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NCT01104766

Safety and Efficacy of Cariprazine in Patients With Schizophrenia

Completed Phase 3 Results posted Last updated 29 October 2018
What this trial tests

Phase 3 trial testing Cariprazine in Schizophrenia in 617 participants. Completed in 20 December 2011.

Timeline
23 April 2010
Primary endpoint
20 December 2011
20 December 2011

Quick facts

Lead sponsorForest Laboratories
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment617
Start date23 April 2010
Primary completion20 December 2011
Estimated completion20 December 2011
Sites58 locations across Romania, United States, Ukraine, Russia

Drugs / interventions tested

Conditions studied

Sponsor

Forest Laboratories — full company profile →

Who can join

Adults 18 to 60, any sex, with Schizophrenia. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Measurement of Schizophrenia Symptoms: Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score. Primary · Baseline to Week 6

The Positive and Negative Syndrome Scale is a 30-item rating scale specifically developed to asses both the positive and negative symptom syndromes of patients with schizophrenia. The PANSS total score is rated based on a structured clinical interview with the patient and supporting clinical information obtained from family, hospital staff, or other reliable informants. This assessment provides scores in 9 clinical domains, including a positive syndrome, a negative syndrome, depression, a composite index, and general psychopathology. Each item is scored on a 7-point (1 to 7) scale, with 1 bein

GroupValue95% CI
Placebo-14.3± 1.5
Cariprazine 3.0 mg-20.2± 1.5
Cariprazine 6.0mg-23.0± 1.5
Aripiprazole 10.0 mg-21.2± 1.4
Measurement of the Overall Severity of Illness: Change From Baseline in Clinical Global Impression-Severity (CGI-S) Secondary · Baseline to Week 6

The Clinical Global Impressions-Severity scale is a clinician-rated scale that measures the overall severity of a participant's illness in comparison with the severity of illness in other participants the physician has observed. The participant is rated on a scale from 1 to 7 with 1 indicating a "normal state" and 7 indicating "among the most extremely ill participants." A higher score indicates greater illness. A negative change from baseline score indicates improvement.

GroupValue95% CI
Placebo-1.0± 0.1
Cariprazine 3.0 mg-1.4± 0.1
Cariprazine 6.0mg-1.5± 0.1
Aripiprazole 10.0 mg-1.4± 0.1

Adverse events — posted to ClinicalTrials.gov

Time frame: Assessed over 2 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 2/153 (1%)
Deaths: 0/153
Cariprazine 3.0 mg
Serious: 4/155 (3%)
Deaths: 0/155
Cariprazine 6.0mg
Serious: 7/157 (4%)
Deaths: 2/157
Aripiprazole 10.0 mg
Serious: 4/152 (3%)
Deaths: 0/152

Serious adverse events (16 terms)

ReactionSystemPlaceboCariprazine 3.0 mgCariprazine 6.0mgAripiprazole 10.0 mg
Psychotic disorderPsychiatric disorders
Acute myocardial infarctionCardiac disorders
Schizophrenia, paranoid typePsychiatric disorders
AgitationPsychiatric disorders
Complete SuicidePsychiatric disorders
DehydrationRenal and urinary disorders
Ischemic strokeCardiac disorders
Social stay hospitalizationSurgical and medical procedures
Transient ischemic attackNervous system disorders
SchizophreniaPsychiatric disorders
Supraventricular tachycardiaCardiac disorders
Artropod biteInjury, poisoning and procedural complications
PneumoniaRespiratory, thoracic and mediastinal disorders
BronchitisRespiratory, thoracic and mediastinal disorders
DepressionPsychiatric disorders
Toxicity to various agentsInjury, poisoning and procedural complications
Other adverse events (9 terms — click to expand)

ReactionSystemPlaceboCariprazine 3.0 mgCariprazine 6.0mgAripiprazole 10.0 mg
InsomniaPsychiatric disorders
AkathisiaNervous system disorders
HeadacheNervous system disorders
AnxietyPsychiatric disorders
AgitationPsychiatric disorders
SchizophreniaPsychiatric disorders
NauseaGastrointestinal disorders
Abdominal discomfortGastrointestinal disorders
Vaginal InfectionInfections and infestations

Most-reported serious reactions: Psychotic disorder, Acute myocardial infarction, Schizophrenia, paranoid type, Agitation, Complete Suicide, Dehydration, Ischemic stroke, Social stay hospitalization.

Data from ClinicalTrials.gov NCT01104766 adverse events section.

Sponsor's own description

The objective of this study is to evaluate the efficacy, safety, and tolerability of cariprazine relative to placebo for the treatment of acute exacerbation of schizophrenia.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Cariprazine in acute exacerbation of schizophrenia: a fixed-dose, phase 3, randomized, double-blind, placebo- and active-controlled trial.
    Durgam S, Cutler AJ, Lu K, Migliore R, et al · · 2015 · cited 120× · PMID 26717533 · DOI 10.4088/jcp.15m09997
  2. New and emerging treatments for schizophrenia: a narrative review of their pharmacology, efficacy and side effect profile relative to established antipsychotics.
    Lobo MC, Whitehurst TS, Kaar SJ, Howes OD. · · 2022 · cited 74× · PMID 34838528 · DOI 10.1016/j.neubiorev.2021.11.032
  3. Cariprazine, A Broad-Spectrum Antipsychotic for the Treatment of Schizophrenia: Pharmacology, Efficacy, and Safety.
    Laszlovszky I, Barabássy Á, Németh G. · · 2021 · cited 51× · PMID 34091867 · DOI 10.1007/s12325-021-01797-5
  4. Efficacy of cariprazine on negative symptoms in patients with acute schizophrenia: A post hoc analysis of pooled data.
    Earley W, Guo H, Daniel D, Nasrallah H, et al · · 2019 · cited 45× · PMID 30172595 · DOI 10.1016/j.schres.2018.08.020
  5. Safety and tolerability of cariprazine in patients with acute exacerbation of schizophrenia: a pooled analysis of four phase II/III randomized, double-blind, placebo-controlled studies.
    Earley W, Durgam S, Lu K, Laszlovszky I, et al · · 2017 · cited 43× · PMID 28692485 · DOI 10.1097/yic.0000000000000187
  6. Evaluation of the long-term safety and tolerability of cariprazine in patients with schizophrenia: results from a 1-year open-label study.
    Cutler AJ, Durgam S, Wang Y, Migliore R, et al · · 2018 · cited 41× · PMID 28478771 · DOI 10.1017/s1092852917000220
  7. Efficacy of cariprazine across symptom domains in patients with acute exacerbation of schizophrenia: Pooled analyses from 3 phase II/III studies.
    Marder S, Fleischhacker WW, Earley W, Lu K, et al · · 2019 · cited 37× · PMID 30470662 · DOI 10.1016/j.euroneuro.2018.10.008
  8. Safety and Tolerability of Cariprazine in Patients with Schizophrenia: A Pooled Analysis of Eight Phase II/III Studies.
    Barabássy Á, Sebe B, Acsai K, Laszlovszky I, et al · · 2021 · cited 31× · PMID 33854317 · DOI 10.2147/ndt.s301225

Verify or expand the search:

Other trials of Cariprazine

Trials testing the same drug.

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Trials by the same sponsor.

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