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NCT03978832

Safety, Tolerability, Pharmacokinetics and Efficacy of 180 mg Subcutaneous Risperidone From 6 mg Oral Risperidone

Completed Phase 4 Results posted Last updated 7 July 2021
What this trial tests

Phase 4 trial testing PERSERIS in Schizophrenia in 69 participants. Completed in 12 May 2020.

Timeline
28 June 2019
Primary endpoint
12 May 2020
12 May 2020

Quick facts

Lead sponsorIndivior Inc.
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment69
Start date28 June 2019
Primary completion12 May 2020
Estimated completion12 May 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Indivior Inc. — full company profile →

Who can join

Adults 18 to 65, 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.

Steady-state Average Plasma Concentration (Cavg,ss) of Risperidone and Total Active Moiety Primary · 0-12 hours post-dose on Day -1, and 0-672 hours after Dose 3

Cavg,ss for risperidone and total active moiety after oral and SC administration

Risperidone after oral dosing
GroupValue95% CI
Oral Risperidone Followed by PERSERIS5.150± 43.3
Risperidone after Dose 3
GroupValue95% CI
Oral Risperidone Followed by PERSERIS10.200± 65.3
Total active moiety after oral dosing
GroupValue95% CI
Oral Risperidone Followed by PERSERIS43.730± 34.8
Total active moiety after Dose 3
GroupValue95% CI
Oral Risperidone Followed by PERSERIS44.049± 24.4
Assessment of Local Injection Site Tolerability* Secondary · First injection at Day 1 until last injection administered at Day 85

Injection site tolerability was measured by injection site grading for redness, induration, swelling and tenderness/pain. These were graded on a scale from 0 to 4 for severity (none, mild, moderate, severe and potentially life-threatening)

Dose 1 injection site pain grade
GroupValue95% CI
Oral Risperidone Followed by PERSERIS22
Oral Risperidone Followed by PERSERIS1
Dose 2 injection site pain grade
GroupValue95% CI
Oral Risperidone Followed by PERSERIS19
Oral Risperidone Followed by PERSERIS1
Dose 3 injection site pain grade
GroupValue95% CI
Oral Risperidone Followed by PERSERIS16
Oral Risperidone Followed by PERSERIS0
Dose 4 injection site pain grade
GroupValue95% CI
Oral Risperidone Followed by PERSERIS15
Oral Risperidone Followed by PERSERIS1
Dose 1 injection site tenderness grade
GroupValue95% CI
Oral Risperidone Followed by PERSERIS21
Oral Risperidone Followed by PERSERIS2
Dose 2 injection site tenderness grade
GroupValue95% CI
Oral Risperidone Followed by PERSERIS18
Oral Risperidone Followed by PERSERIS2
Dose 3 injection site tenderness grade
GroupValue95% CI
Oral Risperidone Followed by PERSERIS15
Oral Risperidone Followed by PERSERIS1
Dose 4 injection site tenderness grade
GroupValue95% CI
Oral Risperidone Followed by PERSERIS13
Oral Risperidone Followed by PERSERIS3
The Number of Participants With TEAEs as Assessed by Local Injection Site* Secondary · First injection at Day 1 until Day 120

The injection site was evaluated for adverse events by observation and examination by appropriately trained personnel.

GroupValue95% CI
Oral Risperidone Followed by PERSERIS1
The Number of Participants With TEAEs as Assessed by Changes in Vital Signs Secondary · Time subjects sign the informed consent form throughout the study until EOS (Day 113)

Vital sign measurement was performed, including orthostatic blood pressure, and clinically significant changes were reported as adverse events (AE). Vital sign measurement also included measurement of pulse rate, oral temperature and respiratory rate. Determination of whether the changes were AEs was made by the investigator or a medically qualified designee. If determined to be an AE, the measurement was repeated at appropriate intervals until the value returned to an acceptable range and the subject was clinically stable, a specific diagnosis was established, or the condition otherwise expla

GroupValue95% CI
Oral Risperidone Followed by PERSERIS1
The Number of Participants With TEAEs as Assessed by Changes in ECG Secondary · Time participants sign the informed consent form throughout the study until EOS (Day 113)

ECGs were performed, and clinically significant changes in parameters were reported as adverse events (AE). ECGs were performed after 5 minutes of rest, and ECG parameters including QT interval, PR interval, QRS interval and heart rate was recorded. The ECG measurements were evaluated during the visit and determination of whether any abnormalities were AEs was made by the investigator or a medically qualified designee. If determined to be an AE, the measurement was repeated at appropriate intervals until the value returned to an acceptable range and the subject was clinically stable, a specifi

GroupValue95% CI
Oral Risperidone Followed by PERSERIS0
The Number of Participants With TEAEs as Assessed by Changes in Body Weight Secondary · Time subjects sign the informed consent form throughout the study until EOS (Day 113)

Body weight, with shoes off, was measured and clinically significant changes in weight was reported as adverse events (AE). Determination of whether the changes were AEs was made by the investigator or a medically qualified designee. If determined to be an AE, the measurement was repeated at appropriate intervals until the value returned to an acceptable range and the subject was clinically stable, a specific diagnosis was established, or the condition otherwise explained.

GroupValue95% CI
Oral Risperidone Followed by PERSERIS1
The Number of Participants With TEAEs as Assessed by Changes in Laboratory Testing Secondary · Time subjects sign the informed consent form throughout the study until end of study (EOS) visit (Day 113)

Laboratory testing was performed by the local clinical laboratory accredited by the College of American Pathologists, and clinically significant changes from baseline were reported as AEs. Subjects were expected to fast for a minimum of 8 hours prior to blood draws for all laboratory assessments except at the screening visit. Prior to entering the study, any abnormal laboratory test results were to be considered not clinically significant. Any abnormal hematology, serum chemistry or urinalysis test result after study drug intake that was determined by the investigator or a medically qualified

GroupValue95% CI
Oral Risperidone Followed by PERSERIS3
The Number of Participants With TEAEs as Assessed by Extrapyramidal Symptoms (EPS) of Anti-psychotic Drug Treatment Secondary · Time subjects sign the informed consent form throughout the study until EOS (Day 113)

Safety of treatment was measured by administration of symptom questionnaires including AIMS, Barnes Akathisia Rating Scale (BARS) and Simpson-Angus Scale (SAS), as well as by assessment by the investigator or suitably qualified medical designee. The AIMS is a tool that aids in early detection and ongoing monitoring of tardive dyskinesia, a movement disorder. The BARS is a 4-item scale that detects the presence and severity of any drug-induced restlessness. The SAS is a 10-item scale used to detect the presence of drug-induced Parkinsonism (movement disorder seen in Parkinson's disease) and ext

Akathisia
GroupValue95% CI
Oral Risperidone Followed by PERSERIS1
Dyskinesia
GroupValue95% CI
Oral Risperidone Followed by PERSERIS2
Parkinsonian gait
GroupValue95% CI
Oral Risperidone Followed by PERSERIS1
Tremor
GroupValue95% CI
Oral Risperidone Followed by PERSERIS1
Positive and Negative Syndrome Scale (PANSS) Secondary · Baseline, defined as last assessment prior to first injection, through Day 113 (EOS)

Clinical outcome (efficacy endpoint) as measured by change from baseline in PANSS scores was measured. PANSS is a medical scale designed to measure schizophrenia symptom severity utilizing a 30 item, 7-point rating scheme. The PANSS Is scored by a summation of ratings across items, with a total potential range of 7-210; higher results indicate greater severity of illness. Only total score changes from baseline are reported here.

Total score change from baseline: Dose 1 Day 2
GroupValue95% CI
Oral Risperidone Followed by PERSERIS-0.2± 3.52
Total score change from baseline: Dose 1 Day 8
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.9± 3.91
Total score change from baseline: Dose 1 Day 15
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.7± 4.81
Total score change from baseline: Dose 1 Day 22
GroupValue95% CI
Oral Risperidone Followed by PERSERIS-0.4± 4.16
Total score change from baseline: Dose 2 Day 29
GroupValue95% CI
Oral Risperidone Followed by PERSERIS-0.9± 5.05
Total score change from baseline: Dose 2 Day 50
GroupValue95% CI
Oral Risperidone Followed by PERSERIS-0.5± 7.21
Total score change from baseline: Dose 3 Day 57
GroupValue95% CI
Oral Risperidone Followed by PERSERIS-2.9± 4.92
Total score change from baseline: Dose 4 Day 85
GroupValue95% CI
Oral Risperidone Followed by PERSERIS-0.9± 6.00
Clinical Global Impression-Severity of Illness Scale (CGI-S) Secondary · Baseline through EOS (Day 113)

Clinical outcome (efficacy endpoint) as measured by change from baseline in CGI-S scores was measured. The CGI-S is a measurement of the total severity of illness where one question is assessed. Responses range from 0 (not assessed) to 7 (most extremely ill).

Change from baseline: Dose 1/Day 2
GroupValue95% CI
Oral Risperidone Followed by PERSERIS-0.1± 0.29
Change from baseline: Dose 1/Day 8
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.0± 0.21
Change from baseline: Dose 1/Day 15
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.0± 0.38
Change from baseline: Dose 1/Day 22
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.0± 0.44
Change from baseline: Dose 2/Day 29
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.0± 0.44
Change from baseline: Dose 2/Day 50
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.0± 0.47
Change from baseline: Dose 3/Day 57
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.1± 0.44
Change from baseline: Dose 4/Day 85
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.1± 0.50
Columbia-Suicide Severity Rating Scale (C-SSRS)-Change Secondary · Screening through EOS (Day 113)

Significant changes from baseline in C-SSRS scores were reported as adverse events. The C-SSRS is based on a categorization of thoughts and behavior that are identified as related to suicidal behavior. The scale captures the occurrence, severity and frequency of suicide related thoughts and behaviors throughout lifetime at screening and for the time interval since last administration during a study. Responses are indicated as yes (thought or behavior did occur) or no (thought or behavior did not occur). If a yes response is received, then follow up questions are asked. The outcome of the C-SSR

Change in Maximum Suicidal Ideation at Dose 1/Day 8
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.0± 0.00
Change in Maximum Suicidal Ideation at EOS
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.0± 0.00
Change in Suicidal Ideation Intensity Score at Dose 1/Day 8
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.0± 0.00
Change in Suicidal Ideation Intensity Score at EOS
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.0± 0.00
Change in Maximum Suicidal Behavior at Dose 1/Day 8
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.0± 0.00
Change in Maximum Suicidal Behavior at EOS
GroupValue95% CI
Oral Risperidone Followed by PERSERIS0.0± 0.00
Safety as Measured by Columbia-Suicide Severity Rating Scale (C-SSRS) Scores Secondary · Screening through EOS (Day 113)

Safety of treatment was measured by characterization of thoughts and behavior related to suicidal behavior. This was assessed by administration of the C-SSRS at designated visits. The scale captures the occurrence, severity and frequency of suicide related thoughts and behaviours throughout lifetime at screening and for the time interval since last administration during a study. Questions solicit the type of information needed to determine if a suicide-related thought or behavior occurred.

Any Suicidal Ideation - Lifetime
GroupValue95% CI
Oral Risperidone Followed by PERSERIS15
Oral Risperidone Followed by PERSERIS8
Any Suicidal Ideation - Past 6 months
GroupValue95% CI
Oral Risperidone Followed by PERSERIS23
Oral Risperidone Followed by PERSERIS0
Any Suicidal Ideation - EOS
GroupValue95% CI
Oral Risperidone Followed by PERSERIS14
Oral Risperidone Followed by PERSERIS0
Any Suicidal Behavior - Lifetime
GroupValue95% CI
Oral Risperidone Followed by PERSERIS17
Oral Risperidone Followed by PERSERIS6
Any Suicidal Behavior - Past 6 months
GroupValue95% CI
Oral Risperidone Followed by PERSERIS20
Oral Risperidone Followed by PERSERIS0
Any Suicidal Behavior - EOS
GroupValue95% CI
Oral Risperidone Followed by PERSERIS14
Oral Risperidone Followed by PERSERIS0
Any Suicidal Ideation or Behavior - Lifetime
GroupValue95% CI
Oral Risperidone Followed by PERSERIS15
Oral Risperidone Followed by PERSERIS8
Any Suicidal Ideation or Behavior - Past 6 months
GroupValue95% CI
Oral Risperidone Followed by PERSERIS20
Oral Risperidone Followed by PERSERIS0

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse event data was collected from the time of informed consent through the end of study for each subject, Day 120, a total of up to 146 days including the screening and dosing stabilization periods.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Oral Risperidone Followed by PERSERIS
Serious: 1/23 (4%)
Deaths: 0/23

Serious adverse events (1 terms)

ReactionSystemOral Risperidone Followed …
increase in liver enzymesHepatobiliary disorders
Other adverse events (6 terms — click to expand)

ReactionSystemOral Risperidone Followed …
upper respiratory tract infectionInfections and infestations
blood prolactin increasedInvestigations
decreased appetiteMetabolism and nutrition disorders
dyskinesiaNervous system disorders
fallInjury, poisoning and procedural complications
headacheNervous system disorders

Most-reported serious reactions: increase in liver enzymes.

Data from ClinicalTrials.gov NCT03978832 adverse events section.

Sponsor's own description

This study evaluates PERSERIS at a higher dose than what has been administered in previous clinical trials. Subjects with stable schizophrenia on a dose of 5-6 mg oral risperidone will be switched to PERSERIS at the higher dose, which is believed to be similar to the oral dose

Publications & conference data

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

  1. Role of adrenergic receptor signalling in neuroimmune communication.
    Chhatar S, Lal G. · · 2021 · cited 76× · PMID 35492402 · DOI 10.1016/j.crimmu.2021.11.001
  2. An Open-Label Study to Assess Monthly Risperidone Injections (180 mg) Following Switch from Daily Oral Risperidone (6 mg) in Stable Schizophrenic Patients.
    Walling DP, Shinde SN, Pogoda JM, Kharidia J, et al · · 2024 · cited 1× · PMID 38388986 · DOI 10.1007/s40261-024-01347-1

Verify or expand the search:

Other recruiting trials for Schizophrenia

Currently open trials in the same condition.

Other Indivior Inc. trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03978832.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing