STEP 203: Study to Evaluate the Efficacy, Safety, and Tolerability of Oral OPC-34712 and Aripiprazole for Treatment of Acute Schizophrenia

Sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT00905307
Collaborator
(none)
459
73
6
16
6.3
0.4

Study Details

Study Description

Brief Summary

This will be a multicenter, randomized, double-blind, placebo-controlled study designed to assess the tolerability, safety, and efficacy of OPC-34712 (0.25 to 6.0 mg) for the treatment of adult subjects hospitalized with an acute relapse of schizophrenia. Aripiprazole (10 to 20 mg) is included as a positive control to confirm the assay sensitivity of the study. A total of approximately 563 subjects will be screened at an estimated 75 sites worldwide in order to obtain approximately 450 randomized subjects.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
459 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Phase 2, 6-Week, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy, Safety, and Tolerability of Oral OPC-34712 Once Daily and Aripiprazole Once Daily for Treatment of Hospitalized Adult Patients With Acute Schizophrenia
Study Start Date :
Jul 1, 2009
Actual Primary Completion Date :
Sep 1, 2010
Actual Study Completion Date :
Nov 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: 1

OPC-34712 0.25 mg arm

Drug: OPC-34712
oral, once daily

Experimental: 2

OPC-34712 low-dose arm

Drug: OPC-34712
oral, once daily

Experimental: 3

OPC-34712 mid-dose arm

Drug: OPC-34712
oral, once daily

Experimental: 4

OPC-34712 high-dose arm

Drug: OPC-34712
oral, once daily

Placebo Comparator: 5

Drug: Placebo
Placebo

Active Comparator: 6

Aripiprazole arm

Drug: Aripiprazole
oral, once daily

Outcome Measures

Primary Outcome Measures

  1. Change From Baseline to Week 6 in Positive and Negative Syndrome Scale (PANSS) Total Score (Double Blind Phase) [Baseline to Week 6]

    The PANSS consists of three subscales containing a total of 30 symptom constructs. For each symptom construct, severity is rated on a 7-point scale, with a score of 1 indicating absence of symptoms and a score of 7 indicating extremely severe symptoms. PANSS total score is the sum of the rating scores for 7 positive scale items, 7 negative scale items and 16 general psychopathology scale items from the PANSS panel. The PANSS total score ranges from 30-210, with higher scores indicating more severe symptoms.

Secondary Outcome Measures

  1. Change From Baseline to Week 6 in PANSS Positive Subscale Score (Double Blind Phase) [Baseline to Week 6]

    The PANSS consists of three subscales containing a total of 30 symptom constructs. For each symptom construct, severity is rated on a 7-point scale, with a score of 1 indicating absence of symptoms and a score of 7 indicating extremely severe symptoms. The positive symptom constructs are delusions, conceptual disorganization, hallucinatory behavior, excitement, grandiosity, suspiciousness/persecution, and hostility. PANSS positive subscale score is the sum of the rating scores for the 7 positive scale items from the PANSS panel. The PANSS positive subscale score ranges from 7-49, with higher scores indicating more severe symptoms.

  2. Change From Baseline to Week 6 in PANSS Negative Subscale Score (Double Blind Phase) [Baseline to Week 6]

    The PANSS consists of three subscales containing a total of 30 symptom constructs. For each symptom construct, severity is rated on a 7-point scale, with a score of 1 indicating absence of symptoms and a score of 7 indicating extremely severe symptoms. The 7 negative symptom constructs: blunted affect, emotional withdrawal, poor rapport, passive/apathetic social withdrawal, difficulty in abstract thinking, lack of spontaneity and flow of conversation, stereotyped thinking. PANSS negative subscale score is the sum of the rating scores for the 7 negative scale items from the PANSS panel. The PANSS negative subscale score ranges from 7-49, with higher scores indicating more severe symptoms.

  3. Change From Baseline to Week 6 in Personal and Social Performance Scale (PSP) (Double Blind Phase) [Baseline to Week 6]

    The PSP is a validated clinician-rated scale that measures personal and social functioning in four domains. The rating is based on four main areas: (a) socially useful activities, including work and study; (b) personal and social relationships; (c) self-care; and (d) disturbing and aggressive behaviors. The ratings are converted to a total score based on a 100-point scale using algorithms to identify the appropriate 10-point interval, and the rater's judgment to determine the total score within the 10-point interval. Ratings from 71-100 reflect only mild difficulties. Ratings from 31-70 reflect manifest disabilities of various degrees. Ratings from 1-30 reflect functioning so poor that intensive support or supervision is needed.

  4. Change From Baseline to Week 6 in Clinical Global Impression-Severity of Illness Scale (CGI-S) Score (Double Blind Phase) [Baseline to Week 6]

    The severity of illness for each participant was rated using the CGI-S. To perform this assessment, the rater or investigator answered the following question: "Considering your total clinical experience with this particular population, how mentally ill is the patient at this time?" Response choices include the following: 0=not assessed; 1=normal, not at all ill; 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; 7=among the most extremely ill patients

  5. Mean Clinical Global Impression - Improvement (CGI-I) at Week 6 [Week 6]

    The rater or investigator rated the particpant's total improvement whether or not it was due entirely to drug treatment. All responses were compared to the participant's condition at baseline prior to the first dose of double-blind study medication. Response choices included the following: 0=not assessed; 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse.

  6. Response Rate at Week 6 [Week 6]

    Response rate was defined as a reduction of ≥ 30% from baseline in PANSS Total Score; or a CGI-I score of 1 (very much improved) or 2 (much improved) at Week 6

  7. Discontinuation Rate for Lack of Efficacy or Receipt of Open Label OPC-34712 [Baseline to Week 6]

    Efficacy-related discontinuation rate was assessed

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 65 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. Male or female subjects between 18 and 65 years of age, with a diagnosis of schizophrenia, as defined by DSM-IV-TR criteria

  2. Subjects who have been recently hospitalized or who would benefit from hospitalization for an acute relapse of schizophrenia

  3. Subjects experiencing an acute exacerbation of psychotic symptoms

Exclusion Criteria:
  1. Females who are breast-feeding and/or who have a positive pregnancy test result prior to receiving study drug

  2. Subjects with a current DSM-IV-TR Axis I diagnosis of:

  • Schizoaffective disorder

  • MDD

  • Bipolar disorder

  • Delirium, dementia, amnestic or other cognitive disorder

  • Borderline, paranoid, histrionic, schizotypal, schizoid or antisocial personality disorder

  1. Subjects presenting with a first episode of schizophrenia

  2. Other protocol specific inclusion/exclusion criteria may apply

Contacts and Locations

Locations

Site City State Country Postal Code
1 Study Site Little Rock Arkansas United States 72211
2 Study Site Escondido California United States 92025
3 Study Site Garden Grove California United States 92645
4 Study Site Long Beach California United States 90813
5 Study Site Oceanside California United States 92056
6 Study Site Pasadena California United States 91107
7 Study Site San Diego California United States 92102
8 Study Site San Diego California United States 92123
9 Study Site Santa Ana California United States 92701
10 Study Site Washington District of Columbia United States 20016
11 Study Site Bradenton Florida United States 34208
12 Study Site Maitland Florida United States 32751
13 Study Site St. Louis Missouri United States 63118
14 Study Site Cedarhurst New York United States 11516
15 Study Site Philadelphia Pennsylvania United States 19139
16 Study Site Austin Texas United States 78756
17 Study Site Burgas Bulgaria 8000
18 Study Site Kazanlak Bulgaria 6100
19 Study Site Pazardzhik Bulgaria 4400
20 Study Site Plovdiv Bulgaria 4002
21 Study Site Radnevo Bulgaria 6260
22 Study Site Ruse Bulgaria 7003
23 Study Site Rijeka Croatia 51000
24 Study Site Split Croatia 21000
25 Study Site Zagreb Croatia 10090
26 Study Site Vijaywada Andh Prad India 520002
27 Study Site Visakhapatnam Andh Prad India 530017
28 Study Site Ahmedabad Gujarat India 380015
29 Study Site Bangalore Karna India 560010
30 Study Site Mangalore Karna India 575001
31 Study Site Mangalore Karna India 575018
32 Study Site Pune Mahara India 411004
33 Study Site Chennai Tamilnadu India 600003
34 Study Site Varanasi Uttar Prad India 221005
35 Study Site Busan Korea, Republic of 613-735
36 Study Site Chuncheon Korea, Republic of 200-704
37 Study Site Incheon Korea, Republic of 400-711
38 Study Site Incheon Korea, Republic of 405-760
39 Study Site Seoul Korea, Republic of 143-711
40 Study Site Cebu City 6000 Philippines
41 Study Site Mandaluyong City 1553 Philippines
42 Study Site Arad Romania 310022
43 Study Site Bucuresti Romania 010825
44 Study Site (1) Bucuresti Romania 041914
45 Study Site (2) Bucuresti Romania 041914
46 Study Site (3) Bucuresti Romania 041914
47 Study Site Cluj-Napoca Romania 400012
48 Study Site Oradea Romania 410154
49 Study Site Moscow Region Russian Federation 141371
50 Study Site Moscow Russian Federation 113152
51 Study Site Moscow Russian Federation 115522
52 Study Site St. Petersburg Russian Federation 190121
53 Study Site St. Petersburg Russian Federation 193167
54 Study Site St. Petersburg Russian Federation 197341
55 Study Site (1) Belgrade Serbia 11000
56 Study Site (2) Belgrade Serbia 11000
57 Study Site Kragujevac Serbia 34000
58 Study Site Novi Sad Serbia 21000
59 Study Site Bojnice Slovakia 92701
60 Study Site Bratislava Slovakia 82606
61 Study Site Liptovsky Mikulas Slovakia 03123
62 Study Site Rimavska Sobota Slovakia 97912
63 Study Site Zilina Slovakia 01207
64 Study Site Hualien Town Taiwan 970
65 Study Site Taipei Taiwan 249
66 Study Site Chernigiv Ukraine 14005
67 Study Site Dnipropetrovsk Ukraine 49005
68 Study Site Kherson,Vil. Stepanivka Ukraine 73488
69 Study Site Kyiv Ukraine 02660
70 Study Site Kyiv Ukraine 04080
71 Study Site Kyiv Ukraine 04655
72 Study Site Simferopol Ukraine 95006
73 Study Site Vinnitsia Ukraine 21018

Sponsors and Collaborators

  • Otsuka Pharmaceutical Development & Commercialization, Inc.

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Otsuka Pharmaceutical Development & Commercialization, Inc.
ClinicalTrials.gov Identifier:
NCT00905307
Other Study ID Numbers:
  • 331-07-203
First Posted:
May 20, 2009
Last Update Posted:
Oct 20, 2015
Last Verified:
Sep 1, 2015
Keywords provided by Otsuka Pharmaceutical Development & Commercialization, Inc.
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details 459 participants recruited at 74 study centres in the United States, Asia and Europe. Participants not responding adequately to treatment at Week 4 visit could continue in study and receive open-label OPC-34712 (starting dose 2.5 mg/day with option for decrease to 2 mg/day or increase to 3 mg/day) until Week 6 at study physician's discretion.
Pre-assignment Detail Partipants were randomized in a 1:2:2:2:2:1 ratio to the following groups: OPC-34712 0.25 mg arm, OPC-34712 low-dose, OPC-34712 mid-dose, OPC-34712 high-dose, Placebo, Aripiprazole. All other prohibited medications were discontinued at least 24 hours before the first dose of double-blind study medication.
Arm/Group Title OPC-34712 0.25 mg OPC-34712 Low-dose OPC-34712 Mid-dose OPC-34712 High Dose Aripiprazole Placebo
Arm/Group Description 0.25 mg once daily (QD) for 6 weeks 1.0 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 2.5 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 5.0 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 15 mg QD starting dose ± 5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. Placebo QD for 6 weeks
Period Title: Overall Study
STARTED 42 89 90 93 50 95
COMPLETED 20 52 53 56 34 53
NOT COMPLETED 22 37 37 37 16 42

Baseline Characteristics

Arm/Group Title OPC-34712 0.25 mg OPC-34712 Low-dose OPC-34712 Mid-dose OPC-34712 High-dose Aripiprazole Placebo Total
Arm/Group Description 0.25 mg QD for 6 weeks 1.0 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 2.5 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 5.0 mg QD starting dose ± 1.0 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 15 mg QD starting dose ± 5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. Placebo QD for 6 weeks Total of all reporting groups
Overall Participants 42 89 90 93 50 95 459
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
40.4
(9.1)
39.2
(10.3)
37.4
(11.1)
39.5
(11.1)
40.8
(11)
38.8
(11.4)
39.1
(10.6)
Sex: Female, Male (Count of Participants)
Female
15
35.7%
36
40.4%
30
33.3%
38
40.9%
16
32%
37
38.9%
172
37.5%
Male
27
64.3%
53
59.6%
60
66.7%
55
59.1%
34
68%
58
61.1%
287
62.5%

Outcome Measures

1. Primary Outcome
Title Change From Baseline to Week 6 in Positive and Negative Syndrome Scale (PANSS) Total Score (Double Blind Phase)
Description The PANSS consists of three subscales containing a total of 30 symptom constructs. For each symptom construct, severity is rated on a 7-point scale, with a score of 1 indicating absence of symptoms and a score of 7 indicating extremely severe symptoms. PANSS total score is the sum of the rating scores for 7 positive scale items, 7 negative scale items and 16 general psychopathology scale items from the PANSS panel. The PANSS total score ranges from 30-210, with higher scores indicating more severe symptoms.
Time Frame Baseline to Week 6

Outcome Measure Data

Analysis Population Description
Consists of all participants who received at least one dose of study medication and have baseline and at least one post-baseline efficacy evaluation. The last observation carried forward (LOCF) method was used to impute missing data.
Arm/Group Title OPC-34712 0.25 mg OPC-34712 Low-dose OPC-34712 Mid-dose OPC-34712 High-dose Aripiprazole Placebo
Arm/Group Description 0.25 mg QD for 6 weeks 1.0 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment 2.5 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment , the physician could request a dose increase, if needed for efficacy, based on clinical judgment 5.0 mg QD starting dose ± 1.0 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment 15 mg QD starting dose ± 5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment Placebo QD for 6 weeks
Measure Participants 41 88 90 92 50 93
Mean (Standard Deviation) [Units on a scale]
-9.76
(19.29)
-18.73
(20.27)
-16.19
(18.55)
-18.25
(20.49)
-17.98
(21.32)
-14.40
(20.13)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection OPC-34712 Low-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2846
Comments The Hochberg procedure using two-sided alpha of 0.05 was applied to control the type I error rate at 0.05 level (two-sided) due to multiple comparisons.
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -4.70
Confidence Interval (2-Sided) 95%
-10.2 to 0.82
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection OPC-34712 Mid-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6066
Comments The Hochberg procedure using two-sided alpha of 0.05 was applied to control the type I error rate at 0.05 level (two-sided) due to multiple comparisons.
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -1.44
Confidence Interval (2-Sided) 95%
-6.96 to 4.07
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection OPC-34712 High-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3293
Comments The Hochberg procedure using two-sided alpha of 0.05 was applied to control the type I error rate at 0.05 level (two-sided) due to multiple comparisons.
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -3.86
Confidence Interval (2-Sided) 95%
-9.32 to 1.59
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection OPC-34712 0.25 mg, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2263
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value 4.62
Confidence Interval (2-Sided) 95%
-2.89 to 12.12
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Aripiprazole, Placebo
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3074
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -3.64
Confidence Interval (2-Sided) 95%
-10.7 to 3.38
Parameter Dispersion Type:
Value:
Estimation Comments
2. Secondary Outcome
Title Change From Baseline to Week 6 in PANSS Positive Subscale Score (Double Blind Phase)
Description The PANSS consists of three subscales containing a total of 30 symptom constructs. For each symptom construct, severity is rated on a 7-point scale, with a score of 1 indicating absence of symptoms and a score of 7 indicating extremely severe symptoms. The positive symptom constructs are delusions, conceptual disorganization, hallucinatory behavior, excitement, grandiosity, suspiciousness/persecution, and hostility. PANSS positive subscale score is the sum of the rating scores for the 7 positive scale items from the PANSS panel. The PANSS positive subscale score ranges from 7-49, with higher scores indicating more severe symptoms.
Time Frame Baseline to Week 6

Outcome Measure Data

Analysis Population Description
Consists of all participants who received at least one dose of study medication and have baseline and at least one post-baseline efficacy evaluation. The LOCF method was used to impute missing data.
Arm/Group Title OPC-34712 0.25 mg OPC-34712 Low-dose OPC-34712 Mid-dose OPC-34712 High-dose Aripiprazole Placebo
Arm/Group Description 0.25 mg QD for 6 weeks 1.0 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 2.5 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 5.0 mg QD starting dose ± 1.0 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 15 mg QD starting dose ± 5 mg.After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. Placebo QD for 6 weeks
Measure Participants 41 88 90 92 50 93
Mean (Standard Deviation) [Units on a scale]
-3.22
(5.26)
-5.97
(7.12)
-4.94
(6.17)
-5.98
(6.72)
-6.60
(7.16)
-4.82
(6.34)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection OPC-34712 0.25 mg, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS positive subscale score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1807
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value 1.61
Confidence Interval (2-Sided) 95%
-0.75 to 3.97
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection OPC-34712 Low-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS positive subscale score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1313
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -1.41
Confidence Interval (2-Sided) 95%
-3.24 to 0.42
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection OPC-34712 Mid-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS positive subscale score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8879
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -0.13
Confidence Interval (2-Sided) 95%
-1.96 to 1.69
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection OPC-34712 High-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS positive subscale score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1764
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -1.24
Confidence Interval (2-Sided) 95%
-3.05 to 0.56
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Aripiprazole, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS positive subscale score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1111
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -1.79
Confidence Interval (2-Sided) 95%
-4.00 to 0.42
Parameter Dispersion Type:
Value:
Estimation Comments
3. Secondary Outcome
Title Change From Baseline to Week 6 in PANSS Negative Subscale Score (Double Blind Phase)
Description The PANSS consists of three subscales containing a total of 30 symptom constructs. For each symptom construct, severity is rated on a 7-point scale, with a score of 1 indicating absence of symptoms and a score of 7 indicating extremely severe symptoms. The 7 negative symptom constructs: blunted affect, emotional withdrawal, poor rapport, passive/apathetic social withdrawal, difficulty in abstract thinking, lack of spontaneity and flow of conversation, stereotyped thinking. PANSS negative subscale score is the sum of the rating scores for the 7 negative scale items from the PANSS panel. The PANSS negative subscale score ranges from 7-49, with higher scores indicating more severe symptoms.
Time Frame Baseline to Week 6

Outcome Measure Data

Analysis Population Description
Consists of all participants who received at least one dose of study medication and have baseline and at least one post-baseline efficacy evaluation. The LOCF method was used to impute missing data.
Arm/Group Title OPC-34712 0.25 mg OPC-34712 Low-dose OPC-34712 Mid-dose OPC-34712 High-dose Aripiprazole Placebo
Arm/Group Description 0.25 mg QD 1.0 mg QD starting dose ± 0.5 mg After a minimum of 2 weeks of treatment (eg, beginning at the Week 2 visit and at any subsequent visit where study medication was dispensed), the investigator could request a dose increase, if needed for efficacy, based on clinical judgment. 2.5 mg QD starting dose ± 0.5 mg After a minimum of 2 weeks of treatment (eg, beginning at the Week 2 visit and at any subsequent visit where study medication was dispensed), the investigator could request a dose increase, if needed for efficacy, based on clinical judgment. 5.0 mg QD starting dose ± 1.0 mg After a minimum of 2 weeks of treatment (eg, beginning at the Week 2 visit and at any subsequent visit where study medication was dispensed), the investigator could request a dose increase, if needed for efficacy, based on clinical judgment. 15 mg QD starting dose ± 5 mg After a minimum of 2 weeks of treatment (eg, beginning at the Week 2 visit and at any subsequent visit where study medication was dispensed), the investigator could request a dose increase, if needed for efficacy, based on clinical judgment. Placebo QD
Measure Participants 42 89 90 93 50 95
Mean (Standard Deviation) [Units on a scale]
-1.93
(5.24)
-3.61
(5.15)
-3.84
(5.09)
-3.99
(5.40)
-3.00
(5.74)
-3.17
(4.88)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection OPC-34712 0.25 mg, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS negative subscale score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2896
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value 1.00
Confidence Interval (2-Sided) 95%
-0.86 to 2.86
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection OPC-34712 Low-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS negative subscale score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3701
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -0.61
Confidence Interval (2-Sided) 95%
-1.94 to 0.72
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection OPC-34712 Mid-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS negative subscale score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6074
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -0.35
Confidence Interval (2-Sided) 95%
-1.69 to 0.99
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection OPC-34712 High-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS negative subscale score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2777
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -0.73
Confidence Interval (2-Sided) 95%
-2.05 to 0.59
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Aripiprazole, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS negative subscale score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8611
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -0.15
Confidence Interval (2-Sided) 95%
-1.90 to 1.59
Parameter Dispersion Type:
Value:
Estimation Comments
4. Secondary Outcome
Title Change From Baseline to Week 6 in Personal and Social Performance Scale (PSP) (Double Blind Phase)
Description The PSP is a validated clinician-rated scale that measures personal and social functioning in four domains. The rating is based on four main areas: (a) socially useful activities, including work and study; (b) personal and social relationships; (c) self-care; and (d) disturbing and aggressive behaviors. The ratings are converted to a total score based on a 100-point scale using algorithms to identify the appropriate 10-point interval, and the rater's judgment to determine the total score within the 10-point interval. Ratings from 71-100 reflect only mild difficulties. Ratings from 31-70 reflect manifest disabilities of various degrees. Ratings from 1-30 reflect functioning so poor that intensive support or supervision is needed.
Time Frame Baseline to Week 6

Outcome Measure Data

Analysis Population Description
Consists of all participants who received at least one dose of study medication and have baseline and at least one post-baseline efficacy evaluation. The LOCF method was used to impute missing data.
Arm/Group Title OPC-34712 0.25 mg OPC-34712 Low-dose OPC-34712 Mid-dose OPC-34712 High-dose Aripiprazole Placebo
Arm/Group Description 0.25 mg QD for 6 weeks 1.0 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 2.5 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 5.0 mg QD starting dose ± 1.0 mg After a minimum of 2 weeks of treatment (eg, beginning at the Week 2 visit and at any subsequent visit where study medication was dispensed), the investigator could request a dose increase, if needed for efficacy, based on clinical judgment. 15 mg QD starting dose ± 5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. Placebo QD for 6 weeks
Measure Participants 39 86 84 90 50 90
Mean (Standard Deviation) [Units on a scale]
4.54
(13.25)
11.36
(14.84)
10.67
(15.21)
12.17
(14.72)
10.66
(13.13)
7.56
(14.90)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection OPC-34712 0.25 mg, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PSP score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3726
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -2.36
Confidence Interval (2-Sided) 95%
-7.57 to 2.85
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection OPC-34712 Low-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PSP score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0664
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value 3.80
Confidence Interval (2-Sided) 95%
-0.26 to 7.85
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection OPC-34712 Mid-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2944
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value 2.20
Confidence Interval (2-Sided) 95%
-1.92 to 6.32
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection OPC-34712 High-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0596
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value 3.86
Confidence Interval (2-Sided) 95%
-0.16 to 7.89
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Aripiprazole, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1819
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value 3.25
Confidence Interval (2-Sided) 95%
-1.53 to 8.03
Parameter Dispersion Type:
Value:
Estimation Comments
5. Secondary Outcome
Title Change From Baseline to Week 6 in Clinical Global Impression-Severity of Illness Scale (CGI-S) Score (Double Blind Phase)
Description The severity of illness for each participant was rated using the CGI-S. To perform this assessment, the rater or investigator answered the following question: "Considering your total clinical experience with this particular population, how mentally ill is the patient at this time?" Response choices include the following: 0=not assessed; 1=normal, not at all ill; 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; 7=among the most extremely ill patients
Time Frame Baseline to Week 6

Outcome Measure Data

Analysis Population Description
Consists of all participants who received at least one dose of study medication and have baseline and at least one post-baseline efficacy evaluation. The LOCF method was used to impute missing data.
Arm/Group Title OPC-34712 0.25 mg OPC-34712 Low-dose OPC-34712 Mid-dose OPC-34712 High-dose Aripiprazole Placebo
Arm/Group Description 0.25 mg QD 1.0 mg QD starting dose ± 0.5 mg After a minimum of 2 weeks of treatment (eg, beginning at the Week 2 visit and at any subsequent visit where study medication was dispensed), the investigator could request a dose increase, if needed for efficacy, based on clinical judgment. 2.5 mg QD starting dose ± 0.5 mg After a minimum of 2 weeks of treatment (eg, beginning at the Week 2 visit and at any subsequent visit where study medication was dispensed), the investigator could request a dose increase, if needed for efficacy, based on clinical judgment. 5.0 mg QD starting dose ± 1.0 mg After a minimum of 2 weeks of treatment (eg, beginning at the Week 2 visit and at any subsequent visit where study medication was dispensed), the investigator could request a dose increase, if needed for efficacy, based on clinical judgment. 15 mg QD starting dose ± 5 mg After a minimum of 2 weeks of treatment (eg, beginning at the Week 2 visit and at any subsequent visit where study medication was dispensed), the investigator could request a dose increase, if needed for efficacy, based on clinical judgment. Placebo QD
Measure Participants 41 88 90 92 50 93
Mean (Standard Deviation) [Units on a scale]
-0.39
(0.86)
-0.99
(1.29)
-0.87
(1.11)
-1.10
(1.24)
-1.00
(1.21)
-0.82
(1.16)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection OPC-34712 0.25 mg, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in CGI-S score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0685
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value 0.38
Confidence Interval (2-Sided) 95%
-0.03 to 0.79
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection OPC-34712 Low-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0989
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -0.28
Confidence Interval (2-Sided) 95%
-0.60 to 0.05
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection OPC-34712 Mid-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8006
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -0.04
Confidence Interval (2-Sided) 95%
-0.37 to 0.28
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection OPC-34712 High-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0898
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -0.28
Confidence Interval (2-Sided) 95%
-0.60 to 0.04
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Aripiprazole, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2851
Comments
Method ANCOVA
Comments With treatment and trial center as main effects, and baseline value as covariate
Method of Estimation Estimation Parameter Treatment difference
Estimated Value -0.21
Confidence Interval (2-Sided) 95%
-0.59 to 0.18
Parameter Dispersion Type:
Value:
Estimation Comments
6. Secondary Outcome
Title Mean Clinical Global Impression - Improvement (CGI-I) at Week 6
Description The rater or investigator rated the particpant's total improvement whether or not it was due entirely to drug treatment. All responses were compared to the participant's condition at baseline prior to the first dose of double-blind study medication. Response choices included the following: 0=not assessed; 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse.
Time Frame Week 6

Outcome Measure Data

Analysis Population Description
Consists of all participants who received at least one dose of study medication and have baseline and at least one post-baseline efficacy evaluation. The LOCF method was used to impute missing data.
Arm/Group Title OPC-34712 0.25 mg OPC-34712 Low-dose OPC-34712 Mid-dose OPC-34712 High-dose Aripiprazole Placebo
Arm/Group Description 0.25 mg QD for 6 weeks 1.0 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 2.5 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 5.0 mg QD starting dose ± 1.0 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 15 mg QD starting dose ± 5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. Placebo QD for 6 weeks
Measure Participants 41 88 90 92 50 93
Mean (Standard Deviation) [Units on a scale]
3.66
(1.48)
3.08
(1.58)
3.17
(1.45)
3.04
(1.50)
3.04
(1.52)
3.34
(1.54)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection OPC-34712 0.25 mg, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4008
Comments
Method Cochran-Mantel-Haenszel
Comments The Cochran-Mantel-Haenszel (CMH) row mean scores differ test controlling for study center was applied to mean CGI-I score
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection OPC-34712 Low-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1117
Comments
Method Cochran-Mantel-Haenszel
Comments The CMH row mean scores differ test controlling for study center was applied to mean CGI-I score
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection OPC-34712 Mid-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2739
Comments
Method Cochran-Mantel-Haenszel
Comments The CMH row mean scores differ test controlling for study center was applied to mean CGI-I score
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection OPC-34712 High-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1045
Comments
Method Cochran-Mantel-Haenszel
Comments The CMH row mean scores differ test controlling for study center was applied to mean CGI-I score
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Aripiprazole, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1149
Comments
Method Cochran-Mantel-Haenszel
Comments The CMH row mean scores differ test controlling for study center was applied to mean CGI-I score
7. Secondary Outcome
Title Response Rate at Week 6
Description Response rate was defined as a reduction of ≥ 30% from baseline in PANSS Total Score; or a CGI-I score of 1 (very much improved) or 2 (much improved) at Week 6
Time Frame Week 6

Outcome Measure Data

Analysis Population Description
Consists of all participants who received at least one dose of study medication and have baseline and at least one post-baseline efficacy evaluation. The LOCF method was used to impuite missing data.
Arm/Group Title OPC-34712 0.25 mg OPC-34712 Low-dose OPC-34712 Mid-dose OPC-34712 High-dose Aripiprazole Placebo
Arm/Group Description 0.25 mg QD for 6 weeks 1.0 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 2.5 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 5.0 mg QD starting dose ± 1.0 mg. After a minimum of 2 weeks of treatment, the investigator could request a dose increase, if needed for efficacy, based on clinical judgment. 15 mg QD starting dose ± 5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. Placebo QD for 6 weeks
Measure Participants 42 89 90 93 50 95
Number [Percentage of participants]
40.5
96.4%
57.3
64.4%
46.7
51.9%
51.6
55.5%
60.0
120%
49.5
52.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection OPC-34712 0.25 mg, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6200
Comments
Method Cochran-Mantel-Haenszel
Comments CMH general association test controlling for study center will be applied to the analysis of response rate
Method of Estimation Estimation Parameter Relative Risk
Estimated Value 0.89
Confidence Interval (2-Sided) 95%
0.57 to 1.40
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection OPC-34712 Low-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1501
Comments
Method Cochran-Mantel-Haenszel
Comments CMH general association test controlling for study center will be applied to the analysis of response rate
Method of Estimation Estimation Parameter Relative Risk
Estimated Value 1.19
Confidence Interval (2-Sided) 95%
0.95 to 1.48
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection OPC-34712 Mid-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5271
Comments
Method Cochran-Mantel-Haenszel
Comments CMH general association test controlling for study center will be applied to the analysis of response rate
Method of Estimation Estimation Parameter Relative Risk
Estimated Value 0.91
Confidence Interval (2-Sided) 95%
0.66 to 1.25
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection OPC-34712 High-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8670
Comments
Method Cochran-Mantel-Haenszel
Comments CMH general association test controlling for study center will be applied to the analysis of response rate
Method of Estimation Estimation Parameter Relative Risk
Estimated Value 1.02
Confidence Interval (2-Sided) 95%
0.78 to 1.34
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Aripiprazole, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3892
Comments
Method Cochran-Mantel-Haenszel
Comments CMH general association test controlling for study center will be applied to the analysis of response rate
Method of Estimation Estimation Parameter Relative Risk
Estimated Value 1.15
Confidence Interval (2-Sided) 95%
0.85 to 1.56
Parameter Dispersion Type:
Value:
Estimation Comments
8. Secondary Outcome
Title Discontinuation Rate for Lack of Efficacy or Receipt of Open Label OPC-34712
Description Efficacy-related discontinuation rate was assessed
Time Frame Baseline to Week 6

Outcome Measure Data

Analysis Population Description
Consists of all participants who received at least one dose of study medication and have baseline and at least one post-baseline efficacy evaluation. The LOCF method was used to impute missing data.
Arm/Group Title OPC-34712 0.25 mg OPC-34712 Low-dose OPC-34712 Mid-dose OPC-34712 High-dose Aripiprazole Placebo
Arm/Group Description 0.25 mg QD for 6 weeks 1.0 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physicna could request a dose increase, if needed for efficacy, based on clinical judgment. 2.5 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 5.0 mg QD starting dose ± 1.0 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment 15 mg QD starting dose ± 5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. Placebo QD
Measure Participants 42 89 90 93 50 95
Number [Percentage of participants]
31
73.8%
22.5
25.3%
17.8
19.8%
16.1
17.3%
16.0
32%
24.2
25.5%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection OPC-34712 0.25 mg, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8540
Comments Derived using CMH test stratified by trial center.
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Relative risk
Estimated Value 1.06
Confidence Interval (2-Sided) 95%
0.59 to 1.88
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection OPC-34712 Low-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4492
Comments Derived using CMH test stratified by trial center.
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Relative Risk
Estimated Value 0.82
Confidence Interval (2-Sided) 95%
0.49 to 1.38
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection OPC-34712 Mid-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1854
Comments Derived using CMH test stratified by trial center.
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Relative Risk
Estimated Value 0.67
Confidence Interval (2-Sided) 95%
0.36 to 1.23
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection OPC-34712 High-dose, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0946
Comments Derived using CMH test stratified by trial center.
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Relative Risk
Estimated Value 0.61
Confidence Interval (2-Sided) 95%
0.33 to 1.10
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Aripiprazole, Placebo
Comments Sample size was determined to achieve at least 80% power at alpha level of 0.0167 (two-sided) to detect a difference of -11.5 points in the mean change from baseline in PANSS Total Score at week 6 (LOCF) between an individual OPC-34712 treatment group (except the 0.25 mg QD fixed dose group) and placebo using a two-sided z-test.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2133
Comments Derived using CMH test stratified by trial center.
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Relative Risk
Estimated Value 0.63
Confidence Interval () 95%
0.30 to 1.34
Parameter Dispersion Type:
Value:
Estimation Comments

Adverse Events

Time Frame Adverse events (AEs) were recorded from the time of signing the informed consent, during the 6-week treatment period and up to 30 days after the last dose of study medication. The AEs presented are for the double blind phase.
Adverse Event Reporting Description
Arm/Group Title OPC-34712 0.25 mg OPC-34712 Low-dose OPC-34712 Mid-dose OPC-34712 High-dose Aripiprazole Placebo
Arm/Group Description 0.25 mg QD for 6 weeks 1.0 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 2.5 mg QD starting dose ± 0.5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 5.0 mg QD starting dose ± 1.0 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment. 15 mg QD starting dose ± 5 mg. After a minimum of 2 weeks of treatment, the physician could request a dose increase, if needed for efficacy, based on clinical judgment Placebo QD
All Cause Mortality
OPC-34712 0.25 mg OPC-34712 Low-dose OPC-34712 Mid-dose OPC-34712 High-dose Aripiprazole Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
OPC-34712 0.25 mg OPC-34712 Low-dose OPC-34712 Mid-dose OPC-34712 High-dose Aripiprazole Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/42 (0%) 3/89 (3.4%) 5/90 (5.6%) 4/93 (4.3%) 2/50 (4%) 3/95 (3.2%)
General disorders
Death 0/42 (0%) 0/89 (0%) 0/90 (0%) 1/93 (1.1%) 0/50 (0%) 0/95 (0%)
Injury, poisoning and procedural complications
Ankle fracture 0/42 (0%) 1/89 (1.1%) 0/90 (0%) 0/93 (0%) 0/50 (0%) 0/95 (0%)
Metabolism and nutrition disorders
Hypoglycaemia 0/42 (0%) 0/89 (0%) 1/90 (1.1%) 0/93 (0%) 0/50 (0%) 0/95 (0%)
Musculoskeletal and connective tissue disorders
Rhabdomyolysis 0/42 (0%) 1/89 (1.1%) 1/90 (1.1%) 0/93 (0%) 1/50 (2%) 0/95 (0%)
Nervous system disorders
Complex partial seizures 0/42 (0%) 0/89 (0%) 0/90 (0%) 0/93 (0%) 1/50 (2%) 0/95 (0%)
Dizziness 0/42 (0%) 0/89 (0%) 1/90 (1.1%) 0/93 (0%) 0/50 (0%) 0/95 (0%)
Psychiatric disorders
Anxiety 0/42 (0%) 0/89 (0%) 0/90 (0%) 0/93 (0%) 0/50 (0%) 1/95 (1.1%)
Psychotic disorder 0/42 (0%) 0/89 (0%) 0/90 (0%) 1/93 (1.1%) 0/50 (0%) 1/95 (1.1%)
Schizophrenia 0/42 (0%) 1/89 (1.1%) 1/90 (1.1%) 1/93 (1.1%) 0/50 (0%) 1/95 (1.1%)
Schizophrenia, paranoid type 0/42 (0%) 0/89 (0%) 1/90 (1.1%) 1/93 (1.1%) 0/50 (0%) 0/95 (0%)
Other (Not Including Serious) Adverse Events
OPC-34712 0.25 mg OPC-34712 Low-dose OPC-34712 Mid-dose OPC-34712 High-dose Aripiprazole Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 20/42 (47.6%) 41/89 (46.1%) 36/90 (40%) 52/93 (55.9%) 22/50 (44%) 39/95 (41.1%)
Gastrointestinal disorders
Diarrhoea 3/42 (7.1%) 5/89 (5.6%) 1/90 (1.1%) 4/93 (4.3%) 4/50 (8%) 3/95 (3.2%)
Dyspepsia 4/42 (9.5%) 4/89 (4.5%) 3/90 (3.3%) 4/93 (4.3%) 1/50 (2%) 7/95 (7.4%)
Nausea 1/42 (2.4%) 4/89 (4.5%) 7/90 (7.8%) 6/93 (6.5%) 1/50 (2%) 2/95 (2.1%)
Vomiting 2/42 (4.8%) 2/89 (2.2%) 6/90 (6.7%) 2/93 (2.2%) 3/50 (6%) 6/95 (6.3%)
Constipation 2/42 (4.8%) 4/89 (4.5%) 2/90 (2.2%) 6/93 (6.5%) 1/50 (2%) 8/95 (8.4%)
Investigations
Blood creatine phosphokinase increased 1/42 (2.4%) 0/89 (0%) 2/90 (2.2%) 5/93 (5.4%) 0/50 (0%) 1/95 (1.1%)
Weight increased 1/42 (2.4%) 6/89 (6.7%) 9/90 (10%) 6/93 (6.5%) 3/50 (6%) 3/95 (3.2%)
Musculoskeletal and connective tissue disorders
Back pain 3/42 (7.1%) 2/89 (2.2%) 3/90 (3.3%) 3/93 (3.2%) 0/50 (0%) 1/95 (1.1%)
Nervous system disorders
Akathisia 1/42 (2.4%) 6/89 (6.7%) 5/90 (5.6%) 14/93 (15.1%) 2/50 (4%) 4/95 (4.2%)
Dizziness 0/42 (0%) 4/89 (4.5%) 2/90 (2.2%) 5/93 (5.4%) 1/50 (2%) 3/95 (3.2%)
Extrapyramidal disorder 0/42 (0%) 3/89 (3.4%) 3/90 (3.3%) 6/93 (6.5%) 2/50 (4%) 4/95 (4.2%)
Headache 6/42 (14.3%) 8/89 (9%) 13/90 (14.4%) 7/93 (7.5%) 3/50 (6%) 10/95 (10.5%)
Somnolence 0/42 (0%) 3/89 (3.4%) 3/90 (3.3%) 5/93 (5.4%) 0/50 (0%) 2/95 (2.1%)
Psychiatric disorders
Agitation 4/42 (9.5%) 4/89 (4.5%) 4/90 (4.4%) 7/93 (7.5%) 5/50 (10%) 4/95 (4.2%)
Anxiety 5/42 (11.9%) 7/89 (7.9%) 6/90 (6.7%) 10/93 (10.8%) 5/50 (10%) 10/95 (10.5%)
Restlessness 0/42 (0%) 0/89 (0%) 0/90 (0%) 2/93 (2.2%) 3/50 (6%) 2/95 (2.1%)
Insomnia 4/42 (9.5%) 12/89 (13.5%) 9/90 (10%) 9/93 (9.7%) 4/50 (8%) 16/95 (16.8%)
Respiratory, thoracic and mediastinal disorders
Cough 3/42 (7.1%) 1/89 (1.1%) 0/90 (0%) 1/93 (1.1%) 0/50 (0%) 0/95 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Global Medical Affairs
Organization Otsuka Pharmaceutical Development and Commercialization, Inc.
Phone 800-562-3924
Email
Responsible Party:
Otsuka Pharmaceutical Development & Commercialization, Inc.
ClinicalTrials.gov Identifier:
NCT00905307
Other Study ID Numbers:
  • 331-07-203
First Posted:
May 20, 2009
Last Update Posted:
Oct 20, 2015
Last Verified:
Sep 1, 2015