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SchizophreniaPhase 4NCT00303602

Comparing the Effect of Under the Tongue Olanzapine Versus Swallowed Olanzapine on Body Mass Index (A Ratio of Weight to Height)

A Phase 4 study testing Sublingual orally disintegrating olanzapine (SODO) and Oral olanzapine in people with Schizophrenia and Schizoaffective Disorder, run by Eli Lilly and Company at 21 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study is testing if under the tongue olanzapine for schizophrenia, related psychosis, schizoaffective disorder or bipolar disorder will have less weight gain than olanzapine that is swallowed, in patients who are already gaining weight on olanzapine. Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Sublingual orally disintegrating olanzapine (SODO) and Oral olanzapine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
149 participants
Where
21 sitesin 5 countries
Study dates
Mar 2006to Dec 2007
Phase
Phase 4
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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Be at least 18 years old
  • Have gained weight while taking olanzapine
  • Be able to visit the doctor's office seven times over 4 months (17 weeks)

Who cannot join

  • Have started a weight loss program within the last 8 weeks
  • Have an illness that might affect patient's weight during the study
  • Have an allergy to phenylalanine, mannitol or saccharine
  • Be taking any medication (except for olanzapine) that might affect patient's weight

Trial locations and contacts

21 sites in 5 countries.

21 sites in 5 countries

Canada10 sites
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Chatham, Ontario, N7L 1B7

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Dartmouth, Nova Scotia, B2Y 3Z9

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Greater Sudbury, Ontario, P3C 1T4

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Halifax, Nova Scotia, B3H 2E2

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Kingston, Ontario, K7L 4X3

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Penticton, British Columbia, V2A 4M4

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Sherbrooke, Quebec, J1G 1W4

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Sydney, Nova Scotia, B1S 2E8

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Windsor, Ontario, N9C 3Z4

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Winnipeg, Manitoba, R3E 3N4

Other trials in Canada

United States7 sites
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Atlanta, Georgia, 30308

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Escondido, California, 92025

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Garden Grove, California, 92845

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Las Vegas, Nevada, 89102

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    National City, California, 91950

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Orange, California, 92868

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Staten Island, New York, 10312

Other trials in United States

Netherlands2 sites
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Amersfoort, 3816 CP

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Rotterdam, 3015 GD

Other trials in Netherlands

Mexico1 site
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Mexico City, 01030

Other trials in Mexico

Puerto Rico1 site
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    San Juan, 00918

Other trials in Puerto Rico

About this study

Official title: BMI Evaluation: Placebo and Active Comparator Trial of Olanzapine Zydis Pills Used Sublingually (PLATYPUS)

This study is testing if under the tongue olanzapine for schizophrenia, related psychosis, schizoaffective disorder or bipolar disorder will have less weight gain than olanzapine that is swallowed, in patients who are already gaining weight on olanzapine.

Being tested
Sublingual orally disintegrating olanzapine (SODO), Oral olanzapine
Medical subject headings
Schizophrenia, Psychotic Disorders, Bipolar Disorder

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Sublingual orally disintegrating olanzapine (SODO)Drug

    Also called LY170053, Zydis

    5 to 20mg dose, supplied in 5mg tablet strength, tablet should be placed under tongue for at least 60 seconds, daily for 16 weeks.

  • Oral olanzapineDrug

    Also called LY170053, Zyprexa

    5 to 20mg dose, supplied in 5mg tablet strength, oral administration (tablets swallowed), daily for 16 weeks.

Study groups in NCT00303602
Study groupRoleWhat they receive
AExperimentalSublingual orally disintegrating olanzapine (SODO)
Receives: Drug: Sublingual orally disintegrating olanzapine (SODO)
BActive comparatorOral olanzapine
Receives: Drug: Oral olanzapine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time Course of Change From Baseline in Body Mass Index (BMI)

    Body mass index is an estimate of body fat based on body weight divided by height squared. Comparison of changes at various time points throughout the study. Change = Time point value minus baseline (Visit 2) value.

    Measured: Visit 2 (Baseline) to Visit 7 (16 Weeks)

Secondary outcomes (17)
  1. Mean Change From Baseline to 16 Week Endpoint in Body Mass Index (BMI)

    Body mass index is an estimate of body fat based on body weight divided by height squared. Comparison of change from baseline to endpoint. Change = Endpoint (Week 16) minus Baseline (Week 0)

    Measured: Visit 2 (Baseline) and Visit 7 (Week 16)

  2. Mean Change From Baseline to 16 Week Endpoint in Body Mass Index (BMI) for the Treatment Completers

    Body mass index is an estimate of body fat based on body weight divided by height squared. Comparisons of change from baseline to endpoint between participants who completed their treatment. Change = Endpoint value minus Baseline value.

    Measured: Visit 2 (Baseline) and Visit 7 (16 Weeks)

  3. Mean Change From Baseline to 16 Week Endpoint in Weight

    Weight of undressed patient (undergarments allowed), measured preferably at the same time each day.

    Measured: Visit 2 (Baseline) and Visit 7 (16 Weeks)

  4. Mean Change From Baseline to 16 Week Endpoint in Waist Circumference

    Waist circumference is measured on a bare abodomen just above the hip bone.

    Measured: Visit 2 (Baseline) and Visit 7 (Week 16)

  5. Number of Patients Achieving at Least 5% Loss of Body Weight in Any Post-Baseline Period

    Percentage loss of body weight = 100*(postbaseline weight - baseline weight)/baseline weight

    Measured: Visit 2 (Baseline) to Visit 7 (Week 16)

  6. Number of Participants Discontinuing the Trial by Visit (Week)

    The number of participants who discontinued by visit (non-cumulative).

    Measured: Visit 2 (Baseline) to Visit 7 (Week 16)

  7. Change From Baseline to 16 Week Endpoint in Subjective Appetite Using a Visual Analog Scale

    Participant chooses where they think their appetite lies on a 10 centimeter line between two anchors (0 - very poor appetite and 10 - very strong appetite). The possible range of scores is 0 to 100 and represents millimeters on the 10 centimeter line.

    Measured: Visit 2 (Baseline) and Visit 7 (Week 16)

  8. Mean Change From Baseline to 16 Week Endpoint in Blood Pressure

    Sitting blood pressure, taken from the same arm.

    Measured: Visit 2 (Baseline) and Visit 7 (Week 16)

  9. Mean Change From Baseline to 16 Week Endpoint in Fasting Lipoproteins (Total Cholesterol, High-Density Lipoprotein Cholesterol [HDL-Cholesterol], Low-Density Lipoprotein Cholesterol [LDL-Cholesterol] [Calculated], and Triglycerides)

    Patients should be fasting a minimum of eight hours prior to lipoprotein measurements.

    Measured: Visit 2 (Baseline) and Visit 7 (Week 16)

  10. Change From Baseline to 16 Week Endpoint in Fasting Plasma Glucose

    Patients should be fasting a minimum of eight hours prior to plasma glucose measurement.

    Measured: Visit 2 (Baseline) and Visit 7 (Week 16)

  11. Mean Change From Baseline to 16 Week Endpoint in Fasting Serum Insulin

    Patients should be fasting a minimum of eight hours prior to serum insulin measurement.

    Measured: Visit 2 (Baseline) and Visit 7 (Week 16)

  12. Mean Change From Baseline to 16 Week Endpoint in Glycosylated Hemoglobin

    Measured: Visit 2 (Baseline) and Visit 7 (Week 16)

  13. Mean Changes From Baseline to 16 Week Endpoint Homeostasis Model Assessments of Insulin Sensitivity HOMA-S (Calculated)

    HOMA-S is an estimate of insulin sensitivity. The HOMA model is a computer model of the glucose insulin feedback system in the fasted state. The model consists of a number of non-linear empirical equations describing the functions of organs and tissues involved in glucose regulation.

    Measured: Visit 2 (Baseline) and Visit 7 (Week 16)

  14. Number of Participants Meeting a Definition for the Presence of Metabolic Syndrome as Defined by Adult Treatment Panel III (ATP III) Criteria at Baseline and 16 Week Endpoint

    Patient meets definition of metabolic syndrome if they have >=3 risk factors: Waist circumference (men>102cm, women>88cm); triglycerides >=1.7mmol/L; HDL cholesterol (men<1.04mmol/L, women<1.30mmol/L); blood pressure >135/>=85 mmHg; Fasting glucose >=6.1mmol/L

    Measured: Visit 2 (Baseline) and Visit 7 (Week 16)

  15. Mean Change From Baseline to 16 Week Endpoint in the Clinical Global Impression-Severity (CGI-S) Scale

    Measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients).

    Measured: Visit 2 (Baseline) and Visit 7 (Week 16)

  16. Mean Change From Baseline to 16 Week Endpoint in the Subjective Well-Being Under Neuroleptics (SWN) Scale

    Measures subjective well-being for previous 7 days. 20 items covering 5 health domains (subscales) (4 items each): emotional regulation, self-control, mental functioning, social integration, and physical functioning. Individual scores range from 1 (not at all) to 6 (very much). Subscale scores range from 1 to 24. Total score ranges from 1 to 120.

    Measured: Visit 2 (Baseline) and Visit 7 (Week 16)

  17. Mean Change From Baseline to 16 Week Endpoint in the Global Assessment of Functioning (GAF) Scale

    Measures physician's judgment of a patient's overall level of functioning. Ratings are based on a scale of 1 to 100, with the following classification range: 1-10 (severely impaired) to 91-100 (superior functioning).

    Measured: Visit 2 (Baseline) and Visit 7 (Week 16)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Mar 2006 (estimated)
  2. Study startMar 2006
  3. Primary completionDec 2007
  4. Study completionDec 2007

Resources

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
149 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00303602
Sponsor's protocol ID
10268
Other IDs
F1D-CA-S063
Status last verified
Jun 2009
First submitted
15 Mar 2006
Last updated
10 Jun 2009

Publications

  • Case M, Treuer T, Karagianis J, Hoffmann VP. The potential role of appetite in predicting weight changes during treatment with olanzapine. BMC Psychiatry. 2010 Sep 14;10:72. doi: 10.1186/1471-244X-10-72.

    PubMed 20840778

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Sublingual orally disintegrating olanzapine (SODO) and Oral olanzapine in people with Schizophrenia and Schizoaffective Disorder, run by Eli Lilly and Company at 21 sites in 5 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 3 inclusion and 4 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 10 Jun 2009. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in Canada, United States, Netherlands, Mexico, Puerto Rico. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 2 Jun 2009). 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?

Time Course of Change From Baseline in Body Mass Index (BMI) (time frame: Visit 2 (Baseline) to Visit 7 (16 Weeks)). 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 NCT00303602, 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 10 Jun 2009.

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