A Study of the Efficacy and Safety of Asenapine in Participants With an Acute Exacerbation of Schizophrenia (P05688)

Sponsor
Organon and Co (Industry)
Overall Status
Completed
CT.gov ID
NCT01617187
Collaborator
(none)
360
4
21.2

Study Details

Study Description

Brief Summary

The purpose of this trial is to assess the effect of asenapine 2.5 and 5 mg sublingually twice daily (BID) compared with placebo in the treatment of schizophrenia (overall symptoms) as measured by the Positive and Negative Syndrome Scale (PANSS). Olanzapine administered 15 mg orally once daily (QD) was used as an active control. The primary hypothesis is that at least one of the asenapine doses is superior to placebo in improving schizophrenia symptoms as measured by the change from Baseline in the PANSS total score at Day 42. The first key secondary hypothesis is that at least one of the asenapine doses is superior to placebo in improving schizophrenia symptoms as measured by the change from Baseline in Clinical Global Impression Scale-Severity (CGI-S) score at Day 42. The second key secondary hypothesis is that at least one of the asenapine doses is superior to placebo in improving schizophrenia symptoms as measured by the rate of PANSS responders (≥30% Reduction From Baseline in PANSS Total Score) at Day 42.

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

The trial consists of a screening/tapering period, treatment period, and follow-up period. The 6-week active treatment period includes an inpatient phase and outpatient phase. Participants who complete the trial may continue treatment under a long-term extension protocol (P05689). Participants who do not continue in the treatment continuation trial (whether they complete the 6-week trial or discontinue prematurely) will have a follow-up visit 7 days after their last dose of trial medication.

Study Design

Study Type:
Interventional
Actual Enrollment :
360 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Randomized, Double-Blind, Fixed-Dose, 6-Week Trial of the Efficacy and Safety of Asenapine Compared With Placebo Using Olanzapine as an Active Control in Subjects With an Acute Exacerbation of Schizophrenia
Actual Study Start Date :
Dec 4, 2012
Actual Primary Completion Date :
Aug 11, 2014
Actual Study Completion Date :
Sep 9, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: Asenapine 2.5 mg BID

Drug: Asenapine
2.5 mg or 5 mg fast dissolving active asenapine tablets administered sublingually

Drug: Placebo Olanzapine
Film-coated placebo olanzapine tablets (to match 5 and 10 mg active olanzapine tablets) administered orally

Experimental: Asenapine 5 mg BID

Drug: Asenapine
2.5 mg or 5 mg fast dissolving active asenapine tablets administered sublingually

Drug: Placebo Olanzapine
Film-coated placebo olanzapine tablets (to match 5 and 10 mg active olanzapine tablets) administered orally

Active Comparator: Olanzapine 15 mg QD

Drug: Placebo Asenapine
Fast dissolving placebo asenapine tablets (to match 2.5 mg and 5 mg active asenapine tablets) administered sublingually

Drug: Olanzapine
5 and 10 mg film-coated active olanzapine tablets administered orally QD. The time of the active olanzapine dose (either morning or evening) is not disclosed in order to preserve blinding

Drug: Placebo Olanzapine
Film-coated placebo olanzapine tablets (to match 5 and 10 mg active olanzapine tablets) administered orally

Placebo Comparator: Placebo BID

Drug: Placebo Asenapine
Fast dissolving placebo asenapine tablets (to match 2.5 mg and 5 mg active asenapine tablets) administered sublingually

Drug: Placebo Olanzapine
Film-coated placebo olanzapine tablets (to match 5 and 10 mg active olanzapine tablets) administered orally

Outcome Measures

Primary Outcome Measures

  1. Change From Baseline in PANSS Total Score at Day 42 [Baseline and Day 42]

    The PANSS is a 30-item clinician-rated instrument for assessing schizophrenia symptoms. It consists of 3 subscales: positive subscale (7 items), negative subscale (7 items), and general psychopathology subscale (16 items). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The PANSS total score for each participant was sum of the rating assigned to each of the 30 PANSS items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. The reported measure is the change from baseline at Day 42; improvement in symptoms is represented by negative values.

Secondary Outcome Measures

  1. Change From Baseline in CGI-S Score at Day 42 [Baseline and Day 42]

    Change from baseline in CGI-S score at Day 42 is a Key Secondary Outcome Measure. CGI-S is a 7-point scale for assessing the global severity of the participant's illness, with ratings from 1=normal, not ill to 7=very severely ill. The reported measure is the change from baseline at Day 42; improvement in symptoms is represented by negative values.

  2. Percentage of Participants Who Are PANSS Responders (≥30% Reduction From Baseline in PANSS Total Score) at Day 42 [Baseline and Day 42]

    Rate of PANSS responders at Day 42 is a Key Secondary Outcome Measure. A PANSS responder was defined as a participant who had a reduction from baseline of at least 30% in the PANSS total score at a post-baseline assessment. The PANSS is a 30-item clinician-rated instrument for assessing schizophrenia symptoms. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The Total score is the sum of the ratings for the individual items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. Missing data were imputed by Last Observation Carried Forward (LOCF).

  3. Change From Baseline in Body Weight at Day 42 [Baseline and Day 42]

    Change from baseline in body weight at Day 42 is the Key Safety Outcome Measure.

  4. Change From Baseline in PANSS Total Score at Days 4, 7, 14, 21, 28 and 35 [Baseline and Days 4, 7, 14, 21, 28 and 35]

    The PANSS is a 30-item clinician-rated instrument for assessing schizophrenia symptoms. It consists of 3 subscales: positive subscale (7 items), negative subscale (7 items), and general psychopathology subscale (16 items). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The PANSS total score for each participant was sum of the rating assigned to each of the 30 PANSS items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. The reported measure is the change from baseline; improvement in symptoms is represented by negative values.

  5. Percentage of Participants Who Are PANSS Responders (≥30% Reduction From Baseline in PANSS Total Score) at Days 4, 7, 14, 21, 28 and 35 [Days 4, 7, 14, 21, 28 and 35]

    A PANSS responder was defined as a participant who had a reduction from baseline of at least 30% in the PANSS total score at a post-baseline assessment. The PANSS is a 30-item clinician-rated instrument for assessing schizophrenia symptoms. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The Total score is the sum of the ratings for the individual items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. Missing data were imputed by LOCF.

  6. Change From Baseline in CGI-S Score at Days 4, 7, 14, 21, 28 and 35 [Baseline and Days 4, 7, 14, 21, 28 and 35]

    CGI-S is a 7-point scale for assessing the global severity of the participant's illness, with ratings from 1=normal, not ill to 7=very severely ill. The reported measure is the change from baseline; improvement in symptoms is represented by negative values.

  7. Percentage of Participants Who Are Clinical Global Impression Scale-Improvement (CGI-I) Responders at Days 4, 7, 14, 21, 28, 35 and 42 [Days 4, 7, 14, 21, 28, 35 and 42]

    A CGI-I responder was defined as a participant who had a CGI-I score of 1 (very much improved) or 2 (much improved) at a post-baseline assessment. CGI-I is a 7-point scale for assessing the global improvement of the participant's illness relative to baseline, with ratings from 1=very much improved to 7=very much worse. Missing data were imputed by LOCF.

  8. Change From Baseline in PANSS Negative Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42 [Baseline and Days 4, 7, 14, 21, 28, 35 and 42]

    This measure reports results for the 7 items of the negative subscale of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Negative symptoms represent a diminution or loss of normal functions (e.g., emotional withdrawal). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS negative subscale score for each participant was sum of the rating assigned to each of the 7 subscale items, and ranged from 7 to 49 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.

  9. Change From Baseline in PANSS Positive Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42 [Baseline and Days 4, 7, 14, 21, 28, 35 and 42]

    This measure reports results for the 7 items of the positive subscale of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Positive symptoms refer to an excess or distortion of normal mental status (e.g., delusions). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS positive subscale score for each participant was sum of the rating assigned to each of the 7 subscale items, and ranged from 7 to 49 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.

  10. Change From Baseline in PANSS General Psychopathology Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42 [Baseline and Days 4, 7, 14, 21, 28, 35 and 42]

    This measure reports results for the 16 items of the general psychopathology subscale of the PANSS, which is a 30-item clinician-rated instrument used to assess the symptoms of schizophrenia. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The PANSS general psychopathology subscale score for each participant was calculated as the sum of the rating assigned to each of the 16 subscale items, and ranged from 16 to 112 with a higher score indicating greater severity of symptoms. The reported measure is the change from baseline; improvement in symptoms is represented by negative values.

  11. Change From Baseline in PANSS Marder Factor Positive Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42 [Baseline and Days 4, 7, 14, 21, 28, 35 and 42]

    This measure reports results for the 8 items of the Marder positive symptom factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor positive symptom score for each participant was sum of rating assigned to each of the 8 applicable Marder factor items, and ranged from 8 to 56 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.

  12. Change From Baseline in PANSS Marder Factor Negative Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42 [Baseline and Days 4, 7, 14, 21, 28, 35 and 42]

    This measure reports results for the 7 items of the Marder negative symptoms factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor negative symptom score for each participant was sum of the rating assigned to each of the 7 applicable Marder factor items, and ranged from 7 to 49 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.

  13. Change From Baseline in PANSS Marder Factor Disorganized Thought Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42 [Baseline and Days 4, 7, 14, 21, 28, 35 and 42]

    This measure reports results for the 7 items of the Marder disorganized thoughts factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor disorganized thought symptom score for each participant was sum of rating assigned to each of the 7 applicable Marder factor items, and ranged from 7 to 49 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.

  14. Change From Baseline in PANSS Marder Factor Hostility/Excitement Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42 [Baseline and Days 4, 7, 14, 21, 28, 35 and 42]

    This measure reports results for the 4 items of the Marder hostility/excitement factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor hostility/excitement symptom score for each participant was sum of rating assigned to each of the 4 applicable Marder factor items, and ranged from 4 to 28 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.

  15. Change From Baseline in PANSS Marder Factor Anxiety/Depression Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42 [Baseline and Days 4, 7, 14, 21, 28, 35 and 42]

    This measure reports results for the 4 items of the Marder anxiety/depression factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor anxiety/depression symptom score for each participant was sum of rating assigned to each of the 4 applicable Marder factor items, and ranged from 4 to 28 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Current diagnosis of schizophrenia of paranoid, disorganized, or undifferentiated subtype

  • Minimum PANSS total score of 70 at Screening and Baseline

  • Score of at least 4 (moderate) in two or more of the five items in the positive subscale of the PANSS

  • Confirmed to be experiencing an acute exacerbation of schizophrenia

  • CGI-S scale score of at least 4 (moderately ill) at Baseline

  • Has responded positively to an antipsychotic medication other than clozapine (Clozaril®) in a prior episode

Exclusion Criteria:
  • Body mass index (BMI) <18.5 or >40.0 kg/m^2

  • Laboratory and/or clinical evidence of clinically significant hepatic conditions

  • Known history of, or undergoing treatment for, narrow angle glaucoma

  • Diagnosed with epilepsy or has had any seizure disorder beyond childhood febrile seizures

  • Known serological evidence of human immunodeficiency virus (HIV) antibody

  • History of neuroleptic malignant syndrome or tardive dyskinesias

  • Past or current diagnosis of schizoaffective disorder, schizophrenia of residual subtype, schizophrenia of catatonic subtype, current diagnosis of schizophrenia with course specifiers continuous, single episode in partial remission, or single episode in full remission, or borderline personality disorder

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • Organon and Co

Investigators

  • Study Director: Medical Director, Merck Sharp & Dohme LLC

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Organon and Co
ClinicalTrials.gov Identifier:
NCT01617187
Other Study ID Numbers:
  • P05688
  • 2010-018407-28
First Posted:
Jun 12, 2012
Last Update Posted:
Feb 9, 2022
Last Verified:
Feb 1, 2022
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail One participant randomized to asenapine 2.5 mg BID did not receive study drug but was recorded in clinical database as completing the study. In Participant Flow table, this participant is presented as Not Completed in period "Randomization through Start Treatment" (Not Treated).
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet twice daily (BID) for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) once daily (QD) for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Period Title: Randomization Through Start Treatment
STARTED 98 113 46 103
COMPLETED 97 113 46 101
NOT COMPLETED 1 0 0 2
Period Title: Randomization Through Start Treatment
STARTED 97 113 46 101
COMPLETED 86 102 41 91
NOT COMPLETED 11 11 5 10

Baseline Characteristics

Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID Total
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days Total of all reporting groups
Overall Participants 97 113 46 101 357
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
41.5
(10.79)
39.1
(10.68)
40.8
(11.15)
41.4
(12.05)
40.6
(11.18)
Sex: Female, Male (Count of Participants)
Female
39
40.2%
44
38.9%
18
39.1%
47
46.5%
148
41.5%
Male
58
59.8%
69
61.1%
28
60.9%
54
53.5%
209
58.5%
Positive and Negative Syndrome Scale (PANSS) total score (score on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [score on a scale]
93.3
(11.10)
95.8
(13.77)
92.7
(10.47)
93.4
(11.16)
94.1
(11.97)
Clinical Global Impression Scale-Severity (CGI-S) score (score on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [score on a scale]
4.8
(0.64)
4.9
(0.64)
4.8
(0.61)
4.8
(0.61)
4.8
(0.63)
Body Weight (kg) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [kg]
81.6
(17.73)
78.6
(17.88)
80.7
(17.79)
77.1
(17.56)
79.3
(17.75)
PANSS negative subscale score (score on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [score on a scale]
23.5
(4.47)
24.1
(4.50)
23.4
(3.96)
23.9
(4.22)
23.8
(4.34)
PANSS positive subscale score (score on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [score on a scale]
24.4
(4.05)
25.5
(4.76)
24.6
(3.46)
24.6
(3.88)
24.8
(4.19)
PANSS general psychopathology subscale score (score on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [score on a scale]
45.5
(6.05)
46.3
(6.87)
44.7
(6.20)
44.9
(6.05)
45.5
(6.34)
PANSS Marder factor positive symptom score (score on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [score on a scale]
29.3
(5.02)
30.0
(5.05)
29.0
(4.69)
29.4
(4.36)
29.5
(4.80)
PANSS Marder factor negative symptom score (score on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [score on a scale]
22.6
(4.30)
23.0
(4.66)
23.0
(4.44)
22.8
(4.76)
22.8
(4.55)
PANSS Marder factor disorganized thought symptom score (score on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [score on a scale]
21.5
(4.32)
22.6
(4.93)
21.2
(4.29)
21.6
(4.42)
21.8
(4.56)
PANSS Marder factor hostility/excitement symptom score (score on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [score on a scale]
9.0
(2.99)
9.4
(3.49)
8.7
(3.11)
8.8
(3.22)
9.0
(3.23)
PANSS Marder factor anxiety/depression symptom score (score on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [score on a scale]
11.0
(2.97)
10.9
(3.13)
10.9
(3.62)
10.7
(2.96)
10.9
(3.09)

Outcome Measures

1. Primary Outcome
Title Change From Baseline in PANSS Total Score at Day 42
Description The PANSS is a 30-item clinician-rated instrument for assessing schizophrenia symptoms. It consists of 3 subscales: positive subscale (7 items), negative subscale (7 items), and general psychopathology subscale (16 items). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The PANSS total score for each participant was sum of the rating assigned to each of the 30 PANSS items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. The reported measure is the change from baseline at Day 42; improvement in symptoms is represented by negative values.
Time Frame Baseline and Day 42

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Least Squares Mean (Standard Error) [score on a scale]
-17.4
(1.80)
-21.7
(1.60)
-21.6
(2.32)
-16.2
(1.71)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6043
Comments Adjusted p-value from graphical approach to control Type 1 error rate among primary and secondary efficacy hypotheses
Method Mixed Model Repeated Measures (MMRM)
Comments
Method of Estimation Estimation Parameter Least Squares (LS) means difference
Estimated Value -1.3
Confidence Interval (2-Sided) 95%
-6.1 to 3.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.46
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0356
Comments Adjusted p-value from graphical approach to control Type 1 error rate among primary and secondary efficacy hypotheses
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -5.5
Confidence Interval (2-Sided) 95%
-10.1 to -1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.32
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0587
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -5.4
Confidence Interval (2-Sided) 95%
-11.1 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.86
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
2. Secondary Outcome
Title Change From Baseline in CGI-S Score at Day 42
Description Change from baseline in CGI-S score at Day 42 is a Key Secondary Outcome Measure. CGI-S is a 7-point scale for assessing the global severity of the participant's illness, with ratings from 1=normal, not ill to 7=very severely ill. The reported measure is the change from baseline at Day 42; improvement in symptoms is represented by negative values.
Time Frame Baseline and Day 42

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Least Squares Mean (Standard Error) [score on a scale]
-0.9
(0.11)
-1.2
(0.10)
-1.1
(0.14)
-1.0
(0.11)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Confirmative testing of asenapine versus placebo for this measure was to be performed only if both asenapine doses were statistically superior to placebo in reduction from baseline in PANSS Total Score (Primary outcome measure)
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9083
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.0
Confidence Interval (2-Sided) 95%
-0.3 to 0.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.15
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Confirmative testing of asenapine versus placebo for this measure was to be performed only if both asenapine doses were statistically superior to placebo in reduction from baseline in PANSS Total Score (Primary outcome measure)
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0601
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.3
Confidence Interval (2-Sided) 95%
-0.6 to 0.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.14
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3898
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-0.5 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.18
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
3. Secondary Outcome
Title Percentage of Participants Who Are PANSS Responders (≥30% Reduction From Baseline in PANSS Total Score) at Day 42
Description Rate of PANSS responders at Day 42 is a Key Secondary Outcome Measure. A PANSS responder was defined as a participant who had a reduction from baseline of at least 30% in the PANSS total score at a post-baseline assessment. The PANSS is a 30-item clinician-rated instrument for assessing schizophrenia symptoms. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The Total score is the sum of the ratings for the individual items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. Missing data were imputed by Last Observation Carried Forward (LOCF).
Time Frame Baseline and Day 42

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Number [percentage of participants]
14.6
(0.11) 15.1%
25.2
(0.10) 22.3%
26.7
(0.14) 58%
19.2
(0.11) 19%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Confirmative testing of asenapine versus placebo for this measure was to be performed only if both asenapine doses were statistically superior to placebo in reduction from baseline in PANSS Total Score (Primary outcome measure)
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3700
Comments P-value from Cochran Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Confirmative testing of asenapine versus placebo for this measure was to be performed only if both asenapine doses were statistically superior to placebo in reduction from baseline in PANSS Total Score (Primary outcome measure)
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1708
Comments P-value from Cochran Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2620
Comments P-value from Cochran Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
4. Secondary Outcome
Title Change From Baseline in Body Weight at Day 42
Description Change from baseline in body weight at Day 42 is the Key Safety Outcome Measure.
Time Frame Baseline and Day 42

Outcome Measure Data

Analysis Population Description
All randomized participants who received ≥1 dose of study drug
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 97 113 46 101
Least Squares Mean (Standard Error) [kg]
1.3
(0.38)
1.3
(0.33)
2.4
(0.47)
0.3
(0.35)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Olanzapine 15 mg QD
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0491
Comments p-value adjusted for multiple comparisons using Hochberg's method
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.2
Confidence Interval (2-Sided) 95%
-2.4 to -0.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.60
Estimation Comments Asenapine 2.5 mg BID minus Olanzapine 15 mg QD
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Olanzapine 15 mg QD
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0491
Comments p-value adjusted for multiple comparisons using Hochberg's method
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.2
Confidence Interval (2-Sided) 95%
-2.3 to -0.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.57
Estimation Comments Asenapine 5 mg BID minus Olanzapine 15 mg QD
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0567
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 1.0
Confidence Interval (2-Sided) 95%
-0.0 to 2.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.51
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0391
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 1.0
Confidence Interval (2-Sided) 95%
0.0 to 1.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.48
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0003
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 2.2
Confidence Interval (2-Sided) 95%
1.0 to 3.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.58
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
5. Secondary Outcome
Title Change From Baseline in PANSS Total Score at Days 4, 7, 14, 21, 28 and 35
Description The PANSS is a 30-item clinician-rated instrument for assessing schizophrenia symptoms. It consists of 3 subscales: positive subscale (7 items), negative subscale (7 items), and general psychopathology subscale (16 items). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The PANSS total score for each participant was sum of the rating assigned to each of the 30 PANSS items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. The reported measure is the change from baseline; improvement in symptoms is represented by negative values.
Time Frame Baseline and Days 4, 7, 14, 21, 28 and 35

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Day 4
-4.0
(0.80)
-4.9
(0.76)
-5.5
(1.15)
-4.8
(0.81)
Day 7
-7.2
(1.17)
-9.1
(1.09)
-9.3
(1.67)
-7.1
(1.16)
Day 14
-9.9
(1.31)
-12.5
(1.19)
-12.4
(1.80)
-10.7
(1.28)
Day 21
-12.0
(1.55)
-14.8
(1.40)
-15.2
(2.09)
-13.2
(1.50)
Day 28
-12.3
(1.69)
-17.1
(1.49)
-17.3
(2.21)
-15.5
(1.61)
Day 35
-17.0
(1.66)
-19.0
(1.48)
-20.3
(2.19)
-15.4
(1.58)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4849
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.8
Confidence Interval (2-Sided) 95%
-1.4 to 2.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.09
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8902
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-2.2 to 1.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.06
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5826
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.8
Confidence Interval (2-Sided) 95%
-3.4 to 1.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.36
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9271
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-3.3 to 3.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.61
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1902
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -2.0
Confidence Interval (2-Sided) 95%
-5.1 to 1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.56
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2710
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -2.2
Confidence Interval (2-Sided) 95%
-6.2 to 1.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.00
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6773
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.7
Confidence Interval (2-Sided) 95%
-2.8 to 4.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.79
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2895
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.8
Confidence Interval (2-Sided) 95%
-5.2 to 1.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.72
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4261
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.7
Confidence Interval (2-Sided) 95%
-6.0 to 2.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.18
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5505
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 1.3
Confidence Interval (2-Sided) 95%
-2.9 to 5.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.13
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4286
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.6
Confidence Interval (2-Sided) 95%
-5.6 to 2.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.03
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4423
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -2.0
Confidence Interval (2-Sided) 95%
-7.0 to 3.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.56
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1691
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 3.2
Confidence Interval (2-Sided) 95%
-1.4 to 7.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.30
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4682
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.6
Confidence Interval (2-Sided) 95%
-5.8 to 2.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.17
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4961
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.8
Confidence Interval (2-Sided) 95%
-7.2 to 3.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.71
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4697
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.6
Confidence Interval (2-Sided) 95%
-6.1 to 2.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.26
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0947
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -3.6
Confidence Interval (2-Sided) 95%
-7.8 to 0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.14
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0675
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -4.9
Confidence Interval (2-Sided) 95%
-10.2 to 0.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.68
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
6. Secondary Outcome
Title Percentage of Participants Who Are PANSS Responders (≥30% Reduction From Baseline in PANSS Total Score) at Days 4, 7, 14, 21, 28 and 35
Description A PANSS responder was defined as a participant who had a reduction from baseline of at least 30% in the PANSS total score at a post-baseline assessment. The PANSS is a 30-item clinician-rated instrument for assessing schizophrenia symptoms. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The Total score is the sum of the ratings for the individual items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. Missing data were imputed by LOCF.
Time Frame Days 4, 7, 14, 21, 28 and 35

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Day 4 (n = 95,108,44,97)
0.0
(0.27) 0%
0.0
(0.25) 0%
0.0
(0.38) 0%
2.1
(0.27) 2.1%
Day 7 (n = 96,111,45,99)
2.1
(0.30) 2.2%
5.4
(0.28) 4.8%
0.0
(0.43) 0%
5.1
(0.30) 5%
Day 14 (n = 96,111,45,99)
5.2
(0.31) 5.4%
5.4
(0.28) 4.8%
4.4
(0.42) 9.6%
7.1
(0.30) 7%
Day 21 (n = 96,111,45,99)
8.3
(0.32) 8.6%
14.4
(0.29) 12.7%
11.1
(0.42) 24.1%
13.1
(0.31) 13%
Day 28 (n = 96,111,45,99)
10.4
(0.36) 10.7%
16.2
(0.32) 14.3%
15.6
(0.47) 33.9%
14.1
(0.35) 14%
Day 35 (n = 96,111,45,99)
15.6
(0.34) 16.1%
21.6
(0.30) 19.1%
15.6
(0.44) 33.9%
17.2
(0.32) 17%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1736
Comments P-value from Cochran Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1736
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2850
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3290
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6938
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1105
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6804
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9704
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6604
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2447
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4834
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9189
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4370
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2894
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6953
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4892
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1954
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7990
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
7. Secondary Outcome
Title Change From Baseline in CGI-S Score at Days 4, 7, 14, 21, 28 and 35
Description CGI-S is a 7-point scale for assessing the global severity of the participant's illness, with ratings from 1=normal, not ill to 7=very severely ill. The reported measure is the change from baseline; improvement in symptoms is represented by negative values.
Time Frame Baseline and Days 4, 7, 14, 21, 28 and 35

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Day 4
-0.1
(0.05)
-0.2
(0.05)
-0.2
(0.07)
-0.2
(0.05)
Day 7
-0.3
(0.07)
-0.3
(0.06)
-0.3
(0.10)
-0.3
(0.07)
Day 14
-0.6
(0.08)
-0.6
(0.07)
-0.6
(0.11)
-0.5
(0.08)
Day 21
-0.6
(0.10)
-0.8
(0.09)
-0.8
(0.13)
-0.7
(0.09)
Day 28
-0.7
(0.11)
-0.9
(0.09)
-0.8
(0.14)
-0.8
(0.10)
Day 35
-0.9
(0.11)
-1.1
(0.10)
-1.0
(0.14)
-0.8
(0.10)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4255
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-0.1 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.07
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9564
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.0
Confidence Interval (2-Sided) 95%
-0.1 to 0.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.06
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6363
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.0
Confidence Interval (2-Sided) 95%
-0.2 to 0.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.08
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8759
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.0
Confidence Interval (2-Sided) 95%
-0.2 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.10
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9598
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.0
Confidence Interval (2-Sided) 95%
-0.2 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.09
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9789
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.0
Confidence Interval (2-Sided) 95%
-0.2 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.12
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4671
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-0.3 to 0.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.11
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6359
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-0.3 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.11
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5454
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-0.4 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.14
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4188
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-0.2 to 0.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.13
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5318
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-0.3 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.13
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5683
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-0.4 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.16
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2972
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-0.1 to 0.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.14
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4820
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-0.4 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.13
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9901
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.0
Confidence Interval (2-Sided) 95%
-0.3 to 0.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.17
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6682
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-0.4 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.15
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1111
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-0.5 to 0.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.14
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2400
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-0.5 to 0.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.17
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
8. Secondary Outcome
Title Percentage of Participants Who Are Clinical Global Impression Scale-Improvement (CGI-I) Responders at Days 4, 7, 14, 21, 28, 35 and 42
Description A CGI-I responder was defined as a participant who had a CGI-I score of 1 (very much improved) or 2 (much improved) at a post-baseline assessment. CGI-I is a 7-point scale for assessing the global improvement of the participant's illness relative to baseline, with ratings from 1=very much improved to 7=very much worse. Missing data were imputed by LOCF.
Time Frame Days 4, 7, 14, 21, 28, 35 and 42

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Day 4 (n = 95,108,44,98)
34.7
(0.27) 35.8%
33.3
(0.25) 29.5%
43.2
(0.38) 93.9%
37.8
(0.27) 37.4%
Day 7 (n = 96,111,45,99)
51.0
(0.30) 52.6%
46.8
(0.28) 41.4%
60.0
(0.43) 130.4%
45.5
(0.30) 45%
Day 14 (n = 96,111,45,99)
51.0
(0.31) 52.6%
60.4
(0.28) 53.5%
71.1
(0.42) 154.6%
54.5
(0.30) 54%
Day 21 (n = 96,111,45,99)
54.2
(0.32) 55.9%
63.1
(0.29) 55.8%
75.6
(0.42) 164.3%
58.6
(0.31) 58%
Day 28 (n = 96,111,45,99)
58.3
(0.36) 60.1%
62.2
(0.32) 55%
73.3
(0.47) 159.3%
60.6
(0.35) 60%
Day 35 (n = 96,111,45,99)
60.4
(0.34) 62.3%
64.0
(0.30) 56.6%
82.2
(0.44) 178.7%
64.6
(0.32) 64%
Day 42 (n = 96,111,45,99)
59.4
(0.40) 61.2%
66.7
(0.35) 59%
84.4
(0.50) 183.5%
62.6
(0.38) 62%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6205
Comments P-value from Cochran Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4829
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3945
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4076
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9690
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1170
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5088
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3426
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0762
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5531
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4875
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0692
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7482
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8037
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0859
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5850
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9698
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0132
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7129
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5074
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0040
Comments P-value from Cochran-Mantel-Haenszel test with an adjustment for pooled center
Method Cochran-Mantel-Haenszel
Comments
9. Secondary Outcome
Title Change From Baseline in PANSS Negative Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Description This measure reports results for the 7 items of the negative subscale of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Negative symptoms represent a diminution or loss of normal functions (e.g., emotional withdrawal). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS negative subscale score for each participant was sum of the rating assigned to each of the 7 subscale items, and ranged from 7 to 49 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.
Time Frame Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Day 4
-0.7
(0.29)
-0.5
(0.27)
-0.9
(0.42)
-0.8
(0.29)
Day 7
-1.2
(0.33)
-1.3
(0.31)
-1.5
(0.47)
-1.1
(0.33)
Day 14
-1.6
(0.37)
-2.3
(0.34)
-1.7
(0.51)
-1.8
(0.37)
Day 21
-2.3
(0.41)
-2.5
(0.37)
-2.0
(0.56)
-2.3
(0.40)
Day 28
-2.5
(0.45)
-3.1
(0.40)
-2.6
(0.59)
-3.0
(0.43)
Day 35
-3.3
(0.48)
-3.4
(0.43)
-3.4
(0.63)
-2.6
(0.46)
Day 42
-3.3
(0.54)
-4.3
(0.48)
-3.8
(0.68)
-3.2
(0.51)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8829
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-0.7 to 0.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.40
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5488
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-0.5 to 1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.39
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7830
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.1 to 0.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.50
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8070
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.0 to 0.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.45
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5280
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.3
Confidence Interval (2-Sided) 95%
-1.1 to 0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.44
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4025
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.5
Confidence Interval (2-Sided) 95%
-1.6 to 0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.57
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6471
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-0.8 to 1.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.51
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2504
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.6
Confidence Interval (2-Sided) 95%
-1.5 to 0.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.49
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9223
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-1.2 to 1.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.62
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8839
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-1.0 to 1.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.56
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8077
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.2 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.54
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6216
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.3
Confidence Interval (2-Sided) 95%
-1.0 to 1.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.68
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4248
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.5
Confidence Interval (2-Sided) 95%
-0.7 to 1.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.61
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7667
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-1.3 to 1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.58
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6282
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.4
Confidence Interval (2-Sided) 95%
-1.1 to 1.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.72
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3150
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-1.9 to 0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.65
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1908
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.8
Confidence Interval (2-Sided) 95%
-2.0 to 0.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.61
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3128
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.8
Confidence Interval (2-Sided) 95%
-2.3 to 0.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.77
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8812
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.5 to 1.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.73
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1143
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.1
Confidence Interval (2-Sided) 95%
-2.4 to 0.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.69
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4418
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.6
Confidence Interval (2-Sided) 95%
-2.3 to 1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.84
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
10. Secondary Outcome
Title Change From Baseline in PANSS Positive Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Description This measure reports results for the 7 items of the positive subscale of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Positive symptoms refer to an excess or distortion of normal mental status (e.g., delusions). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS positive subscale score for each participant was sum of the rating assigned to each of the 7 subscale items, and ranged from 7 to 49 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.
Time Frame Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Day 4
-1.2
(0.29)
-1.6
(0.28)
-2.3
(0.42)
-1.7
(0.30)
Day 7
-2.3
(0.39)
-2.8
(0.36)
-3.6
(0.55)
-2.6
(0.38)
Day 14
-3.4
(0.45)
-3.9
(0.40)
-4.4
(0.61)
-3.7
(0.43)
Day 21
-4.0
(0.52)
-5.0
(0.47)
-5.7
(0.70)
-4.5
(0.51)
Day 28
-4.1
(0.59)
-5.7
(0.52)
-6.2
(0.77)
-5.0
(0.56)
Day 35
-5.2
(0.60)
-6.3
(0.53)
-6.8
(0.78)
-5.5
(0.57)
Day 42
-5.6
(0.65)
-7.2
(0.57)
-7.5
(0.83)
-5.4
(0.61)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2160
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.5
Confidence Interval (2-Sided) 95%
-0.3 to 1.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.40
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9494
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.0
Confidence Interval (2-Sided) 95%
-0.7 to 0.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.39
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1834
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-1.6 to 0.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.50
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6347
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.3
Confidence Interval (2-Sided) 95%
-0.8 to 1.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.53
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6917
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-1.2 to 0.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.51
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1431
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.0
Confidence Interval (2-Sided) 95%
-2.3 to 0.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.66
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6267
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.3
Confidence Interval (2-Sided) 95%
-0.9 to 1.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.61
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7260
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-1.3 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.58
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3326
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-2.2 to 0.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.74
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4575
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.5
Confidence Interval (2-Sided) 95%
-0.9 to 1.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.72
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4930
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.5
Confidence Interval (2-Sided) 95%
-1.8 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.68
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1886
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.1
Confidence Interval (2-Sided) 95%
-2.8 to 0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.86
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2643
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.9
Confidence Interval (2-Sided) 95%
-0.7 to 2.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.80
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3516
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-2.2 to 0.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.76
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2068
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.2
Confidence Interval (2-Sided) 95%
-3.1 to 0.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.94
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7284
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.3
Confidence Interval (2-Sided) 95%
-1.3 to 1.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.82
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2698
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.9
Confidence Interval (2-Sided) 95%
-2.4 to 0.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.77
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1510
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.4
Confidence Interval (2-Sided) 95%
-3.3 to 0.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.96
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8039
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-2.0 to 1.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.88
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0306
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.8
Confidence Interval (2-Sided) 95%
-3.5 to -0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.83
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0406
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -2.1
Confidence Interval (2-Sided) 95%
-4.1 to -0.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.03
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
11. Secondary Outcome
Title Change From Baseline in PANSS General Psychopathology Subscale Score at Days 4, 7, 14, 21, 28, 35 and 42
Description This measure reports results for the 16 items of the general psychopathology subscale of the PANSS, which is a 30-item clinician-rated instrument used to assess the symptoms of schizophrenia. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The PANSS general psychopathology subscale score for each participant was calculated as the sum of the rating assigned to each of the 16 subscale items, and ranged from 16 to 112 with a higher score indicating greater severity of symptoms. The reported measure is the change from baseline; improvement in symptoms is represented by negative values.
Time Frame Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Day 4
-2.2
(0.49)
-2.7
(0.46)
-2.5
(0.70)
-2.4
(0.49)
Day 7
-3.8
(0.69)
-4.9
(0.64)
-4.4
(0.98)
-3.6
(0.68)
Day 14
-5.1
(0.73)
-6.2
(0.66)
-6.4
(1.00)
-5.4
(0.71)
Day 21
-5.9
(0.84)
-7.4
(0.76)
-7.7
(1.13)
-6.7
(0.81)
Day 28
-5.9
(0.93)
-8.2
(0.82)
-8.6
(1.21)
-7.7
(0.88)
Day 35
-8.8
(0.88)
-9.2
(0.79)
-10.2
(1.16)
-7.6
(0.84)
Day 42
-8.9
(0.97)
-10.1
(0.86)
-10.4
(1.23)
-8.0
(0.92)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7819
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-1.1 to 1.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.66
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7030
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-1.5 to 1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.65
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9520
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.7 to 1.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.83
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7907
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.3
Confidence Interval (2-Sided) 95%
-2.1 to 1.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.95
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1391
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.4
Confidence Interval (2-Sided) 95%
-3.1 to 0.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.91
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4901
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.8
Confidence Interval (2-Sided) 95%
-3.1 to 1.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.18
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8079
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-1.7 to 2.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.00
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3889
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.8
Confidence Interval (2-Sided) 95%
-2.7 to 1.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.95
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3907
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.0
Confidence Interval (2-Sided) 95%
-3.4 to 1.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.21
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5363
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.7
Confidence Interval (2-Sided) 95%
-1.5 to 3.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.15
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5075
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-2.9 to 1.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.09
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4526
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.0
Confidence Interval (2-Sided) 95%
-3.7 to 1.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.38
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1548
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 1.8
Confidence Interval (2-Sided) 95%
-0.7 to 4.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.26
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6589
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.5
Confidence Interval (2-Sided) 95%
-2.9 to 1.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.19
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5171
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.0
Confidence Interval (2-Sided) 95%
-3.9 to 2.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.48
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3133
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.2
Confidence Interval (2-Sided) 95%
-3.6 to 1.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.20
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1723
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.6
Confidence Interval (2-Sided) 95%
-3.8 to 0.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.13
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0663
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -2.6
Confidence Interval (2-Sided) 95%
-5.4 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.42
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5128
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.9
Confidence Interval (2-Sided) 95%
-3.5 to 1.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.32
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0842
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -2.2
Confidence Interval (2-Sided) 95%
-4.6 to 0.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.24
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1217
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -2.4
Confidence Interval (2-Sided) 95%
-5.4 to 0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.52
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
12. Secondary Outcome
Title Change From Baseline in PANSS Marder Factor Positive Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Description This measure reports results for the 8 items of the Marder positive symptom factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor positive symptom score for each participant was sum of rating assigned to each of the 8 applicable Marder factor items, and ranged from 8 to 56 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.
Time Frame Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Day 4
-1.3
(0.29)
-1.8
(0.27)
-2.0
(0.41)
-2.0
(0.29)
Day 7
-2.5
(0.41)
-2.9
(0.38)
-3.2
(0.58)
-2.8
(0.40)
Day 14
-3.9
(0.49)
-4.0
(0.44)
-4.4
(0.67)
-4.1
(0.47)
Day 21
-4.5
(0.55)
-5.4
(0.50)
-5.5
(0.74)
-5.1
(0.54)
Day 28
-4.8
(0.60)
-6.3
(0.53)
-6.6
(0.78)
-5.6
(0.57)
Day 35
-6.1
(0.64)
-6.7
(0.57)
-6.9
(0.84)
-6.1
(0.61)
Day 42
-6.8
(0.67)
-7.6
(0.59)
-7.8
(0.86)
-6.2
(0.63)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0584
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.7
Confidence Interval (2-Sided) 95%
-0.0 to 1.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.39
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5197
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-0.5 to 1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.38
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9693
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.0
Confidence Interval (2-Sided) 95%
-0.9 to 1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.49
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6161
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.3
Confidence Interval (2-Sided) 95%
-0.8 to 1.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.56
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7880
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.2 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.54
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5526
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.4
Confidence Interval (2-Sided) 95%
-1.8 to 1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.70
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7647
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-1.1 to 1.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.67
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8900
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-1.2 to 1.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.64
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7097
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.3
Confidence Interval (2-Sided) 95%
-1.9 to 1.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.81
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4601
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.6
Confidence Interval (2-Sided) 95%
-0.9 to 2.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.76
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6288
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.3
Confidence Interval (2-Sided) 95%
-1.8 to 1.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.72
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6099
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.5
Confidence Interval (2-Sided) 95%
-2.3 to 1.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.91
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2790
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.9
Confidence Interval (2-Sided) 95%
-0.7 to 2.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.82
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4253
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.6
Confidence Interval (2-Sided) 95%
-2.1 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.77
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3014
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.0
Confidence Interval (2-Sided) 95%
-2.9 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.96
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9720
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.0
Confidence Interval (2-Sided) 95%
-1.7 to 1.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.87
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4758
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.6
Confidence Interval (2-Sided) 95%
-2.2 to 1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.82
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4419
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.8
Confidence Interval (2-Sided) 95%
-2.8 to 1.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.03
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4762
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.6
Confidence Interval (2-Sided) 95%
-2.4 to 1.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.91
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1046
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.4
Confidence Interval (2-Sided) 95%
-3.1 to 0.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.86
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1411
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.6
Confidence Interval (2-Sided) 95%
-3.7 to 0.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.06
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
13. Secondary Outcome
Title Change From Baseline in PANSS Marder Factor Negative Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Description This measure reports results for the 7 items of the Marder negative symptoms factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor negative symptom score for each participant was sum of the rating assigned to each of the 7 applicable Marder factor items, and ranged from 7 to 49 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.
Time Frame Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Day 4
-1.2
(0.30)
-0.8
(0.28)
-0.8
(0.43)
-0.7
(0.30)
Day 7
-1.7
(0.37)
-1.9
(0.34)
-1.8
(0.53)
-1.3
(0.37)
Day 14
-2.0
(0.41)
-2.8
(0.37)
-2.2
(0.56)
-2.0
(0.40)
Day 21
-2.6
(0.44)
-3.2
(0.40)
-2.6
(0.60)
-2.5
(0.43)
Day 28
-2.9
(0.51)
-3.8
(0.45)
-3.2
(0.67)
-3.5
(0.49)
Day 35
-3.5
(0.52)
-3.9
(0.46)
-4.1
(0.68)
-3.0
(0.49)
Day 42
-3.4
(0.53)
-4.7
(0.47)
-4.3
(0.67)
-4.0
(0.51)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2754
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.4
Confidence Interval (2-Sided) 95%
-1.2 to 0.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.40
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8500
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-0.8 to 0.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.39
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8439
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.1 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.51
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4741
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.4
Confidence Interval (2-Sided) 95%
-1.4 to 0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.51
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2158
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.6
Confidence Interval (2-Sided) 95%
-1.6 to 0.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.49
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5060
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.4
Confidence Interval (2-Sided) 95%
-1.7 to 0.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.63
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9956
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.0
Confidence Interval (2-Sided) 95%
-1.1 to 1.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.56
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1624
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-1.8 to 0.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.53
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7662
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-1.5 to 1.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.68
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8363
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.3 to 1.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.61
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2388
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-1.8 to 0.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.58
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9435
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.5 to 1.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.73
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4267
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.6
Confidence Interval (2-Sided) 95%
-0.8 to 1.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.70
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6810
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.3
Confidence Interval (2-Sided) 95%
-1.6 to 1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.65
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7673
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-1.4 to 1.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.82
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4830
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.5
Confidence Interval (2-Sided) 95%
-1.9 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.70
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2128
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.8
Confidence Interval (2-Sided) 95%
-2.1 to 0.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.66
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1756
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.1
Confidence Interval (2-Sided) 95%
-2.8 to 0.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.83
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4246
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.6
Confidence Interval (2-Sided) 95%
-0.8 to 2.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.72
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2873
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-2.1 to 0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.68
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7308
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.3
Confidence Interval (2-Sided) 95%
-1.9 to 1.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.83
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
14. Secondary Outcome
Title Change From Baseline in PANSS Marder Factor Disorganized Thought Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Description This measure reports results for the 7 items of the Marder disorganized thoughts factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor disorganized thought symptom score for each participant was sum of rating assigned to each of the 7 applicable Marder factor items, and ranged from 7 to 49 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.
Time Frame Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Day 4
-0.3
(0.24)
-0.7
(0.22)
-1.1
(0.34)
-0.7
(0.24)
Day 7
-1.0
(0.32)
-1.4
(0.29)
-1.6
(0.45)
-0.7
(0.31)
Day 14
-1.3
(0.36)
-2.0
(0.33)
-2.2
(0.49)
-1.5
(0.35)
Day 21
-2.3
(0.41)
-2.5
(0.37)
-2.7
(0.54)
-2.1
(0.39)
Day 28
-2.4
(0.42)
-3.1
(0.37)
-3.1
(0.54)
-2.4
(0.40)
Day 35
-3.5
(0.43)
-3.5
(0.38)
-4.3
(0.56)
-2.4
(0.41)
Day 42
-3.8
(0.45)
-4.3
(0.40)
-4.7
(0.58)
-2.7
(0.43)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2116
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.4
Confidence Interval (2-Sided) 95%
-0.2 to 1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.32
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9039
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.0
Confidence Interval (2-Sided) 95%
-0.6 to 0.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.31
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2959
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.4
Confidence Interval (2-Sided) 95%
-1.2 to 0.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.4
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5909
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-1.1 to 0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.44
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1489
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.6
Confidence Interval (2-Sided) 95%
-1.4 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.42
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1000
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.9
Confidence Interval (2-Sided) 95%
-2.0 to 0.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.54
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7830
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-0.8 to 1.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.49
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2679
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.5
Confidence Interval (2-Sided) 95%
-1.4 to 0.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.47
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2321
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-1.9 to 0.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.60
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7368
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-1.3 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.56
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4606
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.4
Confidence Interval (2-Sided) 95%
-1.4 to 0.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.53
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3241
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-2.0 to 0.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.66
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9860
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.0
Confidence Interval (2-Sided) 95%
-1.1 to 1.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.57
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1890
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-1.8 to 0.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.53
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3030
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-2.0 to 0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.67
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0550
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.1
Confidence Interval (2-Sided) 95%
-2.3 to 0.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.58
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0415
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.1
Confidence Interval (2-Sided) 95%
-2.2 to -0.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.55
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0058
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.9
Confidence Interval (2-Sided) 95%
-3.3 to -0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.69
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0691
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.1
Confidence Interval (2-Sided) 95%
-2.3 to 0.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.62
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0063
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -1.6
Confidence Interval (2-Sided) 95%
-2.7 to -0.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.58
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0056
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -2.0
Confidence Interval (2-Sided) 95%
-3.4 to -0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.71
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
15. Secondary Outcome
Title Change From Baseline in PANSS Marder Factor Hostility/Excitement Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Description This measure reports results for the 4 items of the Marder hostility/excitement factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor hostility/excitement symptom score for each participant was sum of rating assigned to each of the 4 applicable Marder factor items, and ranged from 4 to 28 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.
Time Frame Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Day 4
-0.4
(0.25)
-0.3
(0.23)
-0.7
(0.36)
-0.5
(0.25)
Day 7
-0.5
(0.28)
-0.5
(0.26)
-1.0
(0.40)
-0.7
(0.28)
Day 14
-0.9
(0.30)
-0.8
(0.27)
-1.2
(0.41)
-0.9
(0.30)
Day 21
-0.8
(0.33)
-0.9
(0.30)
-1.8
(0.44)
-1.0
(0.32)
Day 28
-0.5
(0.41)
-0.8
(0.36)
-1.6
(0.53)
-1.0
(0.39)
Day 35
-1.4
(0.37)
-1.5
(0.32)
-2.0
(0.47)
-1.4
(0.35)
Day 42
-1.1
(0.41)
-1.8
(0.36)
-1.9
(0.52)
-1.1
(0.39)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7847
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-0.6 to 0.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.34
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5859
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-0.5 to 0.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.33
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6413
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-1.0 to 0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.43
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7307
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-0.6 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.38
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7176
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-0.6 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.37
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4860
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.3
Confidence Interval (2-Sided) 95%
-1.3 to 0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.48
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9321
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.0
Confidence Interval (2-Sided) 95%
-0.8 to 0.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.41
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7691
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-0.7 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.39
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5694
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.3
Confidence Interval (2-Sided) 95%
-1.3 to 0.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.50
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5583
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.3
Confidence Interval (2-Sided) 95%
-0.6 to 1.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.45
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7307
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-0.7 to 1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.43
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1715
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-1.8 to 0.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.54
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4219
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.4
Confidence Interval (2-Sided) 95%
-0.6 to 1.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.55
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.7437
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-0.9 to 1.2
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.52
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3110
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-1.9 to 0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.65
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9805
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.0
Confidence Interval (2-Sided) 95%
-1.0 to 1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.50
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8741
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.0 to 0.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.47
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3288
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.6
Confidence Interval (2-Sided) 95%
-1.7 to 0.6
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.58
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9336
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.0
Confidence Interval (2-Sided) 95%
-1.0 to 1.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.56
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1722
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.7
Confidence Interval (2-Sided) 95%
-1.7 to 0.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.52
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1909
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.8
Confidence Interval (2-Sided) 95%
-2.1 to 0.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.64
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
16. Secondary Outcome
Title Change From Baseline in PANSS Marder Factor Anxiety/Depression Symptom Score at Days 4, 7, 14, 21, 28, 35 and 42
Description This measure reports results for the 4 items of the Marder anxiety/depression factor of the PANSS, which is a 30-item clinician-rated instrument used to assess schizophrenia symptoms. Marder factors are a modified grouping of the 30 PANSS items. For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. PANSS Marder factor anxiety/depression symptom score for each participant was sum of rating assigned to each of the 4 applicable Marder factor items, and ranged from 4 to 28 with a higher score indicating greater severity of symptoms. Measure reports change from baseline; improvement in symptoms is represented by negative values.
Time Frame Baseline and Days 4, 7, 14, 21, 28, 35 and 42

Outcome Measure Data

Analysis Population Description
FAS, defined as randomized participants who received ≥1 dose of study drug and had both a baseline and ≥1 post-baseline PANSS Total Score
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
Measure Participants 96 111 45 99
Day 4
-0.9
(0.27)
-1.2
(0.25)
-1.0
(0.38)
-0.9
(0.27)
Day 7
-1.5
(0.30)
-2.2
(0.28)
-1.8
(0.43)
-1.7
(0.30)
Day 14
-1.9
(0.31)
-2.9
(0.28)
-2.5
(0.42)
-2.5
(0.30)
Day 21
-2.1
(0.32)
-3.0
(0.29)
-2.7
(0.42)
-3.1
(0.31)
Day 28
-1.9
(0.36)
-3.2
(0.32)
-2.8
(0.47)
-3.4
(0.35)
Day 35
-3.0
(0.34)
-3.6
(0.30)
-3.2
(0.44)
-3.2
(0.32)
Day 42
-2.9
(0.40)
-3.4
(0.35)
-3.1
(0.50)
-3.0
(0.38)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9851
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.0
Confidence Interval (2-Sided) 95%
-0.7 to 0.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.37
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.4912
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.2
Confidence Interval (2-Sided) 95%
-0.9 to 0.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.36
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 4
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8559
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.0 to 0.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.46
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5635
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-0.6 to 1.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.41
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2321
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.5
Confidence Interval (2-Sided) 95%
-1.3 to 0.3
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.40
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 7
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8867
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.1 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.52
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.1499
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.6
Confidence Interval (2-Sided) 95%
-0.2 to 1.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.42
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2860
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.4
Confidence Interval (2-Sided) 95%
-1.2 to 0.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.40
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 14
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8978
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.1 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.51
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0283
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 1.0
Confidence Interval (2-Sided) 95%
0.1 to 1.8
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.44
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8667
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-0.7 to 0.9
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.41
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 21
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.5044
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.3
Confidence Interval (2-Sided) 95%
-0.7 to 1.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.52
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 13
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0040
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 1.4
Confidence Interval (2-Sided) 95%
0.5 to 2.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.49
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 14
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6330
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-0.7 to 1.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.46
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 15
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 28
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2981
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.6
Confidence Interval (2-Sided) 95%
-0.5 to 1.7
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.57
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 16
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.6556
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-0.7 to 1.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.45
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 17
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.2889
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.5
Confidence Interval (2-Sided) 95%
-1.3 to 0.4
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.43
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 18
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 35
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.9399
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.0
Confidence Interval (2-Sided) 95%
-1.1 to 1.0
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.53
Estimation Comments Olanzapine 15 mg BID minus Placebo BID
Statistical Analysis 19
Statistical Analysis Overview Comparison Group Selection Asenapine 2.5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8955
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value 0.1
Confidence Interval (2-Sided) 95%
-1.0 to 1.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.54
Estimation Comments Asenapine 2.5 mg BID minus Placebo BID
Statistical Analysis 20
Statistical Analysis Overview Comparison Group Selection Asenapine 5 mg BID, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.3681
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.5
Confidence Interval (2-Sided) 95%
-1.5 to 0.5
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.51
Estimation Comments Asenapine 5 mg BID minus Placebo BID
Statistical Analysis 21
Statistical Analysis Overview Comparison Group Selection Olanzapine 15 mg QD, Placebo BID
Comments Day 42
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.8215
Comments Unadjusted p-value
Method MMRM
Comments
Method of Estimation Estimation Parameter LS means difference
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.4 to 1.1
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.62
Estimation Comments Olanzapine 15 mg BID minus Placebo BID

Adverse Events

Time Frame Up to 30 days after last dose of study drug (Up to approximately 10 weeks)
Adverse Event Reporting Description
Arm/Group Title Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Arm/Group Description Participants were administered one 2.5 mg asenapine tablet BID for 42 days Participants were administered one 5 mg asenapine tablet BID for 42 days Participants were administered 15 mg olanzapine (as one 10 mg and one 5 mg tablet) QD for 42 days, except during Week 1 olanzapine 10 mg QD was administered Participants were administered placebo tablets BID for 42 days
All Cause Mortality
Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 5/97 (5.2%) 5/113 (4.4%) 1/46 (2.2%) 8/101 (7.9%)
Gastrointestinal disorders
Small intestinal obstruction 0/97 (0%) 0 1/113 (0.9%) 1 0/46 (0%) 0 0/101 (0%) 0
General disorders
Chest pain 0/97 (0%) 0 0/113 (0%) 0 0/46 (0%) 0 1/101 (1%) 1
Injury, poisoning and procedural complications
Road traffic accident 0/97 (0%) 0 0/113 (0%) 0 0/46 (0%) 0 1/101 (1%) 1
Metabolism and nutrition disorders
Diabetes mellitus 1/97 (1%) 1 0/113 (0%) 0 0/46 (0%) 0 0/101 (0%) 0
Nervous system disorders
Epilepsy 0/97 (0%) 0 0/113 (0%) 0 0/46 (0%) 0 1/101 (1%) 1
Syncope 0/97 (0%) 0 0/113 (0%) 0 0/46 (0%) 0 1/101 (1%) 1
Psychiatric disorders
Agitation 0/97 (0%) 0 0/113 (0%) 0 0/46 (0%) 0 1/101 (1%) 1
Anxiety 0/97 (0%) 0 0/113 (0%) 0 0/46 (0%) 0 1/101 (1%) 1
Homicidal ideation 1/97 (1%) 1 0/113 (0%) 0 0/46 (0%) 0 0/101 (0%) 0
Psychotic disorder 2/97 (2.1%) 2 0/113 (0%) 0 1/46 (2.2%) 1 0/101 (0%) 0
Schizophrenia 0/97 (0%) 0 3/113 (2.7%) 3 0/46 (0%) 0 2/101 (2%) 2
Schizophrenia, paranoid type 0/97 (0%) 0 1/113 (0.9%) 1 0/46 (0%) 0 0/101 (0%) 0
Skin and subcutaneous tissue disorders
Psoriasis 1/97 (1%) 1 0/113 (0%) 0 0/46 (0%) 0 0/101 (0%) 0
Other (Not Including Serious) Adverse Events
Asenapine 2.5 mg BID Asenapine 5 mg BID Olanzapine 15 mg QD Placebo BID
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 27/97 (27.8%) 47/113 (41.6%) 17/46 (37%) 29/101 (28.7%)
Gastrointestinal disorders
Diarrhoea 0/97 (0%) 0 2/113 (1.8%) 2 3/46 (6.5%) 3 2/101 (2%) 2
Dry mouth 0/97 (0%) 0 2/113 (1.8%) 2 5/46 (10.9%) 5 1/101 (1%) 1
Dyspepsia 1/97 (1%) 1 2/113 (1.8%) 2 3/46 (6.5%) 3 2/101 (2%) 2
Hypoaesthesia oral 4/97 (4.1%) 4 7/113 (6.2%) 7 0/46 (0%) 0 0/101 (0%) 0
Investigations
Blood creatine phosphokinase increased 0/97 (0%) 0 6/113 (5.3%) 6 0/46 (0%) 0 0/101 (0%) 0
Nervous system disorders
Headache 10/97 (10.3%) 12 10/113 (8.8%) 10 4/46 (8.7%) 6 2/101 (2%) 2
Somnolence 3/97 (3.1%) 3 7/113 (6.2%) 7 5/46 (10.9%) 5 0/101 (0%) 0
Psychiatric disorders
Agitation 3/97 (3.1%) 3 7/113 (6.2%) 8 0/46 (0%) 0 3/101 (3%) 3
Anxiety 7/97 (7.2%) 10 8/113 (7.1%) 9 4/46 (8.7%) 5 12/101 (11.9%) 13
Insomnia 9/97 (9.3%) 9 17/113 (15%) 21 4/46 (8.7%) 4 14/101 (13.9%) 20
Schizophrenia 6/97 (6.2%) 6 4/113 (3.5%) 4 0/46 (0%) 0 4/101 (4%) 4

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

It is planned to first publish/present trial results together with the other sites, unless permission is obtained from Sponsor to publish separate results. Sponsor must be able to review all proposed results communications regarding study 45 days prior to submission for publication/presentation. If there is disagreement concerning appropriateness of the materials, Investigator and Sponsor must meet to make a good faith effort to discuss/resolve disagreement prior to submission for publication.

Results Point of Contact

Name/Title Senior Vice President, Global Clinical Development
Organization Merck Sharp & Dohme Corp.
Phone 1-800-672-6372
Email ClinicalTrialsDisclosure@merck.com
Responsible Party:
Organon and Co
ClinicalTrials.gov Identifier:
NCT01617187
Other Study ID Numbers:
  • P05688
  • 2010-018407-28
First Posted:
Jun 12, 2012
Last Update Posted:
Feb 9, 2022
Last Verified:
Feb 1, 2022