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Trial reportEuropean journal of drug metabolism and pharmacokinetics2024

Model-Informed Clinical Development of Once-Every-6-Month Injection of Paliperidone Palmitate in Patients with Schizophrenia: A Pharmacometric Bridging Approach (Part I).

Huybrecht T'jollyn, Alberto Russu, Raja Venkatasubramanian, Srihari Gopal, Partha Nandy, Martine Neyens, Ruben Faelens, Mahesh N Samtani, Oliver Ackaert, Juan Jose Perez-Ruixo

Registry-linked trialAbstract readClinical Trial, Phase IIIEquivalence Trial
PubMed Publisher
In one paragraph

Trial report in European journal of drug metabolism and pharmacokinetics, 2024. 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

10 authors.

Huybrecht T'jollynJanssen Research and Development, Turnhoutseweg 30, 2340, Beerse, Belgium. htjollyn@its.jnj.com.ORCID http://orcid.org/0000-0003-2101-9926
Alberto RussuJanssen Research and Development, Turnhoutseweg 30, 2340, Beerse, Belgium.
Raja VenkatasubramanianJanssen Research and Development, LLC, Titusville, NJ, USA.
Srihari GopalJanssen Research and Development, LLC, Titusville, NJ, USA.
Partha NandyJanssen Research and Development, LLC, Titusville, NJ, USA.
Martine NeyensJanssen Research and Development, Turnhoutseweg 30, 2340, Beerse, Belgium.
Ruben FaelensJanssen Research and Development, Turnhoutseweg 30, 2340, Beerse, Belgium.
Mahesh N SamtaniJanssen Research and Development, LLC, Titusville, NJ, USA.
Oliver AckaertJanssen Research and Development, Turnhoutseweg 30, 2340, Beerse, Belgium.
Juan Jose Perez-RuixoJanssen Research and Development, Turnhoutseweg 30, 2340, Beerse, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveA model-informed drug development (MIDD) approach was implemented for paliperidone palmitate (PP) 6-month (PP6M) clinical development, using pharmacokinetics and pharmacokinetic/pharmacodynamic model-based simulations.

methodsPP6M pharmacokinetics were simulated by extending the PP 3-month (PP3M) pharmacokinetic model to account for increased injection volume, and hence dose. Contribution of the MIDD approach to the design of the pivotal PP6M phase-3 study (PP6M/PP3M noninferiority study, NCT03345342) investigating schizophrenia relapse rates was twofold: (1) PP6M dose selection, and (2) hypothesis generation that lower trough concentrations (C

resultsUsing a MIDD bridging strategy, PP6M doses were selected that, compared with PP3M, were expected to have a similar range of exposures and a noninferior relapse rate and safety profile. Clinical data from PP6M/PP3M noninferiority study confirmed that PP6M, compared with PP3M, had a similar range of exposures (T'jollyn et al. in Eur J Drug Metab Pharmacokinet 2024), as well as a noninferior relapse rate and safety profile (this manuscript).

conclusionsConsistency of the MIDD approach with observed clinical outcomes confirmed the hypothesis that lower C

Indexed as

Antipsychotic AgentsPaliperidone PalmitateSchizophreniaAdultComputer SimulationDrug Administration ScheduleDrug DevelopmentFemaleHumansMaleModels, BiologicalAntipsychotic AgentsPaliperidone Palmitate

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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.