STEP 203: Study to Evaluate the Efficacy, Safety, and Tolerability of Oral OPC-34712 and Aripiprazole for Treatment of Acute Schizophrenia
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
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
- 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
- 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.
- 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.
- 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.
- 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
- 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.
- 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
- 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
Inclusion Criteria:
-
Male or female subjects between 18 and 65 years of age, with a diagnosis of schizophrenia, as defined by DSM-IV-TR criteria
-
Subjects who have been recently hospitalized or who would benefit from hospitalization for an acute relapse of schizophrenia
-
Subjects experiencing an acute exacerbation of psychotic symptoms
Exclusion Criteria:
-
Females who are breast-feeding and/or who have a positive pregnancy test result prior to receiving study drug
-
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
-
Subjects presenting with a first episode of schizophrenia
-
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.- 331-07-203
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
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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
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 |
- 331-07-203