidone Immediate-Release on Selected Cognitive Domains in Clinically Stable Subjects With Schizophrenia [NCT01670071]Phase 417 participants (Actual)Interventional2013-01-31Terminated(stopped due to The study was terminated due to insufficient sample size and protocol compliance issue.)
An Open-label, PRospective Study to Evaluate Social Function and Overall Improvement of Paliperidone ER Treatment in Thai Schizophrenia PatieNT (PRESENT) [NCT01387542]Phase 440 participants (Actual)Interventional2009-08-31Completed
Estimating the Optimal Dynamic Antipsychotic Treatment Regime: Sequential Multiple-assignment Randomized Clinical Antipsychotic Trials in Chinese Patients With First-episode Psychosis. [NCT03510325]Phase 41,260 participants (Anticipated)Interventional2018-10-01Not yet recruiting
An Open-label Prospective Trial to Explore the Tolerability, Safety and Efficacy of Flexibly Dosed Paliperidone ER in Non Acute Episode Subjects With Schizophrenia [NCT01541371]Phase 3405 participants (Actual)Interventional2008-07-31Completed
Cross-sectional Survey to Collect Treatment Experience Feedback From Patients, Physicians, Nurses and Carers After Switching to Paliperidone Palmitate 3-monthly [NCT03809325]225 participants (Actual)Observational2018-11-21Completed
An Open-Label Prospective Trial to Explore the Tolerability, Safety and Efficacy of Flexibly-Dosed Paliperidone ER Among Treatment-Naïve and Newly Diagnosed Patients With Schizophrenia [NCT01606228]Phase 3188 participants (Actual)Interventional2007-12-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00330863 (3) [back to overview]Substantial Clinical Deterioration Measured by Psychotic Symptoms
NCT00330863 (3) [back to overview]Side Effects and Metabolic Measures
NCT00330863 (3) [back to overview]Number of Patients Discontinuing From the Study
NCT00396565 (6) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Positive Subscale Score
NCT00396565 (6) [back to overview]Proportion of Responders (≥30% Decrease in Total Positive and Negative Syndrome Scale [PANSS])
NCT00396565 (6) [back to overview]Change From Baseline in the Total Positive and Negative Syndrome Scale (PANSS).
NCT00396565 (6) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Negative Subscale Score
NCT00396565 (6) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - General Psychopathology Subscale Score
NCT00396565 (6) [back to overview]Change From Baseline in Clinical Global Impression Scale (CGI-S)
NCT00397033 (18) [back to overview]Hamilton Rating Scale for Depression (HAM-D-21) With Baseline HAM-D-21 Total Score >= 16
NCT00397033 (18) [back to overview]Clinical Global Impression (CGI-S) - Severity for Schizoaffective Disorder Score at Baseline
NCT00397033 (18) [back to overview]Clinical Global Impression (CGI-C) - Change for Schizoaffective Disorder
NCT00397033 (18) [back to overview]Baseline Positive and Negative Symptoms of Schizophrenia (PANSS) Total Score
NCT00397033 (18) [back to overview]The Change From Baseline to Week 6 or the Last Post-randomization Assessment During Double-blind Treatment in the Positive and Negative Symptoms of Schizophrenia (PANSS) Total Score.
NCT00397033 (18) [back to overview]Change in Young Mania Rating Scale (YMRS) With Baseline YMRS Total Score >= 16
NCT00397033 (18) [back to overview]Change in Positive and Negative Symptoms of Schizophrenia (PANSS) Uncontrolled Hostility/Excitement Factor Score
NCT00397033 (18) [back to overview]Change in Positive and Negative Symptoms of Schizophrenia (PANSS) Positive Subscale Score
NCT00397033 (18) [back to overview]Change in Positive and Negative Symptoms of Schizophrenia (PANSS) Negative Subscale Score
NCT00397033 (18) [back to overview]Change in Positive and Negative Symptoms of Schizophrenia (PANSS) Negative Factor Score
NCT00397033 (18) [back to overview]Change in Positive and Negative Symptoms of Schizophrenia (PANSS) General Psychopathology Subscale Score
NCT00397033 (18) [back to overview]Change in Positive and Negative Symptoms of Schizophrenia (PANSS) Anxiety/Depression Factor Score
NCT00397033 (18) [back to overview]Change in Hamilton Rating Scale for Depression (HAM-D-21) With Baseline HAM-D-21 Total Score >= 16
NCT00397033 (18) [back to overview]Change in Clinical Global Impression (CGI-S) - Severity for Schizoaffective Disorder
NCT00397033 (18) [back to overview]Young Mania Rating Scale (YMRS) With Baseline YMRS Total Score >= 16
NCT00397033 (18) [back to overview]Positive and Negative Symptoms of Schizophrenia (PANSS) Positive Factor Score
NCT00397033 (18) [back to overview]Number of Participants With Response
NCT00397033 (18) [back to overview]Change in Positive and Negative Symptoms of Schizophrenia (PANSS) Disorganized Thought Factor Score
NCT00412373 (18) [back to overview]Positive and Negative Symptoms of Schizophrenia (PANSS) Total Score at Baseline.
NCT00412373 (18) [back to overview]Clinical Global Impression (CGI-C) - Change for Schizoaffective Disorder
NCT00412373 (18) [back to overview]Clinical Global Impression (CGI-S) - Severity for Schizoaffective Disorder - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.
NCT00412373 (18) [back to overview]Clinical Global Impression (CGI-S) - Severity for Schizoaffective Disorder Score at Baseline
NCT00412373 (18) [back to overview]Hamilton Rating Scale for Depression (HAM-D-21) With Baseline HAM-D-21 Total Score >= 16 - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.
NCT00412373 (18) [back to overview]Participants With Response
NCT00412373 (18) [back to overview]Positive and Negative Symptoms of Schizophrenia (PANSS) Disorganized Thought Factor Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.
NCT00412373 (18) [back to overview]Positive and Negative Symptoms of Schizophrenia (PANSS) General Psychopathology Subscale Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.
NCT00412373 (18) [back to overview]Positive and Negative Symptoms of Schizophrenia (PANSS) Negative Subscale Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.
NCT00412373 (18) [back to overview]Positive and Negative Symptoms of Schizophrenia (PANSS) Positive Factor Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.
NCT00412373 (18) [back to overview]Positive and Negative Symptoms of Schizophrenia (PANSS) Positive Subscale Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.
NCT00412373 (18) [back to overview]Positive and Negative Symptoms of Schizophrenia (PANSS) Total Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.
NCT00412373 (18) [back to overview]Positive and Negative Symptoms of Schizophrenia (PANSS) Negative Factor Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.
NCT00412373 (18) [back to overview]Positive and Negative Symptoms of Schizophrenia (PANSS) Anxiety/Depression Factor Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.
NCT00412373 (18) [back to overview]Positive and Negative Symptoms of Schizophrenia (PANSS) Uncontrolled Hostility/Excitement Factor Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.
NCT00412373 (18) [back to overview]Young Mania Rating Scale (YMRS) With Baseline YMRS Total Score >= 16 - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.
NCT00412373 (18) [back to overview]Baseline Hamilton Rating Scale for Depression (HAM-D-21) With Baseline HAM-D-21 Total Score >= 16
NCT00412373 (18) [back to overview]Baseline Young Mania Rating Scale (YMRS) With Baseline YMRS Total Score >= 16
NCT00473434 (11) [back to overview]The Mean Overall Average Daily-prescribed Dose of Paliperidone Extended Release (ER) From Week 0 to Week 12
NCT00473434 (11) [back to overview]The Mean Modal Prescribed Daily Dose of Paliperidone Extended Release (ER) From Day 57 to Day 84
NCT00473434 (11) [back to overview]The Mean Modal Prescribed Daily Dose of Paliperidone Extended Release (ER) From Day 1 to Day 84
NCT00473434 (11) [back to overview]The Length of Hospitalizations Throughout the Study
NCT00473434 (11) [back to overview]The Global Assessment of Functioning (GAF) Throughout the Study
NCT00473434 (11) [back to overview]The Clinical Global Impression of Severity (CGI-S) Throughout the Study
NCT00473434 (11) [back to overview]The Median Modal Prescribed Daily Dose of Paliperidone Extended Release (ER) From Day 57 to Day 84
NCT00473434 (11) [back to overview]The Percentage of Participants Presenting Clinical Deterioration Throughout the Study
NCT00473434 (11) [back to overview]The Number of Hospitalizations Throughout the Study
NCT00473434 (11) [back to overview]The Median Overall Average Daily-prescribed Dose of Paliperidone Extended Release (ER) From Week 0 to Week 12
NCT00473434 (11) [back to overview]The Median Modal Prescribed Daily Dose of Paliperidone Extended Release (ER) From Day 1 to Day 84
NCT00488319 (20) [back to overview]Change From Open Label Baseline to Open Label Endpoint - Cognitive Domain: Social Cognition Domain Test Variable - Theory of Mind-Total - Last Observation Carried Forward
NCT00488319 (20) [back to overview]The Number of Participants Who Experienced Adverse Events as a Measure of Safety and Tolerability
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint in the Positive and Negative Syndrome Scale for Schizophrenia (PANSS) Based on Marder Factors - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Motor Speed Domain Test Variable, Finger Tapping Dominant- and Non-Dominant Hand, Scaled - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint in the Sleep Visual Analog Scale (VAS): Daytime Drowsiness - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Attention/Working Memory Domain Test Variable Digit Span, Scaled - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint in the Clinical Global Impression Severity (CGI-S) Scale - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Verbal Learning and Memory Domain Test Variable California Verbal Learning Test-Total Trials, Scaled - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint in the Children's Global Assessment Scale (CGAS) - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint in Positive and Negative Syndrome Scale for Schizophrenia (PANSS) Scores - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Visual Learning and Memory Domain Test Variable, Rey Complex Figure Test - Total, Scaled - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint in the Sleep Visual Analog Scale (VAS): Quality of Sleep - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Speed of Processing Domain Test Variable Semantic Verbal Fluency, Scaled - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Attention/Working Memory Domain Test Variable Coding, Scaled - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Speed of Processing Domain Test Variable Child Color Trials Test 1 Time: Scaled - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Executive Functioning (Reasoning and Problem Solving) Domain Test Variable, Trials Part B Time, Scaled - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Executive Functioning (Reasoning and Problem Solving) Domain Test Variable - Wisconsin Card Sort Test-Total Errors: Scaled - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Speed of Processing Domain Test Variable Phonetic Verbal Fluency: Scaled - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open-label Baseline to Open-label - Cognitive Domain: Verbal Learning and Memory Domain Test Variable Wide Range Assessment of Memory and Learning Story - Total, Scaled - Last Observation Carried Forward
NCT00488319 (20) [back to overview]Change From Open Label Baseline to Open Label Endpoint - Cognitive Domain: Speed of Processing Domain Test Variable Trials Part A Time: Scaled - Last Observation Carried Forward
NCT00490971 (7) [back to overview]Clinical Global Impression - Bipolar Disorder - Severity of Illness (CGI-BP-S): Change From Baseline
NCT00490971 (7) [back to overview]Global Assessment of Functioning (GAF): Change From Baseline
NCT00490971 (7) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT00490971 (7) [back to overview]Time to Recurrence of Depressive Symptoms Associated With Bipolar I Disorder
NCT00490971 (7) [back to overview]Young Mania Rating Scale (YMRS): Change From Baseline
NCT00490971 (7) [back to overview]Time to Recurrence of Any Mood Symptoms (Manic or Depressive) Associated With Bipolar I Disorder
NCT00490971 (7) [back to overview]Time to Recurrence of Manic Symptoms Associated With Bipolar I Disorder
NCT00518323 (5) [back to overview]Change From Baseline to End Point in Sleep Visual Analog Scale (VAS) for Quality of Sleep.
NCT00518323 (5) [back to overview]Change From Baseline to End Point in Sleep VAS for Daytime Drowsiness
NCT00518323 (5) [back to overview]Change From Baseline to End Point in Clinical Global Impression-Severity (CGI-S) Scale
NCT00518323 (5) [back to overview]Change From Baseline to End Point in Children's Global Assessment (CGAS) Score
NCT00518323 (5) [back to overview]Change in the PANSS Total Score From Baseline to the Last Postrandomization Assessment in the Double-blind Period of the Study.
NCT00524043 (5) [back to overview]Change From Baseline to End Point (Week 6 or the Last Assessment After the Baseline Assessment) in MOS SF-36 Mental Component Summary Scale Score
NCT00524043 (5) [back to overview]Change From Baseline to End Point (Week 6 or the Last Assessment After the Baseline Assessment) in MOS SF-36 Physical Component Summary Scale Score
NCT00524043 (5) [back to overview]Change From Baseline to End Point (Week 6 or the Last Assessment After the Baseline Assessment) in PSP Score
NCT00524043 (5) [back to overview]Change From Baseline to the End of the Double-blind Treatment Phase (Week 6 or the Last Assessment Obtained After the Baseline Assessment) in CGI-S
NCT00524043 (5) [back to overview]Change From Baseline in PANSS Total Score at the End of the Double-blind Treatment Phase (Week 6 or the Last Assessment Obtained After the Baseline Assessment).
NCT00535132 (15) [back to overview]Treatment Satisfaction Questionnaire for Medication (TSQM) Global Satisfaction Score Change From Baseline to the Week 6 Endpoint
NCT00535132 (15) [back to overview]Medication Satisfaction Questionnaire (MSQ) - Categorical Summary - Dichotomized Categories - Week 2 (Observed).
NCT00535132 (15) [back to overview]Medication Satisfaction Questionnaire (MSQ) - Categorical Summary - Dichotomized Categories - Week 4 (Observed).
NCT00535132 (15) [back to overview]Medication Satisfaction Questionnaire (MSQ) - Categorical Summary - Dichotomized Categories - Week 6 (Observed).
NCT00535132 (15) [back to overview]Medication Satisfaction Questionnaire (MSQ) - Categorical Summary - Dichotomized Categories - Week 6 LOCF.
NCT00535132 (15) [back to overview]Pittsburgh Sleep Quality Index (PSQI) Change From Baseline to the Week 6 Endpoint
NCT00535132 (15) [back to overview]Medication Satisfaction Questionnaire (MSQ) Score Change From Baseline to Week 6 (Observed).
NCT00535132 (15) [back to overview]Short Form-36 Health Survey (SF-36) Physical Health Composite Score Change From Baseline to the Week 6 Endpoint
NCT00535132 (15) [back to overview]Medication Satisfaction Questionnaire (MSQ) Score Change From Baseline to Week 4 (Observed).
NCT00535132 (15) [back to overview]Medication Satisfaction Questionnaire (MSQ) Score Change From Baseline to the Week 6 Endpoint.
NCT00535132 (15) [back to overview]Clinical Global Impression - Severity (CGI-S) Change From Baseline to Week 6 Endpoint
NCT00535132 (15) [back to overview]Medication Satisfaction Questionnaire (MSQ) Score Change From Baseline to Week 2 (Observed).
NCT00535132 (15) [back to overview]Short Form-36 Health Survey (SF-36) Mental Health Composite Score Change From Baseline to the Week 6 Endpoint
NCT00535132 (15) [back to overview]Positive and Negative Syndrome Scale (PANSS) Total Score Change From Baseline to Week 6 Endpoint
NCT00535132 (15) [back to overview]Modified COVI Anxiety Scale (m-COVI) Change From Baseline to the Week 6 Endpoint
NCT00535145 (4) [back to overview]The Difference in the Incidence of Any Adverse Events When Patients Switch Their Antipsychotic From Treatment as Usual (TAU) to Paliperidone ER
NCT00535145 (4) [back to overview]Positive and Negative Symptoms of Schizophrenia (PANSS) Change From Baseline
NCT00535145 (4) [back to overview]Clinical Global Impression of Severity (CGI-S) Change From Baseline
NCT00535145 (4) [back to overview]Personal and Social Performance Score (PSP) Change From Baseline
NCT00549562 (5) [back to overview]The Children's Yale-Brown Obsessive Compulsive Scale Modified for Pervasive Developmental Disorders
NCT00549562 (5) [back to overview]The Clinical Global Impression-Improvement(CGI-I)
NCT00549562 (5) [back to overview]The Social Responsiveness Scale
NCT00549562 (5) [back to overview]The Aberrant Behavior Checklist
NCT00549562 (5) [back to overview]The Vineland Adaptive Behavior Scales (VABS) - Maladaptive Behavior Domain
NCT00566631 (12) [back to overview]Number of Participants Satisfied With the Study Treatment
NCT00566631 (12) [back to overview]Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score
NCT00566631 (12) [back to overview]Change From Baseline in Total Positive and Negative Symptom Scale (PANSS) Score at Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
NCT00566631 (12) [back to overview]Number of Participants With Treatment Response Based on Total PANSS Scale Score
NCT00566631 (12) [back to overview]Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Score at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
NCT00566631 (12) [back to overview]Change From Baseline in Clinical Global Impression -Severity (CGI-S) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
NCT00566631 (12) [back to overview]Change From Baseline in Day Time Drowsiness Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
NCT00566631 (12) [back to overview]Change From Baseline in Global Rating Sub-scale Score Based on Barnes Akathisia Rating Scale (BARS) at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
NCT00566631 (12) [back to overview]Change From Baseline in Personal and Social Performance Scale (PSP) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
NCT00566631 (12) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)
NCT00566631 (12) [back to overview]Change From Baseline in Quality of Sleep Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)
NCT00566631 (12) [back to overview]Change From Baseline in Simpson Angus Extrapyramidal Symptoms Rating Scale (SAS) Score at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)
NCT00589914 (3) [back to overview]Change in the Positive and Negative Syndrome Scale (PANSS) Total Score for Schizophrenia
NCT00589914 (3) [back to overview]The Change From Baseline for the CGI-S Score
NCT00589914 (3) [back to overview]The Change From Baseline in the PSP Score
NCT00590577 (3) [back to overview]Change in Personal and Social Performance Scale (PSP) Score From Baseline to Week 13 or the Last Post-baseline Assessment.
NCT00590577 (3) [back to overview]Change in Positive and Negative Syndrome Scale (PANSS) Total Score From Baseline to Week 13 or the Last Post-baseline Assessment
NCT00590577 (3) [back to overview]Change in Clinical Global Impression-Severity (CGI-S) Scores From Baseline to Week 13 or the Last Post-baseline Assessment
NCT00592358 (2) [back to overview]Change in Symptoms Measured by DSM-IV Mania Symptoms Checklist
NCT00592358 (2) [back to overview]Change in Symptoms Measured by Young Mania Rating Scale (YMRS)
NCT00604279 (5) [back to overview]Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Day 92 or Early Withdrawal
NCT00604279 (5) [back to overview]Change From Baseline in Personal and Social Performance (PSP) Score at Day 92 or Early Withdrawal
NCT00604279 (5) [back to overview]Change From Baseline in the Sleep Visual Analog Scale (VAS) Score at Day 92 or Early Withdrawal
NCT00604279 (5) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Day 92 or Early Withdrawal
NCT00604279 (5) [back to overview]Percentage of Participants Who Responded to PANSS Total Score at Day 92 or Early Withdrawal
NCT00632229 (2) [back to overview]Yale Brown Obsessive Compulsive Scale
NCT00632229 (2) [back to overview]Clinical Global Impressions - Severity of Obsessive-Compulsive Symptoms
NCT00645099 (19) [back to overview]Number of Patients First Meeting the NCEP/ATP III Criteria for Metabolic Syndrome During Follow-up
NCT00645099 (19) [back to overview]Number of Patients Meeting the Criteria for Type 2 Diabetes Mellitus During Follow-up
NCT00645099 (19) [back to overview]Change From Baseline to End Point in Low Density Lipoprotein Cholesterol (Friedwald QT)
NCT00645099 (19) [back to overview]Change From Baseline to End Point in the Triglycerides (TG) to High Density Lipoprotein (HDL) Ratio (TG:HDL Ratio)
NCT00645099 (19) [back to overview]Change From Baseline to End Point in Homeostatic Model Assessment of Beta-cell Function (HOMA-%B)
NCT00645099 (19) [back to overview]Change From Baseline to End Point in Homeastatic Model Assessment of Insulin Resistance (HOMA-IR)
NCT00645099 (19) [back to overview]Change From Baseline to End Point in High Density Lipoprotein
NCT00645099 (19) [back to overview]Change From Baseline at End Point of the Insulinogenic Index
NCT00645099 (19) [back to overview]Change From Baseline at End Point of Mari-Type Analysis of Glucose Sensitivity for Insulin
NCT00645099 (19) [back to overview]Change From Baseline at End Point in Waist Circumference
NCT00645099 (19) [back to overview]Change From Baseline at End Point in Body Weight
NCT00645099 (19) [back to overview]Change From Baseline to End Point in Total Cholesterol
NCT00645099 (19) [back to overview]Change From Baseline to End Point in Total Positive and Negative Syndrome Scale Score (PANSS)
NCT00645099 (19) [back to overview]Change From Baseline to End Point in Converted Insulin
NCT00645099 (19) [back to overview]Change From Baseline at End Point in Body Mass Index (BMI)
NCT00645099 (19) [back to overview]Change From Baseline to End Point in Fasting Glucose
NCT00645099 (19) [back to overview]Number of Patients With Onset of Impaired Glucose Tolerance
NCT00645099 (19) [back to overview]Change From Baseline to End Point in Triglycerides
NCT00645099 (19) [back to overview]Number of Patients With Impaired Fasting Glucose
NCT00757705 (9) [back to overview]Change From Baseline in Global Assessment of Functioning (GAF) Score at Week 24
NCT00757705 (9) [back to overview]Number of Participants With Satisfaction With the Study Treatment
NCT00757705 (9) [back to overview]Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24
NCT00757705 (9) [back to overview]Change From Baseline in Sleep Quality and Daytime Drowsiness Score at Week 24
NCT00757705 (9) [back to overview]Change From Baseline in Short-Form 36 Health Survey (SF-36) Score at Week 24
NCT00757705 (9) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 24
NCT00757705 (9) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 24
NCT00757705 (9) [back to overview]Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Week 24
NCT00757705 (9) [back to overview]Percentage of Participants With at Least 20 Percent Improvement in Positive and Negative Syndrome Scale (PANSS) Total Score
NCT00761189 (12) [back to overview]Drug Attitude Inventory (DAI) Score - Per Protocol (PP) Population
NCT00761189 (12) [back to overview]Drug Attitude Inventory (DAI) Score - Intent-to-treat (ITT) Population
NCT00761189 (12) [back to overview]Clinical Global Impression - Severity (CGI-S) Score - Per Protocol (PP) Population
NCT00761189 (12) [back to overview]Clinical Global Impression - Severity (CGI-S) Score - Intent-to-treat (ITT) Population
NCT00761189 (12) [back to overview]Percentage of Participants Continuously Treated With 6 Milligram Per Day Regimen Until Week 12 - Per Protocol (PP) Population
NCT00761189 (12) [back to overview]Percentage of Participants Continuously Treated With 6 Milligram Per Day Regimen Until Week 12 - Intent-to-treat (ITT) Population
NCT00761189 (12) [back to overview]Percentage of Participants Assessed as Very Much Improved or Much Improved Based on Clinical Global Impression-Improvement (CGI-I) Scale - Intent-to-treat (ITT) Population
NCT00761189 (12) [back to overview]Personal and Social Performance (PSP) Scale Score - Intent-to-treat (ITT) Population
NCT00761189 (12) [back to overview]Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Intent-to-treat (ITT) Population
NCT00761189 (12) [back to overview]Percentage of Participants Assessed as Very Much Improved or Much Improved Based on Clinical Global Impression-Improvement (CGI-I) Scale - Per Protocol (PP) Population
NCT00761189 (12) [back to overview]Personal and Social Performance (PSP) Scale Score - Per Protocol (PP) Population
NCT00761189 (12) [back to overview]Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Per Protocol (PP) Population
NCT00761579 (10) [back to overview]Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale Score at Week 48
NCT00761579 (10) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Positive Subscale Score at Week 48
NCT00761579 (10) [back to overview]Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 48
NCT00761579 (10) [back to overview]Change From Baseline in Sleep Quality at Week 48
NCT00761579 (10) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - General Psychopathology Subscale Score at Week 48
NCT00761579 (10) [back to overview]Change From Baseline in Personal and Social Performance Scale (PSP) Score at Week 48
NCT00761579 (10) [back to overview]Change From Baseline in Daytime Drowsiness at Week 48
NCT00761579 (10) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 48
NCT00761579 (10) [back to overview]Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 48
NCT00761579 (10) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Negative Subscale Score at Week 48
NCT00761605 (8) [back to overview]Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24
NCT00761605 (8) [back to overview]Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24
NCT00761605 (8) [back to overview]Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score at Week 24
NCT00761605 (8) [back to overview]Change From Baseline in Clinical Global Impression - Improvement (CGI-I) Score at Week 24
NCT00761605 (8) [back to overview]Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24
NCT00761605 (8) [back to overview]Change From Baseline in Krawiecka Scale Score at Week 24
NCT00761605 (8) [back to overview]Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24
NCT00761605 (8) [back to overview]Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24
NCT00784238 (14) [back to overview]Change From Baseline in Emotional Regulation Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24
NCT00784238 (14) [back to overview]Change From Baseline in Mental Functioning Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24
NCT00784238 (14) [back to overview]Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24
NCT00784238 (14) [back to overview]Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24
NCT00784238 (14) [back to overview]Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24
NCT00784238 (14) [back to overview]Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24
NCT00784238 (14) [back to overview]Change From Baseline in Krawiecka Scale Score at Week 24
NCT00784238 (14) [back to overview]Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24
NCT00784238 (14) [back to overview]Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24
NCT00784238 (14) [back to overview]Drug Attitude Inventory (DAI-10) Total Score at Week 24
NCT00784238 (14) [back to overview]Change From Baseline in Social Integration Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24
NCT00784238 (14) [back to overview]Change From Baseline in Self-Control Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24
NCT00784238 (14) [back to overview]Change From Baseline in Physical Functioning Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24
NCT00784238 (14) [back to overview]Subjective Well-being Under Neuroleptic (SWN-20) Scale Total Score at Week 24
NCT00806234 (4) [back to overview]Body Mass Index (BMI) Z-score Change
NCT00806234 (4) [back to overview]Change in Low Density Lipoprotein (LDL) Cholesterol Level
NCT00806234 (4) [back to overview]Change in Whole Body Insulin Sensitivity Index
NCT00806234 (4) [back to overview]Triglyceride Levels
NCT00934635 (1) [back to overview]Percentage of Paliperidone or Risperidone Dopamine D2 Receptor Occupancies
NCT01009047 (9) [back to overview]Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score at Days 56 and 182
NCT01009047 (9) [back to overview]Number of Participants With Clinical Stability
NCT01009047 (9) [back to overview]Change From Baseline in Other PANSS Factors and Subscales at Day 56 and 182
NCT01009047 (9) [back to overview]Number of Participants With PANSS Response
NCT01009047 (9) [back to overview]Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at Day 56
NCT01009047 (9) [back to overview]Change From Baseline in Marder Factor Negative Symptoms Score at Day 56 and 182
NCT01009047 (9) [back to overview]Change From Baseline in PANSS Total Score at Day 182
NCT01009047 (9) [back to overview]Change From Baseline in Personal and Social Performance (PSP) Scores at Day 56 and 182
NCT01009047 (9) [back to overview]Change From Baseline in Other Marder Factors Scores at Day 56 and 182
NCT01010776 (18) [back to overview]Change From Baseline in Pittsburg Sleep Quality Index (PSQI) Score at Week 4, 8, 13 and 26 - Main Phase
NCT01010776 (18) [back to overview]Change From Baseline in Positive and Negative PANSS Subscales Score at Week 4, 8, 13 and 26 - Main Phase
NCT01010776 (18) [back to overview]Change From Baseline in Positive and Negative PANSS Subscales Score at Week 4, 8, 13, 26, 39 and 52 - Main Phase Plus Extension Phase
NCT01010776 (18) [back to overview]Change From Baseline in PSP Scale Score at Week 4, 8, 13, 26, 39 and 52 - Main Phase Plus Extension Phase
NCT01010776 (18) [back to overview]Change From Baseline PSQI Score at Week 4, 8, 13, 26, 39 and 52 - Main Phase Plus Extension Phase
NCT01010776 (18) [back to overview]Number of Participants With Clinical Global Impression-Severity (CGI-S) Score - Extension Phase
NCT01010776 (18) [back to overview]Percentage of Participants With Treatment Satisfaction-Main Phase Plus Extension Phase
NCT01010776 (18) [back to overview]Percentage of Participants With Treatment Satisfaction - Main Phase
NCT01010776 (18) [back to overview]Number of Participants With Clinical Global Impression-Severity (CGI-S) Score - Main Phase
NCT01010776 (18) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 26 - Main Phase
NCT01010776 (18) [back to overview]Percentage of Participants With Treatment Response in PANSS Total Score - Main Phase
NCT01010776 (18) [back to overview]Percentage of Participants With Treatment Response in PANSS Total Score - Main Phase Plus Extension Phase
NCT01010776 (18) [back to overview]36-Item Short-Form Health Survey (SF-36) Score - Main Phase
NCT01010776 (18) [back to overview]36-Item Short-Form Health Survey (SF-36) Score - Main Phase Plus Extension Phase
NCT01010776 (18) [back to overview]Change From Baseline in ESRS Total Score at Week 4, 8, 13, 26, 39 and 52 - Main Phase Plus Extension Phase
NCT01010776 (18) [back to overview]Change From Baseline in Extrapyradimal Symptoms Rating Scale (ESRS) Total Score at Week 4, 8, 13 and 26 - Main Phase
NCT01010776 (18) [back to overview]Change From Baseline in PANSS Total Score at Week 52 - Main Phase Plus Extension Phase
NCT01010776 (18) [back to overview]Change From Baseline in Personal and Social Performance (PSP) Scale Score at Week 4, 8, 13 and 26 - Main Phase
NCT01081769 (15) [back to overview]Change From Baseline in Patient's Treatment Satisfaction
NCT01081769 (15) [back to overview]Change From Baseline in PANSS Total Score
NCT01081769 (15) [back to overview]Change From Baseline in PANSS Subscale Score
NCT01081769 (15) [back to overview]Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) VAS Score
NCT01081769 (15) [back to overview]Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) Index Score
NCT01081769 (15) [back to overview]Number of Participants With a Relapse Event
NCT01081769 (15) [back to overview]Percentage of Treatment Responders
NCT01081769 (15) [back to overview]Change From Baseline in Subjective Well-Being Under Neuroleptics-Short Form (SWN-S) Total Score
NCT01081769 (15) [back to overview]Change From Baseline in Short Form-36 Health Survey (SF-36)
NCT01081769 (15) [back to overview]Change From Baseline in Physician's Treatment Satisfaction
NCT01081769 (15) [back to overview]Changes From Baseline in Personal and Social Performance (PSP) Total Score
NCT01081769 (15) [back to overview]Change From Baseline in PANSS Marder Factor Scores
NCT01081769 (15) [back to overview]Time to First Relapse Event
NCT01081769 (15) [back to overview]Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
NCT01081769 (15) [back to overview]Clinical Global Impression-Change (CGI-C)
NCT01134731 (2) [back to overview]Mean Score of Montgomery-Asberg Depression Scale of Three Treatment Groups (Paliperidone, Lithium and Placebo) After 3 Months of Treatment
NCT01134731 (2) [back to overview]Mean Score of Beck Scale for Suicidal Ideation of Three Treatment Groups (Paliperidone, Lithium and Placebo) After 3 Months of Treatment
NCT01136772 (2) [back to overview]Changes in Psychiatric Symptoms
NCT01136772 (2) [back to overview]Efficacy Failure
NCT01157351 (6) [back to overview]Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score During Overall Treatment Duration
NCT01157351 (6) [back to overview]Change From Baseline in Personal and Social Performance (PSP) Total Score During Overall Treatment Duration
NCT01157351 (6) [back to overview]Time to First Psychiatric Hospitalization
NCT01157351 (6) [back to overview]Time to First Psychiatric Hospitalization or Arrest/Incarceration
NCT01157351 (6) [back to overview]Time to First Treatment Failure
NCT01157351 (6) [back to overview]Percentage of Participants in Each Event Category of First Treatment Failure
NCT01193153 (13) [back to overview]Double-blind: Number of Participants With Personal and Social Performance (PSP) Categorical Scores
NCT01193153 (13) [back to overview]Double-blind: Change From Baseline in Personal and Social Performance (PSP) Total Score at Week 64 (Total Mixed Model Repeated Measures [MMRM] Analysis of Covariance [ANCOVA])
NCT01193153 (13) [back to overview]Double-blind: Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Endpoint
NCT01193153 (13) [back to overview]Double-blind: Change From Baseline in Young Mania Rating Scale (YMRS) Total Score at Endpoint
NCT01193153 (13) [back to overview]Open-label: Change From Baseline in Clinical Global Impression - Severity Schizoaffective Scale (CGI-S-SCA) Overall Score at Endpoint
NCT01193153 (13) [back to overview]Open-label: Change From Baseline in Hamilton Rating Scale for Depression (HAM-D-21) Total Score at Endpoint
NCT01193153 (13) [back to overview]Open-label: Change From Baseline in Personal and Social Performance (PSP) Total Score at Endpoint
NCT01193153 (13) [back to overview]Open-label: Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Endpoint
NCT01193153 (13) [back to overview]Open-label: Change From Baseline in Young Mania Rating Scale (YMRS) Total Score at Endpoint
NCT01193153 (13) [back to overview]Double-blind: Percentage of Participants Who Experienced Relapse
NCT01193153 (13) [back to overview]Double-blind: Change From Baseline in Clinical Global Impression - Severity Schizoaffective Scale (CGI-S-SCA) Overall Score at Endpoint
NCT01193153 (13) [back to overview]Double-blind: Change From Baseline in Hamilton Rating Scale for Depression (HAM-D-21) Total Score at Endpoint
NCT01193153 (13) [back to overview]Double-blind: Change From Baseline in Personal and Social Performance (PSP) Total Score at Endpoint
NCT01284959 (7) [back to overview]Assessment of Cognitive Functioning-3
NCT01284959 (7) [back to overview]Assessment of Negative Symptoms and Neuroleptic Induced Deficit Syndromes by Objective Rating Scales
NCT01284959 (7) [back to overview]Symptoms Assessment by Objective Rating Scales
NCT01284959 (7) [back to overview]Assessment of Cognitive Functioning-1
NCT01284959 (7) [back to overview]Assessment of Adverse Events by Objective Rating Scales and Self Report Scales
NCT01284959 (7) [back to overview]Assessment of Adverse Events by Objective Rating Scales and Self Report Scales
NCT01284959 (7) [back to overview]Assessment of Cognitive Functioning-2
NCT01299389 (7) [back to overview]Change From Baseline in PANSS Negative Subscale Score at Week 13 or Early Discontinuation
NCT01299389 (7) [back to overview]Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at Week 13 or Early Discontinuation
NCT01299389 (7) [back to overview]Change From Baseline in PANSS Marder Subscale Scores at Week 13 or Early Discontinuation
NCT01299389 (7) [back to overview]Change From Baseline in PANSS Positive Subscale Score at Week 13 or Early Discontinuation
NCT01299389 (7) [back to overview]Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score at Week 13 or Early Discontinuation
NCT01299389 (7) [back to overview]Change From Baseline in PANSS General Psychopathology Subscale Score at Week 13 or Early Discontinuation
NCT01299389 (7) [back to overview]Participants With Response to the Treatment as Per PANSS Total Score.
NCT01362439 (12) [back to overview]Quality of Sleep Score
NCT01362439 (12) [back to overview]Daytime Drowsiness Evaluation Scale
NCT01362439 (12) [back to overview]Clinical Global Impression-Severity Scale (CGI-S)
NCT01362439 (12) [back to overview]Change in Positive and Negative Syndrome Scale (PANSS) General Psychopathology Subscale Score at Week 13
NCT01362439 (12) [back to overview]Change in Positive and Negative Syndrome Scale (PANSS) - Positive Subscale Score at Week 13
NCT01362439 (12) [back to overview]Change From Baseline in Subjective Well-being Under Neuroleptic (SWN 20) Scale at Week 13
NCT01362439 (12) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Total Score at Week 13
NCT01362439 (12) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Negative Subscale Score at Week 13
NCT01362439 (12) [back to overview]Change From Baseline in Personal and Social Performance Scale (PSP) at Week 13
NCT01362439 (12) [back to overview]Change From Baseline in Drug Attitude Inventory (DAI 30) Scale at Week 13
NCT01362439 (12) [back to overview]Percentage of Participants With Greater Than or Equal to 30 Percent Treatment Response in Total Positive and Negative Syndrome Scale (PANSS) Score
NCT01362439 (12) [back to overview]Extrapyramidal Symptoms Scale (ESRS) Subscale Scores and Total Scores
NCT01387542 (4) [back to overview]Change From Baseline in Personal and Social Performance (PSP) Total Score at Week 10
NCT01387542 (4) [back to overview]Change From Baseline in Personal and Social Performance (PSP) Total Score at Week 2
NCT01387542 (4) [back to overview]Change From Baseline in Personal and Social Performance (PSP) Total Score at Week 6
NCT01387542 (4) [back to overview]Change From Baseline in Clinical Global Impression Severity (CGI-S) Scale at Week 10
NCT01541371 (8) [back to overview]Number of Participants With Satisfaction With the Study Treatment
NCT01541371 (8) [back to overview]Change From Baseline in Sleep and Daytime Drowsiness Evaluation Score at Week 12
NCT01541371 (8) [back to overview]Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 12
NCT01541371 (8) [back to overview]Percentage of Participants With Response to Positive and Negative Syndrome Scale (PANSS) Total Score
NCT01541371 (8) [back to overview]Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Week 12
NCT01541371 (8) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 12
NCT01541371 (8) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Subscale Scores at Week 12
NCT01541371 (8) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 12
NCT01561898 (3) [back to overview]Change From Baseline in Clinical Global Impression - Severity (CGI-S)
NCT01561898 (3) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS)
NCT01561898 (3) [back to overview]Incidence of Adverse Events
NCT01577160 (5) [back to overview]Change From Baseline in Drug Attitude Inventory (DAI-10) Score at Week 12
NCT01577160 (5) [back to overview]Percentage of Responders as Per Clinical Global Impression - Improvement (CGI-I) Scale
NCT01577160 (5) [back to overview]Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score at Week 12
NCT01577160 (5) [back to overview]Number of Participants With Clinical Global Impression - Improvement (CGI-I) Score
NCT01577160 (5) [back to overview]Change From Baseline in Personal and Social Performance (PSP) Score at Week 12
NCT01577186 (5) [back to overview]Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 12
NCT01577186 (5) [back to overview]Social Functioning Scale (SFS) Score
NCT01577186 (5) [back to overview]Percentage of Participants Achieving Symptomatic Remission by Means of Positive and Negative Syndrome Scale (PANSS)
NCT01577186 (5) [back to overview]Percentage of Participants Achieving Improvement in Personal and Social Performance (PSP) Score by at Least One Category on PSP Scale
NCT01577186 (5) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 12
NCT01606228 (12) [back to overview]Clinical Global Impression-Severity (CGIS) Scores at Day 90
NCT01606228 (12) [back to overview]Clinical Global Impression-Severity (CGIS) Scores at Baseline
NCT01606228 (12) [back to overview]The Proportion of Patients Improving 20% in Total Positive and Negative Syndrome Scale (PANSS) at Endpoint (Day 90)
NCT01606228 (12) [back to overview]Daytime Drowsiness at Day 90
NCT01606228 (12) [back to overview]Personal and Social Performance (PSP) Scores at Baseline
NCT01606228 (12) [back to overview]Personal and Social Performance (PSP) Scores at Day 90
NCT01606228 (12) [back to overview]Patient Satisfaction With Paliperidone Treatment
NCT01606228 (12) [back to overview]Positive and Negative Syndrome Scale (PANSS) Scores at Baseline
NCT01606228 (12) [back to overview]Positive and Negative Syndrome Scale (PANSS) Scores at Day 90
NCT01606228 (12) [back to overview]Daytime Drowsiness at Baseline
NCT01606228 (12) [back to overview]Quality of Sleep at Baseline
NCT01606228 (12) [back to overview]Quality of Sleep at Day 90
NCT01606254 (19) [back to overview]Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50
NCT01606254 (19) [back to overview]Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78
NCT01606254 (19) [back to overview]Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92
NCT01606254 (19) [back to overview]Positive and Negative Syndrome Scale (PANSS) Total Score
NCT01606254 (19) [back to overview]Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8
NCT01606254 (19) [back to overview]Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau)
NCT01606254 (19) [back to overview]Maximum Observed Plasma Concentration (Cmax) of Paliperidone
NCT01606254 (19) [back to overview]Paliperidone Plasma Decay Half-Life (t1/2)
NCT01606254 (19) [back to overview]Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 36
NCT01606254 (19) [back to overview]Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 64
NCT01606254 (19) [back to overview]Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 8
NCT01606254 (19) [back to overview]Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 92
NCT01606254 (19) [back to overview]Plasma Paliperidone Concentration at Steady State (Css av)
NCT01606254 (19) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax) of Paliperidone
NCT01606254 (19) [back to overview]Number of Participants With Clinical Global Impression Severity (CGI-S) Score
NCT01606254 (19) [back to overview]Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120
NCT01606254 (19) [back to overview]Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162
NCT01606254 (19) [back to overview]Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218
NCT01606254 (19) [back to overview]Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22
NCT01662310 (15) [back to overview]Run-In and Stabilization Phase: Change From Baseline in Personal and Social Performance (PSP) Scale Total Score at Week 14
NCT01662310 (15) [back to overview]Double Blind (DB) Phase: Change From DB Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at DB Endpoint
NCT01662310 (15) [back to overview]Double Blind (DB) Phase: Median Time to Relapse
NCT01662310 (15) [back to overview]Double Blind (DB) Phase: Change From DB Baseline in Personal and Social Performance (PSP) Scale Total Score at DB Endpoint
NCT01662310 (15) [back to overview]Double Blind (DB) Phase: Change From DB Baseline in Daytime Drowsiness Based on Visual Analog Scale (VAS) at DB Endpoint
NCT01662310 (15) [back to overview]Open-label Extension (OLE) Phase: Change From OLE Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at OLE Endpoint
NCT01662310 (15) [back to overview]Run-In and Stabilization Phase: Change From Baseline in Sleep Quality Based on Visual Analog Scale (VAS) at Week 14
NCT01662310 (15) [back to overview]Run-In and Stabilization Phase: Number of Participants Assessed With Categorical Scores Based on Clinical Global Impression-Severity Scale (CGI-S)
NCT01662310 (15) [back to overview]Run-In and Stabilization Phase: Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 14
NCT01662310 (15) [back to overview]Double Blind (DB) Phase: Change From DB Baseline in Clinical Global Impression-Severity Scale (CGI-S) Total Score at DB Endpoint
NCT01662310 (15) [back to overview]Double Blind (DB) Phase: Median Time to Relapse (Final Analysis)
NCT01662310 (15) [back to overview]Run-In and Stabilization Phase: Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale (VAS) at Week 14
NCT01662310 (15) [back to overview]Open-label Extension (OLE) Phase: Change From OLE Baseline in Personal and Social Performance (PSP) Scale Total Score at OLE Endpoint
NCT01662310 (15) [back to overview]Open-label Extension (OLE) Phase: Change From OLE Baseline in Clinical Global Impression-Severity Scale (CGI-S) Total Score at OLE Endpoint
NCT01662310 (15) [back to overview]Double Blind (DB) Phase: Change From DB Baseline in Sleep Quality Based on Visual Analog Scale (VAS) at DB Endpoint
NCT01662648 (9) [back to overview]Change From Baseline in Personal and Social Performance (PSP) Scale at Week 26
NCT01662648 (9) [back to overview]Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 26
NCT01662648 (9) [back to overview]Change From Baseline in Sleep Quality at Week 26
NCT01662648 (9) [back to overview]Number of Participants Within Each Category of Patient Satisfaction Score
NCT01662648 (9) [back to overview]Change From Baseline in Daytime Drowsiness at Week 26
NCT01662648 (9) [back to overview]Change From Baseline in PANSS Total Negative Subscale Score at Week 26
NCT01662648 (9) [back to overview]Change From Baseline in PANSS Total Positive Subscale Score at Week 26
NCT01662648 (9) [back to overview]Percentage of Participants With Greater Than or Equal to 20 Percent (%) Improvement in PANSS Total Score at Week 26
NCT01662648 (9) [back to overview]Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Week 26
NCT01724359 (9) [back to overview]Health Status as Measured by Self-rated Health Status Survey SF-36
NCT01724359 (9) [back to overview]Daytime Drowsiness Evaluation Scale
NCT01724359 (9) [back to overview]Clinical Global Impression-Severity (CGIS)
NCT01724359 (9) [back to overview]Change From Baseline in Total Positive and Negative Syndrome Scale (PANSS) - Positive Subscale Score
NCT01724359 (9) [back to overview]Change From Baseline in Total Positive and Negative Syndrome Scale (PANSS) - General Psychopathology Subscale Score
NCT01724359 (9) [back to overview]Change From Baseline in Total Positive and Negative Syndrome Scale (PANSS) Score
NCT01724359 (9) [back to overview]Change From Baseline in Total Positive and Negative Syndrome Scale (PANSS) - Negative Subscale Score
NCT01724359 (9) [back to overview]Personal and Social Performance (PSP) Scale
NCT01724359 (9) [back to overview]Sleep Evaluation Scale
NCT01795547 (9) [back to overview]Investigator's Assessment Questionnaire (IAQ) Total Score at Week 28
NCT01795547 (9) [back to overview]Change From Baseline to Week 28 in the TooL Total Score
NCT01795547 (9) [back to overview]Change From Baseline to Week 28 in the 'Common Objects and Activities' QLS Domain Score
NCT01795547 (9) [back to overview]Change From Baseline to Week 28 in CGI-S Score
NCT01795547 (9) [back to overview]Change From Baseline to Week 28 in the 'Instrumental Role' QLS Domain Score
NCT01795547 (9) [back to overview]Change From Baseline to Week 28 in the 'Interpersonal Relations' QLS Domain Score
NCT01795547 (9) [back to overview]Change From Baseline to Week 28 in the 'Intrapsychic Foundations' QLS Domain Score
NCT01795547 (9) [back to overview]Change From Baseline to Week 28 in SWN-S Total Score
NCT01795547 (9) [back to overview]Change From Baseline to Week 28 in Quality of Life Scale (QLS) Total Score
NCT02085447 (22) [back to overview]Change in CGI (Clinical Global Impression) From Screen to Week 25
NCT02085447 (22) [back to overview]Change in DAI (Drug Attitudes Index) From Screen to Week 25
NCT02085447 (22) [back to overview]Change in ESRS-A (Extrapyramidal Symptoms Scale-Abbreviated; Akathisia)
NCT02085447 (22) [back to overview]Change in ESRS-A (Extrapyramidal Symptoms Scale-Abbreviated; Dyskinesia) From Screen to Week 25
NCT02085447 (22) [back to overview]Change in ESRS-A (Extrapyramidal Symptoms Scale-Abbreviated; Dystonia) From Screen to Week 25
NCT02085447 (22) [back to overview]Change in ESRS-A (Extrapyramidal Symptoms Scale-Abbreviated; Parkinsonism) From Screen to Week 25
NCT02085447 (22) [back to overview]Change in Hospitalizations (Medical) in the Past 6 Months From Screen and Week 25
NCT02085447 (22) [back to overview]Change in Hospitalizations (Psychiatric) in the Past 6 Months From Screen and Week 25
NCT02085447 (22) [back to overview]Change in PANSS (Positive and Negative Syndrome Scale; Composite Scale) From Screen to Week 25
NCT02085447 (22) [back to overview]Change in PANSS (Positive and Negative Syndrome Scale; General Psychopathology) From Screen to Week 25
NCT02085447 (22) [back to overview]Change in PANSS (Positive and Negative Syndrome Scale; Negative Symptoms Scale) From Screen to Week 25
NCT02085447 (22) [back to overview]Change in PANSS (Positive and Negative Syndrome Scale; Positive Symptoms Scale) From Screen to Week 25
NCT02085447 (22) [back to overview]Change in SAS (Simpson Angus Scale) From Screen to Week 25
NCT02085447 (22) [back to overview]Change in Tablets Routine Questionnaire (TRQ, Past Week) From Screen to Week 25 Visit
NCT02085447 (22) [back to overview]Change in Tablets Routine Questionnaire (TRQ) (Past Month) From Screen to Week 25
NCT02085447 (22) [back to overview]Long-acting Injection (LAI) Adherence
NCT02085447 (22) [back to overview]Percentage Change of Days of Sub-optimal Housing in the Past Six Months; Change From Screen to Week 25
NCT02085447 (22) [back to overview]Change in SOFAS (Social and Occupational Functioning Assessment Scale) From Screen to Week 25
NCT02085447 (22) [back to overview]Change in AIMS (Abnormal Involuntary Movement Scale) From Baseline to Week 25
NCT02085447 (22) [back to overview]Change in AMSQ (Attitudes Toward Mood Stabilizers Questionnaire) From Screen to Week 25
NCT02085447 (22) [back to overview]Change in ASSIST GRS (Alcohol, Smoking and Substance Involvement Screening Test ) From Screen to Week 25
NCT02085447 (22) [back to overview]Change in BARS (Barnes Akathisia Rating Scale) From Screen to Week 25
NCT02431702 (31) [back to overview]Part 3 (EDP): Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
NCT02431702 (31) [back to overview]Part 2 (Disease Progression): Change From Baseline in Attention/Vigilance Score: MCCB Domain
NCT02431702 (31) [back to overview]Part 2 (Disease Progression): Change From Baseline in Adjusted Intracortical Myelin (ICM) Fraction Score as Measured by Inversion Recovery (IR) and Spin Echo Magnetic Resonance Imaging (MRI)
NCT02431702 (31) [back to overview]Part 2 (Disease Progression): Change From Baseline in Reasoning and Problem Solving: MCCB Domain
NCT02431702 (31) [back to overview]Part 3 (EDP): Change From Baseline in Verbal Learning Score: MCCB Domain
NCT02431702 (31) [back to overview]Part 2 (Disease Progression): Change From Baseline in Social Cognition Score: MCCB Domain
NCT02431702 (31) [back to overview]Part 3 (EDP): Change From Baseline in Adjusted Intracortical Myelin Fraction Score as Measured by Inversion Recovery (IR) and Spin Echo Magnetic Resonance Imaging (MRI)
NCT02431702 (31) [back to overview]Part 2 (Disease Progression): Change From Baseline in Visual Learning Score: MCCB Domain
NCT02431702 (31) [back to overview]Part 2 (Disease Progression): Change From Baseline in Working Memory Score: MCCB Domain
NCT02431702 (31) [back to overview]Part 3 (Disease Modification): Change From Baseline in Adjusted Intracortical Myelin Fraction Score as Measured by Inversion Recovery (IR) and Spin Echo Magnetic Resonance Imaging (SE MRI)
NCT02431702 (31) [back to overview]Part 3 (Disease Modification): Change From Baseline in Cognition as Measured by the MATRICS Consensus Cognitive Battery (MCCB) Composite Score
NCT02431702 (31) [back to overview]Part 3 (Disease Modification): Personal and Social Performance (PSP) Total Observed Score
NCT02431702 (31) [back to overview]Part 3 (EDP): Change From Baseline in Working Memory Score: MCCB Domain
NCT02431702 (31) [back to overview]Part 3 (EDP): Change From Baseline in Attention/Vigilance Score: MCCB Domain
NCT02431702 (31) [back to overview]Part 2 (Disease Progression): Change From Baseline in Verbal Learning Score: MCCB Domain
NCT02431702 (31) [back to overview]Part 3 (EDP): Change From Baseline in Functioning as Measured by the Personal and Social Performance (PSP) Total Score
NCT02431702 (31) [back to overview]Part 3 (EDP): Change From Baseline in Medication Satisfaction Questionnaire (MSQ) Score
NCT02431702 (31) [back to overview]Part 2 (Disease Progression): Change From Baseline in Speed of Processing Score: MCCB Domain
NCT02431702 (31) [back to overview]Part 3 (EDP): Number of Participants With Change From Baseline in Severity of Psychotic Symptoms, as Measured by CRDPSS
NCT02431702 (31) [back to overview]Part-2 (Disease Progression): Time to First Treatment Failure
NCT02431702 (31) [back to overview]Part 3 (EDP): Change From Baseline in Reasoning and Problem Solving: MCCB Domain
NCT02431702 (31) [back to overview]Part 2 (Disease Progression): Number of Participants With Change From Baseline in Severity of Psychotic Symptoms, as Measured by Clinician-Rated Dimensions of Psychosis Symptom Severity Scale (CRDPSS)
NCT02431702 (31) [back to overview]Part 3 (Extended Disease Progression [EDP]): Change From Baseline in Cognition as Measured by the MATRICS Consensus Cognitive Battery (MCCB) Composite Score
NCT02431702 (31) [back to overview]Part 3 (EDP): Time to First Treatment Failure
NCT02431702 (31) [back to overview]Part 3 (EDP): Change From Baseline in Visual Learning Score: MCCB Domain
NCT02431702 (31) [back to overview]Part 3 (EDP): Change From Baseline in Speed of Processing Score: MCCB Domain
NCT02431702 (31) [back to overview]Part 3 (EDP): Change From Baseline in Social Cognition Score: MCCB Domain
NCT02431702 (31) [back to overview]Part 2 (Disease Progression): Change From Baseline in Functioning as Measured by the Personal and Social Performance (PSP) Total Score
NCT02431702 (31) [back to overview]Part 2 (Disease Progression): Change From Baseline in Medication Satisfaction Questionnaire (MSQ) Total Score
NCT02431702 (31) [back to overview]Part 2 (Disease Progression): Change From Baseline in Cognition as Measured by the MATRICS Consensus Cognitive Battery (MCCB) Composite Score
NCT02431702 (31) [back to overview]Part 2 (Disease Progression): Change From Baseline in Clinical Global Impression Severity (CGI-S) Score
NCT02462473 (8) [back to overview]Dimensions of Psychosis Symptom Severity Scale (DPSS) Total Score at Week 0 and 12
NCT02462473 (8) [back to overview]Number of Participants With Factors Considered in Clinical Decision as Assessed by Clinical Assessment of the Schizophrenia Patient (CASP)
NCT02462473 (8) [back to overview]Patient Satisfaction Survey (PSS) Total Score at Week 0 and 12
NCT02462473 (8) [back to overview]Clinical Global Impression-Severity (CGI-S) Score at Week 0 and 12
NCT02462473 (8) [back to overview]Antipsychotic Medication Plasma Levels (AMPL) During the Active Assessment Phase at Week 12
NCT02462473 (8) [back to overview]Clinician's Rating Scale of Adherence (CRS) Score at Week 0 and 12
NCT02462473 (8) [back to overview]Adherence to Antipsychotic Medication as Assessed by Brief Adherence Rating Scale (BARS) at Week 0 and 12
NCT02462473 (8) [back to overview]Number of Participants With Medication Treatment Modifications (MTM)
NCT03019887 (1) [back to overview]Number of Participants With Relapse
NCT03345979 (7) [back to overview]Least Squares Mean Change in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 25
NCT03345979 (7) [back to overview]Least Squares Mean Change in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 4
NCT03345979 (7) [back to overview]Least Squares Mean Change in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 9
NCT03345979 (7) [back to overview]Change in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 25
NCT03345979 (7) [back to overview]Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at Week 4
NCT03345979 (7) [back to overview]Change in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 9
NCT03345979 (7) [back to overview]Number of Participants With Serious and Non-serious Adverse Events (AEs)
NCT03557931 (8) [back to overview]Change From Baseline to Week 12/EoT in University of California San Diego Performance-based Skills Assessment-2 Extended Range (UPSA-2-ER) Total Score
NCT03557931 (8) [back to overview]Change From Baseline to Week 12/End of Treatment (EoT) in Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB) Neurocognitive Composite Score
NCT03557931 (8) [back to overview]Concentration at Trough Level (Ctrough) for ASP4345
NCT03557931 (8) [back to overview]Number of Participants With Clinically Significant Differences in Abnormal Involuntary Movement Scale (AIMS) Values
NCT03557931 (8) [back to overview]Number of Participants With Clinically Significant Differences in Barnes Akathisia Rating Scale (BARS) Values
NCT03557931 (8) [back to overview]Number of Participants With Clinically Significant Differences in Simpson Angus Scale (SAS) Values
NCT03557931 (8) [back to overview]Number of Participants With Adverse Event (AE)
NCT03557931 (8) [back to overview]Number of Participants With Clinically Significant Differences in Columbia-Suicide Severity Rating Scale (C-SSRS) Values

Substantial Clinical Deterioration Measured by Psychotic Symptoms

Brief Psychiatric Rating Scale (BPRS) psychosis cluster. Score range is based on the score range for individual items rather than the factor total because is factors have different numbers of items. Score range is 1 -7 where 1 + no symptomatology and 7 = very severe symptoms. (NCT00330863)
Timeframe: Measured throughout study up to 30 months

Interventionunits on a scale (Least Squares Mean)
Injectable1.8
Oral2.0

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Side Effects and Metabolic Measures

The highest severity of each of 24 adverse event (AE) that was assessed.over the 30 month study period. The mean severity on a scale of 1 (none) to 4 very severe symptom was recorded at each biweekly visit. Results for each variable are summarized over time so that each subject has a single mean severity rating for each AE. There is no named scale. Each of the side effects measured is named in ways that are clear to medical readers e.g anorexia. The range is 1 none to 4 very severe. Therefore, a higher scale score is worse. (NCT00330863)
Timeframe: Measured throughout study up to 30 months

,
Interventionunits on a scale (Mean)
Bruising easilyRashUrticaria (hives, itching)Blurred visionsedation/drowsinessRestlessnessInsomniaMalaise (weakness, fatigue)StiffnessTremorDizzinessHeadacheFeverSore ThroatDry MouthHypersalivationEnuresisConstipationDiarrheaAnorexia (loss of appetite)NauseaVomitingMenstrual IrregularityBreast tenderness/galactorrhea
Injectable1.431.531.601.762.342.482.382.222.011.771.821.991.271.642.361.761.631.751.651.891.781.481.621.39
Oral1.481.441.711.912.532.432.362.141.971.751.781.891.241.572.251.841.561.641.681.691.721.511.551.32

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Number of Patients Discontinuing From the Study

(NCT00330863)
Timeframe: Measured throughout study up to 30 months

Interventionparticipants (Number)
Injectable81
Oral80

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Positive Subscale Score

The PANSS Positive Subscale assesses seven positive-symptoms of schizophrenia. Positive symptoms refer to an excess or distortion of normal functions. The symptoms are rated on a 7-point scale, with a range of 7 (absent) to 49 (extreme psychopathology). (NCT00396565)
Timeframe: Baseline and 6 weeks

Interventionscores on a scale (Mean)
Paliperidone Extended Release (ER) (JNS007ER)-2.6
Placebo1.6
Olanzapine-2.4

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Proportion of Responders (≥30% Decrease in Total Positive and Negative Syndrome Scale [PANSS])

Responders are subjects with 30% or more reduction from baseline in total PANSS score. PANSS is a medical scale that assesses various symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). The total score is the sum of all 30 PANSS items, with a range of 30 (absent) to 210 (extreme ill). (NCT00396565)
Timeframe: Baseline and 6 weeks

InterventionPercentage of participants (Number)
Paliperidone Extended Release (ER) (JNS007ER)25.4
Placebo9.4
Olanzapine26.1

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Change From Baseline in the Total Positive and Negative Syndrome Scale (PANSS).

PANSS is a medical scale that assesses various symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). The total score is the sum of all 30 PANSS items, with a range of 30 (absent) to 210 (extreme ill). (NCT00396565)
Timeframe: Baseline and 6 weeks

Interventionscores on a scale (Mean)
Paliperidone Extended Release (ER) (JNS007ER)-9.1
Placebo3.8
Olanzapine-9.9

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Negative Subscale Score

The PANSS Negative Subscale assesses seven negative-symptoms of schizophrenia. Negative symptoms represent a diminution or loss of normal functions. The symptoms are rated on a 7-point scale, with a range of 7 (absent) to 49 (extreme psychopathology). (NCT00396565)
Timeframe: Baseline and 6 weeks

Interventionscores on a scale (Mean)
Paliperidone Extended Release (ER) (JNS007ER)-2.4
Placebo0.0
Olanzapine-2.8

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - General Psychopathology Subscale Score

The PANSS General Psychopathology Subscale Score assesses 16 general psychopathology symptoms. The symptoms are rated on a 7-point scale, with a range of 16 (absent) to 112 (extreme psychopathology). (NCT00396565)
Timeframe: Baseline and 6 weeks

Interventionscores on a scale (Mean)
Paliperidone Extended Release (ER) (JNS007ER)-4.1
Placebo2.2
Olanzapine-4.7

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Change From Baseline in Clinical Global Impression Scale (CGI-S)

The CGI-S rating scale is a 7-point global assessment with scores as follows: 1 - Not ill, 2 - Very Mild, 3 - Mild, 4 - Moderate, 5 - Marked, 6 - Severe, and 7 - Extremely Severe. (NCT00396565)
Timeframe: Baseline and 6 weeks

Interventionscores on a scale (Mean)
Paliperidone Extended Release (ER) (JNS007ER)-0.4
Placebo0.2
Olanzapine-0.3

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Hamilton Rating Scale for Depression (HAM-D-21) With Baseline HAM-D-21 Total Score >= 16

Clinician-rated scale that evaluates depressed mood as well as the vegetative and cognitive symptoms of depression. The items are rated on either a 5-point (0 to 4) or a 3-point (0 to 2) scale. The 5-point scale uses a rating of 0 (absent), 1 (doubtful to mild), 2 (mild to moderate), 3 (moderate to severe), and 4 (very severe). Higher scores indicate worsening. The responses are summed to yield the HAM-D-21 score that ranges from 0-63. (NCT00397033)
Timeframe: Baseline

Interventionpoints on a scale (Mean)
Placebo24.4
Paliperidone Extended Release (ER) Low Dose25.2
Paliperidone Extended Release (ER) High Dose26.9

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Clinical Global Impression (CGI-S) - Severity for Schizoaffective Disorder Score at Baseline

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a subject. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill subjects." (NCT00397033)
Timeframe: Baseline

Interventionpoints on a scale (Mean)
Placebo4.6
Paliperidone Extended Release (ER) Low Dose4.6
Paliperidone Extended Release (ER) High Dose4.6

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Clinical Global Impression (CGI-C) - Change for Schizoaffective Disorder

"The CGI-C rating scale is a 7 point global assessment that measures the clinician's impression of the change occurring in the illness over a course of treatment, relative to baseline. A rating of 4 is equivalent to No change. Ratings of <4 are equivalent to improvement and ratings of > 4 are equivalent to worsening." (NCT00397033)
Timeframe: Week 6 LOCF End Point

Interventionpoints on a scale (Mean)
Placebo2.9
Paliperidone Extended Release (ER) Low Dose2.6
Paliperidone Extended Release (ER) High Dose2.2

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Baseline Positive and Negative Symptoms of Schizophrenia (PANSS) Total Score

The PANSS is a 30-item scale (range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items. Higher scores indicate worsening. (NCT00397033)
Timeframe: Baseline

Interventionpoints on a scale (Mean)
Placebo91.6
Paliperidone Extended Release (ER) Low Dose95.9
Paliperidone Extended Release (ER) High Dose92.7

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The Change From Baseline to Week 6 or the Last Post-randomization Assessment During Double-blind Treatment in the Positive and Negative Symptoms of Schizophrenia (PANSS) Total Score.

The PANSS is a 30-item scale (range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items. Higher scores indicate worsening. (NCT00397033)
Timeframe: Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point

Interventionpoints on scale (Mean)
Placebo-21.7
Paliperidone Extended Release (ER) Low Dose-27.4
Paliperidone Extended Release (ER) High Dose-30.6

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Change in Young Mania Rating Scale (YMRS) With Baseline YMRS Total Score >= 16

11-item scale (elevated mood, increased motor activity, sexual interest, sleep, irritability, speech [rate/amount], language-thought disorder, content, disruptive-aggressive behaviors, appearance, and insight) based on subject's report of his or her condition and clinician's behavioral observations during the interview, with emphasis on the latter. Higher scores indicate worsening. The responses are summed to yield the YMRS total score, which ranges from 0 to 60. (NCT00397033)
Timeframe: Baseline to Week 6 LOCF End Point

Interventionpoints on scale (Mean)
Placebo-11.5
Paliperidone Extended Release (ER) Low Dose-14.3
Paliperidone Extended Release (ER) High Dose-19.4

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Change in Positive and Negative Symptoms of Schizophrenia (PANSS) Uncontrolled Hostility/Excitement Factor Score

Uncontrolled Hostility/Excitement PANSS Factor Score (range 4-28): Sum of scores for items 4 and 7 in positive subscale: excitement, hostility; and items 8 and 14 in general psychopathology subscale: uncooperativeness, and poor impulse control. Higher scores indicate worsening. (NCT00397033)
Timeframe: Baseline to Week 6 LOCF End Point

Interventionpoints on a subscale (Mean)
Placebo-4.8
Paliperidone Extended Release (ER) Low Dose-5.4
Paliperidone Extended Release (ER) High Dose-7.0

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Change in Positive and Negative Symptoms of Schizophrenia (PANSS) Positive Subscale Score

Positive Syndrome Scale (range 7-49): Sum of scores for items 1-7 in positive subscale: delusions, conceptual disorganization, hallucinatory behavior, excitement, grandiosity, suspiciousness/persecution, and hostility. Higher scores indicate worsening. (NCT00397033)
Timeframe: Baseline to Week 6 LOCF End Point

Interventionpoints on subscale (Mean)
Placebo-7.9
Paliperidone Extended Release (ER) Low Dose-9.1
Paliperidone Extended Release (ER) High Dose-11.3

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Change in Positive and Negative Symptoms of Schizophrenia (PANSS) Negative Subscale Score

Negative Syndrome Scale (range 7-49): Sum of scores for items 1-7 in negative subscale: blunted effect, emotional withdrawal, poor rapport, passive apathetic social withdrawal, difficulty in abstract thinking, lack of spontaneity and flow of conversation, and stereotyped thinking. Higher scores indicate worsening. (NCT00397033)
Timeframe: Baseline to Week 6 LOCF End Point

Interventionpoints on a subscale (Mean)
Placebo-3.1
Paliperidone Extended Release (ER) Low Dose-4.4
Paliperidone Extended Release (ER) High Dose-4.2

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Change in Positive and Negative Symptoms of Schizophrenia (PANSS) Negative Factor Score

Negative PANSS Factor Score (range 7-49): Sum of scores for items 1, 2, 3, 4, and 6 in negative subscale: blunted affect, emotional withdrawal, poor rapport, passive social withdrawal, lack of spontaneity; and items 7 and 16 in general psychopathology subscale: motor retardation, and active social avoidance. Higher scores indicate worsening. (NCT00397033)
Timeframe: Baseline to Week 6 LOCF End Point

Interventionpoints on a subscale (Mean)
Placebo-3.0
Paliperidone Extended Release (ER) Low Dose-4.5
Paliperidone Extended Release (ER) High Dose-4.0

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Change in Positive and Negative Symptoms of Schizophrenia (PANSS) General Psychopathology Subscale Score

General Psychopathology (range 16-112): Sum of scores for somatic concern, anxiety, guilt feelings, tension, mannerisms/posturing, depression, motor retardation, uncooperativeness, unusual thought content, disoriented, poor attention, lack of judgment/insight, disturbance of volition, poor impulse control, preoccupation, and active social avoidance. Higher scores indicate worsening. (NCT00397033)
Timeframe: Baseline to Week 6 LOCF End Point

Interventionpoints on a subscale (Mean)
Placebo-10.7
Paliperidone Extended Release (ER) Low Dose-13.9
Paliperidone Extended Release (ER) High Dose-15.1

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Change in Positive and Negative Symptoms of Schizophrenia (PANSS) Anxiety/Depression Factor Score

Anxiety/Depression PANSS Factor Score (range 4-28): Sum of scores for items 2, 3, 4, and 6 in general psychopathology subscale: Anxiety, Guilt feelings, Tension, Depression. Higher scores indicate worsening. (NCT00397033)
Timeframe: Baseline to Week 6 LOCF End Point

Interventionpoints on a subscale (Mean)
Placebo-3.4
Paliperidone Extended Release (ER) Low Dose-4.5
Paliperidone Extended Release (ER) High Dose-4.3

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Change in Hamilton Rating Scale for Depression (HAM-D-21) With Baseline HAM-D-21 Total Score >= 16

Clinician-rated scale that evaluates depressed mood as well as the vegetative and cognitive symptoms of depression. The items are rated on either a 5-point (0 to 4) or a 3-point (0 to 2) scale. The 5-point scale uses a rating of 0 (absent), 1 (doubtful to mild), 2 (mild to moderate), 3 (moderate to severe), and 4 (very severe). Higher scores indicate worsening. The responses are summed to yield the HAM-D-21 score that ranges from 0-63. (NCT00397033)
Timeframe: Baseline to Week 6 LOCF End Point

Interventionpoints on scale (Mean)
Placebo-9.9
Paliperidone Extended Release (ER) Low Dose-13.6
Paliperidone Extended Release (ER) High Dose-14.5

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Change in Clinical Global Impression (CGI-S) - Severity for Schizoaffective Disorder

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a subject. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill subjects." (NCT00397033)
Timeframe: Baseline to Week 6 LOCF End Point

Interventionpoints on scale (Mean)
Placebo-1.1
Paliperidone Extended Release (ER) Low Dose-1.4
Paliperidone Extended Release (ER) High Dose-1.8

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Young Mania Rating Scale (YMRS) With Baseline YMRS Total Score >= 16

11-item scale (elevated mood, increased motor activity, sexual interest, sleep, irritability, speech [rate/amount], language-thought disorder, content, disruptive-aggressive behaviors, appearance, and insight) based on subject's report of his or her condition and clinician's behavioral observations during the interview, with emphasis on the latter. Higher scores indicate worsening. The responses are summed to yield the YMRS total score, which ranges from 0 to 60. (NCT00397033)
Timeframe: Baseline

Interventionpoints on a scale (Mean)
Placebo28.5
Paliperidone Extended Release (ER) Low Dose28.4
Paliperidone Extended Release (ER) High Dose29.9

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Positive and Negative Symptoms of Schizophrenia (PANSS) Positive Factor Score

Positive PANSS Factor Score (range 8-56): Sum of scores for items 1, 3, 5, and 6 in positive subscale: delusions, hallucinatory behavior, grandiosity, suspiciousness; item 7 in negative subscale: stereotyped thinking; and items 1, 9, and 12 in general psychopathology subscale: somatic concern, unusual thought content, lack of judgment, and insight. Higher scores indicate worsening. (NCT00397033)
Timeframe: Baseline to Week 6 LOCF End Point

Interventionpoints on a subscale (Mean)
Placebo-6.7
Paliperidone Extended Release (ER) Low Dose-8.0
Paliperidone Extended Release (ER) High Dose-9.6

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Number of Participants With Response

Response is defined as a 30% or more reduction from baseline in PANSS total score and a CGI-C score of <= 2. (CGI-C-SCA: Clinical Global Impression of Change for Schizoaffective Disorder). The PANSS is a 30-item scale (range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a subject. (NCT00397033)
Timeframe: Baseline to Week 6 LOCF End Point

Interventioncount of participants (Number)
Placebo40
Paliperidone Extended Release (ER) Low Dose57
Paliperidone Extended Release (ER) High Dose62

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Change in Positive and Negative Symptoms of Schizophrenia (PANSS) Disorganized Thought Factor Score

Disorganized Thoughts PANSS Factor Score (range 7-49): Sum of scores for item 2 in positive subscale:Conceptual disorganization; item 5 in negative subscale:difficulty in abstract thinking; and items 5, 10, 11, 13, and 15 in general psychopathology subscale: mannerisms/posturing, disorientation, poor attention, disturbance of volition, and preoccupation. Higher scores indicate worsening. (NCT00397033)
Timeframe: Baseline to Week 6 LOCF End Point

Interventionpoints on a subscale (Mean)
Placebo-3.7
Paliperidone Extended Release (ER) Low Dose-5.0
Paliperidone Extended Release (ER) High Dose-5.7

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Positive and Negative Symptoms of Schizophrenia (PANSS) Total Score at Baseline.

The PANSS is a 30-item scale (range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items. Higher scores indicate worsening. (NCT00412373)
Timeframe: Baseline

Interventionpoints on a scale (Mean)
Placebo91.7
Paliperidone Extended-Release (ER)92.3

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Clinical Global Impression (CGI-C) - Change for Schizoaffective Disorder

"The CGI-C rating scale is a 7 point global assessment that measures the clinician's impression of the change occurring in the illness over a course of treatment, relative to baseline. A rating of 4 is equivalent to No change. Ratings of <4 are equivalent to improvement and ratings of > 4 are equivalent to worsening. Higher scores indicate worsening." (NCT00412373)
Timeframe: Week 6 or the last post-randomization assessment during double-blind treatment

Interventionpoints on a scale (Mean)
Placebo3.4
Paliperidone Extended-Release (ER)2.8

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Clinical Global Impression (CGI-S) - Severity for Schizoaffective Disorder - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a subject. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill subjects. Higher scores indicate worsening." (NCT00412373)
Timeframe: Change from baseline to Week 6 or the last post-randomization assessment during double-blind treatment

Interventionpoints on a scale (Mean)
Placebo-0.7
Paliperidone Extended-Release (ER)-1.2

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Clinical Global Impression (CGI-S) - Severity for Schizoaffective Disorder Score at Baseline

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a subject. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill subjects. Higher scores indicate worsening." (NCT00412373)
Timeframe: Baseline

Interventionpoints on a scale (Mean)
Placebo4.6
Paliperidone Extended-Release (ER)4.6

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Hamilton Rating Scale for Depression (HAM-D-21) With Baseline HAM-D-21 Total Score >= 16 - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.

Clinician-rated scale that evaluates depressed mood as well as the vegetative and cognitive symptoms of depression. The items are rated on either a 5-point (0 to 4) or a 3-point (0 to 2) scale. The 5-point scale uses a rating of 0 (absent), 1 (doubtful to mild), 2 (mild to moderate), 3 (moderate to severe), and 4 (very severe). Higher scores indicate worsening. The responses are summed to yield the HAM-D-21 score that ranges from 0-63. (NCT00412373)
Timeframe: Change from baseline to Week 6 or the last post-randomization assessment during double-blind treatment

Interventionpoints on a scale (Mean)
Placebo-6.2
Paliperidone Extended-Release (ER)-10.2

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Participants With Response

Response is defined as a 30% or more reduction from baseline PANSS total score and CGI-C score of <= 2 (CGI-C-SCA: Clinical Global Impression of Change for Schizoaffective Disorder). (NCT00412373)
Timeframe: Week 6 LOCF End Point

Interventionparticipants (Number)
Placebo26
Paliperidone Extended-Release (ER)85

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Positive and Negative Symptoms of Schizophrenia (PANSS) Disorganized Thought Factor Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.

Disorganized Thoughts PANSS Factor Score (range 7-49): Sum of scores for item 2 in positive subscale:Conceptual disorganization; item 5 in negative subscale:difficulty in abstract thinking; and items 5, 10, 11, 13, and 15 in general psychopathology subscale: mannerisms/posturing, disorientation, poor attention, disturbance of volition, and preoccupation. Higher scores indicate worsening. (NCT00412373)
Timeframe: Change from baseline to Week 6 or the last post-randomization assessment during double-blind treatment

Interventionpoints on a scale (Mean)
Placebo-1.4
Paliperidone Extended-Release (ER)-3.3

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Positive and Negative Symptoms of Schizophrenia (PANSS) General Psychopathology Subscale Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.

General Psychopathology (range 16-112): Sum of scores for somatic concern, anxiety, guilt feelings, tension, mannerisms/posturing, depression, motor retardation, uncooperativeness, unusual thought content, disoriented, poor attention, lack of judgment/insight, disturbance of volition, poor impulse control, preoccupation, and active social avoidance. Higher scores indicate worsening. (NCT00412373)
Timeframe: Change from baseline to Week 6 or the last post-randomization assessment during double-blind treatment

Interventionpoints on a scale (Mean)
Placebo-5.2
Paliperidone Extended-Release (ER)-9.7

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Positive and Negative Symptoms of Schizophrenia (PANSS) Negative Subscale Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.

Negative Syndrome Scale (range 7-49): Sum of scores for items 1-7 in negative subscale: blunted effect, emotional withdrawal, poor rapport, passive apathetic social withdrawal, difficulty in abstract thinking, lack of spontaneity and flow of conversation, and stereotyped thinking. Higher scores indicate worsening. (NCT00412373)
Timeframe: Change from baseline to Week 6 or the last post-randomization assessment during double-blind treatment

Interventionpoints on a scale (Mean)
Placebo-1.1
Paliperidone Extended-Release (ER)-3.0

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Positive and Negative Symptoms of Schizophrenia (PANSS) Positive Factor Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.

Positive PANSS Factor Score (range 8-56): Sum of scores for items 1, 3, 5, and 6 in positive subscale: delusions, hallucinatory behavior, grandiosity, suspiciousness; item 7 in negative subscale: stereotyped thinking; and items 1, 9, and 12 in general psychopathology subscale: somatic concern, unusual thought content, lack of judgment, and insight. Higher scores indicate worsening. (NCT00412373)
Timeframe: Change from baseline to Week 6 or the last post-randomization assessment during double-blind treatment

Interventionpoints on a scale (Mean)
Placebo-3.3
Paliperidone Extended-Release (ER)-6.0

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Positive and Negative Symptoms of Schizophrenia (PANSS) Positive Subscale Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.

Positive Syndrome Scale (range 7-49): Sum of scores for items 1-7 in positive subscale: delusions, conceptual disorganization, hallucinatory behavior, excitement, grandiosity, suspiciousness/persecution, and hostility. Higher scores indicate worsening. (NCT00412373)
Timeframe: Change from baseline to Week 6 or the last post-randomization assessment during double-blind treatment

Interventionpoints on a scale (Mean)
Placebo-4.6
Paliperidone Extended-Release (ER)-7.3

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Positive and Negative Symptoms of Schizophrenia (PANSS) Total Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.

The PANSS is a 30-item scale (range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items. Higher scores indicate worsening. (NCT00412373)
Timeframe: The primary efficacy endpoint was the change from baseline to week 6 or the last post-randomization assessment during double-blind treatment in the PANSS total score.

Interventionpoints on a scale (Mean)
Placebo-10.8
Paliperidone Extended-Release (ER)-20.0

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Positive and Negative Symptoms of Schizophrenia (PANSS) Negative Factor Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.

Negative PANSS Factor Score (range 7-49): Sum of scores for items 1, 2, 3, 4, and 6 in negative subscale: blunted affect, emotional withdrawal, poor rapport, passive social withdrawal, lack of spontaneity; and items 7 and 16 in general psychopathology subscale: motor retardation, and active social avoidance. Higher scores indicate worsening. (NCT00412373)
Timeframe: Change from baseline to Week 6 or the last post-randomization assessment during double-blind treatment

Interventionpoints on a scale (Mean)
Placebo-1.1
Paliperidone Extended-Release (ER)-3.1

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Positive and Negative Symptoms of Schizophrenia (PANSS) Anxiety/Depression Factor Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.

Anxiety/Depression PANSS Factor Score (range 4-28): Sum of scores for items 2, 3, 4, and 6 in general psychopathology subscale: Anxiety, Guilt feelings, Tension, Depression. Higher scores indicate worsening. (NCT00412373)
Timeframe: Change from baseline to Week 6 or the last post-randomization assessment during double-blind treatment

Interventionpoints on a scale (Mean)
Placebo-2.3
Paliperidone Extended-Release (ER)-3.3

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Positive and Negative Symptoms of Schizophrenia (PANSS) Uncontrolled Hostility/Excitement Factor Score - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.

Uncontrolled Hostility/Excitement PANSS Factor Score (range 4-28): Sum of scores for items 4 and 7 in positive subscale: excitement, hostility; and items 8 and 14 in general psychopathology subscale: uncooperativeness, and poor impulse control. Higher scores indicate worsening. (NCT00412373)
Timeframe: Change from baseline to Week 6 or the last post-randomization assessment during double-blind treatment

Interventionpoints on a scale (Mean)
Placebo-2.7
Paliperidone Extended-Release (ER)-4.3

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Young Mania Rating Scale (YMRS) With Baseline YMRS Total Score >= 16 - Change From Baseline to Week 6 Last Observation Carried Forward (LOCF) End Point.

11-item scale (elevated mood, increased motor activity, sexual interest, sleep, irritability, speech [rate/amount], language-thought disorder, content, disruptive-aggressive behaviors, appearance, and insight) based on subject's report of his or her condition and clinician's behavioral observations during the interview, with emphasis on the latter. Higher scores indicate worsening. The responses are summed to yield the YMRS total score, which ranges from 0 to 60. (NCT00412373)
Timeframe: Change from baseline to Week 6 or the last post-randomization assessment during double-blind treatment

Interventionpoints on a scale (Mean)
Placebo-5.7
Paliperidone Extended-Release (ER)-10.6

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Baseline Hamilton Rating Scale for Depression (HAM-D-21) With Baseline HAM-D-21 Total Score >= 16

Clinician-rated scale that evaluates depressed mood as well as the vegetative and cognitive symptoms of depression. The items are rated on either a 5-point (0 to 4) or a 3-point (0 to 2) scale. The 5-point scale uses a rating of 0 (absent), 1 (doubtful to mild), 2 (mild to moderate), 3 (moderate to severe), and 4 (very severe). Higher scores indicate worsening. The responses are summed to yield the HAM-D-21 score that ranges from 0-63. (NCT00412373)
Timeframe: Baseline

Interventionpoints on a scale (Mean)
Placebo24.6
Paliperidone Extended-Release (ER)24.6

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Baseline Young Mania Rating Scale (YMRS) With Baseline YMRS Total Score >= 16

11-item scale (elevated mood, increased motor activity, sexual interest, sleep, irritability, speech [rate/amount], language-thought disorder, content, disruptive-aggressive behaviors, appearance, and insight) based on subject's report of his or her condition and clinician's behavioral observations during the interview, with emphasis on the latter. Higher scores indicate worsening. The responses are summed to yield the YMRS total score, which ranges from 0 to 60. (NCT00412373)
Timeframe: Baseline

Interventionpoints on a scale (Mean)
Placebo26.9
Paliperidone Extended-Release (ER)27.5

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The Mean Overall Average Daily-prescribed Dose of Paliperidone Extended Release (ER) From Week 0 to Week 12

(NCT00473434)
Timeframe: Week 0 to Week 12

Interventionmg (Mean)
Paliperidone Extended Release (ER)6.8

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The Length of Hospitalizations Throughout the Study

(NCT00473434)
Timeframe: 52 weeks

Interventiondays (Mean)
Baseline12.4
Week 266
Week 47.3
Week 628.0
Week 9179.0
Week 1234
Week 2019
Week 444
Week 5220.5

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The Global Assessment of Functioning (GAF) Throughout the Study

The GAF is a 100-point tool rating overall psychological, social and occupational functioning of adults. The higher score range (91-100) refers to a superior functioning in a wide range of activities, and absence of symptoms. The lower score range (1-10) refers to persistent danger of severely hurting self or others; or persistent inability to maintain minimum personal hygiene; or serious suicidal act with clear expectation of death. (NCT00473434)
Timeframe: 52 Weeks

Interventionscores on a scale (Mean)
Baseline54.6
Week 258.9
Week 463.9
Week 663.9
Week 966.3
Week 1265.4
Week 2065.1
Week 2871.1
Week 3671.6
Week 4469.0
Week 5263.3

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The Clinical Global Impression of Severity (CGI-S) Throughout the Study

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a patient. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill patients." (NCT00473434)
Timeframe: 52 weeks

Interventionscores on a scale (Mean)
Baseline3.7
Week 23.3
Week 43.2
Week 63.1
Week 92.8
Week 122.8
Week 202.9
Week 282.7
Week 362.7
Week 442.9
Week 522.7

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The Percentage of Participants Presenting Clinical Deterioration Throughout the Study

This Outcome Measure is intended to document only the hospitalizations associated with clinical deterioration, ie, when the patient needs to be hospitalized due to exacerbation of psychotic symptoms. (NCT00473434)
Timeframe: 52 Weeks

,,,,,,,,,,
Interventionpercentage of participants (Number)
HospitalizedCare IncreaseSuicidalViolentSelf Injury
Baseline004.800
Week 123.23.2003.2
Week 25.305.300
Week 203.77.4000
Week 2800000
Week 3600000
Week 413.55.48.100
Week 4405.9000
Week 5212.512.5000
Week 65.92.9000
Week 97.13.6000

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The Number of Hospitalizations Throughout the Study

This outcome measure is intended to document all hospitalizations that occurred throughout the study. (NCT00473434)
Timeframe: 52 Weeks

Interventionevents (Number)
Baseline15
Week 22
Week 46
Week 62
Week 93
Week 121
Week 201
Week 280
Week 360
Week 441
Week 522

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The Median Overall Average Daily-prescribed Dose of Paliperidone Extended Release (ER) From Week 0 to Week 12

(NCT00473434)
Timeframe: Week 0 to Week 12

Interventionmg (Median)
Paliperidone Extended Release (ER)6

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Change From Open Label Baseline to Open Label Endpoint - Cognitive Domain: Social Cognition Domain Test Variable - Theory of Mind-Total - Last Observation Carried Forward

A comprehensive neuropsychological examination that measures different domains of cognitive functioning is provided. They are either assessed as T-scores [mean=50, SD=10 range 1-100]; z-scores [mean=0, SD=1, and can be positive or negative] or scaled scores [mean=10, SD=3, and can be positive or negative]. The theory-of-mind total score is a raw score that ranges from 1 to 100. Higher scores for all scales denote better performance. (NCT00488319)
Timeframe: Baseline, Week 24

InterventionScores on a scale (Mean)
Placebo/Paliperidone3.4
Paliperidone (Double-blind)/Paliperidone4.1
Paliperidone (No Double-blind)/Paliperidone5.6
Total4.9

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The Number of Participants Who Experienced Adverse Events as a Measure of Safety and Tolerability

A serious adverse event as defined by the International Conference on Harmonisation (ICH) is any untoward medical occurrence that at any dose results in death, is life-threatening (the subject was at risk of death at the time of the even; it does not refer to an event that hypothetically might have caused death if it were more severe), requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or is a congenital anomaly/birth defect. (NCT00488319)
Timeframe: Up to 2 years

,,,
InterventionNumber of Participants (Number)
Treatment Emergent Adverse Events (TEAEs)Possibly-related TEAEsOne or More Serious TEAEs
Paliperidone (Double-blind)/Paliperidone88614
Paliperidone (No Double-blind)/Paliperidone22118546
Placebo/Paliperidone32249
Total34127059

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Change From Open-label Baseline to Open-label Endpoint in the Positive and Negative Syndrome Scale for Schizophrenia (PANSS) Based on Marder Factors - Last Observation Carried Forward

Neuropsychiatric symptoms of schizophrenia were assessed using the 30-item PANSS scale. PANSS scale provides a total score (sum of scores of all 30 items) and scores for 3 subscales, ie, positive (7 items), negative (7 items), and general psychopathology (16 items) subscales. Each item is scored on a scale of 1 (absent) to 7 (extreme). Positive Factor Score (range: 8 to 56): sum of select scores from positive, negative, and general psychopathology subscales. Negative Factor Score (range: 7 to 49): sum of select scores from negative and general psychopathology subscales. Disorganized Thoughts Factor Score (range: 7 to 49): sum of select scores from positive, negative, and general psychopathology subscales. Uncontrolled Hostility/Excitement Factor Score (range: 4 to 28): sum of select scores from positive and general psychopathology subscales. Anxiety/Depression Factor Score (range: 4 to 28): sum of select scores from general psychopathology subscale. Higher scores indicate worsening. (NCT00488319)
Timeframe: Baseline, Week 104 or the last post-baseline assessment

,,,
InterventionScores on a scale (Mean)
Positive SymptomsNegative SymptomsDisorganized ThoughtsUncontrolled Hostility/ExcitementAnxiety/Depression
Paliperidone (Double-blind)/Paliperidone-3.4-3.8-3.3-1.2-0.9
Paliperidone (No Double-blind)/Paliperidone-7.0-5.7-4.9-2.1-2.8
Placebo/Paliperidone-5.1-4.3-4.8-2.6-2.1
Total-5.7-5.0-4.4-1.9-2.2

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Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Motor Speed Domain Test Variable, Finger Tapping Dominant- and Non-Dominant Hand, Scaled - Last Observation Carried Forward

A comprehensive neuropsychological examination that measures different domains of cognitive functioning is provided. They are either assessed as T-scores [mean=50, SD=10 range 1-100]; z-scores [mean=0, SD=1, and can be positive or negative] or scaled scores [mean=10, SD=3, and can be positive or negative]. The theory-of-mind total score is a raw score that ranges from 1 to 100. Higher scores for all scales denote better performance. (NCT00488319)
Timeframe: Baseline, Week 24

,,,
InterventionScores on a scale (Mean)
Finger Tapping Dominant HandFinger Tapping Non Dominant Hand
Paliperidone (Double-blind)/Paliperidone0.10.4
Paliperidone (No Double-blind)/Paliperidone0.30.2
Placebo/Paliperidone0.20.2
Total0.20.3

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Change From Open-label Baseline to Open-label Endpoint in the Sleep Visual Analog Scale (VAS): Daytime Drowsiness - Last Observation Carried Forward

"Sleep VAS is a self administered scale that rates the quality of sleep and daytime drowsiness. Participants make a mark on a line to represent how well they have slept in the previous 7 days (very badly to very well) and how often they have felt drowsy within the previous 7 days (not at all to all the time). The score for each item ranges from 0 to 100 mm. For quality of sleep, a score of 0 indicates Very badly and a score of 100 indicates Very well. For daytime drowsiness, a score of 0 indicates Not at all and a score of 100 indicates All the time. Improvement of the condition is indicated by the positive change for the quality of sleep and the negative change for the daytime drowsiness." (NCT00488319)
Timeframe: Baseline, Week 104 or the last post-baseline assessment

InterventionScores on a scale (Mean)
Placebo/Paliperidone-7.4
Paliperidone (Double-blind)/Paliperidone-5.1
Paliperidone (No Double-blind)/Paliperidone-3.9
Total-4.6

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Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Attention/Working Memory Domain Test Variable Digit Span, Scaled - Last Observation Carried Forward

A comprehensive neuropsychological examination that measures different domains of cognitive functioning is provided. They are either assessed as T-scores [mean=50, SD=10 range 1-100]; z-scores [mean=0, SD=1, and can be positive or negative] or scaled scores [mean=10, SD=3, and can be positive or negative]. The theory-of-mind total score is a raw score that ranges from 1 to 100. Higher scores for all scales denote better performance. (NCT00488319)
Timeframe: Baseline, Week 24

InterventionScores on a scale (Mean)
Placebo/Paliperidone0.9
Paliperidone (Double-blind)/Paliperidone0.8
Paliperidone (No Double-blind)/Paliperidone0.8
Total0.8

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Change From Open-label Baseline to Open-label Endpoint in the Clinical Global Impression Severity (CGI-S) Scale - Last Observation Carried Forward

"The CGI-S rating scale is a 7-point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate worsening." (NCT00488319)
Timeframe: Baseline, Week 104 or the last post-baseline assessment

InterventionScores on a scale (Median)
Placebo/Paliperidone-1.0
Paliperidone (Double-blind)/Paliperidone-1.0
Paliperidone (No Double-blind)/Paliperidone-1.0
Total-1.0

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Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Verbal Learning and Memory Domain Test Variable California Verbal Learning Test-Total Trials, Scaled - Last Observation Carried Forward

A comprehensive neuropsychological examination that measures different domains of cognitive functioning is provided. They are either assessed as T-scores [mean=50, SD=10 range 1-100]; z-scores [mean=0, SD=1, and can be positive or negative] or scaled scores [mean=10, SD=3, and can be positive or negative]. The theory-of-mind total score is a raw score that ranges from 1 to 100. Higher scores for all scales denote better performance. (NCT00488319)
Timeframe: Baseline, Week 24

InterventionScores on a scale (Mean)
Placebo/Paliperidone29.0
Paliperidone (Double-blind)/Paliperidone3.5
Paliperidone (No Double-blind)/Paliperidone8.2
Total7.2

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Change From Open-label Baseline to Open-label Endpoint in the Children's Global Assessment Scale (CGAS) - Last Observation Carried Forward

The CGAS is a 100 point rating scale which measures the psychological, social, and school functioning for children 6 to 17 years of age. The score ranges from 1 to 100, divided into 10 equal intervals to rate the impairment level of general functioning (poor to superior functioning). Higher scores denote better functioning. (NCT00488319)
Timeframe: Baseline, Week 104 or the last post-baseline assessment

InterventionScores on a scale (Mean)
Placebo/Paliperidone11.3
Paliperidone (Double-blind)/Paliperidone8.7
Paliperidone (No Double-blind)/Paliperidone15.6
Total13.1

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Change From Open-label Baseline to Open-label Endpoint in Positive and Negative Syndrome Scale for Schizophrenia (PANSS) Scores - Last Observation Carried Forward

The PANSS is a medical scale that assesses various symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). The total score is the sum of all 30 PANSS items, with a range of 30 (absent) to 210 (extreme ill). (NCT00488319)
Timeframe: Baseline, Week 104 or the last post-baseline assessment

InterventionScores on a scale (Mean)
Placebo/Paliperidone-18.9
Paliperidone (Double-blind)/Paliperidone-12.6
Paliperidone (No Double-blind)/Paliperidone-22.4
Total-19.1

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Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Visual Learning and Memory Domain Test Variable, Rey Complex Figure Test - Total, Scaled - Last Observation Carried Forward

A comprehensive neuropsychological examination that measures different domains of cognitive functioning is provided. They are either assessed as T-scores [mean=50, SD=10 range 1-100]; z-scores [mean=0, SD=1, and can be positive or negative] or scaled scores [mean=10, SD=3, and can be positive or negative]. The theory-of-mind total score is a raw score that ranges from 1 to 100. Higher scores for all scales denote better performance. (NCT00488319)
Timeframe: Baseline, Week 24

InterventionScores on a scale (Mean)
Placebo/Paliperidone-0.5
Paliperidone (Double-blind)/Paliperidone-0.3
Paliperidone (No Double-blind)/Paliperidone0.3
Total0.0

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Change From Open-label Baseline to Open-label Endpoint in the Sleep Visual Analog Scale (VAS): Quality of Sleep - Last Observation Carried Forward

"Sleep VAS is a self administered scale that rates the quality of sleep and daytime drowsiness. Participants make a mark on a line to represent how well they have slept in the previous 7 days (very badly to very well) and how often they have felt drowsy within the previous 7 days (not at all to all the time). The score for each item ranges from 0 to 100 mm. For quality of sleep, a score of 0 indicates Very badly and a score of 100 indicates Very well. For daytime drowsiness, a score of 0 indicates Not at all and a score of 100 indicates All the time. Improvement of the condition is indicated by the positive change for the quality of sleep and the negative change for the daytime drowsiness." (NCT00488319)
Timeframe: Baseline, Week 104 or the last post-baseline assessment

InterventionScores on a scale (Mean)
Placebo/Paliperidone8.2
Paliperidone (Double-blind)/Paliperidone2.7
Paliperidone (No Double-blind)/Paliperidone9.8
Total7.4

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Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Speed of Processing Domain Test Variable Semantic Verbal Fluency, Scaled - Last Observation Carried Forward

A comprehensive neuropsychological examination that measures different domains of cognitive functioning is provided. They are either assessed as T-scores [mean=50, SD=10 range 1-100]; z-scores [mean=0, SD=1, and can be positive or negative] or scaled scores [mean=10, SD=3, and can be positive or negative]. The theory-of-mind total score is a raw score that ranges from 1 to 100. Higher scores for all scales denote better performance. (NCT00488319)
Timeframe: Baseline, Week 24

InterventionScores on a scale (Mean)
Placebo/Paliperidone0.2
Paliperidone (Double-blind)/Paliperidone0.1
Paliperidone (No Double-blind)/Paliperidone0.2
Total0.2

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Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Attention/Working Memory Domain Test Variable Coding, Scaled - Last Observation Carried Forward

A comprehensive neuropsychological examination that measures different domains of cognitive functioning is provided. They are either assessed as T-scores [mean=50, SD=10 range 1-100]; z-scores [mean=0, SD=1, and can be positive or negative] or scaled scores [mean=10, SD=3, and can be positive or negative]. The theory-of-mind total score is a raw score that ranges from 1 to 100. Higher scores for all scales denote better performance. (NCT00488319)
Timeframe: Baseline, Week 24

InterventionScores on a scale (Mean)
Placebo/Paliperidone1.9
Paliperidone (Double-blind)/Paliperidone1.5
Paliperidone (No Double-blind)/Paliperidone0.1
Total0.8

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Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Speed of Processing Domain Test Variable Child Color Trials Test 1 Time: Scaled - Last Observation Carried Forward

A comprehensive neuropsychological examination that measures different domains of cognitive functioning is provided. They are either assessed as T-scores [mean=50, SD=10 range 1-100]; z-scores [mean=0, SD=1, and can be positive or negative] or scaled scores [mean=10, SD=3, and can be positive or negative]. The theory-of-mind total score is a raw score that ranges from 1 to 100. Higher scores for all scales denote better performance. (NCT00488319)
Timeframe: Baseline, Week 24

InterventionScores on a scale (Mean)
Placebo/Paliperidone0.0
Paliperidone (Double-blind)/Paliperidone3.6
Paliperidone (No Double-blind)/Paliperidone6.2
Total4.7

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Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Executive Functioning (Reasoning and Problem Solving) Domain Test Variable, Trials Part B Time, Scaled - Last Observation Carried Forward

A comprehensive neuropsychological examination that measures different domains of cognitive functioning is provided. They are either assessed as T-scores [mean=50, SD=10 range 1-100]; z-scores [mean=0, SD=1, and can be positive or negative] or scaled scores [mean=10, SD=3, and can be positive or negative]. The theory-of-mind total score is a raw score that ranges from 1 to 100. Higher scores for all scales denote better performance. (NCT00488319)
Timeframe: Baseline, Week 24

InterventionScores on a scale (Mean)
Paliperidone (Double-blind)/Paliperidone0.2
Paliperidone (No Double-blind)/Paliperidone0.7
Total0.5

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Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Executive Functioning (Reasoning and Problem Solving) Domain Test Variable - Wisconsin Card Sort Test-Total Errors: Scaled - Last Observation Carried Forward

A comprehensive neuropsychological examination that measures different domains of cognitive functioning is provided. They are either assessed as T-scores [mean=50, SD=10 range 1-100]; z-scores [mean=0, SD=1, and can be positive or negative] or scaled scores [mean=10, SD=3, and can be positive or negative]. The theory-of-mind total score is a raw score that ranges from 1 to 100. Higher scores for all scales denote better performance. (NCT00488319)
Timeframe: Baseline, Week 24

InterventionScores on a scale (Mean)
Placebo/Paliperidone4.3
Paliperidone (Double-blind)/Paliperidone4.6
Paliperidone (No Double-blind)/Paliperidone7.0
Total5.9

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Change From Open-label Baseline to Open-label Endpoint - Cognitive Domain: Speed of Processing Domain Test Variable Phonetic Verbal Fluency: Scaled - Last Observation Carried Forward

A comprehensive neuropsychological examination that measures different domains of cognitive functioning is provided. They are either assessed as T-scores [mean=50, SD=10 range 1-100]; z-scores [mean=0, SD=1, and can be positive or negative] or scaled scores [mean=10, SD=3, and can be positive or negative]. The theory-of-mind total score is a raw score that ranges from 1 to 100. Higher scores for all scales denote better performance. (NCT00488319)
Timeframe: Baseline, Week 24

InterventionScores on a scale (Mean)
Placebo/Paliperidone0.3
Paliperidone (Double-blind)/Paliperidone0.2
Paliperidone (No Double-blind)/Paliperidone0.5
Total0.4

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Change From Open-label Baseline to Open-label - Cognitive Domain: Verbal Learning and Memory Domain Test Variable Wide Range Assessment of Memory and Learning Story - Total, Scaled - Last Observation Carried Forward

A comprehensive neuropsychological examination that measures different domains of cognitive functioning is provided. They are either assessed as T-scores [mean=50, SD=10 range 1-100]; z-scores [mean=0, SD=1, and can be positive or negative] or scaled scores [mean=10, SD=3, and can be positive or negative]. The theory-of-mind total score is a raw score that ranges from 1 to 100. Higher scores for all scales denote better performance. (NCT00488319)
Timeframe: Baseline, Week 24

InterventionScores on a scale (Mean)
Placebo/Paliperidone0
Paliperidone (Double-blind)/Paliperidone0.6
Paliperidone (No Double-blind)/Paliperidone1.7
Total1.3

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Change From Open Label Baseline to Open Label Endpoint - Cognitive Domain: Speed of Processing Domain Test Variable Trials Part A Time: Scaled - Last Observation Carried Forward

A comprehensive neuropsychological examination that measures different domains of cognitive functioning is provided. They are either assessed as T-scores [mean=50, SD=10 range 1-100]; z-scores [mean=0, SD=1, and can be positive or negative] or scaled scores [mean=10, SD=3, and can be positive or negative]. The theory-of-mind total score is a raw score that ranges from 1 to 100. Higher scores for all scales denote better performance. (NCT00488319)
Timeframe: Baseline, Week 24

InterventionScores on a scale (Mean)
Placebo/Paliperidone1.8
Paliperidone (Double-blind)/Paliperidone-2.3
Paliperidone (No Double-blind)/Paliperidone1.5
Total0.0

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Clinical Global Impression - Bipolar Disorder - Severity of Illness (CGI-BP-S): Change From Baseline

The CGI-BP-S rating scale is used to rate the severity of bipolar disorder, including both depressed and manic components, on a 7-point scale ranging from 1 (not ill) to 7 (very severely ill). This scale permits a global evaluation of the subject's bipolar condition at a given time. Negative Change in Score Indicates Improvement. (NCT00490971)
Timeframe: From 1st randomization into acute phase to end of acute/continuation phase (ie, up to 15 weeks after 1st randomization), or from randomization into maintenance (MA) phase to the end of MA phase (ie, up to 175 weeks (or 41 months) after 2nd randomization).

InterventionScores on the scale (Median)
Paliperidone ER-2
Olanzapine-3
Pali/Placebo2
Pali/Pali0
Olan/Olan0

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Global Assessment of Functioning (GAF): Change From Baseline

This scale is used when the clinical progress of a subject needs to be assessed in global terms, using a single measure. The GAF scale is rated with respect to psychological, social, and occupational functioning at the time of the assessment only. A higher score indicates a better functioning, with an overall range from 1 to 100. Positive Change in Score Indicates Improvement. (NCT00490971)
Timeframe: From 1st randomization into acute phase to end of acute/continuation phase (ie, up to 15 weeks after 1st randomization), or from randomization into maintenance (MA) phase to the end of MA phase (ie, up to 175 weeks (or 41 months) after 2nd randomization).

InterventionScores on the scale (Mean)
Paliperidone ER19.6
Olanzapine20.8
Pali/Placebo-15.2
Pali/Pali-8.9
Olan/Olan-4.2

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Montgomery-Asberg Depression Rating Scale (MADRS)

The MADRS consists of 10 items covering all the important complaints which patient with depression have (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts). Item is scored from 0 (normal) to 6 (severe). Total score (0 to 60) is calculated by adding the scores of all 10 items. A higher score represents a more severe condition. Negative Change in Score Indicates Improvement. (NCT00490971)
Timeframe: From 1st randomization into acute phase to end of acute/continuation phase (ie, up to 15 weeks after 1st randomization), or from randomization into maintenance (MA) phase to the end of MA phase (ie, up to 175 weeks (or 41 months) after 2nd randomization).

InterventionScores on the scale (Mean)
Paliperidone ER-2.7
Olanzapine-2.7
Pali/Placebo6.0
Pali/Pali6.1
Olan/Olan2.5

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Time to Recurrence of Depressive Symptoms Associated With Bipolar I Disorder

Pali/Pali and Pali/Placebo were compared with each other with respect to time to recurrence of depressive symptoms. The criterias used for this analysis were similar to criterias used for primary analysis. (NCT00490971)
Timeframe: Date of randomization into the maintenance phase until the first occurrence of recurrence of depressive symptoms or discontinuation from the study, assessed over a period of 41 months.

InterventionDays (Number)
Pali/Placebo503.0
Pali/Pali448.0
Olan/OlanNA

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Young Mania Rating Scale (YMRS): Change From Baseline

This is method by which condition of patient suffering with mania is checked. In this scale patient's condition is assessed using 11 items. A severity rating is assigned to each of 11 items based on the how subject feels of his or her condition and the physicians observation of patients behavior. The range of the scale is 0 to 60. A higher score indicates a more severe condition. Change from baseline (Day 105) in the double-blind maintenance phase to the last postbaseline assessment. (NCT00490971)
Timeframe: From 1st randomization into acute phase to end of acute/continuation phase (ie, up to 15 weeks after 1st randomization), or from randomization into maintenance (MA) phase to the end of MA phase (ie, up to 175 weeks (or 41 months) after 2nd randomization).

InterventionScores on the scale (Mean)
Paliperidone ER-19.2
Olanzapine-19.3
Pali/Placebo9.0
Pali/Pali4.2
Olan/Olan1.3

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Time to Recurrence of Any Mood Symptoms (Manic or Depressive) Associated With Bipolar I Disorder

Time to first recurrence of any mood symptoms (ie, manic or depressive) associated with bipolar I disorder during the maintenance phase, after maintaining clinical stability during continued treatment with paliperidone ER over a period of 15 weeks. The time period was from occurrence of acute manic or mixed episode to Week 15. This outcome was measured using combination of various scales, hospitalization for any mood symptoms, use of any medicines for an mood episode and clinical events suggestive of recurrent mood episode associated with bipolar I disorder. (NCT00490971)
Timeframe: Date of randomization into the maintenance phase until the first occurrence of recurrence of any symptoms or discontinuation from the study, assessed over a period of 41 months.

,,
InterventionDays (Number)
25% Quantile of Time to RecurrenceMedian Time to Recurrence
Olan/Olan541NA
Pali/Pali140.0558.0
Pali/Placebo85.0283.0

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Time to Recurrence of Manic Symptoms Associated With Bipolar I Disorder

This was the key secondary efficacy end-point. Pali/Pali and Pali/Placebo were compared with each other with respect to time to recurrence of manic symptoms. The criterias used for this analysis were similar to criterias used for primary analysis. (NCT00490971)
Timeframe: Date of randomization into the maintenance phase until the first occurrence of recurrence of manic symptoms or discontinuation from the study, assessed over a period of 41 months.

,,
InterventionDays (Number)
25% Quantile of Time to RecurrenceMedian Time to Recurrence
Olan/OlanNANA
Pali/Pali498.0NA
Pali/Placebo194.0550.0

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Change From Baseline to End Point in Sleep Visual Analog Scale (VAS) for Quality of Sleep.

The sleep VAS for sleep quality is a scale for measuring the quality of sleep experienced by a patient. Scores range from 0 to 100, where 100=best and 0=worst. (NCT00518323)
Timeframe: 6 weeks

Interventionunits on a scale (Mean)
Pali ER Low6.6
Pali ER Medium16.0
Pali ER High14.4
Placebo-0.3

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Change From Baseline to End Point in Sleep VAS for Daytime Drowsiness

The sleep VAS for daytime drowsiness is a scale for measuring the drowsiness experienced by a patient. Scores range from 0 to 100, where 100=best and 0=worst. (NCT00518323)
Timeframe: 6 weeks

Interventionunits on a scale (Mean)
Pali ER Low-6.2
Pali ER Medium-7.2
Pali ER High1.0
Placebo-2.8

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Change From Baseline to End Point in Clinical Global Impression-Severity (CGI-S) Scale

The CGI-S rating scale was used to assess the severity of a subject's overall clinical condition. Scores range from 1 to 7, where 1=best and 7=worst. (NCT00518323)
Timeframe: 6 weeks

Interventionunits on a scale (Median)
Pali ER Low0.0
Pali ER Medium-1.0
Pali ER High-1.0
Placebo0.0

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Change From Baseline to End Point in Children's Global Assessment (CGAS) Score

The CGAS score assesses psychological, social, and school functioning for children 6 to 17 years of age. Scores range from 1 to 100, where 100=best and 1=worst. (NCT00518323)
Timeframe: 6 weeks

Interventionunits on a scale (Mean)
Pali ER Low4.4
Pali ER Medium13.1
Pali ER High8.6
Placebo5.0

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Change in the PANSS Total Score From Baseline to the Last Postrandomization Assessment in the Double-blind Period of the Study.

The Positive and Negative Syndrome Scale (PANSS) measures the severity of psychotic symptoms of schizophrenia. Scores range from 30 to 210, where 30=best and 210=worst. The change in PANSS total score for all eligible subjects was measured from the beginning of the study to the end. (NCT00518323)
Timeframe: 6 weeks

Interventionunits on a scale (Mean)
Pali ER Low-9.8
Pali ER Medium-17.3
Pali ER High-13.8
Placebo-7.9

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Change From Baseline to End Point (Week 6 or the Last Assessment After the Baseline Assessment) in MOS SF-36 Mental Component Summary Scale Score

The MOS SF-36 is a measure of patient-reported health status. It is a 36-item questionnaire measuring 8 domains (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health). Each domain score ranges from 0 (worst) to 100 (best), with higher scores reflecting better health-related functional status. Two summary scale scores are computed based on weighted combinations of the 8 domain scores: the Physical Component Summary and the Mental Component Summary. (NCT00524043)
Timeframe: Baseline, 6 weeks

Interventionunits on a scale (Mean)
Placebo3.5
Paliperidone ER 6 mg6.1
Paliperidone ER 1.5 mg2.1

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Change From Baseline to End Point (Week 6 or the Last Assessment After the Baseline Assessment) in MOS SF-36 Physical Component Summary Scale Score

The Medical Outcomes Study Short Form Health Survey-36 (MOS SF-36) is a measure of patient-reported health status. It is a 36-item questionnaire measuring 8 domains (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health). Each domain score ranges from 0 (worst) to 100 (best), with higher scores reflecting better health-related functional status. Two summary scale scores are computed based on weighted combinations of the 8 subscale scores: the Physical Component Summary and the Mental Component Summary. (NCT00524043)
Timeframe: Baseline, 6 weeks

Interventionunits on a scale (Mean)
Placebo0.4
Paliperidone ER 6 mg0.6
Paliperidone ER 1.5 mg-0.2

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Change From Baseline to End Point (Week 6 or the Last Assessment After the Baseline Assessment) in PSP Score

The Personal and Social Performance (PSP) scale assesses the degree of difficulty (ranging from i [absent] to vi [very severe]) a patient exhibits over a 1-month period in socially useful activities, personal and social relationships, self care, and disturbing and aggressive behavior. The overall score ranges from 1 to 100. Patients with scores of 71 to 100 have a mild degree of difficulty; patients with scores from 31 to 70 have various degrees of disability; and patients with scores of 30 or less function so poorly as to require intensive supervision. (NCT00524043)
Timeframe: Baseline, 6 weeks

Interventionunits on a scale (Mean)
Placebo1.6
Paliperidone ER 6 mg5.7
Paliperidone ER 1.5 mg2.9

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Change From Baseline to the End of the Double-blind Treatment Phase (Week 6 or the Last Assessment Obtained After the Baseline Assessment) in CGI-S

The Clinical Global Impression-Severity (CGI-S) rating scale is used by psychiatrists to rate the severity of a patient's psychotic condition on a 7-point scale ranging from 1 (not ill) to 7 (extremely severe). The scale permits a global evaluation of the patient's condition at a given time. (NCT00524043)
Timeframe: Baseline, 6 weeks

Interventionunits on a scale (Median)
Placebo-1.0
Paliperidone ER 6 mg-0.5
Paliperidone ER 1.5 mg0.0

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Change From Baseline in PANSS Total Score at the End of the Double-blind Treatment Phase (Week 6 or the Last Assessment Obtained After the Baseline Assessment).

The Positive and Negative Syndrome Scale (PANSS) is a tool used by psychiatrists to measure the symptoms of psychosis experienced by a patient with schizophrenia. It includes 30 items that produce a total score ranging from a minimum of 30 (indicating least severe symptoms of illness) to a maximum of 120 (indicating most severe symptoms of illness). A negative change in score from baseline to end point indicates improvement in the symptoms of illness. (NCT00524043)
Timeframe: Baseline, 6 weeks

Interventionunits on a scale (Mean)
Placebo-11.7
Paliperidone ER 6 mg-15.0
Paliperidone ER 1.5 mg-8.9

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Treatment Satisfaction Questionnaire for Medication (TSQM) Global Satisfaction Score Change From Baseline to the Week 6 Endpoint

"The TSQM is a 14-item subject-assessed evaluation of treatment medication including 4 factors, Effectiveness (items 1-3), Side Effects (items 4-8), Convenience (items 9-11)and Global Satisfaction (items 12-14). Item 14 states taking all things into account, how satisfied or dissatisfied are you with this medication? and utilizes the following responses on a 7-point Likert scale: 1=Extremely Dissatisfied, 2=Very Dissatisfied, 3=Somewhat Dissatisfied, 4=Neither Satisfied Nor Dissatisfied, 5=Somewhat Satisfied, 6=Very Satisfied, 7=Extremely Satisfied. Worst value is 0 and best value is 100." (NCT00535132)
Timeframe: Change from Baseline to Week 6 LOCF

InterventionPoints on a scale (Mean)
PALI ER Immediate Initiation30.2
PALI ER Delayed Initiation26.4
Overall28.3

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Medication Satisfaction Questionnaire (MSQ) - Categorical Summary - Dichotomized Categories - Week 2 (Observed).

The MSQ is a 7-point, verbally administered, Likert-type scale rated as follows: 1=Extremely Dissatisfied, 2=Very Dissatisfied, 3=Somewhat Dissatisfied, 4=Neither Satisfied Nor Dissatisfied, 5=Somewhat Satisfied, 6=Very Satisfied, 7=Extremely Satisfied. Worst value is 1 (Extremely Dissatisfied) and best value is 7 (Extremely Satisfied). (NCT00535132)
Timeframe: Week 2

,,
InterventionParticipants (Number)
Satisfied (score 5-7)Dissatisfied (score 1-4)
Overall10682
PALI ER Delayed Initiation4352
PALI ER Immediate Initiation6330

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Medication Satisfaction Questionnaire (MSQ) - Categorical Summary - Dichotomized Categories - Week 4 (Observed).

The MSQ is a 7-point, verbally administered, Likert-type scale rated as follows: 1=Extremely Dissatisfied, 2=Very Dissatisfied, 3=Somewhat Dissatisfied, 4=Neither Satisfied Nor Dissatisfied, 5=Somewhat Satisfied, 6=Very Satisfied, 7=Extremely Satisfied. Worst value is 1 (Extremely Dissatisfied) and best value is 7 (Extremely Satisfied). (NCT00535132)
Timeframe: Week 4

,,
InterventionParticipants (Number)
Satisfied (score 5-7)Dissatisfied (score 1-4)
Overall13941
PALI ER Delayed Initiation6427
PALI ER Immediate Initiation7514

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Medication Satisfaction Questionnaire (MSQ) - Categorical Summary - Dichotomized Categories - Week 6 (Observed).

The MSQ is a 7-point, verbally administered, Likert-type scale rated as follows: 1=Extremely Dissatisfied, 2=Very Dissatisfied, 3=Somewhat Dissatisfied, 4=Neither Satisfied Nor Dissatisfied, 5=Somewhat Satisfied, 6=Very Satisfied, 7=Extremely Satisfied. Worst value is 1 (Extremely Dissatisfied) and best value is 7 (Extremely Satisfied). (NCT00535132)
Timeframe: Week 6

,,
InterventionParticipants (Number)
Satisfied (score 5-7)Dissatisfied (score 1-4)
Overall14824
PALI ER Delayed Initiation7116
PALI ER Immediate Initiation778

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Medication Satisfaction Questionnaire (MSQ) - Categorical Summary - Dichotomized Categories - Week 6 LOCF.

The MSQ is a 7-point, verbally administered, Likert-type scale rated as follows: 1=Extremely Dissatisfied, 2=Very Dissatisfied, 3=Somewhat Dissatisfied, 4=Neither Satisfied Nor Dissatisfied, 5=Somewhat Satisfied, 6=Very Satisfied, 7=Extremely Satisfied. Worst value is 1 (Extremely Dissatisfied) and best value is 7 (Extremely Satisfied). (NCT00535132)
Timeframe: Week 6 LOCF

,,
InterventionParticipants (Number)
Satisfied (score 5-7)Dissatisfied (score 1-4)
Overall15833
PALI ER Delayed Initiation7521
PALI ER Immediate Initiation8312

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Pittsburgh Sleep Quality Index (PSQI) Change From Baseline to the Week 6 Endpoint

The PSQI is a 2-part questionnaire that assesses sleep quality and disturbances in seven domains: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleep medication, and daytime dysfunction. Each domain is rated on a 4-point scale as follows: 0=Not during the past month, 1=Less than once a week, 2=Once or twice a week, 3=Three or more times a week. Total scores range from zero to 21; increasing scores indicate poorer sleep quality and total scores greater than 5 suggest significant sleep disturbance. (NCT00535132)
Timeframe: Change from Baseline to Week 6 LOCF

InterventionPoints on a scale (Mean)
PALI ER Immediate Initiation-2.3
PALI ER Delayed Initiation-2.2
Overall-2.3

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Medication Satisfaction Questionnaire (MSQ) Score Change From Baseline to Week 6 (Observed).

The MSQ is a 7-point, verbally administered, Likert-type scale rated as follows: 1=Extremely Dissatisfied, 2=Very Dissatisfied, 3=Somewhat Dissatisfied, 4=Neither Satisfied Nor Dissatisfied, 5=Somewhat Satisfied, 6=Very Satisfied, 7=Extremely Satisfied. Worst value is 1 (Extremely Dissatisfied) and best value is 7 (Extremely Satisfied). (NCT00535132)
Timeframe: Change from Baseline in MSQ Score at Week 6

InterventionPoints on a scale (Mean)
PALI ER Immediate Initiation2.5
PALI ER Delayed Initiation2.4
Overall2.5

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Short Form-36 Health Survey (SF-36) Physical Health Composite Score Change From Baseline to the Week 6 Endpoint

The SF-36 is a well-validated and widely used quality-of-life instrument employed in numerous disease states, including schizophrenia. It is a self-administered survey that measures eight domains of health including: physical functioning, role limitations due to physical health (role-physical), bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems (role-emotional) and general mental health. Scoring of the SF-36 was based on the SF-36 Manual and Interpretation Guide. Worst value is 0 and best value is 100. (NCT00535132)
Timeframe: Change from Baseline to Week 6 LOCF

InterventionScores on a scale (Mean)
PALI ER Immediate Initiation0.8
PALI ER Delayed Initiation2.1
Overall1.5

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Medication Satisfaction Questionnaire (MSQ) Score Change From Baseline to Week 4 (Observed).

The MSQ is a 7-point, verbally administered, Likert-type scale rated as follows: 1=Extremely Dissatisfied, 2=Very Dissatisfied, 3=Somewhat Dissatisfied, 4=Neither Satisfied Nor Dissatisfied, 5=Somewhat Satisfied, 6=Very Satisfied, 7=Extremely Satisfied. Worst value is 1 (Extremely Dissatisfied) and best value is 7 (Extremely Satisfied). (NCT00535132)
Timeframe: Change from Baseline in MSQ Score at Week 4

InterventionPoints on a scale (Mean)
PALI ER Immediate Initiation2.4
PALI ER Delayed Initiation2.1
Overall2.3

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Medication Satisfaction Questionnaire (MSQ) Score Change From Baseline to the Week 6 Endpoint.

The MSQ is a 7-point, verbally administered, Likert-type scale rated as follows: 1=Extremely Dissatisfied, 2=Very Dissatisfied, 3=Somewhat Dissatisfied, 4=Neither Satisfied Nor Dissatisfied, 5=Somewhat Satisfied, 6=Very Satisfied, 7=Extremely Satisfied. Worst value is 1 (Extremely Dissatisfied) and best value is 7 (Extremely Satisfied). (NCT00535132)
Timeframe: Change from Baseline in MSQ Score at Week 6 Last Observation Carried Forward (LOCF)

InterventionPoints on a scale (Mean)
PALI ER Immediate Initiation2.5
PALI ER Delayed Initiation2.3
Overall2.4

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Clinical Global Impression - Severity (CGI-S) Change From Baseline to Week 6 Endpoint

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a subject. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill subjects. Worst value is 7 and best value is 1." (NCT00535132)
Timeframe: Change from Baseline to Week 6 LOCF

InterventionPoints on a scale (Mean)
PALI ER Immediate Initiation-0.8
PALI ER Delayed Initiation-0.8
Overall-0.8

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Medication Satisfaction Questionnaire (MSQ) Score Change From Baseline to Week 2 (Observed).

The MSQ is a 7-point, verbally administered, Likert-type scale rated as follows: 1=Extremely Dissatisfied, 2=Very Dissatisfied, 3=Somewhat Dissatisfied, 4=Neither Satisfied Nor Dissatisfied, 5=Somewhat Satisfied, 6=Very Satisfied, 7=Extremely Satisfied. Worst value is 1 (Extremely Dissatisfied) and best value is 7 (Extremely Satisfied). (NCT00535132)
Timeframe: Change from Baseline in MSQ Score at Week 2

InterventionPoints on a scale (Mean)
PALI ER Immediate Initiation2.0
PALI ER Delayed Initiation1.6
Overall1.8

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Short Form-36 Health Survey (SF-36) Mental Health Composite Score Change From Baseline to the Week 6 Endpoint

The SF-36 is a well-validated and widely used quality-of-life instrument employed in numerous disease states, including schizophrenia. It is a self-administered survey that measures eight domains of health including: physical functioning, role limitations due to physical health (role-physical), bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems (role-emotional) and general mental health. Scoring of the SF-36 was based on the SF-36 Manual and Interpretation Guide. Worst value is 0 and best value is 100. (NCT00535132)
Timeframe: Change from Baseline to Week 6 LOCF

InterventionScores on a scale (Mean)
PALI ER Immediate Initiation6.7
PALI ER Delayed Initiation7.2
Overall7.0

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Positive and Negative Syndrome Scale (PANSS) Total Score Change From Baseline to Week 6 Endpoint

The PANSS is a 30-item scale designed to capture numerous symptoms of schizophrenia, including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale as follows: 1=Absent, 2=Minimal, 3=Mild,4=Moderate, 5=Moderate Severe, 6=Severe, 7=Extreme. This scale has been shown to be sensitive to changes associated with medication treatment. In addition to a total score, this assessment yields separate scores along a Positive Syndrome, a Negative Syndrome, and a General Psychopathology Scales. Worst value is 210, best value is 30. (NCT00535132)
Timeframe: Change from Baseline to Week 6 LOCF

InterventionPoints on a scale (Mean)
PALI ER Immediate Initiation-13.5
PALI ER Delayed Initiation-12.3
Overall-12.9

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Modified COVI Anxiety Scale (m-COVI) Change From Baseline to the Week 6 Endpoint

The standard COVI Anxiety Scale is an investigator-assessed measure of the severity of anxiety symptoms on 4 items: verbal report, behavior, somatic symptoms, and relationship to study drug. Each dimension is assessed in 5 to 10 minutes using a 5-point scale as follows: 1=Not at all, 2=Somewhat, 3=Moderately, 4=Considerably, to 5=Very much. For this study, the standard COVI Anxiety Scale was modified to improve psychometric properties by incorporating anchor points for symptom severity, frequency, and duration and for functional impairment. Worst value is 20 and best value is 4. (NCT00535132)
Timeframe: Change from Baseline to Week 6 LOCF

InterventionPoints on a scale (Mean)
PALI ER Immediate Initiation-1.4
PALI ER Delayed Initiation-1.3
Overall-1.3

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The Difference in the Incidence of Any Adverse Events When Patients Switch Their Antipsychotic From Treatment as Usual (TAU) to Paliperidone ER

Adverse Event summary for both serious adverse events and other adverse events. Please see the Clinical Study Report Synopsis for results on this primary outcome measure or the AE section for a detailed breakdown of each adverse event preferred term in both categories. (NCT00535145)
Timeframe: Day 1 - Day 62

,
InterventionParticipants (Number)
Serious Adverse EventsOther Adverse Events
Paliperidone ER Phase243
TAU Phase027

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Positive and Negative Symptoms of Schizophrenia (PANSS) Change From Baseline

"The PANSS is a 30-item scale (range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale (1=Absent, 2=Minimal, 3=Mild, 4=Moderate, 5=Moderate/Severe, 6=Severe, 7=Extreme).The PANSS total score consists of the sum of all 30 PANSS items. Higher scores indicate more severe neuropsychiatric symptoms of schizophrenia." (NCT00535145)
Timeframe: Day 1 - Day 62

InterventionScores on a scale (Mean)
Day 27 (n=79)Day 48 (n=74)Day 62 (n=77)Post Day 27 Endpoint (n=79)
Study Treatment-1.7-5.4-7.2-7.6

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Clinical Global Impression of Severity (CGI-S) Change From Baseline

The CGI-S (range 1-7) is a standardized, clinician-rated assessment to rate the severity of illness of the patient. The clinician assessed the severity of illness using the following categories: 1 = normal, 2 = borderline ill, 3 = mildly ill, 4 = moderately ill, 5 = markedly ill, 6 = severely ill, 7 = among the most extremely ill. The minimum score is 1 and maximum score is 7, with higher scores indicating more severe illness. (NCT00535145)
Timeframe: Day 1 - Day 62

InterventionScores on a scale (Mean)
Day 13 (n=78)Day 27 Paliperidone ER Baseline (n=79)Day 48 (n=74)Day 62 (n=77)Post Day 27 Endpoint (n=79)
Study Treatment-0.1-0.1-0.3-0.4-0.4

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Personal and Social Performance Score (PSP) Change From Baseline

The PSP (range 1-100) is a validated clinician-rated assessment of functioning. Four areas of functioning (socially useful activities, personal/social relationships, self-care, disturbing/aggressive behaviors) are assessed on a 6-point scale (0=absent to 5=very severe). A transformed score from 1 to 100 is generated from the raw score based on the clinical interpretation of the scores generated in the 4 areas of functioning, with a higher transformed score indicating better function. (NCT00535145)
Timeframe: Day 1 - Day 62

InterventionScores on a scale (Mean)
Day 27 Paliperidone ER Baseline (n=78)Day 62 (n=76)
Study Treatment1.22.8

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The Children's Yale-Brown Obsessive Compulsive Scale Modified for Pervasive Developmental Disorders

The Children's Yale-Brown Obsessive Compulsive Scale Modified for Pervasive Developmental Disorders (CY-BOCS-PDD) is semi-structured clinician rating scale designed to rate the current severity of repetitive behavior in children and adolescents with PDD. The scale consists of 5 items: Time Spent, Interference, Distress, Resistance and Control. Each item is scored from 0 (None) to 4 (Extreme). The scale yields a Total Score from 0 (least symptomatic) to 20 (most symptomatic). Higher scores indicate greater severity of repetitive behavior. (NCT00549562)
Timeframe: Week 8

Interventionunits on a scale (Mean)
Paliperidone ER11.9

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The Clinical Global Impression-Improvement(CGI-I)

The CGI Global Improvement (CGI-I) is a clinician-rate scale designed to take into account all factors to arrive at an assessment of severity and response to treatment, including parent report, parent-rated measures, teacher-rated measures, and clinician-rated measures. The CGI-I is rated from 1 to 7 (1 = very much improved; 2 = much improved; 3 = minimally improved; 4 = no change; 5 = minimally worse; 6 = much worse; 7 = very much worse) at a single time-point. (NCT00549562)
Timeframe: Week 8

Interventionunits on a scale (Mean)
Paliperidone ER1.8

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The Social Responsiveness Scale

The Social Responsiveness Scale (SRS) is a 65-item parent completed scale that assesses social awareness, social cognition, social communication, social motivation and autistic mannerisms. Each item is scored from 1 (not true) to 3 (almost always true). Interpretation in this study is based on a total score that is proportional to the level of impairment in reciprocal social behavior. Scores within 0-53 are within normal limits. Scores within 54-86 indicate mild to moderate impairment. Scores above 87 indicate severe impairment. (NCT00549562)
Timeframe: Week 8

Interventionunits on a scale (Mean)
Paliperidone ER100.9

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The Aberrant Behavior Checklist

The Aberrant Behavior Checklist (ABC) is a 58-item measure of maladaptive behaviors and is used as a measure of drug effects. Each item is rated from 0 (not at all to 3 (severe). The ABC has 5 subscales:Irritability (15 items) ranging from 0 (not at all) to 45 (severe), Hyperactivity (16 items) ranging from 0 (not at all) to 48 (severe), Social Withdrawal (16 items) ranging from 0 (not at all) to 48 (severe), Stereotypy (7 items) ranging from 0 (not at all) to 21 (severe) and Inappropriate Speech (4 items) ranging from 0 (not at all) to 12 (severe). (NCT00549562)
Timeframe: Week 8

Interventionunits on a scale (Mean)
ABC-IrritabilityABC-HyperactivityABC-Social WithdrawalABC-StereotypyABC-Inappropriate Speech
Paliperidone ER12.617.47.66.43.4

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The Vineland Adaptive Behavior Scales (VABS) - Maladaptive Behavior Domain

The VABS Maladaptive Behavior Domain measures undesirable behaviors that may interfere with an individual's adaptive functioning. The Maladaptive Domain consists two parts. Part I contains 27 minor maladaptive items and Part II contains 9 serious maladaptive behaviors. Each item is scored from 0 (never or seldom engages in the activity) to 2(usually or habitually engages in the activity). Part 1 yields a score of 0 to 54. Part II yields a score of 0 to 18. Both parts are combined to make a Total Score of 0 to 72. High scores of maladaptive behaviors reflect more negative behavior. (NCT00549562)
Timeframe: Week 8

Interventionunits on a scale (Mean)
VABS Maladaptive Behavior Subscale-Part IVABS Maladaptive Behavior Subjscale Part IIVABS Maladaptive Behavior Subscale Total
Paliperidone ER19.06.425.1

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Number of Participants Satisfied With the Study Treatment

Treatment satisfaction with paliperidone ER was assessed by the Investigator and participant on a 5-point scale: 1 (very good), 2 (good), 3 (reasonable), 4 (moderate) and 5 (poor), at the end of the core treatment phase (which is, Day 42 or early discontinuation) by conducting an interview. (NCT00566631)
Timeframe: Day 42 or early discontinuation

InterventionParticipants (Number)
Treatment efficacy: Very goodTreatment efficacy: GoodTreatment efficacy: ReasonableTreatment efficacy: ModerateTreatment efficacy: PoorTreatment tolerability: Very goodTreatment tolerability: GoodTreatment tolerability: ReasonableTreatment tolerability: ModerateTreatment tolerability: Poor
Paliperidone Extended Release (ER)6611153251384124351510

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Percentage of Participants With Treatment Response Greater Than (>) 20 Percent, 40 Percent and 50 Percent in Total Positive and Negative Syndrome Scale (PANSS) Score

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. Final evaluation is the last post-baseline visit with data. (NCT00566631)
Timeframe: Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or early discontinuation)

InterventionPercentage of participants (Number)
Treatment Response>20 Percent at Day 2Treatment Response>20 Percent at Day 3Treatment Response>20 Percent at Day 4Treatment Response>20 percent at Day 5Treatment Response>20 Percent at Day 7Treatment Response>20 Percent at Day 14Treatment Response>20 Percent at Day 28Treatment Response>20 percent at Day 42Treatment Response>20 Percent at Final EvaluationTreatment Response>40 Percent at Day 2Treatment Response>40 Percent at Day 3Treatment Response>40 Percent at Day 4Treatment Response>40 Percent at Day 5Treatment Response>40 Percent at Day 7Treatment Response>40 Percent at Day 14Treatment Response>40 Percent at Day 28Treatment Response>40 Percent at Day 42Treatment Response>40 Percent at Final EvaluationTreatment Response>50 Percent at Day 2Treatment Response>50 Percent at Day 3Treatment Response>50 Percent at Day 4Treatment Response>50 Percent at Day 5Treatment Response>50 Percent at Day 7Treatment Response>50 Percent at Day 14Treatment Response>50 Percent at Day 28Treatment Response>50 Percent at Day 42Treatment Response>50 Percent at Final Evaluation
Paliperidone Extended Release (ER)4.412.929.939.455.672.179.987.676.501.76.911.619.633.748.059.451.4002.87.411.218.129.941.534.7

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Change From Baseline in Total Positive and Negative Symptom Scale (PANSS) Score at Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. Final evaluation is the last post-baseline visit with data. (NCT00566631)
Timeframe: Baseline, Day 2, 3, 4, 5, 7, 14, 28, 42 and Final Evaluation (Day 42 or early discontinuation)

InterventionUnits on a scale (Mean)
Baseline (n=294)Change at Day 2 (n=294)Change at Day 3 (n=287)Change at Day 4 (n=288)Change at Day 5 (n=284)Change at Day 7 (n=286)Change at Day 14 (n=276)Change at Day 28 (n=254)Change at Day 42 (n=234)Change at Final Evaluation (n=294)
Paliperidone Extended Release (ER)100.2-2.3-5.8-10.3-13.3-17.4-22.3-27.2-32.1-27.5

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Number of Participants With Treatment Response Based on Total PANSS Scale Score

Response was defined as decrease of at least 30 percent in total Positive and Negative Syndrome Scale (PANSS) score from Baseline to endpoint of core phase (which is, Day 42 or early discontinuation). The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, & poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of sum of all 30 PANSS items & ranges from 30 to 210. Higher scores indicate worsening. (NCT00566631)
Timeframe: Day 42 or early discontinuation

InterventionParticipants (Number)
Paliperidone Extended Release (ER)195

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Change From Baseline in Abnormal Involuntary Movement Scale (AIMS) Score at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)

The AIMS is a 12-item scale to provide a numeric measure to the observed abnormal movements in different parts of the body. Information is collected after a brief neurological examination and is scored on a 5-point scale (0=none and 4=severe). Final evaluation is the last post-baseline visit with data. (NCT00566631)
Timeframe: Baseline, Day 7, 14, 42 and Final Evaluation (Day 42 or early discontinuation)

InterventionUnits on a scale (Mean)
Baseline (n=290)Change at Day 7 (n=287)Change at Day 14 (n=276)Change at Day 42 (n=234)Change at Final Evaluation (n=290)
Paliperidone Extended Release (ER)0.59-0.05-0.13-0.18-0.09

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Change From Baseline in Clinical Global Impression -Severity (CGI-S) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to normal, not at all ill and a rating of 7 is equivalent to among the most extremely ill participants. Higher scores indicate worsening. Final evaluation is the last post-baseline visit with data." (NCT00566631)
Timeframe: Baseline, Day 7, 14, 28, 42 and Final Evaluation (Day 42 or early discontinuation)

InterventionUnits on a scale (Mean)
Baseline (n=289)Change at Day 7 (n=286)Change at Day 14 (n=275)Change at Day 28 (n=253)Change at Day 42 (n=234)Change at Final Evaluation (n=289)
Paliperidone Extended Release (ER)3.9-0.6-0.9-1.2-1.5-1.2

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Change From Baseline in Day Time Drowsiness Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)

The day time drowsiness evaluation scale is a self-administered scale that rates day time drowsiness. Participants indicate on an 11-point scale that how often they have felt drowsy within the previous 7 days, score ranged from 0 (not at all) to 10 (all the time). Final evaluation is the last post-baseline visit with data. (NCT00566631)
Timeframe: Baseline, Day 7, 14, 28, 42 and Final Evaluation (Day 42 or early discontinuation)

InterventionUnits on a scale (Mean)
Baseline (n=286)Change at Day 7 (n=280)Change at Day 14 (n=273)Change at Day 28 (n=250)Change at Day 42 (n=234)Change at Final Evaluation (n=286)
Paliperidone Extended Release (ER)3.4-0.5-1.0-1.4-1.6-1.4

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Change From Baseline in Global Rating Sub-scale Score Based on Barnes Akathisia Rating Scale (BARS) at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)

The BARS included an objective rating (from 0=normal to 3=constantly engaged), two subjective ratings of symptoms of akathisia, namely awareness of restlessness (ranging from 0=absence of inner restlessness to 3=awareness of intense compulsion to move) and reported distress related to restlessness (ranging from 0=no distress to 3=severe), and a global clinical rating of akathisia, ranging from 0 (absent) to 5 (severe). Global rating sub-scale score (that is, global clinical rating of akathisia) was assessed which was scored separately and is the most relevant measure of severity of akathisia. Higher scores indicates worsening akathisia. Final evaluation is the last post-baseline visit with data. (NCT00566631)
Timeframe: Baseline, Day 7, 14, 42 and Final Evaluation (Day 42 or early discontinuation)

InterventionUnits on a scale (Mean)
Baseline (n=290)Change at Day 7 (n=286)Change at Day 14 (n=276)Change at Day 42 (n=234)Change at Final Evaluation (n=290)
Paliperidone Extended Release (ER)0.17-0.02-0.01-0.030.03

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Change From Baseline in Personal and Social Performance Scale (PSP) Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)

The PSP assesses the degree of dysfunction within 4 domains of behavior: socially useful activities, personal & social relationships, self-care & disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (1, absent to 6, very severe) in each of 4 domains. Participants with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; less than or equal to 30, functioning so poorly as to require intensive supervision. Final evaluation is the last post-baseline visit with data. (NCT00566631)
Timeframe: Baseline, Day 7, 14, 28, 42 and Final Evaluation (Day 42 or early discontinuation)

InterventionUnits on a Scale (Mean)
Baseline (n=290)Change at Day 7 (n=287)Change at Day 14 (n=276)Change at Day 28 (n=254)Change at Day 42 (n=235)Change at Final Evaluation (n=290)
Paliperidone Extended Release (ER)50.06.39.913.816.113.7

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Day 42 and Final Evaluation (Day 42 or Early Discontinuation)

The PANSS is a 30-item scale to assess neuropsychiatric symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). Positive symptoms subscale consists of 8 items with total score range of 8-56; negative symptoms and disorganized thoughts subscale, consists of 7 items with total score range of 7-49, uncontrolled hostility/excitement (H/E) subscale and anxiety/depression subscale, each consists of 4 items with total score range of 4-28. Higher score indicates greater severity. Final evaluation is the last post-baseline visit with data. (NCT00566631)
Timeframe: Baseline, Day 42 and Final Evaluation (Day 42 or early discontinuation)

InterventionUnits on a scale (Mean)
Positive Score: BaselinePositive Score: Change at Day 42Positive Score: Change at Final EvaluationNegative Score: BaselineNegative Score: Change at Day 42Negative Score: Change at Final EvaluationDisorganized Thoughts: BaselineDisorganized Thoughts: Change at Day 42Disorganized Thoughts: Change at Final EvaluationUncontrolled H/E: BaselineUncontrolled H/E: Change at Day 42Uncontrolled H/E: Change at Final EvaluationAnxiety/Depression: BaselineAnxiety/Depression: Change at Day 42Anxiety/Depression: Change at Final Evaluation
Paliperidone Extended Release (ER)28.8-10.6-9.124.8-6.5-5.723.4-6.5-5.610.6-3.8-3.212.5-4.8-3.9

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Change From Baseline in Quality of Sleep Evaluation Score at Day 7, 14, 28, 42 and Final Evaluation (Day 42 or Early Discontinuation)

The sleep evaluation scale is a self-administered scale that rates quality of sleep. Participants indicate on an 11-point scale that how well they have slept within the previous 7 days, score ranged from 0 (very badly) to 10 (very well). Final evaluation is the last post-baseline visit with data. (NCT00566631)
Timeframe: Baseline, Day 7, 14, 28, 42 and Final Evaluation (Day 42 or early discontinuation)

InterventionUnits on a scale (Mean)
Baseline (n=286)Change at Day 7 (n=280)Change at Day 14 (n=273)Change at Day 28 (n=250)Change at Day 42 (n=234)Change at Final Evaluation (n=286)
Paliperidone Extended Release (ER)5.41.41.72.12.62.1

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Change From Baseline in Simpson Angus Extrapyramidal Symptoms Rating Scale (SAS) Score at Day 7, 14, 42 and Final Evaluation (Day 42 or Early Discontinuation)

The SAS is a 10-item scale used to measure the symptoms of parkinsonism (slow movements) or parkinsonian side-effects related to the use of antipsychotic medications. The SAS rates 10 items (including gait, arm dropping, shoulder shaking, elbow rigidity, wrist rigidity, leg pendulousness, head dropping, Glabella tap, tremor and salivation), score ranging from 0 (normal) to 4 (extreme). The SAS global score is the average score (total sum of items score divided by the number of items) and ranges between 0 and 4, where the higher score indicates more severe condition of Extrapyramidal Symptoms. Final evaluation is the last post- baseline visit with data. (NCT00566631)
Timeframe: Baseline, Day 7, 14, 42 and Final Evaluation (Day 42 or early discontinuation)

InterventionUnits on a scale (Mean)
Baseline (n=290)Change at Day 7 (n=287)Change at Day 14 (n=276)Change at Day 42 (n=234)Change at Final Evaluation (n=290)
Paliperidone Extended Release (ER)0.160.00-0.00-0.020.01

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Change in the Positive and Negative Syndrome Scale (PANSS) Total Score for Schizophrenia

The PANSS scale is used to assess the neuropsychiatric symptoms of schizophrenia. The 30-item PANSS scale 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 item rated on a scale of 1 (absent) to 7 (extreme). (NCT00589914)
Timeframe: Baseline to the last postrandomization assessment in the double-blind treatment period (approximately 13 weeks)

InterventionScores on a scale (Mean)
R092670-18.6
RISPERDAL CONSTA-17.9

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The Change From Baseline for the CGI-S Score

The CGI-S rating scale is used to rate the severity of a patient's psychotic condition on a 7-point scale ranging from 1 (not ill) to 7 (extremely severe). This scale permits a global evaluation of the patient's condition at a given time. A qualified rater administered the CGI-S. (NCT00589914)
Timeframe: Baseline to the last postrandomization assessment in the double-blind treatment period (approximately 13 weeks)]

InterventionScores on a scale (Mean)
R092670-0.9
RISPERDAL CONSTA-0.9

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The Change From Baseline in the PSP Score

The PSP scale is used to assess the degree of dysfunction a patient exhibits over a 7-day period within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. The results of the assessment are converted to a numeric score. A score between 71 and 100 indicates a mild degree of difficulty; a score between 31 and 70 indicates a moderate degree of dysfunction, and a patient with a score of 30 or less has functioning so poor he or she requires intensive supervision. (NCT00589914)
Timeframe: Baseline to the last postrandomization assessment in the double-blind treatment period (approximately 13 weeks)

InterventionScores on a scale (Mean)
R0926708.5
RISPERDAL CONSTA8.8

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Change in Personal and Social Performance Scale (PSP) Score From Baseline to Week 13 or the Last Post-baseline Assessment.

The PSP scale measures the degree of normal function of a subject in interpersonal relationships and social interactions. Scores range from 1 to 100, where 1 is worst and 100 is best. The average change in PSP score for all eligible subjects was measured from the beginning of the study to Week 13 (i.e., the end of the double-blind treatment period) or, if the subject left the study early, from the beginning of the study to the last assessment after baseline. (NCT00590577)
Timeframe: Baseline to 13 weeks or the last post-baseline assessment

InterventionScores on a scale (Mean)
Paliperidone Palmitate 25 mg eq.2.9
Paliperidone Palmitate 100 mg eq.6.1
Paliperidone Palmitate 150 mg eq.8.3
Placebo1.7

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Change in Positive and Negative Syndrome Scale (PANSS) Total Score From Baseline to Week 13 or the Last Post-baseline Assessment

The PANSS measures the severity of psychotic symptoms of schizophrenia. Scores range from 30 to 210, where 30=best and 210=worst. The change in PANSS total score for all eligible subjects was measured from the beginning of the study to Week 13 (i.e., the end of the double-blind treatment period) or, if the subject left the study early, from the beginning of the study to the last assessment after baseline. (NCT00590577)
Timeframe: Baseline to 13 weeks or the last post-baseline assessment

InterventionScores on a scale (Mean)
Paliperidone Palmitate 25 mg eq.-8.0
Paliperidone Palmitate 100 mg eq.-11.6
Paliperidone Palmitate 150 mg eq.-13.2
Placebo-2.9

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Change in Clinical Global Impression-Severity (CGI-S) Scores From Baseline to Week 13 or the Last Post-baseline Assessment

The CGI-S rating scale was used to assess the severity of a subject's overall clinical condition. Scores range from 1 to 7, where 1=best and 7=worst. The change in CGI-S score for all eligible subjects was measured from the beginning of the study to Week 13 (i.e., the end of the double-blind treatment period) or, if the subject left the study early, from the beginning of the study to the last assessment after baseline. (NCT00590577)
Timeframe: Baseline to 13 weeks or the last post-baseline assessment

InterventionScores on a scale (Median)
Paliperidone Palmitate 25 mg eq.-1.0
Paliperidone Palmitate 100 mg eq.-1.0
Paliperidone Palmitate 150 mg eq.-1.0
Placebo0.0

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Change in Symptoms Measured by DSM-IV Mania Symptoms Checklist

A 13-item clinician-rated symptom checklist developed by Massachusetts General Hospital to measure symptoms of mania. Each item is given a rating for frequency (1=less than 4 days, 2=greater than or equal to 4 days, 3=daily) and intensity (1=mild, 2=moderate, 3=severe), which are combined to yield a composite severity score ranging from 0 (least severe) to 3 (most severe). The composite severity scores from all 13 items are summed to yield a total measure score, with a minimum score of 0 (least severe) and a maximum score of 39 (most severe). (NCT00592358)
Timeframe: Baseline and 8 weeks (or final study visit, if subjects completed the study before 8 weeks)

Interventionunits on a scale (Mean)
BaselineEndpoint
Paliperidone18.510.9

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Change in Symptoms Measured by Young Mania Rating Scale (YMRS)

The YMRS is an 11-item instrument used to assess the severity of mania in patients with a diagnosis of bipolar disorder. Four items are graded on a 0 to 8 scale (irritability, speech, thought content, and disruptive/aggressive behavior), while the remaining seven itemsare graded on a 0 to 4 scale. The maximum possible total score is 60 (worse outcome, severe symptoms), and the minimum possible total score is 0 (no symptoms). (NCT00592358)
Timeframe: Baseline and 8 weeks (or final study visit, if subjects completed the study before 8 weeks)

Interventionunits on a scale (Mean)
BaselineEndpoint
Paliperidone32.814.1

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Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Day 92 or Early Withdrawal

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher change scores indicate worsening." (NCT00604279)
Timeframe: Baseline, Day 92 or early withdrawal

,
InterventionUnits on scale (Mean)
BaselineChange at Day 92 or Early Withdrawal
Paliperidone Palmitate4.9-1.5
Risperidone Long Acting Injection (LAI)5.0-1.7

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Change From Baseline in Personal and Social Performance (PSP) Score at Day 92 or Early Withdrawal

This PSP assesses the degree of a participant's dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (1, absent to 4, very severe) in each of the 4 domains. Based on the four domains there will be one total score. Participants with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; <= 30, functioning so poorly as to require intensive supervision. (NCT00604279)
Timeframe: Baseline, Day 92 or early withdrawal

,
InterventionUnits on scale (Mean)
BaselineChange at Day 92 or Early Withdrawal
Paliperidone Palmitate47.816.8
Risperidone Long Acting Injection (LAI)45.318.6

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Change From Baseline in the Sleep Visual Analog Scale (VAS) Score at Day 92 or Early Withdrawal

The self-administered sleep VAS scale (0-100 millimeter [mm]) rates quality of sleep (QoS) and daytime drowsiness (DD). Participants indicate mark on the scale to represent how well they have slept in the previous 7 days, score ranges from 0 mm (very badly) to 100 mm (very well); and how often they have felt drowsy within the previous 7 days, from 0 mm (not at all) to 100 mm (all the time). (NCT00604279)
Timeframe: Baseline, Day 92 or early withdrawal

,
Interventionmillimeter (mm) (Mean)
QoS, BaselineQoS, Change at Day 92 or Early WithdrawalDD, BaselineDD, Change at Day 92 or Early Withdrawal
Paliperidone Palmitate64.18.229.9-4.1
Risperidone Long Acting Injection (LAI)66.610.029.6-4.9

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Day 92 or Early Withdrawal

The PANSS 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 rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 (absent) to 210 (extreme psychopathology). Higher change scores indicate worsening. (NCT00604279)
Timeframe: Baseline, Day 92 or early withdrawal

,
InterventionUnits on scale (Mean)
BaselineChange at Day 92 or Early Withdrawal
Paliperidone Palmitate82.1-23.6
Risperidone Long Acting Injection (LAI)84.4-26.9

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Percentage of Participants Who Responded to PANSS Total Score at Day 92 or Early Withdrawal

A responder is defined as a participant who improved from baseline in the PANSS total score by 30 percent or more. (NCT00604279)
Timeframe: Day 92 or early withdrawal

InterventionPercentage of participants (Number)
Paliperidone Palmitate70.7
Risperidone Long Acting Injection (LAI)78.4

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Yale Brown Obsessive Compulsive Scale

This measure assesses obsessive-compulsive symptom severity across 10 items that are completed during an interview format with the person with OCD. These 10 items are summed to derive a total score, which ranges from 0-40 [Scale range: 0 (Minimum) - 40 (Maximum)] with higher scores corresponding to more severe obsessive-compulsive symptoms. (NCT00632229)
Timeframe: End of study (8 weeks)

InterventionScores on a scale (Mean)
Paliperidone19.14
Placebo21.24

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Clinical Global Impressions - Severity of Obsessive-Compulsive Symptoms

This assessment measures the overall severity of obsessive-compulsive symptoms. It consists of a single item that is completed by a clinician with scores ranging from 0-6 with higher scores corresponding with more severe obsessive-compulsive symptoms. Thus, higher scores represent a worse outcome. (NCT00632229)
Timeframe: post-treatment

InterventionScores on a scale (Mean)
Paliperidone4.09
Placebo4.21

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Number of Patients First Meeting the NCEP/ATP III Criteria for Metabolic Syndrome During Follow-up

"Metabolic syndrome is defined according the Third Report of the National Cholesterol Education Program Expert Panel on~Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (NCEP/ATPIII) of which 3 out of 5 criteria must be met:~waist circumference men > 102 cm; waist circumference women > 88 cm~TG ≥ 150 mg/dL~HDL cholesterol men <40 mg/dL; HDL cholesterol women <50 mg/dL~Blood pressure systolic ≥ 130 mmHg; Blood pressure diastolic ≥ 85 mmHg~Fasting glucose ≥ 110 mg /dL" (NCT00645099)
Timeframe: 6 months

InterventionParticipants (Number)
Paliperidone ER23
Olanzapine38

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Number of Patients Meeting the Criteria for Type 2 Diabetes Mellitus During Follow-up

Fasting plasma glucose ≥126 mg/dL or 2-hour post-load plasma glucose ≥200 mg/dL during an oral glucose tolerance test (OGTT) or initiated use of glucose-lowering agents during the course of the study. (NCT00645099)
Timeframe: 6 months

InterventionParticipants (Number)
Paliperidone ER21
Olanzapine23

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Change From Baseline to End Point in Low Density Lipoprotein Cholesterol (Friedwald QT)

The level of low density lipoprotein cholesterol was calculated using the Friedwald QT formula. (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

Interventionmmol/L (Mean)
Paliperidone ER-0.0029
Olanzapine0.1892

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Change From Baseline to End Point in the Triglycerides (TG) to High Density Lipoprotein (HDL) Ratio (TG:HDL Ratio)

Plasma fasting TG and HDL concentrations were measured to determine the TG:HDL ratio. (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

InterventionRatio (Mean)
Paliperidone ER-0.08
Olanzapine0.42

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Change From Baseline to End Point in Homeostatic Model Assessment of Beta-cell Function (HOMA-%B)

"HOMA-%B is used to assess beta-cell function. HOMA-%B is a dimensionless measure of beta-cell function (higher values present increased insulin secretion for a given glucose level).~HOMA-%B is normalized so that lean, healthy individuals will have values of HOMA-%B close to 100%." (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

Interventiondimensionless (Mean)
Paliperidone ER-7.54
Olanzapine18.82

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Change From Baseline to End Point in Homeastatic Model Assessment of Insulin Resistance (HOMA-IR)

HOMA-IR is used to assess insulin resistance (IR). HOMA-IR is a dimensionless measure of insulin resistance (higher values present more insulin resistance. HOMA-IR are normalized so that lean, healthy individuals will have values of HOMA-IR close to 1. (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

Interventiondimensionless (Mean)
Paliperidone ER0.28
Olanzapine0.43

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Change From Baseline to End Point in High Density Lipoprotein

The HDL level was assessed under fasted conditions. (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

Interventionmmol/L (Mean)
Paliperidone ER0.01
Olanzapine-0.04

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Change From Baseline at End Point of the Insulinogenic Index

The insulinogenic index, defined as (insulin at 30 min - insulin at 0)/(glucose at 30 min [G(30)] - glucose at 0 [G(0)]) was used as a measure of early insulin secretion in response to the OGTT. Because the index is undefined when G(30)-G(0)=0, and poorly defined when G(30)-G(0)<0, the index was only calculated when G(30)>G(0). (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

InterventionpM/mM (Mean)
Paliperidone ER2.21
Olanzapine33.78

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Change From Baseline at End Point of Mari-Type Analysis of Glucose Sensitivity for Insulin

As another measure of beta-cell function, the relationship between plasma insulin and glucose concentrations during the OGTT was calculated using a simplified version of the method described by Mari et al. (Mari A, Sallas WM, He YL, Watson C, Ligueros-Saylan M, Dunning BE, Deacon CF, Holst JJ, Foley JE. Vildagliptin, a dipeptidyl peptidase-IV inhibitor, improves model-assessed beta-cell function in patients with type 2 diabetes. J Clin Endocrinol Metab. 2005; 90:4888-4894.). (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

InterventionpM/mM (Mean)
Paliperidone ER8.63
Olanzapine17.28

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Change From Baseline at End Point in Waist Circumference

Patients had to be instructed to stand erect with abdomen relaxed, arms at sides, feet together, and weight divided equally over both legs. The tape measure was placed around the bare abdomen midway between the palpated iliac crest and the palpated lowest rib margin in the left and right mid-axillary lines. A nonstretchable tape was evenly placed around the natural waist covering the left and right natural-waist marks. The measurement scale had to face outward, and there could not be any twists in the tape. The tape had to be just touching the skin but not compressing the soft tissue. (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

Interventioncm (Mean)
Paliperidone ER0.70
Olanzapine3.38

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Change From Baseline at End Point in Body Weight

Patients were weighed lightly clothed. The same amount of clothing had to be worn each time. (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

Interventionkg (Mean)
Paliperidone ER1.16
Olanzapine3.81

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Change From Baseline to End Point in Total Cholesterol

The total cholesterol level was assessed under fasted conditions. (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

Interventionmmol/L (Mean)
Paliperidone ER0.0263
Olanzapine0.2886

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Change From Baseline to End Point in Total Positive and Negative Syndrome Scale Score (PANSS)

PANSS is an investigator-rated 30-item scale to assess the neuropsychiatric symptoms of schizophrenia. The PANSS provided a total score and scores for 3 subscales, the positive subscale (7 items), the negative subscale (7 items), and the general psychopathology subscale (16 items), each rated on a scale of 1 (absent) to 7 (extreme). (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

Interventionpoints on a scale (Mean)
Paliperidone ER-13.50
Olanzapine-16.60

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Change From Baseline to End Point in Converted Insulin

The insulin level was assessed under fasted conditions. (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

Interventionpmol/L (Mean)
Paliperidone ER2.7397
Olanzapine17.2327

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Change From Baseline at End Point in Body Mass Index (BMI)

BMI is calculated by dividing the body weight (in kg) by the square of height (in meters). (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

Interventionkg/m² (Mean)
Paliperidone ER0.43
Olanzapine1.32

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Change From Baseline to End Point in Fasting Glucose

(NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

Interventionmmol/L (Mean)
Paliperidone ER-0.2071
Olanzapine0.0769

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Number of Patients With Onset of Impaired Glucose Tolerance

Glucose ≥140 mg/dL, <200 mg/dL after a 75g OGTT. (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

InterventionParticipants (Number)
Paliperidone ER36
Olanzapine33

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Change From Baseline to End Point in Triglycerides

The TG level was assessed under fasted conditions. (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

Interventionmmol/L (Mean)
Paliperidone ER-0.01
Olanzapine0.36

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Number of Patients With Impaired Fasting Glucose

Post-baseline glucose level under fasted conditions ≥100 mg/dL but <126 mg/dL. (NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)

InterventionParticipants (Number)
Paliperidone ER68
Olanzapine66

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Change From Baseline in Global Assessment of Functioning (GAF) Score at Week 24

The GAF is a 100-point tool rating overall psychological, social and occupational functioning of adults. The higher score range (91-100) refers to a superior functioning in a wide range of activities, and absence of symptoms. The lower score range (1-10) refers to persistent danger of severely hurting self or others; or persistent inability to maintain minimum personal hygiene; or serious suicidal act with clear expectation of death. (NCT00757705)
Timeframe: Baseline, Week 24

InterventionUnits on a scale (Mean)
Baseline (n=273)Change at Week 24 (n=246)
Paliperidone Extended Release (ER)48.95.8

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Number of Participants With Satisfaction With the Study Treatment

Participants assessed their satisfaction with paliperidone ER on a 5-point scale (very good, good, moderate, poor or very poor). (NCT00757705)
Timeframe: Week 24

InterventionParticipants (Number)
Very goodGoodModeratePoorVery poor
Paliperidone Extended Release (ER)1183834911

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Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24

The PSP is 100-point validated clinician-rated scale that assesses degree of difficulty in 4 areas of functioning: socially useful activities, personal and social relationships, self-care, disturbing and aggressive behaviors rated on 6-point scale (1=absent to 6=very severe).Total transformed score from 1 to 100 is generated from raw score based on clinical interpretation of scores generated in 4 areas of functioning, with higher transformed score indicating better function. Total score is divided into 3 levels: 71-100 (mild difficulty); 31-70 (marked difficulty) and 1-30 (severe difficulty). (NCT00757705)
Timeframe: Baseline, Week 24

InterventionUnits on a scale (Mean)
Baseline (n=297)Change at Week 24 (n=269)
Paliperidone Extended Release (ER)54.53.4

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Change From Baseline in Sleep Quality and Daytime Drowsiness Score at Week 24

The Sleep Quality and Daytime Drowsiness evaluation scale is a self-administered scale that rates quality of sleep and daytime drowsiness. Participants indicated on a 5 point scale how well they have slept in the previous 7 days, score ranging from 1 (very badly) to 5 (very well) and how often they have felt drowsy within the previous 7 days, score ranging from 1 (not at all) to 5 (all the time). (NCT00757705)
Timeframe: Baseline, Week 24

InterventionUnits on a scale (Mean)
Quality of sleep: Baseline (n=297)Quality of sleep:Change at Week 24 (n=278)Daytime drowsiness: Baseline (n=297)Daytime drowsiness:Change at Week 24 (n=278)
Paliperidone Extended Release (ER)3.20.12.6-0.3

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Change From Baseline in Short-Form 36 Health Survey (SF-36) Score at Week 24

The SF-36 is a health status survey with 36 questions measuring 8 dimensions (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health) that are subsequently aggregated into 2 summary scales, Physical Component Summary (PCS) and Mental Component Summary (MCS). Each item is scored into on a 0-100 range so that the lowest and highest possible scores are set at 0 and 100, respectively. All items are scored so that a high score defines a more favorable health state. (NCT00757705)
Timeframe: Baseline, Week 24

InterventionUnits on a scale (Mean)
PCS: Baseline (n=293)PCS: Change at Week 24 (n=225)MCS: Baseline (n=295)MCS: Change at Week 24 (n=228)
Paliperidone Extended Release (ER)61.30.653.12.0

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 24

The PANSS is a 30-item scale to assess the neuropsychiatric symptoms of schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self). The PANSS provides a total score and scores for 3 subscales, the positive subscale (7 items), the negative subscale (7 items), and the general psychopathology subscale (16 items), each item scored on a scale of 1 (absent) to 7 (extreme). The total score ranges from 30 to 210 and higher score indicates greater severity. (NCT00757705)
Timeframe: Baseline, Week 24

InterventionUnits on a scale (Mean)
Baseline (n=297)Change at Week 24 (n=281)
Paliperidone Extended Release (ER)72.4-6.9

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 24

The PANSS is a 30-item scale to assess the neuropsychiatric symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). Marder PANSS subscales include positive symptoms subscale consisting of 8 items with total score range of 8-56; negative symptoms subscale and disorganized thoughts subscale, each consisting of 7 items with total score range of 7-49; and uncontrolled hostility/excitement (UH/E) subscale and anxiety/depression subscale, each consisting of 4 items with total score range of 4-28. Higher score indicates greater severity. (NCT00757705)
Timeframe: Baseline, Week 24

InterventionUnits on a scale (Mean)
Positive symptoms: Baseline (n=297)Positive symptoms:Change at Week 24 (n=281)Negative symptoms: Baseline (n=297)Negative symptoms:Change at Week 24 (n=281)Disorganized thoughts: Baseline (n=297)Disorganized thoughts: Change at Week 24 (n=281)UH/E: Baseline (n=297)UH/E: Change at Week 24 (n=281)Anxiety/depression: Baseline (n=297)Anxiety/depression:Change at Week 24(n=281)
Paliperidone Extended Release (ER)21.6-2.217.0-1.716.7-1.47.5-0.59.7-1.1

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Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Week 24

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants." (NCT00757705)
Timeframe: Baseline, Week 24

InterventionUnits on a scale (Mean)
Baseline (n=297)Change at Week 24 (n=279)
Paliperidone Extended Release (ER)4.3-0.5

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Percentage of Participants With at Least 20 Percent Improvement in Positive and Negative Syndrome Scale (PANSS) Total Score

The PANSS is a 30-item scale to assess the neuropsychiatric symptoms of schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self). The PANSS provides a total score and scores for 3 subscales, the positive subscale (7 items), the negative subscale (7 items), and the general psychopathology subscale (16 items), each item scored on a scale of 1 (absent) to 7 (extreme). The total score ranges from 30 to 210 and higher score indicates greater severity. (NCT00757705)
Timeframe: Up to Week 24

InterventionPercentage of participants (Number)
Paliperidone Extended Release (ER)31.3

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Drug Attitude Inventory (DAI) Score - Per Protocol (PP) Population

The DAI-10 is a 10-item questionnaire to assess 1) subjective experience of drug and 2) attitudes and beliefs toward neuroleptics which may influence compliance in schizophrenia participants. It is the binary scale assessing the participant's subjective response. A 'compliant' response is scored as +1; a dysphoric response is scored as -1. A positive sum of items indicates a positive subjective response (SR); a negative sum of scores indicates a negative SR (non-compliant). The final score is the grand total of the positive and negative points. Total score ranges from (-) 10 to (+) 10, higher score indicates positive SR (compliant) and lower score indicates negative SR (non-compliant). (NCT00761189)
Timeframe: Baseline, Week 4 and 12

InterventionUnits on a scale (Mean)
BaselineWeek 4Week 12
Paliperidone Extended-release (ER)-2.39-3.49-4.02

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Drug Attitude Inventory (DAI) Score - Intent-to-treat (ITT) Population

The DAI-10 is a 10-item questionnaire to assess 1) subjective experience of drug and 2) attitudes and beliefs toward neuroleptics which may influence compliance in schizophrenia participants. It is the binary scale assessing the participant's subjective response. A 'compliant' response is scored as +1; a dysphoric response is scored as -1. A positive sum of items indicates a positive subjective response (SR); a negative sum of scores indicates a negative SR (non-compliant). The final score is the grand total of the positive and negative points. Total score ranges from (-) 10 to (+) 10, higher score indicates positive SR (compliant) and lower score indicates negative SR (non-compliant). (NCT00761189)
Timeframe: Baseline, Week 4 and 12

InterventionUnits on a scale (Mean)
BaselineWeek 4Week 12
Paliperidone Extended-release (ER)-2.34-3.37-3.57

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Clinical Global Impression - Severity (CGI-S) Score - Per Protocol (PP) Population

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate worsening." (NCT00761189)
Timeframe: Baseline, Week 2, 4, 8 and 12

InterventionUnits on a scale (Mean)
BaselineWeek 2Week 4Week 8Week 12
Paliperidone Extended-release (ER)4.604.023.663.403.10

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Clinical Global Impression - Severity (CGI-S) Score - Intent-to-treat (ITT) Population

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate worsening." (NCT00761189)
Timeframe: Baseline, Week 2, 4, 8 and 12

InterventionUnits on a scale (Mean)
BaselineWeek 2Week 4Week 8Week 12
Paliperidone Extended-release (ER)4.624.083.733.503.29

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Percentage of Participants Continuously Treated With 6 Milligram Per Day Regimen Until Week 12 - Per Protocol (PP) Population

Percentage of participants who were continuously treated with paliperidone extended-release (ER) 6 milligram per day regimen until week 12 are reported here. (NCT00761189)
Timeframe: Week 12

InterventionPercentage of Participants (Number)
Paliperidone Extended-release (ER)41.54

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Percentage of Participants Continuously Treated With 6 Milligram Per Day Regimen Until Week 12 - Intent-to-treat (ITT) Population

Percentage of participants who were continuously treated with paliperidone extended-release (ER) 6 milligram per day regimen until Week 12 are reported here. (NCT00761189)
Timeframe: Week 12

InterventionPercentage of participants (Number)
Paliperidone Extended-release (ER)38.84

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Percentage of Participants Assessed as Very Much Improved or Much Improved Based on Clinical Global Impression-Improvement (CGI-I) Scale - Intent-to-treat (ITT) Population

The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse. (NCT00761189)
Timeframe: Week 12

InterventionPercentage of participants (Number)
Paliperidone Extended-release (ER)34.78

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Personal and Social Performance (PSP) Scale Score - Intent-to-treat (ITT) Population

The PSP scale assesses the degree of dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Participants with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; less or equal to 30, functioning so poorly as to require intensive supervision. (NCT00761189)
Timeframe: Baseline, Week 4 and 12

InterventionUnits on a scale (Mean)
BaselineWeek 4Week 12
Paliperidone Extended-release (ER)49.3959.4462.76

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Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Intent-to-treat (ITT) Population

The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse. (NCT00761189)
Timeframe: Week 12

InterventionParticipants (Number)
Very much improvedMuch improvedMinimally ImprovedNo changeMinimally worseMuch worseVery much worse
Paliperidone Extended-release (ER)5115158461560

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Percentage of Participants Assessed as Very Much Improved or Much Improved Based on Clinical Global Impression-Improvement (CGI-I) Scale - Per Protocol (PP) Population

The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse. (NCT00761189)
Timeframe: Week 12

InterventionPercentage of participants (Number)
Paliperidone Extended-release (ER)41.92

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Personal and Social Performance (PSP) Scale Score - Per Protocol (PP) Population

The PSP scale assesses the degree of dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Participants with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; less or equal to 30, functioning so poorly as to require intensive supervision. (NCT00761189)
Timeframe: Baseline, Week 4 and Week 12

InterventionUnits on a scale (Mean)
BaselineWeek 4Week 12
Paliperidone Extended-release (ER)49.7060.2764.73

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Number of Participants With Categorical Scores Based on Clinical Global Impression - Improvement (CGI-I) Scale - Per Protocol (PP) Population

The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse. (NCT00761189)
Timeframe: Week 12

InterventionParticipants (Number)
Very much improvedMuch improvedMinimally ImprovedNo changeMinimally worseMuch worseVery much worse
Paliperidone Extended-release (ER)510411828500

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Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale Score at Week 48

The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Change from Baseline is calculated as value at Baseline minus value at Week 48. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761579)
Timeframe: Baseline and Week 48

InterventionUnits on a scale (Mean)
Paliperidone ER: Lack of Efficacy-1.17
Paliperidone ER: Lack of Tolerability-5.05
Paliperidone ER: Lack of Compliance2.40

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Positive Subscale Score at Week 48

The PANSS Positive Subscale assesses seven positive-symptoms of schizophrenia. Positive symptoms refer to an excess or distortion of normal functions. The symptoms are rated on a 7-point scale, with a range of 7 (absent) to 49 (extreme psychopathology). Change from Baseline is calculated as value at Baseline minus value at Week 48. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761579)
Timeframe: Baseline and Week 48

InterventionUnits on a scale (Mean)
Paliperidone ER: Lack of Efficacy3.53
Paliperidone ER: Lack of Tolerability1.05
Paliperidone ER: Lack of Compliance5.00

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Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 48

The DAI-10 is a 10-item questionnaire to assess 1) subjective experience of drug and 2) attitudes and beliefs toward neuroleptics which may influence compliance in schizophrenia participants. It is the binary scale assessing the participant's subjective response. A 'compliant' response is scored as +1; a dysphoric response is scored as -1. A positive sum of items indicates a positive subjective response (SR); a negative sum of scores indicates a negative SR (non-compliant). The final score is the grand total of the positive and negative points. Total score ranges from (-) 10 to (+) 10, higher score indicates positive SR (compliant) and lower score indicates negative SR (non-compliant). Change from Baseline is calculated as value at Baseline minus value at Week 48. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761579)
Timeframe: Baseline and Week 48

InterventionUnits on a scale (Mean)
Paliperidone ER: Lack of Efficacy-0.01
Paliperidone ER: Lack of Tolerability-0.95
Paliperidone ER: Lack of Compliance0.08

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Change From Baseline in Sleep Quality at Week 48

Sleep quality was assessed by an 11-point visual analog scale. Participants indicated on the 11-point visual analog scale (score ranging from 0 to 100 millimeter) how well they have slept in the previous 7 days, from 0 (very badly) to 100 (very well); and how often they have felt drowsy within the previous 7 days, from 0 (not at all) to 100 (all the time). Scores were averaged for the previous 7 days. Change from Baseline is calculated as value at Baseline minus value at Week 48. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761579)
Timeframe: Baseline and Week 48

Interventionmillimeter (mm) (Mean)
Paliperidone ER: Lack of Efficacy1.50
Paliperidone ER: Lack of Tolerability-7.76
Paliperidone ER: Lack of Compliance3.40

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - General Psychopathology Subscale Score at Week 48

The PANSS General Psychopathology Subscale Score assesses 16 general psychopathology symptoms. The symptoms are rated on a 7-point scale, with a range of 16 (absent) to 112 (extreme psychopathology). Change from Baseline is calculated as value at Baseline minus value at Week 48. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761579)
Timeframe: Baseline and Week 48

InterventionUnits on a scale (Mean)
Paliperidone ER: Lack of Efficacy5.51
Paliperidone ER: Lack of Tolerability3.19
Paliperidone ER: Lack of Compliance8.00

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Change From Baseline in Personal and Social Performance Scale (PSP) Score at Week 48

The PSP is 100-point validated clinician-rated scale that assesses degree of difficulty in 4 areas of functioning: socially useful activities, personal and social relationships, self-care, disturbing and aggressive behaviors rated on 6-point scale (1=absent to 6=very severe).Total transformed score from 1 to 100 is generated from raw score based on clinical interpretation of scores generated in 4 areas of functioning, with higher transformed score indicating better function. Total score is divided into 3 levels: 71-100 (mild difficulty); 31-70 (marked difficulty) and 1-30 (severe difficulty). Change from Baseline is calculated as value at Baseline minus value at Week 48. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761579)
Timeframe: Baseline and Week 48

InterventionUnits on a scale (Mean)
Paliperidone ER: Lack of Efficacy-6.73
Paliperidone ER: Lack of Tolerability-2.38
Paliperidone ER: Lack of Compliance-11.36

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Change From Baseline in Daytime Drowsiness at Week 48

Daytime Drowsiness was assessed by an 11-point visual analog scale. Participants indicated on the 11-point visual analog scale (score ranging from 0 to 100 millimeter) how well they have slept in the previous 7 days, from 0 (very badly) to 100 (very well); and how often they have felt drowsy within the previous 7 days, from 0 (not at all) to 100 (all the time). Scores were averaged for the previous 7 days. Change from Baseline is calculated as value at Baseline minus value at Week 48. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761579)
Timeframe: Baseline and Week 48

Interventionmillimeter (mm) (Mean)
Paliperidone ER: Lack of Efficacy5.40
Paliperidone ER: Lack of Tolerability2.10
Paliperidone ER: Lack of Compliance11.40

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 48

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. Change from Baseline is calculated as value at Baseline minus value at Week 48. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761579)
Timeframe: Baseline and Week 48

InterventionUnits on a scale (Mean)
Paliperidone ER: Lack of Efficacy11.57
Paliperidone ER: Lack of Tolerability6.43
Paliperidone ER: Lack of Compliance16.36

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Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 48

The SCL90-R (Derogatis, 1992) measures 9 domains, including somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, which provides a global index of distress, the Global Severity Index (GSI). SCL-90-R includes 90 items rated on 5-point scale, ranging from 0 (not at all) to 4 (extremely). Total scale score range from 0 to 360. Higher scores indicate worsening of disease. Total scale score range from 0 to 360. Higher scores indicate worsening of disease. Change from Baseline is calculated as value at Baseline minus value at Week 48. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761579)
Timeframe: Baseline and Week 48

InterventionUnits on a scale (Mean)
Paliperidone ER: Lack of Efficacy14.88
Paliperidone ER: Lack of Tolerability12.38
Paliperidone ER: Lack of Compliance25.44

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Negative Subscale Score at Week 48

The PANSS Negative Subscale assesses seven negative-symptoms of schizophrenia. Negative symptoms represent a diminution or loss of normal functions. The symptoms are rated on a 7-point scale, with a range of 7 (absent) to 49 (extreme psychopathology). Change from Baseline is calculated as value at Baseline minus value at Week 48. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761579)
Timeframe: Baseline and Week 48

InterventionUnits on a scale (Mean)
Paliperidone ER: Lack of Efficacy2.53
Paliperidone ER: Lack of Tolerability2.19
Paliperidone ER: Lack of Compliance3.36

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Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24

The PSP scale assesses the degree of dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Participants with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; less or equal to 30, functioning so poorly as to require intensive supervision. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761605)
Timeframe: Baseline and Week 24

,,
InterventionUnits on a scale (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)63.44-4.59
Paliperidone (Lack of Efficacy Group)56.03-5.81
Paliperidone (Lack of Tolerability Group)63.62-3.77

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Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24

The SCL90-R (Derogatis, 1992) measures 9 domains, including somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, which provides a global index of distress, the Global Severity Index (GSI). SCL-90-R includes 90 items rated on 5-point scale, ranging from 0 (not at all) to 4 (extremely). Total scale score range from 0 to 360. Higher scores indicate worsening of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761605)
Timeframe: Baseline and Week 24

,,
InterventionUnits on a scale (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)67.6610.50
Paliperidone (Lack of Efficacy Group)99.8413.09
Paliperidone (Lack of Tolerability Group)73.038.87

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Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score at Week 24

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate worsening. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics." (NCT00761605)
Timeframe: Baseline and Week 24

,,
InterventionUnits on a scale (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)3.250.47
Paliperidone (Lack of Efficacy Group)3.770.70
Paliperidone (Lack of Tolerability Group)3.460.47

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Change From Baseline in Clinical Global Impression - Improvement (CGI-I) Score at Week 24

The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761605)
Timeframe: Baseline and Week 24

,,
InterventionUnits on a scale (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)3.480.35
Paliperidone (Lack of Efficacy Group)3.630.46
Paliperidone (Lack of Tolerability Group)3.660.37

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Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24

Daytime Drowsiness was assessed by an 11-point visual analog scale. Participants indicated on the 11-point visual analog scale (score ranging from 0 to 100 millimeter) how well they have slept in the previous 7 days, from 0 (very badly) to 100 (very well); and how often they have felt drowsy within the previous 7 days, from 0 (not at all) to 100 (all the time). Scores were averaged for the previous 7 days. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761605)
Timeframe: Baseline and Week 24

,,
InterventionMillimeter (mm) (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)44.477.83
Paliperidone (Lack of Efficacy Group)43.274.80
Paliperidone (Lack of Tolerability Group)39.402.42

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Change From Baseline in Krawiecka Scale Score at Week 24

Psychopathology of participants was assessed by Krawiecka scale. Psychopathology of participants was assessed by Krawiecka scale, score ranges from 0 to 16. Higher score indicates worsening of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761605)
Timeframe: Baseline and Week 24

,,
InterventionUnits on a scale (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)4.381.69
Paliperidone (Lack of Efficacy Group)5.381.43
Paliperidone (Lack of Tolerability Group)4.741.32

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Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24

Sleep quality was assessed by an 11-point visual analog scale. Participants indicated on the 11-point visual analog scale (score ranging from 0 to 100 millimeter) how well they have slept in the previous 7 days, from 0 (very badly) to 100 (very well); and how often they have felt drowsy within the previous 7 days, from 0 (not at all) to 100 (all the time). Scores were averaged for the previous 7 days. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761605)
Timeframe: Baseline and Week 24

,,
InterventionMillimeter (mm) (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)62.45-1.94
Paliperidone (Lack of Efficacy Group)65.621.74
Paliperidone (Lack of Tolerability Group)70.893.66

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Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24

The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00761605)
Timeframe: Baseline and Week 24

,,
InterventionUnits on a scale (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)80.50-1.06
Paliperidone (Lack of Efficacy Group)70.61-1.54
Paliperidone (Lack of Tolerability Group)76.67-2.33

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Change From Baseline in Emotional Regulation Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24

The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Emotional Regulation subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00784238)
Timeframe: Baseline and Week 24

InterventionUnits on a scale (Mean)
Paliperidone (Lack of Efficacy Group)-0.07
Paliperidone (Lack of Tolerability Group)0.11
Paliperidone (Lack of Compliance Group)0.45

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Change From Baseline in Mental Functioning Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24

The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Mental functioning subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00784238)
Timeframe: Baseline and Week 24

InterventionUnits on a scale (Mean)
Paliperidone (Lack of Efficacy Group)-0.14
Paliperidone (Lack of Tolerability Group)-0.51
Paliperidone (Lack of Compliance Group)-0.24

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Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 24

The PSP scale assesses the degree of dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Participants with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; less or equal to 30, functioning so poorly as to require intensive supervision. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00784238)
Timeframe: Baseline and Week 24

,,
InterventionUnits on a scale (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)58.71-6.28
Paliperidone (Lack of Efficacy Group)52.15-6.50
Paliperidone (Lack of Tolerability Group)57.91-7.23

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Change From Baseline in Symptom Checklist 90-R (SCL90-R) at Week 24

The SCL90-R (Derogatis, 1992) measures 9 domains, including somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, which provides a global index of distress, the Global Severity Index (GSI). SCL-90-R includes 90 items rated on 5-point scale, ranging from 0 (not at all) to 4 (extremely). Total scale score range from 0 to 360. Higher scores indicate worsening of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00784238)
Timeframe: Baseline and Week 24

,,
InterventionUnits on a scale (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)83.391.16
Paliperidone (Lack of Efficacy Group)109.652.42
Paliperidone (Lack of Tolerability Group)107.239.40

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Change From Baseline in Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24

The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00784238)
Timeframe: Baseline and Week 24

,,
InterventionUnits on a scale (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)81.19-0.93
Paliperidone (Lack of Efficacy Group)74.59-1.59
Paliperidone (Lack of Tolerability Group)76.51-2.66

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Change From Baseline in Sleep Quality Based on Visual Analog Scale at Week 24

"Sleep quality was assessed by an 11-point visual analog scale that rates how well participants slept. Participants indicated on the scale (from 0 to 100 millimeter) how well they slept in the previous 7 days (from 0: very badly to 100: very well). Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics." (NCT00784238)
Timeframe: Baseline and Week 24

,,
InterventionMillimeter (mm) (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)69.31-0.67
Paliperidone (Lack of Efficacy Group)61.84-0.84
Paliperidone (Lack of Tolerability Group)71.55-0.43

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Change From Baseline in Krawiecka Scale Score at Week 24

Psychopathology of participants was assessed by Krawiecka scale. Psychopathology of participants was assessed by Krawiecka scale, score ranges from 0 to 16. Higher score indicates worsening of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00784238)
Timeframe: Baseline and Week 24

,,
InterventionUnits on a scale (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)3.861.09
Paliperidone (Lack of Efficacy Group)4.780.94
Paliperidone (Lack of Tolerability Group)3.451.09

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Change From Baseline in Drug Attitude Inventory (DAI-10) at Week 24

The DAI-10 is a 10-item questionnaire to assess 1) subjective experience of drug and 2) attitudes and beliefs toward neuroleptics which may influence compliance in schizophrenia participants. It is the binary scale assessing the participant's subjective response. A 'compliant' response is scored as +1; a dysphoric response is scored as -1. A positive sum of items indicates a positive subjective response (SR); a negative sum of scores indicates a negative SR (non-compliant). The final score is the grand total of the positive and negative points. Total score ranges from (-) 10 to (+) 10, higher score indicates positive SR (compliant) and lower score indicates negative SR (non-compliant). Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00784238)
Timeframe: Baseline and Week 24

,,
InterventionUnits on a scale (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)2.50-1.00
Paliperidone (Lack of Efficacy Group)3.12-0.46
Paliperidone (Lack of Tolerability Group)3.49-0.21

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Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale at Week 24

"Daytime drowsiness was assessed by an 11-point visual analog scale that rates how well participants slept. Participants indicated on the scale (from 0 to 100 millimeter) how often they felt drowsy in the previous 7 days (from 0: very badly to 100: very well). Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics." (NCT00784238)
Timeframe: Baseline and Week 24

,,
InterventionMillimeter (mm) (Mean)
BaselineChange at Week 24
Paliperidone (Lack of Compliance Group)46.5510.05
Paliperidone (Lack of Efficacy Group)40.57-1.18
Paliperidone (Lack of Tolerability Group)45.963.94

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Drug Attitude Inventory (DAI-10) Total Score at Week 24

The DAI-10 is a 10-item questionnaire to assess 1) subjective experience of drug and 2) attitudes and beliefs toward neuroleptics which may influence compliance in schizophrenia participants. It is the binary scale assessing the participant's subjective response. A 'compliant' response is scored as +1; a dysphoric response is scored as -1. A positive sum of items indicates a positive subjective response (SR); a negative sum of scores indicates a negative SR (non-compliant). The final score is the grand total of the positive and negative points. Total score ranges from (-) 10 to (+) 10, higher score indicates positive SR (compliant) and lower score indicates negative SR (non-compliant). (NCT00784238)
Timeframe: Week 24

InterventionUnits on a scale (Mean)
Paliperidone3.58

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Change From Baseline in Social Integration Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24

The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Social integration subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00784238)
Timeframe: Baseline and Week 24

InterventionUnits on a scale (Mean)
Paliperidone (Lack of Efficacy Group)-0.55
Paliperidone (Lack of Tolerability Group)-0.96
Paliperidone (Lack of Compliance Group)-1.31

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Change From Baseline in Self-Control Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24

The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Self-Control subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00784238)
Timeframe: Baseline and Week 24

InterventionUnits on a scale (Mean)
Paliperidone (Lack of Efficacy Group)-0.72
Paliperidone (Lack of Tolerability Group)-0.62
Paliperidone (Lack of Compliance Group)-0.29

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Change From Baseline in Physical Functioning Subscale Score Based on Subjective Well-being Under Neuroleptic (SWN-20) Scale at Week 24

The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. Physical Functioning subscale score ranges from 0 to 24 and higher score indicates improvement of disease. Change from Baseline was calculated as value at Baseline minus value at Week 24. Data for three groups is presented here, based on participants' transition to Paliperidone ER from other oral antipsychotics. (NCT00784238)
Timeframe: Baseline and Week 24

InterventionUnits on a scale (Mean)
Paliperidone (Lack of Efficacy Group)-0.11
Paliperidone (Lack of Tolerability Group)-0.68
Paliperidone (Lack of Compliance Group)0.47

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Subjective Well-being Under Neuroleptic (SWN-20) Scale Total Score at Week 24

The SWN-20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self-control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. (NCT00784238)
Timeframe: Week 24

InterventionUnits on a scale (Mean)
Paliperidone77.89

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Body Mass Index (BMI) Z-score Change

(NCT00806234)
Timeframe: Change from baseline to 24 weeks

InterventionZ Score (Least Squares Mean)
Healthy Lifestyle Information0.040
Switch Treatment + Healthy Lifestyle Instruction-0.112
Metformin Treatment + Healthy Lifestyle Instruction-0.088

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Change in Low Density Lipoprotein (LDL) Cholesterol Level

(NCT00806234)
Timeframe: From Baseline to Week 24

Interventionmg/dL (Least Squares Mean)
Healthy Lifestyle Information3.6
Switch Treatment + Healthy Lifestyle Instruction-8.1
Metformin Treatment + Healthy Lifestyle Instruction-4.1

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Change in Whole Body Insulin Sensitivity Index

(NCT00806234)
Timeframe: Change from baseline to 24 weeks

InterventionmU/L (Least Squares Mean)
Healthy Lifestyle Information0.74
Switch Treatment + Healthy Lifestyle Instruction0.42
Metformin Treatment + Healthy Lifestyle Instruction-0.34

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Triglyceride Levels

(NCT00806234)
Timeframe: Change from baseline to 24 weeks

Interventionmg/dL (Least Squares Mean)
Healthy Lifestyle Information0.2
Switch Treatment + Healthy Lifestyle Instruction16.6
Metformin Treatment + Healthy Lifestyle Instruction14.7

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Percentage of Paliperidone or Risperidone Dopamine D2 Receptor Occupancies

(NCT00934635)
Timeframe: Visit 3 (on day 3)

Interventionpercentage (Number)
Paliperidone ER 9 mg Tablet Followed by PET Scan in 2 Hours0
Control0

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Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score at Days 56 and 182

"The CGI-S rating scale is a 7-point global assessment that measures the Clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate worsening." (NCT01009047)
Timeframe: Baseline, Day 56 and 182

,
InterventionUnits on a scale (Median)
BaselineChange at Day 56Change at Day 182
Aripiprazole4.0-1-1.0
Paliperidone Extended Release (ER)4.0-1.0-1.0

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Number of Participants With Clinical Stability

Clinical stability is defined as a decrease of 20 percent or more from Baseline in PANSS total score and CGI-S score less than or equal to 4 at Days 56 and 182, no hospitalizations due to psychiatric illness and no emergence of clinically significant suicidal or homicidal ideation during the maintenance phase. (NCT01009047)
Timeframe: Day 56 and 182

InterventionParticipants (Number)
Paliperidone Extended Release (ER)58
Aripiprazole68

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Change From Baseline in Other PANSS Factors and Subscales at Day 56 and 182

The PANSS 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 rated on a scale of 1 (absent) to 7 (extreme). (NCT01009047)
Timeframe: Baseline, Day 56 and 182

,
InterventionUnits on a scale (Mean)
Baseline: Positive SubscaleChange at Day 56: Positive SubscaleChange at Day 182: Positive SubscaleBaseline: Negative SubscaleChange at Day 56: Negative SubscaleChange at Day 182: Negative SubscaleBaseline: General PsychopathologyChange at Day 56: General PsychopathologyChange at Day 182: General Psychopathology
Aripiprazole22.5-6.2-8.324.24.5-6.145.3-9.1-12.4
Paliperidone Extended Release (ER)21.5-6.4-8.023.8-4.2-5.744.3-8.7-11.9

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Number of Participants With PANSS Response

The PANSS is a 30-item scale with each item rated on a scale of 1 (absent) to 7 (extreme psychopathology), designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Participants with PANSS response were defined as those who achieved greater than or equal to 20 percent or higher reduction from Baseline in the PANSS total score at Day 56 and 182. (NCT01009047)
Timeframe: Day 56 and 182

,
InterventionParticipants (Number)
Day 56Day 182
Aripiprazole8793
Paliperidone Extended Release (ER)7686

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Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at Day 56

The PANSS is a 30-item scale with each item rated on a scale of 1 (absent) to 7 (extreme psychopathology), designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. (NCT01009047)
Timeframe: Baseline and Day 56

,
InterventionUnits on a scale (Mean)
BaselineChange at Day 56
Aripiprazole92.0-19.8
Paliperidone Extended Release (ER)89.6-19.3

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Change From Baseline in Marder Factor Negative Symptoms Score at Day 56 and 182

The PANSS negative subscale based on marder factor assesses 7 negative-symptoms of schizophrenia. Negative symptoms represent a diminution or loss of normal functions. The symptoms are rated on a 7-point scale, with a range of 7 (absent) to 49 (extreme psychopathology). (NCT01009047)
Timeframe: Baseline, Day 56 and Day 182

,
InterventionUnits on a scale (Mean)
BaselineChange at Day 56Change at Day 182
Aripiprazole23.3-4.7-6.2
Paliperidone Extended Release (ER)23.2-4.3-6.0

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Change From Baseline in PANSS Total Score at Day 182

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. (NCT01009047)
Timeframe: Baseline and Day 182

,
InterventionUnits on a scale (Mean)
BaselineChange at Day 182
Aripiprazole92.0-26.8
Paliperidone Extended Release (ER)89.6-25.6

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Change From Baseline in Personal and Social Performance (PSP) Scores at Day 56 and 182

The PSP scale assesses degree of a participants' dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. The results of the assessment are converted to a numerical score to rate degree of difficulty (1=absent to 6=very severe) in each of the 4 domains. Based on 4 domains there will be 1 total score (total score ranges from 1 to 100, divided into 10 equal intervals). Participants with score of 71 to 100 have mild degree of difficulty; from 31 to 70, varying degrees of disability; less than or equal to 30, functioning so poorly as to require intensive supervision. (NCT01009047)
Timeframe: Baseline, Day 56 and Day 182

,
InterventionUnits on a Scale (Mean)
BaselineChange at Day 56Change at Day 182
Aripiprazole49.212.217.1
Paliperidone Extended Release (ER)49.812.217.1

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Change From Baseline in Other Marder Factors Scores at Day 56 and 182

The subscales based on marder factors are: positive symptoms, disorganised thoughts factor, uncontrolled hostility/excitement factor, and anxiety/depression factor. The symptoms are rated on a 7-point scale, with a range of 8 to 56 for positive symptoms, 7 to 49 for disorganized thoughts and 4 to 28 for Uncontrolled hostility/excitement and anxiety/depression. Higher score indicate worsening. (NCT01009047)
Timeframe: Baseline, Day 56 and 182

,
InterventionUnits on a scale (Mean)
Baseline: Positive symptomsChange at Day 56: Positive symptomsChange at Day 182: Positive symptomsBaseline: Negative symptomsChange at Day 56: Negative symptomsChange at Day 182: Negative symptomsBaseline: Disorganized thoughtsChange at Day 56: Disorganized thoughtsChange at Day 182: Disorganized thoughtsBaseline: Uncontrolled hostilityChange at Day 56: Uncontrolled hostilityChange at Day 182: Uncontrolled hostilityBaseline: Anxiety/depressionChange at Day 56: Anxiety/depressionChange at Day 182: Anxiety/depression
Aripiprazole24.9-5.6-7.823.3-4.7-6.222.1-4.1-5.711.7-2.9-3.810.0-2.6-3.2
Paliperidone Extended Release (ER)24.6-6.1-7.823.2-4.3-6.021.4-4.0-5.510.7-2.5-3.29.7-2.4-3.0

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Change From Baseline in Pittsburg Sleep Quality Index (PSQI) Score at Week 4, 8, 13 and 26 - Main Phase

The PSQI evaluates sleep behavior by means of 7 components: sleep quality, sleep latency, sleep duration, usual sleep efficiency, sleep disorders, use of sleep medication and daytime dysfunction. The sum of the 7 component scores produces a global score of subjective sleep quality that varies from 0 to 21, with higher scores indicating worse sleep quality. (NCT01010776)
Timeframe: Baseline, Week 4, 8, 13 and 26

InterventionUnits on a scale (Mean)
Baseline (n=198)Change at Week 4 (n=174)Change at Week 8 (n=162)Change at Week 13 (n=156)Change at Week 26 (n=174)
Paliperidone ER-Main Phase6.7-1.0-1.2-1.5-1.4

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Change From Baseline in Positive and Negative PANSS Subscales Score at Week 4, 8, 13 and 26 - Main Phase

The PANSS positive subscale assesses 7 positive-symptoms of schizophrenia. Positive symptoms refer to an excess or distortion of normal functions. The symptoms are rated on a 7-point scale, with a range of 7 (absent) to 49 (extreme psychopathology). The PANSS negative subscale assesses seven negative-symptoms of schizophrenia. Negative symptoms represent a diminution or loss of normal functions. The symptoms are rated on a 7-point scale, with a range of 7 (absent) to 49 (extreme psychopathology). (NCT01010776)
Timeframe: Baseline, Week 4, 8, 13 and 26

InterventionUnits on a scale (Mean)
Change at Week 4: PANSS positive subscale (n=201)Change at Week 4: PANSS negative subscale (n=201)Change at Week 8: PANSS positive subscale (n=191)Change at Week 8: PANSS negative subscale (n=191)Change at Week 13: PANSS positive subscale (n=182)Change at Week 13: PANSS negative subscale (n=182)Change at Week 26: PANSS positive subscale (n=203)Change at Week 26: PANSS negative subscale (n=203)
Paliperidone ER-Main Phase-3.6-3.6-5.0-5.0-5.9-5.9-5.9-5.9

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Change From Baseline in Positive and Negative PANSS Subscales Score at Week 4, 8, 13, 26, 39 and 52 - Main Phase Plus Extension Phase

The PANSS Positive Subscale assesses 7 positive-symptoms of schizophrenia. Positive symptoms refer to an excess or distortion of normal functions. The symptoms are rated on a 7-point scale, with a range of 7 (absent) to 49 (extreme psychopathology). The PANSS Negative Subscale assesses seven negative-symptoms of schizophrenia. Negative symptoms represent a diminution or loss of normal functions. The symptoms are rated on a 7-point scale, with a range of 7 (absent) to 49 (extreme psychopathology). (NCT01010776)
Timeframe: Baseline, Week 4, 8, 13, 26, 39 and 52

InterventionUnits on a scale (Mean)
Baseline: PANSS positive subscale (n=159)Baseline: PANSS negative subscale (n=159)Change at Week 4: PANSS positive subscale (n=159)Change at Week 4: PANSS negative subscale (n=159)Change at Week 8: PANSS positive subscale (n=159)Change at Week 8: PANSS negative subscale (n=159)Change at Week 13: PANSS positive subscale (n=159)Change at Week 13: PANSS negative subscale (n=159)Change at Week 26: PANSS positive subscale (n=159)Change at Week 26: PANSS negative subscale (n=159)Change at Week 39: PANSS positive subcale (n=152)Change at Week 39: PANSS negative subscale (n=152)Change at Week 52: PANSS positive subscale (n=154)Change at Week 52: PANSS negative subscale (n=154)
Paliperidone ER-Main Phase Plus Extension Phase26.6519.25-3.4-3.4-5.4-5.4-5.9-5.9-6.8-6.8-7.3-7.3-7.5-7.5

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Change From Baseline in PSP Scale Score at Week 4, 8, 13, 26, 39 and 52 - Main Phase Plus Extension Phase

The PSP scale evaluates the dysfunction degree exhibited by the participants, regarding 4 behavioral domains: useful social activities, personal and social relations, self-care and agitated and aggressive behavior. Each domain were assessed on a 6-point scale (0=absent to 5=very severe). A transformed score from 1 to 100 is generated from the raw score based on the clinical interpretation of the scores generated in the 4 areas of functioning, with a higher transformed score indicating better function. (NCT01010776)
Timeframe: Baseline, Week 4, 8, 13, 26, 39 and 52

InterventionUnits on a scale (Mean)
Baseline (n=159)Change at Week 4 (n=159)Change at Week 8 (n=159)Change at Week 13 (n=159)Change at Week 26 (n=159)Change at Week 39 (n=151)Change at Week 52 (n=155)
Paliperidone ER-Main Phase Plus Extension Phase45.175.39.09.712.012.614.6

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Change From Baseline PSQI Score at Week 4, 8, 13, 26, 39 and 52 - Main Phase Plus Extension Phase

The PSQI evaluates sleep behavior by means of 7 components: sleep quality, sleep latency, sleep duration, usual sleep efficiency, sleep disorders, use of sleep medication and daytime dysfunction. The sum of the 7 component scores produces a global score of subjective sleep quality that varies from 0 to 21, with higher scores indicating worse sleep quality. (NCT01010776)
Timeframe: Baseline, Week 4, 8, 13, 26, 39 and 52

InterventionUnits on a scale (Mean)
Baseline (n=148)Change at Week 4 (n=140)Change at Week 8 (n=136)Change at Week 13 (137)Change at Week 26 (n=135)Change at Week 39 (n=133)Change at Week 52 (n=133)
Paliperidone ER-Main Phase Plus Extension Phase6.4-1.0-1.3-1.5-1.4-1.9-1.9

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Number of Participants With Clinical Global Impression-Severity (CGI-S) Score - Extension Phase

"The CGI-S rating scale is a 7-point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant.The categories included in the scale are normal, without any disease, borderline, slightly ill, moderately ill, markedly ill, severely ill and extremely ill. A rating of 1=Normal, not at all ill and a rating of 7 =Among the most extremely ill participants. Higher scores indicate worsening." (NCT01010776)
Timeframe: Week 39 and 52

InterventionParticipants (Number)
Week 39: Normal without any disease (n=152)Week 39: Borderline (n=152)Week 39: Slightly ill (n=152)Week 39: Moderately ill (n=152)Week 39: Markedely ill (n=152)Week 39: Severely ill (n=152)Week 52: Borderline (n=155)Week 52: Slightly ill (n=155)Week 52: Moderately ill (n=155)Week 52: Markedely ill (n=155)Week 52: Severely ill (n=155)
Paliperidone ER - Extension Phase222415522102337582410

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Percentage of Participants With Treatment Satisfaction-Main Phase Plus Extension Phase

Participant's response regarding satisfaction with the treatment were recorded. A 5-point evaluation scale was used to evaluate participant satisfaction: very good, good, moderate, bad and very bad. (NCT01010776)
Timeframe: Baseline, Week 4, 8, 13, 26, 39 and 52

InterventionPercentage of participants (Number)
Baseline: Very good (n=159)Baseline: Good (n=159)Baseline: Moderate (n=159)Baseline: Bad (n=159)Baseline: Very bad (n=159)Week 4: Very good (n=159)Week 4: Good (n=159)Week 4: Moderate (n=159)Week 4: Very bad (n=159)Week 8: Very good (n=159)Week 8: Moderate (n=159)Week 8: Bad (n=159)Week 13: Very good (n=159)Week 13: Good (n=159)Week 13: Moderate (n=159)Week 13: Bad (n=159)Week 13: Very bad (n=159)Week 26: Very good (n=159)Week 26: Good (n=159)Week 26: Moderate (n=159)Week 26: Very bad (n=159)Week 39: Very good (n=152)Week 39: Good (n=152)Week 39: Moderate (n=152)Week 39: Bad (n=152)Week 39: Very bad (n=152)Week 52: Very good (n=155)Week 52: Good (n=155)Week 52: Moderate (n=155)Week 52: Bad (n=155)
Paliperidone ER-Main Phase Plus Extension Phase13.240.932.111.32.531.454.113.80.637.111.33.139.046.510.13.80.641.550.96.90.638.851.37.22.00.741.343.212.92.6

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Percentage of Participants With Treatment Satisfaction - Main Phase

Participant's response regarding satisfaction with the treatment were recorded. A 5-point evaluation scale was used to evaluate participant satisfaction: very good, good, moderate, bad and very bad. (NCT01010776)
Timeframe: Baseline, Week 4, 8, 13 and 26

InterventionPercentage of Participants (Number)
Baseline: Very good (n=213)Baseline: Good (n=213)Baseline: Moderate (n=213)Baseline: Bad (n=213)Baseline: Very bad (n=213)Week 4: Very good (n=200)Week 4: Good (n=200)Week 4: Moderate (n=200)Week 4: Bad (n=200)Week 4: Very bad (n=200)Week 8: Very good (n=190)Week 8: Good (n=190)Week 8: Moderate (n=190)Week 8: Bad (n=190)Week 13: Very good (n=182)Week 13: Good (n=182)Week 13: Moderate (n=182)Week 13: Bad (n=182)Week 13: Very bad (n=182)Week 26: Very good (n=204)Week 26: Good (n=204)Week 26: Moderate (n=204)Week 26: Bad (n=204)Week 26: Very bad (n=204)
Paliperidone ER - Main Phase11.738.534.312.72.829.552.516.51.00.533.748.913.73.737.446.212.13.80.536.346.110.84.42.5

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Number of Participants With Clinical Global Impression-Severity (CGI-S) Score - Main Phase

"The CGI-S rating scale is a 7-point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant.The categories included in the scale are normal, without any disease, borderline, slightly ill, moderately ill, markedly ill, severely ill and extremely ill. A rating of 1=Normal, not at all ill and a rating of 7 =Among the most extremely ill participants. Higher scores indicate worsening." (NCT01010776)
Timeframe: Baseline, Week 4, 8, 13 and 26

InterventionParticipants (Number)
Baseline: Borderline (n=213)Baseline: Slightly ill (n=213)Baseline: Moderately ill (n=213)Baseline: Markedly ill (n=213)Baseline: Severely ill (n=213)Baseline: Extremely ill (n=213)Week 4: Borderline (n=201)Week 4: Slightly ill (n=201)Week 4: Moderately ill (n=201)Week 4: Markedly ill (n=201)Week 4: Severely ill (n=201)Week 8: Borderline (n=191)Week 8: Slightly ill (n=191)Week 8: Moderately ill (n=191)Week 8: Markedly ill (n=191)Week 8: Severely ill (n=191)Week 8: extremely ill (n=191)Week 13: Normal, without any disease (n=182)Week 13: Borderline (n=182)Week 13: Slightly ill (n=182)Week 13: Moderately ill (n=182)Week 13: Markedly ill (n=182)Week 13: Severly ill (n=182)Week 26: Normal without any disease (n=204)Week 26: Borderline (n=204)Week 26: Slightly ill (n=204)Week 26: Moderately ill (n=204)Week 26: Markedely ill (n=204)Week 26: Severely ill (n=204)
Paliperidone ER-Main Phase24521144014258761245358056150274173471231648704819

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 26 - Main Phase

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. (NCT01010776)
Timeframe: Baseline and Week 26

InterventionUnits on a scale (Mean)
Paliperidone Extended Release (ER) - Main Phase-22.9

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Percentage of Participants With Treatment Response in PANSS Total Score - Main Phase

Participants with response in PANSS total score was defined as participants with greater than or equal to 20 percent reduction in PANSS total score from Baseline. The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. (NCT01010776)
Timeframe: Week 26

InterventionPercentage of participants (Number)
Paliperidone ER-Main Phase60.1

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Percentage of Participants With Treatment Response in PANSS Total Score - Main Phase Plus Extension Phase

Participants with response in PANSS total score was defined as participants with greater than or equal to 20 percent reduction in PANSS total score from Baseline. The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. (NCT01010776)
Timeframe: Week 52

InterventionPercentage of participants (Number)
Paliperidone ER-Main Phase Plus Extension Phase71.1

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36-Item Short-Form Health Survey (SF-36) Score - Main Phase

The SF-36 is designed to assess the health status of participants. The SF-36 includes 1 multi-item scale measuring physical health component and mental health component. Physical health component includes physical functioning, role limitations due to physical health, pain and general health. Mental health component includes role limitations due to emotional problems, energy/fatigue, emotional well being and social functioning. Each item is scored on a 0-100 range so that the lowest and highest possible scores are set at 0 and 100, respectively. All items are scored so that a high score defines a more favorable health state. The score for a component (physical or mental) is an average of the individual item scores. Each component is scored on a scale of 1 to 100, where 100=highest level of functioning. (NCT01010776)
Timeframe: Baseline and Week 26

InterventionUnits on a scale (Mean)
Baseline: Physical component summaryBaseline: Mental component summaryWeek 26: Physical component summaryWeek 26: Mental component summary
Paliperidone ER- Main Phase47.935.948.438.3

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36-Item Short-Form Health Survey (SF-36) Score - Main Phase Plus Extension Phase

The SF-36 is designed to assess the health status of participants. The SF-36 includes 1 multi-item scale measuring physical health component and mental health component. Physical health component includes physical functioning, role limitations due to physical health, pain and general health. Mental health component includes role limitations due to emotional problems, energy/fatigue, emotional well being and social functioning. Each item is scored on a 0-100 range so that the lowest and highest possible scores are set at 0 and 100, respectively. All items are scored so that a high score defines a more favorable health state. The score for a component (physical or mental) is an average of the individual item scores. Each component is scored on a scale of 1 to 100, where 100=highest level of functioning. (NCT01010776)
Timeframe: Baseline and Week 52

InterventionUnits on a scale (Mean)
Baseline: Physical component summaryBaseline: Mental component summaryWeek 52: Physical component summaryWeek 52: Mental component summary
Paliperidone ER-Main Phase Plus Extension Phase48.735.748.838.5

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Change From Baseline in ESRS Total Score at Week 4, 8, 13, 26, 39 and 52 - Main Phase Plus Extension Phase

An ESRS scale is used to assess the extrapyramidal symptoms attributable to antipsychotics. It consists of 8 items to assess individual symptoms and each item is assessed from 0 (none, normal) to 4 (severe). The total score is the sum of the 8 item scores, for a total range of 0 (normal) to 32 (severe). The items for the assessment of individual symptoms are classified into 4 categories of parkinsonism, akathisia, dystonia and dyskinesia. (NCT01010776)
Timeframe: Baseline, Week 4, 8, 13, 26, 39 and 52

InterventionUnits on a scale (Mean)
Baseline (n=159)Change at Week 4 (n=159)Change at Week 8 (n=159)Change at Week 13 (n=159)Change at Week 26 (n=158)Change at Week 39 (n=151)Change at Week 52 (n=154)
Paliperidone ER-Main Plus Extension Phase1.41-0.51-0.49-0.68-0.77-0.81-0.75

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Change From Baseline in Extrapyradimal Symptoms Rating Scale (ESRS) Total Score at Week 4, 8, 13 and 26 - Main Phase

An ESRS scale is used to assess the extrapyramidal symptoms attributable to antipsychotics. It consists of 8 items to assess individual symptoms and each item is assessed from 0 (none, normal) to 4 (severe). The total score is the sum of the 8 item scores, for a total range of 0 (normal) to 32 (severe). The items for the assessment of individual symptoms are classified into 4 categories of parkinsonism, akathisia, dystonia and dyskinesia. (NCT01010776)
Timeframe: Baseline, Week 4, 8, 13 and 26

InterventionUnits on a scale (Mean)
Baseline (n=215)Change at Week 4 (n=201)Change at Week 8 (n=189)Change at Week 13 (n=182)Change at Week 26 (n=201)
Paliperidone ER - Main Phase1.30-0.40-0.45-0.63-0.6

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Change From Baseline in PANSS Total Score at Week 52 - Main Phase Plus Extension Phase

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. (NCT01010776)
Timeframe: Baseline and Week 52

InterventionUnits on a scale (Mean)
BaselineChange at Week 52
Paliperidone (ER) - Main Phase Plus Extension Phase93.25-26.4

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Change From Baseline in Personal and Social Performance (PSP) Scale Score at Week 4, 8, 13 and 26 - Main Phase

The PSP scale evaluates the dysfunction degree exhibited by the participants, regarding 4 behavioral domains: useful social activities, personal and social relations, self-care and agitated and aggressive behavior. Each domain were assessed on a 6-point scale (0=absent to 5=very severe). A transformed score from 1 to 100 is generated from the raw score based on the clinical interpretation of the scores generated in the 4 areas of functioning, with a higher transformed score indicating better function. (NCT01010776)
Timeframe: Baseline, Week 4, 8, 13 and 26

InterventionUnits on a scale (Mean)
Change at Week 4 (n=201)Change at Week 8 (n=191)Change at Week 13 (n=182)Change at Week 26 (n=204)
Paliperidone ER-Main Phase5.78.39.910.4

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Change From Baseline in Patient's Treatment Satisfaction

Patient's satisfaction with medication was assessed using the Treatment Satisfaction Questionnaire for Medication (TSQM). The TSQM is divided into 4 subscales (effectiveness, side effects, convenience, and global satisfaction), with the value of each subscale ranging from 0 to 100. Higher scores indicate greater treatment satisfaction. (NCT01081769)
Timeframe: baseline (day 1 of core phase), month 12 and 24

,
Interventionunits on a scale (Mean)
Effectiveness; Baseline scoreEffectiveness; change at Month 12Effectiveness; change at Month 24Effectiveness; change at Endpoint (LOCF)Side-effects; Baseline scoreSide-effects; change at Month 12Side-effects; change at Month 24Side-effects; change at Endpoint (LOCF)Convenience; Baseline scoreConvenience; change at Month 12Convenience; change at Month 24Convenience; change at Endpoint (LOCF)Global Satisfaction; Baseline scoreGlobal Satisfaction; change at Month 12Global Satisfaction; change at Month 24Global Satisfaction; change at Endpoint (LOCF)
Oral Antipsychotics59.56.612.44.587.32.53.50.768.41.04.70.362.87.09.21.0
Paliperidone Palmitate61.96.78.53.891.32.12.8-1.467.18.410.47.464.08.28.63.0

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Change From Baseline in PANSS Total Score

Change from baseline in the PANSS: The PANSS is a 30-item scale (Range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items. Higher scores indicate worsening. (NCT01081769)
Timeframe: Baseline, day 8, month 1, 2, 3, 4, 6, 9, 12, 15, 18, 21, 24

,
Interventionunits on a scale (Mean)
Baseline scorechange from baseline at Day 8change from baseline at Month 1change from baseline at Month 2change from baseline at Month 3change from baseline at Month 4change from baseline at Month 6change from baseline at Month 9change from baseline at Month 12change from baseline at Month 15change from baseline at Month 18change from baseline at Month 21change from baseline at Month 24change at Endpoint (LOCF)
Oral Antipsychotics81.5-3.7-8.8-12.3-15.0-16.8-18.6-20.1-21.2-21.9-22.8-23.7-24.6-14.1
Paliperidone Palmitate82.5-4.8-9.4-12.2-14.5-16.2-18.5-19.5-21.8-21.7-23.5-24.3-25.5-16.6

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Change From Baseline in PANSS Subscale Score

Change from baseline in positive symptom, negative symptom and general psychopathology subscales of the PANSS scale. The PANSS scale is designed to assess symptoms of schizophrenia by means of the 30-items. The PANSS scale provides subscores for 3 subscales, that is, the positive symptoms subscale (7 items, range 7-49), the negative symptoms subscale (7 items, range 7-49), and the general psychopathology subscale (16 items, range 16-112). Each item of the scale is to be scored on a scale of 1 (absent) to 7 (extreme). Higher scores indicate higher severity of schizophrenia symptoms. (NCT01081769)
Timeframe: Baseline (day 1 of core phase), day 8, month 12, 24

,
Interventionunits on a scale (Mean)
Positive Subscale; Baseline scorePositive Subscale; change at Day 8Positive Subscale; change at Month 12Positive Subscale; change at Month 24Positive Subscale; change at Endpoint (LOCF)Negative Subscale; Baseline scoreNegative Subscale; change at Day 8Negative Subscale; change at Month 12Negative Subscale; change at Month 24Negative Subscale; change at Endpoint (LOCF)General Psychopathology; Baseline scoreGeneral Psychopathology; change at Day 8General Psychopathology; change at Month 12General Psychopathology; change at Month 24General Psychopathology; change at Endpoint (LOCF)
Oral Antipsychotics18.3-1.3-6.2-6.7-3.822.3-0.8-4.7-5.9-3.740.8-1.6-10.3-12.0-6.7
Paliperidone Palmitate18.4-1.5-6.3-6.8-4.422.6-1.0-4.8-6.2-4.141.4-2.3-10.7-12.5-8.1

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Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) VAS Score

The EQ-5D VAS records the respondent's self-rated health on a vertical, visual analog scale, with 0 representing the worst imaginable health state and 100 representing the best imaginable health state. The EQ VAS is used as a quantitative measure of health outcome as judged by the individual respondent. (NCT01081769)
Timeframe: baseline (day 1 of core phase), month 6, 12 and 24

,
Interventionunits on a scale (Mean)
Baseline scorechange from baseline at Month 6change from baseline at Month 12change from baseline at Month 24change from baseline at Endpoint (LOCF)
Oral Antipsychotics57.611.915.618.611.9
Paliperidone Palmitate57.510.615.017.913.0

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Change From Baseline in EuroQol 5-Dimensional Questionnaire (EQ-5D) Index Score

"The EuroQol-5 is a five dimensional health state classification. Each dimension is assessed on a 3-point ordinal scale (1=no problems, 2=some problems, 3=extreme problems). The responses to the five EQ-5D dimensions were scored using a utility-weighted algorithm to derive an EQ-5D health status index score between 0 to 1, with 1.00 indicating full health and 0 representing dead. A higher score indicates an improvement in health in the Health Status Index." (NCT01081769)
Timeframe: baseline (day 1 of core phase), month 6, 12 and 24

,
Interventionunits on a scale (Mean)
Baseline scorechange from baseline at Month 6change from baseline at Month 12change from baseline at Month 24change from baseline at Endpoint (LOCF)
Oral Antipsychotics0.780.090.110.120.08
Paliperidone Palmitate0.800.060.080.100.06

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Number of Participants With a Relapse Event

"Number of participants with a relapse event with relapses evaluated according the Csernansky criteria. A patient was considered to have relapsed if they met one or more of the following criteria: (1) psychiatric hospitalization; (2) an increase in the level of psychiatric care and an increase of 25% from baseline in the PANSS total score (or an increase of 10 points if the baseline score was 40 or less); (3) deliberate self-injury; (4) suicidal or homicidal ideation that was clinically significant in the investigator's judgment; (5) violent behavior resulting in clinically significant injury to another person or property damage; (6) substantial clinical deterioration, defined as a change score of 6 (much worse) or 7 (very much worse) on the Clinical Global Impressions Scale (CGI-C); and/or (7) the required dose of the antipsychotic exceeds the maximum approved dose." (NCT01081769)
Timeframe: from baseline (Day 1 of core phase) up to maximally 24 months

,
Interventionnumber of participants (Number)
NoYes
Oral Antipsychotics28776
Paliperidone Palmitate30052

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Percentage of Treatment Responders

The proportion of patients achieving a treatment response, defined as a ≥30% decrease (i.e., improvement) in Positive and Negative Syndrome Scale (PANSS) total score from baseline to endpoint. The PANSS is a 30-item scale (Range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items. Higher scores indicate increased severity of schizophrenia symptoms. (NCT01081769)
Timeframe: from baseline (day 1 of core phase) up to maximally 24 months

Interventionpercentage of participants (Number)
Paliperidone Palmitate75.6
Oral Antipsychotics69.4

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Change From Baseline in Subjective Well-Being Under Neuroleptics-Short Form (SWN-S) Total Score

The SWN-S is a patient self-rated scale developed to measure the subjective well-being for the previous 7 days of a patient under neuroleptic treatment. The SWN-S consists of 20 items (each item is rated from 1=not at all to 6=very much). The total score ranges from 20 to 120 with higher score indicating greater subjective well-being. (NCT01081769)
Timeframe: baseline (day 1 of core phase), month 6, 12 and 24

,
Interventionunits on a scale (Mean)
Baseline scorechange from baseline at Month 6change from baseline at Month 12change from baseline at Month 24change from baseline at Endpoint (LOCF)
Oral Antipsychotics76.79.111.113.18.3
Paliperidone Palmitate76.58.411.413.49.7

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Change From Baseline in Short Form-36 Health Survey (SF-36)

The Short Form-36 Health Survey (SF-36) is a measure of Participant-reported health status. It is a 36-item questionnaire measuring 8 domains (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health). Two summary scale scores are computed based on weighted combinations of the 8 subscale scores: the Physical Component Summary and the Mental Component Summary. Each summary scale score ranges from 0 (worst) to 100 (best), with higher scores reflecting better health-related functional status. (NCT01081769)
Timeframe: baseline (day 1 of core phase), month 6, 12 and 24

,
Interventionunits on a scale (Mean)
Physical Component, Baseline scorePhysical Component, change at Month 6Physical Component, change at Month 12Physical Component, change at Month 24Physical Component, change at Endpoint (LOCF)Mental Component, Baseline scoreMental Component, change at Month 6Mental Component, change at Month 12Mental Component, change at Month 24Mental Component, change at Endpoint (LOCF)
Oral Antipsychotics50.61.31.22.11.431.49.111.612.38.7
Paliperidone Palmitate50.31.21.62.21.732.18.210.512.09.0

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Change From Baseline in Physician's Treatment Satisfaction

Physician's treatment satisfaction was assessed using the physician's treatment satisfaction scale which is designed to rate 4 aspects of treatment (efficacy, safety, mode of administration, and overall satisfaction), each on a scale ranging from 1 (extremely satisfied) to 7 (extremely dissatisfied). (NCT01081769)
Timeframe: baseline (day 1 of core phase), month 12 and 24

,
Interventionunits on a scale (Mean)
Efficacy; Baseline scoreEfficacy; change at Month 12Efficacy; change at Month 24Efficacy; change at Endpoint (LOCF)Safety; Baseline scoreSafety; change at Month 12Safety; change at Month 24Safety; change at Endpoint (LOCF)Mode of Administration: Baseline scoreMode of Administration: change at Month 12Mode of Administration: change at Month 24Mode of Administration: change at Endpoint (LOCF)Overall Satisfaction; Baseline scoreOverall Satisfaction; change at Month 12Overall Satisfaction; change at Month 24Overall Satisfaction; change at Endpoint (LOCF)
Oral Antipsychotics2.8-0.4-0.60.02.6-0.2-0.3-0.02.6-0.0-0.10.02.7-0.3-0.30.1
Paliperidone Palmitate2.7-0.5-0.6-0.22.4-0.4-0.4-0.22.6-0.7-0.7-0.52.6-0.5-0.6-0.2

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Changes From Baseline in Personal and Social Performance (PSP) Total Score

The Personal and Social Performance (PSP) scale assesses degree of a participant's dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. Score ranges from 1 to 100, divided into 10 equal intervals to rate degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Based on 4 domains there will be 1 total score. Participants with score of 71 to 100 have mild degree of difficulty; from 31 to 70, varying degrees of disability; less than or equal to 30, functioning so poorly as to require intensive supervision. (NCT01081769)
Timeframe: baseline (day 1 of core phase), month 1, 3, 6, 9, 12, 15, 18, 21 and 24

,
Interventionunits on a scale (Mean)
Baseline scorechange from baseline at Month 1change from baseline at Month 3change from baseline at Month 6change from baseline at Month 9change from baseline at Month 12change from baseline at Month 15change from baseline at Month 18change from baseline at Month 21change from baseline at Month 24change from baseline at Endpoint (LOCF)
Oral Antipsychotics55.34.37.710.811.912.312.913.314.014.68.7
Paliperidone Palmitate55.34.97.69.911.412.712.914.014.715.29.8

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Change From Baseline in PANSS Marder Factor Scores

Change from baseline in schizophrenia symptoms were assessed through the following PANSS factor scores as described by Marder: (1) positive symptoms (range 8-56): sum of delusions, hallucinatory behavior, grandiosity, suspiciousness, stereotyped thinking, somatic concern, unusual thought content, lack of judgment and insight; (2) negative symptoms (range 7-49): sum of blunted affect, emotional withdrawal, poor rapport, passive social withdrawal, lack of spontaneity, motor retardation, and active social avoidance; (3) disorganized thoughts (range 7-49): sum of conceptual disorganization, difficulty in abstract thinking, mannerisms and posturing, disorientation, poor attention, disturbance of volition, and preoccupation; (4) uncontrolled hostility/excitement (range 4-28): sum of excitement, hostility, uncooperativeness and poor impulse control; (5) anxiety/depression (range 4-28): sum of anxiety, guilt feelings, tension, and depression. Higher scores indicate higher severity of symptoms (NCT01081769)
Timeframe: Baseline (day 1 of core phase), day 8, month 12 and 24

,
Interventionunits on a scale (Mean)
Positive Symptoms Factor Score; Baseline scorePositive Symptoms Factor Score; change at Day 8Positive Symptoms Factor Score; change at Month 12Positive Symptoms Factor Score; change at Month 24Positive Symptoms Factor Score; change at EndpointNegative Symptoms Factor Score; Baseline scoreNegative Symptoms Factor Score; change at Day 8Negative Symptoms Factor Score; change at Month 12Negative Symptoms Factor Score; change at Month 24Negative Symptoms Factor Score; change at EndpointDisorganized Thoughts Factor; Baseline scoreDisorganized Thoughts Factor; change at Day 8Disorganized Thoughts Factor; change at Month 12Disorganized Thoughts Factor; change at Month 24Disorganized Thoughts Factor; change at EndpointUncontrolled Hostility/Excitement; Baseline scoreUncontrolled Hostility/Excitement; change at Day 8Uncontrolled Hostility/Excitement; change Month 12Uncontrolled Hostility/Excitement; change Month 24Uncontrolled Hostility/Excitement; change EndpointAnxiety/Depression Factor; Baseline scoreAnxiety/Depression Factor; change at Day 8Anxiety/Depression Factor; change at Month 12Anxiety/Depression Factor; change at Month 24Anxiety/Depression Factor; change at Endpoint
Oral Antipsychotics22.5-1.3-6.9-7.8-4.721.5-0.8-4.9-6.1-3.819.4-0.6-4.6-5.4-3.28.3-0.4-2.1-2.3-0.89.8-0.6-2.7-3.0-1.8
Paliperidone Palmitate22.9-1.5-6.9-7.6-5.022.0-1.0-5.1-6.5-4.319.5-1.0-4.6-5.4-3.78.4-0.7-2.3-2.7-1.59.7-0.8-2.8-3.3-2.1

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Time to First Relapse Event

"Number of days from baseline (day 1 of core phase) to relapse as evaluated according the Csernansky criteria. A patient was considered to have relapsed if they met one or more of the following criteria: (1) psychiatric hospitalization; (2) an increase in the level of psychiatric care and an increase of 25 percent (%) from baseline in the Positive And Negative Syndrome Score (PANSS) total score (or an increase of 10 points if the baseline score was 40 or less); (3) deliberate self-injury; (4) suicidal or homicidal ideation that was clinically significant in the investigator's judgment; (5) violent behavior resulting in clinically significant injury to another person or property damage; (6) substantial clinical deterioration, defined as a change score of 6 (much worse) or 7 (very much worse) on the Clinical Global Impressions Scale (CGI-C); and/or (7) the required dose of the antipsychotic exceeds the maximum approved dose." (NCT01081769)
Timeframe: from baseline (Day 1 of core phase) up to maximally 24 months.

Interventiondays (Mean)
Paliperidone Palmitate616
Oral Antipsychotics603

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Change From Baseline in Clinical Global Impression Severity (CGI-S) Score

"The Clinical Global Impression Severity (CGI-S) rating scale is a 7 point global clinical assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate higher impression of illness severity." (NCT01081769)
Timeframe: Baseline (day 1 of core phase), day 8, month 1, 2, 3, 4, 6, 9, 12, 15, 18, 21, 24

,
Interventionunits on a scale (Mean)
Baseline scorechange from baseline at Day 8change from baseline at Month 1change from baseline at Month 2change from baseline at Month 3change from baseline at Month 4change from baseline at Month 6change from baseline at Month 9change from baseline at Month 12change from baseline at Month 15change from baseline at Month 18change from baseline at Month 21change from baseline at Month 24change from baseline at Endpoint (LOCF)
Oral Antipsychotics3.8-0.1-0.3-0.5-0.6-0.8-0.8-0.9-1.0-1.0-1.0-1.1-1.1-0.6
Paliperidone Palmitate3.9-0.1-0.3-0.4-0.6-0.7-0.8-0.9-1.0-0.9-1.0-1.0-1.1-0.7

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Clinical Global Impression-Change (CGI-C)

The Clinical Global Impression-Change (CGI-C) rating scale is used to rate the change in severity of the patient's illness compared to baseline (day 1 of core phase) on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). (NCT01081769)
Timeframe: Month 24 and endpoint

,
Interventionpercentage of participants (Number)
Month 24; Very Much ImprovedMonth 24; Much ImprovedMonth 24; Minimally ImprovedMonth 24; No changeMonth 24; Minimally WorseMonth 24; Much WorseMonth 24; Very Much WorseEndpoint; Very Much ImprovedEndpoint; Much ImprovedEndpoint; Minimally ImprovedEndpoint; No changeEndpoint; Minimally WorseEndpoint; Much WorseEndpoint; Very Much Worse
Oral Antipsychotics21.747.820.87.71.01.00.014.235.821.910.86.110.60.6
Paliperidone Palmitate22.952.917.06.70.00.40.017.140.617.410.65.19.10.0

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Mean Score of Montgomery-Asberg Depression Scale of Three Treatment Groups (Paliperidone, Lithium and Placebo) After 3 Months of Treatment

The Montgomery-Asberg Depression Rating Scale will be used to measure depressive symptoms to determine the efficacy of the study drugs. It has 10 items (subscales) ranging from 0-6. Therefore the total score ranges from 0-60, with lower scores indicating better outcomes. The subscales were summed for a total score. (NCT01134731)
Timeframe: baseline to 12 weeks

Interventionunits on a scale (Mean)
Paliperidone37.5
Lithium39.6
Placebo39.2

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Mean Score of Beck Scale for Suicidal Ideation of Three Treatment Groups (Paliperidone, Lithium and Placebo) After 3 Months of Treatment

The Beck Scale for Suicidal Ideation will be used to measure the efficacy of the study drugs. The primary outcome measure is the Beck Suicide Scale Self Report. The primary outcome measure is the Beck Suicide Scale Self Report. It has 21 questions (subscales) with values ranging from 0-2. Therefore the total score ranges from 0-42, with lower scores indicating better outcomes. The subscales were summed to achieve a total score. (NCT01134731)
Timeframe: baseline to 12 weeks

Interventionunits on a scale (Mean)
Paliperidone22.1
Lithium22.1
Placebo21.3

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Changes in Psychiatric Symptoms

The Positive and Negative Syndrome Scale measures the core symptoms associated with schizophrenia. The measure includes 30 items rated from 1=absent to 7=extremely severe. Full range of scores is 30-210 with higher scores representing more severe illness. Reductions in symptoms over time represent improvement. (NCT01136772)
Timeframe: Baseline to 6 months

InterventionUnits on a scale (Mean)
Paliperidone Palmitate-6.87
Haloperidol Decanoate-6.40

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Efficacy Failure

Efficacy failure as indicated by psychiatric hospitalization, need for crisis intervention, clinical decision that oral antipsychotic medication cannot be discontinued in less than eight weeks, a clinical decision to discontinue the medication due to inadequate benefit, or the ongoing or repeated need for adjunctive antipsychotic medication. (NCT01136772)
Timeframe: 24 months

Interventionparticipants (Number)
Paliperidone Palmitate49
Haloperidol Decanoate47

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Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score During Overall Treatment Duration

The CGI-S rating scale was a 7-point global assessment of symptom severity with scores determined by clinician as follows: 1=Not ill, 2=Very Mild, 3= Mild, 4= Moderate, 5= Marked, 6= Severe, and 7= Extremely Severe. The higher the score the worse the illness. (NCT01157351)
Timeframe: Baseline up to Month 15

InterventionUnits on a scale (Least Squares Mean)
Paliperidone Palmitate-0.48
Oral Antipsychotics-0.43

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Change From Baseline in Personal and Social Performance (PSP) Total Score During Overall Treatment Duration

The PSP score assesses the degree of difficulty a participant exhibit over a 1 month period within 4 domains of behavior: a) socially useful activities, b) personal and social relationships, c) self-care, and d) disturbing and aggressive behavior. The investigators rate participants' degree of difficulty in each of the 4 domains using a 6-point Likert scale (from 0=absent to 5=very severe). The domain ratings were then transformed to PSP total score ranging from 1 to 100. Higher PSP total scores denote better functioning. A score between 71 and 100 represents normal to mild degree of dysfunction; a score between 31 and 70 represents varying degree of difficulty; and a score <=30 represents poor function that requires intensive supervision. (NCT01157351)
Timeframe: Baseline up to Month 15

InterventionUnits on a scale (Least Squares Mean)
Paliperidone Palmitate5.75
Oral Antipsychotics5.36

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Time to First Psychiatric Hospitalization

"A time-to parameter looking only at 1 component event of treatment failure: psychiatric hospitalization. Time to first psychiatric hospitalization was admission date of the psychiatric hospitalization recorded in the Assessment of Treatment Failure - Psychiatric Hospitalization." (NCT01157351)
Timeframe: From date of randomization up to Month 15

InterventionDays (Median)
Paliperidone PalmitateNA
Oral AntipsychoticsNA

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Time to First Psychiatric Hospitalization or Arrest/Incarceration

A time to parameter looking only at 2 component events of treatment failure: arrest or incarceration, and psychiatric hospitalization. An arrest was defined as the taking of a participant into custody by legal authority, for any reason. Incarceration was defined as involuntary confinement by an officer of the law. Psychiatric hospitalization was an inpatient psychiatric hospitalization that occurred due to the participant's clinically significant worsening of symptoms of schizophrenia. (NCT01157351)
Timeframe: From date of randomization up to Month 15

InterventionDays (Median)
Paliperidone PalmitateNA
Oral Antipsychotics274

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Time to First Treatment Failure

Time to first treatment failure was the time from participant randomization to the first treatment failure, which was a composite endpoint consisting of any of the following events: arrest/incarceration, psychiatric hospitalization, discontinuation of antipsychotic treatment due to safety or tolerability, treatment supplementation with another antipsychotic due to inadequate efficacy, discontinuation of antipsychotic treatment due to inadequate efficacy, increase in level of psychiatric services to prevent imminent psychiatric hospitalization, suicide. A Treatment Failure Event Monitoring Board (EMB), blinded to individual participant treatment assignment, determined the occurrence and date of the first treatment failure event. (NCT01157351)
Timeframe: From date of randomization up to Month 15

InterventionDays (Median)
Paliperidone Palmitate416
Oral Antipsychotics226

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Percentage of Participants in Each Event Category of First Treatment Failure

First treatment failure was a composite endpoint consisting of any of the following events: arrest/incarceration, psychiatric hospitalization, discontinuation (D/C) of antipsychotic treatment due to safety or tolerability, treatment supplementation with another antipsychotic due to inadequate efficacy, discontinuation of antipsychotic treatment due to inadequate efficacy, increase in level of psychiatric services to prevent imminent psychiatric hospitalization, suicide. A Treatment Failure Event Monitoring Board (EMB), blinded to individual participant treatment assignment, determined the occurrence and date of the first treatment failure event. Percentage of participants who experienced treatment failure due to any event and for each specific category of event were assessed. (NCT01157351)
Timeframe: From date of randomization up to Month 15

,
Interventionpercentage of participants (Number)
Treatment Failure Due to Any EventArrest/incarcerationPsychiatric hospitalizationD/C due to safety/tolerabilityTreatment supplementationD/C due to inadequate efficacyIncrease in level of psychiatric servicesSuicide
Oral Antipsychotics53.729.411.93.72.84.11.80
Paliperidone Palmitate39.821.28.06.62.20.41.30

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Double-blind: Number of Participants With Personal and Social Performance (PSP) Categorical Scores

The PSP scale was designed to assess the degree of dysfunction a participant exhibits during a month prior to any visit within 4 domains of behavior: a) socially useful activities, b) personal and social relationships, c) self-care, and d) disturbing and aggressive behavior, each rated on 6-point scale (1=absent to 6=very severe). Total transformed score from 1 to 100 is generated from raw score based on clinical interpretation of scores generated in 4 areas of functioning. Number of participants in each specific category; good functioning (PSP total score >70), variable functioning (PSP total score between 31 and 70), and poor functioning (PSP total score <=30) were assessed. (NCT01193153)
Timeframe: Baseline and Endpoint (Week 64/LOCF) in DB period

,
Interventionparticipants (Number)
Baseline: Poor (n=164, 170)Baseline: Variable (n=164, 170)Baseline: Good (n=164, 170)Endpoint: Poor (n=161, 168)Endpoint: Variable (n=161, 168)Endpoint: Good (n=161, 168)
Paliperidone Palmitate0699516595
Placebo0848649569

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Double-blind: Change From Baseline in Personal and Social Performance (PSP) Total Score at Week 64 (Total Mixed Model Repeated Measures [MMRM] Analysis of Covariance [ANCOVA])

The PSP scale was designed to assess the degree of dysfunction a participant exhibits during a month prior to any visit within 4 domains of behavior: a) socially useful activities, b) personal and social relationships, c) self-care, and d) disturbing and aggressive behavior, each rated on 6-point scale (1=absent to 6=very severe). Total transformed score from 1 to 100 is generated from raw score based on clinical interpretation of scores generated in 4 areas of functioning. A score lying between 71 and 100 indicated a good functioning; one between 31 and 70 indicated varying degrees of difficulty, and a score of <=30 indicated functioning so poor that participant required intensive supervision. (NCT01193153)
Timeframe: Baseline and Week 64 of double blind relapse prevention period

,
InterventionUnits on a scale (Least Squares Mean)
Baseline (n=164, 170)Change at Week 64 (n=98, 65)
Paliperidone Palmitate72.82.0
Placebo74.5-1.3

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Double-blind: Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Endpoint

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. (NCT01193153)
Timeframe: Baseline and Endpoint (Week 64/LOCF) in double-blind period

,
InterventionUnits on a scale (Mean)
Double-blind: Baseline (n=164, 170)Double-blind: Change at Endpoint (n=161, 168)
Paliperidone Palmitate51.10.5
Placebo51.87.4

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Double-blind: Change From Baseline in Young Mania Rating Scale (YMRS) Total Score at Endpoint

The YMRS was designed to measure the severity of manic symptoms, to gauge the effect of treatment on mania severity, and to detect a return of manic symptoms (for example relapse or recurrence). YMRS is a checklist of 11 items that are ranked on a scale of 0 to 4 or 0 to 8. Seven of the items (elevated mood, increased motor activity, sexual interest, sleep, language-thought disorder, appearance, and insight) are ranked 0 to 4 and have descriptors associated with each severity level (that is, 0, 1, 2, 3, 4). Four of the items (irritability, speech, content, and disruptive-aggressive behavior) are scored 0 to 8 and have descriptors for every other increment (that is, 0, 2, 4, 6, 8). The item score is based on participant's report of his or her condition and clinician's behavioral observations during the interview, with emphasis on the latter. Higher scores indicate worsening. Responses are summed to yield YMRS total score ranging from 0 to 60. (NCT01193153)
Timeframe: Baseline and Endpoint (Week 64/LOCF) in double-blind period

,
InterventionUnits on a scale (Mean)
Double-blind: Baseline (n=164, 170)Double-blind: Change at Endpoint (n=161,168)
Paliperidone Palmitate4.4-0.1
Placebo4.43.2

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Open-label: Change From Baseline in Clinical Global Impression - Severity Schizoaffective Scale (CGI-S-SCA) Overall Score at Endpoint

"The CGI-S-SCA is a syndrome-specific 7-point scale (from 1 indicating not ill to 7 indicating very severely ill) that includes an overall severity score as well as scores for the positive, negative, manic, and depressive domains of the illness. The CGI-S-SCA was used to assess the level of overall impairment, as well as that related to each domain, at the time of the visit and for the week prior to the visit." (NCT01193153)
Timeframe: Baseline and Endpoint (Week 13/LOCF) in OL Lead-in period, Endpoint (Week 25/LOCF) in open-label stabilization period

InterventionUnits on a scale (Mean)
OL Lead-in Period:Baseline (n=667)OL Lead-in Period:Change at Endpoint (n=652)OL Stabilization Period:Change at Endpoint (n=652)
Paliperidone Palmitate4.4-1.3-1.3

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Open-label: Change From Baseline in Hamilton Rating Scale for Depression (HAM-D-21) Total Score at Endpoint

The HAM-D-21 is a 21-item, clinician-rated scale to evaluate depressed mood as well as the vegetative and cognitive symptoms of depression. The items are rated on a 5-point (0 to 4) scale. The 5-point scale items use a rating of 0 (absent), 1 (doubtful to mild), 2 (mild to moderate), 3 (moderate to severe), and 4 (very severe). A rating of 4 is usually reserved for extreme symptoms. The responses for all 21 items are summed to yield the HAM-D-21 total score that ranges from 0-63. (NCT01193153)
Timeframe: Baseline and Endpoint (Week 13/LOCF) in OL Lead-in period, Endpoint (Week 25/LOCF) in open-label stabilization period

InterventionUnits on a scale (Mean)
OL Lead-in Period:Baseline (n=667)OL Lead-in Period:Change at Endpoint (n=653)OL Stabilization Period:Change at Endpoint (n=653)
Paliperidone Palmitate20.4-9.7-9.9

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Open-label: Change From Baseline in Personal and Social Performance (PSP) Total Score at Endpoint

The PSP scale was designed to assess the degree of dysfunction a participant exhibits during a month prior to any visit within 4 domains of behavior: a) socially useful activities, b) personal and social relationships, c) self-care, and d) disturbing and aggressive behavior, each rated on 6-point scale (1=absent to 6=very severe). Total transformed score from 1 to 100 is generated from raw score based on clinical interpretation of scores generated in 4 areas of functioning. A score lying between 71 and 100 indicated a good functioning; one between 31 and 70 indicated varying degrees of difficulty, and a score of <=30 indicated functioning so poor that participant required intensive supervision. (NCT01193153)
Timeframe: Baseline and Endpoint (Week 13/LOCF) in Open-label (OL) Lead-in period, Endpoint (Week 25/LOCF) in open-label stabilization period

InterventionUnits on a Scale (Mean)
OL Lead-in Period:Baseline (n=667)OL Lead-in Period:Change at Endpoint (n=622)OL Stabilization Period:Change at Endpoint (n=622)
Paliperidone Palmitate51.412.613.8

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Open-label: Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Endpoint

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. (NCT01193153)
Timeframe: Baseline and Endpoint (Week 13/LOCF) in OL Lead-in period, Endpoint (Week 25/LOCF) in open-label stabilization period

InterventionUnits on a scale (Mean)
OL Lead-in Period:Baseline (n=667)OL Lead-in Period:Change at Endpoint (n=653)OL Stabilization Period:Change at Endpoint (n=653)
Paliperidone Palmitate85.8-21.8-23.8

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Open-label: Change From Baseline in Young Mania Rating Scale (YMRS) Total Score at Endpoint

The YMRS was designed to measure the severity of manic symptoms, to gauge the effect of treatment on mania severity, and to detect a return of manic symptoms (for example relapse or recurrence). YMRS is a checklist of 11 items that are ranked on a scale of 0 to 4 or 0 to 8. Seven of the items (elevated mood, increased motor activity, sexual interest, sleep, language-thought disorder, appearance, and insight) are ranked 0 to 4 and have descriptors associated with each severity level (that is, 0, 1, 2, 3, 4). Four of the items (irritability, speech, content, and disruptive-aggressive behavior) are scored 0 to 8 and have descriptors for every other increment (that is, 0, 2, 4, 6, 8). The item score is based on participant's report of his or her condition and clinician's behavioral observations during the interview, with emphasis on the latter. Higher scores indicate worsening. Responses are summed to yield YMRS total score ranging from 0 to 60. (NCT01193153)
Timeframe: Baseline and Endpoint (Week 13/LOCF) in OL Lead-in period, Endpoint (Week 25/LOCF) in open-label stabilization period

InterventionUnits on a scale (Mean)
OL Lead-in Period:Baseline (n=667)OL Lead-in Period:Change at Endpoint (n=653)OL Stabilization Period:Change at Endpoint (n=653)
Paliperidone Palmitate18.6-9.9-10.5

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Double-blind: Percentage of Participants Who Experienced Relapse

Relapse was defined as first occurrence of any 1 of following:psychiatric hospitalization due to worsening symptoms; any intervention employed to avert imminent hospitalization due to worsening symptoms or need for additional antipsychotic,antidepressants/mood stabilizing medication; deliberate self-injury,suicidal/homicidal ideation that is clinically significant as determined by investigator,or violent behavior resulting in clinically significant injury to another person or property damage; worsening of any 1 or more of 8 selected positive and negative syndrome scale(PANSS) items to a score of greater than or equal to (>= 6) after randomization(if the score for the corresponding item was less than or equal to [<=] 4 at randomization); worsening of certain other measures in specific ways at 2 consecutive visits. Relapse by subgroup of participants on monotherapy,adjunctive therapy to antidepressants/mood stabilizers,participants with psychotic symptoms/mood symptoms was examined. (NCT01193153)
Timeframe: Day 1 up to Month 15 of double blind relapse prevention period

,
Interventionpercentage of participants (Number)
All Participants (n=164, 170)Monotherapy subset (n=78, 73)Adjunct therapy subset (n=86, 97)Psychotic Symptoms (n=164, 170)Mood Symptoms;Any Mood Symptoms (n=164, 170)Mood Symptoms;Manic (n=164, 170)Mood Symptoms;Depressive (n=164, 170)Mood Symptoms; Mixed (n=164, 170)
Paliperidone Palmitate15.211.518.612.811.03.04.93.0
Placebo33.532.934.031.228.29.413.55.3

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Double-blind: Change From Baseline in Clinical Global Impression - Severity Schizoaffective Scale (CGI-S-SCA) Overall Score at Endpoint

"The CGI-S-SCA is a syndrome-specific 7-point scale (from 1 indicating not ill to 7 indicating very severely ill) that includes an overall severity score as well as scores for the positive, negative, manic, and depressive domains of the illness. The CGI-S-SCA was used to assess the level of overall impairment, as well as that related to each domain, at the time of the visit and for the week prior to the visit." (NCT01193153)
Timeframe: Baseline and Endpoint (Week 64/LOCF) in double-blind period

,
InterventionUnits on a scale (Mean)
Double-blind: Baseline (n=164, 170)Double-blind: Change at Endpoint (n=161,168)
Paliperidone Palmitate2.40.0
Placebo2.50.4

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Double-blind: Change From Baseline in Hamilton Rating Scale for Depression (HAM-D-21) Total Score at Endpoint

The HAM-D-21 is a 21-item, clinician-rated scale to evaluate depressed mood as well as the vegetative and cognitive symptoms of depression. The items are rated on a 5-point (0 to 4) scale. The 5-point scale items use a rating of 0 (absent), 1 (doubtful to mild), 2 (mild to moderate), 3 (moderate to severe), and 4 (very severe). A rating of 4 is usually reserved for extreme symptoms. The responses for all 21 items are summed to yield the HAM-D-21 total score that ranges from 0-63. (NCT01193153)
Timeframe: Baseline and Endpoint (Week 64/LOCF) in double-blind period

,
InterventionUnits on a scale (Mean)
Double-blind: Baseline (n=164, 170)Double-blind: Change at Endpoint (n=161, 168)
Paliperidone Palmitate5.70.8
Placebo5.63.4

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Double-blind: Change From Baseline in Personal and Social Performance (PSP) Total Score at Endpoint

The PSP scale was designed to assess the degree of dysfunction a participant exhibits during a month prior to any visit within 4 domains of behavior: a) socially useful activities, b) personal and social relationships, c) self-care, and d) disturbing and aggressive behavior, each rated on 6-point scale (1=absent to 6=very severe). Total transformed score from 1 to 100 is generated from raw score based on clinical interpretation of scores generated in 4 areas of functioning. A score lying between 71 and 100 indicated a good functioning; one between 31 and 70 indicated varying degrees of difficulty, and a score of <=30 indicated functioning so poor that participant required intensive supervision. (NCT01193153)
Timeframe: Baseline and Endpoint (Week 64/LOCF) in double-blind period

,
InterventionUnits on a Scale (Least Squares Mean)
Double-blind: Baseline (n=164, 170)Double-blind: Change at Endpoint (n=161,168)
Paliperidone Palmitate74.50.5
Placebo72.8-4.1

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Assessment of Cognitive Functioning-3

"CNT(Computerized Neuro-Cognitive Function Test System); The tests included Wisconsin Card-Sorting Test (WCST). All of the assessments except the CNT were conducted immediately prior to administration of the medication and at 2 (for risperidone and placebo) or 24 h (for paliperidone ER) after the first and third administrations of the study medications.~Minimum of Wisconsin card sorting test-Category completed is 0, Maximum is 6, the lower number is worse outcome.~Minimum of Wisconsin card sorting test-Perseverative response and Trials to complete is 0, Maximum is 128, the lower number is worse outcome.~Minimum of Wisconsin card sorting test-Trials to complete first category trials is 0, Maximum is 128 and minimum of Wisconsin card sorting test-Perseverative error is 0, Maximum is 128, the higher number is worse outcome.~The score ranges are for subscale score. This outcome measure is reporting a change between baseline and 50hr after th" (NCT01284959)
Timeframe: baseline and 50hr after third medication

,,
Interventiontrials (Mean)
Wisconsin card sorting test-Category completedWisconsin card sorting test-Perseverative responseWisconsin card sorting test-Perseverative errorWCST-Trials to complete first category trials
Paliperidone ER6.0010.106.5012.10
Placebo6.0013.089.6711.75
Risperidone6.0014.1110.0014.00

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Assessment of Negative Symptoms and Neuroleptic Induced Deficit Syndromes by Objective Rating Scales

"SANS(Scale for the Assessment of Negative Symptoms), NIDSS(Neuroleptic induced Deficit Syndrome Scale) In NIDSS, the average of number 1 to 5 is blunted affect, the average of number 16 to 20 is avolition, the average of number 6 to 15 is cognition, the average of all score is total.~Minimum of NIDSS(avolition, blunted affect, cognition, total) is -3, maximum is +3.(subscale score and total) '+' is better outcome, '-' is worse outcome. Minimum of SANS-Global score for alogia and blunted affect is 0, Maximum of SANS-Global score for alogia and blunted affect is 5 The higher number is worse outcome. The zeros are measured and Calcuated value This outcome measure is reporting a change between baseline and 2hr after third medication." (NCT01284959)
Timeframe: baseline and 2hr after third medication

,,
Interventionunits on a scale (Mean)
NIDSS-AvolitionNIDSS-Blunted AffectNIDSS-CognitionNIDSS-TotalSANS-Global score for alogiaSANS-Global score for blunted affect
Paliperidone ER-0.66-0.24-0.38-0.4200.10
Placebo-0.280.020.02-0.0600
Risperidone-1.30-0.70-0.54-0.770.670.67

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Symptoms Assessment by Objective Rating Scales

SANS(Scale for the Assessment of Negative Symptoms), NIDSS(Neuroleptic induced Deficit Syndrome Scale) Minimum of NIDSS is -3, maximum of NIDSS is +3. '+' is better outcome, '-' is worse outcome. Minimum of SNAS-Global score is 0, Maximum of SNAS-Global score is 5 The higher number is worse outcome. The zeros are measured and Calcuated value. The score ranges are for subscale score. This outcome measure is reporting a change between baseline and 50hr after third medication. (NCT01284959)
Timeframe: baseline and 50hr after third medication

,,
Interventionunits on a scale (Mean)
NIDSS-AvolitionNIDSS-Blunted AffectNIDSS-CognitionNIDSS-TotalSANS-Global score for alogiaSANS-Global score for blunted affect
Paliperidone ER0.140.040.280.1900
Placebo-0.37-0.27-0.26-0.2900
Risperidone-0.85-0.70-0.66-0.720.130.25

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Assessment of Cognitive Functioning-1

"CNT(Computerized Neuro-Cognitive Function Test System); The tests included a word fluency test. All of the assessments except the CNT were conducted immediately prior to administration of the medication and at 2 (for risperidone and placebo) or 24 h (for paliperidone ER) after the first and third administrations of the study medications.~Minimum of Wisconsin card sorting test-Category completed is 0, Maximum is 6, the lower number is worse outcome.~Minimum of Wisconsin card sorting test-Perseverative response and Trials to complete is 0, Maximum is 128, the lower number is worse outcome.~Minimum of Wisconsin card sorting test-Perseverative error is 0, Maximum is 128, the higher number is worse outcome.~Minimum of Word-fluency test is 0 and no maximum value, the higher number is better outcome.~The score ranges are for subscale score. This outcome measure is reporting a change between baseline and 50hr after third medication." (NCT01284959)
Timeframe: baseline and 50hr after third medication

,,
Interventionscores on a scale (Mean)
Word-fluency test-AnimalWord-fluency test-Stationery"Word-fluency test-ㄱ""Word-fluency test-ㅅ""Word-fluency test-ㅇ"
Paliperidone ER23.5023.6017.1016.4016.70
Placebo25.4226.0019.7518.2517.17
Risperidone22.2222.5617.4417.4416.11

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Assessment of Adverse Events by Objective Rating Scales and Self Report Scales

DIEPSS(Drug-Induced Extrapyramidal Symptoms Scale), VAS(Visual analog scale);mental sedation (alert-drowsy, muzzy-clear headed, mentally slow-quick witted, attentive-dreamy), physical sedation (strong-feeble, well coordinated-clumsy, lethargic-energetic, incompetent-proficient), tranquilization (calm-excited, contented-discontented, troubled-tranquil, tense-relaxed), and other types of feelings (happy-sad, antagonistic-amicable, interested-bored, withdrawn-gregarious) Minimum of VAS is 0, Maximum is 10 Minimum of DIEPSS is 0, Maximum is 4 The higher number is worse outcome. The score ranges are for subscale score. This outcome measure is reporting a change between baseline and 50hr after third medication. (NCT01284959)
Timeframe: baseline and 50hr after third medication

,,
Interventionunits on a scale (Mean)
VAS-Total scoreVAS-Mental sedation scoreVAS-Physical sedation scoreDIEPSS-Bradykinesia score
Paliperidone ER3.423.603.350.10
Placebo3.744.213.690
Risperidone6.156.536.250.25

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Assessment of Adverse Events by Objective Rating Scales and Self Report Scales

"DIEPSS(Drug-Induced Extrapyramidal Symptoms Scale), VAS(Visual analog scale);mental sedation (alert-drowsy, muzzy-clear headed, mentally slow-quick witted, attentive-dreamy), physical sedation (strong-feeble, well coordinated-clumsy, lethargic-energetic, incompetent-proficient), tranquilization (calm-excited, contented-discontented, troubled-tranquil, tense-relaxed), and other types of feelings (happy-sad, antagonistic-amicable, interested-bored, withdrawn-gregarious) Minimum of VAS(Mental sedation score,Physical sedation score,Total score) is 0, Maximum is 10.~VAS-total score is average of all subscale scores. Minimum of DIEPSS is 0, Maximum is 4. The higher number is worse outcome. The score ranges are for subscale score. This outcome measure is reporting a change between baseline and 2hr after third medication." (NCT01284959)
Timeframe: baseline and 2hr after third medication

,,
Interventionunits on a scale (Mean)
VAS-Total scoreVAS-Mental sedation scoreVAS-Physical sedation scoreDIEPSS-Bradykinesia score
Paliperidone ER4.114.784.080.20
Placebo3.353.853.230.08
Risperidone5.416.055.780.60

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Assessment of Cognitive Functioning-2

"CNT(Computerized Neuro-Cognitive Function Test System); The tests included the Stroop test, Trail-Making Test B (TMT B). All of the assessments except the CNT were conducted immediately prior to administration of the medication and at 2 (for risperidone and placebo) or 24 h (for paliperidone ER) after the first and third administrations of the study medications Minimum of Stroop test is 0, no maximum limit, the higher number is worse outcome.~Minimum of Trail making test B is 0 and no maximum limit, the higher number is worse outcome.~The score ranges are for subscale score. This outcome measure is reporting a change between baseline and 50hr after third medication." (NCT01284959)
Timeframe: baseline and 50hr after third medication

,,
Interventionmilliseconds (Mean)
Stroop test-ColorStroop test-Word-colorStroop test-Interference scoreTrail making test B
Paliperidone ER12.6818.315.6331.10
Placebo13.0917.534.4428.42
Risperidone15.4021.846.4329.78

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Change From Baseline in PANSS Negative Subscale Score at Week 13 or Early Discontinuation

Negative Syndrome Scale (range 7-49): Sum of scores for items 1-7 in negative subscale: blunted effect, emotional withdrawal, poor rapport, passive apathetic social withdrawal, difficulty in abstract thinking, lack of spontaneity and flow of conversation, and stereotyped thinking, higher scores indicate worsening. (NCT01299389)
Timeframe: Baseline and Week 13 or early discontinuation

,
Interventionunits on a scale (Mean)
BaselineChange at Week 13 or Early Discontinuation
Paliperidone Palmitate (Double-blind)24.0-1.5
Placebo (Double-blind)22.70.9

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Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at Week 13 or Early Discontinuation

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210, higher scores indicate worsening. (NCT01299389)
Timeframe: Baseline and Week 13 or early discontinuation

,
Interventionunits on a scale (Mean)
BaselineChange at Week 13 or Early Discontinuation
Paliperidone Palmitate (Double-blind)85.7-3.1
Placebo (Double-blind)83.56.9

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Change From Baseline in PANSS Marder Subscale Scores at Week 13 or Early Discontinuation

The PANSS is a 30-item scale to assess the neuropsychiatric symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). Positive symptoms subscale consists of 8 items with total score range of 8-56; negative symptoms subscale and disorganized thoughts subscale, each consists of 7 items with total score range of 7-49, uncontrolled hostility/excitement subscale and anxiety/depression subscale, each consists of 4 items with total score range of 4-28, higher score indicates greater severity. (NCT01299389)
Timeframe: Baseline and Week 13 or early discontinuation (ED)

,
Interventionunits on a scale (Mean)
Positive symptoms: BaselinePositive symptoms: Change at Week 13 or EDNegative symptoms: BaselineNegative symptoms: Change at Week 13 or EDDisorganized thoughts: BaselineDisorganized thoughts: Change at Week 13 or EDUncontrolled hostility/excitement: BaselineUncontrolled hostility: Change at Week 13 or EDAnxiety/depression: BaselineAnxiety/depression: Change at Week 13 or ED
Paliperidone Palmitate (Double-blind)24.2-1.122.8-1.420.8-0.68.60.49.4-0.4
Placebo (Double-blind)24.31.621.70.919.61.98.31.99.50.7

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Change From Baseline in PANSS Positive Subscale Score at Week 13 or Early Discontinuation

Positive Syndrome Scale (range 7-49): Sum of scores for items 1-7 in positive subscale: delusions, conceptual disorganization, hallucinatory behavior, excitement, grandiosity, suspiciousness/persecution, and hostility, higher scores indicate worsening. (NCT01299389)
Timeframe: Baseline and Week 13 or early discontinuation

,
Interventionunits on a scale (Mean)
BaselineChange at Week 13 or Early Discontinuation
Paliperidone Palmitate (Double-blind)19.5-0.6
Placebo (Double-blind)19.32.2

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Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score at Week 13 or Early Discontinuation

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants, higher scores indicate worsening." (NCT01299389)
Timeframe: Baseline and Week 13 or early discontinuation

,
Interventionunits on a scale (Median)
BaselineChange at Week 13 or Early Discontinuation
Paliperidone Palmitate (Double-blind)4.00.0
Placebo (Double-blind)4.00.0

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Change From Baseline in PANSS General Psychopathology Subscale Score at Week 13 or Early Discontinuation

General Psychopathology (range 16-112): Sum of scores for somatic concern, anxiety, guilt feelings, tension, mannerisms/posturing, depression, motor retardation, uncooperativeness, unusual thought content, disoriented, poor attention, lack of judgment/insight, disturbance of volition, poor impulse control, preoccupation, and active social avoidance, higher scores indicate worsening. (NCT01299389)
Timeframe: Baseline and Week 13 or early discontinuation

,
Interventionunits on a scale (Mean)
BaselineChange at Week 13 or Early Discontinuation
Paliperidone Palmitate (Double-blind)42.3-1.0
Placebo (Double-blind)41.43.8

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Participants With Response to the Treatment as Per PANSS Total Score.

Participants with response were defined as those participants who shows 30 percent or more and 20 percent or more reduction in PANSS total score. (NCT01299389)
Timeframe: up to Week 13 or early discontinuation

,
Interventionparticipants (Number)
Greater than or equal to 30 percent ImprovementGreater than or equal to 20 percent Improvement
Paliperidone Palmitate (Double-blind)3652
Placebo (Double-blind)1423

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Quality of Sleep Score

This self-administered scale rates quality of sleep and daytime drowsiness. Participants indicate on an 11-point scale how well they have slept in the previous 7 days, from 0 (very badly) to 10 (very well); and how often they have felt drowsy within the previous 7 days, from 0 (not at all) to 10 (all the time). On the sleep evaluation scale, score 0 corresponds to very badly and score 10 to very well. (NCT01362439)
Timeframe: Baseline and Week 13

Interventionunits on a scale (Mean)
BaselineWeek 13
Paliperidone ER6.227.08

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Daytime Drowsiness Evaluation Scale

This self-administered scale rates quality of sleep and daytime drowsiness. Participants will indicate on an 11-point scale how well they have slept in the previous 7 days, from 0 (very badly) to 10 (very well); and how often they have felt drowsy within the previous 7 days, from 0 (not at all) to 10 (all the time).On the daytime drowsiness scale, score 0 corresponds to not at all and score 10 to all the time. (NCT01362439)
Timeframe: Baseline and Week 13

Interventionunits on a scale (Mean)
BaselineWeek 13
Paliperidone ER4.093.30

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Clinical Global Impression-Severity Scale (CGI-S)

The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to normal, not at all ill and a rating of 7 is equivalent to among the most extremely ill participants. Higher scores indicate worsening. (NCT01362439)
Timeframe: Baseline and Week 13

Interventionunits on a scale (Median)
BaselineWeek 13
Paliperidone ER43

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Change in Positive and Negative Syndrome Scale (PANSS) General Psychopathology Subscale Score at Week 13

The PANSS General Psychopathology Subscale Score assesses 16 general psychopathology symptoms. The symptoms are rated on a 7-point scale, with a range of 16 (absent) to 112 (extreme psychopathology). (NCT01362439)
Timeframe: Baseline and Week 13

Interventionunits on a scale (Mean)
BaselineChange at Week 13
Paliperidone ER44.84-11.31

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Change in Positive and Negative Syndrome Scale (PANSS) - Positive Subscale Score at Week 13

The PANSS Positive Subscale assesses seven positive-symptoms of schizophrenia. Positive symptoms refer to an excess or distortion of normal functions. The symptoms are rated on a 7-point scale, with a range of 7 (absent) to 49 (extreme psychopathology). (NCT01362439)
Timeframe: Baseline and Week 13

Interventionunits on a scale (Mean)
BaselineChange at Week 13
Paliperidone ER21.03-6.55

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Change From Baseline in Subjective Well-being Under Neuroleptic (SWN 20) Scale at Week 13

The SWN 20 scale is a 20 item scale that was originally designed to explore the subjective experience of psychotic participants. The SWN scale contains five sub-scales consisting of four items each: mental functioning (MF), self control (SC), emotional regulation (ER), and social integration (SI), physical functioning (PF). The total score ranges from a minimum of 20 (poor subjective experience) to a maximum of 120 (excellent subjective experience). SWN scores appear to correlate with measure of objective psychopathology, quality of life and other self-ratings of mood. (NCT01362439)
Timeframe: Baseline and Week 13

Interventionunits on a scale (Mean)
BaselineChange at Week 13
Paliperidone ER73.816.86

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Total Score at Week 13

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self) including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210, higher scores indicate worsening. (NCT01362439)
Timeframe: Baseline and Week 13

Interventionunits on a scale (Mean)
BaselineChange at Week 13
Paliperidone ER88.9822.468

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Negative Subscale Score at Week 13

The PANSS Negative Subscale assesses seven negative-symptoms of schizophrenia. Negative symptoms represent a diminution or loss of normal functions. The symptoms are rated on a 7-point scale, with a range of 7 (absent) to 49 (extreme psychopathology). (NCT01362439)
Timeframe: Baseline and Week 13

Interventionunits on a scale (Mean)
BaselineChange at Week 13
Paliperidone ER23.11-4.82

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Change From Baseline in Personal and Social Performance Scale (PSP) at Week 13

The PSP is 100-point validated clinician-rated scale that assesses degree of difficulty in 4 areas of functioning: socially useful activities, personal and social relationships, self-care, disturbing and aggressive behaviors rated on 6-point scale (1=absent to 6=very severe).Total transformed score from 1 to 100 is generated from raw score based on clinical interpretation of scores generated in 4 areas of functioning, with higher transformed score indicating better function. Total score is divided into 3 levels: 71-100 (mild difficulty); 31-70 (marked difficulty) and 1-30 (severe difficulty). (NCT01362439)
Timeframe: Baseline and Week 13

Interventionunits on a scale (Mean)
BaselineChange at Week 13
Paliperidone ER56.549.05

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Change From Baseline in Drug Attitude Inventory (DAI 30) Scale at Week 13

The DAI is a 30-item self-rating inventory that focuses on subjective effects of neuroleptic medications in participants with schizophrenia. There are 15 items that are scored as true and 15 scored as false if the person is fully compliant (positive subjective response). Positive answers score as +1, negative answers score as - 1. Questionnaire allows identifying participants at high risk of low compliance. The total score may vary from -30 to +30 with a high total final score is a positive subjective response (compliant) and a low total score is a negative subjective response (non-compliant). (NCT01362439)
Timeframe: Baseline and Week 13

Interventionunits on a scale (Mean)
BaselineChange at Week 13
Paliperidone ER41.202.0

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Percentage of Participants With Greater Than or Equal to 30 Percent Treatment Response in Total Positive and Negative Syndrome Scale (PANSS) Score

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self) including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210, higher scores indicate worsening. (NCT01362439)
Timeframe: Baseline and Week 13

Interventionpercentage of participants (Number)
Paliperidone ER40.5

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Extrapyramidal Symptoms Scale (ESRS) Subscale Scores and Total Scores

Extra pyramidal symptoms attributed to antipsychotic assessed by ESRS scale. Included 4 subscales; Parkinsonism (Park),dystonia(Dyst),dyskinesia(Dysk),akathisia(Akat),12 items on 4-point scale; (0=absent-3=severe); Park (8 items); Dyst (2 items); Dysk (7 items) all 3 rated on 7-point scale (0=none/normal-6=worst). Additionally, subtotals were calculated; hyperkinesia (item 5, 6 of Park); hypokinesia (item 1-4, 7 of Park); bucco-linguo-masticatory (item 1-3 of Dysk), choreoathetoid movement (item 5, 6 of Dysk). Total score: sum of Park, Dyst & Dysk subscale, ranged from 0 (normal)-102 (severe). (NCT01362439)
Timeframe: Baseline and Week 13

Interventionunits on a scale (Mean)
Baseline: ESRS Total ScoreWeek 13: ESRS Total ScoreBaseline: Park, Dyst, Dysk and AkatWeek 13: Park, Dyst, Dysk and AkatBaseline: ParkWeek 13: ParkBaseline: DystWeek 13: DystBaseline: Dysk MovementsWeek 13: Dysk MovementsBaseline: HyperkinesiaWeek 13: HyperkinesiaBaseline: HypokinesiaWeek 13: HypokinesiaBaseline: Bucco-Linguo-MasticatoryWeek 13: Bucco-Linguo-MasticatoryBaseline: Choreoathetoid movements of limbsWeek 13: Choreoathetoid movements of limbs
Paliperidone ER7.392.211.860.564.301.330.660.150.580.181.430.442.660.800.210.050.200.06

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Change From Baseline in Personal and Social Performance (PSP) Total Score at Week 10

The PSP scale assesses degree of a participant's dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. Score ranges from 1 to 100, divided into 10 equal intervals to rate degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Based on 4 domains there will be 1 total score. Participants with score of 71 to 100 have mild degree of difficulty; from 31 to 70, varying degrees of disability; less than or equal to 30, functioning so poorly as to require intensive supervision. (NCT01387542)
Timeframe: Baseline, Week 10

InterventionUnits on a scale (Mean)
Paliperidone Extended Release (ER)-9.868

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Change From Baseline in Personal and Social Performance (PSP) Total Score at Week 2

The PSP scale assesses degree of a participant's dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. Score ranges from 1 to 100, divided into 10 equal intervals to rate degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Based on 4 domains there will be 1 total score. Participants with score of 71 to 100 have mild degree of difficulty; from 31 to 70, varying degrees of disability; less than or equal to 30, functioning so poorly as to require intensive supervision. (NCT01387542)
Timeframe: Baseline, Week 2

InterventionUnits on a scale (Mean)
BaselineChange at Week 2
Paliperidone Extended Release (ER)58.95-4.289

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Change From Baseline in Personal and Social Performance (PSP) Total Score at Week 6

The PSP scale assesses degree of a participant's dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. Score ranges from 1 to 100, divided into 10 equal intervals to rate degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Based on 4 domains there will be 1 total score. Participants with score of 71 to 100 have mild degree of difficulty; from 31 to 70, varying degrees of disability; less than or equal to 30, functioning so poorly as to require intensive supervision. (NCT01387542)
Timeframe: Baseline, Week 6

InterventionUnits on a scale (Mean)
Paliperidone Extended Release (ER)-7.053

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Change From Baseline in Clinical Global Impression Severity (CGI-S) Scale at Week 10

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate worsening ." (NCT01387542)
Timeframe: Baseline, Week 10

InterventionUnits on a scale (Mean)
BaselineChange at Week 10
Paliperidone Extended Release (ER)3.550.82

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Number of Participants With Satisfaction With the Study Treatment

Participants assessed their satisfaction with paliperidone ER on a 5-point scale: 1 (very good), 2 (good), 3 (moderate), 4 (poor) and 5 (very poor). (NCT01541371)
Timeframe: Baseline and Week 12

,,
InterventionParticipants (Number)
Baseline, Very satisfied (n=230,113,41)Baseline, Satisfied (n=230,113,41)Baseline, Generally satisfied (n=230,113,41)Baseline, Dissatisfied (n=230,113,41)Baseline, Very dissatisfied (n=230,113,41)Week 12, Very satisfied (n=208,105,40)Week 12, Satisfied (n=208,105,40)Week 12, Generally satisfied (n=208,105,40)Week 12, Dissatisfied (n=208,105,40)Week 12, Very dissatisfied (n=208,105,40)
Lack of Efficacy Group115841246309362230
Lack of Tolerability Group3305821123512461
Other Group015251010181020

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Change From Baseline in Sleep and Daytime Drowsiness Evaluation Score at Week 12

The self-administered sleep VAS scale (0-100 milimeter [mm]) rates quality of sleep (QoS) and daytime drowsiness (DD). Participants indicate mark on the scale to represent how well they have slept in the previous 7 days, score ranges from 0 mm (very badly) to 100 mm (very well); and how often they have felt drowsy within the previous 7 days, from 0 mm (not at all) to 100 mm (all the time). (NCT01541371)
Timeframe: Baseline and Week 12

,,
Interventionmm (Mean)
Quality of sleep score: Baseline (n=233,115,41)Quality of sleep: Change at Week 12 (n=202,106,40)Daytime drowsiness score: Baseline (n=233,115,41)Daytime drowsiness:Change at Week 12(n=202,106,40)
Lack of Efficacy Group60.7615.7638.16-15.76
Lack of Tolerability Group75.892.9044.77-21.66
Other Group70.3113.6034.26-18.10

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Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 12

PSP assesses the degree of a participant's dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Based on the four domains there will be one total score. Participants with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; =<30, functioning so poorly as to require intensive supervision. (NCT01541371)
Timeframe: Baseline and Week 12

,,
InterventionUnits on a scale (Mean)
Baseline (n=238,115,41)Change at Week 12 (n=205,106,40)
Lack of Efficacy Group53.1618.57
Lack of Tolerability Group66.9510.09
Other Group66.0012.40

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Percentage of Participants With Response to Positive and Negative Syndrome Scale (PANSS) Total Score

PANSS is a medical scale that assesses various symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). The total score is the sum of all 30 PANSS items, with a range of 30 (absent) to 210 (extreme ill). Percentage of participants with at least 20 percent improvement of PANSS total score was measured. (NCT01541371)
Timeframe: Week 12

InterventionPercentage of participants (Number)
Lack of Efficacy Group65.97
Lack of Tolerability Group51.72
Other Group61.90

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Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Week 12

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to normal, not at all ill and a rating of 7 is equivalent to among the most extremely ill participants. Higher change scores indicate worsening." (NCT01541371)
Timeframe: Baseline and Week 12

,,
Interventionunits on a scale (Mean)
Baseline (n=237,115,41)Change at Week 12 (n=208,103,40)
Lack of Efficacy Group4.54-1.77
Lack of Tolerability Group3.20-1.01
Other Group3.86-1.66

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 12

The PANSS is a 30-item scale to assess the neuropsychiatric symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). Positive symptoms subscale consists of 8 items with total score range of 8-56; negative symptoms subscale and disorganized thoughts subscale, each consists of 7 items with total score range of 7-49, uncontrolled hostility/excitement subscale and anxiety/depression subscale, each consists of 4 items with total score range of 4-28. Higher change score indicates greater severity. (NCT01541371)
Timeframe: Baseline and Week 12

InterventionUnits on a scale (Mean)
Positive symptoms: BaselinePositive symptoms: Change at Week 12Negative symptoms: BaselineNegative symptoms: Change at Week 12Disorganized thoughts: BaselineDisorganized thoughts: Change at Week 12Uncontrolled hostility/excitement: BaselineUncontrolled hostility/excitement:Change at Week12Anxiety/depression: BaselineAnxiety/depression: Change at Week 12
Paliperidone Extended Release (ER)21.61-8.1619.15-6.5314.13-4.137.73-2.747.45-2.00

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Subscale Scores at Week 12

PANSS is a medical scale that assesses various symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). The total score is the sum of all 30 PANSS items, with a range of 30 (absent) to 210 (extreme ill). Positive syndrome subscale ranges from 7 to 49, higher change scores indicate worsening. Negative syndrome subscale ranges from 7 to 49, higher change scores indicate worsening. General Psychopathology subscale ranges from 16 to112, higher change scores indicate worsening. (NCT01541371)
Timeframe: Baseline and Week 12

InterventionUnits on a scale (Mean)
Positive: BaselinePositive: Change at Week 12Negative: BaselineNegative: Change at Week 12General psychopathology: BaselineGeneral psychopathology: Change at Week 12
Paliperidone Extended Release (ER)17.07-6.5918.57-6.1434.44-10.84

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 12

PANSS is a medical scale that assesses various symptoms of schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions [a false belief held in the face of strong differing evidence, especially as a symptom of psychiatric disorder] and hallucinations [imagining things], and withdrawal into the self). The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). The total score is the sum of all 30 PANSS items, with a range of 30 (absent) to 210 (extreme ill). (NCT01541371)
Timeframe: Baseline and Week 12

,,
Interventionunit on a scale (Mean)
BaselineChange at Week 12
Lack of Efficacy Group77.18-26.29
Lack of Tolerability Group58.46-13.99
Other Group63.33-20.90

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Change From Baseline in Clinical Global Impression - Severity (CGI-S)

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a patient. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill patients." (NCT01561898)
Timeframe: Baseline, Week 48

Interventionscores on a scale (Mean)
NO/PAL-0.6
PLA/PAL Group-0.6
PAL/PAL Group-0.7
OLZ/PAL0.1

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS)

PANSS is a medical scale that assesses various symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). The total score is the sum of all 30 PANSS items, with a range of 30 (absent) to 210 (extreme ill). (NCT01561898)
Timeframe: Baseline, Week 48

Interventionscores on a scale (Mean)
NO/PAL-13.4
PLA/PAL Group-11.1
PAL/PAL Group-17.2
OLZ/PAL2.8

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Incidence of Adverse Events

The incidence of adverse events was measured by the percentage of patients who presented one or more adverse events. (NCT01561898)
Timeframe: 48 weeks

Interventionpercentage of patients (Number)
Entire Group97.4

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Change From Baseline in Drug Attitude Inventory (DAI-10) Score at Week 12

The DAI-10 is a 10-item questionnaire to assess 1) subjective experience of drug and 2) attitudes and beliefs toward neuroleptics which may influence compliance in schizophrenia participants. It is the binary scale assessing the participant's subjective response (SR). A 'compliant' response is scored as +1; a dysphoric response is scored as -1. A positive sum of items indicates a positive SR; a negative sum of scores indicates a negative SR (non-compliant). The final score is the grand total of the positive and negative points. Total score ranges from (-) 10 to (+) 10, higher score indicates positive SR (compliant) and lower score indicates negative SR (non-compliant). (NCT01577160)
Timeframe: Baseline, Week 12

Interventionunits on a scale (Mean)
Baseline (n=331)Change at Week 12 (n=267)
Paliperidone Extended Release (ER)2.51.0

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Percentage of Responders as Per Clinical Global Impression - Improvement (CGI-I) Scale

"The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse. Responders were defined as participants evaluated as 1: very much improved or 2: much improved on the CGI-I scale at Week 12." (NCT01577160)
Timeframe: Week 12

Interventionpercentage of participants (Number)
Paliperidone Extended Release (ER)21.6

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Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score at Week 12

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate worsening." (NCT01577160)
Timeframe: Baseline, Week 12

Interventionunits on a scale (Mean)
Baseline (n=331)Change at Week 12 (n=255)
Paliperidone Extended Release (ER)5.0-1.4

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Number of Participants With Clinical Global Impression - Improvement (CGI-I) Score

The CGI-I is a 7-point scale that requires the clinician to assess how much the participant's illness has improved or worsened relative to a baseline state at the beginning of the intervention and rated as: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse. (NCT01577160)
Timeframe: Week 12

Interventionparticipants (Number)
Very much improvedMuch improvedMinimally improvedNo changeMinimally worseMuch worseVery much worse
Paliperidone Extended Release (ER)352119671022

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Change From Baseline in Personal and Social Performance (PSP) Score at Week 12

The PSP is 100-point validated clinician-rated scale that assesses degree of difficulty in 4 areas of functioning: socially useful activities, personal and social relationships, self-care, disturbing and aggressive behaviors rated on 6-point scale (1=absent to 6=very severe).Total transformed score from 1 to 100 is generated from raw score based on clinical interpretation of scores generated in 4 areas of functioning, with higher transformed score indicating better function. Total score is divided into 3 levels: 71-100 (mild difficulty); 31-70 (marked difficulty) and 1-30 (severe difficulty). (NCT01577160)
Timeframe: Baseline, Week 12

Interventionunits on a scale (Mean)
Baseline (n=331)Change at Week 12 (n=267)
Paliperidone Extended Release (ER)42.614.3

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Change From Baseline in Total Personal and Social Performance (PSP) Score at Week 12

The PSP is 100-point validated clinician-rated scale that assesses degree of difficulty in 4 areas of functioning: socially useful activities, personal and social relationships, self-care, disturbing and aggressive behaviors rated on 6-point scale (1=absent to 6=very severe).Total transformed score from 1 to 100 is generated from raw score based on clinical interpretation of scores generated in 4 areas of functioning, with higher transformed score indicating better function. Total score is divided into 3 levels: 71-100 (mild difficulty); 31-70 (marked difficulty) and 1-30 (severe difficulty). (NCT01577186)
Timeframe: Baseline, Week 12

Interventionunits on a scale (Mean)
Baseline (n=426)Change at Week 12 (n=350)
Paliperidone Extended Release (ER)47.079.05

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Social Functioning Scale (SFS) Score

The SFS is a 36-item scale designed to assess social functioning in schizophrenia. It assesses abilities and performance in seven areas: social engagement, interpersonal communication, activities of daily living, recreation, social activities, competence at independent living, and occupation/employment. Total score ranges from 1 to 100 where higher score indicates a more favorable health state. (NCT01577186)
Timeframe: End of study (Up to Week 12)

Interventionunits on a scale (Mean)
Paliperidone Extended Release (ER)44.99

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Percentage of Participants Achieving Symptomatic Remission by Means of Positive and Negative Syndrome Scale (PANSS)

The PANSS is a 30-item scale to assess the neuropsychiatric symptoms of schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self). The PANSS provides a total score and scores for 3 subscales, the positive subscale (7 items), the negative subscale (7 items), and the general psychopathology subscale (16 items), each item scored on a scale of 1 (absent), 2 (minimal), 3 (mild), 4 (moderate), 5 (moderately severe), 6 (severe) and 7 (extreme). The total score ranges from 30 to 210 and higher score indicates greater severity. Symptomatic remission was defined as achieving intensity level of mild or moderate on PANSS scale by all 8 items as the determinants for symptomatic remission: delusions, unusual thought content, hallucinatory behavior, conceptual disorganization, mannerisms/posturing, blunted affect, social withdrawal, lack of spontaneity. (NCT01577186)
Timeframe: End of study (Up to Week 12)

Interventionpercentage of participants (Number)
Paliperidone Extended Release (ER)11.74

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Percentage of Participants Achieving Improvement in Personal and Social Performance (PSP) Score by at Least One Category on PSP Scale

The PSP is 100-point validated clinician-rated scale that assesses degree of difficulty in 4 areas of functioning: socially useful activities, personal and social relationships, self-care, disturbing and aggressive behaviors rated on 6-point scale (1=absent to 6=very severe).Total transformed score from 1 to 100 is generated from raw score based on clinical interpretation of scores generated in 4 areas of functioning, with higher transformed score indicating better function. Total score is divided into 3 levels: 71-100 (mild difficulty); 31-70 (marked difficulty) and 1-30 (severe difficulty). Percentage of participants achieving improvement in PSP score by at least one category was reported. (NCT01577186)
Timeframe: End of study (Up to Week 12)

Interventionpercentage of participants (Number)
Paliperidone Extended Release (ER)47.42

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 12

The PANSS is a 30-item scale to assess the neuropsychiatric symptoms of schizophrenia. The PANSS provides a total score and scores for 3 subscales, the positive subscale (7 items), the negative subscale (7 items), and the general psychopathology subscale (16 items), each item scored on a scale of 1 (absent) to 7 (extreme). The total score ranges from 30 to 210 and higher score indicates greater severity. (NCT01577186)
Timeframe: Baseline, Week 12

Interventionunits on a scale (Mean)
Baseline (n=426)Change at Week 12 (n=350)
Paliperidone Extended Release (ER)89.88-16.07

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Clinical Global Impression-Severity (CGIS) Scores at Day 90

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a patient. The rating varies from Normal (not at all ill) to Extreme (among the most extremely ill patients)." (NCT01606228)
Timeframe: Day 90

Interventionparticipants (Number)
NormalBorderlineMildModerateMarkedSevereExtreme
Paliperidone Extended-release (ER)031208100

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Clinical Global Impression-Severity (CGIS) Scores at Baseline

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a patient. The rating varies from Normal (not at all ill) to Extreme (among the most extremely ill patients)." (NCT01606228)
Timeframe: Baseline

Interventionparticipants (Number)
NormalBorderlineMildModerateMarkedSevereExtreme
Paliperidone Extended-release (ER)0001133142

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The Proportion of Patients Improving 20% in Total Positive and Negative Syndrome Scale (PANSS) at Endpoint (Day 90)

The PANSS is a 30-item scale (range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items. Higher scores indicate worsening. (NCT01606228)
Timeframe: Baseline, Day 90

Interventionpercentage of patients (Number)
Paliperidone Extended-release (ER)97.73

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Daytime Drowsiness at Day 90

The daytime drowsiness is measured by a self-administered scale in which patients indicate how often they have felt drowsy within the previous 7 days, from 0 (not at all) to 100 (all the time). (NCT01606228)
Timeframe: Day 90

Interventionscores on a scale (Mean)
Paliperidone Extended-release (ER)11.23

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Personal and Social Performance (PSP) Scores at Baseline

This PSP assesses the degree of a patient's dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (i, absent to vi, very severe) in each of the 4 domains. Based on the four domains there will be one total score. Patients with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; =< 30, functioning so poorly as to require intensive supervision. (NCT01606228)
Timeframe: Baseline

Interventionscores on a scale (Mean)
Paliperidone Extended-release (ER)37.23

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Personal and Social Performance (PSP) Scores at Day 90

This PSP assesses the degree of a patient's dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (i, absent to vi, very severe) in each of the 4 domains. Based on the four domains there will be one total score. Patients with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; =< 30, functioning so poorly as to require intensive supervision. (NCT01606228)
Timeframe: Day 90

Interventionscores on a scale (Mean)
Paliperidone Extended-release (ER)75.66

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Patient Satisfaction With Paliperidone Treatment

Patients will be interviewed to assess their satisfaction with the current treatment on a 5-point scale (very good, good, reasonable, moderate or poor). (NCT01606228)
Timeframe: 90 days

Interventionparticipants (Number)
Very goodGoodModeratePoorVery poor
Paliperidone Extended-release (ER)3334411

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Positive and Negative Syndrome Scale (PANSS) Scores at Baseline

The PANSS is a 30-item scale (range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items. Higher scores indicate worsening. (NCT01606228)
Timeframe: Baseline

Interventionscores on a scale (Mean)
Paliperidone Extended-release (ER)108.25

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Positive and Negative Syndrome Scale (PANSS) Scores at Day 90

The PANSS is a 30-item scale (range 30-210) designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items. Higher scores indicate worsening. (NCT01606228)
Timeframe: Day 90

Interventionscores on a scale (Mean)
Paliperidone Extended-release (ER)48.74

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Daytime Drowsiness at Baseline

The daytime drowsiness is measured by a self-administered scale in which patients indicate how often they have felt drowsy within the previous 7 days, from 0 (not at all) to 100 (all the time). (NCT01606228)
Timeframe: Baseline

Interventionscores on a scale (Mean)
Paliperidone Extended-release (ER)21.49

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Quality of Sleep at Baseline

The quality of sleep is measured by a self-administered scale in which patients indicate how well they have slept in the previous 7 days, from 0 (very badly) to 100 (very well). (NCT01606228)
Timeframe: Baseline

Interventionscores on a scale (Mean)
Paliperidone Extended-release (ER)33.99

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Quality of Sleep at Day 90

The quality of sleep is measured by a self-administered scale in which patients indicate how well they have slept in the previous 7 days, from 0 (very badly) to 100 (very well). (NCT01606228)
Timeframe: Day 90

Interventionscores on a scale (Mean)
Paliperidone Extended-release (ER)86.56

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Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 50

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 [none, normal]; 1 [Very Mild]; 2 [Mild]; 3 [Moderate]; 4 [severe]). (NCT01606254)
Timeframe: Day 50

,,,
InterventionParticipants (Number)
NoneVery mildMild
Paliperidone Palmitate 100 mg750
Paliperidone Palmitate 150 mg851
Paliperidone Palmitate 150/ 50 mg660
Paliperidone Palmitate 50 mg1130

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Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 78

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 [none, normal]; 1 [Very Mild]; 2 [Mild]; 3 [Moderate]; 4 [severe]). (NCT01606254)
Timeframe: Day 78

,,,
InterventionParticipants (Number)
NoneVery mildMild
Paliperidone Palmitate 100 mg840
Paliperidone Palmitate 150 mg851
Paliperidone Palmitate 150/ 50 mg650
Paliperidone Palmitate 50 mg940

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Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 92

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 [none, normal]; 1 [Very Mild]; 2 [Mild]; 3 [Moderate]; 4 [severe]). (NCT01606254)
Timeframe: Day 92

,,,
InterventionParticipants (Number)
NoneVery mildMild
Paliperidone Palmitate 100 mg750
Paliperidone Palmitate 150 mg761
Paliperidone Palmitate 150/ 50 mg560
Paliperidone Palmitate 50 mg760

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Positive and Negative Syndrome Scale (PANSS) Total Score

The PANSS is a medical scale that assesses various symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). The total score is the sum of all 30 PANSS items, with a range of 30 (absent) to 210 (extreme ill). (NCT01606254)
Timeframe: Baseline, Day 8, 22, 50, 78 and 92

,,,
Interventionunits on a scale (Mean)
Baseline (n = 14, 14, 14, 14)Day 8 (n = 14, 14, 13, 14)Day 22 (n = 14, 14, 14, 14)Day 50 (n = 14, 14, 14, 14)Day 78 (n = 14, 14, 14, 14)Day 92 (n = 14, 14, 14, 14)
Paliperidone Palmitate 100 mg60.759.658.160.060.460.2
Paliperidone Palmitate 150 mg60.457.857.156.557.257.4
Paliperidone Palmitate 150/ 50 mg63.962.660.462.859.960.6
Paliperidone Palmitate 50 mg61.960.056.857.956.456.4

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Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 8

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 [none, normal]; 1 [Very Mild]; 2 [Mild]; 3 [Moderate]; 4 [severe]). (NCT01606254)
Timeframe: Day 8

,,,
InterventionParticipants (Number)
NoneVery mildMild
Paliperidone Palmitate 100 mg950
Paliperidone Palmitate 150 mg662
Paliperidone Palmitate 150/ 50 mg671
Paliperidone Palmitate 50 mg680

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Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau)

The AUCtau is a measure of the plasma paliperidone concentration from time zero to end of dosing interval. It is used to characterize drug absorption. (NCT01606254)
Timeframe: Days 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawal

Interventionnanogram*hour per milliliter (Mean)
Paliperidone Palmitate 50 mg7081
Paliperidone Palmitate 100 mg15898
Paliperidone Palmitate 150 mg21853
Paliperidone Palmitate 150/ 50 mg11109

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Maximum Observed Plasma Concentration (Cmax) of Paliperidone

The Cmax is defined as maximum observed analyte concentration. (NCT01606254)
Timeframe: Days 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawal

Interventionng/ml (Mean)
Paliperidone Palmitate 50 mg13.7
Paliperidone Palmitate 100 mg33.5
Paliperidone Palmitate 150 mg43.1
Paliperidone Palmitate 150/ 50 mg21.6

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Paliperidone Plasma Decay Half-Life (t1/2)

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. (NCT01606254)
Timeframe: Days 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawal

InterventionDays (Mean)
Paliperidone Palmitate 50 mg68.1
Paliperidone Palmitate 100 mg58.5
Paliperidone Palmitate 150 mg95.5
Paliperidone Palmitate 150/ 50 mg104.4

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Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 36

The Cpredose at Day 36 is defined as the plasma concentration obtained before a dose is given on Day 36. The mean Cpredose at Day 36 was measured in ng/ml. (NCT01606254)
Timeframe: Day 36

Interventionng/ml (Mean)
Paliperidone Palmitate 50 mg6.77
Paliperidone Palmitate 100 mg14.5
Paliperidone Palmitate 150 mg23.4
Paliperidone Palmitate 150/ 50 mg19.5

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Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 64

The Cpredose at Day 64 is defined as the plasma paliperidone concentration obtained before a dose is given on Day 64. The mean Cpredose at Day 64 was measured in ng/ml. (NCT01606254)
Timeframe: Day 64

Interventionng/ml (Mean)
Paliperidone Palmitate 50 mg6.86
Paliperidone Palmitate 100 mg15.1
Paliperidone Palmitate 150 mg22.9
Paliperidone Palmitate 150/ 50 mg14.3

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Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 8

The pre-dose plasma concentration (Cpredose) at Day 8 is defined as the plasma concentration obtained before a dose is given on Day 8. The mean Cpredose at Day 8 was measured in nanogram per milliliter (ng/ml). (NCT01606254)
Timeframe: Day 8

Interventionng/ml (Mean)
Paliperidone Palmitate 50 mg5.85
Paliperidone Palmitate 100 mg7.28
Paliperidone Palmitate 150 mg28.4
Paliperidone Palmitate 150/ 50 mg12.1

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Paliperidone Pre-dose Plasma Concentration (Cpredose) at Day 92

The Cpredose at Day 92 is defined as the plasma paliperidone concentration obtained after the treatment interval of the study drug (that is 4 weeks) passed after the final dose (Day 92). The mean Cpredose at Day 92 was measured in ng/ml. (NCT01606254)
Timeframe: Day 92

Interventionng/ml (Mean)
Paliperidone Palmitate 50 mg8.41
Paliperidone Palmitate 100 mg15.2
Paliperidone Palmitate 150 mg25.4
Paliperidone Palmitate 150/ 50 mg13.5

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Plasma Paliperidone Concentration at Steady State (Css av)

The Css av is defined as value of average analyte concentration at steady-state (after 4 Intramuscular Injections of Paliperidone Palmitate). (NCT01606254)
Timeframe: Days 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawal

Interventionng/ml (Mean)
Paliperidone Palmitate 50 mg10.7
Paliperidone Palmitate 100 mg23.9
Paliperidone Palmitate 150 mg32.8
Paliperidone Palmitate 150/ 50 mg16.7

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Time to Reach Maximum Observed Plasma Concentration (Tmax) of Paliperidone

The Tmax is defined as actual sampling time to reach maximum observed analyte concentration. (NCT01606254)
Timeframe: Days 1, 8, 15, 22, 36, 50, 64, 67, 71, 74, 78, 85, 92, 106, 120, 134, 162, 190, 218 and early withdrawal

InterventionDays (Median)
Paliperidone Palmitate 50 mg10.99
Paliperidone Palmitate 100 mg7.89
Paliperidone Palmitate 150 mg7.50
Paliperidone Palmitate 150/ 50 mg3.82

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Number of Participants With Clinical Global Impression Severity (CGI-S) Score

"The CGI-S rating scale is a 7 point (1-absent, 2-minimal, 3-mild, 4-moderate, 5-moderate severe, 6-severe, 7-extreme) global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 is equivalent to normal, not at all ill and a rating of 7 is equivalent to among the most extremely ill participants. Higher scores indicate worsening." (NCT01606254)
Timeframe: Baseline, Day 8, 22, 50, 78 and 92

,,,
InterventionParticipants (Number)
Baseline, Minimal (n=14,14,14,14)Baseline, Mild (n=14,14,14,14)Baseline, Moderate (n=14,14,14,14)Baseline, Moderate severe (n=14,14,14,14)Day 8, Minimal (n=14,14,13,14)Day 8, Mild (n=14,14,13,14)Day 8, Moderate (n=14,14,13,14)Day 8, Moderate severe (n=14,14,13,14)Day 22, Minimal (n=14,14,14,14)Day 22, Mild (n=14,14,14,14)Day 22, Moderate (n=14,14,14,14)Day 22, Moderate severe (n=14,14,14,14)Day 50, Minimal (n=14,14,14,14)Day 50, Mild (n=14,14,14,14)Day 50, Moderate (n=14,14,14,14)Day 50, Moderate severe (n=14,14,14,14)Day 78, Minimal (n=14,14,14,14)Day 78, Mild (n=14,14,14,14)Day 78, Moderate (n=14,14,14,14)Day 78, Moderate severe (n=14,14,14,14)Day 92, Minimal (n=14,14,14,14)Day 92, Mild(n=14,14,14,14)Day 92, Moderate (n=14,14,14,14)Day 92, Moderate severe (n=14,14,14,14)
Paliperidone Palmitate 100 mg463137225531543254324532
Paliperidone Palmitate 150 mg31010391049103101058015801
Paliperidone Palmitate 150/ 50 mg1850110302930013011121011120
Paliperidone Palmitate 50 mg383038304820571166115711

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Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 120

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 [none, normal]; 1 [Very Mild]; 2 [Mild]; 3 [Moderate]; 4 [severe]). (NCT01606254)
Timeframe: Day 120

,,,
InterventionParticipants (Number)
NoneVery mildMild
Paliperidone Palmitate 100 mg650
Paliperidone Palmitate 150 mg662
Paliperidone Palmitate 150/ 50 mg650
Paliperidone Palmitate 50 mg940

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Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 162

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 [none, normal]; 1 [Very Mild]; 2 [Mild]; 3 [Moderate]; 4 [severe]). (NCT01606254)
Timeframe: Day 162

,,,
InterventionParticipants (Number)
NoneVery mildMild
Paliperidone Palmitate 100 mg740
Paliperidone Palmitate 150 mg662
Paliperidone Palmitate 150/ 50 mg740
Paliperidone Palmitate 50 mg930

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Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 218

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 [none, normal]; 1 [Very Mild]; 2 [Mild]; 3 [Moderate]; 4 [severe]). (NCT01606254)
Timeframe: Day 218

,,,
InterventionParticipants (Number)
NoneVery mildMild
Paliperidone Palmitate 100 mg740
Paliperidone Palmitate 150 mg671
Paliperidone Palmitate 150/ 50 mg650
Paliperidone Palmitate 50 mg930

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Number of Participants With Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Score at Day 22

The DIEPSS is a scale used to evaluate the severity of drug induced extra-pyramidal symptoms occurring during antipsychotic drug treatment. Scale consists of 8 individual symptom scales with scores ranging from 0 (none/normal) to 4 (severe). The total score is the average of the 8 item scores, for a total range of 0 (normal) to 4 (severe). Overall severity was assessed at 5 levels (0 [none, normal]; 1 [Very Mild]; 2 [Mild]; 3 [Moderate]; 4 [severe]). (NCT01606254)
Timeframe: Day 22

,,,
InterventionParticipants (Number)
NoneVery mildMild
Paliperidone Palmitate 100 mg760
Paliperidone Palmitate 150 mg671
Paliperidone Palmitate 150/ 50 mg680
Paliperidone Palmitate 50 mg770

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Run-In and Stabilization Phase: Change From Baseline in Personal and Social Performance (PSP) Scale Total Score at Week 14

The PSP is 100-point validated clinician-rated scale that assesses degree of difficulty in 4 areas of functioning: socially useful activities, personal and social relationships, self-care, disturbing and aggressive behaviors rated on 6-point scale (1=absent to 6=very severe).Total transformed score from 1 to 100 is generated from raw score based on clinical interpretation of scores generated in 4 areas of functioning, with higher transformed score indicating better function. Total score is divided into 3 levels: 71-100 (mild difficulty); 31-70 (marked difficulty) and 1-30 (severe difficulty). Percentage of participants achieving improvement in PSP score by at least one category was reported. (NCT01662310)
Timeframe: Baseline and Week 14

InterventionUnits on a scale (Mean)
Baseline (n=201)Change at Week 14 (n=200)
Paliperidone: Run-in or Stabilization Phase43.620.9

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Double Blind (DB) Phase: Change From DB Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at DB Endpoint

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. Change at DB endpoint was calculated as value at interim analysis data cut-off (09 November 2012) minus value at DB Baseline (Day 1 of week 15). (NCT01662310)
Timeframe: DB Baseline (Day 1 of Week 15) up to DB endpoint (study completion [09 November 2012] [Approximately 1 year])

,
InterventionUnits on a scale (Mean)
BaselineChange at DB endpoint
Paliperidone: Double Blind (DB) Phase53.42.0
Placebo: DB Phase51.516.9

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Double Blind (DB) Phase: Median Time to Relapse

A relapse is defined as any one of the following: 1. involuntary or voluntary psychiatric hospitalization 2. deliberate self-injury or violent behavior; 3. Suicidal or homicidal ideation and clinically significant aggressive behavior; 4. 25 percent (%) increase in Positive and Negative Syndrome Scale (PANSS) total score for 2 consecutive assessments for participants whose score was greater than 40 at randomization, or a 10-point increase for participants who scored less than or equal to (≤) 40 at randomization; 5. increase for 2 consecutive assessments in PANSS items (delusions, conceptual disorganization, hallucinatory behavior, suspiciousness, hostility or uncooperativeness) to greater than or equal to (≥) 5 for participants who scored ≤3 at randomization, or to ≥6 for participants with initial score of 4. Independent Data Monitoring Committee performed ongoing safety monitoring during double-blind treatment and conducted the interim analysis after 61 relapse events had taken place. (NCT01662310)
Timeframe: DB Baseline (Day 1 of Week 15) up to interim analysis data cut-off (24 August 2012) (Approximately 1 year)

InterventionDays (Median)
Paliperidone: Double Blind (DB) PhaseNA
Placebo: DB Phase49.0

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Double Blind (DB) Phase: Change From DB Baseline in Personal and Social Performance (PSP) Scale Total Score at DB Endpoint

The PSP is 100-point validated clinician-rated scale that assesses degree of difficulty in 4 areas of functioning: socially useful activities, personal and social relationships, self-care, disturbing and aggressive behaviors rated on 6-point scale (1=absent to 6=very severe).Total transformed score from 1 to 100 is generated from raw score based on clinical interpretation of scores generated in 4 areas of functioning, with higher transformed score indicating better function. Total score is divided into 3 levels: 71-100 (mild difficulty); 31-70 (marked difficulty) and 1-30 (severe difficulty). Percentage of participants achieving improvement in PSP score by at least one category was reported. Change at DB endpoint was calculated as value at interim analysis data cut-off (09 November 2012) minus value at DB Baseline (Day 1 of week 15). (NCT01662310)
Timeframe: DB Baseline (Day 1 of Week 15) up to DB endpoint (study completion [09 November 2012] [Approximately 1 year])

,
InterventionUnits on a scale (Mean)
BaselineChange at DB Endpoint
Paliperidone: Double Blind (DB) Phase69.3-2.9
Placebo: DB Phase69.9-10.7

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Double Blind (DB) Phase: Change From DB Baseline in Daytime Drowsiness Based on Visual Analog Scale (VAS) at DB Endpoint

"Daytime drowsiness was assessed by an 11-point visual analog scale that rates how well participants slept. Participants indicated on the scale (from 0 to 100 millimeter) how often they felt drowsy in the previous 7 days (from 0: very badly to 100: very well). Change at DB endpoint was calculated as value at interim analysis data cut-off (09 November 2012) minus value at DB Baseline (Day 1 of week 15)." (NCT01662310)
Timeframe: DB Baseline (Day 1 of Week 15) up to DB endpoint (study completion [09 November 2012] [Approximately 1 year])

,
InterventionMillimeter (mm) (Mean)
Baseline (n= 64, 71)Change at DB Endpoint (n= 60, 69)
Paliperidone: Double Blind (DB) Phase22.93.1
Placebo: DB Phase24.41.2

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Open-label Extension (OLE) Phase: Change From OLE Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at OLE Endpoint

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. Change at OLE endpoint was calculated as value at OLE endpoint (24 weeks after DB phase (26 April 2013) minus value at OLE Baseline (09 November 2012). (NCT01662310)
Timeframe: OLE Baseline (09 November 2012) up to OLE endpoint (that is, up to 24 Weeks [26 April 2013] from DB endpoint)

,
InterventionUnits on a scale (Mean)
BaselineChange at OLE endpoint
Paliperidone DB/Paliperidone Open-label (OL) Extension Phase56.5-3.9
Placebo DB/Paliperidone OL Extension Phase67.2-15.4

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Run-In and Stabilization Phase: Change From Baseline in Sleep Quality Based on Visual Analog Scale (VAS) at Week 14

"Sleep quality was assessed by an 11-point visual analog scale that rates how well participants slept. Participants indicated on the scale (from 0 to 100 millimeter) how well they slept in the previous 7 days (from 0: very badly to 100: very well)." (NCT01662310)
Timeframe: Baseline and Week 14

InterventionMillimeter (mm) (Mean)
Baseline (n=201)Change at Week 14 (n=192)
Paliperidone: Run-in or Stabilization Phase63.412.1

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Run-In and Stabilization Phase: Number of Participants Assessed With Categorical Scores Based on Clinical Global Impression-Severity Scale (CGI-S)

The CGI-S is a 7-point clinician-rated scale to assess severity of participant's current illness state, ranging from (1)Normal, not ill at all, (2)Borderline mentally ill, (3)Mildly ill, (4)Moderately ill, (5)Markedly ill, (6)Severely ill, (7)Among the most severely ill. (NCT01662310)
Timeframe: Baseline and Week 14

InterventionParticipants (Number)
Not ill: Baseline (n=201)Not ill: Week 14 (n= 135)Very Mild: Baseline (n= 201)Very Mild: Week 14 (n= 135)Mild: Baseline (n= 201)Mild: Week 14 (n= 135)Moderate: Baseline (n= 201)Moderate: Week 14 (n= 135)Marked: Baseline (n= 201)Marked: Week 14 (n= 135)Severe: Baseline (n= 201)Severe: Week 14 (n= 135)Extremely Severe: Baseline (n= 201)Extremely Severe: Week 14 (n= 135)
Paliperidone: Run-in or Stabilization Phase02037365412791466000

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Run-In and Stabilization Phase: Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 14

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. (NCT01662310)
Timeframe: Baseline and Week 14

InterventionUnits on a scale (Mean)
Baseline (n=201)Change at Week 14 (n=200)
Paliperidone: Run-in or Stabilization Phase89.5-30.8

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Double Blind (DB) Phase: Change From DB Baseline in Clinical Global Impression-Severity Scale (CGI-S) Total Score at DB Endpoint

CGI-S is a 7-point clinician-rated scale to assess severity of participant's current illness state, ranging from (1)Normal, not ill at all, (2)Borderline mentally ill, (3)Mildly ill, (4)Moderately ill, (5)Markedly ill, (6)Severely ill, (7)Among the most severely ill. Change at DB endpoint was calculated as value at interim analysis data cut-off (09 November 2012) minus value at DB Baseline (Day 1 of week 15). (NCT01662310)
Timeframe: DB Baseline (Day 1 of Week 15) up to DB endpoint (study completion [09 November 2012] [Approximately 1 year])

,
InterventionUnits on a scale (Mean)
BaselineChange at DB endpoint
Paliperidone: Double Blind (DB) Phase3.00.1
Placebo: DB Phase2.91.1

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Double Blind (DB) Phase: Median Time to Relapse (Final Analysis)

A relapse is defined as any one of the following: 1. involuntary or voluntary psychiatric hospitalization 2. deliberate self-injury or violent behavior; 3. Suicidal or homicidal ideation and clinically significant aggressive behavior; 4. 25 percent (%) increase in Positive and Negative Syndrome Scale (PANSS) total score for 2 consecutive assessments for participants whose score was greater than 40 at randomization, or a 10-point increase for participants who scored less than or equal to (≤) 40 at randomization; 5. increase for 2 consecutive assessments in PANSS items (delusions, conceptual disorganization, hallucinatory behavior, suspiciousness, hostility or uncooperativeness) to greater than or equal to (≥) 5 for participants who scored ≤3 at randomization, or to ≥6 for participants with initial score of 4. Independent Data Monitoring Committee performed final analysis at the end of double-blind treatment (09 November 2012). (NCT01662310)
Timeframe: DB Baseline (Day 1 of Week 15) up to study completion (09 November 2012) (Approximately 1 year)

InterventionDays (Median)
Paliperidone: Double Blind (DB) PhaseNA
Placebo: DB Phase52.0

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Run-In and Stabilization Phase: Change From Baseline in Daytime Drowsiness Based on Visual Analog Scale (VAS) at Week 14

"Daytime drowsiness was assessed by an 11-point visual analog scale that rates how well participants slept. Participants indicated on the scale (from 0 to 100 millimeter) how often they felt drowsy in the previous 7 days (from 0: very badly to 100: very well)." (NCT01662310)
Timeframe: Baseline and Week 14

InterventionMillimeter (mm) (Mean)
Baseline (n=201)Change at Week 14 (n=192)
Paliperidone: Run-in or Stabilization Phase32.8-7.3

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Open-label Extension (OLE) Phase: Change From OLE Baseline in Personal and Social Performance (PSP) Scale Total Score at OLE Endpoint

The PSP is 100-point validated clinician-rated scale that assesses degree of difficulty in 4 areas of functioning: socially useful activities, personal and social relationships, self-care, disturbing and aggressive behaviors rated on 6-point scale (1=absent to 6=very severe).Total transformed score from 1 to 100 is generated from raw score based on clinical interpretation of scores generated in 4 areas of functioning, with higher transformed score indicating better function. Total score is divided into 3 levels: 71-100 (mild difficulty); 31-70 (marked difficulty) and 1-30 (severe difficulty). Percentage of participants achieving improvement in PSP score by at least one category was reported. Change at OLE endpoint was calculated as value at OLE endpoint (24 weeks after DB phase (26 April 2013) minus value at OLE Baseline (09 November 2012). (NCT01662310)
Timeframe: OLE Baseline (09 November 2012) up to OLE endpoint (that is, up to 24 Weeks [26 April 2013] from DB endpoint)

,
InterventionUnits on a scale (Mean)
BaselineChange at OLE endpoint
Paliperidone DB/Paliperidone Open-label (OL) Extension Phase66.810.88
Placebo DB/Paliperidone OL Extension Phase60.610.7

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Open-label Extension (OLE) Phase: Change From OLE Baseline in Clinical Global Impression-Severity Scale (CGI-S) Total Score at OLE Endpoint

CGI-S is a 7-point clinician-rated scale to assess severity of participant's current illness state, ranging from (1)Normal, not ill at all, (2)Borderline mentally ill, (3)Mildly ill, (4)Moderately ill, (5)Markedly ill, (6)Severely ill, (7)Among the most severely ill. Change at OLE endpoint was calculated as value at OLE endpoint (24 weeks after DB phase (26 April 2013) minus value at OLE Baseline (09 November 2012). (NCT01662310)
Timeframe: OLE Baseline (09 November 2012) up to OLE endpoint (that is, up to 24 Weeks [26 April 2013] from DB endpoint)

,
InterventionUnits on a scale (Mean)
BaselineChange at OLE endpoint
Paliperidone DB/Paliperidone Open-label (OL) Extension Phase3.1-0.2
Placebo DB/Paliperidone OL Extension Phase3.9-0.9

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Double Blind (DB) Phase: Change From DB Baseline in Sleep Quality Based on Visual Analog Scale (VAS) at DB Endpoint

"Sleep quality was assessed by an 11-point visual analog scale that rates how well participants slept. Participants indicated on the scale (from 0 to 100 millimeter) how well they slept in the previous 7 days (from 0: very badly to 100: very well). Change at DB endpoint was calculated as value at interim analysis data cut-off (09 November 2012) minus value at DB Baseline (Day 1 of week 15)." (NCT01662310)
Timeframe: DB Baseline (Day 1 of Week 15) up to DB endpoint (study completion [09 November 2012] [Approximately 1 year])

,
InterventionMillimeter (mm) (Mean)
Baseline (n= 64, 71)Change at DB Endpoint (n= 60, 69)
Paliperidone: Double Blind (DB) Phase77.5-3.8
Placebo: DB Phase81.9-22.4

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Change From Baseline in Personal and Social Performance (PSP) Scale at Week 26

The PSP scale assesses the degree of dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (1, absent to 6, very severe) in each of the 4 domains. Participants with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; less or equal to 30, functioning so poorly as to require intensive supervision. Data for two groups is presented here, based on the reason to switch: lack of efficacy and lack of tolerability, compliance or other who switched from other previous antipsychotic drugs to paliperidone. (NCT01662648)
Timeframe: Baseline and Week 26

,
Interventionunits on a scale (Mean)
Baseline (n= 506, 583)Week 26 (n= 501, 574)
Paliperidone ER: Lack of Efficacy55.0713.76
Paliperidone ER: Lack of Tolerability, Compliance or Other66.0311.14

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Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 26

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. Data for two groups is presented here, based on the reason to switch: lack of efficacy and lack of tolerability, compliance or other who switched from other previous antipsychotic drugs to paliperidone. (NCT01662648)
Timeframe: Baseline and Week 26

,
Interventionunits on a scale (Mean)
BaselineWeek 26
Paliperidone ER: Lack of Efficacy85.19-26.60
Paliperidone ER: Lack of Tolerability, Compliance or Other65.45-20.52

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Change From Baseline in Sleep Quality at Week 26

"Sleep quality was assessed by an 11-point visual analog scale that rates how well participants sleep. Participants indicated on the scale (from 0 to 100 millimeter) how well they have slept in the previous 7 days (from 0: very badly to 100: very well). Data for two groups is presented here, based on the reason to switch: lack of efficacy and lack of tolerability, compliance or other who switched from other previous antipsychotic drugs to paliperidone." (NCT01662648)
Timeframe: Baseline and Week 26

,
Interventionmillimeter (mm) (Mean)
Baseline (n= 507, 581)Week 26 (n= 504, 574)
Paliperidone ER: Lack of Efficacy63.5311.57
Paliperidone ER: Lack of Tolerability, Compliance or Other67.408.19

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Number of Participants Within Each Category of Patient Satisfaction Score

Participants were interviewed at baseline and at the end of the trial (Week 26) to assess their satisfaction with the current treatment on a 5-point scale (very good, good, reasonable, moderate or poor). Data for two groups is presented here, based on the reason to switch: lack of efficacy and lack of tolerability, compliance or other who switched from other previous antipsychotic drugs to paliperidone. (NCT01662648)
Timeframe: Baseline and Week 26

,
Interventionparticipants (Number)
Very Good: Baseline (n= 507, 583)Good: Baseline (n= 507, 583)Reasonable: Baseline (n= 507, 583)Moderate: Baseline (n= 507, 583)Poor: Baseline (n= 507, 583)Very Good: Week 26 (n=492, 563)Good: Week 26 (n=492, 563)Reasonable: Week 26 (n=492, 563)Moderate: Week 26 (n=492, 563)Poor: Week 26 (n=492, 563)
Paliperidone ER: Lack of Efficacy874256158111201731127017
Paliperidone ER: Lack of Tolerability, Compliance or Other21151305979156253945010

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Change From Baseline in Daytime Drowsiness at Week 26

"Daytime Drowsiness was assessed by an 11-point visual analog scale that rates how well participants sleep. Participants indicated on the scale (from 0 to 100 millimeter) how often they have felt drowsy within the previous 7 days (from 0: not at all to 100:all the time). Data for two groups is presented here, based on the reason to switch: lack of efficacy and lack of tolerability, compliance or other who switched from other previous antipsychotic drugs to paliperidone." (NCT01662648)
Timeframe: Baseline and Week 26

,
Interventionmillimeter (mm) (Mean)
Baseline (n= 507, 581 )Week 26 (n= 504, 574)
Paliperidone ER: Lack of Efficacy32.80-9.52
Paliperidone ER: Lack of Tolerability, Compliance or Other34.54-11.54

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Change From Baseline in PANSS Total Negative Subscale Score at Week 26

The Negative Subscale of PANSS (Positive and Negative Syndrome Scale) assesses seven negative-symptoms of schizophrenia. Negative symptoms represent a diminution or loss of normal functions. The symptoms are rated on a 7-point scale, ranging from 7 (absent) to 49 (extreme psychopathology). Data for two groups is presented here, based on the reason to switch: lack of efficacy and lack of tolerability, compliance or other who switched from other previous antipsychotic drugs to paliperidone. (NCT01662648)
Timeframe: Baseline and Week 26

,
Interventionunits on a scale (Mean)
BaselineWeek 26
Paliperidone ER: Lack of Efficacy22.73-6.93
Paliperidone ER: Lack of Tolerability, Compliance or Other16.90-5.32

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Change From Baseline in PANSS Total Positive Subscale Score at Week 26

The Positive Subscale of PANSS (Positive and Negative Syndrome Scale) assesses seven positive-symptoms of schizophrenia. Positive symptoms refer to an excess of or distortion of normal functions. The symptoms are rated on a 7-point scale, ranging from 7 (absent) to 49 (extreme psychopathology). Data for two groups is presented here, based on the reason to switch: lack of efficacy and lack of tolerability, compliance or other who switched from other previous antipsychotic drugs to paliperidone. (NCT01662648)
Timeframe: Baseline and Week 26

,
Interventionunits on a scale (Mean)
BaselineWeek 26
Paliperidone ER: Lack of Efficacy21.04-7.17
Paliperidone ER: Lack of Tolerability, Compliance or Other15.26-5.07

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Percentage of Participants With Greater Than or Equal to 20 Percent (%) Improvement in PANSS Total Score at Week 26

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia including delusions, grandiosity, blunted affect, poor attention, and poor impulse control. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. Percentage of participants with greater than or equal to 20 % improvement in PANSS total score is reported here. Data for two groups is presented here, based on the reason to switch: lack of efficacy and lack of tolerability, compliance or other who switched from other previous antipsychotic drugs to paliperidone. (NCT01662648)
Timeframe: Week 26

Interventionpercentage of participants (Number)
Paliperidone ER: Lack of Efficacy72.83
Paliperidone ER: Lack of Tolerability, Compliance or Other71.87

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Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Week 26

"The CGI rating scale is a 7-point global assessment that measures the clinician's impression of the severity of illness exhibited by a participant. A rating of 1 indicates to normal, not at all ill and a rating of 7 indicates among the most extremely ill participants. Higher scores indicate worsening. Data for two groups is presented here, based on the reason to switch: lack of efficacy and lack of tolerability, compliance or other who switched from other previous antipsychotic drugs to paliperidone." (NCT01662648)
Timeframe: Baseline and Week 26

,
Interventionunits on a scale (Mean)
BaselineWeek 26
Paliperidone ER: Lack of Efficacy4.24-1.12
Paliperidone ER: Lack of Tolerability, Compliance or Other3.29-0.98

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Health Status as Measured by Self-rated Health Status Survey SF-36

The SF-36 is designed to examine a person's perceived health status. The SF-36 includes one multi-item scale measuring eight health concepts: vitality, physical functioning, bodily pain, general health perceptions, physical role-, emotional role-, social role functioning, and mental health. Answers to each question are scored and summed to produce raw scale scores for each health concept which are then transformed to a 0 - 100 scale, a high score defining a more favorable health state. An aggregate summary measure is calculated by averaging the scores from the eight health concepts. (NCT01724359)
Timeframe: Baseline, Week 26

Interventionscores on a scale (Mean)
Baseline (n= 95)Week 26 (n= 86)
Paliperidone Extended-release (ER)56.3967.02

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Daytime Drowsiness Evaluation Scale

This self-administered scale rates the daytime drowsiness. Patients will indicate on an 11-point scale how often they have felt drowsy within the previous 7 days, from 0 (not at all) to 10 (all the time). (NCT01724359)
Timeframe: Baseline, Week 26

Interventionscores on a scale (Mean)
Baseline (n= 71)Week 26 (n= 71)
Paliperidone Extended-release (ER)4.682.58

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Clinical Global Impression-Severity (CGIS)

"The CGI-S rating scale is a 7 point global assessment that measures the clinician's impression of the severity of illness exhibited by a patient. A rating of 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill patients. Higher scores indicate worsening." (NCT01724359)
Timeframe: Baseline, Week 26

,
Interventionparticipants (Number)
Normal, not at all illBorderline mentally illMildly illModerately illMarkedly illSeverely illAmong the most extremely ill
Patients at Baseline: Paliperidone Extended-release (ER)23143926101
Patients at Week 26: Paliperidone Extended-release (ER)9212620520

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Change From Baseline in Total Positive and Negative Syndrome Scale (PANSS) - Positive Subscale Score

The PANSS Positive Subscale assesses seven positive-symptoms of schizophrenia. Positive symptoms refer to an excess or distortion of normal functions. The symptoms are rated on a 7-point scale, with a range of 7 (absent) to 49 (extreme psychopathology). (NCT01724359)
Timeframe: Baseline, Week 26

Interventionscores on a scale (Mean)
Baseline (n= 70)Week 26 (n= 70)
Paliperidone Extended-release (ER)18.5311.16

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Change From Baseline in Total Positive and Negative Syndrome Scale (PANSS) - General Psychopathology Subscale Score

The PANSS General Psychopathology Subscale Score assesses 16 general psychopathology symptoms. The symptoms are rated on a 7-point scale, with a range of 16 (absent) to 112 (extreme psychopathology). (NCT01724359)
Timeframe: Baseline, Week 26

Interventionscores on a scale (Mean)
Baseline (n= 70)Week 26 (n= 70)
Paliperidone Extended-release (ER)41.7727.90

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Change From Baseline in Total Positive and Negative Syndrome Scale (PANSS) Score

The PANSS is a 30-item scale designed to assess various symptoms of schizophrenia. The 30 symptoms are rated on a 7-point scale that ranges from 1 (absent) to 7 (extreme psychopathology). The PANSS total score consists of the sum of all 30 PANSS items and ranges from 30 to 210. Higher scores indicate worsening. (NCT01724359)
Timeframe: Baseline, Week 26

Interventionscores on a scale (Mean)
Baseline (n= 70)Week 26 (n= 70)
Paliperidone Extended-release (ER)83.9953.70

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Change From Baseline in Total Positive and Negative Syndrome Scale (PANSS) - Negative Subscale Score

The PANSS Negative Subscale assesses seven negative-symptoms of schizophrenia. Negative symptoms represent a diminution or loss of normal functions. The symptoms are rated on a 7-point scale, with a range of 7 (absent) to 49 (extreme psychopathology). (NCT01724359)
Timeframe: Baseline, Week 26

Interventionscores on a scale (Mean)
Baseline (n= 70)Week 26 (n= 70)
Paliperidone Extended-release (ER)23.6914.64

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Personal and Social Performance (PSP) Scale

This PSP assesses the degree of a patient's dysfunction within 4 domains of behavior: socially useful activities, personal and social relationships, self-care, and disturbing and aggressive behavior. The score ranges from 1 to 100, divided into 10 equal intervals to rate the degree of difficulty (i, absent to vi, very severe) in each of the 4 domains. Based on the four domains there will be one total score. Patients with a score of 71 to 100 have a mild degree of difficulty; from 31 to 70, varying degrees of disability; =< 30, functioning so poorly as to require intensive supervision. (NCT01724359)
Timeframe: Baseline, Week 26

Interventionscores on a scale (Mean)
Baseline (n= 95)Week 26 (n= 78)
Paliperidone Extended-release (ER)52.0668.24

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Sleep Evaluation Scale

This self-administered scale rates the quality of sleep. Patients will indicate on an 11-point scale how well they have slept in the previous 7 days, from 0 (very badly) to 10 (very well). (NCT01724359)
Timeframe: Baseline, Week 26

Interventionscores on a scale (Mean)
Baseline (n= 71)Week 26 (n= 71)
Paliperidone Extended-release (ER)6.807.66

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Investigator's Assessment Questionnaire (IAQ) Total Score at Week 28

The IAQ is a clinician-rated scale designed to assess the relative effectiveness (efficacy, safety and tolerability) of antipsychotic medications in patients with schizophrenia or schizoaffective disorder. The IAQ consists of 12 items: positive symptoms, negative symptoms, other efficacy symptoms, cognition, energy, mood, somnolence, weight gain, signs and symptoms of prolactin elevation, akathisia, EPS (other than akathisia) and other safety or tolerability issues. For each item, the current medication was compared with previous antipsychotic medication on a five-point scale from 1 (Much better) to 5 (Much worse), or that item is Not applicable. The sum of the 12 items ranged from 12 (the current medication was much better than previous antipsychotic medication) to 60 (the current medication was much worse than previous antipsychotic medication). (NCT01795547)
Timeframe: Week 28

Interventionunits on a scale (Least Squares Mean)
Aripiprazole32.32
Paliperidone33.81

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Change From Baseline to Week 28 in the TooL Total Score

Tolerability and Quality of Life (TooL) is a patient-rated scale developed to measure the impact of side-effects on the quality of life in patients treated with antipsychotic medication. The TooL consists of 8 domains: mood (worry-upset), function capabilities, fatigue-weakness, weight gain, stiffness-tremor, physical restlessness, sexual dysfunction, and dizziness-nausea. Each domain was rated on a four-point scale from 1 (no impact) to 4 (maximum impact). Total scores ranged from 8 (no impact) to 32 (maximum impact). (NCT01795547)
Timeframe: Baseline, Week 28

Interventionunits on a scale (Least Squares Mean)
Aripiprazole-1.75
Paliperidone-1.05

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Change From Baseline to Week 28 in the 'Common Objects and Activities' QLS Domain Score

The QLS is a clinician-rated scale designed to assess deficit symptoms of schizophrenia and functioning during the preceding 4 weeks. The QLS consists of 21 items in 4 domains: Interpersonal Relations (eight items), Instrumental Role (four items), Intrapsychic Foundations (seven items), and Common Objects and Activities (two items). Each item was rated on a 7-point scale, from 0 (severe impairment) to 6 (normal or unimpaired functioning). The Common Objects and Activities domain score was calculated as the sum of 2 items (numbers 18 and 19) giving a range of 0 to 12, where the higher score indicated less unimpaired functioning. (NCT01795547)
Timeframe: Baseline, Week 28

Interventionunits on a scale (Least Squares Mean)
Aripiprazole0.52
Paliperidone0.18

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Change From Baseline to Week 28 in CGI-S Score

Clinical Global Impression - Severity of Illness (CGI-S) score provides the clinician's impression of the patient's current state of mental illness. The clinician uses his or her clinical experience of this patient population to rate the severity of the patient's current mental illness on a 7-point scale ranging from 1 (normal - not at all ill) to 7 (among the most extremely ill patients). (NCT01795547)
Timeframe: Baseline, Week 28

Interventionunits on a scale (Least Squares Mean)
Aripiprazole-0.75
Paliperidone-0.46

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Change From Baseline to Week 28 in the 'Instrumental Role' QLS Domain Score

The QLS is a clinician-rated scale designed to assess deficit symptoms of schizophrenia and functioning during the preceding 4 weeks. The QLS consists of 21 items in 4 domains: Interpersonal Relations (eight items), Instrumental Role (four items), Intrapsychic Foundations (seven items), and Common Objects and Activities (two items). Each item was rated on a 7-point scale, from 0 (severe impairment) to 6 (normal or unimpaired functioning). The Instrumental Role domain score was calculated as the sum of 4 items (numbers 9 to 12) giving a range of 0 to 24, where the higher score indicated less unimpaired functioning. (NCT01795547)
Timeframe: Baseline, Week 28

Interventionunits on a scale (Least Squares Mean)
Aripiprazole1.76
Paliperidone0.83

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Change From Baseline to Week 28 in the 'Interpersonal Relations' QLS Domain Score

The QLS is a clinician-rated scale designed to assess deficit symptoms of schizophrenia and functioning during the preceding 4 weeks. The QLS consists of 21 items in 4 domains: Interpersonal Relations (eight items), Instrumental Role (four items), Intrapsychic Foundations (seven items), and Common Objects and Activities (two items). Each item was rated on a 7-point scale, from 0 (severe impairment) to 6 (normal or unimpaired functioning). The Interpersonal Relations domain score was calculated as the sum of 8 items (numbers 1 to 8) giving a range of 0 to 48, where the higher score indicated less unimpaired functioning. (NCT01795547)
Timeframe: Baseline, Week 28

Interventionunits on a scale (Least Squares Mean)
Aripiprazole3.24
Paliperidone1.47

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Change From Baseline to Week 28 in the 'Intrapsychic Foundations' QLS Domain Score

The QLS is a clinician-rated scale designed to assess deficit symptoms of schizophrenia and functioning during the preceding 4 weeks. The QLS consists of 21 items in 4 domains: Interpersonal Relations (eight items), Instrumental Role (four items), Intrapsychic Foundations (seven items), and Common Objects and Activities (two items). Each item was rated on a 7-point scale, from 0 (severe impairment) to 6 (normal or unimpaired functioning). The Intrapsychic Foundations domain score was calculated as the sum of 7 items (numbers 13 to 17 and 20 and 21) giving a range of 0 to 42, where the higher score indicated less unimpaired functioning. (NCT01795547)
Timeframe: Baseline, Week 28

Interventionunits on a scale (Least Squares Mean)
Aripiprazole2.25
Paliperidone0.50

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Change From Baseline to Week 28 in SWN-S Total Score

The SWN-S is a patient-rated scale designed to measure subjective effects of neuroleptic drugs to psychopathology, quality of life, and compliance over the past 7 days. The 20 items (10 positive and 10 negative statements) are grouped in 5 subscales (mental functioning, self-control, physical functioning, emotional regulation and social integration). Each subscale contains 4 items. Each item was rated on a six-point Likert scale, from not at all to very much. A score was calculated for each subscale, and the total score ranged from 20 to 120, where the higher score indicated better well-being. (NCT01795547)
Timeframe: Baseline, Week 28

Interventionunits on a scale (Least Squares Mean)
Aripiprazole4.82
Paliperidone3.81

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Change From Baseline to Week 28 in Quality of Life Scale (QLS) Total Score

The QLS is a clinician-rated scale designed to assess deficit symptoms of schizophrenia and functioning during the preceding 4 weeks. The QLS consists of 21 items in 4 domains: Interpersonal Relations (eight items), Instrumental Role (four items), Intrapsychic Foundations (seven items), and Common Objects and Activities (two items). Each item was rated on a 7-point scale, from 0 (severe impairment) to 6 (normal or unimpaired functioning). Definitions were provided for 4 anchor points of the 7 points. Each item had a brief description of the judgement to be made and a set of suggested probes for the clinician. The total score was calculated as the sum of all 21 items giving a range of 0 to 126, where the higher score indicated normal or unimpaired functioning. (NCT01795547)
Timeframe: Baseline, Week 28

Interventionunits on a scale (Least Squares Mean)
Aripiprazole7.47
Paliperidone2.80

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Change in CGI (Clinical Global Impression) From Screen to Week 25

The CGI evaluates global psychopathology illness severity on a 7 point Likert Scale (minimum score = 1; maximum score = 7) with higher scores indicating worse pathology. (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L2.9

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Change in DAI (Drug Attitudes Index) From Screen to Week 25

The DAI contains ten true-false items. Correct responses are scored as +1, while incorrect responses are scored as 0. The highest possible score is 10, while the lowest possible score is 0. Higher scores indicate better drug attitudes, while lower scores indicate worse drug attitudes. (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L8.5

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Change in ESRS-A (Extrapyramidal Symptoms Scale-Abbreviated; Akathisia)

For the subjective examination scoring is on a 4-point scale (0=Absent;1=Mild, 2=Moderate, 3=Severe). The evaluator takes into account the verbal report of the patient on: 1) the frequency and duration of the symptom during the day; 2) the number of days the symptom was present during the last week; and, 3) the subjective evaluation of the intensity of the symptom by the patient. The score for akathisia is separated from the Parkinsonism score and is based on the combined score of subjective akathisia (item 6 of the questionnaire) and objective akathisia (item 7 of the Parkinsonism/Akathisia objective examination). This subscore total ranges from 0 to 6. Higher scores indicate more severity. (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L.2

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Change in ESRS-A (Extrapyramidal Symptoms Scale-Abbreviated; Dyskinesia) From Screen to Week 25

For the subjective examination scoring is on a 4-point scale (0=Absent;1=Mild, 2=Moderate, 3=Severe). The evaluator takes into account the verbal report of the patient on: 1) the frequency and duration of the symptom during the day; 2) the number of days the symptom was present during the last week; and, 3) the subjective evaluation of the intensity of the symptom by the patient. Score for TD, ranging from 0 to 42, is based on the sum of all seven items in the TD objective examination. Higher scores indicate more severe symptomology. (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L1.4

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Change in ESRS-A (Extrapyramidal Symptoms Scale-Abbreviated; Dystonia) From Screen to Week 25

For the subjective examination scoring is on a 4-point scale (0=Absent;1=Mild, 2=Moderate, 3=Severe). The evaluator takes into account the verbal report of the patient on: 1) the frequency and duration of the symptom during the day; 2) the number of days the symptom was present during the last week; and, 3) the subjective evaluation of the intensity of the symptom by the patient. The score for dystonia ranges from 0 to 60 (10 items), and is formed by including both acute and chronic dystonia, based on the dystonia examination. Higher scores indicate more severity. (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L0.0

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Change in ESRS-A (Extrapyramidal Symptoms Scale-Abbreviated; Parkinsonism) From Screen to Week 25

For the subjective examination scoring is on a 4-point scale (0=Absent;1=Mild, 2=Moderate, 3=Severe). The evaluator takes into account the verbal report of the patient on: 1) the frequency and duration of the symptom during the day; 2) the number of days the symptom was present during the last week; and, 3) the subjective evaluation of the intensity of the symptom by the patient. The score for Parkinsonism (including akathisia), ranges from 0 to 102 (17 items), and is based on all items of the Parkinsonism examination: tremor (0-48), gait and posture (0-6), postural stability (0-6), rigidity (0-24), expressive automatic movements (0-6), bradykinesia (0-6), akathisia (0-6). Higher scores indicate more severity. (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L0.0

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Change in Hospitalizations (Medical) in the Past 6 Months From Screen and Week 25

Change in number of psychiatric hospitalizations from the past 6 months from Screen and Week 25. This is calculated by subtracting the number of psychiatric hospitalizations at screen from the number of psychiatric hospitalizations at week 25. (NCT02085447)
Timeframe: Screen, Week 25

Interventionhospital visits (Mean)
CAE-L.2

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Change in Hospitalizations (Psychiatric) in the Past 6 Months From Screen and Week 25

Change in number of psychiatric hospitalizations from the past 6 months from Screen and Week 25. This is calculated by subtracting the number of psychiatric hospitalizations at screen from the number of psychiatric hospitalizations at week 25. (NCT02085447)
Timeframe: Screen, Week 25

Interventionhospital visits (Mean)
CAE-L.2

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Change in PANSS (Positive and Negative Syndrome Scale; Composite Scale) From Screen to Week 25

The PANSS is used to assess patients for positive and negative symptoms of schizophrenia or schizoaffective disorder. The Composite Scale is scored by subtracting the negative score from the positive score. This yields a bipolar index that ranges from -42 to +42. The bipolar composite scale simply expresses the direction and magnitude of difference between positive and negative syndromes. Scores >0 indicate there are more positive symptoms of schizophrenia endorsed, and scores <0 indicate there are more negative symptoms of schizophrenia endorsed. There is no aggregate score for this measure, as the subscales are to be scored separately. (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L.8

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Change in PANSS (Positive and Negative Syndrome Scale; General Psychopathology) From Screen to Week 25

The PANSS is used to assess patients for positive and negative symptoms of schizophrenia or schizoaffective disorder. The General Psychopathology Subscale consists of 16 questions. Each item is rated on a scale of 1 (Absent) to 7 (Extreme). Total scores range from 16-112 on the General Psychopathology scale. Higher scores indicate more symptoms of psychopathology. There is no aggregate score for this measure, as the subscales are to be scored separately. (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L24.7

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Change in PANSS (Positive and Negative Syndrome Scale; Negative Symptoms Scale) From Screen to Week 25

The PANSS is used to assess patients for positive and negative symptoms of schizophrenia or schizoaffective disorder. The Negative Symptoms Subscale consists of 7 questions. Each item is rated on a scale of 1 (Absent) to 7 (Extreme). Total scores for the Negative Symptoms Subscale range from 7-49. Higher scores indicate more symptoms of psychopathology. There is no aggregate score for this measure, as the subscales are to be scored separately. (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L12.1

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Change in PANSS (Positive and Negative Syndrome Scale; Positive Symptoms Scale) From Screen to Week 25

The PANSS is used to assess patients for positive and negative symptoms of schizophrenia or schizoaffective disorder. The Positive Symptoms Subscale consists of 7 questions. Each item is rated on a scale of 1 (Absent) to 7 (Extreme). Total scores for the Positive Symptoms Subscale range from 7-49. Higher scores indicate more symptoms of psychopathology. There is no aggregate score for this measure, as the subscales are to be scored separately. (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L21.2

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Change in SAS (Simpson Angus Scale) From Screen to Week 25

The Simpson-Angus Scale is used to monitor for neurological and musculoskeletal side effects that may be a result of certain psychotropic medications. The scale consists of 10 questions which each can be rated on a scale of 0 to 4. Scores for each item are added to produce a total score. Total scores range from 0 to 40. Higher scores indicate more adverse outcomes. (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L0.0

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Change in Tablets Routine Questionnaire (TRQ, Past Week) From Screen to Week 25 Visit

The Tablets Routine Questionnaire (TRQ) determines the proportion of prescribed medication taken and is not dependent upon timing of medication provided that medication is consumed within the required day/24 hour period. This rating has demonstrated statistically significant association with past non-adherence, repeated past non-adherence, any non-adherence in the past month, and non-adherence in the past week. The TRQ format will be modified slightly to document all adherence values (an exact proportion) for each item. TRQ scores ranges from perfect adherence (0% missed) to missing all medication (100% missed). An average TRQ was calculated for individuals on more than one BD medication. (NCT02085447)
Timeframe: Screen, Week 25

Interventionpercentage of adherence (Mean)
CAE-L56.2

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Change in Tablets Routine Questionnaire (TRQ) (Past Month) From Screen to Week 25

The Tablets Routine Questionnaire (TRQ) determines the proportion of prescribed medication taken and is not dependent upon timing of medication provided that medication is consumed within the required day/24 hour period. This rating has demonstrated statistically significant association with past non-adherence, repeated past non-adherence, any non-adherence in the past month, and non-adherence in the past week. The TRQ format will be modified slightly to document all adherence values (an exact proportion) for each item. TRQ scores ranges from perfect adherence (0% missed) to missing all medication (100% missed). An average TRQ was calculated for individuals on more than one BD medication. (NCT02085447)
Timeframe: Screen, Week 25

Interventionpercentage of adherence (Mean)
CAE-L15.2

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Long-acting Injection (LAI) Adherence

Long-acting injection (LAI) adherence will be determined as a proportion of LAI (paliperidone palmitate or haloperidol decanoate) injections received at the appropriate time (within 7 days of scheduled time). (NCT02085447)
Timeframe: Week 25

Interventionpercentage of adherence (Mean)
CAE-L90.5

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Percentage Change of Days of Sub-optimal Housing in the Past Six Months; Change From Screen to Week 25

Change in number of sub-optimal housing from the past 6 months from Screen and Week 25. This is calculated by subtracting the percent of sub-optimal housing at screen from the number of sub-optimal housing at week 25. (NCT02085447)
Timeframe: Screen, Week 25

Interventionpercentage of days (Mean)
CAE-L29.0

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Change in SOFAS (Social and Occupational Functioning Assessment Scale) From Screen to Week 25

Evaluates social and occupational functioning on a scale of 0 (Inadequate information) to 100 (Superior functioning). It is a one-item measure. (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L63.1

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Change in AIMS (Abnormal Involuntary Movement Scale) From Baseline to Week 25

"The AIMS is used to monitor for the development of involuntary movements that may occur as a result of certain psychotropic medication. It contains 14 items, 10 of which are rated on a scale of 0 (None) to 4 (Severe). The remaining four items are yes or no questions. Items 1 thru 7 are added for a total score, while item 8 is used as an overall severity index. Total scores range from 0 to 28. Higher scores indicate more adverse outcomes.Items 9 thru 12 provide additional information that may be useful in determining lip, jaw, and tongue movements." (NCT02085447)
Timeframe: Baseline, Week 25

Interventionunits on a scale (Mean)
CAE-L1.5

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Change in AMSQ (Attitudes Toward Mood Stabilizers Questionnaire) From Screen to Week 25

"The AMSQ/AMQ is used to measure attitudes towards medications. The scale contains 19 items. Responses which suggest positive attitudes towards medications are scored 0, while responses which suggest negative attitudes towards medications are scored 1. The items scores are added for a total score. Total scores range from 0 to 19. Lower total scores suggest more positive attitudes, while higher scores suggest more negative attitudes." (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L4.0

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Change in ASSIST GRS (Alcohol, Smoking and Substance Involvement Screening Test ) From Screen to Week 25

The ASSIST was used to measure drug use. A total score is derived by combining item scores (minimum score = 0; maximum score = 382). Higher scores indicate higher risk of lifestyle problems, including health. (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L2.0

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Change in BARS (Barnes Akathisia Rating Scale) From Screen to Week 25

This scale is used to measure the presence of akathisia, as may result from use of certain psychotropic medications. The scale contains four items and the score for each item is added to produce the total score. Total scores range from 0 to 14. Higher scores indicate more adverse outcomes. (NCT02085447)
Timeframe: Screen, Week 25

Interventionunits on a scale (Mean)
CAE-L.3

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Part 3 (EDP): Change From Baseline in Clinical Global Impression Severity (CGI-S) Score

"The Clinical Global Impression Severity (CGI-S) rating scale is used to rate the severity of a participant's overall clinical condition on a 7 point scale. The total score ranges from 1 to 7, where 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate worsening." (NCT02431702)
Timeframe: Baseline, up to 18 Months

Interventionunits on a scale (Mean)
Part 3-PP to PP-0.7
Part 3-OAP to OAP-0.7

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Part 2 (Disease Progression): Change From Baseline in Attention/Vigilance Score: MCCB Domain

MCCB measures cognitive function across cognitive domains and is comprised of 10 independent tests assessing 7 cognitive domains (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition). A subset of the MCCB cognitive domain was used to assess attention/vigilance score of participants. The range of attention/vigilance score T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and Day 260

InterventionT-score (Mean)
Part-2: Paliperidone Palmitate (PP)3.2
Part-2: OAP0.7

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Part 2 (Disease Progression): Change From Baseline in Adjusted Intracortical Myelin (ICM) Fraction Score as Measured by Inversion Recovery (IR) and Spin Echo Magnetic Resonance Imaging (MRI)

"The adjusted ICM fraction score is quantified as: 1. The volume of myelinated brain tissue is measured separately on co-localized IR and proton density (PD) MRI images, by outlining the boundary between gray matter and white matter on each image. 2. ICM is calculated from the difference of IR volume minus PD volume. 3. ICM is then expressed as a fraction of the total intracranial volume (ICM divided by intracranial volume). 4. The ICM fraction is then adjusted for effects of age, gender, and race/ethnicity in the sample of treated participants and healthy controls. A decrease in the adjusted ICM fraction score may be a sign of disease progression." (NCT02431702)
Timeframe: Baseline and Day 260

Interventionratio (Mean)
Part-2: Paliperidone Palmitate (PP)-0.001
Part-2: OAP-0.004

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Part 2 (Disease Progression): Change From Baseline in Reasoning and Problem Solving: MCCB Domain

MCCB measures cognitive function across cognitive domains and is comprised of 10 independent tests assessing 7 cognitive domains (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition). A subset of the MCCB cognitive domain was used to assess reasoning and problem solving of participants. The range of reasoning and problem solving T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and Day 260

InterventionT-score (Mean)
Part-2: Paliperidone Palmitate (PP)0.2
Part-2: OAP2.8

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Part 3 (EDP): Change From Baseline in Verbal Learning Score: MCCB Domain

MCCB measures cognitive function across cognitive domains and is comprised of 10 independent tests assessing 7 cognitive domains (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition). A subset of the MCCB cognitive domain was used to assess verbal learning score of participants. The range of verbal learning score T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and 18 Months

InterventionT-score (Mean)
Part 3-PP to PP0.3
Part 3-OAP to OAP0.8

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Part 2 (Disease Progression): Change From Baseline in Social Cognition Score: MCCB Domain

MCCB measures cognitive function across cognitive domains and is comprised of 10 independent tests assessing 7 cognitive domains (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition). A subset of the MCCB cognitive domain was used to assess social cognition score of participants. The range of social cognition score T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and Day 260

InterventionT-score (Mean)
Part-2: Paliperidone Palmitate (PP)0.3
Part-2: OAP1.6

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Part 3 (EDP): Change From Baseline in Adjusted Intracortical Myelin Fraction Score as Measured by Inversion Recovery (IR) and Spin Echo Magnetic Resonance Imaging (MRI)

"The adjusted ICM fraction score is quantified as: 1. The volume of myelinated brain tissue is measured separately on co-localized IR and proton density (PD) MRI images, by outlining the boundary between gray matter and white matter on each image. 2. ICM is calculated from the difference of IR volume minus PD volume. 3. ICM is then expressed as a fraction of the total intracranial volume (ICM divided by intracranial volume). 4. The ICM fraction is then adjusted for effects of age, gender, and race/ethnicity in the sample of treated participants and healthy controls. A decrease in the adjusted ICM fraction score may be a sign of disease progression." (NCT02431702)
Timeframe: Baseline and 18 Months

Interventionratio (Mean)
Part 3-PP to PP-0.001
Part 3-OAP to OAP-0.003

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Part 2 (Disease Progression): Change From Baseline in Visual Learning Score: MCCB Domain

MCCB measures cognitive function across cognitive domains and is comprised of 10 independent tests assessing 7 cognitive domains (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition). A subset of the MCCB cognitive domain was used to assess visual learning score of participants. The range of visual learning score T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and Day 260

InterventionT-score (Mean)
Part-2: Paliperidone Palmitate (PP)1.3
Part-2: OAP1.4

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Part 2 (Disease Progression): Change From Baseline in Working Memory Score: MCCB Domain

MCCB measures cognitive function across cognitive domains and is comprised of 10 independent tests assessing 7 cognitive domains (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition). A subset of the MCCB cognitive domain was used to assess working memory of participants. The range of working memory score T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and Day 260

InterventionT-score (Mean)
Part-2: Paliperidone Palmitate (PP)-0.2
Part-2: OAP-0.8

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Part 3 (Disease Modification): Change From Baseline in Adjusted Intracortical Myelin Fraction Score as Measured by Inversion Recovery (IR) and Spin Echo Magnetic Resonance Imaging (SE MRI)

"The adjusted ICM fraction score is quantified as: 1. The volume of myelinated brain tissue is measured separately on co-localized IR and proton density (PD) MRI images, by outlining the boundary between gray matter and white matter on each image. 2. ICM is calculated from the difference of IR volume minus PD volume. 3. ICM is then expressed as a fraction of the total intracranial volume (ICM divided by intracranial volume). 4. The ICM fraction is then adjusted for effects of age, gender, and race/ethnicity in the sample of treated participants and healthy controls. A decrease in the adjusted ICM fraction score may be a sign of disease progression." (NCT02431702)
Timeframe: Baseline and Month 9 of Part 3

Interventionratio (Least Squares Mean)
Part 3-PP to PP-0.7
Part 3- OAP to PP (or Delayed-Start PP)-0.2
Part 3-OAP to OAP0.5

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Part 3 (Disease Modification): Change From Baseline in Cognition as Measured by the MATRICS Consensus Cognitive Battery (MCCB) Composite Score

The MATRICS Consensus Cognitive Battery is an instrument that contains 10 tests to measure cognitive performance in 7 cognitive domains: speed processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition. The composite score combines the individual scores of the 10 tests and scores them on a normative scale to derive a T-score and composites scores. The range of T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and Day 260

InterventionT-score (Mean)
Part 3- PP to PP-0.7
Part 3- OAP to PP (or Delayed-Start PP)-0.2
Part 3-OAP to OAP0.5

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Part 3 (Disease Modification): Personal and Social Performance (PSP) Total Observed Score

The Personal and Social Performance (PSP) scale assesses degree of a participant's dysfunction within 4 domains of behavior: 1) socially useful activities, 2) personal and social relationships, 3) self-care, and 4) disturbing and aggressive behavior. Score ranges from 1 to 100, divided into 10 equal intervals to rate degree of difficulty (1 = absent, 2 = mild, 3 = manifest, 4 = marked, 5 = severe, and 6 = very severe) in each of the 4 domains. Based on 4 domains there will be 1 transformed total score. Participants with score of 71 to 100 have mild degree of difficulty; from 31 to 70, varying degrees of disability; less than or equal to 30, functioning so poorly as to require intensive supervision. (NCT02431702)
Timeframe: Month 9 of Part 3

Interventionunits on a scale (Least Squares Mean)
Part 3-PP to PP67.6
Part 3- OAP to PP (or Delayed-Start PP)66.1
Part 3-OAP to OAP66.6

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Part 3 (EDP): Change From Baseline in Working Memory Score: MCCB Domain

MCCB measures cognitive function across cognitive domains and is comprised of 10 independent tests assessing 7 cognitive domains (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition). A subset of the MCCB cognitive domain was used to assess working memory of participants. The range of working memory score T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and 18 Months

InterventionT-score (Mean)
Part 3-PP to PP-1.7
Part 3-OAP to OAP0.7

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Part 3 (EDP): Change From Baseline in Attention/Vigilance Score: MCCB Domain

MCCB measures cognitive function across cognitive domains and is comprised of 10 independent tests assessing 7 cognitive domains (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition). A subset of the MCCB cognitive domain was used to assess attention/vigilance score of participants. The range of attention/vigilance score T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and 18 Months

InterventionT-score (Mean)
Part 3-PP to PP2.4
Part 3-OAP to OAP0.7

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Part 2 (Disease Progression): Change From Baseline in Verbal Learning Score: MCCB Domain

MCCB measures cognitive function across cognitive domains and is comprised of 10 independent tests assessing 7 cognitive domains (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition). A subset of the MCCB cognitive domain was used to assess verbal learning score of participants. The range of verbal learning score T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and Day 260

InterventionT-score (Mean)
Part-2: Paliperidone Palmitate (PP)1.3
Part-2: OAP1.0

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Part 3 (EDP): Change From Baseline in Functioning as Measured by the Personal and Social Performance (PSP) Total Score

The Personal and Social Performance (PSP) scale assesses degree of a participant's dysfunction within 4 domains of behavior: 1) socially useful activities, 2) personal and social relationships, 3) self-care, and 4) disturbing and aggressive behavior. Each domain was assessed on a 6-point scale, from 1 (absent) to 6 (very severe) (1 = absent, 2 = mild, 3 = manifest, 4 = marked, 5 = severe, and 6 = very severe). PSP total score was calculated as sum of all the domain scores and ranges from 1 to 100. Participants with score of 71 to 100 have mild degree of difficulty; from 31 to 70, varying degrees of disability; less than or equal to 30, functioning so poorly as to require intensive supervision. Higher score indicate better performance. (NCT02431702)
Timeframe: Baseline and 18 Months

Interventionunits on a scale (Mean)
Part 3-PP to PP7.5
Part 3-OAP to OAP7.0

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Part 3 (EDP): Change From Baseline in Medication Satisfaction Questionnaire (MSQ) Score

The Medication Satisfaction Questionnaire (MSQ) is a 7-point, verbally administered, Likert-type scale rated as follows: 1=Extremely Dissatisfied, 2=Very Dissatisfied, 3=Somewhat Dissatisfied, 4=Neither Satisfied Nor Dissatisfied, 5=Somewhat Satisfied, 6=Very Satisfied, 7=Extremely Satisfied. Worst value is 1 (Extremely Dissatisfied) and best value is 7 (Extremely Satisfied). Total score ranges from 1 to 7. Higher score indicate improvement. (NCT02431702)
Timeframe: Baseline, up to 18 Months

Interventionunits on a scale (Mean)
Part 3-PP to PP0.3
Part 3-OAP to OAP0.4

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Part 2 (Disease Progression): Change From Baseline in Speed of Processing Score: MCCB Domain

MCCB measures cognitive function across cognitive domains and is comprised of 10 independent tests assessing 7 cognitive domains (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition). A subset of the MCCB cognitive domain was used to assess speed of processing score of participants. The range of speed of processing T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and Day 260

InterventionT-score (Mean)
Part-2: Paliperidone Palmitate (PP)1.8
Part-2: OAP3.5

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Part 3 (EDP): Number of Participants With Change From Baseline in Severity of Psychotic Symptoms, as Measured by CRDPSS

The CRDPSS is an 8-item measure that assesses the severity of mental health symptoms that are important across psychotic disorders, including delusions, hallucinations, disorganized speech, abnormal psychomotor behavior, negative symptoms. Each item on the measure is rated on a 5-point scale (0=none; 1=equivocal; 2=present, but mild; 3=present and moderate; and 4=present and severe). Total Score is taken as summation. A higher score indicates a more severe condition. Worsened or improved is defined as increase or decrease compared to baseline. (NCT02431702)
Timeframe: Baseline, up to 18 Months

InterventionParticipants (Count of Participants)
Hallucinations72513609Hallucinations72513610Delusions72513609Delusions72513610Disorganized Speech72513609Disorganized Speech72513610Abnormal Psychomotor Behavior72513609Abnormal Psychomotor Behavior72513610Negative Symptoms72513609Negative Symptoms72513610Impaired Cognition72513609Impaired Cognition72513610Mania72513609Mania72513610Depression72513609Depression72513610
WorsenedUnchangedImproved
Part 3-PP to PP3
Part 3-OAP to OAP8
Part 3-PP to PP27
Part 3-OAP to OAP29
Part 3-PP to PP11
Part 3-OAP to OAP10
Part 3-PP to PP6
Part 3-PP to PP21
Part 3-OAP to OAP20
Part 3-PP to PP14
Part 3-OAP to OAP17
Part 3-PP to PP2
Part 3-OAP to OAP36
Part 3-PP to PP12
Part 3-PP to PP4
Part 3-OAP to OAP2
Part 3-PP to PP32
Part 3-OAP to OAP37
Part 3-PP to PP5
Part 3-OAP to OAP4
Part 3-OAP to OAP22
Part 3-PP to PP19
Part 3-OAP to OAP21
Part 3-PP to PP10
Part 3-OAP to OAP9
Part 3-OAP to OAP23
Part 3-PP to PP17
Part 3-OAP to OAP15
Part 3-PP to PP0
Part 3-OAP to OAP3
Part 3-PP to PP40
Part 3-OAP to OAP39
Part 3-PP to PP1
Part 3-OAP to OAP5
Part 3-PP to PP7
Part 3-OAP to OAP6
Part 3-PP to PP26
Part 3-PP to PP8
Part 3-OAP to OAP12

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Part-2 (Disease Progression): Time to First Treatment Failure

Treatment failure is defined as the time from participant's randomization to first treatment failure, which was a composite endpoint consisting of any of the following: 1) Psychiatric hospitalization due to worsening symptoms; 2) Any deliberate self-injury, suicidal ideation or behavior, homicidal ideation or violent behavior that is clinically significant and needs immediate intervention as determined by the study physician; 3) New arrest/incarceration; 4) Discontinuation of antipsychotic treatment due to inadequate efficacy as determined by the study physician; 5) Discontinuation of antipsychotic treatment due to safety or tolerability as determined by the study physician; 6) Treatment supplementation with another antipsychotic due to inadequate efficacy as determined by the study physician; 7) Increase in the level of psychiatric services in order to prevent imminent psychiatric hospitalization as determined by the study physician. (NCT02431702)
Timeframe: From Day 1 up to 9 Months

Interventiondays (Median)
Part-2: Paliperidone Palmitate (PP)NA
Part-2: OAPNA

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Part 3 (EDP): Change From Baseline in Reasoning and Problem Solving: MCCB Domain

MCCB measures cognitive function across cognitive domains and is comprised of 10 independent tests assessing 7 cognitive domains (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition). A subset of the MCCB cognitive domain was used to assess reasoning and problem solving score of participants. The range of reasoning and problem solving T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and 18 Months

InterventionT-score (Mean)
Part 3-PP to PP3.4
Part 3-OAP to OAP4.7

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Part 2 (Disease Progression): Number of Participants With Change From Baseline in Severity of Psychotic Symptoms, as Measured by Clinician-Rated Dimensions of Psychosis Symptom Severity Scale (CRDPSS)

The CRDPSS is an 8-item measure that assesses the severity of mental health symptoms that are important across psychotic disorders, including delusions, hallucinations, disorganized speech, abnormal psychomotor behavior, negative symptoms. Each item on the measure is rated on a 5-point scale (0=none; 1=equivocal; 2=present, but mild; 3=present and moderate; and 4=present and severe). Total Score is taken as summation. A higher score indicates a more severe condition. Worsened or improved is defined as increase or decrease compared to baseline. (NCT02431702)
Timeframe: Baseline, up to 9 Months

InterventionParticipants (Count of Participants)
Hallucinations72513608Hallucinations72513614Delusions72513614Delusions72513608Disorganized Speech72513614Disorganized Speech72513608Abnormal Psychomotor Behavior72513614Abnormal Psychomotor Behavior72513608Negative Symptoms72513608Negative Symptoms72513614Impaired Cognition72513614Impaired Cognition72513608Mania72513608Mania72513614Depression72513608Depression72513614
UnchangedImprovedWorsened
Part-2: OAP19
Part-2: Paliperidone Palmitate (PP)29
Part-2: OAP73
Part-2: Paliperidone Palmitate (PP)14
Part-2: OAP33
Part-2: Paliperidone Palmitate (PP)10
Part-2: OAP20
Part-2: Paliperidone Palmitate (PP)23
Part-2: OAP70
Part-2: OAP35
Part-2: OAP13
Part-2: Paliperidone Palmitate (PP)36
Part-2: OAP85
Part-2: Paliperidone Palmitate (PP)12
Part-2: OAP27
Part-2: Paliperidone Palmitate (PP)9
Part-2: OAP14
Part-2: Paliperidone Palmitate (PP)37
Part-2: OAP86
Part-2: Paliperidone Palmitate (PP)4
Part-2: OAP25
Part-2: Paliperidone Palmitate (PP)16
Part-2: OAP61
Part-2: Paliperidone Palmitate (PP)17
Part-2: OAP39
Part-2: Paliperidone Palmitate (PP)13
Part-2: OAP29
Part-2: Paliperidone Palmitate (PP)22
Part-2: OAP52
Part-2: Paliperidone Palmitate (PP)15
Part-2: OAP44
Part-2: Paliperidone Palmitate (PP)1
Part-2: OAP7
Part-2: Paliperidone Palmitate (PP)47
Part-2: OAP107
Part-2: Paliperidone Palmitate (PP)2
Part-2: OAP11
Part-2: Paliperidone Palmitate (PP)7
Part-2: OAP28
Part-2: Paliperidone Palmitate (PP)33
Part-2: OAP74
Part-2: OAP23

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Part 3 (Extended Disease Progression [EDP]): Change From Baseline in Cognition as Measured by the MATRICS Consensus Cognitive Battery (MCCB) Composite Score

The MATRICS Consensus Cognitive Battery is an instrument that contains 10 tests to measure cognitive performance in 7 cognitive domains: speed processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition. The composite score combines the individual scores of the 10 tests and scores them on a normative scale to derive a T-score and composites scores. The range of T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and 18 Months

InterventionT-score (Mean)
Part 3-PP to PP1.6
Part 3-OAP to OAP3.2

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Part 3 (EDP): Time to First Treatment Failure

Treatment failure is defined as the time from participant's randomization to first treatment failure, which was a composite endpoint consisting of any of the following: 1) Psychiatric hospitalization due to worsening symptoms; 2) Any deliberate self-injury, suicidal ideation or behavior, homicidal ideation or violent behavior that is clinically significant and needs immediate intervention as determined by the study physician; 3) New arrest/incarceration; 4) Discontinuation of antipsychotic treatment due to inadequate efficacy as determined by the study physician; 5) Discontinuation of antipsychotic treatment due to safety or tolerability as determined by the study physician; 6) Treatment supplementation with another antipsychotic due to inadequate efficacy as determined by the study physician; 7) Increase in the level of psychiatric services in order to prevent imminent psychiatric hospitalization as determined by the study physician. (NCT02431702)
Timeframe: From Day 1 Up to 18 Months

Interventiondays (Median)
Part 3-PP to PPNA
Part 3-OAP to OAPNA

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Part 3 (EDP): Change From Baseline in Visual Learning Score: MCCB Domain

MCCB measures cognitive function across cognitive domains and is comprised of 10 independent tests assessing 7 cognitive domains (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition). A subset of the MCCB cognitive domain was used to assess visual learning score of participants. The range of visual learning score T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and 18 Months

InterventionT-score (Mean)
Part 3-PP to PP0.2
Part 3-OAP to OAP-0.2

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Part 3 (EDP): Change From Baseline in Speed of Processing Score: MCCB Domain

MCCB measures cognitive function across cognitive domains and is comprised of 10 independent tests assessing 7 cognitive domains (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition). A subset of the MCCB cognitive domain was used to assess speed of processing score of participants. The range of speed of processing score T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and 18 Months

InterventionT-score (Mean)
Part 3-PP to PP2.5
Part 3-OAP to OAP4.9

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Part 3 (EDP): Change From Baseline in Social Cognition Score: MCCB Domain

MCCB measures cognitive function across cognitive domains and is comprised of 10 independent tests assessing 7 cognitive domains (speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition). A subset of the MCCB cognitive domain was used to assess social cognition score of participants. The range of social cognition score T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and 18 Months

InterventionT-score (Mean)
Part 3-PP to PP-0.2
Part 3-OAP to OAP1.4

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Part 2 (Disease Progression): Change From Baseline in Functioning as Measured by the Personal and Social Performance (PSP) Total Score

The Personal and Social Performance (PSP) scale assesses degree of a participant's dysfunction within 4 domains of behavior: 1) socially useful activities, 2) personal and social relationships, 3) self-care, and 4) disturbing and aggressive behavior. Each domain was assessed on a 6-point scale, from 1 (absent) to 6 (very severe) (1 = absent, 2 = mild, 3 = manifest, 4 = marked, 5 = severe, and 6 = very severe). PSP total score was calculated as sum of all the domain scores and ranges from 1 to 100. Participants with score of 71 to 100 have mild degree of difficulty; from 31 to 70, varying degrees of disability; less than or equal to 30, functioning so poorly as to require intensive supervision. Higher score indicate better performance. (NCT02431702)
Timeframe: Baseline and Month 9

Interventionunits on a scale (Mean)
Part-2: Paliperidone Palmitate (PP)2.5
Part-2: OAP2.9

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Part 2 (Disease Progression): Change From Baseline in Medication Satisfaction Questionnaire (MSQ) Total Score

The Medication Satisfaction Questionnaire (MSQ) is a 7-point, verbally administered, Likert-type scale rated as follows: 1=Extremely Dissatisfied, 2=Very Dissatisfied, 3=Somewhat Dissatisfied, 4=Neither Satisfied Nor Dissatisfied, 5=Somewhat Satisfied, 6=Very Satisfied, 7=Extremely Satisfied. Worst value is 1 (Extremely Dissatisfied) and best value is 7 (Extremely Satisfied). Total score ranges from 1 to 7. Higher score indicate improvement. (NCT02431702)
Timeframe: Baseline and endpoint Part 2 (up to 9 Months)

Interventionunits on a scale (Mean)
Part-2: Paliperidone Palmitate (PP)-0.2
Part-2: OAP0.1

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Part 2 (Disease Progression): Change From Baseline in Cognition as Measured by the MATRICS Consensus Cognitive Battery (MCCB) Composite Score

The MATRICS Consensus Cognitive Battery is an instrument that contains 10 tests to measure cognitive performance in 7 cognitive domains: speed processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving, and social cognition. The composite score combines the individual scores of the 10 tests and scores them on a normative scale to derive a T-score and composites scores. The range of T-scores for a normal control population is between 0 to 100 with a mean of 50 and standard deviation of 10. Higher scores indicate better cognitive functioning. (NCT02431702)
Timeframe: Baseline and Month 9

InterventionT-score (Least Squares Mean)
Part-2: Paliperidone Palmitate (PP)2.0
Part-2: OAP2.8

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Part 2 (Disease Progression): Change From Baseline in Clinical Global Impression Severity (CGI-S) Score

"The Clinical Global Impression Severity (CGI-S) rating scale is used to rate the severity of a participant's overall clinical condition on a 7 point scale. The score ranges from 1 to 7, where 1 is equivalent to Normal, not at all ill and a rating of 7 is equivalent to Among the most extremely ill participants. Higher scores indicate worsening." (NCT02431702)
Timeframe: Baseline, up to 9 Months of Part 2

Interventionunits on a scale (Mean)
Part-2: Paliperidone Palmitate (PP)-0.2
Part-2: OAP-0.3

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Dimensions of Psychosis Symptom Severity Scale (DPSS) Total Score at Week 0 and 12

The DPSS is a clinician-rated scale used to rate 8 domains commonly seen in patients with psychotic disorders. Each domain was rated on a 5-point scale (0 to 4) with anchored description of endpoints. Total score was computed by summing the scores of individual items (range of 0-32). Higher scores represent more severe condition. Due to early study termination collected data was not summarized. Hence, individual data for each participant was reported. (NCT02462473)
Timeframe: Week 0, Week 12

Interventionunits on a scale (Number)
Participant 1 (Week 0)Participant 1 (Week 12)Participant 2 (Week 0)Participant 2 (Week 12)Participant 3 (Week 0)Participant 3 (Week 12)Participant 4 (Week 0)Participant 5 (Week 0)Participant 5 (Week 12)Participant 6 (Week 0)Participant 6 (Week 12)Participant 7 (Week 0)Participant 7 (Week 12)Participant 8 (Week 0)Participant 8 (Week 12)Participant 9 (Week 0)Participant 9 (Week 12)
Cohort 11248288149474584446

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Number of Participants With Factors Considered in Clinical Decision as Assessed by Clinical Assessment of the Schizophrenia Patient (CASP)

The CASP and data on concomitant medications and psychosocial treatments were used to evaluate the impact of AMPL results on other aspects of clinical decision making. (NCT02462473)
Timeframe: Up to Week 12

Interventionparticipants (Number)
Side Effects Of MedicationAttitude Toward TreatmentReport of Increased SymptomsReport of Decrease in SymptomsPatient Still SymptomaticPatient Ideation
Cohort 1324311

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Patient Satisfaction Survey (PSS) Total Score at Week 0 and 12

The PSS is a brief scale designed to capture a psychiatric patient's satisfaction with a clinician. The scale covers 6 domains: Trust (3 items), Communication (3 items), Exploration of Ideas/Options (2 items), Body Language (2 items), Active Listening (4 items), and Miscellaneous Items (6 items). Out of the 20 items, the first 19 are scored on a 5-point Likert Scale (1=strongly disagree, 2=disagree, 3=satisfactory, 4=agree, 5=strongly agree). The last question (6f) is a free-response question asking for input on how the clinician might improve. Sum of scores of individual items give a total score (range 9-95). Higher scores indicate greater degree of satisfaction. Due to early study termination collected data was not summarized. Hence, individual data for each participant was reported. (NCT02462473)
Timeframe: Week 0, Week 12

Interventionunits on a scale (Number)
Participant 1 (Week 0)Participant 1 (Week 12)Participant 2 (Week 0)Participant 2 (Week 12)Participant 3 (Week 0)Participant 3 (Week 12)Participant 4 (Week 0)Participant 5 (Week 0)Participant 5 (Week 12)Participant 6 (Week 0)Participant 6 (Week 12)Participant 7 (Week 0)Participant 7 (Week 12)Participant 8 (Week 0)Participant 8 (Week 12)Participant 9 (Week 0)Participant 9 (Week 12)
Cohort 17676525757574866647676767263727176

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Clinical Global Impression-Severity (CGI-S) Score at Week 0 and 12

Clinical Global Impression-Severity (CGI-S) rating scale used to rate the severity of a participant's overall clinical condition on a 7-point scale ranging from 1 (not ill) to 7 (extremely severe). Due to early study termination collected data was not summarized. Hence, individual data for each participant was reported. (NCT02462473)
Timeframe: Week 0, Week 12

Interventionunits on a scale (Number)
Participant 1 (Week 0)Participant 1 (Week 12)Participant 2 (Week 0)Participant 2 (Week 12)Participant 3 (Week 0)Participant 3 (Week 12)Participant 4 (Week 0)Participant 5 (Week 0)Participant 5 (Week 12)Participant 6 (Week 0)Participant 6 (Week 12)Participant 7 (Week 0)Participant 7 (Week 12)Participant 8 (Week 0)Participant 8 (Week 12)Participant 9 (Week 0)Participant 9 (Week 12)
Cohort 143434453333344333

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Antipsychotic Medication Plasma Levels (AMPL) During the Active Assessment Phase at Week 12

AMPL of the individual participant during the active assessment phase was reported. (NCT02462473)
Timeframe: Week 12

Interventionnanogram per milliliter (Number)
Participant 1- ARIPIPRAZOLEParticipant 1- DEHYDROARIPIPRAZOLEParticipant 2- OLANZAPINEParticipant 2- PALIPERIDONEParticipant 3- 7-OH QUETIAPINEParticipant 3-NORQUETIAPINEParticipant 3-QUETIAPINEParticipant 3-QUETIAPINE SULFOXIDEParticipant 5-7-OH QUETIAPINEParticipant 5-NORQUETIAPINEParticipant 5-QUETIAPINEParticipant 5-QUETIAPINE SULFOXIDEParticipant 6-ARIPIPRAZOLEParticipant 6-DEHYDROARIPIPRAZOLEParticipant 7-PALIPERIDONEParticipant 7-RISPERIDONEParticipant 8-ARIPIPRAZOLEParticipant 8-DEHYDROARIPIPRAZOLEParticipant 9- 7-OH QUETIAPINEParticipant 9- NORQUETIAPINEParticipant 9- PALIPERIDONEParticipant 9- QUETIAPINEParticipant 9- QUETIAPINE SULFOXIDEParticipant 9- RISPERIDONE
Cohort 1596.00139.0027.3045.1043.10660.00280.00660.007.72153.0050.30321.00464.00112.0031.0026.20168.0033.000.2002.000.1002.002.000.100

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Clinician's Rating Scale of Adherence (CRS) Score at Week 0 and 12

The CRS is an ordinal scale filled by the clinician. The scores range from 1 to 7 that were used to quantify the clinician's assessment of treatment adherence by the patient. Higher scores indicate greater adherence. Due to early study termination collected data was not summarized. Hence, individual data for each participant was reported. (NCT02462473)
Timeframe: Week 0, Week 12

Interventionunits on a scale (Number)
Participant 1 (Week 0)Participant 1 (Week 12)Participant 2 (Week 0)Participant 2 (Week 12)Participant 3 (Week 0)Participant 3 (Week 12)Participant 4 (Week 0)Participant 5 (Week 0)Participant 5 (Week 12)Participant 6 (Week 0)Participant 6 (Week 12)Participant 7 (Week 0)Participant 7 (Week 12)Participant 8 (Week 0)Participant 8 (Week 12)Participant 9 (Week 0)Participant 9 (Week 12)
Cohort 177777777777777777

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Adherence to Antipsychotic Medication as Assessed by Brief Adherence Rating Scale (BARS) at Week 0 and 12

The BARS is a 4-item scale that includes 3 questions and an overall visual analog rating scale that assesses participant's knowledge about his/her medication. The key measure of adherence is the visual analog scale and assesses the percentage of doses taken by the participants in the past month (0 percent [%] - 100%). The 3 questions include: number of prescribed doses per day, number of days in the past month when the participant did not take the prescribed doses, and the number of days in the past month when the participant took less than the prescribed dose. Due to early study termination collected data was not summarized. Hence, individual data for each participant was reported. (NCT02462473)
Timeframe: Week 0, Week 12

Interventionpercent adherence (Number)
Participant 1 (Week 0)Participant 1 (Week 12)Participant 2 (Week 0)Participant 2 (Week 12)Participant 3 (Week 0)Participant 3 (Week 12)Participant 4 (Week 0)Participant 5 (Week 0)Participant 5 (Week 12)Participant 6 (Week 0)Participant 6 (Week 12)Participant 7 (Week 0)Participant 7 (Week 12)Participant 8 (Week 0)Participant 8 (Week 12)Participant 9 (Week 0)Participant 9 (Week 12)
Cohort 110010010010010010097939090969095100100100100

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Number of Participants With Medication Treatment Modifications (MTM)

Information on MTMs derived from data collected in the clinical assessment of the schizophrenia patient (CASP) questionnaire. The CASP captured changes in medications, changes in psychosocial treatments, visit frequency, and the need for any acute interventions. The CASP comprised of 3 sections covering several parameters. The CASP captured changes in treatment options which was used to compute MTM, as well as factors in clinical decision making and the influence of antipsychotic medication plasma levels (AMPL), when they were available, on clinical decision making. (NCT02462473)
Timeframe: Up to Week 12

InterventionParticipants (Number)
Cohort 14

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Number of Participants With Relapse

The definition of relapse is as follows 1.50% or greater increase in total DIEPSS score, 2. an increase in the total PANSS score of 25% or more from baseline, 3. deliberate self-injury, 4. emergence of clinically significant suicidal ideation, 5. violent behavior resulting in clinically significant injury to another person or property damage. (NCT03019887)
Timeframe: One year after the baseline cognitive function test or three months after the end of dose reduction, whichever came first.

InterventionParticipants (Count of Participants)
Dose Reduction130

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Least Squares Mean Change in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 25

Least squares mean change in Positive and Negative Syndrome Scale (PANSS) total score at week 25 from Mixed Models Repeated Measures. The PANSS scale contains 30 questions, each containing an answer range of 1-7. A total PANSS score can range from between 30 to 210; a higher score indicates a worse disease condition (NCT03345979)
Timeframe: Baseline and 25 weeks

Interventionunits on a scale (Least Squares Mean)
Aripiprazole Lauroxil-22.0
Paliperidone Palmitate-21.1

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Least Squares Mean Change in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 4

Least squares mean change in Positive and Negative Syndrome Scale (PANSS) between at 4 weeks from Mixed Models Repeated Measures (MMRM). The PANSS scale contains 30 questions, each containing an answer range of 1-7. A total PANSS score can range from between 30 to 210; a higher score indicates a worse disease condition (NCT03345979)
Timeframe: Baseline and 4 weeks

Interventionunits on a scale (Least Squares Mean)
Aripiprazole Lauroxil-17.3
Paliperidone Palmitate-19.3

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Least Squares Mean Change in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 9

Least squares mean change from baseline Positive and Negative Syndrome Scale (PANSS) and 9 weeks from Mixed Models Repeated Measures (MMRM).The PANSS scale contains 30 questions, each containing an answer range of 1-7. A total PANSS score can range from between 30 to 210; a higher score indicates a worse disease condition (NCT03345979)
Timeframe: Baseline and 9 weeks

Interventionunits on a scale (Least Squares Mean)
Aripiprazole Lauroxil-18.8
Paliperidone Palmitate-21.5

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Change in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 25

Change within treatment groups at baseline Positive and Negative Syndrome Scale (PANSS) and at 25 weeks based on the observed data without imputation for missing data. The PANSS scale contains 30 questions, each containing an answer range of 1-7. A total PANSS score can range from between 30 to 210; a higher score indicates a worse disease condition (NCT03345979)
Timeframe: Baseline and 25 weeks

Interventionunits on a scale (Mean)
Aripiprazole Lauroxil-23.3
Paliperidone Palmitate-21.7

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Change From Baseline in the Positive and Negative Syndrome Scale (PANSS) Total Score at Week 4

Change within treatment groups of Positive and Negative Syndrome Scale (PANSS) total score between baseline and week 4 based on the observed data without imputation for missing data. The PANSS scale contains 30 questions, each containing an answer range of 1-7. A total PANSS score can range from between 30 to 210; a higher score indicates a worse disease condition. (NCT03345979)
Timeframe: Baseline and 4 weeks

Interventionunits on a scale (Mean)
Aripiprazole Lauroxil-17.4
Paliperidone Palmitate-20.1

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Change in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 9

Change within treatment groups from baseline Positive and Negative Syndrome Scale (PANSS) and 9 weeks based on the observed data without imputation for missing data. The PANSS scale contains 30 questions, each containing an answer range of 1-7. A total PANSS score can range from between 30 to 210; a higher score indicates a worse disease condition. (NCT03345979)
Timeframe: Baseline and 9 weeks

Interventionunits on a scale (Mean)
Aripiprazole Lauroxil-19.8
Paliperidone Palmitate-22.5

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Number of Participants With Serious and Non-serious Adverse Events (AEs)

(NCT03345979)
Timeframe: Up to 25 weeks

InterventionParticipants (Count of Participants)
Aripiprazole Lauroxil69
Paliperidone Palmitate72

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Change From Baseline to Week 12/EoT in University of California San Diego Performance-based Skills Assessment-2 Extended Range (UPSA-2-ER) Total Score

The UPSA-2-ER assesses the functional abilities of the participant with schizophrenia in 6 domains: household management, communication, financial skills, transportation, comprehension/planning and medication management. The UPSA-2-ER total score has a range from 0 to 105. A higher score indicates less impairment. (NCT03557931)
Timeframe: Baseline and week 12/EoT

Interventionunits on a scale (Least Squares Mean)
Placebo3.11
ASP4345 50 mg3.86
ASP4345 150 mg2.56

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Change From Baseline to Week 12/End of Treatment (EoT) in Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB) Neurocognitive Composite Score

The MCCB is a cognitive battery to assess 7 domains recommended by the MATRICS initiative (i.e., working memory, verbal learning, speed of processing, attention/vigilance, visual learning, social cognition, reasoning and problem solving). The MCCB neurocognitive composite score is a standardized mean of the six domain scores (excluding social cognition). Raw scores are converted to age and sex adjusted t-scores which are standardized to normative data, and have a mean of 50 and standard deviation of 10 in the general healthy population. A higher score indicates less impairment. (NCT03557931)
Timeframe: Baseline and week 12/end of treatment (EoT)

InterventionT-score (Least Squares Mean)
Placebo1.15
ASP4345 50 mg1.34
ASP4345 150 mg0.87

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Concentration at Trough Level (Ctrough) for ASP4345

Ctrough concentration for ASP4345 was reported. (NCT03557931)
Timeframe: Predose: day 7, day 14, day 21, day 42 and day 84/EoT

,
Interventionnanogram per milliliter (ng/mL) (Mean)
Day 7 Pre-doseDay 14 Pre-doseDay 21 Pre-doseDay 42 Pre-doseDay 84 Pre-dose
ASP4345 150 mg483.84428.88384.48471.78433.56
ASP4345 50 mg175.041182.903172.040207.145204.914

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Number of Participants With Clinically Significant Differences in Abnormal Involuntary Movement Scale (AIMS) Values

AIMS is a 14-item scale. Items 1 to 8 are rated on a 5-point scale ranging from 0 (no dyskinetic movements) to 4 (severe dyskinetic movements). Item 9 assesses the participant's incapacitation due to abnormal movements, and item 10 assesses the participant's awareness of the abnormal movements and associated distress. Items 9 and 10 are rated on 5-point scales ranging from 0 (none or no awareness) to 4 (severe or aware, severe distress). Items 11 to 14 are yes/no questions regarding the global judgement and dental status of the participant. The total score is the sum of the scores for the 14 items and the possible total score ranges from 0 to 44. A higher total score is indicative of more severe dyskinetic movements. (NCT03557931)
Timeframe: Baseline, week 6 and week 12

,,
Interventionparticipants (Number)
BaselineWeek 6Week 12
ASP4345 150 mg000
ASP4345 50 mg000
Placebo000

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Number of Participants With Clinically Significant Differences in Barnes Akathisia Rating Scale (BARS) Values

BARS is used to rate observable, restless movements of drug induced akathisia and subjective awareness of restlessness and any distress associated with the akathisia. BARS consists of the following 4 items: objective assessment of akathisia symptoms, subjective assessment of the participants's awareness of inner restlessness, distress restlessness, and global clinical assessment of akathisia. First three items are rated on a 4-point scale ranging from 0 (no abnormal movements or absence of inner restlessness or no distress) to 3 (severe akathisia or awareness of intense compulsion to move most of the time or severe distress). The last item, the global clinical assessment of akathisia, is rated on a 6-point scale, ranging from 0 (no evidence of akathisia) to 5 (severe akathisia). Total BARS score ranges from 0 to 14 with a higher score representing worse results. (NCT03557931)
Timeframe: Baseline, week 6 and week 12

,,
Interventionparticipants (Number)
BaselineWeek 6Week 12
ASP4345 150 mg000
ASP4345 50 mg000
Placebo000

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Number of Participants With Clinically Significant Differences in Simpson Angus Scale (SAS) Values

SAS scale consists of 10 items including 7 items that address bradykinesia-rigidity and additional single items for tremor, glabellar tap, and salivation. Each item represents a specific physical condition and is rated on a 5-point category rating scale ranging from 0 (complete absence of the condition) to 4 (the condition is present to an extreme degree).The total score is obtained by adding the scores for the 10 individual items making the maximum possible score is 40. Higher scores are indicative of more severe Parkinsonian-type symptoms. (NCT03557931)
Timeframe: Baseline, week 6 and week 12

,,
Interventionparticipants (Number)
BaselineWeek 6Week 12
ASP4345 150 mg000
ASP4345 50 mg000
Placebo000

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Number of Participants With Adverse Event (AE)

Treatment emergent adverse event (TEAE) is defined as an AE observed after starting administration of the study drug and 28 days after the last dose of study drug. A study drug-related TEAE is defined as any TEAE with at least possible relationship to study treatment as assessed by the investigator or with missing assessment of the causal relationship. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. Safety was assessed by AEs, which included abnormalities identified during a medical test (e.g. laboratory tests, vital signs, electrocardiogram, metabolic parameters etc.) if the abnormality induced clinical signs or symptoms, needed active intervention, interruption or discontinuation of study medication or was clinically significant. (NCT03557931)
Timeframe: Baseline up to end of study (EoS) (week 14)

,,
Interventionparticipants (Number)
TEAEDrug-Related TEAEsSerious TEAEsDrug-Related Serious TEAE
ASP4345 150 mg281110
ASP4345 50 mg281330
Placebo451110

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Number of Participants With Clinically Significant Differences in Columbia-Suicide Severity Rating Scale (C-SSRS) Values

The C-SSRS is a questionnaire used for suicide risk assessment. Affirmative or negative responses are provided to items 1 to 5 for suicidal ideation (1. Wish to be dead, 2. Non-specific active suicidal thoughts, 3. Active suicidal ideation with any methods [not plan] without intent to act, 4. Active suicidal ideation with some intent to act, without specific plan, 5. Active suicidal ideation with specific plan and intent) and items 6 to 10 for suicide behavior (6. Preparatory acts or behavior, 7. Aborted attempt, 8. Interrupted attempt, 9. Actual attempt, 10. Completed suicide). (NCT03557931)
Timeframe: Baseline up to EoS (week 14)

Interventionparticipants (Number)
Placebo0
ASP4345 50 mg0
ASP4345 150 mg0

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