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SchizophreniaPhase 2STEP 210NCT01649557

Multicenter, Open-label, Safety and Tolerability Study

A Phase 2 study testing OPC-34712 in people with Schizophrenia, run by Otsuka Pharmaceutical Development & Commercialization, Inc. at 68 sites in 12 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

This will be a multicenter, 52 week, open label study to assess the safety and tolerability of oral OPC-34712 (1 to 6 mg) as monotherapy in adult patients with schizophrenia. The study will be conducted on an outpatient basis. Read more about this study

Who is it for?
Ages 18 to 67 years
Conditions the study is for
Schizophrenia
What is being tested?
OPC-34712
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
244 participants
Where
68 sitesin 12 countries
Study dates
Aug 2009to Sep 2011
Phase
Phase 2
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 67 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects who participated in 331-07-203 and who, in the opinion of the investigator, have the potential to benefit from continued administration of OPC-34712 for the treatment of schizophrenia.
  • Outpatient status at last visit of Study 331-07-203.

Who cannot join

  • Sexually active males who are not practicing two different methods of birth control during the study and for 90 days after the last dose of study medication or who will not remain abstinent during the study and for 90 days after the last dose, or sexually active females of childbearing potential who are not practicing two different methods of birth control during the study and for 30 days after the last dose of study medication or who will not remain abstinent during the study and for 30 days after the last dose. If employing birth control, two of the following precautions must be used: vasectomy, tubal ligation, vaginal diaphragm, intrauterine device, birth control pill, birth control depot injection, birth control implant, condom, or sponge with spermicide.
  • Females who are breast-feeding and/or who have a positive pregnancy test result prior to receiving open-label OPC-34712.
  • Subjects who during the course of their participation in 331-07-203 were treated in violation of the protocol or who developed ANY exclusion criteria during the course of their participation.
  • Subjects who do not continue to meet all applicable inclusion/exclusion criteria for Protocol 331-07-203 at the last visit (ie, Week 6) of Protocol 331-07-203.
  • Subjects who represent a risk of committing suicide based on an answer of "Yes" to either Question 4 (Active Suicidal Ideation with Some Intent to Act, Without Specific Plan) or Question 5 (Active Suicidal Ideation with Specific Plan and Intent) on the "Suicidal Ideation" portion of the C-SSRS, or an answer of "Yes" to any of the suicide-related behaviors (actual attempt, interrupted attempt, aborted attempt, preparatory acts or behavior) on the "Suicidal Behavior" portion of the C-SSRS. A subject who has had any suicidal ideation within the last 6 months, any suicidal behaviors within the last two years, or who in the clinical judgment of the investigator presents a serious risk of suicide should be excluded from the study.
  • Subjects who would be likely to require prohibited concomitant therapy during the study.
  • Any subject who, in the opinion of the investigator, should not participate in the study.

Trial locations and contacts

68 sites in 12 countries.

68 sites in 12 countries

United States16 sites
  • Otsuka Investigational Site

    Austin, Texas, 78731

  • Otsuka Investigational Site

    Bradenton, Florida, 34208

  • Otsuka Investigational Site

    Cedarhurst, New York, 11516

  • Otsuka Investigational Site

    Escondido, California, 92025

  • Otsuka Investigational Site

    Garden Grove, California, 92845

  • Otsuka Investigational Site

    Little Rock, Arkansas, 72211

  • Otsuka Investigational Site

    Long Beach, California, 90813

  • Otsuka Investigational Site

    Maitland, Florida, 32751

  • Otsuka Investigational Site

    Oceanside, California, 92056

  • Otsuka Investigational Site

    Pasadena, California, 91106

  • Otsuka Investigational Site

    Philadelphia, Pennsylvania, 19139

  • Otsuka Investigational Site

    San Diego, California, 92102

  • Otsuka Investigational Site

    San Diego, California, 92123

  • Otsuka Investigational Site

    Santa Ana, California, 92701

  • Otsuka Investigational Site

    St Louis, Missouri, 63118

  • Otsuka Investigational Site

    Washington D.C., District of Columbia, 20016

Other trials in United States

India9 sites
  • Otsuka Investigational Site

    Ahmedabad, Gujarat, 380015

  • Otsuka Investigational Site

    Bangalore, Karna, 560010

  • Otsuka Investigational Site

    Chennai, Tamil Nadu, 600003

  • Otsuka Investigational Site

    Mangalore, Karna, 575001

  • Otsuka Investigational Site

    Mangalore, Karna, 575018

  • Otsuka Investigational Site

    Pune, Mahara, 411 004

  • Otsuka Investigational Site

    Varanasi, Uttar Prad, 221005

  • Otsuka Investigational Site

    Vijaywada, Andh Prad, 520002

  • Otsuka Investigational Site

    Visakhapatnam, Andh Prad, 530017

Other trials in India

Ukraine8 sites
  • Otsuka Investigational Site

    Chernihiv, 14005

  • Otsuka Investigational Site

    Dnipropetrovsk, 49005

  • Otsuka Investigational Site

    Kyiv, 02660

  • Otsuka Investigational Site

    Kyiv, 04080

  • Otsuka Investigational Site

    Kyiv, 04655

  • Otsuka Investigational Site

    Simferopol, 95006

  • Otsuka Investigational Site

    Stepanovka, 73488

  • Otsuka Investigational Site

    Vinnytsia, 21005

Other trials in Ukraine

Bulgaria6 sites
  • Otsuka Investigational Site

    Burgas, 8000

  • Otsuka Investigational Site

    Kazanlak, 6100

  • Otsuka Investigational Site

    Pazardzhik, 4400

  • Otsuka Investigational Site

    Plovdiv, 4002

  • Otsuka Investigational Site

    Radnevo, 6260

  • Otsuka Investigational Site

    Rousse, 7003

Other trials in Bulgaria

Russia6 sites
  • Otsuka Investigational Site

    Moscow, 115522

  • Otsuka Investigational Site

    Moscow Region, 141371

  • Otsuka Investigational Site

    Saint Petersburg, 190121

  • Otsuka Investigational Site

    Saint Petersburg, 193167

  • Otsuka Investigational Site

    Saint Petersburg, 197341

  • Otsuka Investigational Site

    Zagorodnoye, 117152

Other trials in Russia

Romania5 sites
  • Otsuka Investigational Site

    Arad, 310022

  • Otsuka Investigational Site

    Bucharest, 010825

  • Otsuka Investigational Site

    Bucharest, 041914

  • Otsuka Investigational Site

    Cluj-Napoca, 400012

  • Otsuka Investigational Site

    Oradea, 410154

Other trials in Romania

Slovakia5 sites
  • Otsuka Investigational Site

    Bojnice, 92701

  • Otsuka Investigational Site

    Bratislava, 82606

  • Otsuka Investigational Site

    Liptovský Mikuláš, 03123

  • Otsuka Investigational Site

    Rimavská Sobota, 97912

  • Otsuka Investigational Site

    Žilina, 01207

Other trials in Slovakia

South Korea4 sites
  • Otsuka Investigational Site

    Chuncheon, 200-704

  • Otsuka Investigational Site

    Incheon, 400-711

  • Otsuka Investigational Site

    Incheon, 405-760

  • Otsuka Investigational Site

    Seoul, 143-711

Other trials in South Korea

Serbia3 sites
  • Otsuka Investigational Site

    Belgrade, 11000

  • Otsuka Investigational Site

    Kragujevac, 34000

  • Otsuka Investigational Site

    NoviSad, 21000

Other trials in Serbia

Croatia2 sites
  • Otsuka Investigational Site

    Rijeka, 51 000

  • Otsuka Investigational Site

    Zagreb, 10 090

Other trials in Croatia

Philippines2 sites
  • Otsuka Investigational Site

    Cebu City, 6000

  • Otsuka Investigational Site

    Mandaluyong, 1553

Other trials in Philippines

Taiwan2 sites
  • Otsuka Investigational Site

    Hualien City, 981

  • Otsuka Investigational Site

    Taipei, 249

Other trials in Taiwan

About this study

Official title: A Phase 2, Multicenter, Open-label Study to Assess the Safety and Tolerability of Oral OPC-34712 as Monotherapy in Adult Patients With Schizophrenia

This will be a multicenter, 52 week, open label study to assess the safety and tolerability of oral OPC-34712 (1 to 6 mg) as monotherapy in adult patients with schizophrenia. The study will be conducted on an outpatient basis. Enrollment into the study will be drawn from eligible subjects who have completed participation in Study 331-07- 203 and who, in the investigator's judgment, would benefit from continued treatment with oral OPC-34712.

Conditions
Schizophrenia
Being tested
OPC-34712
Keywords
Schizophrenia
Medical subject headings
Schizophrenia

What participants receive

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

  • OPC-34712Drug

    oral administered once daily

Study groups in NCT01649557
Study groupRoleWhat they receive
Open-label OPDC-34712ExperimentalNot described
Receives: Drug: OPC-34712

What is being measured

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

  1. Number of Participants With Adverse Events (AEs) During First 6 Weeks.

    AE was defined as any new medical problem, or exacerbation of an existing problem, experienced by a participant while enrolled in the trial, whether or not it was considered drug related by the investigator. A serious adverse event (SAE) was any untoward medical occurrence that resulted in death or was life-threatening or required inpatient hospitalization or prolonged hospitalization. A treatment-emergent AE (TEAE) was defined as an AE that started after start of study medication or an AE that continued from baseline and that worsened, was serious, was study medication related, or resulted in death, discontinuation, interruption, or reduction of study medication.

    Measured: From Baseline up to 6 weeks

  2. Number of Participants With AEs in 52-Week Enrollers.

    AE was defined as any new medical problem, or exacerbation of an existing problem, experienced by a participant while enrolled in the trial, whether or not it was considered drug related by the investigator. A SAE was any untoward medical occurrence that resulted in death or was life-threatening or required inpatient hospitalization or prolonged hospitalization. A TEAE was defined as an AE that started after start of study medication or an AE that continued from baseline and that worsened, was serious, was study medication related, or resulted in death, discontinuation, interruption, or reduction of study medication.

    Measured: From Baseline up to 52 weeks

Secondary outcomes (8)
  1. Change From Baseline in Total Score of Positive and Negative Syndrome Scale (PANSS) by Study Week and at the Last Visit.

    The PANSS consisted of three subscales that contained a total of 30 symptom constructs. For each symptom construct, severity was rated on a 7-point scale, with a score of 1 that indicated the absence of symptoms and a score of 7 indicated extremely severe symptoms. The PANSS total score was the sum of the rating scores for 7 positive subscale items, 7 negative subscale items, and 16 general psychopathology subscale items from the PANSS panel. The PANSS total score ranges from 30-210, with higher scores indicating more severe symptoms.

    Measured: Baseline, Day 4, Week 1, 2, 4, 6, 8, 14, 20, 26, 32, 38, 44, 52 and Last Visit

  2. Change From Baseline in Clinical Global Impression- Severity of Illness Scale (CGI-S) Score.

    The severity of illness for each participant were rated using the CGI-S. To perform this assessment, the investigator were to answer the following question: "Considering your total clinical experience with this particular population, how mentally ill was the participant at that time?" Response choices include: 0 = not assessed; 1 = normal, not at all ill; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; and 7 = among the most extremely ill participants.

    Measured: Baseline, Day 4, Week 1, 2, 4, 6, 8, 14, 20, 26, 32, 38, 44, 52 and Last Visit

  3. Change From Baseline in Personal and Social Performance Scale (PSP) Total Score.

    The PSP was a validated clinician-rated scale that measured personal and social functioning in four domains: socially useful activities (e.g, work and study), personal and social relationships, self-care, and disturbing and aggressive behaviors. Impairment in each of these domains was rated as absent, mild, manifest, marked, severe, or very severe. These ratings were then converted to a total score based on a 100-point scale using algorithms to identify the appropriate 10-point interval, and the rater's judgment that determined the total score within the 10-point interval. Participants with a PSP total score of 71 to 100 were considered to have mild functional difficulty. Scores of 31 to 70 represented manifest disabilities of various degrees and ratings of 1 to 30 indicated minimal functioning that required intense support and/or supervision.

    Measured: Baseline, Week 1, 2, 6, 26, 52 and Last Visit

  4. Mean Clinical Global Impression- Improvement Scale (CGI-I) Total Score.

    The efficacy of study medication was rated for each participant using the CGI-I. The investigator rated the participants total improvement whether or not it was due to the drug treatment. All responses were compared to the participants condition at Screening/Baseline (i.e, Week 6 visit of Protocol NCT00905307). Response choices included: 0 = not assessed, 1 = very much improved, 2 = much improved, 3 = minimally improved, 4 = no change, 5 = minimally worse, 6 = much worse, and 7 = very much worse.

    Measured: Day 4, Week 1, 2, 4, 6, 8, 14, 20, 26, 32, 38, 44, 52 and Last Visit

  5. Change From Baseline in PANSS Positive Subscale Score.

    The PANSS consisted of three subscales that contained a total of 30 symptom constructs. For each symptom construct, severity is rated on a 7-point scale, with a score of 1 indicated the absence of symptoms and a score of 7 indicated extremely severe symptoms. In positive subscale, the 7 positive symptom constructs were: delusions, conceptual disorganization, hallucinatory behavior, excitement, grandiosity, suspiciousness/persecution, and hostility. The PANSS positive symptom score ranges from 7-49, with higher scores indicating more severe symptoms.

    Measured: Baseline, Day 4, Week 1, 2, 4, 6, 8, 14, 20, 26, 32, 38, 44, 52 and Last Visit

  6. Change From Baseline in PANSS Negative Subscale Score.

    The PANSS consisted of three subscales that contained a total of 30 symptom constructs. For each symptom construct, severity was rated on a 7-point scale, with a score of 1 indicated the absence of symptoms and a score of 7 indicated extremely severe symptoms. In negative subscale the severity was rated for the following 7 negative symptom constructs: blunted affect, emotional withdrawal, poor rapport, passive/apathetic social withdrawal, difficulty in abstract thinking, lack of spontaneity and flow of conversation, stereotyped thinking. The PANSS negative symptom score ranges from 7-49, with higher scores indicating more severe symptoms.

    Measured: Baseline, Day 4, Week 1, 2, 4, 6, 8, 14, 20, 26, 32, 38, 44, 52 and Last Visit

  7. Percentage of Participants With a Positive Response Rate.

    Response rate was defined as a reduction of ≥ 30% from Baseline in PANSS total score or CGI-I score of 1 (very much improved) or 2 (much improved) at the Last Visit.

    Measured: Last Visit

  8. Percentage of Participants Who Discontinued Due to Lack of Efficacy.

    Discontinuation rate for the participants discontinued due to lack of efficacy were examined.

    Measured: Last Visit

Timeline

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

  1. First posted25 Jul 2012 (estimated)
  2. Study startAug 2009
  3. Primary completionAug 2011
  4. Study completionSep 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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
244 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01649557
Sponsor's protocol ID
331-08-210
Acronym
STEP 210
Status last verified
Sep 2015
First submitted
20 Jul 2012
Last updated
29 Oct 2015
Data monitoring committee
Yes

Publications

  • Kane JM, Skuban A, Hobart M, Ouyang J, Weiller E, Weiss C, Correll CU. Overview of short- and long-term tolerability and safety of brexpiprazole in patients with schizophrenia. Schizophr Res. 2016 Jul;174(1-3):93-98. doi: 10.1016/j.schres.2016.04.013. Epub 2016 May 14.

    PubMed 27188270

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing OPC-34712 in people with Schizophrenia, run by Otsuka Pharmaceutical Development & Commercialization, Inc. at 68 sites in 12 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 2 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 Oct 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 68 sites in United States, India, Ukraine, Bulgaria, Russia and 7 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. 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?

Yes. Results are posted in the registry (first posted 29 Oct 2015). 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?

Number of Participants With Adverse Events (AEs) During First 6 Weeks. (time frame: From Baseline up to 6 weeks). The study lists 2 primary outcomes in all. 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 NCT01649557, 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 29 Oct 2015.

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Multicenter, Open-label, Safety and Tolerability Study | AzTrials