Study to Evaluate the Efficacy and Safety of Risperidone in Situ Microparticle (ISM)® in Patients With Acute Schizophrenia

Completed · Phase 3 · Has a placebo group

Conditions studied: Acute Schizophrenia

In brief

This is a multicenter, randomized, double-blind, placebo-controlled study designed to evaluate the efficacy and safety of intramuscular (IM) injections of Risperidone ISM® (75 or 100 mg) or placebo, in patients with acute exacerbation of schizophrenia.

Key facts

Study ID

NCT03160521

Run by

Rovi Pharmaceuticals Laboratories

People needed

438

Starts

2017-06-02

Expected to finish

2018-12-17

Last updated by the study team

2022-02-22

Who can join

Age: 18 and older, up to 65. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• To be eligible for enrolment into the study, each patient must meet all of the following criteria at screening:
• Capable of providing informed consent
• A signed informed consent form must be provided before any study assessments are performed
• Patients must be fluent in the language that is spoken by the investigator and the study site staff (including raters) and must be able to read and understand the words in which the informed consent is written
• Age ≥ 18 and ≤ 65 years
• Body mass index 18.5 to 40.0 kg/m2 (inclusive)
• Current diagnosis of schizophrenia, according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria
• Currently experiencing an acute exacerbation or relapse with onset < 2 months before screening
• If inpatient at screening, has been hospitalized for < 2 weeks for the current exacerbation
• ≥ 2 years have elapsed since initial onset of active-phase schizophrenia symptoms
• Has been able to achieve outpatient status for > 4 months during the past year
• Has previously had a clinically significant beneficial response (improvement in schizophrenia symptoms), as determined by the investigator, to treatment with an antipsychotic medication other than clozapine
• Agrees to discontinue prohibited medications as applicable and as clinically indicated according to investigator instructions
• Dosages of all permitted medications are considered to have been stable (with the exception of medication to be used on an as-needed basis) for ≥ 2 weeks prior to the baseline visit and to remain stable during participation in this study
• Positive and Negative Syndrome Scale (PANSS) results at the screening and baseline visits meets the following criteria:
• a. Total score between 80 and 120, inclusive b. Score of ≥ 4 (moderate or greater) for ≥ 2 of the following Positive Scale items: i. Item 1 (P1: delusions) ii. Item 2 (P2: conceptual disorganization) iii. Item 3 (P3: hallucinatory behavior) iv. Item 6 (P6: suspiciousness/persecution)
• Clinical Global Impression - Severity (CGI-S) score of ≥ 4 (moderately ill or worse)
• Resides in a stable living situation and is anticipated to return to that same stable living situation after discharge from the inpatient study unit, in the opinion of the investigator
• Has an identified reliable informant who is anticipated to remain the same after the patient is discharged from the inpatient study unit, in the opinion of the investigator
• Meets the following criteria:
• a. If a sexually active, is using a medically accepted contraceptive method, and will continue to use such throughout participation in this study (and for ≥ 6 months after the last dose of IM study drug has been administered); acceptable methods include the following: i. Condoms (male or female) with or without a spermicidal agent ii. Diaphragm or cervical cap with spermicide iii. Intrauterine device iv. Hormonal contraceptive b. If not currently sexually active, them meets the following criteria: i. Agrees that if sexually activity resumes while participating in this study, a medically accepted contraception method will be used
• Willing and able to be confined to an inpatient study unit for up to 2 weeks (or longer if clinically indicated), as applicable and as clinically indicated according to investigator instructions
• Agrees not to post any personal medical data related to the study or information related to the study on any website or social media site (eg, Facebook, Twitter, and others) during the study duration

You may not qualify if…

• An individual who meets any of the following criteria at screening will not be permitted to enroll in the study:
• History of proven inadequate clinical response to treatment with therapeutic doses (with good compliance) of risperidone or paliperidone
• History of treatment resistance, defined as failure to respond to 2 discrete adequate trials (≥ 4 weeks with an adequate dose) of 2 different antipsychotic medications; history of clozapine use (exception: use was not because of treatment resistance or refractory psychotic symptoms)
• Improvement in PANSS total score 20% or greater between the initial screening visit and first injection
• Known or suspected intolerance of or allergy or hypersensitivity to risperidone, paliperidone, or any of the excipients in the IM formulations of these
• History of neuroleptic malignant syndrome, clinically significant tardive dyskinesia, or tardive dystonia
• History of any other medical condition that is considered to pose any unjustifiable risk or interfere with study assessments
• Clinically significant extrapyramidal symptoms at screening or baseline
• Answer of "yes" on item 4 or on item 5 of the Columbia-Suicide Severity Rating Scale (C-SSRS) (ideation) with the most recent episode occurring within the past 2 months, or answer "yes" to any of the 5 items (behavior) with an episode occurring within the last year
• Current diagnosis or a history of substance use disorder according to DSM-5 criteria within 6 months prior to the screening visit (with the exception of tobacco, mild cannabis, or mild alcohol use disorder) or a positive drug screen test (with the exception of cannabis) verified by repeat testing
• Lifetime history of diagnosis of schizoaffective disorder or bipolar disorder
• Clinically significant comorbid neuropsychiatric disorders including any of the following:
• Current untreated or unstable major depressive disorder
• Clinically significant cognitive difficulties including dementia, delirium, or amnesic syndrome, within the past 2 years and would interfere with participation in the study
• Any other psychiatric condition that would, in the judgment of the investigator, interfere with participation in the study
• Clinically significant or unstable medical illness/condition/disorder that would be anticipated, in the investigator's opinion, to potentially compromise patient safety or adversely affect the evaluation of efficacy, including (but not necessarily limited to) the following:
• Clinically significant hypotension or hypertension not stabilized by medical therapy (diastolic blood pressure > 105 mmHg)
• Unstable thyroid dysfunction in the past 6 months
• Malignant tumor within the last 5 years
• Neurologic conditions including the following:
• i. History of seizure disorder or condition associated with seizures ii. History of brain tumor, subdural hematoma, or other clinically significant neurological condition within the past 12 months iii. Head trauma with loss of consciousness within 12 months before screening iv. Active acute or chronic central nervous system infection v. Stroke within 6 months before screening e. Cardiac conditions including the following: i. Clinically significant cardiac arrhythmia, cardiomyopathy, or cardiac conduction defect ii. History of myocardial infarction or unstable angina within the last 3 months before screening, or clinically significant abnormality on screening or baseline electrocardiogram (ECG) including but not limited to the following: QT interval corrected for heart rate using Fridericia's formula (QTcF) > 465 msec if male or > 485 msec if female
• Laboratory abnormality that, in the opinion of the investigator, would compromise the well-being of the patient, or any of the following laboratory abnormalities at screening or baseline:
• Aspartate aminotransferase or alanine aminotransferase value ≥ 2 times the upper limit of the laboratory normal reference range
• Hemoglobin A1c > 9%
• Absolute neutrophil count ≤ 1.5 × 103 μL

Where it is running

• Woodland Research Northwest — Rogers, Arkansas, United States
• CIMU Bellflower — Cerritos, California, United States
• Collaborative Neuroscience Network, LLC. — Garden Grove, California, United States
• Synergy Research San Diego — Lemon Grove, California, United States
• Apostle Clinical Trials — Long Beach, California, United States
• NRC Research Institute — Orange, California, United States
• CNRI-Los Angeles LLC — Pico Rivera, California, United States
• CNRI-San Diego — San Diego, California, United States
• Galiz Research — Hialeah, Florida, United States
• Innovative Clinical Research Inc. — Hollywood, Florida, United States
• Atlanta Center for Medical Research — Atlanta, Georgia, United States
• CBH Health LLC — Gaithersburg, Maryland, United States
• Precise Research Centers MS — Flowood, Mississippi, United States
• Altea Research Institute — Las Vegas, Nevada, United States
• Hassman Research Institute — Berlin, New Jersey, United States
• Midwest Clinical Research Center — Dayton, Ohio, United States
• Carolina Clinical Triasl Inc — Charleston, South Carolina, United States
• Community Clinical Research Inc. — Austin, Texas, United States
• InSite Clinical Research — DeSoto, Texas, United States
• Pillar Clinical Research LLC — Richardson, Texas, United States
• Regional Clinical Hospital n.a I.I. Mechnicov — Dnipro, Ukraine
• Kharkiv Regional Clinical Psychiatric Hospital — Kharkiv, Ukraine
• Public Healthcare Institution "Kharkiv Regional Clinical Psychiatric Hospital No. 3", Center of Urgent Psychiatry — Kharkiv, Ukraine
• Kherson Regional Psychiatric Hospital — Kherson, Ukraine
• Kiev City Psychiatric Hospital No. 2 — Kiev, Ukraine

Full record on ClinicalTrials.gov

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