A Multicenter, Randomized, Double-Blind, Fixed-Dose, 6-Week Trial of the Efficacy and Safety of Asenapine Compared With Placebo Using Haloperidol 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
- 460
- 主要终点
- Improvement in schizophrenia (change in total PANSS score) from baseline to endpoint (LOCF/MMRM)
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 inbalance in dopamine and serotonin. This is a 6-week trial to test the efficacy and safety of asenapine, compared with placebo, using an active comparator agent (haloperidol) in the treatment of patients with an acute exacerbation of schizophrenia. Patients who complete the 6-week 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. Caregiver required.
排除标准
- •Have an uncontrolled, unstable medical condition. Have any other pyschiatric disorder other than schizophrenia as a primary diagnosis.
研究组 & 干预措施
1
Asenapine 5 mg BID
干预措施: Asenapine (Drug)
2
Asenapine 10 mg BID
干预措施: Asenapine (Drug)
3
Haloperidol 4m mg BID
干预措施: Haloperidol (Drug)
4
placebo
干预措施: Placebo arm (Other)
结局指标
主要结局
Improvement in schizophrenia (change in total PANSS score) from baseline to endpoint (LOCF/MMRM)
时间窗: Primary outcome measured weekly for 6 weeks
次要结局
- Safety and Tolerability
- Neurocognition and cognitive functioning(Baseline and Endpoint ( Day 42))
- CDSS(Days 21 and 42(Endpoint).)
- Suicidal thinking ( ISST modified)(Days 14 and 42 (Endpoint))
- Readiness to discharge(At weekly intervals during the 6-week trial)
- EPS ( AIMS; BARS; SARS)(At weekly intervals during the 6-week triaL)
- Other dimensions of schizophrenia (positive, negative, disorganized thought, hostility/excitement, anxiety/depression, and general psychopathology) CGI-S; CGI-I(At weekly intervals throughout the 6-week trial.)
- Quality of life and patient functionality (QLS; Q-LES-Q ;PETIT0; Physical exam; Pregnancy test(Baseline and Day 42(Endpoint))
- Labs; Vital Signs; Weight and girth; ECG(Days 14; 28 and 42 (Endpoint))
