SchizophreniaPhase 3NCT00396565
A Study to Evaluate Effectiveness and Safety of ER OROS Paliperidone in Patients With Schizophrenia
A Phase 3 study testing ER OROS paliperidone and Olanzapine in people with Schizophrenia, run by Janssen Pharmaceutical K.K. at 56 sites in Japan.
Trial summary
The purpose of this study is to evaluate the effectiveness and safety of Extended Release Osmotic Controlled-Release Oral Delivery System (OROS) Paliperidone compared to placebo in patients with Schizophrenia. Olanzapine will be used as a reference drug in the study. Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Schizophrenia
- What is being tested?
- ER OROS paliperidone and Olanzapine
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 394 participants
- Where
- 56 sitesJapan
- Study dates
- Jul 2006to Nov 2007
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients who have given their own consent in writing to participate in the study
- Patients diagnosed with schizophrenia according to the diagnostic criteria of DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 295.30, 295.10, 295.20, 295.90, 295.60)
- Patients who have acute symptoms of schizophrenia
- Both inpatients and outpatients are acceptable
Who cannot join
- A DSM-IV (Diagnostic and Statistical Manual of Mental Disorders) of a mental disease diagnosis other than schizophrenia
- A DSM-IV diagnosis of substance-related disorder (except nicotine dependence and caffeine dependence) within 180 days before the screening test
- Total PANSS (Positive and Negative Syndrome System) score at the screening test <70 or >120
- Patients treated with three or more types of antipsychotic within 28 days before the screening test
- Parkinson's disease (except for those with drug-induced extra pyramidal symptoms)
- Patients with a complication of or a past history of cerebrovascular accident
- Patients with a complication of or a past history of diabetes mellitus
Trial locations and contacts
56 sites in 1 country.
56 sites in 1 country
Japan56 sites
Study site
Aizu-Wakamatsu
Study site
Fujioka
Study site
Fujisawa
Study site
Fukui
Study site
Hadano
Study site
Himeji
Study site
Hiratsuka
Study site
Hiroshima
Study site
Ibaraki
Study site
Ichikawa
Study site
Iida
Study site
Inazawa
Study site
Itoman
Study site
Kaizuka
Study site
Kanzaki
Study site
Kashihara
Study site
Kitakyushu
Study site
Kochi
Study site
Kōshi
Study site
Kumamoto
Study site
Kurayoshi
Study site
Matsudo
Study site
Matsusaka
Study site
Moriguchi
Study site
Morioka
Study site
Nagoya
Study site
Naha
Study site
Nakagami
Study site
Nankoku
Study site
Nishinomiya
Study site
Noda
Study site
Numazu
Study site
Ohta
Study site
Ōita
Study site
Okinawa
Study site
Oyama
Study site
Sakai
Study site
Sapporo
Study site
Takasaki
Study site
Takatsuki
Study site
Tanba
Study site
Tōgane
Study site
Tokyo
Study site
Tottori
Study site
Toyama
Study site
Toyoake
Study site
Toyonaka
Study site
Tsuyama
Study site
Ueda
Study site
Urasoe
Study site
Uruma
Study site
Yanagawa
Study site
Yao
Study site
Yokkaichi
Study site
Yokohama
Study site
Yokosuka
About this study
Official title: A Placebo-Controlled Double Blind Comparative Study of JNS007ER in Patients With Schizophrenia
The purpose of this study is to evaluate the effectiveness and safety of Extended Release Osmotic Controlled-Release Oral Delivery System (OROS) Paliperidone compared to placebo in patients with Schizophrenia. Olanzapine will be used as a reference drug in the study.
Read the detailed description
This is a multicenter, double blind (neither the patient nor the physician knows whether drug or placebo is being taken, or at what dosage), randomized (patients are assigned different treatments based on chance), placebo- and active-controlled, parallel-group study. Patients will be randomized into 1 of 3 treatment groups to receive oral dosages of Extended Release (ER) Osmotic Controlled-Release Oral Delivery System (OROS) paliperidone 6 mg, olanzapine 10 mg, or placebo. They will receive two capsules of Paliperidone ER 3 mg, placebo or Olanzapine 5 mg once daily after breakfast for 6 weeks. The study will include a screening period, followed by double-blind treatment for 6 weeks.
- Conditions
- Schizophrenia
- Being tested
- ER OROS paliperidone, Placebo, Olanzapine
- Keywords
- Schizophrenia, JNS007ER, Positive and Negative Syndrome Scale (PANSS), Paliperidone, Extended Release Osmotic Controlled-Release Oral Delivery System (OROS) paliperidone
- Medical subject headings
- Schizophrenia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ER OROS paliperidoneDrug
Type= exact number, unit= mg, number= 3, form= tablet, route= oral use. Two tablets once daily for 6 weeks.
PlaceboDrug
Form= tablet, route= oral use. Two tablets once daily for 6 weeks.
OlanzapineDrug
Type= exact number, unit= mg, number= 2.5, form= tablet, route= oral use. Four tablets once daily for 6 weeks.
| Study group | Role | What they receive |
|---|---|---|
| ER OROS paliperidone | Experimental | Extended Release (ER) Osmotic Controlled-Release Oral Delivery System (OROS) paliperidone Receives: Drug: ER OROS paliperidone |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
| Olanzapine | Active comparator | Not described Receives: Drug: Olanzapine |
What is being measured
The primary outcome is the main question the study is designed to answer.
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).
Measured: Baseline and 6 weeks
Secondary outcomes (5)
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).
Measured: Baseline and 6 weeks
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).
Measured: Baseline and 6 weeks
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).
Measured: Baseline and 6 weeks
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).
Measured: Baseline and 6 weeks
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.
Measured: Baseline and 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Nov 2006 (estimated)
- Study startJul 2006
- Primary completionNov 2007
- Study completionNov 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for SchizophreniaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 394 participants (actual)
Sponsor and investigators
- Lead sponsor
- Janssen Pharmaceutical K.K.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Pharmaceutical K.K. Clinical Trial, Study director, Janssen Pharmaceutical K.K.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00396565
- Sponsor's protocol ID
- CR012625
- Other IDs
- JNS007ER-JPN-S31
- Status last verified
- Apr 2014
- First submitted
- 3 Nov 2006
- Last updated
- 29 Apr 2014
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 29 Apr 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Placebo-Controlled Double Blind Comparative Study of JNS007ER in Patients With Schizophrenia
- ClinicalTrials.gov ID
- NCT00396565
- Acronym / sponsor ID
- CR012625
- Conditions
- Schizophrenia
- Keywords
- Schizophrenia, JNS007ER, Positive and Negative Syndrome Scale (PANSS), Paliperidone, Extended Release Osmotic Controlled-Release Oral Delivery System (OROS) paliperidone
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 394 participants (actual)
- Lead sponsor
- Janssen Pharmaceutical K.K.Industry (pharma, biotech, devices)
- Study start
- Jul 2006
- Primary completion
- Nov 2007 (actual)
- Study completion
- Nov 2007 (actual)
- First posted
- 7 Nov 2006 (estimated)
- Results
- Posted 3 Jul 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the effectiveness and safety of Extended Release Osmotic Controlled-Release Oral Delivery System (OROS) Paliperidone compared to placebo in patients with Schizophrenia. Olanzapine will be used as a reference drug in the study.
Detailed description
This is a multicenter, double blind (neither the patient nor the physician knows whether drug or placebo is being taken, or at what dosage), randomized (patients are assigned different treatments based on chance), placebo- and active-controlled, parallel-group study. Patients will be randomized into 1 of 3 treatment groups to receive oral dosages of Extended Release (ER) Osmotic Controlled-Release Oral Delivery System (OROS) paliperidone 6 mg, olanzapine 10 mg, or placebo. They will receive two capsules of Paliperidone ER 3 mg, placebo or Olanzapine 5 mg once daily after breakfast for 6 weeks. The study will include a screening period, followed by double-blind treatment for 6 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| ER OROS paliperidone | Experimental | Drug: ER OROS paliperidoneExtended Release (ER) Osmotic Controlled-Release Oral Delivery System (OROS) paliperidone |
| Placebo | Placebo comparator | Drug: Placebo |
| Olanzapine | Active comparator | Drug: Olanzapine |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Patients who have given their own consent in writing to participate in the study
- Patients diagnosed with schizophrenia according to the diagnostic criteria of DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 295.30, 295.10, 295.20, 295.90, 295.60)
- Patients who have acute symptoms of schizophrenia
- Both inpatients and outpatients are acceptable
Key exclusion criteria (7 listed)
- A DSM-IV (Diagnostic and Statistical Manual of Mental Disorders) of a mental disease diagnosis other than schizophrenia
- A DSM-IV diagnosis of substance-related disorder (except nicotine dependence and caffeine dependence) within 180 days before the screening test
- Total PANSS (Positive and Negative Syndrome System) score at the screening test <70 or >120
- Patients treated with three or more types of antipsychotic within 28 days before the screening test
- Parkinson's disease (except for those with drug-induced extra pyramidal symptoms)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ER OROS paliperidoneType= exact number, unit= mg, number= 3, form= tablet, route= oral use. Two tablets once daily for 6 weeks. | Drug | ER OROS paliperidone |
| PlaceboForm= tablet, route= oral use. Two tablets once daily for 6 weeks. | Drug | Placebo |
| OlanzapineType= exact number, unit= mg, number= 2.5, form= tablet, route= oral use. Four tablets once daily for 6 weeks. | Drug | Olanzapine |
Primary outcome
Change From Baseline in the Total Positive and Negative Syndrome Scale (PANSS).
Time frame: Baseline and 6 weeks
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).
5 secondary outcomes
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Positive Subscale Score
Time frame: Baseline and 6 weeks
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - Negative Subscale Score
Time frame: Baseline and 6 weeks
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) - General Psychopathology Subscale Score
Time frame: Baseline and 6 weeks
Proportion of Responders (≥30% Decrease in Total Positive and Negative Syndrome Scale [PANSS])
Time frame: Baseline and 6 weeks
Change From Baseline in Clinical Global Impression Scale (CGI-S)
Time frame: Baseline and 6 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Apr 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- A Study to Evaluate Efficacy and Safety of ER OROS Paliperidone in Patients With SchizophreniaLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Janssen Pharmaceutical K.K. Clinical Trial study director
Janssen Pharmaceutical K.K.
56 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing ER OROS paliperidone and Olanzapine in people with Schizophrenia, run by Janssen Pharmaceutical K.K. at 56 sites in Japan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 29 Apr 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 56 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 3 Jul 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in the Total Positive and Negative Syndrome Scale (PANSS). (time frame: Baseline and 6 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Apr 2014.