A Twelve Week, Open Label Extension Study in Patients With Schizophrenia
- Registration Number
- NCT01566162
- Lead Sponsor
- Sumitomo Pharma America, Inc.
- Brief Summary
This is a 12-week, multi-center, open-label extension study designed to evaluate the longer-term safety, tolerability and effectiveness of lurasidone for the treatment of subjects with schizophrenia.
- Detailed Description
This is a 12-week, multi-center, open-label extension study designed to evaluate the longer-term safety, tolerability and effectiveness of lurasidone for the treatment of subjects with schizophrenia who have participated in Study D1050238, a double-blind, placebo-controlled, randomized withdrawal study of lurasidone for the maintenance treatment of subjects with schizophrenia. Subjects who have completed the 28-week double-blind phase or who have experienced a protocol-defined relapse event during the double-blind phase of study D1050238 will have the option to participate in this study. In addition, if/when the study is discontinued by the sponsor, all subjects participating in the open-label phase and the double-blind phase of study D1050238 will have the option to participate in this extension study
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 191
- Subject has agreed to participate by providing written informed consent.
- Subject will be eligible to participate if one of the following criteria is met:
- Subject has completed the 28-week double-blind phase of study D1050238
- Subject has experienced a protocol-defined relapse event during the double- blind phase in study D1050238
- Subject is participating in the open-label or double-blind phase of study D1050238 if/when study D1050238 is terminated by the sponsor.
- Subject has completed all required assessments on the final study visit (Study Visit Number 42) in study D1050238.
- Subject is judged by the Investigator to be suitable for participation in a 12-week clinical trial involving open-label lurasidone treatment and is able to comply with the protocol in the opinion of the Investigator.
- Subject is considered by the investigator to be at imminent risk of suicide or injury to self, others, or property.
- Subject answers "yes" to "Suicidal Ideation" item 4 (active suicidal ideation with some intent to act, without specific plan) or item 5 (active suicidal ideation with specific plan and intent) on the C-SSRS at the extension baseline visit (Study Visit Number 42 in study D1050238). Subjects who answer "yes" to this question must be referred by the Investigator for appropriate follow-up evaluation and treatment.
- Subject tests positive for drugs of abuse or is suspected of current alcohol abuse at the extension baseline visit (Study Visit Number 42 in study D1050238). In the event a subject tests positive for cannabinoids, the Investigator will evaluate the subject's ability to abstain from cannabis during the study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Lurasidone Lurasidone Lurasidone 40 - 80mg flexible dose
- Primary Outcome Measures
Name Time Method Safety - Treatment-emergent Adverse Events (TEAEs), TEAEs Leading to Discontinuation, and Serious AEs (SAEs) 12 weeks Number of subjects with treatment-emergent adverse events (TEAEs), TEAEs leading to discontinuation, and serious AEs (SAEs)
Efficacy - Change in Positive and Negative Syndrome Scale (PANSS) Total Score Baseline to week 12 LOCF endpoint The PANSS is an interview-based measure of the severity of psychopathology in adults with psychotic disorders. The measure is comprised of 30 items. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. The PANSS total score is the sum of all 30 items and ranges from 30 through 210. A higher score is associated with greater illness severity.
Efficacy - Change From Baseline in Clinical Global Impression-Severity of Illness (CGI-S) Score. Baseline to week 12 LOCF endpoint The CGI-S score is a single value, clinician-rated assessment of illness severity and ranges from 1= 'Normal, not at all ill' to 7= 'Among the most extremely ill patients'. A higher score is associated with greater illness severity.
- Secondary Outcome Measures
Name Time Method Change From Baseline in Montgomery -Asberg Depression Rating Scale Total Score Baseline to week 12 LOCF endpoint The MADRS consists of 10 items, each rated on a Likert scale, from 0="Normal" to 6="Most Severe". The MADRS total score is calculated as the sum of the 10 items. The MADRS total score ranges from 0 to 60. Higher scores are associated with greater severity.
Short Form-12 Health Survey (SF-12) Baseline to week 12 LOCF endpoint The SF-12v2 is a self-administered, multipurpose short-form (SF) generic measure of health status. It was developed to be a shorter, yet valid, alternative to the SF-36 for use in large surveys of general and specific populations as well as in large longitudinal studies of health outcomes. The 12 items in the SF-12v2 are a subset of those in the SF-36; SF-12v2 includes one or two items from each of the eight health concepts with higher scores indicative of higher functioning and better health. The Physical Component Score is a composite of the Physical Functioning, Role Functioning, Bodily Pain and General Health scales. Physical Composite Scores (PCS) is computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
Modified Specific Levels of Functioning (SLOF) Total Score. 12 weeks The modified SLOF scale is designed to measure directly observable behavioral functioning and daily living skills of patients with chronic mental illness. The modified SLOF consists of 24 items, each item is rated on a 5-point scale and mapped to 0 to 4. The total score will be the sum of all 24 items and ranges from 0 to 96. A higher score indicates worse condition.
Brief Adherence Rating Scale (BARS) 12 weeks The Brief Adherence Rating Scale (BARS) is a clinician-administered adherence assessment instrument that consists of four items including three questions and a visual analog rating scale (VAS) to assess the percentage (0 100%) of doses taken by the subject in the previous month.
Smoking Questionnaire 12 weeks Smoking questionnaire - average number of cigarettes per day at week 12 (LOCF).
Intent to Attend Assessment 12 weeks The ITA assessment will be administered by a research staff member. The response is recorded on a 10-point scale, with 0 = "Not at all" and 9 = "Extremely". The ITA allowed the site to capture data regarding dropout risk. The following question was completed at the baseline visit: "How likely is it that you will complete the study?"
Trial Locations
- Locations (62)
AXIS Clinical Trials
🇺🇸Los Angeles, California, United States
CNRI-Los Angeles. LLC
🇺🇸Pico Rivera, California, United States
Neuropsychiatric Research Center of Orange County
🇺🇸Santa Ana, California, United States
Collaborative Neuroscience Network
🇺🇸Torrance, California, United States
Florida Clinical Research Center, LLC
🇺🇸Bradenton, Florida, United States
Lousiana Clinical Research, LLC
🇺🇸Shreveport, Louisiana, United States
CRI Worldwide LLC at Kirkbride
🇺🇸Philadelphia, Pennsylvania, United States
Pillar Clinical Research, LLC
🇺🇸Dallas, Texas, United States
CRI Worldwide LLC
🇺🇸Willingboro, New Jersey, United States
FutureSearch Clinical Trials, LP
🇺🇸Dallas, Texas, United States
Comprehensive Clinical Development Inc.
🇺🇸Cerritos, California, United States
K and S Professional Research Services
🇺🇸Little Rock, Arkansas, United States
Woodland International Research Inc.
🇺🇸Little Rock, Arkansas, United States
CNS Network
🇺🇸Garden Grove, California, United States
FutureSearch Clinical Trials LP
🇺🇸Austin, Texas, United States
Lincoln Research
🇺🇸Lincoln, Rhode Island, United States
California Neuropsychopharmacolgoy Clinical Research Insitute
🇺🇸San Diego, California, United States
Robert Lynn Horne, MD
🇺🇸Las Vegas, Nevada, United States
"Centrum zdravia R.B.K., spol. s.r.o.
🇸🇰Svidnik, Slovakia
Psychiatricka nemocnica Michalovce n.o.
🇸🇰Michalovce, Slovakia
Synergy Clinical Research Center
🇺🇸National City, California, United States
Diligent Clinical Trials
🇺🇸Downey, California, United States
Excell Research, Inc.
🇺🇸Oceanside, California, United States
Accurate Clinical Trials
🇺🇸Kissimmee, Florida, United States
Galiz Research
🇺🇸Miami Springs, Florida, United States
Medical Research Group of Central Florida
🇺🇸Orange City, Florida, United States
Atlanta Center for Medical Research
🇺🇸Atlanta, Georgia, United States
Comprehensive NeuroScience Inc.
🇺🇸Atlanta, Georgia, United States
Lake Charles Clinical Trials, LLC
🇺🇸Lake Charles, Louisiana, United States
Center for Behavioral Health, LLC
🇺🇸Rockville, Maryland, United States
Psychiatric Care and Research Center
🇺🇸O'Fallon, Missouri, United States
Psych Care Consultants Research
🇺🇸Saint Louis, Missouri, United States
Erie County Medical Center, Corp
🇺🇸Buffalo, New York, United States
Neurobehavioral Research Inc.
🇺🇸Cedarhurst, New York, United States
Comprehensive Clinical Development, Inc
🇺🇸Fresh Meadows, New York, United States
Finger Lakes Clinical Research
🇺🇸Rochester, New York, United States
Oklahoma Clinical Research
🇺🇸Oklahoma City, Oklahoma, United States
Community Clinical Research, Inc.
🇺🇸Austin, Texas, United States
Department of Psychiatry, University of Utah Health Sciences Center
🇺🇸Salt Lake City, Utah, United States
Hôpital Chalucet, Centre hospitalier intercommunal de Toulon la Seyne sur mer (CHITS)
🇫🇷Toulon, France
Dipartimento Salute Mentale ASL 1
🇮🇹Massa, Italy
Centre Hospitalier Spécialisé (CHS) du Jura - Centre Médico Psychiatrique (CMP)
🇫🇷Dole, France
A.O.U. Santa Chiara, U.O di Psichiatria 1 building n.4
🇮🇹Pisa, Italy
Regional Government Institution (RGI) 'Lipetsk Regional Psychoneurology Hospital'
🇷🇺Lipetsk, Russian Federation
Limited Liability Company (LLC) 'Research Center For Treatment and rehabilitation 'Phoenix'
🇷🇺Rostov-on-Don, Russian Federation
St. Petersburg State Healthcare Institution (SPbSHI) "City Psychiatric Hospital #6"
🇷🇺St. Peterburg, Russian Federation
St. Petersburg State Budgetary Healthcare Institution 'City Psychoneurology Dispensary #7 (with In-Patient Department)', (SPb SBHI "CPNDD-7")
🇷🇺St. Petersburg, Russian Federation
St. Petersburg State Budgetary Healthcare Institution 'City Psychoneurology Dispensary #7 (with In-Patient Department)', (SPb SBHI "CPNDD-7"), at Daycare Facility #1
🇷🇺St. Petersburg, Russian Federation
Military Medical Academy, Clnic for Psychiatry
🇷🇸Belgrade, Serbia
Institute of Mental Health
🇷🇸Dusica, Serbia
St. Petersburg State Government Healthcare Institution "City Psychiatric Hospital #4" (St. Petersburg Insane Asylum Distributor)
🇷🇺St. Petersburg, Russian Federation
Specialized hospital for psychiatric diseases "Sveti Vracevi"
🇷🇸Novi Knezevac, Serbia
Clinical Centre Kragujevac, Clinic for psychiatry
🇷🇸Kragujevac, Serbia
Clinical Centre Nis, Clinic for mental health protection
🇷🇸Nis, Serbia
Clinical Centre Vojvodine, Clinic for Psychiatry
🇷🇸Novi Sad, Serbia
Nemocnica s poliklinikou v Prievidzi so sidlom v Bojniciach, Psychiatricke oddelenie
🇸🇰Bojnice, Slovakia
PsychoLine s.r.o. Psychiatricka ambulancia
🇸🇰Rimavska Sobota, Slovakia
Psychiatricka ambulancia Mentum s.r.o.
🇸🇰Bratislava, Slovakia
Research Unit, Department of Psychiatry Free State Psychiatric Complex
🇿🇦Bloemfontein, South Africa
Nemocnica s poliklinikou sv Barbory Roznava a.s. Psychiatricke oddelenie
🇸🇰Roznava, Slovakia
Cape Trial Centre
🇿🇦Tygervalley, Western Cape, South Africa
Denmar Hospital Consulting Rooms
🇿🇦Pretoria, South Africa