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SchizophreniaPhase 2NCT00728195

An Efficacy and Safety Study of 3 Fixed Doses of JNJ-37822681 in Participants With Schizophrenia

A Phase 2 study testing JNJ-37822681 and Olanzapine in people with Schizophrenia, run by Johnson & Johnson Pharmaceutical Research & Development, L.L.C. at 45 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the efficacy and safety of 3 fixed doses of JNJ-37822681 compared with placebo (an inactive substance that is compared with a drug to test if the drug has a real effect in a clinical trial) after 6 weeks treatment and olanzapine after 12 weeks treatment in participants with… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Schizophrenia
What is being tested?
JNJ-37822681 and Olanzapine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
498 participants
Where
45 sitesin 10 countries
Study dates
Nov 2008to Feb 2010
Phase
Phase 2
Are there results?
None posted in the registry

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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants must have been diagnosed with schizophrenia according to Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) (295.10, 295.20, 295.30, 295.60, 295.90) at least 1 year prior to screening
  • Participants must be experiencing an acute (a quick and severe form of illness in its early stage) exacerbation of less than 6 months duration, with a Positive and Negative Syndrome Scale (PANSS) total score at screening between 70 and 120 inclusive and at baseline of between 60 and 120 inclusive
  • Women of child bearing potential must have a negative urine pregnancy test at screening and baseline before receiving the study drug
  • Participants must agree to voluntary hospitalization for a minimum of 14 days
  • BMI (Body Mass Index) maximum 40 kilogram per meter square (kg/m^2), inclusive (BMI=weight/height^2)

Who cannot join

  • A DSM-IV axis I diagnosis other than schizophrenia
  • A DSM-IV diagnosis of substance dependence within 6 months prior to screening evaluation
  • Any clinically relevant medical condition that could potentially alter the absorption (the way a drug or other substance enters the body), metabolism, or excretion (the way that substances leave the body) of the study medication, such as Crohn's disease (serious inflammation of any part of the gastrointestinal tract), liver disease, or renal (pertaining to the kidneys) disease
  • Relevant history of any significant and/or unstable cardiovascular (pertaining to the heart and blood vessels), respiratory, neurological (including seizures) or significant cerebrovascular (pertaining to brain and blood vessels), renal, hepatic, endocrine (pertaining to the glands that make hormones), or immunologic diseases
  • History of neuroleptic malignant syndrome (high fever, rigid muscles, shaking, confusion, sweating more than usual, increased heart rate or blood pressure, or muscle pain or weakness)

Trial locations and contacts

45 sites in 10 countries.

45 sites in 10 countries

Russia9 sites
  • Study site

    Ekaterinburg Na

  • Study site

    Moscow

  • Study site

    Moscow Russia

  • Study site

    N Novgorod Na

  • Study site

    Saint Petersburg

  • Study site

    Samara

  • Study site

    Saratov

  • Study site

    Tomsk Na

  • Study site

    Yaroslavl

Other trials in Russia

Romania7 sites
  • Study site

    Arad

  • Study site

    Brasov

  • Study site

    Bucharest

  • Study site

    Jebel

  • Study site

    Oradea

  • Study site

    Sibiu

  • Study site

    Tg Mures

Other trials in Romania

Ukraine7 sites
  • Study site

    Dnipropetrovsk

  • Study site

    Donetsk

  • Study site

    Kharkiv

  • Study site

    Kherson

  • Study site

    Kiev

  • Study site

    Odesa

  • Study site

    Simferopol

Other trials in Ukraine

Bulgaria5 sites
  • Study site

    Burgas

  • Study site

    Pazardzhik

  • Study site

    Radnevo

  • Study site

    Rousse

  • Study site

    Sofia

Other trials in Bulgaria

South Korea4 sites
  • Study site

    Gwangju

  • Study site

    Gyeongsangnam-Do

  • Study site

    Incheon

  • Study site

    Seoul

Other trials in South Korea

Malaysia3 sites
  • Study site

    Johor Bahru

  • Study site

    Kuala Lumpur

  • Study site

    Kuching

Other trials in Malaysia

South Africa3 sites
  • Study site

    Cape Town

  • Study site

    Centurion Gauteng

  • Study site

    Pretoria

Other trials in South Africa

Taiwan3 sites
  • Study site

    Hualien City

  • Study site

    Kaohsiung City

  • Study site

    Taipei

Other trials in Taiwan

Estonia2 sites
  • Study site

    Tallinn

  • Study site

    Tartu

Other trials in Estonia

Lithuania2 sites
  • Study site

    Kaunas

  • Study site

    Vilnius

Other trials in Lithuania

About this study

Official title: A Randomized, Double-Blind, Placebo- and Active-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of 3 Fixed Doses of JNJ-37822681 Administered Twice Daily in Subjects With Schizophrenia

The purpose of this study is to evaluate the efficacy and safety of 3 fixed doses of JNJ-37822681 compared with placebo (an inactive substance that is compared with a drug to test if the drug has a real effect in a clinical trial) after 6 weeks treatment and olanzapine after 12 weeks treatment in participants with schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self).

Read the detailed description

This is a multicenter (when more than one hospital or medical school team work on a medical research study), double-blind (neither the participant nor the physician know the study medication drug name), randomized (study drug assigned by chance), placebo- and active-controlled, parallel-group (a clinical trial comparing the response in two or more groups of participants receiving different treatments), dose-response study in participants with schizophrenia. The total study duration will not exceed 16 weeks for each participant and will include following visits: screening, baseline, Week 1, 2, 3, 4, 5, 6, 7, 8, 9, 11 and 13 (end of treatment or early withdrawal), and a post-study safety visit (1 week after final dose of study drug). All participants will be hospitalized during the first 2 weeks of treatment for detailed follow-up of safety and disease status. Following a screening period, participants will be randomly assigned to one of 5 treatment groups to receive oral doses of JNJ-37822681 (10, 20 or 30 milligram [mg] twice a day) for 12 weeks, olanzapine 15 mg daily for 12 weeks, or placebo for 6 weeks followed by olanzapine 15 mg daily for the remaining 6 weeks. Olanzapine will be initiated at 10 mg daily for 1 week and then increased to 15 mg daily for the remainder of the treatment period. Efficacy will primarily be evaluated by Positive And Negative Syndrome Scale (PANSS). Participants' safety will also be monitored at each visit.

Conditions
Schizophrenia
Being tested
JNJ-37822681, Olanzapine, Placebo
Keywords
Schizophrenia, Central Nervous System, JNJ-37822681
Medical subject headings
Schizophrenia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • JNJ-37822681Drug

    Participants will receive JNJ-37822681 capsule 10 mg orally twice a day for 12 consecutive weeks.

  • JNJ-37822681Drug

    Participants will receive JNJ-37822681 capsule 20 mg orally twice a day for 12 consecutive weeks.

  • JNJ-37822681Drug

    Participants will receive JNJ-37822681 capsule 30 mg orally twice a day for 12 consecutive weeks.

  • OlanzapineDrug

    Participants will receive olanzapine 10 mg capsule alone or in combination with olanzapine 5 mg capsule orally for 6 or 12 weeks.

  • PlaceboDrug

    Participants will receive matching placebo capsules orally for 12 weeks.

Study groups in NCT00728195
Study groupRoleWhat they receive
Placebo First, Then OlanzapinePlacebo comparatorParticipants will receive 2 matching placebo capsules orally twice daily for 6 consecutive weeks, then 2 matching placebo capsules orally in the morning and olanzapine 10 milligram (mg) capsule along with matching placebo capsule orally in the evening for next 1 week, then 2 matching placebo capsules orally in the morning and olanzapine 10 mg capsule along with olanzapine 5 mg capsule orally in the evening for next 5 weeks.
Receives: Drug: Olanzapine; Drug: Placebo
JNJ-37822681 10 mgExperimentalParticipants will receive 1 matching placebo capsule along with JNJ-37822681 10 mg capsule orally twice a day for 12 consecutive weeks.
Receives: Drug: JNJ-37822681; Drug: Placebo
JNJ-37822681 20 mgExperimentalParticipants will receive 1 matching placebo capsule along with JNJ-37822681 20 mg capsule orally twice a day for 12 consecutive weeks.
Receives: Drug: JNJ-37822681; Drug: Placebo
JNJ-37822681 30 mgExperimentalParticipants will receive JNJ-37822681 30 mg (one 10 mg capsule along with JNJ-37822681 20 mg capsule) orally twice a day for 12 consecutive weeks.
Receives: Drug: JNJ-37822681
OlanzapineActive comparatorParticipants will receive 2 matching placebo capsules orally in the morning and olanzapine 10 mg capsule along with matching placebo capsule orally in the evening for 1 week, then 2 matching placebo capsules orally in the morning and olanzapine 10 mg capsule along with olanzapine 5 mg capsule orally in the evening for next 11 consecutive weeks.
Receives: Drug: Olanzapine; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 6

    The PANSS is a 30-item scale to assess the neuropsychiatric symptoms of schizophrenia. The PANSS provides a total score and scores for 3 subscales, the positive subscale (7 items), the negative subscale (7 items), and the general psychopathology subscale (16 items), each item scored on a scale of 1 (absent) to 7 (extreme). The total score ranges from 30 to 210 and higher score indicates greater severity.

    Measured: Baseline and Week 6

Secondary outcomes (11)
  1. Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Subscale Scores at Week 6 and 12

    The PANSS is a 30-item scale to assess the neuropsychiatric symptoms of schizophrenia. The PANSS provides a total score and scores for 3 subscales, the positive subscale (7 items), the negative subscale (7 items), and the general psychopathology subscale (16 items), each item scored on a scale of 1 (absent) to 7 (extreme). Positive subscale score ranges from 7 (absent) to 49 (extreme psychopathology), negative subscale score ranges from 7 (absent) to 49 (extreme psychopathology) and general psychopathology subscale score ranges from 16 (absent) to 112 (extreme psychopathology).

    Measured: Baseline, Week 6 and 12

  2. Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Marder Subscale Scores at Week 6 and 12

    The PANSS is a 30-item scale to assess the neuropsychiatric symptoms of schizophrenia. The symptoms are rated on a 7-point scale from 1 (absent) to 7 (extreme psychopathology). Positive symptoms subscale consists of 8 items with total score range of 8-56; negative symptoms subscale and disorganized thoughts subscale, each consists of 7 items with total score range of 7-49 and uncontrolled hostility/excitement (UHE) subscale and anxiety/depression subscale, each consists of 4 items with total score range of 4-28. Higher score indicates greater severity.

    Measured: Baseline, Week 6 and 12

  3. Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Week 6 and 12

    The CGI-S rating scale assesses the severity of a participant's overall clinical condition on a 7-point scale ranging from 1 (not ill) to 7 (extremely severe).

    Measured: Baseline, Week 6 and 12

  4. Change From Baseline in Subjective Well-Being on Neuroleptics (SWN) Total Score at Week 6 and 12

    The SWN is a participant self rated scale to evaluate the participant's feelings during the past 7 days on a form with 20 statements, subsequently divided into 5 subscales: mental-functioning, self-control, emotional regulation, physical functioning and social integration. Each item is scored between 1 (not at all) and 6 (very much). Total score ranges from 20-120 with higher scores indicating higher subjective well-being.

    Measured: Baseline, Week 6 and 12

  5. Change From Baseline in Nurses' Observation Scale for Inpatient Evaluation (NOSIE) Total Score at Week 2

    The NOSIE comprises 30 items which form 6 scales: social competence, social interest, personal neatness, irritability, manifest psychosis and retardation and is completed by a suitably trained and experienced member of the nursing staff. Each item is scored from 0 (never) to 4 (always). It was assessed only at 2 weeks when the participants were hospitalized. Total score ranges from 0 to 120, with lower score indicating better results.

    Measured: Baseline and Week 2

  6. Change From Baseline in Plasma Markers Level for Lipid and Glucose Metabolism at Week 6 and 12

    Change from baseline in the level of plasma (liquid part of blood where cells float) markers for lipid (fat) and glucose (type of sugar found in the blood) metabolism (process of breaking down substances in the cells to obtain energy) is calculated. Markers for lipid metabolism include fasting total cholesterol, high-density lipoproteins (HDL), low-density lipoproteins (LDL), very low-density lipoproteins (VLDL), triglycerides and free fatty acids. Fasting glucose level is used as marker for glucose metabolism.

    Measured: Baseline, Week 6 and 12

  7. Change From Baseline in Free Fatty Acids Level at Week 6 and 12

    Change from baseline in the level of free fatty acids (plasma marker for lipid metabolism) is calculated.

    Measured: Baseline, Week 6 and 12

  8. Change From Baseline in Insulin Level at Week 6 and 12

    Change from baseline in the level of insulin (the hormone that controls blood sugar levels) as plasma marker for glucose metabolism is calculated.

    Measured: Baseline, Week 6 and 12

  9. Change From Baseline in Glycosylated Hemoglobin (HbA1c) Level at Week 6 and 12

    Change from baseline in the level of glycosylated hemoglobin (substance that carries oxygen and gives blood its red color) as plasma marker for glucose metabolism is calculated.

    Measured: Baseline, Week 6 and 12

  10. Change From Baseline in Body Mass Index (BMI) at Week 6 and 12

    The BMI is calculated by dividing the weight (in kilogram) by square of height (in meters).

    Measured: Baseline, Week 6 and 12

  11. Change From Baseline in Body Weight at Week 6 and 12

    Measured: Baseline, Week 6 and 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Aug 2008 (estimated)
  2. Study startNov 2008
  3. Primary completionFeb 2010
  4. Study completionFeb 2010

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
498 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00728195
Sponsor's protocol ID
CR014737
Other IDs
37822681SCH2002, 2007-007083-22
Status last verified
Mar 2014
First submitted
31 Jul 2008
Last updated
26 Mar 2014
Results posted
No
Data monitoring committee
Yes

Publications

  • Anghelescu IG, Janssens L, Kent J, de Boer P, Tritsmans L, Daly EJ, van Nueten L, Schmidt ME. Does early improvement predict response to the fast-dissociating D(2) receptor antagonist JNJ-37822681 in patients with acute schizophrenia? Eur Neuropsychopharmacol. 2013 Sep;23(9):1043-50. doi: 10.1016/j.euroneuro.2012.08.017. Epub 2012 Sep 18.

    PubMed 22995972

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing JNJ-37822681 and Olanzapine in people with Schizophrenia, run by Johnson & Johnson Pharmaceutical Research & Development, L.L.C. at 45 sites in 10 countries.

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 5 inclusion and 5 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 26 Mar 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in Russia, Romania, Ukraine, Bulgaria, South Korea and 5 more countries. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 Positive and Negative Syndrome Scale (PANSS) Total Score at Week 6 (time frame: Baseline and Week 6). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00728195, which also lists 1 linked publication.

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 26 Mar 2014.

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