A Multicenter, Randomized, Double-Blind, Flexible-Dose, 6-Week Trial of the Efficacy and Safety of Asenapine Compared With Placebo Using Olanzapine Positive Control in Subjects With an Acute Exacerbation of Schizophrenia
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 277
- 主要终点
- Change in total Positive and Negative Syndrome Scale (PANSS) score at endpoint (6-week double-blind or last assessment after baseline) from baseline
研究概览
简要总结
Schizophrenia is a brain disease. The primary features of schizophrenia are characterized by Positive symptoms (symptoms that should not be there, inability to think clearly, to distinguish reality from fantasy i.e., hearing voices) and Negative symptoms (a reduction or absence of normal behaviors or emotions, i.e., unable to manage emotions, make decisions and relate to others). Other symptoms include reduced ability to recall and learn new information, difficulty with problem solving, or maintaining productive employment. The symptoms of schizophrenia may be due to an imbalance in chemicals in the brain, primarily dopamine and serotonin, which enables brain cells to communicate with each other.
Asenapine is an investigational drug that may help to correct the imbalance in dopamine and serotonin. This is a 6 week study to test the efficacy and safety of asenapine and a comparator agent (olanzapine) in the treatment of patients with schizophrenia. Patients that complete this trial will have the option of continuing in an additional one year extension trial.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Currently suffering from an acute exacerbation of schizophrenia.
排除标准
- •Have an uncontrolled, unstable medical condition. Have any other psychiatric disorder other than schizophrenia as a primary diagnosis.
研究组 & 干预措施
1
asenapine 5-10mg BID
干预措施: asenapine (Drug)
2
Placebo
干预措施: Placebo (Drug)
3
olanzapine 10-20 mg QD
干预措施: Olanzapine (Drug)
结局指标
主要结局
Change in total Positive and Negative Syndrome Scale (PANSS) score at endpoint (6-week double-blind or last assessment after baseline) from baseline
时间窗: Screen, baseline, days 4, 7, 14, 21, 28, 35, 42
A 30-item, clinician rated instrument for assessing the symptoms of schizophrenia. Ratings for each item could range from 1 (absent) to 7 (extreme).
次要结局
- Anxiety(Baseline, day 42)
- Readiness to discharge, at scheduled assessments and endpoint from baseline(Baseline up to day 14)
- Changes in PANSS subscale and Marder factor score Clinical Global Impression-Severity of Illness (CGI-S) scores(Screen, baseline, Days 4,7,14,21,28,35,42)
- Quality of life and patient functionality(Baseline, day 42)
- Vital signs(Baseline, Days ,14,21,28,42)
- Weight(Baseline, Days 14,,28,,42)
- Serious adverse events (SAEs) up to 30 days after endpoint(Screen, baseline, Days 4,7,14,21,28,35,42 and recorded continuously for AEs up to 30 days after endpoint)
- Clinical Global Impression Improvement (CGI-I) scores(Days 4,7,14,21,28,35,42)
- Adverse events (including serious adverse events)(Screen, baseline, Days 4,7,14,21,28,35,42 and recorded continuously for AEs up to 7 days after endpoint)
- Laboratory parameters(Baseline, Days 14,,28,,42)
- Electrocardiograms (ECGs)(Baseline, Days ,14, 28, 42)
- Suicidal thinking(Baseline, day 42)
- Extrapyramidal symptoms(Baseline, Days 4,7,14,21,28,35,42)
- Neurocognition and cognitive functioning(Baseline , day 42)