Evidence map›Paper›PMID 34791283›Full record

Trial reportThe international journal of neuropsychopharmacology2022

A Randomized, Double-Blind, Multicenter, Noninferiority Study Comparing Paliperidone Palmitate 6-Month Versus the 3-Month Long-Acting Injectable in Patients With Schizophrenia.

Dean Najarian, Panna Sanga, Steven Wang, Pilar Lim, Arun Singh, Mary Jane Robertson, Kristin Cohen, Alain Schotte, Ruth Milz, Raja Venkatasubramanian and 4 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in The international journal of neuropsychopharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03345342 (A Double-blind, Randomized, Active-controlled, Parallel-group Study of Paliperidone Palmitate 6-Month Formulation), which is not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03345342 phase3completednot on this map

A Double-blind, Randomized, Active-controlled, Parallel-group Study of Paliperidone Palmitate 6-Month Formulation

TypeinterventionalSponsorJanssen Research & Development, LLCRan2017 to 2020Enrolled841ConditionsSchizophreniaArmsPP6M, PP3M 350 mg eq., PP3M 525 mg eq., PP1M, Placebo
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 60 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 4 countries.

Dean NajarianJanssen Scientific Affairs, LLC, New Jersey, USA.
Panna SangaJanssen Research and Development LLC, New Jersey, USA.
Steven WangJanssen Research and Development LLC, New Jersey, USA.
Pilar LimJanssen Research and Development LLC, New Jersey, USA.
Arun SinghJanssen Research and Development LLC, New Jersey, USA.
Mary Jane RobertsonJanssen Research and Development LLC, New Jersey, USA.
Kristin CohenJanssen Research and Development LLC, New Jersey, USA.
Alain SchotteJanssen Research and Development, Beerse, Belgium.
Ruth MilzJanssen-Cilag, Neuss, Germany.
Raja VenkatasubramanianJanssen Research and Development LLC, New Jersey, USA.
Huybrecht T'JollynJanssen Research and Development, Beerse, Belgium.
David P WallingCNS Network, LLC, Garden Grove, California, USA.
Silvana GalderisiUniversity of Campania "Luigi Vanvitelli," Naples, Italy.
Srihari GopalJanssen Research and Development LLC, New Jersey, USA.
Janssen (United States) · USJanssen (Belgium) · BECollaborative Neuroscience Network · USJanssen (Germany) · DEJanssen Scientific Affairs (United States)University of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis double-blind (DB), randomized, parallel-group study was designed to evaluate efficacy and safety of paliperidone palmitate 6-month (PP6M) formulation relative to paliperidone palmitate 3-month (PP3M) formulation in patients with schizophrenia.

methodsFollowing screening, patients entered an open-label (OL) maintenance phase and received 1 injection cycle of paliperidone palmitate 1-month (PP1M; 100 or 150 mg eq.) or PP3M (350 or 525 mg eq.). Clinically stable patients were randomized (2:1) to receive PP6M (700 or 1000 mg eq., gluteal injections) or PP3M (350 or 525 mg eq.) in a 12-month DB phase; 2 doses of PP6M (corresponding to doses of PP1M and PP3M) were chosen.

resultsOverall, 1036 patients were screened, 838 entered the OL phase, and 702 (mean age: 40.8 years) were randomized (PP6M: 478; PP3M: 224); 618 (88.0%) patients completed the DB phase (PP6M: 416 [87.0%]; PP3M: 202 [90.2%]). Relapse rates were PP6M, 7.5% (n = 36) and PP3M, 4.9% (n = 11). The Kaplan-Meier estimate of the difference (95% CI) between treatment groups (PP6M - PP3M) in the percentages of patients who remained relapse free was -2.9% (-6.8%, 1.1%), thus meeting noninferiority criteria (95% CI lower bound is larger than the pre-specified noninferiority margin of -10%). Secondary efficacy endpoints corroborated the primary analysis. Incidences of treatment-emergent adverse events were similar between PP6M (62.1%) and PP3M (58.5%). No new safety concerns emerged.

conclusionsThe efficacy of a twice-yearly dosing regimen of PP6M was noninferior to that of PP3M in preventing relapse in patients with schizophrenia adequately treated with PP1M or PP3M.

trial registrationClinical Trials.gov identifier: NCT03345342.

Indexed as

Antipsychotic AgentsSchizophreniaAdultDouble-Blind MethodHumansPaliperidone PalmitateRecurrenceAntipsychotic AgentsPaliperidone PalmitatePaliperidone palmitate 3-monthpaliperidone palmitate 6-monthrelapse-freeschizophrenia

Identifiers

PMID34791283
PMCPMC8929757
OpenAlexW3213062408

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.