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| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Endpoint Classification: Safety/Efficacy Study; Intervention Model: Parallel Assignment; Masking: Open Label; Primary Purpose: Treatment |
| Condition: |
Schizophrenia |
| Interventions: |
Drug: olanzapine Drug: paliperidone ER |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
|---|
| No text entered. |
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
|---|
| Three subjects of the 462 enrolled did not receive study medication and were excluded from analysis: 2 subjects were randomized by mistake by the investigator and 1 subject withdrew consent before first intake of study medication. The ITT population consisted of 459 subjects who took at least one dose of study medication. |
| Description | |
|---|---|
| Paliperidone Extended Release (ER) | 6-mg or 9-mg tablet once daily flexible dosing for 6 months |
| Olanzapine | 10-15 mg (using 5-mg or 10-mg tablets) once daily flexible dosing for 6 months |
| Paliperidone Extended Release (ER) | Olanzapine | |
|---|---|---|
| STARTED | 239 | 220 |
| COMPLETED | 168 | 178 |
| NOT COMPLETED | 71 | 42 |
| Lack of Efficacy | 15 | 6 |
| Withdrawal by Subject | 30 | 22 |
| Lost to Follow-up | 6 | 4 |
| Adverse Event | 11 | 5 |
| Other | 9 | 5 |
Baseline Characteristics
| Description | |
|---|---|
| Paliperidone ER | 6-mg or 9-mg tablet once daily flexible dosing for 6 months |
| Olanzapine | 10-15 mg (using 5-mg or 10-mg tablets) once daily flexible dosing for 6 months |
| Paliperidone ER | Olanzapine | Total | |
|---|---|---|---|
|
Number of Participants
[units: participants] |
239 | 220 | 459 |
|
Age
[units: years] Mean ± Standard Deviation |
38.8 ± 11.1 | 37.5 ± 11.4 | 38.2 ± 11.2 |
|
Gender
[units: participants] |
|||
| Female | 106 | 87 | 193 |
| Male | 133 | 133 | 266 |
|
Body Mass Index (BMI)
[units: kg/m²] Mean ± Standard Deviation |
26.9 ± 6.31 | 27.0 ± 5.73 | 26.9 ± 6.03 |
|
Waist
[units: cm] Mean ± Standard Deviation |
92.2 ± 14.4 | 93.3 ± 15.6 | 92.7 ± 14.9 |
|
Weight
[units: kg] Mean ± Standard Deviation |
75.9 ± 17.0 | 77.9 ± 16.5 | 76.9 ± 16.8 |
Outcome Measures
| 1. Primary: | Change From Baseline to End Point in the Triglycerides (TG) to High Density Lipoprotein (HDL) Ratio (TG:HDL Ratio) [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 2. Secondary: | Change From Baseline to End Point in Triglycerides [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 3. Secondary: | Change From Baseline to End Point in High Density Lipoprotein [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 4. Secondary: | Change From Baseline to End Point in Total Cholesterol [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 5. Secondary: | Change From Baseline to End Point in Low Density Lipoprotein Cholesterol (Friedwald QT) [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 6. Secondary: | Change From Baseline to End Point in Converted Insulin [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 7. Secondary: | Change From Baseline to End Point in Fasting Glucose [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 8. Secondary: | Change From Baseline to End Point in Homeostatic Model Assessment of Beta-cell Function (HOMA-%B) [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 9. Secondary: | Change From Baseline to End Point in Homeastatic Model Assessment of Insulin Resistance (HOMA-IR) [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 10. Secondary: | Number of Patients Meeting the Criteria for Type 2 Diabetes Mellitus During Follow-up [ Time Frame: 6 months ] |
| 11. Secondary: | Number of Patients With Onset of Impaired Glucose Tolerance [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 12. Secondary: | Number of Patients With Impaired Fasting Glucose [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 13. Secondary: | Change From Baseline at End Point of the Insulinogenic Index [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 14. Secondary: | Change From Baseline at End Point of Mari-Type Analysis of Glucose Sensitivity for Insulin [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 15. Secondary: | Change From Baseline at End Point in Body Weight [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 16. Secondary: | Change From Baseline at End Point in Body Mass Index (BMI) [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 17. Secondary: | Change From Baseline at End Point in Waist Circumference [ Time Frame: Baseline to End Point (up to 6 months) ] |
| 18. Secondary: | Number of Patients First Meeting the NCEP/ATP III Criteria for Metabolic Syndrome During Follow-up [ Time Frame: 6 months ] |
| 19. Secondary: | Change From Baseline to End Point in Total Positive and Negative Syndrome Scale Score (PANSS) [ Time Frame: Baseline to End Point (up to 6 months) ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. | ||||||
| There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. | ||||||
The agreement is:
|
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
|---|
| Open-label design |
| Responsible Party: | EMEA Therapeutic Area Leader CNS, Janssen-Cilag G.m.b.H, Germany |
| ClinicalTrials.gov Identifier: | NCT00645099 History of Changes |
| Other Study ID Numbers: | CR013189, R076477SCH3020 |
| Study First Received: | March 24, 2008 |
| Results First Received: | April 7, 2010 |
| Last Updated: | May 18, 2011 |
| Health Authority: | Belgium: Ministry of Social Affairs, Public Health and the Environment |