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NCT01412060

A Study of Cariprazine in the Prevention of Relapse of Symptoms in Participants With Schizophrenia

Completed Phase 3 Results posted Last updated 6 July 2018
What this trial tests

Phase 3 trial testing Placebo in Schizophrenia in 765 participants. Completed in 3 September 2014.

Timeline
27 September 2011
Primary endpoint
3 September 2014
3 September 2014

Quick facts

Lead sponsorForest Laboratories
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposeprevention
Enrollment765
Start date27 September 2011
Primary completion3 September 2014
Estimated completion3 September 2014
Sites73 locations across Slovakia, Ukraine, Romania, United States, India

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.

Time From Baseline to the First Symptom Relapse During the Double-blind Phase Primary · Up to 34 Weeks and Bi-Weekly thereafter until Week 92

Relapse was defined as meeting ≥1 of the following criteria:1-Hospitalization due to worsening of condition;2-increase in Positive and Negative Syndrome Scale(PANSS) total score by ≥30% for participants,scored ≥50 or a ≥10-point increase for participants,scored \<50 at randomization;3-increase in Clinical Global Impressions-Severity(CGI-S) score by ≥2 points at Week 20;4-deliberate self-injury or aggressive behaviour;5-suicidal/homicidal ideation judged clinically significant by Investigator;6-score of \>4 on 1 or more of following PANSS items:P1,P2,P3,P6,P7,G8 or G14. Second assessment not pe

GroupValue95% CI
Placebo9244 – 151
Cariprazine22499 – NA

Adverse events — posted to ClinicalTrials.gov

Time frame: First dose until 30 days after last dose of investigational product [Open-Label (Up to 184 days) and Double-Blind (Up to 536 days)]. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cariprazine - Open-label Phase
Serious: 50/765 (7%)
Deaths: 0/765
Placebo - Double-blind Treatment Phase
Serious: 14/99 (14%)
Deaths: 0/99
Cariprazine - Double-blind Treatment Phase
Serious: 14/101 (14%)
Deaths: 0/101
Open-label - Safety Follow-up Phase
Serious: 6/765 (1%)
Deaths: 0/765
Placebo - Safety Follow-up Phase
Serious: 2/99 (2%)
Deaths: 0/99
Cariprazine - Safety Follow-up Phase
Serious: 0/101 (0%)
Deaths: 0/101

Serious adverse events (38 terms)

ReactionSystemCariprazine - Open-label P…Placebo - Double-blind Tre…Cariprazine - Double-blind…Open-label - Safety Follow…Placebo - Safety Follow-up…Cariprazine - Safety Follo…
SchizophreniaPsychiatric disorders
Psychotic disorderPsychiatric disorders
Suicidal ideationPsychiatric disorders
Schizophrenia, paranoid typePsychiatric disorders
Social stay hospitalisationSocial circumstances
ConvulsionNervous system disorders
Drug abusePsychiatric disorders
Extrapyramidal disorderNervous system disorders
Foreign bodyInjury, poisoning and procedural complications
HaematemesisGastrointestinal disorders
InsomniaPsychiatric disorders
Intentional product misuseSurgical and medical procedures
Intervertebral disc protrusionMusculoskeletal and connective tissue disorders
OverdoseInjury, poisoning and procedural complications
PneumoniaInfections and infestations
Psychiatric evaluationInvestigations
Psychotic behaviourPsychiatric disorders
PyrexiaGeneral disorders
RestlessnessPsychiatric disorders
RhabdomyolysisMusculoskeletal and connective tissue disorders
Suicide attemptPsychiatric disorders
Victim of crimeSocial circumstances
Ankle fractureInjury, poisoning and procedural complications
Drug ineffectiveGeneral disorders
FallInjury, poisoning and procedural complications
Other adverse events (14 terms — click to expand)

ReactionSystemCariprazine - Open-label P…Placebo - Double-blind Tre…Cariprazine - Double-blind…Open-label - Safety Follow…Placebo - Safety Follow-up…Cariprazine - Safety Follo…
AkathisiaNervous system disorders
InsomniaPsychiatric disorders
HeadacheNervous system disorders
RestlessnessPsychiatric disorders
Extrapyramidal disorderNervous system disorders
Weight increasedInvestigations
NauseaGastrointestinal disorders
DyspepsiaGastrointestinal disorders
ConstipationGastrointestinal disorders
AnxietyPsychiatric disorders
NasopharyngitisInfections and infestations
TremorNervous system disorders
SchizophreniaPsychiatric disorders
DiarrhoeaGastrointestinal disorders

Most-reported serious reactions: Schizophrenia, Psychotic disorder, Suicidal ideation, Schizophrenia, paranoid type, Social stay hospitalisation, Convulsion, Drug abuse, Extrapyramidal disorder.

Data from ClinicalTrials.gov NCT01412060 adverse events section.

Sponsor's own description

The objective of this study is to evaluate the efficacy and safety of cariprazine relative to placebo in the prevention of relapse of symptoms in participants with schizophrenia.

Publications & conference data

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

  1. 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
  2. Long-term cariprazine treatment for the prevention of relapse in patients with schizophrenia: A randomized, double-blind, placebo-controlled trial.
    Durgam S, Earley W, Li R, Li D, et al · · 2016 · cited 66× · PMID 27427558 · DOI 10.1016/j.schres.2016.06.030
  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. 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
  5. Cariprazine for acute and maintenance treatment of adults with schizophrenia: an evidence-based review and place in therapy.
    Citrome L. · · 2018 · cited 27× · PMID 30323605 · DOI 10.2147/ndt.s159704
  6. Relationship between the timing of relapse and plasma drug levels following discontinuation of cariprazine treatment in patients with schizophrenia: indirect comparison with other second-generation antipsychotics after treatment discontinuation.
    Correll CU, Jain R, Meyer JM, Periclou A, et al · · 2019 · cited 18× · PMID 31507322 · DOI 10.2147/ndt.s210340
  7. Cariprazine to Treat Schizophrenia and Bipolar Disorder in Adults.
    Edinoff A, Ruoff MT, Ghaffar YT, Rezayev A, et al · · 2020 · cited 15× · PMID 33012874 · DOI 10.64719/pb.4374
  8. Minimal Effects of Cariprazine on Prolactin Levels in Bipolar Disorder and Schizophrenia.
    Culpepper L, Vieta E, Kelly DL, Patel MD, et al · · 2022 · cited 13× · PMID 35591886 · DOI 10.2147/ndt.s348143

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