AzTrials
AzTrials

SchizophreniaPhase 3NCT01104766

Safety and Efficacy of Cariprazine in Patients With Schizophrenia

A Phase 3 study testing Cariprazine and Aripiprazole in people with Schizophrenia, run by Forest Laboratories at 58 sites in 4 countries.

Completed

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

Official record
Search all trials

Trial summary

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. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Schizophrenia
What is being tested?
Cariprazine and Aripiprazole
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
617 participants
Where
58 sitesin 4 countries
Study dates
23 Apr 2010to 20 Dec 2011
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 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patients who have provided informed consent prior to any study specific procedures
  • Patients currently meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria for schizophrenia (paranoid type, disorganized type, catatonic type or undifferentiated type), as confirmed by the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (SCID)
  • Patients with normal physical examination, laboratory, vital signs,and/ or electrocardiogram (ECG)
  • Current psychotic episode (schizophrenia exacerbation) < 2 weeks duration at Visit 1
  • Structured Clinical Interview for the Positive and Negative Syndrome Scale (SCIPANSS) total score ≥ 80 and ≤ 120
  • CGI-S score ≥ 4

Who cannot join

  • Schizoaffective disorder, schizophreniform disorder, and other psychotic disorders
  • Bipolar I and II disorder
  • Pervasive developmental disorder, mental retardation, delirium, dementia, amnestic and other cognitive disorders
  • DSM-IV-TR axis II disorder of sufficient severity to interfere with participation in this study
  • Women who are pregnant or breast feeding

Trial locations and contacts

58 sites in 4 countries.

58 sites in 4 countries

United States20 sites
  • Pacific Institute of Medical Sciences

    Bothell, Washington, 98011

  • Florida Clinical Research Center, LLC

    Bradenton, Florida, 34208

  • Uptown Research Institute, LLC

    Chicago, Illinois, 60640

  • Millennium Psychiatric Associates, LLC

    Creve Coeur, Missouri, 63141

  • Synergy Clinical Research of Escondido

    Escondido, California, 92025

  • Precise Research Centers

    Flowood, Mississippi, 39232

  • Alexian Brothers Center for Psychiatric Research

    Hoffman Estates, Illinois, 60169

  • Hawaii Clinical Research Center

    Honolulu, Hawaii, 96813

  • Claghorn-Lesem Research Clinic, Ltd.

    Houston, Texas, 77008

  • Woodland International Research Group, Inc.

    Little Rock, Arkansas, 72211

  • Colorado Clinical Trials, Inc.

    Littleton, Colorado, 80130

  • Vanderbilt Psychiatric Hospital

    Nashville, Tennessee, 37212

  • Excell Research, Inc

    Oceanside, California, 92056

  • Clinical Innovations, Inc.

    Riverside, California, 92506

  • Sharp Mesa Vista Hospital

    San Diego, California, 92123

  • Woodland Research Northwest, LLC

    Springdale, Arkansas, 72764

  • Collaborative Neuroscience Network, Inc.

    Torrance, California, 90502

  • Comprehensive Clinical Development, Inc.

    Washington D.C., District of Columbia, 20016

  • CRI Worldwide, LLC

    Willingboro, New Jersey, 08046

  • Windsor-Laurelwood Center for Behavioral Medicine

    Willoughby, Ohio, 44094

Other trials in United States

Russia14 sites
  • State Healthcare Institution <Arkhangelsk Regional Clinical Psychiatric Hospital>

    Arkhangelsk, 163530

  • State Healthcare Institution "Regional Clinical Specialized Psychoneurological Hospital #1"

    Chelyabinsk, 454087

  • State Educational Institution of High Professional Education "Chita State Medical Academy of Roszdrav"

    Chita, 672090

  • St. Petersburg State Healthcare Institution "Mental Hospital #1 named after P.P Kashchenko"

    Gatchina, 188357

  • Healthcare Institution "Moscow Regional Mental Hospital #5"

    Orekhovo-Zuyevo, Moscow Oblast, 142601

  • St. Petersburg State Healthcare Institution "St. Nicholas the Wonderworker Mental Hospital"

    Saint Petersburg, 190121

  • Federal State Budget Institution "St. Petersburg scientific-research psychoneurological Institute named after V.M Bekhterev" of the Ministry of Health and Social Development of the Russian Federation, Department of biological therapy of mental patients

    Saint Petersburg, 192019

  • State institution "St. Petersburg scientifis-research psychoneurologic Institute of RosZdrav named after V.M Bekhterev"

    Saint Petersburg, 192019

  • Federal State Budget Institution "St. Petersburg scientific-research psychoneurological Institute named after V.M Bekhterev" of the Minitstry of Health and Social Development of the Russian Federation

    Saint Petersburg, 1922019

  • St. Petersburg State Healthcare Institution "City Mental Hospital #6 (hospital and Dispensary)"

    Saint Petersburg, 193167

  • St. Petersburg State Healthcare Institution "City Mental Hospital #3 named after I.I Skvortsov-Stepanov", department #7

    Saint Petersburg, 197341

  • Municipal Healthcare Institution "City Clinical Hospital #2 named after V.I Razumovsky"

    Saratov, 410028

  • State Healthcare Institution "Saratov Saint Sophia Regional Mental Hospital"

    Saratov, 410060

  • Regional State Healthcare Institution "Tomsk Clinical Mental Hospital"

    Tomsk, 634014

Other trials in Russia

Romania12 sites
  • Spitalul Clinic de Psihiatrie "Prof. Dr. Alexandru Obregia", Clinica X Psihiatrie

    Bucharest, 041914

  • Spitalul Clinic de Psihiatrie 'Prof. Dr. Alexandru Obregia', Clinica III Psihiatrie

    Bucharest, 41914

  • Spitalul Clinic de Psihiatrie 'Prof. Dr. Alexandru Obregia', Clinica VIII Psihiatrie

    Bucharest, 41914

  • Spitalul Clinic Judetean de Urgenta Cluj, Clinica de Psihiatrie III

    Cluj-Napoca, 400012

  • Spitalul Clinic de Neuropsihiatrie Craiova, Clinica II Psihiatrie

    Craiova, 200620

  • Spitalul Clinic Militar de Urgenta, 'Dr. Stefan Odobleja' Clinical de Psihiatrie

    Craiova, 200745

  • Spitalul Judetean de Urgenta Piatra Neamt

    Piatra Neamţ, 610136

  • Spitalul Judetean de Urgenta Pitesti, Clinica de Psihiatrie

    Piteşti, 110069

  • Spitalul de Psihiatrie Dr. Gheorghe Preda" Sibiu

    Sibiu, 550082

  • Spitalul Judetean de Urgenta Targoviste, Sectia Psihiatrie

    Targoviste, 130086

  • Spitalul Clinic Judetean Mures, Clinica Psihiatrie I

    Târgu Mureş, 540142

  • Spitalul Clinic Judetean de Urgenta Timisoara, Sectia Clinica de Psihiatrie "eduard Pamfil"

    Timișoara, 300736

Other trials in Romania

Ukraine12 sites
  • I.I. Mecnikov Regional Clinical Hospital, Regional Center of Psychosomatic Pathology

    Dnipropetrovsk, 49005

  • Ukraine State Scientific and Research Institute of Medical and Social Problems of Disabiolity, Department of Psychoneurology, Psychotherapy and Medical Psychology

    Dnipropetrovsk, 49027

  • Regional Clinical Psychiatric Hospital Department #11, M. Gorkyy Donetsk National Medical University, Chair of Psychiatry and Medical Psychology

    Donetsk, 83008

  • Kharkiv Regional Clinical Psychiatric Hospital #3, Department #4, Department #14

    Kharkiv, 61068

  • State Institution: Institute of Neurology, Psychiatry and Narcology of the AMS of Ukraine, Department of Borderline Psychic Pathology

    Kharkiv, 61068

  • Kherson Regional Psychiatric Hospital, Department #3

    Kherson, 73488

  • Kyiv City Clinical Psychoneurological Hospital #1, Center of Novel Treatment Methods and Rehabilitation of Psychotic Conditions

    Kyiv, 04080

  • Communal Institution: Lviv Regional Clinical Psychiatric Hospital, Department #3 (male), Department #10 (female)

    Lviv, 79021

  • O.F. Maltsev Poltava Regional Clinical Psychiatric Hopspital, Department #3B, State Institution of Higher Education of Ukraine: Ukranian Medical Stomatological Academy, Chair of Psychiatry, Narcology and Medical Psychology

    Poltava, 36006

  • Crimean Republican Institution: Clinical Psychiatric Hospital #1, Female Psychiatric Department #2, Male Psychiatric Department #1, S.I. Georgiyevskyy Crimean State Medical University, Chair of Psychiatry, Psychotherapy and Narcology

    Simferopol, 95006

  • Communal Institution of Kyiv Regional Council: Regional Psychiatric-Narcological Medical Association, Department #2 and #14

    Village Glevakha, Kyiv Oblast, 08613

  • O.I. Yuschenko Vinnytsya Regional Psychoneurological Hospital, Department #10, Department #14, M.I. Pyrogov Vinnytsya National Medical University, Chair of Psychiatry and Narcology

    Vinnytsia, 49005

Other trials in Ukraine

About this study

Official title: A Double-Blind, Placebo and Active-Controlled Evaluation of the Safety and Efficacy of Cariprazine in the Acute Exacerbation of Schizophrenia

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.

Conditions
Schizophrenia
Being tested
Cariprazine, Aripiprazole, Placebo
Keywords
Schizophrenia, Acute Schizophrenia, Psychotropic Drugs, Aripiprazole, Antipsychotic Agents, Mental Disorders, Dopamine Agents, Central Nervous System Agents
Medical subject headings
Schizophrenia, Mental Disorders

What participants receive

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

  • CariprazineDrug

    Also called RGH-188

    Patients who meet eligibility criteria will be administered a once daily oral dose of cariprazine for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.

  • AripiprazoleDrug

    Patients who meet eligibility criteria will be administered a once daily oral dose of aripiprazole for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.

  • PlaceboDrug

    Patients who meet eligibility criteria will be administered a once daily oral dose of placebo for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.

Study groups in NCT01104766
Study groupRoleWhat they receive
Cariprazine 3mgExperimentalPatients who meet eligibility criteria will be administered a once daily oral dose of cariprazine for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.
Receives: Drug: Cariprazine
Cariprazine 6mgExperimentalPatients who meet eligibility criteria will be administered a once daily oral dose of cariprazine for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.
Receives: Drug: Cariprazine
Aripiprazole 10mgActive comparatorPatients who meet eligibility criteria will be administered a once daily oral dose of aripiprazole for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.
Receives: Drug: Aripiprazole
PlaceboPlacebo comparatorPatients who meet eligibility criteria will be administered a once daily oral dose of placebo for six weeks. Upon completion of the study or early termination, patients will undergo a two week safety follow-up period.
Receives: Drug: Placebo

What is being measured

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

  1. Measurement of Schizophrenia Symptoms: Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score.

    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 being minimal impact, and 7 being highest impact. The cumulative score ranges from 30 to 210. A negative change from baseline score indicates improvement.

    Measured: Baseline to Week 6

Secondary outcomes (1)
  1. Measurement of the Overall Severity of Illness: Change From Baseline in Clinical Global Impression-Severity (CGI-S)

    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.

    Measured: Baseline to Week 6

Timeline

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

  1. First posted15 Apr 2010 (estimated)
  2. Study start23 Apr 2010
  3. Primary completion20 Dec 2011
  4. Study completion20 Dec 2011

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
617 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01104766
Sponsor's protocol ID
RGH-MD-04
Status last verified
Oct 2018
First submitted
9 Apr 2010
Last updated
29 Oct 2018
Data monitoring committee
No

Publications

  • Citrome L, Durgam S, Lu K, Ferguson P, Laszlovszky I. The effect of cariprazine on hostility associated with schizophrenia: post hoc analyses from 3 randomized controlled trials. J Clin Psychiatry. 2016 Jan;77(1):109-15. doi: 10.4088/JCP.15m10192.

    PubMed 26845266
  • Earley W, Durgam S, Lu K, Laszlovszky I, Debelle M, Kane JM. 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. Int Clin Psychopharmacol. 2017 Nov;32(6):319-328. doi: 10.1097/YIC.0000000000000187.

    PubMed 28692485
  • Nasrallah HA, Earley W, Cutler AJ, Wang Y, Lu K, Laszlovszky I, Nemeth G, Durgam S. The safety and tolerability of cariprazine in long-term treatment of schizophrenia: a post hoc pooled analysis. BMC Psychiatry. 2017 Aug 24;17(1):305. doi: 10.1186/s12888-017-1459-z.

    PubMed 28836957
  • Durgam S, Cutler AJ, Lu K, Migliore R, Ruth A, Laszlovszky I, Nemeth G, Meltzer HY. Cariprazine in acute exacerbation of schizophrenia: a fixed-dose, phase 3, randomized, double-blind, placebo- and active-controlled trial. J Clin Psychiatry. 2015 Dec;76(12):e1574-82. doi: 10.4088/JCP.15m09997.

    PubMed 26717533
  • Laszlovszky I, Barabassy A, Nemeth G. Cariprazine, A Broad-Spectrum Antipsychotic for the Treatment of Schizophrenia: Pharmacology, Efficacy, and Safety. Adv Ther. 2021 Jul;38(7):3652-3673. doi: 10.1007/s12325-021-01797-5. Epub 2021 Jun 6.

    PubMed 34091867
  • Barabassy A, Sebe B, Acsai K, Laszlovszky I, Szatmari B, Earley WR, Nemeth G. Safety and Tolerability of Cariprazine in Patients with Schizophrenia: A Pooled Analysis of Eight Phase II/III Studies. Neuropsychiatr Dis Treat. 2021 Apr 7;17:957-970. doi: 10.2147/NDT.S301225. eCollection 2021.

    PubMed 33854317
  • Marder S, Fleischhacker WW, Earley W, Lu K, Zhong Y, Nemeth G, Laszlovszky I, Szalai E, Durgam S. Efficacy of cariprazine across symptom domains in patients with acute exacerbation of schizophrenia: Pooled analyses from 3 phase II/III studies. Eur Neuropsychopharmacol. 2019 Jan;29(1):127-136. doi: 10.1016/j.euroneuro.2018.10.008. Epub 2018 Nov 20.

    PubMed 30470662
  • Cutler AJ, Durgam S, Wang Y, Migliore R, Lu K, Laszlovszky I, Nemeth G. Evaluation of the long-term safety and tolerability of cariprazine in patients with schizophrenia: results from a 1-year open-label study. CNS Spectr. 2018 Feb;23(1):39-50. doi: 10.1017/S1092852917000220. Epub 2017 May 8.

    PubMed 28478771

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Cariprazine and Aripiprazole in people with Schizophrenia, run by Forest Laboratories at 58 sites in 4 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 6 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 29 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 58 sites in United States, Russia, Romania, Ukraine. 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 29 Oct 2018). 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?

Measurement of Schizophrenia Symptoms: Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score. (time frame: Baseline to 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 NCT01104766, which also lists 8 linked publications.

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 Oct 2018.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in