Trial | Phase | Enrollment | Study Type | Start Date | Status |
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 1 | 212 participants (Actual) | Interventional | 2007-09-30 | Completed |
Research and Evaluation of Antipsychotic Treatment in Community Behavioral Health Organizations [NCT01181960] | | 1,066 participants (Actual) | Observational | 2010-08-31 | Completed |
Clinical Study to Assess the Treatment of Schizophrenia With Paliperidone Palmitate in Rwandan Healthcare Settings [NCT04940039] | Phase 4 | 93 participants (Actual) | Interventional | 2021-07-22 | Active, not recruiting |
A Long-Term, Open-Label Study of Flexibly Dosed Paliperidone Palmitate Long-Acting Intramuscular Injection in Japanese Patients With Schizophrenia [NCT01258920] | Phase 3 | 201 participants (Actual) | Interventional | 2010-10-31 | Completed |
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From an Inpatient Psychiatric H [NCT01193166] | Phase 4 | 0 participants (Actual) | Interventional | 2010-08-31 | Withdrawn(stopped due to This study was stopped due to an internal reconsideration of priorities of the product portfolio.)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 1 | 48 participants (Actual) | Interventional | 2018-12-12 | Completed |
Long Acting Paliperidone in Dually Diagnosed People With Schizophrenia: An Open-label Pilot Study [NCT01584466] | | 0 participants (Actual) | Interventional | 2014-01-31 | Withdrawn |
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) | Observational | 2011-03-31 | Completed |
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 3 | 200 participants (Actual) | Interventional | 2017-11-15 | Completed |
An Observational Drug Utilization Study of SYCREST^® (Asenapine) in the United Kingdom [NCT01498770] | | 42 participants (Actual) | Observational | 2013-04-01 | Completed |
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 4 | 34 participants (Actual) | Interventional | 2018-10-18 | Completed |
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 4 | 41 participants (Actual) | Interventional | 2009-07-31 | Completed |
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 3 | 307 participants (Actual) | Interventional | 2006-12-31 | Completed |
Substance Misuse To Psychosis for Stimulants (SToP-S)--An Early Assertive Pharmacotherapy Intervention Study [NCT03485417] | Phase 2/Phase 3 | 240 participants (Anticipated) | Interventional | 2019-06-01 | Recruiting |
Paliperidone Extended Release Tablets for the Prevention of Relapse in Subjects With Schizophrenia: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study [NCT01662310] | Phase 3 | 201 participants (Actual) | Interventional | 2011-06-30 | Completed |
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 3 | 473 participants (Actual) | Interventional | 2006-02-28 | Completed |
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) | Observational | 2018-08-07 | Completed |
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 2 | 70 participants (Actual) | Interventional | 2018-03-11 | Completed |
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 4 | 21 participants (Actual) | Interventional | 2015-02-01 | Completed |
Paliperidone Palmitate Efficacy and Safety in Bipolar Disorder Complicated by Alcoholism: A Double-blind, Placebo-controlled, Randomized, Parallel Groups, Multi-center Study. [NCT01211704] | Phase 4 | 0 participants (Actual) | Interventional | 2010-10-31 | Withdrawn(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 1 | 9 participants (Actual) | Interventional | 2009-02-28 | Completed |
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 3 | 337 participants (Actual) | Interventional | 2015-07-08 | Completed |
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 1 | 49 participants (Actual) | Interventional | 2005-07-31 | Completed |
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) | Observational | 2018-01-02 | Enrolling by invitation |
Efficacy and Safety of Paliperidone ER in Patients With First Episode Psychosis: an Open-label, Prospective Multi-center Study [NCT01157585] | Phase 4 | 75 participants (Actual) | Interventional | 2010-02-28 | Completed |
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 3 | 1,044 participants (Actual) | Interventional | 2010-11-30 | Completed |
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 4 | 223 participants (Actual) | Interventional | 2008-02-29 | Completed |
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 1 | 72 participants (Actual) | Interventional | 2007-03-31 | Completed |
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 1 | 58 participants (Actual) | Interventional | 2006-06-30 | Completed |
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 1 | 47 participants (Actual) | Interventional | 2004-04-30 | Completed |
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 1 | 60 participants (Actual) | Interventional | 2006-03-31 | Completed |
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 1 | 25 participants (Actual) | Interventional | 2006-01-31 | Completed |
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 1 | 35 participants (Actual) | Interventional | 2003-06-30 | Completed |
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 1 | 74 participants (Actual) | Interventional | 2005-08-31 | Completed |
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 3 | 652 participants (Actual) | Interventional | 2007-03-31 | Completed |
European Long-acting Antipsychotics in Schizophrenia Trial [NCT02146547] | Phase 4 | 536 participants (Actual) | Interventional | 2015-02-28 | Completed |
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 1 | 305 participants (Actual) | Interventional | 2014-02-28 | Completed |
A Study on the Efficacy, Pharmacokinetics and Adverse Effects of Paliperidone ER [NCT02433717] | Phase 4 | 40 participants (Anticipated) | Interventional | 2015-04-30 | Recruiting |
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 4 | 201 participants (Actual) | Interventional | 2007-09-30 | Completed |
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 3 | 768 participants (Actual) | Interventional | 2006-05-31 | Completed |
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 1 | 50 participants (Actual) | Interventional | 2004-07-31 | Completed |
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 3 | 400 participants (Actual) | Interventional | 2007-06-30 | Completed |
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 4 | 56 participants (Actual) | Interventional | 2010-03-31 | Completed |
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 4 | 163 participants (Actual) | Interventional | 2009-06-30 | Terminated(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 1 | 80 participants (Actual) | Interventional | 2004-07-31 | Completed |
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 3 | 452 participants (Actual) | Interventional | 2008-01-31 | Completed |
Contrasting the Brain Effects of Risperidone and Invega With fMRI and PET Scanning [NCT00937261] | Phase 4 | 96 participants (Anticipated) | Interventional | 2009-07-31 | Recruiting |
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 3 | 473 participants (Actual) | Interventional | 2004-03-31 | Completed |
Investigation of the Potential Effects of Trimethoprim on the Pharmacokinetics of ER OROS Paliperidone in Healthy Male Subjects [NCT00892541] | Phase 1 | 30 participants (Actual) | Interventional | 2004-10-31 | Completed |
An Open-Label, Drug-Drug Interaction Study Between Steady-State Valproic Acid and Single-Dose Paliperidone Extended-Release in Healthy Men [NCT01060228] | Phase 1 | 24 participants (Actual) | Interventional | 2009-01-31 | Completed |
A Single-arm Evaluation of the Safety of Paliperidone Extended-Release (ER) in Subjects With Schizophrenia or Schizoaffective Disorder With Hepatic Disease [NCT00535145] | Phase 4 | 121 participants (Actual) | Interventional | 2007-10-31 | Completed |
Early Predictors of Poor Treatment Response in Patients With Schizophrenia Treated With Atypical Antipsychotics [NCT03730857] | Phase 1 | 111 participants (Actual) | Interventional | 2008-01-31 | Completed |
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 2 | 233 participants (Actual) | Interventional | 2018-07-13 | Completed |
INVega Is Studied In an Observational Design in the Netherlands [NCT00697658] | | 27 participants (Actual) | Observational | 2008-03-31 | Completed |
Open Label Extension to R076477-SCH-305 to Evaluate the Safety and Tolerability of Paliperidone ER in Subjects With Schizophrenia. [NCT00668837] | Phase 3 | 407 participants (Actual) | Interventional | 2004-02-29 | Completed |
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 4 | 84 participants (Actual) | Interventional | 2009-05-31 | Completed |
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 4 | 289 participants (Actual) | Interventional | 2008-04-30 | Completed |
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 1 | 20 participants (Actual) | Interventional | 2004-05-31 | Completed |
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 1 | 4 participants (Actual) | Interventional | 2003-03-31 | Completed |
Pharmacokinetics of Paliperidone in Subjects With Moderate Hepatic Impairment as Compared to Subjects With Normal Hepatic Function. [NCT00791284] | Phase 1 | 20 participants (Actual) | Interventional | 2004-08-31 | Completed |
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 4 | 17 participants (Actual) | Interventional | 2007-11-30 | Terminated(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 3 | 1,221 participants (Actual) | Interventional | 2007-03-31 | Completed |
Atypical Antipsychotics and Hyperglycemic Emergencies: Multicentre, Retrospective Cohort Study of Administrative Data [NCT02582736] | | 725,489 participants (Actual) | Observational | 2012-04-30 | Completed |
R076477-SCH-702: a 24 Week Open-Label Extension to R076477-SCH-302 [NCT00752427] | Phase 3 | 86 participants (Actual) | Interventional | 2004-06-30 | Completed |
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 3 | 228 participants (Actual) | Interventional | 2009-12-31 | Completed |
A Randomized, Double-Blind, Placebo-Controlled, Parellel-Group Study of Paliperidone Palmitate Evaluating Time to Relapse in Subjects With Schizoaffective Disorder [NCT01193153] | Phase 3 | 667 participants (Actual) | Interventional | 2010-09-30 | Completed |
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 1 | 80 participants (Actual) | Interventional | 2007-03-31 | Completed |
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 1 | 141 participants (Actual) | Interventional | 2005-02-28 | Completed |
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 1 | 62 participants (Actual) | Interventional | 2003-08-31 | Completed |
A Comparison of Long-Acting Injectable Medications for Schizophrenia [NCT01136772] | Phase 4 | 311 participants (Actual) | Interventional | 2011-03-31 | Completed |
Whole Blood and Plasma Sample Collection for the Development of Antipsychotic Immunoassays From Participants Taking Aripiprazole, Olanzapine, Paliperidone, or Risperidone [NCT02634463] | Phase 1 | 81 participants (Actual) | Interventional | 2015-11-30 | Completed |
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 3 | 316 participants (Actual) | Interventional | 2006-11-30 | Completed |
Paliperidone and Lithium in the Treatment of Suicidality - Treatment Indication and Epigenetic Regulation [NCT01134731] | Phase 4 | 54 participants (Actual) | Interventional | 2010-05-31 | Completed |
A Placebo-Controlled Double Blind Comparative Study of JNS007ER in Patients With Schizophrenia [NCT00396565] | Phase 3 | 394 participants (Actual) | Interventional | 2006-07-31 | Completed |
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 1 | 80 participants (Anticipated) | Interventional | 2021-09-08 | Recruiting |
A Prospective, Open-Label Study of Paliperidone ER in Adolescents and Young Adults With Autism [NCT00549562] | Phase 3 | 25 participants (Actual) | Interventional | 2007-11-30 | Completed |
Safety, Tolerability, and Treatment Response of Paliperidone Palmitate in Subjects With Schizophrenia When Switching From Oral Antipsychotics [NCT01051531] | Phase 3 | 546 participants (Actual) | Interventional | 2010-04-30 | Completed |
Tolerability, Safety and Treatment Response of Flexible Doses of Paliperidone ER in Acutely Exacerbated Subjects With Schizophrenia [NCT00566631] | Phase 3 | 294 participants (Actual) | Interventional | 2007-07-31 | Completed |
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 1 | 113 participants (Actual) | Interventional | 2003-03-31 | Completed |
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 1 | 110 participants (Actual) | Interventional | 2006-01-31 | Completed |
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 4 | 387 participants (Actual) | Interventional | 2008-04-30 | Completed |
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 1 | 60 participants (Actual) | Interventional | 2004-03-31 | Completed |
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 4 | 299 participants (Actual) | Interventional | 2008-03-31 | Completed |
Effects of Paliperidone in Posttraumatic Stress Disorder (PTSD) [NCT00766064] | Phase 4 | 0 participants (Actual) | Interventional | 2008-09-30 | Withdrawn |
A Blinded-initiation Study of Medication Satisfaction in Subjects With Schizophrenia Treated With Paliperidone ER After Suboptimal Response to Oral Risperidone [NCT00535132] | Phase 4 | 201 participants (Actual) | Interventional | 2007-10-31 | Completed |
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 4 | 190 participants (Actual) | Interventional | 2008-04-30 | Completed |
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 4 | 491 participants (Actual) | Interventional | 2008-02-29 | Completed |
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) | Observational | 2015-07-24 | Completed |
The Effect of Paliperidone Palmitate in Schizophrenia: A Prospective Naturalistic Case Series Study [NCT01860781] | Phase 4 | 30 participants (Actual) | Interventional | 2011-08-31 | Completed |
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 1 | 35 participants (Actual) | Interventional | 2003-09-30 | Completed |
Paliperidone ER Versus Risperidone for Neurocognitive Function in Patients With Schizophrenia: a Randomized, Open-label, Controlled Trial [NCT00827840] | Phase 4 | 58 participants (Actual) | Interventional | 2008-11-30 | Completed |
An Exploratory Analysis of Immune and Inflammatory Response Associated With Clozapine Versus Non-Clozapine Antipsychotics in Individuals With Treatment-resistant Schizophrenia [NCT05741502] | Phase 4 | 60 participants (Anticipated) | Interventional | 2023-08-16 | Recruiting |
Clinical Pharmacology Study of JNS010 (Paliperidone Palmitate) in Subjects With Schizophrenia [NCT01942382] | Phase 1 | 76 participants (Actual) | Interventional | 2009-04-30 | Completed |
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 3 | 366 participants (Actual) | Interventional | 2005-04-30 | Completed |
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 4 | 353 participants (Actual) | Interventional | 2013-09-30 | Completed |
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Fixed-Dose, Multicenter Study of JNS010 (Paliperidone Palmitate) in Patients With Schizophrenia [NCT01299389] | Phase 3 | 323 participants (Actual) | Interventional | 2010-10-31 | Completed |
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 3 | 769 participants (Actual) | Interventional | 2010-02-28 | Completed |
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 4 | 617 participants (Actual) | Interventional | 2012-11-30 | Completed |
Longitudinal Comparative Effectiveness of Bipolar Disorder Therapies [NCT02893371] | | 1,037,352 participants (Actual) | Observational | 2016-09-30 | Completed |
Comparison of Single-Dose Plasma and Blood Concentrations of Aripiprazole, Olanzapine, Quetiapine, Paliperidone and Risperidone After Capillary and Venous Blood Sample Collection [NCT01607762] | Phase 1 | 31 participants (Actual) | Interventional | 2012-02-29 | Completed |
Plasma Concentrations, Metabolism and Excretion of 14C-paliperidone After a Single Oral Dose in Healthy Male Subjects [NCT00796029] | Phase 1 | 5 participants (Actual) | Interventional | 2003-07-31 | Completed |
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 3 | 462 participants (Actual) | Interventional | 2007-10-31 | Completed |
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 1 | 64 participants (Actual) | Interventional | 2006-09-30 | Completed |
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 1 | 20 participants (Actual) | Interventional | 2004-03-31 | Completed |
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 3 | 201 participants (Actual) | Interventional | 2007-08-31 | Completed |
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 3 | 235 participants (Actual) | Interventional | 2004-05-31 | Completed |
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 4 | 450 participants (Actual) | Interventional | 2010-05-31 | Completed |
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 3 | 306 participants (Actual) | Interventional | 2016-04-28 | Completed |
The Effect of Long-acting Antipsychotic on Schizophrenia Patients With Violence Risk : a Observational Cohort Study [NCT04064476] | | 225 participants (Anticipated) | Observational | 2019-08-18 | Enrolling by invitation |
Effectiveness of Paliperidone ER(Invega®) on Depressive Symptoms of Schizophrenia Patients: A 8-week Open-label Prospective, Non-comparative Study [NCT01399450] | Phase 4 | 11 participants (Actual) | Interventional | 2011-08-31 | Completed |
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 3 | 111 participants (Actual) | Interventional | 2004-03-31 | Completed |
The Treatment Efficacy of Combination Atypical Antipsychotics With Sertraline in Patients With Schizophrenia [NCT04076371] | | 1,640 participants (Actual) | Interventional | 2012-01-31 | Completed |
The Paliperidone ER Outcomes Study of Schizophrenia Patients in Typical Clinical Practice [NCT00488891] | | 43 participants (Actual) | Observational | 2007-04-30 | Terminated(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) | Interventional | 2016-09-01 | Completed |
"The Therapeutic Window of the Atypical Antipsychotic Paliperidone Extended Release (ER)-A Positron Emission Tomography Study With [18F]Fallypride as the Radiotracer" [NCT00934635] | Phase 4 | 2 participants (Actual) | Interventional | 2009-09-30 | Terminated |
Exploratory Study of Paliperidone in Patients With Schizophrenia to Investigate the Safety and Efficacy [NCT00257023] | Phase 2 | 52 participants (Actual) | Interventional | 2005-02-28 | Completed |
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 3 | 518 participants (Actual) | Interventional | 2004-12-31 | Completed |
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 3 | 12 participants (Actual) | Interventional | 2004-01-31 | Completed |
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 3 | 414 participants (Actual) | Interventional | 2005-02-28 | Completed |
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 3 | 114 participants (Actual) | Interventional | 2004-08-31 | Completed |
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 3 | 399 participants (Actual) | Interventional | 2006-04-30 | Completed |
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 2 | 5 participants (Actual) | Interventional | 2005-02-28 | Completed |
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 3 | 288 participants (Actual) | Interventional | 2006-06-30 | Completed |
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 3 | 253 participants (Actual) | Interventional | 2005-06-30 | Completed |
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 3 | 748 participants (Actual) | Interventional | 2005-02-28 | Completed |
An Open Label Multicentre Study to Determine the Dose Distribution of Paliperidone ER in Patients With Schizophrenia [NCT00473434] | Phase 3 | 64 participants (Actual) | Interventional | 2007-04-30 | Completed |
Different Safety Profile of Risperidone and Paliperidone Extended-release: a Double-blind, Placebo-controlled Trial With Healthy Volunteers [NCT01284959] | Phase 4 | 34 participants (Actual) | Interventional | 2010-06-30 | Completed |
An Open-label Prospective Trial to Explore the Tolerability, Safety and Efficacy of Flexibly Dosed Paliperidone ER in Subjects With Schizophrenia [NCT00460512] | Phase 3 | 1,814 participants (Actual) | Interventional | 2007-04-25 | Completed |
An Open-Label, Prospective, Non-Comparative Study to Evaluate the Efficacy and Safety of Paliperidone Palmitate in Subjects With Acute Schizophrenia [NCT01527305] | Phase 4 | 212 participants (Actual) | Interventional | 2012-06-30 | Completed |
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 3 | 619 participants (Actual) | Interventional | 2004-04-30 | Completed |
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 3 | 203 participants (Actual) | Interventional | 2004-01-31 | Completed |
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 3 | 88 participants (Actual) | Interventional | 2003-08-31 | Completed |
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 3 | 630 participants (Actual) | Interventional | 2004-03-31 | Completed |
Preventing Relapse: Oral Antipsychotics Compared To Injectables: Evaluating Efficacy (PROACTIVE) [NCT00330863] | Phase 4 | 357 participants (Actual) | Interventional | 2006-05-31 | Completed |
Augmentation of Clozapine With Paliperidone in the Treatment of Resistant Schizophrenia Randomized Controlled Study [NCT01279213] | Phase 4 | 70 participants (Actual) | Interventional | 2009-01-31 | Completed |
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 1 | 36 participants (Actual) | Interventional | 2020-01-22 | Completed |
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 4 | 154 participants (Actual) | Interventional | 2012-01-31 | Completed |
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 3 | 493 participants (Actual) | Interventional | 2006-04-30 | Completed |
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 3 | 300 participants (Actual) | Interventional | 2006-04-30 | Completed |
[NCT01742390] | Phase 4 | 120 participants (Anticipated) | Interventional | 2013-02-28 | Recruiting |
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 3 | 104 participants (Anticipated) | Interventional | 2012-11-30 | Recruiting |
A Multiple-Center, Randomized, Double-Blind Study of Comparison of Paliperidone and Risperidone for Treatment of Patirnts With Methamphetamine-Associated Psychosis [NCT01822730] | Phase 4 | 120 participants (Actual) | Interventional | 2013-02-28 | Completed |
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) | Interventional | 2013-02-28 | Completed |
Correlation Between Cognitive Function and Relapse of Schizophrenia Regarding Dose Reduction in Patients Undergoing High-dose Antipsychotic Therapy [NCT03019887] | | 139 participants (Actual) | Interventional | 2011-04-30 | Completed |
Treatment of Patients With Recently Exacerbated Schizophrenia With Paliperidone Palmitate - A Pilot Study [NCT01448720] | Phase 3 | 142 participants (Actual) | Interventional | 2011-09-30 | Completed |
Risk of Breakthrough Symptoms On Antipsychotic Maintenance Medication When Remitted Patients Are Treated With Long-Acting Injectable Medications [NCT05473741] | | 180 participants (Anticipated) | Observational | 2023-01-09 | Recruiting |
An Open-label Prospective Trial to Explore the Tolerability, Safety and Efficacy of Flexibly Dosed Paliperidone ER in Subjects With Schizophrenia [NCT01662648] | Phase 3 | 1,117 participants (Actual) | Interventional | 2007-06-30 | Completed |
Differences in Lipid and Cognitive Change Between One-month and 3-month Paliperidone Palmitate Treatment in Stable Schizophrenia [NCT04754750] | Phase 1/Phase 2 | 72 participants (Actual) | Interventional | 2015-01-31 | Completed |
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 1 | 328 participants (Actual) | Interventional | 2008-02-21 | Completed |
Clinical and Cognitive Effects of Paliperidone Palmitate vs. Oral Risperidone in First-Episode Schizophrenia [NCT01451736] | Phase 4 | 146 participants (Actual) | Interventional | 2011-10-31 | Completed |
Double Blinded, Placebo-Controlled Trial of Paliperidone Addition in SRI-Resistant Obsessive-Compulsive Disorder [NCT00632229] | Phase 2 | 34 participants (Actual) | Interventional | 2007-10-31 | Completed |
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 2 | 9 participants (Actual) | Interventional | 2015-05-31 | Terminated(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 1 | 281 participants (Actual) | Interventional | 2021-01-13 | Completed |
A Long-Term Study of JNS007ER in Patients With Schizophrenia [NCT01561898] | Phase 3 | 228 participants (Actual) | Interventional | 2006-06-30 | Completed |
Symptomatic Remission and Social Function in Patients Treated With Paliperidone ER [NCT01577186] | Phase 4 | 480 participants (Actual) | Interventional | 2008-07-31 | Completed |
Pharmacovigilance in Gerontopsychiatric Patients [NCT02374567] | Phase 3 | 407 participants (Actual) | Interventional | 2015-01-31 | Terminated |
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 4 | 150 participants (Anticipated) | Interventional | 2017-04-30 | Not 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 4 | 244 participants (Anticipated) | Interventional | 2023-11-01 | Not 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 4 | 95 participants (Actual) | Interventional | 2008-02-29 | Completed |
Efficacy and Tolerability of Flexible Doses of Paliperidone ER in Symptomatic Subjects With Schizophrenia With Duration of Illness < 10 Years [NCT01362439] | Phase 4 | 133 participants (Actual) | Interventional | 2009-01-31 | Completed |
A Repeated Dose Study of JNS010 (Paliperidone Palmitate) in Patients With Schizophrenia [NCT01606254] | Phase 2 | 56 participants (Actual) | Interventional | 2007-01-31 | Completed |
Improving Metabolic Parameters of Antipsychotic Child Treatment (IMPACT) [NCT00806234] | Phase 4 | 127 participants (Actual) | Interventional | 2009-01-31 | Completed |
A 28-week, Randomised, Open-label Study Evaluating the Effectiveness of Aripiprazole Once-monthly Versus Paliperidone Palmitate in Adult Patients With Schizophrenia [NCT01795547] | Phase 3 | 295 participants (Actual) | Interventional | 2013-02-28 | Completed |
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) | Interventional | 2014-05-31 | Completed |
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 4 | 353 participants (Actual) | Interventional | 2008-05-31 | Completed |
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 4 | 17 participants (Actual) | Interventional | 2013-01-31 | Terminated(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 4 | 40 participants (Actual) | Interventional | 2009-08-31 | Completed |
Estimating the Optimal Dynamic Antipsychotic Treatment Regime: Sequential Multiple-assignment Randomized Clinical Antipsychotic Trials in Chinese Patients With First-episode Psychosis. [NCT03510325] | Phase 4 | 1,260 participants (Anticipated) | Interventional | 2018-10-01 | Not 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 3 | 405 participants (Actual) | Interventional | 2008-07-31 | Completed |
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) | Observational | 2018-11-21 | Completed |
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 3 | 188 participants (Actual) | Interventional | 2007-12-31 | Completed |
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Trial | Outcome |
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
Intervention | units on a scale (Least Squares Mean) |
---|
Injectable | 1.8 |
Oral | 2.0 |
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Number of Patients Discontinuing From the Study
(NCT00330863)
Timeframe: Measured throughout study up to 30 months
Intervention | participants (Number) |
---|
Injectable | 81 |
Oral | 80 |
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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
Intervention | scores on a scale (Mean) |
---|
Paliperidone Extended Release (ER) (JNS007ER) | -2.6 |
Placebo | 1.6 |
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
Intervention | Percentage of participants (Number) |
---|
Paliperidone Extended Release (ER) (JNS007ER) | 25.4 |
Placebo | 9.4 |
Olanzapine | 26.1 |
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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
Intervention | scores on a scale (Mean) |
---|
Paliperidone Extended Release (ER) (JNS007ER) | -9.1 |
Placebo | 3.8 |
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
Intervention | scores on a scale (Mean) |
---|
Paliperidone Extended Release (ER) (JNS007ER) | -2.4 |
Placebo | 0.0 |
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
Intervention | scores on a scale (Mean) |
---|
Paliperidone Extended Release (ER) (JNS007ER) | -4.1 |
Placebo | 2.2 |
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
Intervention | scores on a scale (Mean) |
---|
Paliperidone Extended Release (ER) (JNS007ER) | -0.4 |
Placebo | 0.2 |
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
Intervention | points on a scale (Mean) |
---|
Placebo | 24.4 |
Paliperidone Extended Release (ER) Low Dose | 25.2 |
Paliperidone Extended Release (ER) High Dose | 26.9 |
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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
Intervention | points on a scale (Mean) |
---|
Placebo | 4.6 |
Paliperidone Extended Release (ER) Low Dose | 4.6 |
Paliperidone Extended Release (ER) High Dose | 4.6 |
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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
Intervention | points on a scale (Mean) |
---|
Placebo | 2.9 |
Paliperidone Extended Release (ER) Low Dose | 2.6 |
Paliperidone Extended Release (ER) High Dose | 2.2 |
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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
Intervention | points on a scale (Mean) |
---|
Placebo | 91.6 |
Paliperidone Extended Release (ER) Low Dose | 95.9 |
Paliperidone Extended Release (ER) High Dose | 92.7 |
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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
Intervention | points 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
Intervention | points 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
Intervention | points 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
Intervention | points 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
Intervention | points 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
Intervention | points 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
Intervention | points 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
Intervention | points 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
Intervention | points 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
Intervention | points 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
Intervention | points on a scale (Mean) |
---|
Placebo | 28.5 |
Paliperidone Extended Release (ER) Low Dose | 28.4 |
Paliperidone Extended Release (ER) High Dose | 29.9 |
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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
Intervention | points 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
Intervention | count of participants (Number) |
---|
Placebo | 40 |
Paliperidone Extended Release (ER) Low Dose | 57 |
Paliperidone Extended Release (ER) High Dose | 62 |
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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
Intervention | points 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
Intervention | points on a scale (Mean) |
---|
Placebo | 91.7 |
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
Intervention | points on a scale (Mean) |
---|
Placebo | 3.4 |
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
Intervention | points 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
Intervention | points on a scale (Mean) |
---|
Placebo | 4.6 |
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
Intervention | points 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
Intervention | participants (Number) |
---|
Placebo | 26 |
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
Intervention | points 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
Intervention | points 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
Intervention | points 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
Intervention | points 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
Intervention | points 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.
Intervention | points 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
Intervention | points 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
Intervention | points 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
Intervention | points 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
Intervention | points 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
Intervention | points on a scale (Mean) |
---|
Placebo | 24.6 |
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
Intervention | points on a scale (Mean) |
---|
Placebo | 26.9 |
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
Intervention | mg (Mean) |
---|
Paliperidone Extended Release (ER) | 6.8 |
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The Mean Modal Prescribed Daily Dose of Paliperidone Extended Release (ER) From Day 57 to Day 84
(NCT00473434)
Timeframe: Day 57 to Day 84
Intervention | mg (Mean) |
---|
Paliperidone Extended Release (ER) | 7.5 |
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The Mean Modal Prescribed Daily Dose of Paliperidone Extended Release (ER) From Day 1 to Day 84
(NCT00473434)
Timeframe: Day 1 to Day 84
Intervention | mg (Mean) |
---|
Paliperidone Extended Release (ER) | 6.9 |
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The Length of Hospitalizations Throughout the Study
(NCT00473434)
Timeframe: 52 weeks
Intervention | days (Mean) |
---|
Baseline | 12.4 |
Week 2 | 66 |
Week 4 | 7.3 |
Week 6 | 28.0 |
Week 9 | 179.0 |
Week 12 | 34 |
Week 20 | 19 |
Week 44 | 4 |
Week 52 | 20.5 |
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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
Intervention | scores on a scale (Mean) |
---|
Baseline | 54.6 |
Week 2 | 58.9 |
Week 4 | 63.9 |
Week 6 | 63.9 |
Week 9 | 66.3 |
Week 12 | 65.4 |
Week 20 | 65.1 |
Week 28 | 71.1 |
Week 36 | 71.6 |
Week 44 | 69.0 |
Week 52 | 63.3 |
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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
Intervention | scores on a scale (Mean) |
---|
Baseline | 3.7 |
Week 2 | 3.3 |
Week 4 | 3.2 |
Week 6 | 3.1 |
Week 9 | 2.8 |
Week 12 | 2.8 |
Week 20 | 2.9 |
Week 28 | 2.7 |
Week 36 | 2.7 |
Week 44 | 2.9 |
Week 52 | 2.7 |
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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
Intervention | percentage of participants (Number) |
---|
| Hospitalized | Care Increase | Suicidal | Violent | Self Injury |
---|
Baseline | 0 | 0 | 4.8 | 0 | 0 |
,Week 12 | 3.2 | 3.2 | 0 | 0 | 3.2 |
,Week 2 | 5.3 | 0 | 5.3 | 0 | 0 |
,Week 20 | 3.7 | 7.4 | 0 | 0 | 0 |
,Week 28 | 0 | 0 | 0 | 0 | 0 |
,Week 36 | 0 | 0 | 0 | 0 | 0 |
,Week 4 | 13.5 | 5.4 | 8.1 | 0 | 0 |
,Week 44 | 0 | 5.9 | 0 | 0 | 0 |
,Week 52 | 12.5 | 12.5 | 0 | 0 | 0 |
,Week 6 | 5.9 | 2.9 | 0 | 0 | 0 |
,Week 9 | 7.1 | 3.6 | 0 | 0 | 0 |
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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
Intervention | events (Number) |
---|
Baseline | 15 |
Week 2 | 2 |
Week 4 | 6 |
Week 6 | 2 |
Week 9 | 3 |
Week 12 | 1 |
Week 20 | 1 |
Week 28 | 0 |
Week 36 | 0 |
Week 44 | 1 |
Week 52 | 2 |
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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
Intervention | Scores on a scale (Mean) |
---|
Placebo/Paliperidone | 3.4 |
Paliperidone (Double-blind)/Paliperidone | 4.1 |
Paliperidone (No Double-blind)/Paliperidone | 5.6 |
Total | 4.9 |
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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
Intervention | Number of Participants (Number) |
---|
| Treatment Emergent Adverse Events (TEAEs) | Possibly-related TEAEs | One or More Serious TEAEs |
---|
Paliperidone (Double-blind)/Paliperidone | 88 | 61 | 4 |
,Paliperidone (No Double-blind)/Paliperidone | 221 | 185 | 46 |
,Placebo/Paliperidone | 32 | 24 | 9 |
,Total | 341 | 270 | 59 |
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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
Intervention | Scores on a scale (Mean) |
---|
| Positive Symptoms | Negative Symptoms | Disorganized Thoughts | Uncontrolled Hostility/Excitement | Anxiety/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
Intervention | Scores on a scale (Mean) |
---|
| Finger Tapping Dominant Hand | Finger Tapping Non Dominant Hand |
---|
Paliperidone (Double-blind)/Paliperidone | 0.1 | 0.4 |
,Paliperidone (No Double-blind)/Paliperidone | 0.3 | 0.2 |
,Placebo/Paliperidone | 0.2 | 0.2 |
,Total | 0.2 | 0.3 |
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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
Intervention | Scores 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
Intervention | Scores on a scale (Mean) |
---|
Placebo/Paliperidone | 0.9 |
Paliperidone (Double-blind)/Paliperidone | 0.8 |
Paliperidone (No Double-blind)/Paliperidone | 0.8 |
Total | 0.8 |
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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
Intervention | Scores 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
Intervention | Scores on a scale (Mean) |
---|
Placebo/Paliperidone | 29.0 |
Paliperidone (Double-blind)/Paliperidone | 3.5 |
Paliperidone (No Double-blind)/Paliperidone | 8.2 |
Total | 7.2 |
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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
Intervention | Scores on a scale (Mean) |
---|
Placebo/Paliperidone | 11.3 |
Paliperidone (Double-blind)/Paliperidone | 8.7 |
Paliperidone (No Double-blind)/Paliperidone | 15.6 |
Total | 13.1 |
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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
Intervention | Scores 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
Intervention | Scores on a scale (Mean) |
---|
Placebo/Paliperidone | -0.5 |
Paliperidone (Double-blind)/Paliperidone | -0.3 |
Paliperidone (No Double-blind)/Paliperidone | 0.3 |
Total | 0.0 |
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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
Intervention | Scores on a scale (Mean) |
---|
Placebo/Paliperidone | 8.2 |
Paliperidone (Double-blind)/Paliperidone | 2.7 |
Paliperidone (No Double-blind)/Paliperidone | 9.8 |
Total | 7.4 |
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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
Intervention | Scores on a scale (Mean) |
---|
Placebo/Paliperidone | 0.2 |
Paliperidone (Double-blind)/Paliperidone | 0.1 |
Paliperidone (No Double-blind)/Paliperidone | 0.2 |
Total | 0.2 |
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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
Intervention | Scores on a scale (Mean) |
---|
Placebo/Paliperidone | 1.9 |
Paliperidone (Double-blind)/Paliperidone | 1.5 |
Paliperidone (No Double-blind)/Paliperidone | 0.1 |
Total | 0.8 |
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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
Intervention | Scores on a scale (Mean) |
---|
Placebo/Paliperidone | 0.0 |
Paliperidone (Double-blind)/Paliperidone | 3.6 |
Paliperidone (No Double-blind)/Paliperidone | 6.2 |
Total | 4.7 |
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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
Intervention | Scores on a scale (Mean) |
---|
Paliperidone (Double-blind)/Paliperidone | 0.2 |
Paliperidone (No Double-blind)/Paliperidone | 0.7 |
Total | 0.5 |
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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
Intervention | Scores on a scale (Mean) |
---|
Placebo/Paliperidone | 4.3 |
Paliperidone (Double-blind)/Paliperidone | 4.6 |
Paliperidone (No Double-blind)/Paliperidone | 7.0 |
Total | 5.9 |
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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
Intervention | Scores on a scale (Mean) |
---|
Placebo/Paliperidone | 0.3 |
Paliperidone (Double-blind)/Paliperidone | 0.2 |
Paliperidone (No Double-blind)/Paliperidone | 0.5 |
Total | 0.4 |
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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
Intervention | Scores on a scale (Mean) |
---|
Placebo/Paliperidone | 0 |
Paliperidone (Double-blind)/Paliperidone | 0.6 |
Paliperidone (No Double-blind)/Paliperidone | 1.7 |
Total | 1.3 |
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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
Intervention | Scores on a scale (Mean) |
---|
Placebo/Paliperidone | 1.8 |
Paliperidone (Double-blind)/Paliperidone | -2.3 |
Paliperidone (No Double-blind)/Paliperidone | 1.5 |
Total | 0.0 |
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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).
Intervention | Scores on the scale (Median) |
---|
Paliperidone ER | -2 |
Olanzapine | -3 |
Pali/Placebo | 2 |
Pali/Pali | 0 |
Olan/Olan | 0 |
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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).
Intervention | Scores on the scale (Mean) |
---|
Paliperidone ER | 19.6 |
Olanzapine | 20.8 |
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).
Intervention | Scores on the scale (Mean) |
---|
Paliperidone ER | -2.7 |
Olanzapine | -2.7 |
Pali/Placebo | 6.0 |
Pali/Pali | 6.1 |
Olan/Olan | 2.5 |
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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.
Intervention | Days (Number) |
---|
Pali/Placebo | 503.0 |
Pali/Pali | 448.0 |
Olan/Olan | NA |
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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).
Intervention | Scores on the scale (Mean) |
---|
Paliperidone ER | -19.2 |
Olanzapine | -19.3 |
Pali/Placebo | 9.0 |
Pali/Pali | 4.2 |
Olan/Olan | 1.3 |
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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.
Intervention | Days (Number) |
---|
| 25% Quantile of Time to Recurrence | Median Time to Recurrence |
---|
Olan/Olan | 541 | NA |
,Pali/Pali | 140.0 | 558.0 |
,Pali/Placebo | 85.0 | 283.0 |
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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.
Intervention | Days (Number) |
---|
| 25% Quantile of Time to Recurrence | Median Time to Recurrence |
---|
Olan/Olan | NA | NA |
,Pali/Pali | 498.0 | NA |
,Pali/Placebo | 194.0 | 550.0 |
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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
Intervention | units on a scale (Mean) |
---|
Pali ER Low | 6.6 |
Pali ER Medium | 16.0 |
Pali ER High | 14.4 |
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
Intervention | units on a scale (Mean) |
---|
Pali ER Low | -6.2 |
Pali ER Medium | -7.2 |
Pali ER High | 1.0 |
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
Intervention | units on a scale (Median) |
---|
Pali ER Low | 0.0 |
Pali ER Medium | -1.0 |
Pali ER High | -1.0 |
Placebo | 0.0 |
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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
Intervention | units on a scale (Mean) |
---|
Pali ER Low | 4.4 |
Pali ER Medium | 13.1 |
Pali ER High | 8.6 |
Placebo | 5.0 |
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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
Intervention | units 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
Intervention | units on a scale (Mean) |
---|
Placebo | 3.5 |
Paliperidone ER 6 mg | 6.1 |
Paliperidone ER 1.5 mg | 2.1 |
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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
Intervention | units on a scale (Mean) |
---|
Placebo | 0.4 |
Paliperidone ER 6 mg | 0.6 |
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
Intervention | units on a scale (Mean) |
---|
Placebo | 1.6 |
Paliperidone ER 6 mg | 5.7 |
Paliperidone ER 1.5 mg | 2.9 |
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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
Intervention | units on a scale (Median) |
---|
Placebo | -1.0 |
Paliperidone ER 6 mg | -0.5 |
Paliperidone ER 1.5 mg | 0.0 |
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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
Intervention | units 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
Intervention | Points on a scale (Mean) |
---|
PALI ER Immediate Initiation | 30.2 |
PALI ER Delayed Initiation | 26.4 |
Overall | 28.3 |
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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
Intervention | Participants (Number) |
---|
| Satisfied (score 5-7) | Dissatisfied (score 1-4) |
---|
Overall | 106 | 82 |
,PALI ER Delayed Initiation | 43 | 52 |
,PALI ER Immediate Initiation | 63 | 30 |
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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
Intervention | Participants (Number) |
---|
| Satisfied (score 5-7) | Dissatisfied (score 1-4) |
---|
Overall | 139 | 41 |
,PALI ER Delayed Initiation | 64 | 27 |
,PALI ER Immediate Initiation | 75 | 14 |
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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
Intervention | Participants (Number) |
---|
| Satisfied (score 5-7) | Dissatisfied (score 1-4) |
---|
Overall | 148 | 24 |
,PALI ER Delayed Initiation | 71 | 16 |
,PALI ER Immediate Initiation | 77 | 8 |
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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
Intervention | Participants (Number) |
---|
| Satisfied (score 5-7) | Dissatisfied (score 1-4) |
---|
Overall | 158 | 33 |
,PALI ER Delayed Initiation | 75 | 21 |
,PALI ER Immediate Initiation | 83 | 12 |
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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
Intervention | Points 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
Intervention | Points on a scale (Mean) |
---|
PALI ER Immediate Initiation | 2.5 |
PALI ER Delayed Initiation | 2.4 |
Overall | 2.5 |
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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
Intervention | Points on a scale (Mean) |
---|
PALI ER Immediate Initiation | 2.4 |
PALI ER Delayed Initiation | 2.1 |
Overall | 2.3 |
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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)
Intervention | Points on a scale (Mean) |
---|
PALI ER Immediate Initiation | 2.5 |
PALI ER Delayed Initiation | 2.3 |
Overall | 2.4 |
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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
Intervention | Points 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
Intervention | Points on a scale (Mean) |
---|
PALI ER Immediate Initiation | 2.0 |
PALI ER Delayed Initiation | 1.6 |
Overall | 1.8 |
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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
Intervention | Points 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
Intervention | Points 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
Intervention | Participants (Number) |
---|
| Serious Adverse Events | Other Adverse Events |
---|
Paliperidone ER Phase | 2 | 43 |
,TAU Phase | 0 | 27 |
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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
Intervention | Scores 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
Intervention | Scores 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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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
Intervention | units on a scale (Mean) |
---|
Paliperidone ER | 11.9 |
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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
Intervention | units on a scale (Mean) |
---|
Paliperidone ER | 1.8 |
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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
Intervention | units on a scale (Mean) |
---|
Paliperidone ER | 100.9 |
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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
Intervention | units on a scale (Mean) |
---|
| ABC-Irritability | ABC-Hyperactivity | ABC-Social Withdrawal | ABC-Stereotypy | ABC-Inappropriate Speech |
---|
Paliperidone ER | 12.6 | 17.4 | 7.6 | 6.4 | 3.4 |
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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
Intervention | units on a scale (Mean) |
---|
| VABS Maladaptive Behavior Subscale-Part I | VABS Maladaptive Behavior Subjscale Part II | VABS Maladaptive Behavior Subscale Total |
---|
Paliperidone ER | 19.0 | 6.4 | 25.1 |
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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
Intervention | Participants (Number) |
---|
| Treatment efficacy: Very good | Treatment efficacy: Good | Treatment efficacy: Reasonable | Treatment efficacy: Moderate | Treatment efficacy: Poor | Treatment tolerability: Very good | Treatment tolerability: Good | Treatment tolerability: Reasonable | Treatment tolerability: Moderate | Treatment tolerability: Poor |
---|
Paliperidone Extended Release (ER) | 66 | 111 | 53 | 25 | 13 | 84 | 124 | 35 | 15 | 10 |
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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)
Intervention | Percentage of participants (Number) |
---|
| Treatment Response>20 Percent at Day 2 | Treatment Response>20 Percent at Day 3 | Treatment Response>20 Percent at Day 4 | Treatment Response>20 percent at Day 5 | Treatment Response>20 Percent at Day 7 | Treatment Response>20 Percent at Day 14 | Treatment Response>20 Percent at Day 28 | Treatment Response>20 percent at Day 42 | Treatment Response>20 Percent at Final Evaluation | Treatment Response>40 Percent at Day 2 | Treatment Response>40 Percent at Day 3 | Treatment Response>40 Percent at Day 4 | Treatment Response>40 Percent at Day 5 | Treatment Response>40 Percent at Day 7 | Treatment Response>40 Percent at Day 14 | Treatment Response>40 Percent at Day 28 | Treatment Response>40 Percent at Day 42 | Treatment Response>40 Percent at Final Evaluation | Treatment Response>50 Percent at Day 2 | Treatment Response>50 Percent at Day 3 | Treatment Response>50 Percent at Day 4 | Treatment Response>50 Percent at Day 5 | Treatment Response>50 Percent at Day 7 | Treatment Response>50 Percent at Day 14 | Treatment Response>50 Percent at Day 28 | Treatment Response>50 Percent at Day 42 | Treatment Response>50 Percent at Final Evaluation |
---|
Paliperidone Extended Release (ER) | 4.4 | 12.9 | 29.9 | 39.4 | 55.6 | 72.1 | 79.9 | 87.6 | 76.5 | 0 | 1.7 | 6.9 | 11.6 | 19.6 | 33.7 | 48.0 | 59.4 | 51.4 | 0 | 0 | 2.8 | 7.4 | 11.2 | 18.1 | 29.9 | 41.5 | 34.7 |
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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)
Intervention | Units 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
Intervention | Participants (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)
Intervention | Units 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)
Intervention | Units 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)
Intervention | Units 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)
Intervention | Units 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 | -0.03 | 0.03 |
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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)
Intervention | Units on a scale (Mean) |
---|
| Positive Score: Baseline | Positive Score: Change at Day 42 | Positive Score: Change at Final Evaluation | Negative Score: Baseline | Negative Score: Change at Day 42 | Negative Score: Change at Final Evaluation | Disorganized Thoughts: Baseline | Disorganized Thoughts: Change at Day 42 | Disorganized Thoughts: Change at Final Evaluation | Uncontrolled H/E: Baseline | Uncontrolled H/E: Change at Day 42 | Uncontrolled H/E: Change at Final Evaluation | Anxiety/Depression: Baseline | Anxiety/Depression: Change at Day 42 | Anxiety/Depression: Change at Final Evaluation |
---|
Paliperidone Extended Release (ER) | 28.8 | -10.6 | -9.1 | 24.8 | -6.5 | -5.7 | 23.4 | -6.5 | -5.6 | 10.6 | -3.8 | -3.2 | 12.5 | -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)
Intervention | Units 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) |
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Paliperidone Extended Release (ER) | 5.4 | 1.4 | 1.7 | 2.1 | 2.6 | 2.1 |
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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)
Intervention | Units 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) |
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Paliperidone Extended Release (ER) | 0.16 | 0.00 | -0.00 | -0.02 | 0.01 |
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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)
Intervention | Scores 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)]
Intervention | Scores 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)
Intervention | Scores on a scale (Mean) |
---|
R092670 | 8.5 |
RISPERDAL CONSTA | 8.8 |
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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
Intervention | Scores 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 |
Placebo | 1.7 |
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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
Intervention | Scores 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
Intervention | Scores 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 |
Placebo | 0.0 |
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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)
Intervention | units on a scale (Mean) |
---|
| Baseline | Endpoint |
---|
Paliperidone | 18.5 | 10.9 |
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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)
Intervention | units on a scale (Mean) |
---|
| Baseline | Endpoint |
---|
Paliperidone | 32.8 | 14.1 |
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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
Intervention | Units on scale (Mean) |
---|
| Baseline | Change at Day 92 or Early Withdrawal |
---|
Paliperidone Palmitate | 4.9 | -1.5 |
,Risperidone Long Acting Injection (LAI) | 5.0 | -1.7 |
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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
Intervention | millimeter (mm) (Mean) |
---|
| QoS, Baseline | QoS, Change at Day 92 or Early Withdrawal | DD, Baseline | DD, Change at Day 92 or Early Withdrawal |
---|
Paliperidone Palmitate | 64.1 | 8.2 | 29.9 | -4.1 |
,Risperidone Long Acting Injection (LAI) | 66.6 | 10.0 | 29.6 | -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
Intervention | Units on scale (Mean) |
---|
| Baseline | Change at Day 92 or Early Withdrawal |
---|
Paliperidone Palmitate | 82.1 | -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
Intervention | Percentage of participants (Number) |
---|
Paliperidone Palmitate | 70.7 |
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)
Intervention | Scores on a scale (Mean) |
---|
Paliperidone | 19.14 |
Placebo | 21.24 |
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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
Intervention | Scores on a scale (Mean) |
---|
Paliperidone | 4.09 |
Placebo | 4.21 |
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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
Intervention | Participants (Number) |
---|
Paliperidone ER | 21 |
Olanzapine | 23 |
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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)
Intervention | mmol/L (Mean) |
---|
Paliperidone ER | -0.0029 |
Olanzapine | 0.1892 |
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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)
Intervention | Ratio (Mean) |
---|
Paliperidone ER | -0.08 |
Olanzapine | 0.42 |
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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)
Intervention | dimensionless (Mean) |
---|
Paliperidone ER | -7.54 |
Olanzapine | 18.82 |
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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)
Intervention | dimensionless (Mean) |
---|
Paliperidone ER | 0.28 |
Olanzapine | 0.43 |
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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)
Intervention | mmol/L (Mean) |
---|
Paliperidone ER | 0.01 |
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)
Intervention | pM/mM (Mean) |
---|
Paliperidone ER | 2.21 |
Olanzapine | 33.78 |
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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)
Intervention | pM/mM (Mean) |
---|
Paliperidone ER | 8.63 |
Olanzapine | 17.28 |
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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)
Intervention | cm (Mean) |
---|
Paliperidone ER | 0.70 |
Olanzapine | 3.38 |
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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)
Intervention | kg (Mean) |
---|
Paliperidone ER | 1.16 |
Olanzapine | 3.81 |
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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)
Intervention | mmol/L (Mean) |
---|
Paliperidone ER | 0.0263 |
Olanzapine | 0.2886 |
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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)
Intervention | points 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)
Intervention | pmol/L (Mean) |
---|
Paliperidone ER | 2.7397 |
Olanzapine | 17.2327 |
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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)
Intervention | kg/m² (Mean) |
---|
Paliperidone ER | 0.43 |
Olanzapine | 1.32 |
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Change From Baseline to End Point in Fasting Glucose
(NCT00645099)
Timeframe: Baseline to End Point (up to 6 months)
Intervention | mmol/L (Mean) |
---|
Paliperidone ER | -0.2071 |
Olanzapine | 0.0769 |
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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)
Intervention | Participants (Number) |
---|
Paliperidone ER | 36 |
Olanzapine | 33 |
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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)
Intervention | mmol/L (Mean) |
---|
Paliperidone ER | -0.01 |
Olanzapine | 0.36 |
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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)
Intervention | Participants (Number) |
---|
Paliperidone ER | 68 |
Olanzapine | 66 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline (n=273) | Change at Week 24 (n=246) |
---|
Paliperidone Extended Release (ER) | 48.9 | 5.8 |
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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
Intervention | Participants (Number) |
---|
| Very good | Good | Moderate | Poor | Very poor |
---|
Paliperidone Extended Release (ER) | 11 | 83 | 83 | 49 | 11 |
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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
Intervention | Units 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) | 3.2 | 0.1 | 2.6 | -0.3 |
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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
Intervention | Units 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
Intervention | Units 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) |
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Paliperidone Extended Release (ER) | 21.6 | -2.2 | 17.0 | -1.7 | 16.7 | -1.4 | 7.5 | -0.5 | 9.7 | -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
Intervention | Units 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
Intervention | Percentage 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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Week 4 | Week 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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Week 4 | Week 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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Week 2 | Week 4 | Week 8 | Week 12 |
---|
Paliperidone Extended-release (ER) | 4.60 | 4.02 | 3.66 | 3.40 | 3.10 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Week 2 | Week 4 | Week 8 | Week 12 |
---|
Paliperidone Extended-release (ER) | 4.62 | 4.08 | 3.73 | 3.50 | 3.29 |
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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
Intervention | Percentage 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
Intervention | Percentage 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
Intervention | Percentage of participants (Number) |
---|
Paliperidone Extended-release (ER) | 34.78 |
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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
Intervention | Participants (Number) |
---|
| Very much improved | Much improved | Minimally Improved | No change | Minimally worse | Much worse | Very much worse |
---|
Paliperidone Extended-release (ER) | 5 | 115 | 158 | 46 | 15 | 6 | 0 |
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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
Intervention | Percentage of participants (Number) |
---|
Paliperidone Extended-release (ER) | 41.92 |
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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
Intervention | Participants (Number) |
---|
| Very much improved | Much improved | Minimally Improved | No change | Minimally worse | Much worse | Very much worse |
---|
Paliperidone Extended-release (ER) | 5 | 104 | 118 | 28 | 5 | 0 | 0 |
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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
Intervention | Units on a scale (Mean) |
---|
Paliperidone ER: Lack of Efficacy | -1.17 |
Paliperidone ER: Lack of Tolerability | -5.05 |
Paliperidone ER: Lack of Compliance | 2.40 |
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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
Intervention | Units on a scale (Mean) |
---|
Paliperidone ER: Lack of Efficacy | 3.53 |
Paliperidone ER: Lack of Tolerability | 1.05 |
Paliperidone ER: Lack of Compliance | 5.00 |
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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
Intervention | Units on a scale (Mean) |
---|
Paliperidone ER: Lack of Efficacy | -0.01 |
Paliperidone ER: Lack of Tolerability | -0.95 |
Paliperidone ER: Lack of Compliance | 0.08 |
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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
Intervention | millimeter (mm) (Mean) |
---|
Paliperidone ER: Lack of Efficacy | 1.50 |
Paliperidone ER: Lack of Tolerability | -7.76 |
Paliperidone ER: Lack of Compliance | 3.40 |
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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
Intervention | Units on a scale (Mean) |
---|
Paliperidone ER: Lack of Efficacy | 5.51 |
Paliperidone ER: Lack of Tolerability | 3.19 |
Paliperidone ER: Lack of Compliance | 8.00 |
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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
Intervention | millimeter (mm) (Mean) |
---|
Paliperidone ER: Lack of Efficacy | 5.40 |
Paliperidone ER: Lack of Tolerability | 2.10 |
Paliperidone ER: Lack of Compliance | 11.40 |
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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
Intervention | Units on a scale (Mean) |
---|
Paliperidone ER: Lack of Efficacy | 11.57 |
Paliperidone ER: Lack of Tolerability | 6.43 |
Paliperidone ER: Lack of Compliance | 16.36 |
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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
Intervention | Units on a scale (Mean) |
---|
Paliperidone ER: Lack of Efficacy | 14.88 |
Paliperidone ER: Lack of Tolerability | 12.38 |
Paliperidone ER: Lack of Compliance | 25.44 |
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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
Intervention | Units on a scale (Mean) |
---|
Paliperidone ER: Lack of Efficacy | 2.53 |
Paliperidone ER: Lack of Tolerability | 2.19 |
Paliperidone ER: Lack of Compliance | 3.36 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at Week 24 |
---|
Paliperidone (Lack of Compliance Group) | 67.66 | 10.50 |
,Paliperidone (Lack of Efficacy Group) | 99.84 | 13.09 |
,Paliperidone (Lack of Tolerability Group) | 73.03 | 8.87 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at Week 24 |
---|
Paliperidone (Lack of Compliance Group) | 3.25 | 0.47 |
,Paliperidone (Lack of Efficacy Group) | 3.77 | 0.70 |
,Paliperidone (Lack of Tolerability Group) | 3.46 | 0.47 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at Week 24 |
---|
Paliperidone (Lack of Compliance Group) | 3.48 | 0.35 |
,Paliperidone (Lack of Efficacy Group) | 3.63 | 0.46 |
,Paliperidone (Lack of Tolerability Group) | 3.66 | 0.37 |
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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
Intervention | Millimeter (mm) (Mean) |
---|
| Baseline | Change at Week 24 |
---|
Paliperidone (Lack of Compliance Group) | 44.47 | 7.83 |
,Paliperidone (Lack of Efficacy Group) | 43.27 | 4.80 |
,Paliperidone (Lack of Tolerability Group) | 39.40 | 2.42 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at Week 24 |
---|
Paliperidone (Lack of Compliance Group) | 4.38 | 1.69 |
,Paliperidone (Lack of Efficacy Group) | 5.38 | 1.43 |
,Paliperidone (Lack of Tolerability Group) | 4.74 | 1.32 |
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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
Intervention | Millimeter (mm) (Mean) |
---|
| Baseline | Change at Week 24 |
---|
Paliperidone (Lack of Compliance Group) | 62.45 | -1.94 |
,Paliperidone (Lack of Efficacy Group) | 65.62 | 1.74 |
,Paliperidone (Lack of Tolerability Group) | 70.89 | 3.66 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change 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
Intervention | Units 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
Intervention | Units 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 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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at Week 24 |
---|
Paliperidone (Lack of Compliance Group) | 83.39 | 1.16 |
,Paliperidone (Lack of Efficacy Group) | 109.65 | 2.42 |
,Paliperidone (Lack of Tolerability Group) | 107.23 | 9.40 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change 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
Intervention | Millimeter (mm) (Mean) |
---|
| Baseline | Change 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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at Week 24 |
---|
Paliperidone (Lack of Compliance Group) | 3.86 | 1.09 |
,Paliperidone (Lack of Efficacy Group) | 4.78 | 0.94 |
,Paliperidone (Lack of Tolerability Group) | 3.45 | 1.09 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change 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
Intervention | Millimeter (mm) (Mean) |
---|
| Baseline | Change at Week 24 |
---|
Paliperidone (Lack of Compliance Group) | 46.55 | 10.05 |
,Paliperidone (Lack of Efficacy Group) | 40.57 | -1.18 |
,Paliperidone (Lack of Tolerability Group) | 45.96 | 3.94 |
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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
Intervention | Units on a scale (Mean) |
---|
Paliperidone | 3.58 |
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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
Intervention | Units 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
Intervention | Units 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
Intervention | Units 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
Intervention | Units on a scale (Mean) |
---|
Paliperidone | 77.89 |
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Body Mass Index (BMI) Z-score Change
(NCT00806234)
Timeframe: Change from baseline to 24 weeks
Intervention | Z Score (Least Squares Mean) |
---|
Healthy Lifestyle Information | 0.040 |
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
Intervention | mg/dL (Least Squares Mean) |
---|
Healthy Lifestyle Information | 3.6 |
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
Intervention | mU/L (Least Squares Mean) |
---|
Healthy Lifestyle Information | 0.74 |
Switch Treatment + Healthy Lifestyle Instruction | 0.42 |
Metformin Treatment + Healthy Lifestyle Instruction | -0.34 |
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Triglyceride Levels
(NCT00806234)
Timeframe: Change from baseline to 24 weeks
Intervention | mg/dL (Least Squares Mean) |
---|
Healthy Lifestyle Information | 0.2 |
Switch Treatment + Healthy Lifestyle Instruction | 16.6 |
Metformin Treatment + Healthy Lifestyle Instruction | 14.7 |
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Percentage of Paliperidone or Risperidone Dopamine D2 Receptor Occupancies
(NCT00934635)
Timeframe: Visit 3 (on day 3)
Intervention | percentage (Number) |
---|
Paliperidone ER 9 mg Tablet Followed by PET Scan in 2 Hours | 0 |
Control | 0 |
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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
Intervention | Units on a scale (Median) |
---|
| Baseline | Change at Day 56 | Change at Day 182 |
---|
Aripiprazole | 4.0 | -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
Intervention | Participants (Number) |
---|
Paliperidone Extended Release (ER) | 58 |
Aripiprazole | 68 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline: Positive Subscale | Change at Day 56: Positive Subscale | Change at Day 182: Positive Subscale | Baseline: Negative Subscale | Change at Day 56: Negative Subscale | Change at Day 182: Negative Subscale | Baseline: General Psychopathology | Change at Day 56: General Psychopathology | Change at Day 182: General Psychopathology |
---|
Aripiprazole | 22.5 | -6.2 | -8.3 | 24.2 | 4.5 | -6.1 | 45.3 | -9.1 | -12.4 |
,Paliperidone Extended Release (ER) | 21.5 | -6.4 | -8.0 | 23.8 | -4.2 | -5.7 | 44.3 | -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
Intervention | Participants (Number) |
---|
| Day 56 | Day 182 |
---|
Aripiprazole | 87 | 93 |
,Paliperidone Extended Release (ER) | 76 | 86 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at Day 56 |
---|
Aripiprazole | 92.0 | -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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at Day 56 | Change at Day 182 |
---|
Aripiprazole | 23.3 | -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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at Day 182 |
---|
Aripiprazole | 92.0 | -26.8 |
,Paliperidone Extended Release (ER) | 89.6 | -25.6 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline: Positive symptoms | Change at Day 56: Positive symptoms | Change at Day 182: Positive symptoms | Baseline: Negative symptoms | Change at Day 56: Negative symptoms | Change at Day 182: Negative symptoms | Baseline: Disorganized thoughts | Change at Day 56: Disorganized thoughts | Change at Day 182: Disorganized thoughts | Baseline: Uncontrolled hostility | Change at Day 56: Uncontrolled hostility | Change at Day 182: Uncontrolled hostility | Baseline: Anxiety/depression | Change at Day 56: Anxiety/depression | Change at Day 182: Anxiety/depression |
---|
Aripiprazole | 24.9 | -5.6 | -7.8 | 23.3 | -4.7 | -6.2 | 22.1 | -4.1 | -5.7 | 11.7 | -2.9 | -3.8 | 10.0 | -2.6 | -3.2 |
,Paliperidone Extended Release (ER) | 24.6 | -6.1 | -7.8 | 23.2 | -4.3 | -6.0 | 21.4 | -4.0 | -5.5 | 10.7 | -2.5 | -3.2 | 9.7 | -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
Intervention | Units 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 Phase | 6.7 | -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
Intervention | Units 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
Intervention | Units 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 Phase | 26.65 | 19.25 | -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
Intervention | Units 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 Phase | 45.17 | 5.3 | 9.0 | 9.7 | 12.0 | 12.6 | 14.6 |
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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
Intervention | Units 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 Phase | 6.4 | -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
Intervention | Participants (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 Phase | 2 | 22 | 41 | 55 | 22 | 10 | 23 | 37 | 58 | 24 | 10 |
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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
Intervention | Percentage 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 Phase | 13.2 | 40.9 | 32.1 | 11.3 | 2.5 | 31.4 | 54.1 | 13.8 | 0.6 | 37.1 | 11.3 | 3.1 | 39.0 | 46.5 | 10.1 | 3.8 | 0.6 | 41.5 | 50.9 | 6.9 | 0.6 | 38.8 | 51.3 | 7.2 | 2.0 | 0.7 | 41.3 | 43.2 | 12.9 | 2.6 |
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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
Intervention | Percentage 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 Phase | 11.7 | 38.5 | 34.3 | 12.7 | 2.8 | 29.5 | 52.5 | 16.5 | 1.0 | 0.5 | 33.7 | 48.9 | 13.7 | 3.7 | 37.4 | 46.2 | 12.1 | 3.8 | 0.5 | 36.3 | 46.1 | 10.8 | 4.4 | 2.5 |
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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
Intervention | Participants (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 Phase | 2 | 4 | 52 | 114 | 40 | 1 | 4 | 25 | 87 | 61 | 24 | 5 | 35 | 80 | 56 | 15 | 0 | 2 | 7 | 41 | 73 | 47 | 12 | 3 | 16 | 48 | 70 | 48 | 19 |
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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
Intervention | Units 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
Intervention | Percentage of participants (Number) |
---|
Paliperidone ER-Main Phase | 60.1 |
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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
Intervention | Percentage of participants (Number) |
---|
Paliperidone ER-Main Phase Plus Extension Phase | 71.1 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline: Physical component summary | Baseline: Mental component summary | Week 26: Physical component summary | Week 26: Mental component summary |
---|
Paliperidone ER- Main Phase | 47.9 | 35.9 | 48.4 | 38.3 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline: Physical component summary | Baseline: Mental component summary | Week 52: Physical component summary | Week 52: Mental component summary |
---|
Paliperidone ER-Main Phase Plus Extension Phase | 48.7 | 35.7 | 48.8 | 38.5 |
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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
Intervention | Units 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) |
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Paliperidone ER-Main Plus Extension Phase | 1.41 | -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
Intervention | Units 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) |
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Paliperidone ER - Main Phase | 1.30 | -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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at Week 52 |
---|
Paliperidone (ER) - Main Phase Plus Extension Phase | 93.25 | -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
Intervention | Units 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 Phase | 5.7 | 8.3 | 9.9 | 10.4 |
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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
Intervention | units on a scale (Mean) |
---|
| Effectiveness; Baseline score | Effectiveness; change at Month 12 | Effectiveness; change at Month 24 | Effectiveness; change at Endpoint (LOCF) | Side-effects; Baseline score | Side-effects; change at Month 12 | Side-effects; change at Month 24 | Side-effects; change at Endpoint (LOCF) | Convenience; Baseline score | Convenience; change at Month 12 | Convenience; change at Month 24 | Convenience; change at Endpoint (LOCF) | Global Satisfaction; Baseline score | Global Satisfaction; change at Month 12 | Global Satisfaction; change at Month 24 | Global Satisfaction; change at Endpoint (LOCF) |
---|
Oral Antipsychotics | 59.5 | 6.6 | 12.4 | 4.5 | 87.3 | 2.5 | 3.5 | 0.7 | 68.4 | 1.0 | 4.7 | 0.3 | 62.8 | 7.0 | 9.2 | 1.0 |
,Paliperidone Palmitate | 61.9 | 6.7 | 8.5 | 3.8 | 91.3 | 2.1 | 2.8 | -1.4 | 67.1 | 8.4 | 10.4 | 7.4 | 64.0 | 8.2 | 8.6 | 3.0 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline score | change from baseline at Day 8 | change from baseline at Month 1 | change from baseline at Month 2 | change from baseline at Month 3 | change from baseline at Month 4 | change from baseline at Month 6 | change from baseline at Month 9 | change from baseline at Month 12 | change from baseline at Month 15 | change from baseline at Month 18 | change from baseline at Month 21 | change from baseline at Month 24 | change at Endpoint (LOCF) |
---|
Oral Antipsychotics | 81.5 | -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 Palmitate | 82.5 | -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
Intervention | units on a scale (Mean) |
---|
| Positive Subscale; Baseline score | Positive Subscale; change at Day 8 | Positive Subscale; change at Month 12 | Positive Subscale; change at Month 24 | Positive Subscale; change at Endpoint (LOCF) | Negative Subscale; Baseline score | Negative Subscale; change at Day 8 | Negative Subscale; change at Month 12 | Negative Subscale; change at Month 24 | Negative Subscale; change at Endpoint (LOCF) | General Psychopathology; Baseline score | General Psychopathology; change at Day 8 | General Psychopathology; change at Month 12 | General Psychopathology; change at Month 24 | General Psychopathology; change at Endpoint (LOCF) |
---|
Oral Antipsychotics | 18.3 | -1.3 | -6.2 | -6.7 | -3.8 | 22.3 | -0.8 | -4.7 | -5.9 | -3.7 | 40.8 | -1.6 | -10.3 | -12.0 | -6.7 |
,Paliperidone Palmitate | 18.4 | -1.5 | -6.3 | -6.8 | -4.4 | 22.6 | -1.0 | -4.8 | -6.2 | -4.1 | 41.4 | -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
Intervention | units on a scale (Mean) |
---|
| Baseline score | change from baseline at Month 6 | change from baseline at Month 12 | change from baseline at Month 24 | change from baseline at Endpoint (LOCF) |
---|
Oral Antipsychotics | 57.6 | 11.9 | 15.6 | 18.6 | 11.9 |
,Paliperidone Palmitate | 57.5 | 10.6 | 15.0 | 17.9 | 13.0 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline score | change from baseline at Month 6 | change from baseline at Month 12 | change from baseline at Month 24 | change from baseline at Endpoint (LOCF) |
---|
Oral Antipsychotics | 0.78 | 0.09 | 0.11 | 0.12 | 0.08 |
,Paliperidone Palmitate | 0.80 | 0.06 | 0.08 | 0.10 | 0.06 |
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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
Intervention | number of participants (Number) |
---|
| No | Yes |
---|
Oral Antipsychotics | 287 | 76 |
,Paliperidone Palmitate | 300 | 52 |
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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
Intervention | percentage of participants (Number) |
---|
Paliperidone Palmitate | 75.6 |
Oral Antipsychotics | 69.4 |
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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
Intervention | units on a scale (Mean) |
---|
| Efficacy; Baseline score | Efficacy; change at Month 12 | Efficacy; change at Month 24 | Efficacy; change at Endpoint (LOCF) | Safety; Baseline score | Safety; change at Month 12 | Safety; change at Month 24 | Safety; change at Endpoint (LOCF) | Mode of Administration: Baseline score | Mode of Administration: change at Month 12 | Mode of Administration: change at Month 24 | Mode of Administration: change at Endpoint (LOCF) | Overall Satisfaction; Baseline score | Overall Satisfaction; change at Month 12 | Overall Satisfaction; change at Month 24 | Overall Satisfaction; change at Endpoint (LOCF) |
---|
Oral Antipsychotics | 2.8 | -0.4 | -0.6 | 0.0 | 2.6 | -0.2 | -0.3 | -0.0 | 2.6 | -0.0 | -0.1 | 0.0 | 2.7 | -0.3 | -0.3 | 0.1 |
,Paliperidone Palmitate | 2.7 | -0.5 | -0.6 | -0.2 | 2.4 | -0.4 | -0.4 | -0.2 | 2.6 | -0.7 | -0.7 | -0.5 | 2.6 | -0.5 | -0.6 | -0.2 |
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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
Intervention | units on a scale (Mean) |
---|
| Positive Symptoms Factor Score; Baseline score | Positive Symptoms Factor Score; change at Day 8 | Positive Symptoms Factor Score; change at Month 12 | Positive Symptoms Factor Score; change at Month 24 | Positive Symptoms Factor Score; change at Endpoint | Negative Symptoms Factor Score; Baseline score | Negative Symptoms Factor Score; change at Day 8 | Negative Symptoms Factor Score; change at Month 12 | Negative Symptoms Factor Score; change at Month 24 | Negative Symptoms Factor Score; change at Endpoint | Disorganized Thoughts Factor; Baseline score | Disorganized Thoughts Factor; change at Day 8 | Disorganized Thoughts Factor; change at Month 12 | Disorganized Thoughts Factor; change at Month 24 | Disorganized Thoughts Factor; change at Endpoint | Uncontrolled Hostility/Excitement; Baseline score | Uncontrolled Hostility/Excitement; change at Day 8 | Uncontrolled Hostility/Excitement; change Month 12 | Uncontrolled Hostility/Excitement; change Month 24 | Uncontrolled Hostility/Excitement; change Endpoint | Anxiety/Depression Factor; Baseline score | Anxiety/Depression Factor; change at Day 8 | Anxiety/Depression Factor; change at Month 12 | Anxiety/Depression Factor; change at Month 24 | Anxiety/Depression Factor; change at Endpoint |
---|
Oral Antipsychotics | 22.5 | -1.3 | -6.9 | -7.8 | -4.7 | 21.5 | -0.8 | -4.9 | -6.1 | -3.8 | 19.4 | -0.6 | -4.6 | -5.4 | -3.2 | 8.3 | -0.4 | -2.1 | -2.3 | -0.8 | 9.8 | -0.6 | -2.7 | -3.0 | -1.8 |
,Paliperidone Palmitate | 22.9 | -1.5 | -6.9 | -7.6 | -5.0 | 22.0 | -1.0 | -5.1 | -6.5 | -4.3 | 19.5 | -1.0 | -4.6 | -5.4 | -3.7 | 8.4 | -0.7 | -2.3 | -2.7 | -1.5 | 9.7 | -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.
Intervention | days (Mean) |
---|
Paliperidone Palmitate | 616 |
Oral Antipsychotics | 603 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline score | change from baseline at Day 8 | change from baseline at Month 1 | change from baseline at Month 2 | change from baseline at Month 3 | change from baseline at Month 4 | change from baseline at Month 6 | change from baseline at Month 9 | change from baseline at Month 12 | change from baseline at Month 15 | change from baseline at Month 18 | change from baseline at Month 21 | change from baseline at Month 24 | change from baseline at Endpoint (LOCF) |
---|
Oral Antipsychotics | 3.8 | -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 Palmitate | 3.9 | -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
Intervention | percentage of participants (Number) |
---|
| Month 24; Very Much Improved | Month 24; Much Improved | Month 24; Minimally Improved | Month 24; No change | Month 24; Minimally Worse | Month 24; Much Worse | Month 24; Very Much Worse | Endpoint; Very Much Improved | Endpoint; Much Improved | Endpoint; Minimally Improved | Endpoint; No change | Endpoint; Minimally Worse | Endpoint; Much Worse | Endpoint; Very Much Worse |
---|
Oral Antipsychotics | 21.7 | 47.8 | 20.8 | 7.7 | 1.0 | 1.0 | 0.0 | 14.2 | 35.8 | 21.9 | 10.8 | 6.1 | 10.6 | 0.6 |
,Paliperidone Palmitate | 22.9 | 52.9 | 17.0 | 6.7 | 0.0 | 0.4 | 0.0 | 17.1 | 40.6 | 17.4 | 10.6 | 5.1 | 9.1 | 0.0 |
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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
Intervention | units on a scale (Mean) |
---|
Paliperidone | 37.5 |
Lithium | 39.6 |
Placebo | 39.2 |
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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
Intervention | units on a scale (Mean) |
---|
Paliperidone | 22.1 |
Lithium | 22.1 |
Placebo | 21.3 |
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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
Intervention | Units 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
Intervention | participants (Number) |
---|
Paliperidone Palmitate | 49 |
Haloperidol Decanoate | 47 |
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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
Intervention | Units on a scale (Least Squares Mean) |
---|
Paliperidone Palmitate | -0.48 |
Oral Antipsychotics | -0.43 |
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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
Intervention | Days (Median) |
---|
Paliperidone Palmitate | NA |
Oral Antipsychotics | NA |
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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
Intervention | Days (Median) |
---|
Paliperidone Palmitate | NA |
Oral Antipsychotics | 274 |
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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
Intervention | Days (Median) |
---|
Paliperidone Palmitate | 416 |
Oral Antipsychotics | 226 |
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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
Intervention | percentage of participants (Number) |
---|
| Treatment Failure Due to Any Event | Arrest/incarceration | Psychiatric hospitalization | D/C due to safety/tolerability | Treatment supplementation | D/C due to inadequate efficacy | Increase in level of psychiatric services | Suicide |
---|
Oral Antipsychotics | 53.7 | 29.4 | 11.9 | 3.7 | 2.8 | 4.1 | 1.8 | 0 |
,Paliperidone Palmitate | 39.8 | 21.2 | 8.0 | 6.6 | 2.2 | 0.4 | 1.3 | 0 |
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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
Intervention | Units on a scale (Mean) |
---|
| Double-blind: Baseline (n=164, 170) | Double-blind: Change at Endpoint (n=161, 168) |
---|
Paliperidone Palmitate | 51.1 | 0.5 |
,Placebo | 51.8 | 7.4 |
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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
Intervention | Units on a scale (Mean) |
---|
| Double-blind: Baseline (n=164, 170) | Double-blind: Change at Endpoint (n=161,168) |
---|
Paliperidone Palmitate | 4.4 | -0.1 |
,Placebo | 4.4 | 3.2 |
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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
Intervention | Units 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 Palmitate | 4.4 | -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
Intervention | Units 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 Palmitate | 20.4 | -9.7 | -9.9 |
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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
Intervention | Units 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 Palmitate | 85.8 | -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
Intervention | Units 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 Palmitate | 18.6 | -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
Intervention | percentage 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 Palmitate | 15.2 | 11.5 | 18.6 | 12.8 | 11.0 | 3.0 | 4.9 | 3.0 |
,Placebo | 33.5 | 32.9 | 34.0 | 31.2 | 28.2 | 9.4 | 13.5 | 5.3 |
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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
Intervention | Units on a scale (Mean) |
---|
| Double-blind: Baseline (n=164, 170) | Double-blind: Change at Endpoint (n=161,168) |
---|
Paliperidone Palmitate | 2.4 | 0.0 |
,Placebo | 2.5 | 0.4 |
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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
Intervention | Units on a scale (Mean) |
---|
| Double-blind: Baseline (n=164, 170) | Double-blind: Change at Endpoint (n=161, 168) |
---|
Paliperidone Palmitate | 5.7 | 0.8 |
,Placebo | 5.6 | 3.4 |
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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
Intervention | trials (Mean) |
---|
| Wisconsin card sorting test-Category completed | Wisconsin card sorting test-Perseverative response | Wisconsin card sorting test-Perseverative error | WCST-Trials to complete first category trials |
---|
Paliperidone ER | 6.00 | 10.10 | 6.50 | 12.10 |
,Placebo | 6.00 | 13.08 | 9.67 | 11.75 |
,Risperidone | 6.00 | 14.11 | 10.00 | 14.00 |
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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
Intervention | units on a scale (Mean) |
---|
| NIDSS-Avolition | NIDSS-Blunted Affect | NIDSS-Cognition | NIDSS-Total | SANS-Global score for alogia | SANS-Global score for blunted affect |
---|
Paliperidone ER | -0.66 | -0.24 | -0.38 | -0.42 | 0 | 0.10 |
,Placebo | -0.28 | 0.02 | 0.02 | -0.06 | 0 | 0 |
,Risperidone | -1.30 | -0.70 | -0.54 | -0.77 | 0.67 | 0.67 |
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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
Intervention | units on a scale (Mean) |
---|
| NIDSS-Avolition | NIDSS-Blunted Affect | NIDSS-Cognition | NIDSS-Total | SANS-Global score for alogia | SANS-Global score for blunted affect |
---|
Paliperidone ER | 0.14 | 0.04 | 0.28 | 0.19 | 0 | 0 |
,Placebo | -0.37 | -0.27 | -0.26 | -0.29 | 0 | 0 |
,Risperidone | -0.85 | -0.70 | -0.66 | -0.72 | 0.13 | 0.25 |
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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
Intervention | scores on a scale (Mean) |
---|
| Word-fluency test-Animal | Word-fluency test-Stationery | "Word-fluency test-ㄱ" | "Word-fluency test-ㅅ" | "Word-fluency test-ㅇ" |
---|
Paliperidone ER | 23.50 | 23.60 | 17.10 | 16.40 | 16.70 |
,Placebo | 25.42 | 26.00 | 19.75 | 18.25 | 17.17 |
,Risperidone | 22.22 | 22.56 | 17.44 | 17.44 | 16.11 |
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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
Intervention | units on a scale (Mean) |
---|
| VAS-Total score | VAS-Mental sedation score | VAS-Physical sedation score | DIEPSS-Bradykinesia score |
---|
Paliperidone ER | 3.42 | 3.60 | 3.35 | 0.10 |
,Placebo | 3.74 | 4.21 | 3.69 | 0 |
,Risperidone | 6.15 | 6.53 | 6.25 | 0.25 |
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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
Intervention | units on a scale (Mean) |
---|
| VAS-Total score | VAS-Mental sedation score | VAS-Physical sedation score | DIEPSS-Bradykinesia score |
---|
Paliperidone ER | 4.11 | 4.78 | 4.08 | 0.20 |
,Placebo | 3.35 | 3.85 | 3.23 | 0.08 |
,Risperidone | 5.41 | 6.05 | 5.78 | 0.60 |
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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
Intervention | milliseconds (Mean) |
---|
| Stroop test-Color | Stroop test-Word-color | Stroop test-Interference score | Trail making test B |
---|
Paliperidone ER | 12.68 | 18.31 | 5.63 | 31.10 |
,Placebo | 13.09 | 17.53 | 4.44 | 28.42 |
,Risperidone | 15.40 | 21.84 | 6.43 | 29.78 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline | Change at Week 13 or Early Discontinuation |
---|
Paliperidone Palmitate (Double-blind) | 24.0 | -1.5 |
,Placebo (Double-blind) | 22.7 | 0.9 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline | Change at Week 13 or Early Discontinuation |
---|
Paliperidone Palmitate (Double-blind) | 85.7 | -3.1 |
,Placebo (Double-blind) | 83.5 | 6.9 |
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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)
Intervention | units on a scale (Mean) |
---|
| Positive symptoms: Baseline | Positive symptoms: Change at Week 13 or ED | Negative symptoms: Baseline | Negative symptoms: Change at Week 13 or ED | Disorganized thoughts: Baseline | Disorganized thoughts: Change at Week 13 or ED | Uncontrolled hostility/excitement: Baseline | Uncontrolled hostility: Change at Week 13 or ED | Anxiety/depression: Baseline | Anxiety/depression: Change at Week 13 or ED |
---|
Paliperidone Palmitate (Double-blind) | 24.2 | -1.1 | 22.8 | -1.4 | 20.8 | -0.6 | 8.6 | 0.4 | 9.4 | -0.4 |
,Placebo (Double-blind) | 24.3 | 1.6 | 21.7 | 0.9 | 19.6 | 1.9 | 8.3 | 1.9 | 9.5 | 0.7 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline | Change at Week 13 or Early Discontinuation |
---|
Paliperidone Palmitate (Double-blind) | 19.5 | -0.6 |
,Placebo (Double-blind) | 19.3 | 2.2 |
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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
Intervention | units on a scale (Median) |
---|
| Baseline | Change at Week 13 or Early Discontinuation |
---|
Paliperidone Palmitate (Double-blind) | 4.0 | 0.0 |
,Placebo (Double-blind) | 4.0 | 0.0 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline | Change at Week 13 or Early Discontinuation |
---|
Paliperidone Palmitate (Double-blind) | 42.3 | -1.0 |
,Placebo (Double-blind) | 41.4 | 3.8 |
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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
Intervention | participants (Number) |
---|
| Greater than or equal to 30 percent Improvement | Greater than or equal to 20 percent Improvement |
---|
Paliperidone Palmitate (Double-blind) | 36 | 52 |
,Placebo (Double-blind) | 14 | 23 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline | Week 13 |
---|
Paliperidone ER | 6.22 | 7.08 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline | Week 13 |
---|
Paliperidone ER | 4.09 | 3.30 |
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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
Intervention | units on a scale (Median) |
---|
| Baseline | Week 13 |
---|
Paliperidone ER | 4 | 3 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline | Change at Week 13 |
---|
Paliperidone ER | 44.84 | -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
Intervention | units on a scale (Mean) |
---|
| Baseline | Change at Week 13 |
---|
Paliperidone ER | 21.03 | -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
Intervention | units on a scale (Mean) |
---|
| Baseline | Change at Week 13 |
---|
Paliperidone ER | 73.81 | 6.86 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline | Change at Week 13 |
---|
Paliperidone ER | 88.98 | 22.468 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline | Change at Week 13 |
---|
Paliperidone ER | 23.11 | -4.82 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline | Change at Week 13 |
---|
Paliperidone ER | 41.20 | 2.0 |
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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
Intervention | percentage of participants (Number) |
---|
Paliperidone ER | 40.5 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline: ESRS Total Score | Week 13: ESRS Total Score | Baseline: Park, Dyst, Dysk and Akat | Week 13: Park, Dyst, Dysk and Akat | Baseline: Park | Week 13: Park | Baseline: Dyst | Week 13: Dyst | Baseline: Dysk Movements | Week 13: Dysk Movements | Baseline: Hyperkinesia | Week 13: Hyperkinesia | Baseline: Hypokinesia | Week 13: Hypokinesia | Baseline: Bucco-Linguo-Masticatory | Week 13: Bucco-Linguo-Masticatory | Baseline: Choreoathetoid movements of limbs | Week 13: Choreoathetoid movements of limbs |
---|
Paliperidone ER | 7.39 | 2.21 | 1.86 | 0.56 | 4.30 | 1.33 | 0.66 | 0.15 | 0.58 | 0.18 | 1.43 | 0.44 | 2.66 | 0.80 | 0.21 | 0.05 | 0.20 | 0.06 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at Week 10 |
---|
Paliperidone Extended Release (ER) | 3.55 | 0.82 |
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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
Intervention | Participants (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) |
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Lack of Efficacy Group | 1 | 15 | 84 | 124 | 6 | 30 | 93 | 62 | 23 | 0 |
,Lack of Tolerability Group | 3 | 30 | 58 | 21 | 1 | 23 | 51 | 24 | 6 | 1 |
,Other Group | 0 | 15 | 25 | 1 | 0 | 10 | 18 | 10 | 2 | 0 |
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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
Intervention | mm (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) |
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Lack of Efficacy Group | 60.76 | 15.76 | 38.16 | -15.76 |
,Lack of Tolerability Group | 75.89 | 2.90 | 44.77 | -21.66 |
,Other Group | 70.31 | 13.60 | 34.26 | -18.10 |
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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
Intervention | Percentage of participants (Number) |
---|
Lack of Efficacy Group | 65.97 |
Lack of Tolerability Group | 51.72 |
Other Group | 61.90 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline (n=237,115,41) | Change at Week 12 (n=208,103,40) |
---|
Lack of Efficacy Group | 4.54 | -1.77 |
,Lack of Tolerability Group | 3.20 | -1.01 |
,Other Group | 3.86 | -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
Intervention | Units on a scale (Mean) |
---|
| Positive symptoms: Baseline | Positive symptoms: Change at Week 12 | Negative symptoms: Baseline | Negative symptoms: Change at Week 12 | Disorganized thoughts: Baseline | Disorganized thoughts: Change at Week 12 | Uncontrolled hostility/excitement: Baseline | Uncontrolled hostility/excitement:Change at Week12 | Anxiety/depression: Baseline | Anxiety/depression: Change at Week 12 |
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Paliperidone Extended Release (ER) | 21.61 | -8.16 | 19.15 | -6.53 | 14.13 | -4.13 | 7.73 | -2.74 | 7.45 | -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
Intervention | Units on a scale (Mean) |
---|
| Positive: Baseline | Positive: Change at Week 12 | Negative: Baseline | Negative: Change at Week 12 | General psychopathology: Baseline | General psychopathology: Change at Week 12 |
---|
Paliperidone Extended Release (ER) | 17.07 | -6.59 | 18.57 | -6.14 | 34.44 | -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
Intervention | unit on a scale (Mean) |
---|
| Baseline | Change at Week 12 |
---|
Lack of Efficacy Group | 77.18 | -26.29 |
,Lack of Tolerability Group | 58.46 | -13.99 |
,Other Group | 63.33 | -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
Intervention | scores on a scale (Mean) |
---|
NO/PAL | -0.6 |
PLA/PAL Group | -0.6 |
PAL/PAL Group | -0.7 |
OLZ/PAL | 0.1 |
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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
Intervention | scores on a scale (Mean) |
---|
NO/PAL | -13.4 |
PLA/PAL Group | -11.1 |
PAL/PAL Group | -17.2 |
OLZ/PAL | 2.8 |
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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
Intervention | percentage of patients (Number) |
---|
Entire Group | 97.4 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline (n=331) | Change at Week 12 (n=267) |
---|
Paliperidone Extended Release (ER) | 2.5 | 1.0 |
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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
Intervention | percentage 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
Intervention | units 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
Intervention | participants (Number) |
---|
| Very much improved | Much improved | Minimally improved | No change | Minimally worse | Much worse | Very much worse |
---|
Paliperidone Extended Release (ER) | 3 | 52 | 119 | 67 | 10 | 2 | 2 |
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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)
Intervention | units 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)
Intervention | percentage of participants (Number) |
---|
Paliperidone Extended Release (ER) | 11.74 |
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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
Intervention | units 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
Intervention | participants (Number) |
---|
| Normal | Borderline | Mild | Moderate | Marked | Severe | Extreme |
---|
Paliperidone Extended-release (ER) | 0 | 31 | 20 | 8 | 1 | 0 | 0 |
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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
Intervention | participants (Number) |
---|
| Normal | Borderline | Mild | Moderate | Marked | Severe | Extreme |
---|
Paliperidone Extended-release (ER) | 0 | 0 | 0 | 11 | 33 | 14 | 2 |
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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
Intervention | percentage 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
Intervention | scores on a scale (Mean) |
---|
Paliperidone Extended-release (ER) | 11.23 |
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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
Intervention | participants (Number) |
---|
| Very good | Good | Moderate | Poor | Very poor |
---|
Paliperidone Extended-release (ER) | 33 | 34 | 4 | 1 | 1 |
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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
Intervention | scores 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
Intervention | scores 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
Intervention | scores 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
Intervention | scores 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
Intervention | scores 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
Intervention | Participants (Number) |
---|
| None | Very mild | Mild |
---|
Paliperidone Palmitate 100 mg | 7 | 5 | 0 |
,Paliperidone Palmitate 150 mg | 8 | 5 | 1 |
,Paliperidone Palmitate 150/ 50 mg | 6 | 6 | 0 |
,Paliperidone Palmitate 50 mg | 11 | 3 | 0 |
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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
Intervention | Participants (Number) |
---|
| None | Very mild | Mild |
---|
Paliperidone Palmitate 100 mg | 8 | 4 | 0 |
,Paliperidone Palmitate 150 mg | 8 | 5 | 1 |
,Paliperidone Palmitate 150/ 50 mg | 6 | 5 | 0 |
,Paliperidone Palmitate 50 mg | 9 | 4 | 0 |
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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
Intervention | Participants (Number) |
---|
| None | Very mild | Mild |
---|
Paliperidone Palmitate 100 mg | 7 | 5 | 0 |
,Paliperidone Palmitate 150 mg | 7 | 6 | 1 |
,Paliperidone Palmitate 150/ 50 mg | 5 | 6 | 0 |
,Paliperidone Palmitate 50 mg | 7 | 6 | 0 |
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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
Intervention | units 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 mg | 60.7 | 59.6 | 58.1 | 60.0 | 60.4 | 60.2 |
,Paliperidone Palmitate 150 mg | 60.4 | 57.8 | 57.1 | 56.5 | 57.2 | 57.4 |
,Paliperidone Palmitate 150/ 50 mg | 63.9 | 62.6 | 60.4 | 62.8 | 59.9 | 60.6 |
,Paliperidone Palmitate 50 mg | 61.9 | 60.0 | 56.8 | 57.9 | 56.4 | 56.4 |
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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
Intervention | Participants (Number) |
---|
| None | Very mild | Mild |
---|
Paliperidone Palmitate 100 mg | 9 | 5 | 0 |
,Paliperidone Palmitate 150 mg | 6 | 6 | 2 |
,Paliperidone Palmitate 150/ 50 mg | 6 | 7 | 1 |
,Paliperidone Palmitate 50 mg | 6 | 8 | 0 |
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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
Intervention | nanogram*hour per milliliter (Mean) |
---|
Paliperidone Palmitate 50 mg | 7081 |
Paliperidone Palmitate 100 mg | 15898 |
Paliperidone Palmitate 150 mg | 21853 |
Paliperidone Palmitate 150/ 50 mg | 11109 |
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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
Intervention | ng/ml (Mean) |
---|
Paliperidone Palmitate 50 mg | 13.7 |
Paliperidone Palmitate 100 mg | 33.5 |
Paliperidone Palmitate 150 mg | 43.1 |
Paliperidone Palmitate 150/ 50 mg | 21.6 |
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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
Intervention | Days (Mean) |
---|
Paliperidone Palmitate 50 mg | 68.1 |
Paliperidone Palmitate 100 mg | 58.5 |
Paliperidone Palmitate 150 mg | 95.5 |
Paliperidone Palmitate 150/ 50 mg | 104.4 |
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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
Intervention | ng/ml (Mean) |
---|
Paliperidone Palmitate 50 mg | 6.77 |
Paliperidone Palmitate 100 mg | 14.5 |
Paliperidone Palmitate 150 mg | 23.4 |
Paliperidone Palmitate 150/ 50 mg | 19.5 |
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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
Intervention | ng/ml (Mean) |
---|
Paliperidone Palmitate 50 mg | 6.86 |
Paliperidone Palmitate 100 mg | 15.1 |
Paliperidone Palmitate 150 mg | 22.9 |
Paliperidone Palmitate 150/ 50 mg | 14.3 |
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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
Intervention | ng/ml (Mean) |
---|
Paliperidone Palmitate 50 mg | 5.85 |
Paliperidone Palmitate 100 mg | 7.28 |
Paliperidone Palmitate 150 mg | 28.4 |
Paliperidone Palmitate 150/ 50 mg | 12.1 |
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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
Intervention | ng/ml (Mean) |
---|
Paliperidone Palmitate 50 mg | 8.41 |
Paliperidone Palmitate 100 mg | 15.2 |
Paliperidone Palmitate 150 mg | 25.4 |
Paliperidone Palmitate 150/ 50 mg | 13.5 |
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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
Intervention | ng/ml (Mean) |
---|
Paliperidone Palmitate 50 mg | 10.7 |
Paliperidone Palmitate 100 mg | 23.9 |
Paliperidone Palmitate 150 mg | 32.8 |
Paliperidone Palmitate 150/ 50 mg | 16.7 |
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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
Intervention | Days (Median) |
---|
Paliperidone Palmitate 50 mg | 10.99 |
Paliperidone Palmitate 100 mg | 7.89 |
Paliperidone Palmitate 150 mg | 7.50 |
Paliperidone Palmitate 150/ 50 mg | 3.82 |
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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
Intervention | Participants (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 mg | 4 | 6 | 3 | 1 | 3 | 7 | 2 | 2 | 5 | 5 | 3 | 1 | 5 | 4 | 3 | 2 | 5 | 4 | 3 | 2 | 4 | 5 | 3 | 2 |
,Paliperidone Palmitate 150 mg | 3 | 10 | 1 | 0 | 3 | 9 | 1 | 0 | 4 | 9 | 1 | 0 | 3 | 10 | 1 | 0 | 5 | 8 | 0 | 1 | 5 | 8 | 0 | 1 |
,Paliperidone Palmitate 150/ 50 mg | 1 | 8 | 5 | 0 | 1 | 10 | 3 | 0 | 2 | 9 | 3 | 0 | 0 | 13 | 0 | 1 | 1 | 12 | 1 | 0 | 1 | 11 | 2 | 0 |
,Paliperidone Palmitate 50 mg | 3 | 8 | 3 | 0 | 3 | 8 | 3 | 0 | 4 | 8 | 2 | 0 | 5 | 7 | 1 | 1 | 6 | 6 | 1 | 1 | 5 | 7 | 1 | 1 |
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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
Intervention | Participants (Number) |
---|
| None | Very mild | Mild |
---|
Paliperidone Palmitate 100 mg | 6 | 5 | 0 |
,Paliperidone Palmitate 150 mg | 6 | 6 | 2 |
,Paliperidone Palmitate 150/ 50 mg | 6 | 5 | 0 |
,Paliperidone Palmitate 50 mg | 9 | 4 | 0 |
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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
Intervention | Participants (Number) |
---|
| None | Very mild | Mild |
---|
Paliperidone Palmitate 100 mg | 7 | 4 | 0 |
,Paliperidone Palmitate 150 mg | 6 | 6 | 2 |
,Paliperidone Palmitate 150/ 50 mg | 7 | 4 | 0 |
,Paliperidone Palmitate 50 mg | 9 | 3 | 0 |
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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
Intervention | Participants (Number) |
---|
| None | Very mild | Mild |
---|
Paliperidone Palmitate 100 mg | 7 | 4 | 0 |
,Paliperidone Palmitate 150 mg | 6 | 7 | 1 |
,Paliperidone Palmitate 150/ 50 mg | 6 | 5 | 0 |
,Paliperidone Palmitate 50 mg | 9 | 3 | 0 |
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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
Intervention | Participants (Number) |
---|
| None | Very mild | Mild |
---|
Paliperidone Palmitate 100 mg | 7 | 6 | 0 |
,Paliperidone Palmitate 150 mg | 6 | 7 | 1 |
,Paliperidone Palmitate 150/ 50 mg | 6 | 8 | 0 |
,Paliperidone Palmitate 50 mg | 7 | 7 | 0 |
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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])
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at DB endpoint |
---|
Paliperidone: Double Blind (DB) Phase | 53.4 | 2.0 |
,Placebo: DB Phase | 51.5 | 16.9 |
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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])
Intervention | Millimeter (mm) (Mean) |
---|
| Baseline (n= 64, 71) | Change at DB Endpoint (n= 60, 69) |
---|
Paliperidone: Double Blind (DB) Phase | 22.9 | 3.1 |
,Placebo: DB Phase | 24.4 | 1.2 |
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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)
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at OLE endpoint |
---|
Paliperidone DB/Paliperidone Open-label (OL) Extension Phase | 56.5 | -3.9 |
,Placebo DB/Paliperidone OL Extension Phase | 67.2 | -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
Intervention | Millimeter (mm) (Mean) |
---|
| Baseline (n=201) | Change at Week 14 (n=192) |
---|
Paliperidone: Run-in or Stabilization Phase | 63.4 | 12.1 |
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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
Intervention | Participants (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 Phase | 0 | 2 | 0 | 37 | 3 | 65 | 41 | 27 | 91 | 4 | 66 | 0 | 0 | 0 |
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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
Intervention | Units on a scale (Mean) |
---|
| Baseline (n=201) | Change at Week 14 (n=200) |
---|
Paliperidone: Run-in or Stabilization Phase | 89.5 | -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])
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at DB endpoint |
---|
Paliperidone: Double Blind (DB) Phase | 3.0 | 0.1 |
,Placebo: DB Phase | 2.9 | 1.1 |
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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
Intervention | Millimeter (mm) (Mean) |
---|
| Baseline (n=201) | Change at Week 14 (n=192) |
---|
Paliperidone: Run-in or Stabilization Phase | 32.8 | -7.3 |
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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)
Intervention | Units on a scale (Mean) |
---|
| Baseline | Change at OLE endpoint |
---|
Paliperidone DB/Paliperidone Open-label (OL) Extension Phase | 3.1 | -0.2 |
,Placebo DB/Paliperidone OL Extension Phase | 3.9 | -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])
Intervention | Millimeter (mm) (Mean) |
---|
| Baseline (n= 64, 71) | Change at DB Endpoint (n= 60, 69) |
---|
Paliperidone: Double Blind (DB) Phase | 77.5 | -3.8 |
,Placebo: DB Phase | 81.9 | -22.4 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline | Week 26 |
---|
Paliperidone ER: Lack of Efficacy | 85.19 | -26.60 |
,Paliperidone ER: Lack of Tolerability, Compliance or Other | 65.45 | -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
Intervention | millimeter (mm) (Mean) |
---|
| Baseline (n= 507, 581) | Week 26 (n= 504, 574) |
---|
Paliperidone ER: Lack of Efficacy | 63.53 | 11.57 |
,Paliperidone ER: Lack of Tolerability, Compliance or Other | 67.40 | 8.19 |
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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
Intervention | participants (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 Efficacy | 8 | 74 | 256 | 158 | 11 | 120 | 173 | 112 | 70 | 17 |
,Paliperidone ER: Lack of Tolerability, Compliance or Other | 21 | 151 | 305 | 97 | 9 | 156 | 253 | 94 | 50 | 10 |
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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
Intervention | millimeter (mm) (Mean) |
---|
| Baseline (n= 507, 581 ) | Week 26 (n= 504, 574) |
---|
Paliperidone ER: Lack of Efficacy | 32.80 | -9.52 |
,Paliperidone ER: Lack of Tolerability, Compliance or Other | 34.54 | -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
Intervention | units on a scale (Mean) |
---|
| Baseline | Week 26 |
---|
Paliperidone ER: Lack of Efficacy | 22.73 | -6.93 |
,Paliperidone ER: Lack of Tolerability, Compliance or Other | 16.90 | -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
Intervention | units on a scale (Mean) |
---|
| Baseline | Week 26 |
---|
Paliperidone ER: Lack of Efficacy | 21.04 | -7.17 |
,Paliperidone ER: Lack of Tolerability, Compliance or Other | 15.26 | -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
Intervention | percentage of participants (Number) |
---|
Paliperidone ER: Lack of Efficacy | 72.83 |
Paliperidone ER: Lack of Tolerability, Compliance or Other | 71.87 |
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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
Intervention | units on a scale (Mean) |
---|
| Baseline | Week 26 |
---|
Paliperidone ER: Lack of Efficacy | 4.24 | -1.12 |
,Paliperidone ER: Lack of Tolerability, Compliance or Other | 3.29 | -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
Intervention | scores on a scale (Mean) |
---|
| Baseline (n= 95) | Week 26 (n= 86) |
---|
Paliperidone Extended-release (ER) | 56.39 | 67.02 |
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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
Intervention | scores on a scale (Mean) |
---|
| Baseline (n= 71) | Week 26 (n= 71) |
---|
Paliperidone Extended-release (ER) | 4.68 | 2.58 |
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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
Intervention | participants (Number) |
---|
| Normal, not at all ill | Borderline mentally ill | Mildly ill | Moderately ill | Markedly ill | Severely ill | Among the most extremely ill |
---|
Patients at Baseline: Paliperidone Extended-release (ER) | 2 | 3 | 14 | 39 | 26 | 10 | 1 |
,Patients at Week 26: Paliperidone Extended-release (ER) | 9 | 21 | 26 | 20 | 5 | 2 | 0 |
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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
Intervention | scores on a scale (Mean) |
---|
| Baseline (n= 70) | Week 26 (n= 70) |
---|
Paliperidone Extended-release (ER) | 18.53 | 11.16 |
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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
Intervention | scores on a scale (Mean) |
---|
| Baseline (n= 70) | Week 26 (n= 70) |
---|
Paliperidone Extended-release (ER) | 41.77 | 27.90 |
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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
Intervention | scores on a scale (Mean) |
---|
| Baseline (n= 70) | Week 26 (n= 70) |
---|
Paliperidone Extended-release (ER) | 83.99 | 53.70 |
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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
Intervention | scores on a scale (Mean) |
---|
| Baseline (n= 70) | Week 26 (n= 70) |
---|
Paliperidone Extended-release (ER) | 23.69 | 14.64 |
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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
Intervention | scores on a scale (Mean) |
---|
| Baseline (n= 71) | Week 26 (n= 71) |
---|
Paliperidone Extended-release (ER) | 6.80 | 7.66 |
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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
Intervention | units on a scale (Least Squares Mean) |
---|
Aripiprazole | 32.32 |
Paliperidone | 33.81 |
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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
Intervention | units on a scale (Least Squares Mean) |
---|
Aripiprazole | 0.52 |
Paliperidone | 0.18 |
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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
Intervention | units 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
Intervention | units on a scale (Least Squares Mean) |
---|
Aripiprazole | 1.76 |
Paliperidone | 0.83 |
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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
Intervention | units on a scale (Least Squares Mean) |
---|
Aripiprazole | 3.24 |
Paliperidone | 1.47 |
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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
Intervention | units on a scale (Least Squares Mean) |
---|
Aripiprazole | 2.25 |
Paliperidone | 0.50 |
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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
Intervention | units on a scale (Least Squares Mean) |
---|
Aripiprazole | 4.82 |
Paliperidone | 3.81 |
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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
Intervention | units on a scale (Least Squares Mean) |
---|
Aripiprazole | 7.47 |
Paliperidone | 2.80 |
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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
Intervention | units on a scale (Mean) |
---|
CAE-L | 2.9 |
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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
Intervention | units on a scale (Mean) |
---|
CAE-L | 8.5 |
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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
Intervention | units 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
Intervention | units on a scale (Mean) |
---|
CAE-L | 1.4 |
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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
Intervention | units on a scale (Mean) |
---|
CAE-L | 0.0 |
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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
Intervention | units on a scale (Mean) |
---|
CAE-L | 0.0 |
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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
Intervention | hospital 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
Intervention | hospital 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
Intervention | units 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
Intervention | units on a scale (Mean) |
---|
CAE-L | 24.7 |
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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
Intervention | units on a scale (Mean) |
---|
CAE-L | 12.1 |
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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
Intervention | units on a scale (Mean) |
---|
CAE-L | 21.2 |
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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
Intervention | units on a scale (Mean) |
---|
CAE-L | 0.0 |
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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
Intervention | percentage of adherence (Mean) |
---|
CAE-L | 56.2 |
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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
Intervention | percentage of adherence (Mean) |
---|
CAE-L | 15.2 |
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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
Intervention | percentage of adherence (Mean) |
---|
CAE-L | 90.5 |
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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
Intervention | percentage of days (Mean) |
---|
CAE-L | 29.0 |
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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
Intervention | units on a scale (Mean) |
---|
CAE-L | 63.1 |
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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
Intervention | units on a scale (Mean) |
---|
CAE-L | 1.5 |
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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
Intervention | units on a scale (Mean) |
---|
CAE-L | 4.0 |
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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
Intervention | units on a scale (Mean) |
---|
CAE-L | 2.0 |
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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
Intervention | units 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
Intervention | units 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
Intervention | T-score (Mean) |
---|
Part-2: Paliperidone Palmitate (PP) | 3.2 |
Part-2: OAP | 0.7 |
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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
Intervention | ratio (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
Intervention | T-score (Mean) |
---|
Part-2: Paliperidone Palmitate (PP) | 0.2 |
Part-2: OAP | 2.8 |
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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
Intervention | T-score (Mean) |
---|
Part 3-PP to PP | 0.3 |
Part 3-OAP to OAP | 0.8 |
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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
Intervention | T-score (Mean) |
---|
Part-2: Paliperidone Palmitate (PP) | 0.3 |
Part-2: OAP | 1.6 |
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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
Intervention | ratio (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
Intervention | T-score (Mean) |
---|
Part-2: Paliperidone Palmitate (PP) | 1.3 |
Part-2: OAP | 1.4 |
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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
Intervention | T-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
Intervention | ratio (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 OAP | 0.5 |
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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
Intervention | T-score (Mean) |
---|
Part 3- PP to PP | -0.7 |
Part 3- OAP to PP (or Delayed-Start PP) | -0.2 |
Part 3-OAP to OAP | 0.5 |
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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
Intervention | T-score (Mean) |
---|
Part 3-PP to PP | -1.7 |
Part 3-OAP to OAP | 0.7 |
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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
Intervention | T-score (Mean) |
---|
Part 3-PP to PP | 2.4 |
Part 3-OAP to OAP | 0.7 |
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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
Intervention | T-score (Mean) |
---|
Part-2: Paliperidone Palmitate (PP) | 1.3 |
Part-2: OAP | 1.0 |
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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
Intervention | units on a scale (Mean) |
---|
Part 3-PP to PP | 0.3 |
Part 3-OAP to OAP | 0.4 |
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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
Intervention | T-score (Mean) |
---|
Part-2: Paliperidone Palmitate (PP) | 1.8 |
Part-2: OAP | 3.5 |
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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
Intervention | Participants (Count of Participants) |
---|
| Hallucinations72513609 | Hallucinations72513610 | Delusions72513609 | Delusions72513610 | Disorganized Speech72513609 | Disorganized Speech72513610 | Abnormal Psychomotor Behavior72513609 | Abnormal Psychomotor Behavior72513610 | Negative Symptoms72513609 | Negative Symptoms72513610 | Impaired Cognition72513609 | Impaired Cognition72513610 | Mania72513609 | Mania72513610 | Depression72513609 | Depression72513610 |
---|
| Worsened | Unchanged | Improved |
---|
Part 3-PP to PP | 3 |
Part 3-OAP to OAP | 8 |
Part 3-PP to PP | 27 |
Part 3-OAP to OAP | 29 |
Part 3-PP to PP | 11 |
Part 3-OAP to OAP | 10 |
Part 3-PP to PP | 6 |
Part 3-PP to PP | 21 |
Part 3-OAP to OAP | 20 |
Part 3-PP to PP | 14 |
Part 3-OAP to OAP | 17 |
Part 3-PP to PP | 2 |
Part 3-OAP to OAP | 36 |
Part 3-PP to PP | 12 |
Part 3-PP to PP | 4 |
Part 3-OAP to OAP | 2 |
Part 3-PP to PP | 32 |
Part 3-OAP to OAP | 37 |
Part 3-PP to PP | 5 |
Part 3-OAP to OAP | 4 |
Part 3-OAP to OAP | 22 |
Part 3-PP to PP | 19 |
Part 3-OAP to OAP | 21 |
Part 3-PP to PP | 10 |
Part 3-OAP to OAP | 9 |
Part 3-OAP to OAP | 23 |
Part 3-PP to PP | 17 |
Part 3-OAP to OAP | 15 |
Part 3-PP to PP | 0 |
Part 3-OAP to OAP | 3 |
Part 3-PP to PP | 40 |
Part 3-OAP to OAP | 39 |
Part 3-PP to PP | 1 |
Part 3-OAP to OAP | 5 |
Part 3-PP to PP | 7 |
Part 3-OAP to OAP | 6 |
Part 3-PP to PP | 26 |
Part 3-PP to PP | 8 |
Part 3-OAP to OAP | 12 |
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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
Intervention | days (Median) |
---|
Part-2: Paliperidone Palmitate (PP) | NA |
Part-2: OAP | NA |
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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
Intervention | T-score (Mean) |
---|
Part 3-PP to PP | 3.4 |
Part 3-OAP to OAP | 4.7 |
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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
Intervention | Participants (Count of Participants) |
---|
| Hallucinations72513608 | Hallucinations72513614 | Delusions72513614 | Delusions72513608 | Disorganized Speech72513614 | Disorganized Speech72513608 | Abnormal Psychomotor Behavior72513614 | Abnormal Psychomotor Behavior72513608 | Negative Symptoms72513608 | Negative Symptoms72513614 | Impaired Cognition72513614 | Impaired Cognition72513608 | Mania72513608 | Mania72513614 | Depression72513608 | Depression72513614 |
---|
| Unchanged | Improved | Worsened |
---|
Part-2: OAP | 19 |
Part-2: Paliperidone Palmitate (PP) | 29 |
Part-2: OAP | 73 |
Part-2: Paliperidone Palmitate (PP) | 14 |
Part-2: OAP | 33 |
Part-2: Paliperidone Palmitate (PP) | 10 |
Part-2: OAP | 20 |
Part-2: Paliperidone Palmitate (PP) | 23 |
Part-2: OAP | 70 |
Part-2: OAP | 35 |
Part-2: OAP | 13 |
Part-2: Paliperidone Palmitate (PP) | 36 |
Part-2: OAP | 85 |
Part-2: Paliperidone Palmitate (PP) | 12 |
Part-2: OAP | 27 |
Part-2: Paliperidone Palmitate (PP) | 9 |
Part-2: OAP | 14 |
Part-2: Paliperidone Palmitate (PP) | 37 |
Part-2: OAP | 86 |
Part-2: Paliperidone Palmitate (PP) | 4 |
Part-2: OAP | 25 |
Part-2: Paliperidone Palmitate (PP) | 16 |
Part-2: OAP | 61 |
Part-2: Paliperidone Palmitate (PP) | 17 |
Part-2: OAP | 39 |
Part-2: Paliperidone Palmitate (PP) | 13 |
Part-2: OAP | 29 |
Part-2: Paliperidone Palmitate (PP) | 22 |
Part-2: OAP | 52 |
Part-2: Paliperidone Palmitate (PP) | 15 |
Part-2: OAP | 44 |
Part-2: Paliperidone Palmitate (PP) | 1 |
Part-2: OAP | 7 |
Part-2: Paliperidone Palmitate (PP) | 47 |
Part-2: OAP | 107 |
Part-2: Paliperidone Palmitate (PP) | 2 |
Part-2: OAP | 11 |
Part-2: Paliperidone Palmitate (PP) | 7 |
Part-2: OAP | 28 |
Part-2: Paliperidone Palmitate (PP) | 33 |
Part-2: OAP | 74 |
Part-2: OAP | 23 |
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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
Intervention | T-score (Mean) |
---|
Part 3-PP to PP | 1.6 |
Part 3-OAP to OAP | 3.2 |
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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
Intervention | days (Median) |
---|
Part 3-PP to PP | NA |
Part 3-OAP to OAP | NA |
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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
Intervention | T-score (Mean) |
---|
Part 3-PP to PP | 0.2 |
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
Intervention | T-score (Mean) |
---|
Part 3-PP to PP | 2.5 |
Part 3-OAP to OAP | 4.9 |
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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
Intervention | T-score (Mean) |
---|
Part 3-PP to PP | -0.2 |
Part 3-OAP to OAP | 1.4 |
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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)
Intervention | units on a scale (Mean) |
---|
Part-2: Paliperidone Palmitate (PP) | -0.2 |
Part-2: OAP | 0.1 |
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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
Intervention | T-score (Least Squares Mean) |
---|
Part-2: Paliperidone Palmitate (PP) | 2.0 |
Part-2: OAP | 2.8 |
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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
Intervention | units 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
Intervention | units 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 1 | 12 | 4 | 8 | 2 | 8 | 8 | 14 | 9 | 4 | 7 | 4 | 5 | 8 | 4 | 4 | 4 | 6 |
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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
Intervention | participants (Number) |
---|
| Side Effects Of Medication | Attitude Toward Treatment | Report of Increased Symptoms | Report of Decrease in Symptoms | Patient Still Symptomatic | Patient Ideation |
---|
Cohort 1 | 3 | 2 | 4 | 3 | 1 | 1 |
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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
Intervention | units 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 1 | 76 | 76 | 52 | 57 | 57 | 57 | 48 | 66 | 64 | 76 | 76 | 76 | 72 | 63 | 72 | 71 | 76 |
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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
Intervention | units 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 1 | 4 | 3 | 4 | 3 | 4 | 4 | 5 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 3 | 3 | 3 |
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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
Intervention | nanogram per milliliter (Number) |
---|
| Participant 1- ARIPIPRAZOLE | Participant 1- DEHYDROARIPIPRAZOLE | Participant 2- OLANZAPINE | Participant 2- PALIPERIDONE | Participant 3- 7-OH QUETIAPINE | Participant 3-NORQUETIAPINE | Participant 3-QUETIAPINE | Participant 3-QUETIAPINE SULFOXIDE | Participant 5-7-OH QUETIAPINE | Participant 5-NORQUETIAPINE | Participant 5-QUETIAPINE | Participant 5-QUETIAPINE SULFOXIDE | Participant 6-ARIPIPRAZOLE | Participant 6-DEHYDROARIPIPRAZOLE | Participant 7-PALIPERIDONE | Participant 7-RISPERIDONE | Participant 8-ARIPIPRAZOLE | Participant 8-DEHYDROARIPIPRAZOLE | Participant 9- 7-OH QUETIAPINE | Participant 9- NORQUETIAPINE | Participant 9- PALIPERIDONE | Participant 9- QUETIAPINE | Participant 9- QUETIAPINE SULFOXIDE | Participant 9- RISPERIDONE |
---|
Cohort 1 | 596.00 | 139.00 | 27.30 | 45.10 | 43.10 | 660.00 | 280.00 | 660.00 | 7.72 | 153.00 | 50.30 | 321.00 | 464.00 | 112.00 | 31.00 | 26.20 | 168.00 | 33.00 | 0.200 | 2.00 | 0.100 | 2.00 | 2.00 | 0.100 |
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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
Intervention | units 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 1 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 | 7 |
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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
Intervention | percent 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 1 | 100 | 100 | 100 | 100 | 100 | 100 | 97 | 93 | 90 | 90 | 96 | 90 | 95 | 100 | 100 | 100 | 100 |
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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
Intervention | Participants (Number) |
---|
Cohort 1 | 4 |
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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.
Intervention | Participants (Count of Participants) |
---|
Dose Reduction | 130 |
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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
Intervention | units 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
Intervention | units 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
Intervention | units 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
Intervention | units 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
Intervention | units 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
Intervention | units 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
Intervention | Participants (Count of Participants) |
---|
Aripiprazole Lauroxil | 69 |
Paliperidone Palmitate | 72 |
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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)
Intervention | T-score (Least Squares Mean) |
---|
Placebo | 1.15 |
ASP4345 50 mg | 1.34 |
ASP4345 150 mg | 0.87 |
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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
Intervention | nanogram per milliliter (ng/mL) (Mean) |
---|
| Day 7 Pre-dose | Day 14 Pre-dose | Day 21 Pre-dose | Day 42 Pre-dose | Day 84 Pre-dose |
---|
ASP4345 150 mg | 483.84 | 428.88 | 384.48 | 471.78 | 433.56 |
,ASP4345 50 mg | 175.041 | 182.903 | 172.040 | 207.145 | 204.914 |
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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
Intervention | participants (Number) |
---|
| Baseline | Week 6 | Week 12 |
---|
ASP4345 150 mg | 0 | 0 | 0 |
,ASP4345 50 mg | 0 | 0 | 0 |
,Placebo | 0 | 0 | 0 |
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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
Intervention | participants (Number) |
---|
| Baseline | Week 6 | Week 12 |
---|
ASP4345 150 mg | 0 | 0 | 0 |
,ASP4345 50 mg | 0 | 0 | 0 |
,Placebo | 0 | 0 | 0 |
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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
Intervention | participants (Number) |
---|
| Baseline | Week 6 | Week 12 |
---|
ASP4345 150 mg | 0 | 0 | 0 |
,ASP4345 50 mg | 0 | 0 | 0 |
,Placebo | 0 | 0 | 0 |
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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)
Intervention | participants (Number) |
---|
| TEAE | Drug-Related TEAEs | Serious TEAEs | Drug-Related Serious TEAE |
---|
ASP4345 150 mg | 28 | 11 | 1 | 0 |
,ASP4345 50 mg | 28 | 13 | 3 | 0 |
,Placebo | 45 | 11 | 1 | 0 |
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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)
Intervention | participants (Number) |
---|
Placebo | 0 |
ASP4345 50 mg | 0 |
ASP4345 150 mg | 0 |
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