Evidence map›Paper›PMID 37480362›Full record

Trial reportThe international journal of neuropsychopharmacology2023

Long-Term Efficacy and Safety of Paliperidone 6-Month Formulation: An Open-Label 2-Year Extension of a 1-Year Double-Blind Study in Adult Participants With Schizophrenia.

Dean Najarian, Ibrahim Turkoz, R Karl Knight, Silvana Galderisi, Hector F Lamaison, Piotr Zalitacz, Suresh Aravind, Ute Richarz

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The international journal of neuropsychopharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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
NCT04072575 phase3completednot on this map

Single-arm, Open-label Extension to a Double-blind, Randomized, Active-controlled, Parallel-group Study of Paliperidone Palmitate 6-Month Formulation

TypeinterventionalSponsorJanssen Research & Development, LLCRan2019 to 2022Enrolled178ConditionsSchizophreniaArmsPP6M injection Dose 1, PP6M injection Dose 2
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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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

8 authors.

Dean NajarianJanssen Scientific Affairs, LLC, Titusville, New Jersey, USA.
Ibrahim TurkozJanssen Research & Development, LLC, Titusville, New Jersey, USA.
R Karl KnightJanssen Research & Development, LLC, Titusville, New Jersey, USA.
Silvana GalderisiUniversity of Campania "Luigi Vanvitelli," Naples, Italy.
Hector F LamaisonDepartment of Psychiatry, National University of La Plata (UNLP), Buenos Aires, Argentina.
Piotr ZalitaczHead of Psychiatric Unit, Gorlice Specialist Hospital, Gorlice, Poland.
Suresh AravindJanssen Research & Development, LLC, Titusville, New Jersey, USA.
Ute RicharzJanssen Research & Development, Cilag Int., Gubelstrasse, Zug, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPaliperidone palmitate 6-month (PP6M) demonstrated noninferiority to paliperidone palmitate 3-month in preventing relapse in patients with schizophrenia in a phase 3 double-blind (DB) study (NCT03345342). Here, we report long-term efficacy and safety results from a 2-year single-arm, open-label extension (OLE; NCT04072575) of this DB study.

methodsParticipants who completed the DB study without relapse were enrolled and followed-up every 3 months up to 2 years. Participants received 4 PP6M gluteal injections (700/1000 mg eq.) at baseline, 6-month, 12-month, and 18-month visits. Efficacy endpoints included assessment of relapse, Positive and Negative Syndrome Scale total score, Personal and Social Performance score, and Clinical Global Impression-Severity scale change from baseline. Safety was assessed by treatment-emergent adverse events (TEAEs), physical examinations, and laboratory tests.

resultsOf 178 participants enrolled, 154 (86.5%) completed the OLE (mean age: 40.4 years, men: 70.8%; mean duration of PP6M exposure during OLE: 682.1 days). Overall, 7/178 (3.9%) participants relapsed between 20 and 703 days after enrolment. Mean (SD) changes from baseline to endpoint were as follows: Positive and Negative Syndrome Scale total score, 0.7 (8.22); Clinical Global Impression-Severity, 0.0 (0.51); and Personal and Social Performance Scale, 0.5 (7.47). Overall, 111/178 participants (62.4%) reported ≥1 TEAE; most common (>5%) TEAEs were headache (13.5%) and increased blood prolactin/hyperprolactinemia (18.0%); 8/178 (4.5%) participants experienced serious TEAEs, and 6/178 (3.4%) participants withdrew due to TEAEs. No deaths were reported.

conclusionsThe relapse rate observed with PP6M during the 2-year OLE was low (3.9%). Clinical and functional improvements demonstrated in the DB study were maintained during OLE, and no new safety concerns were identified.

trial registrationClinicalTrials.gov Identifier: NCT04072575; EudraCT number: 2018-004532-30.

Indexed as

Paliperidone PalmitateSchizophreniaAdultDouble-Blind MethodHumansMalePaliperidone Palmitatelong-acting injectableLong-term efficacyopen-label extensionpaliperidone palmitate 6-monthschizophrenia

Identifiers

PMID37480362
PMCPMC10464922

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.