SchizophreniaPhase 3ANCHOR 150NCT00227305
Quetiapine Fumarate (SEROQUEL) in the Treatment of Adolescent Patients With Schizophrenia and Bipolar I Disorder
A Phase 3 study testing quetiapine fumarate in people with Schizophrenia and Bipolar I Disorder, run by AstraZeneca at 48 sites in 9 countries.
Trial summary
The purpose of this study is to demonstrate the efficacy and safety of quetiapine fumarate (SEROQUEL) in the treatment of adolescent patients with schizophrenia and bipolar I disorder. Read more about this study
- Who is it for?
- Ages 10 to 17 years
- Conditions the study is for
- Schizophrenia, Bipolar I Disorder
- What is being tested?
- quetiapine fumarate
- Type of treatment
- Pill or oral medicine
- How many people
- 381 participants
- Where
- 48 sitesin 9 countries
- Study dates
- Aug 2004to Dec 2007
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 10 to 17 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Patient is able to provide written assent and the parents or legal guardian of the patient are/is able to provide written informed consent before beginning any study related procedures
- Patient previously enrolled in either double-blind Study D1441C00149 or D1441C00112
- Patient has documented clinical diagnosis of schizophrenia or bipolar I disorder
- Patient's parent or legal guardian will be able to accompany the patient to each scheduled study visit
Who cannot join
- Patients (female) must not be pregnant or lactating
- Patients with a known intolerance or lack of response to previous treatment with quetiapine
- Patients who have previously participated in this study
Trial locations and contacts
48 sites in 9 countries.
48 sites in 9 countries
United States31 sites
Research Site
Altamonte Springs, Florida
Research Site
Austin, Texas
Research Site
Bellevue, Washington
Research Site
Cerritos, California
Research Site
Chicago, Illinois
Research Site
Cincinnati, Ohio
Research Site
Cleveland, Ohio
Research Site
Denver, Colorado
Research Site
Dothan, Alabama
Research Site
Houston, Texas
Research Site
Jacksonville, Florida
Research Site
Kirkland, Washington
Research Site
Las Vegas, Nevada
Research Site
Lyndhurst, Ohio
Research Site
Memphis, Tennessee
Research Site
Miami, Florida
Research Site
Milwaukee, Wisconsin
Research Site
New Orleans, Louisiana
Research Site
Newton, Kansas
Research Site
Oak Brook, Illinois
Research Site
Oklahoma City, Oklahoma
Research Site
Overland Park, Kansas
Research Site
Philadelphia, Pennsylvania
Research Site
Richmond, Virginia
Research Site
Riverside, California
Research Site
Rochester, New York
Research Site
Sacramento, California
Research Site
San Antonio, Texas
Research Site
San Diego, California
Research Site
Scottsdale, Arizona
Research Site
Virginia Beach, Virginia
Philippines4 sites
Research Site
Davao City
Research Site
Mandaluyong
Research Site
Manila
Research Site
Quezon City
About this study
Official title: A 26-week, Multicenter, Open-label Phase 3b Study of the Safety and Tolerability of Quetiapine Fumarate (SEROQUEL™) Immediate-release Tablets in Daily Doses of 400 mg to 800 mg in Children and Adolescents With Bipolar I Disorder and Adolescents With Schizophrenia (Abbreviated)
The purpose of this study is to demonstrate the efficacy and safety of quetiapine fumarate (SEROQUEL) in the treatment of adolescent patients with schizophrenia and bipolar I disorder.
- Conditions
- Schizophrenia, Bipolar I Disorder
- Being tested
- quetiapine fumarate
- Keywords
- Schizophrenia, Bipolar I Disorder
- Medical subject headings
- Schizophrenia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
quetiapine fumarateDrug
Also called Seroquel
Oral dosing, flexible dosing
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence and Nature of Adverse Events (AEs)
Number of participants that had AE which occurred from first dose date to last dose date + 30 days.
Measured: from open label to week 26+ 30 days
Number of Patients Withdrawn Due to AEs.
Number of subjects who withdrew from the study due to AEs.
Measured: during 26 weeks of treatment
Changes in Laboratory Test Results (Prolactin)
Clinical important shift to high prolactin from open-label (OL) baseline to week 26.
High Prolactin is defined as value >26 ug/L for female and value >20 ug/L for male.
Measured: Duration of study participation
Categorical Change From OL Baseline to Week 26 in Simpson-Angus Scale (SAS)Total Score
Number of patients for who the total score is estimated as worse. The Simpson Angus Scale (SAS)is used to assess Parkinsonian symptoms (a type of movement disorders). The score was calculated as the sum of the 10 individual item scores. Total Score ranges from 0-40 (normal to worse). Individual item scale range from 0 to 4 (normal to worse).
Improved define as those with a <= -1 change in SAS total score. Worsened defined as those with a >=1 change in SAS total score.
Measured: OL baseline to week 26
Categorical Change From Baseline in Barnes Akathisia Rating Scale (BARS) Global Score
Number of patients for who the total score is estimated as worse. The Barnes Akathisia Rating Scale (BARS) global score is used to measure Akathisia (a type of movement disorders). BARS is the item 4 score from the BARS assessment. The scale is from a range 0-5 (normal to worse). Change from baseline in BARS global score increase means worse.
Improved defined as those with a <= -1 change in BARS global score. Worsened defined as those with a >= 1 change in BARS global score.
Measured: 26 weeks of treatment
Change From Baseline in Weight
Number with 7% or more increase (without adjustment for normal growth)
Measured: 26 weeks of treatment
Change From Baseline in Supine Pulse
Change from OL baseline to week 26 in supine pulse (bpm)
Measured: OL baseline to week 26
Change From OL Baseline in Supine Systolic BP.
Changes from OL baseline to the final visits in Supine systolic BP (mmHg)
Measured: OL baseline to Week 26
Change From OL Baseline in Supine Diastolic BP.
Changes from OL baseline to the final visits in Supine diastolic BP (mmHg)
Measured: OL baseline to Week 26
Secondary outcomes (2)
Changes in Tanner Stage
Category shift in Tanner stage. Number of subjects who experienced the change is presented.
Tanner stages (I-V) was used to characterize physical development in children, adolescents, and adults. The stages was based on external primary and secondary sex characteristics, such as the size of the breasts, genitalia, and development of pubic hair. Tanner stage is considered going up when the organs grow bigger.
Measured: Change from OL baseline to week 26 in the Tanner stage
Change From Baseline in Children's Global Assessment Scale (CGAS) Score
Children's Global Assessment Scale (CGAS) is used to rate the general functioning of children under the age of 18. It is the 100-point single-item score that was collected in the Clinical Report Form (CRF), scored from 0-100 (worse to normal).
Measured: OL Baseline to Week 26
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Sep 2005 (estimated)
- Study startAug 2004
- Primary completionDec 2007
- Study completionDec 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for SchizophreniaStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 381 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Seroquel Medical Science Director, MD, Study director, AstraZeneca
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00227305
- Sponsor's protocol ID
- D1441C00150
- Acronym
- ANCHOR 150
- Status last verified
- Jan 2013
- First submitted
- 27 Sep 2005
- Last updated
- 8 Jan 2013
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Findling RL, Pathak S, Earley WR, Liu S, DelBello M. Safety, tolerability, and efficacy of quetiapine in youth with schizophrenia or bipolar I disorder: a 26-week, open-label, continuation study. J Child Adolesc Psychopharmacol. 2013 Sep;23(7):490-501. doi: 10.1089/cap.2012.0092. Epub 2013 Sep 11.
PubMed 24024534
Study at a glance
From the registry record, last updated by the sponsor on 8 Jan 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 26-week, Multicenter, Open-label Phase 3b Study of the Safety and Tolerability of Quetiapine Fumarate (SEROQUEL™) Immediate-release Tablets in Daily Doses of 400 mg to 800 mg in Children and Adolescents With Bipolar I Disorder and Adolescents With Schizophrenia (Abbreviated)
- ClinicalTrials.gov ID
- NCT00227305
- Acronym / sponsor ID
- ANCHOR 150 / D1441C00150
- Conditions
- Schizophrenia, Bipolar I Disorder
- Keywords
- Schizophrenia, Bipolar I Disorder
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 381 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- Aug 2004
- Primary completion
- Dec 2007 (actual)
- Study completion
- Dec 2007 (actual)
- First posted
- 28 Sep 2005 (estimated)
- Results
- Posted 5 Oct 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to demonstrate the efficacy and safety of quetiapine fumarate (SEROQUEL) in the treatment of adolescent patients with schizophrenia and bipolar I disorder.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 10 to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (4 listed)
- Patient is able to provide written assent and the parents or legal guardian of the patient are/is able to provide written informed consent before beginning any study related procedures
- Patient previously enrolled in either double-blind Study D1441C00149 or D1441C00112
- Patient has documented clinical diagnosis of schizophrenia or bipolar I disorder
- Patient's parent or legal guardian will be able to accompany the patient to each scheduled study visit
Key exclusion criteria (3 listed)
- Patients (female) must not be pregnant or lactating
- Patients with a known intolerance or lack of response to previous treatment with quetiapine
- Patients who have previously participated in this study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| quetiapine fumarateAlso: SeroquelOral dosing, flexible dosing | Drug | – |
Primary outcome
Incidence and Nature of Adverse Events (AEs)
Time frame: from open label to week 26+ 30 days
Number of participants that had AE which occurred from first dose date to last dose date + 30 days.
Number of Patients Withdrawn Due to AEs.
Time frame: during 26 weeks of treatment
Number of subjects who withdrew from the study due to AEs.
Changes in Laboratory Test Results (Prolactin)
Time frame: Duration of study participation
Clinical important shift to high prolactin from open-label (OL) baseline to week 26. High Prolactin is defined as value >26 ug/L for female and value >20 ug/L for male.
Categorical Change From OL Baseline to Week 26 in Simpson-Angus Scale (SAS)Total Score
Time frame: OL baseline to week 26
Number of patients for who the total score is estimated as worse. The Simpson Angus Scale (SAS)is used to assess Parkinsonian symptoms (a type of movement disorders). The score was calculated as the sum of the 10 individual item scores. Total Score ranges from 0-40 (normal to worse). Individual item scale range from 0 to 4 (normal to worse). Improved define as those with a <= -1 change in SAS total score. Worsened defined as those with a >=1 change in SAS total score.
Categorical Change From Baseline in Barnes Akathisia Rating Scale (BARS) Global Score
Time frame: 26 weeks of treatment
Number of patients for who the total score is estimated as worse. The Barnes Akathisia Rating Scale (BARS) global score is used to measure Akathisia (a type of movement disorders). BARS is the item 4 score from the BARS assessment. The scale is from a range 0-5 (normal to worse). Change from baseline in BARS global score increase means worse. Improved defined as those with a <= -1 change in BARS global score. Worsened defined as those with a >= 1 change in BARS global score.
Change From Baseline in Weight
Time frame: 26 weeks of treatment
Number with 7% or more increase (without adjustment for normal growth)
Change From Baseline in Supine Pulse
Time frame: OL baseline to week 26
Change from OL baseline to week 26 in supine pulse (bpm)
Change From OL Baseline in Supine Systolic BP.
Time frame: OL baseline to Week 26
Changes from OL baseline to the final visits in Supine systolic BP (mmHg)
Change From OL Baseline in Supine Diastolic BP.
Time frame: OL baseline to Week 26
Changes from OL baseline to the final visits in Supine diastolic BP (mmHg)
2 secondary outcomes
Changes in Tanner Stage
Time frame: Change from OL baseline to week 26 in the Tanner stage
Change From Baseline in Children's Global Assessment Scale (CGAS) Score
Time frame: OL Baseline to Week 26
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jan 2013.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24024534Findling RL, Pathak S, Earley WR, Liu S, DelBello M. Safety, tolerability, and efficacy of quetiapine in youth with schizophrenia or bipolar I disorder: a 26-week, open-label, continuation study. J Child Adolesc Psychopharmacol. 2013 Sep;23(7):490-501. doi: 10.1089/cap.2012.0092. Epub 2013 Sep 11.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Seroquel Medical Science Director, MD study director
AstraZeneca
48 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing quetiapine fumarate in people with Schizophrenia and Bipolar I Disorder, run by AstraZeneca at 48 sites in 9 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Jan 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 48 sites in United States, Philippines, Ukraine, Malaysia, Poland and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 5 Oct 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence and Nature of Adverse Events (AEs) (time frame: from open label to week 26+ 30 days). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00227305, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Jan 2013.