HP-3070: Study to Assess Efficacy and Safety of HP3070 in Subjects Diagnosed With Schizophrenia.

Sponsor
Noven Pharmaceuticals, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT02876900
Collaborator
(none)
617
1
3
22
28.1

Study Details

Study Description

Brief Summary

This study is designed to evaluate efficacy and safety of HP-3070 compared with placebo transdermal patch in subjects diagnosed with schizophrenia.

Condition or Disease Intervention/Treatment Phase
  • Drug: Low Dose Asenapine maleate transdermal patch
  • Drug: High Dose Asenapine maleate transdermal patch
  • Drug: Placebo
Phase 3

Detailed Description

This is a Phase 3, randomized, double-blind, placebo-controlled, in-patient, efficacy, and safety study to evaluate HP-3070 for the treatment of schizophrenia.

This study is designed to evaluate efficacy and safety of HP-3070 compared with placebo transdermal patch in subjects diagnosed with schizophrenia, who are in an acute exacerbation and to assess the impacts of covariates on asenapine exposure as delivered in a patch formulation, using a population-based approach.

Study Design

Study Type:
Interventional
Actual Enrollment :
617 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double-Blind, Placebo-Controlled, Fixed-Dose, 6-Week, In-Patient Study to Assess Efficacy and Safety of HP-3070 in Subjects Diagnosed With Schizophrenia
Actual Study Start Date :
Aug 1, 2016
Actual Primary Completion Date :
Jun 1, 2018
Actual Study Completion Date :
Jun 1, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: Low dose Asenapine maleate patch

Low dose asenapine maleate, transdermal patches will be compared against placebo patches.

Drug: Low Dose Asenapine maleate transdermal patch
The study will evaluate low dose Asenapine maleate transdermal patch
Other Names:
  • Transdermal patch
  • Drug: Placebo
    The study will evaluate placebo transdermal patch.
    Other Names:
  • Sham treatment
  • Experimental: High dose asenapine maleate patch

    High dose asenapine maleate, transdermal patches will be compared against placebo patches.

    Drug: High Dose Asenapine maleate transdermal patch
    The study will evaluate high dose Asenapine maleate transdermal patch
    Other Names:
  • Transdermal patch
  • Drug: Placebo
    The study will evaluate placebo transdermal patch.
    Other Names:
  • Sham treatment
  • Placebo Comparator: Placebo transdermal patch

    Low dose or high dose asenapine maleate transdermal patch will be compared against placebo patches

    Drug: Placebo
    The study will evaluate placebo transdermal patch.
    Other Names:
  • Sham treatment
  • Outcome Measures

    Primary Outcome Measures

    1. Evaluate Efficacy and Safety of Asenapine Maleate Patches Compared With Placebo Patches in Subjects Diagnosed With Schizophrenia as Measured Using the Syndrome Scale (PANSS) Total Score: Change From Baseline to Week 6. [6 weeks]

      To evaluate efficacy and safety of HP-3070 compared with placebo for the treatment of schizophrenia as evaluated by Positive and Negative Syndrome Scale (PANSS) total score. The PANSS total score is the sum of all 30 items (7 positive items, 7 negative items, and 16 general psychopathology items). For each item, severity was rated on an anchored 7-point scale, with a score of 1 indicating the absence of symptoms and a score of 7 indicating extremely severe symptoms. If one or more items are missing at a given assessment, the total score is set to missing. Total score ranges from 30 to 210. Score indicates severity of the disease, i.e. low score = low severity.

    Secondary Outcome Measures

    1. Evaluate Efficacy and Safety of Asenapine Maleate Patches Compared With Placebo Patches in Subjects Diagnosed With Schizophrenia as Measured Using the Clinical Global Impression - Severity of Illness Scale: Change From Baseline to Week 6. [6 weeks]

      To evaluate efficacy and safety of HP-3070 compared with placebo for the treatment of schizophrenia as evaluated by the Clinical Global Impression - Severity of Illness Scale. The severity of illness for each participant was rated using the CGI-S. The rater or Investigator answered the following question: "Considering your total clinical experience with this particular population, how mentally ill is the participant at this time?". Response choices included: 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; and 7 = among the most extremely ill participants.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Current diagnosis of schizophrenia.

    • Subject has PANSS total score ≥80, AND score of 4 or more in at least 2 of the following PANSS items at Screening and at Baseline: conceptual disorganization delusions; hallucinatory behavior; unusual thought content.

    • Subjects must be able to wear a transdermal patch for 24 hours.

    Exclusion Criteria:
    • Subject has been diagnosed with schizophrenia less than 6 months prior to Screening Visit.

    • Subject has received within 90 days of Screening Visit: electroconvulsive therapy; transcranial magnetic stimulation; vagal nerve stimulation; or other brain stimulation treatments

    • Subject has experienced acute depressive symptoms within 30 days prior to Screening Visit that requires treatment with an antidepressant, as determined by the Investigator.

    • Currently taking clozapine for the treatment of schizophrenia.

    • Has hypothyroidism or hyperthyroidism.

    • Subject is currently being treated with insulin for diabetes.

    • Subject has epilepsy or history of seizures.

    • Positive urine pregnancy test.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Noven Pharmaceuticals, Inc. Jersey City New Jersey United States 07310

    Sponsors and Collaborators

    • Noven Pharmaceuticals, Inc.

    Investigators

    • Study Director: George Harb, MD, MPH, Noven Pharmaceuticals, Inc.

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Noven Pharmaceuticals, Inc.
    ClinicalTrials.gov Identifier:
    NCT02876900
    Other Study ID Numbers:
    • HP-3070-GL-04
    First Posted:
    Aug 24, 2016
    Last Update Posted:
    Oct 22, 2020
    Last Verified:
    Oct 1, 2020
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Low Dose Asenapine Maleate Patch High Dose Asenapine Maleate Patch Placebo Patch
    Arm/Group Description Low dose asenapine maleate, transdermal patches will be compared against placebo patches. Low Dose Asenapine maleate transdermal patch: The study will evaluate low dose Asenapine maleate transdermal patch. Placebo: Evaluate Low Dose versus Placebo. High dose asenapine maleate, transdermal patches will be compared against placebo patches. High Dose Asenapine maleate transdermal patch: The study will evaluate high dose Asenapine maleate transdermal patch Placebo: Evaluate High Dose versus Placebo. Placebo transdermal patch
    Period Title: Overall Study
    STARTED 205 206 206
    COMPLETED 166 158 162
    NOT COMPLETED 39 48 44

    Baseline Characteristics

    Arm/Group Title Low Dose Asenapine Maleate Patch High Dose Asenapine Maleate Patch Placebo Patch Total
    Arm/Group Description Low dose asenapine maleate, transdermal patches will be compared against placebo patches. Low Dose Asenapine maleate transdermal patch: The study will evaluate low dose Asenapine maleate transdermal patch Placebo: The study will evaluate placebo transdermal patch. High dose asenapine maleate, transdermal patches will be compared against placebo patches. High Dose Asenapine maleate transdermal patch: The study will evaluate high dose Asenapine maleate transdermal patch Placebo: The study will evaluate placebo transdermal patch. Placebo transdermal patch Total of all reporting groups
    Overall Participants 204 206 206 616
    Age, Customized (Count of Participants)
    <55
    168
    82.4%
    172
    83.5%
    171
    83%
    511
    83%
    >=55
    36
    17.6%
    34
    16.5%
    35
    17%
    105
    17%
    Sex: Female, Male (Count of Participants)
    Female
    73
    35.8%
    95
    46.1%
    75
    36.4%
    243
    39.4%
    Male
    131
    64.2%
    111
    53.9%
    131
    63.6%
    373
    60.6%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    10
    4.9%
    5
    2.4%
    1
    0.5%
    16
    2.6%
    Not Hispanic or Latino
    194
    95.1%
    201
    97.6%
    205
    99.5%
    600
    97.4%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    1
    0.5%
    0
    0%
    1
    0.2%
    Asian
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    47
    23%
    45
    21.8%
    54
    26.2%
    146
    23.7%
    White
    157
    77%
    159
    77.2%
    152
    73.8%
    468
    76%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    0
    0%
    1
    0.5%
    0
    0%
    1
    0.2%
    Region of Enrollment (participants) [Number]
    United States
    61
    29.9%
    62
    30.1%
    62
    30.1%
    185
    30%
    Russia
    60
    29.4%
    60
    29.1%
    60
    29.1%
    180
    29.2%
    Bulgaria
    29
    14.2%
    30
    14.6%
    29
    14.1%
    88
    14.3%
    Ukraine
    35
    17.2%
    35
    17%
    36
    17.5%
    106
    17.2%
    Serbia
    19
    9.3%
    19
    9.2%
    19
    9.2%
    57
    9.3%
    Height (cm) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [cm]
    172.5
    (9.08)
    171.8
    (9.09)
    171.8
    (9.16)
    172.0
    (9.10)
    BMI (kg/m^2) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [kg/m^2]
    26.591
    (5.1151)
    26.240
    (4.7834)
    25.925
    (4.8602)
    26.251
    (4.9205)
    PANSS total score (Count of Participants)
    <90
    45
    22.1%
    53
    25.7%
    54
    26.2%
    152
    24.7%
    >=90
    159
    77.9%
    151
    73.3%
    152
    73.8%
    462
    75%

    Outcome Measures

    1. Primary Outcome
    Title Evaluate Efficacy and Safety of Asenapine Maleate Patches Compared With Placebo Patches in Subjects Diagnosed With Schizophrenia as Measured Using the Syndrome Scale (PANSS) Total Score: Change From Baseline to Week 6.
    Description To evaluate efficacy and safety of HP-3070 compared with placebo for the treatment of schizophrenia as evaluated by Positive and Negative Syndrome Scale (PANSS) total score. The PANSS total score is the sum of all 30 items (7 positive items, 7 negative items, and 16 general psychopathology items). For each item, severity was rated on an anchored 7-point scale, with a score of 1 indicating the absence of symptoms and a score of 7 indicating extremely severe symptoms. If one or more items are missing at a given assessment, the total score is set to missing. Total score ranges from 30 to 210. Score indicates severity of the disease, i.e. low score = low severity.
    Time Frame 6 weeks

    Outcome Measure Data

    Analysis Population Description
    Results are from the full analysis set (FAS) which includes all randomized participants who had at least 1 patch of double-blind study medication applied and who have a baseline PANSS total score and at least 1 post baseline assessment of the primary efficacy measure (PANSS total score) and completed the study.
    Arm/Group Title Low Dose Asenapine Maleate Patch High Dose Asenapine Maleate Patch Placebo Patch
    Arm/Group Description Low dose asenapine maleate, transdermal patches will be compared against placebo patches. Low Dose Asenapine maleate transdermal patch: The study will evaluate low dose Asenapine maleate transdermal patch Placebo: The study will evaluate placebo transdermal patch. High dose asenapine maleate, transdermal patches will be compared against placebo patches. High Dose Asenapine maleate transdermal patch: The study will evaluate high dose Asenapine maleate transdermal patch Placebo: The study will evaluate placebo transdermal patch. Placebo transdermal patch
    Measure Participants 201 203 203
    Least Squares Mean (Standard Error) [score on a scale]
    -22.1
    (1.158)
    -20.4
    (1.162)
    -15.5
    (1.166)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection High Dose Asenapine Maleate Patch, Placebo Patch
    Comments The mixed model for repeated measures includes treatment, country, visit, treatment by visit interaction, and baseline value as covariates, and participant as random effect. The correlation of repeated measures within a participant is estimated with an unstructured covariance matrix. The Kenward-Rogers method is used to estimate the denominator degrees of freedom.
    Type of Statistical Test Superiority
    Comments Assuming an effect size of 0.35 on the change in PANSS total score from baseline to Week 6 for the 2 pairwise comparisons between each active asenapine maleate transdermal patch treatment arm and placebo, the power for detecting a statistically significant HP-3070 advantage was approximately 0.90, having 204 evaluable participants per each treatment arm using a 2-sided alpha level of 0.025 for each comparison.
    Statistical Test of Hypothesis p-Value 0.003
    Comments Adjusted p-value was calculated according to the truncated Hochberg procedure with a truncation factor y=0.9. Adjustment for multiple comparisons uses a parallel gatekeeping procedure.
    Method Mixed Model Repeated Measures Analysis
    Comments
    Method of Estimation Estimation Parameter Least Square Mean Difference
    Estimated Value -4.8
    Confidence Interval (2-Sided) 95%
    -8.06 to -1.64
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.634
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Low Dose Asenapine Maleate Patch, Placebo Patch
    Comments The mixed model for repeated measures includes treatment, country, visit, treatment by visit interaction, and baseline value as covariates, and participant as random effect. The correlation of repeated measures within a participant is estimated with an unstructured covariance matrix. The Kenward-Rogers method is used to estimate the denominator degrees of freedom.
    Type of Statistical Test Superiority
    Comments Assuming an effect size of 0.35 on the change in PANSS total score from baseline to Week 6 for the 2 pairwise comparisons between each active asenapine maleate transdermal patch treatment arm and placebo, the power for detecting a statistically significant HP-3070 advantage was approximately 0.90, having 204 evaluable participants per each treatment arm using a 2-sided alpha level of 0.025 for each comparison.
    Statistical Test of Hypothesis p-Value <0.001
    Comments Adjusted p-value was calculated according to the truncated Hochberg procedure with a truncation factor y=0.9. Adjustment for multiple comparisons uses a parallel gatekeeping procedure.
    Method Mixed Model Repeated Measures Analysis
    Comments
    Method of Estimation Estimation Parameter Least Square Mean Difference
    Estimated Value -6.6
    Confidence Interval (2-Sided) 95%
    -9.81 to -3.4
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.63
    Estimation Comments
    2. Secondary Outcome
    Title Evaluate Efficacy and Safety of Asenapine Maleate Patches Compared With Placebo Patches in Subjects Diagnosed With Schizophrenia as Measured Using the Clinical Global Impression - Severity of Illness Scale: Change From Baseline to Week 6.
    Description To evaluate efficacy and safety of HP-3070 compared with placebo for the treatment of schizophrenia as evaluated by the Clinical Global Impression - Severity of Illness Scale. The severity of illness for each participant was rated using the CGI-S. The rater or Investigator answered the following question: "Considering your total clinical experience with this particular population, how mentally ill is the participant at this time?". Response choices included: 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; and 7 = among the most extremely ill participants.
    Time Frame 6 weeks

    Outcome Measure Data

    Analysis Population Description
    Results are from the full analysis set (FAS) which includes all randomized participants who had at least 1 patch of double-blind study medication applied and who have a baseline PANSS total score and at least 1 post baseline assessment of the primary efficacy measure (PANSS total score) and completed the study.
    Arm/Group Title Low Dose Asenapine Maleate Patch High Dose Asenapine Maleate Patch Placebo Patch
    Arm/Group Description Low dose asenapine maleate, transdermal patches will be compared against placebo patches. Low Dose Asenapine maleate transdermal patch: The study will evaluate low dose Asenapine maleate transdermal patch Placebo: The study will evaluate placebo transdermal patch. High dose asenapine maleate, transdermal patches will be compared against placebo patches. High Dose Asenapine maleate transdermal patch: The study will evaluate high dose Asenapine maleate transdermal patch Placebo: The study will evaluate placebo transdermal patch. Placebo transdermal patch
    Measure Participants 201 203 203
    Least Squares Mean (Standard Deviation) [score on a scale]
    -1.3
    (0.90)
    -1.2
    (0.96)
    -0.9
    (0.93)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection High Dose Asenapine Maleate Patch, Placebo Patch
    Comments The mixed model for repeated measures includes treatment, country, visit, treatment by visit interaction, and baseline value as covariates, and participant as random effect. The correlation of repeated measures within a participant is estimated with an unstructured covariance matrix. The Kenward-Rogers method is used to estimate the denominator degrees of freedom.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments Adjusted p-value was calculated according to the Hochberg procedure. Adjustment for multiple comparisons uses a parallel gatekeeping procedure.
    Method Mixed Model Repeated Measures Analysis
    Comments
    Method of Estimation Estimation Parameter Least Square Mean Difference
    Estimated Value -0.4
    Confidence Interval (2-Sided) 95%
    -0.55 to -0.16
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.1
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Low Dose Asenapine Maleate Patch, Placebo Patch
    Comments The mixed model for repeated measures includes treatment, country, visit, treatment by visit interaction, and baseline value as covariates, and participant as random effect. The correlation of repeated measures within a participant is estimated with an unstructured covariance matrix. The Kenward-Rogers method is used to estimate the denominator degrees of freedom.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments Adjusted p-value was calculated according to the Hochberg procedure. Adjustment for multiple comparisons uses a parallel gatekeeping procedure.
    Method Mixed Model Repeated Measures Analysis
    Comments
    Method of Estimation Estimation Parameter Least Square Mean Difference
    Estimated Value -0.4
    Confidence Interval (2-Sided) 95%
    -0.64 to -0.25
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.099
    Estimation Comments

    Adverse Events

    Time Frame From date of first dose of doubleblind (DB) study medication (Day 1) through the 30 day follow-up period, approximately 72 days.
    Adverse Event Reporting Description The safety analysis set included all participants who had at least 1 patch of double-blind study medication applied and who have at least 1 post dose safety measurement during the double-blind treatment period.
    Arm/Group Title Low Dose Asenapine Maleate Patch High Dose Asenapine Maleate Patch Placebo
    Arm/Group Description Low dose asenapine maleate, transdermal patches will be compared against placebo patches. Low Dose Asenapine maleate transdermal patch: The study will evaluate low dose Asenapine maleate transdermal patch Placebo: The study will evaluate placebo transdermal patch. High dose asenapine maleate, transdermal patches will be compared against placebo patches. High Dose Asenapine maleate transdermal patch: The study will evaluate high dose Asenapine maleate transdermal patch Placebo: The study will evaluate placebo transdermal patch. Placebo transdermal patch
    All Cause Mortality
    Low Dose Asenapine Maleate Patch High Dose Asenapine Maleate Patch Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/204 (0%) 0/204 (0%) 0/206 (0%)
    Serious Adverse Events
    Low Dose Asenapine Maleate Patch High Dose Asenapine Maleate Patch Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 3/204 (1.5%) 2/204 (1%) 4/206 (1.9%)
    Cardiac disorders
    Acute Coronary Syndrome 1/204 (0.5%) 1 0/204 (0%) 0 0/206 (0%) 0
    Gastrointestinal disorders
    Gastrointestinal ulcer hemorrhage 0/204 (0%) 0 1/204 (0.5%) 1 0/206 (0%) 0
    Injury, poisoning and procedural complications
    Contusion 0/204 (0%) 0 0/204 (0%) 0 1/206 (0.5%) 1
    Overdose 0/204 (0%) 0 0/204 (0%) 0 1/206 (0.5%) 1
    Psychiatric disorders
    Schizophrenia 2/204 (1%) 2 1/204 (0.5%) 1 2/206 (1%) 2
    Other (Not Including Serious) Adverse Events
    Low Dose Asenapine Maleate Patch High Dose Asenapine Maleate Patch Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 75/204 (36.8%) 78/204 (38.2%) 70/206 (34%)
    Gastrointestinal disorders
    Constipation 11/204 (5.4%) 12 9/204 (4.4%) 11 9/206 (4.4%) 10
    General disorders
    Application site erythema 19/204 (9.3%) 105 20/204 (9.8%) 57 3/206 (1.5%) 14
    Investigations
    Weight increased 8/204 (3.9%) 8 12/204 (5.9%) 12 4/206 (1.9%) 4
    Nervous system disorders
    Headache 18/204 (8.8%) 23 19/204 (9.3%) 21 13/206 (6.3%) 13
    Extrapyramidal disorder 13/204 (6.4%) 16 19/204 (9.3%) 22 3/206 (1.5%) 4
    Psychiatric disorders
    Insomnia 15/204 (7.4%) 21 14/204 (6.9%) 16 23/206 (11.2%) 28
    Anxiety 10/204 (4.9%) 14 11/204 (5.4%) 13 13/206 (6.3%) 19
    Agitation 5/204 (2.5%) 5 6/204 (2.9%) 7 11/206 (5.3%) 14

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title George Harb, MD, MPH - Executive Director, Clinical Development
    Organization Noven Pharmaceuticals
    Phone 1-551-233-2656
    Email gharb@noven.com
    Responsible Party:
    Noven Pharmaceuticals, Inc.
    ClinicalTrials.gov Identifier:
    NCT02876900
    Other Study ID Numbers:
    • HP-3070-GL-04
    First Posted:
    Aug 24, 2016
    Last Update Posted:
    Oct 22, 2020
    Last Verified:
    Oct 1, 2020