SchizophreniaPhase 2NCT00694707
Safety and Efficacy of Cariprazine (RGH-188) in the Acute Exacerbation of Schizophrenia
A Phase 2 study testing Cariprazine and Risperidone in people with Schizophrenia, run by Forest Laboratories at 65 sites in 5 countries.
Trial summary
This is a study to evaluate the safety, efficacy, and tolerability of cariprazine (RGH-188) relative to placebo in adult patients (18-60 years of age) with acute exacerbation of schizophrenia. Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Schizophrenia
- What is being tested?
- Cariprazine and Risperidone
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 732 participants
- Where
- 65 sitesin 5 countries
- Study dates
- 30 Jun 2008to 31 Aug 2009
- Phase
- Phase 2
- 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 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Male or female, 18 to 60 years of age.
- Meets Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) criteria for schizophrenia (paranoid type, disorganized type, catatonic type, or undifferentiated type) based on a Structured Clinical Interview for DSM-IV (SCID).
- Total Positive and Negative Syndrome Scale (PANSS) score ≥ 80 and ≤ 120.
- Diagnosis of schizophrenia for at least 1 year.
Who cannot join
- Abnormalities on physical examination or abnormal vital signs, electrocardiogram, or clinical laboratory values.
- First episode of psychosis.
Trial locations and contacts
65 sites in 5 countries.
65 sites in 5 countries
United States18 sites
Forest Investigative Site
Baltimore, Maryland, 21202
Forest Investigative Site
Bradenton, Florida, 34208
Forest Investigative Site
Bridgeton, Missouri, 63044
Forest Investigative Site
Charleston, South Carolina, 29405
Forest Investigative Site
Cincinnati, Ohio, 45219
Forest Investigative Site
Costa Mesa, California, 92626
Forest Investigative Site
Flowood, Mississippi, 39232
Forest Investigative Site
Houston, Texas, 77008
Forest Investigative Site
Houston, Texas, 77021
Forest Investigative Site
Irving, Texas, 75062
Forest Investigative Site
Kissimmee, Florida, 34741
Forest Investigative Site
Lake Charles, Louisiana, 70601
Forest Investigative Site
Long Beach, California, 90813
Forest Investigative Site
Memphis, Tennessee, 28117
Forest Investigative Site
Oceanside, California, 92056
Forest Investigative Site
Paramount, California, 90723
Forest Investigative Site
Riverside, California, 92506
Forest Investigative Site
Washington D.C., District of Columbia, 20016
India16 sites
Forest Investigative Site
Ahmedabad, Gujarat, 380013
Forest Investigative Site
Ahmedabad, Gujarat, 380015
Forest Investigative Site
Bangalore, Karna, 560010
Forest Investigative Site
Bangalore, Karna, 560027
Forest Investigative Site
Chennai, Tamil Nadu, 600003
Forest Investigative Site
Chennai, Tamil Nadu, 600101
Forest Investigative Site
Jaipur, Rajasthan, 302021
Forest Investigative Site
Kanpur, Uttar Prad, 208005
Forest Investigative Site
Mangalore, Karna, 574160
Forest Investigative Site
Mangalore, Karna, 575001
Forest Investigative Site
Manipal, Karna, 576104
Forest Investigative Site
Mysore, Karna, 570004
Forest Investigative Site
Pune, Mahara, 411004
Forest Investigative Site
Tirupati, Tamil Nadu, 517507
Forest Investigative Site
Vijaywada, ANDH PRAD, 520002
Forest Investigative Site
Visakhapatnam, Andh Prad, 530017
Russia15 sites
Forest Investigative Site
Arkhangelsk, 163060
Forest Investigative Site
Gatchina, 188357
Forest Investigative Site
Kazan', 420012
Forest Investigative Site 1
Moscow, 115522
Forest Investigative Site 2
Moscow, 115522
Forest Investigative Site
Moscow, 117152
Forest Investigative Site
Nizhny Novgorod, 603155
Forest Investigative Site
Saint Petersburg, 190005
Forest Investigative Site
Saint Petersburg, 190121
Forest Investigative Site
Saint Petersburg, 191119
Forest Investigative Site 2
Saint Petersburg, 193019
Forest Investigative Site1
Saint Petersburg, 193019
Forest Investigative Site
Saint Petersburg, 193167
Forest Investigative Site
Saint Petersburg, 197341
Forest Investigative Site
Samara, 443016
Ukraine11 sites
Forest Investigative Site
Chernihiv, 14000
Forest Investigative Site
Dnipropetrovsk, Dnipropetrovsk Oblast, 49616
Forest Investigative Site
Donetsk, Donetsk Oblast, 83037
Forest Investigative Site
Hlevakha, Kyiv Oblast, 08630
Forest Investigative Site
Kharkiv, Kharkiv Oblast, 61068
Forest Investigative Site
Kherson, Vil. Stepanivka, 73488
Forest Investigative Site
Kiev, 02660
Forest Investigative Site
Kyiv, Kyiv Oblast, 04080
Forest Investigative Site
Kyiv, Kyiv Oblast, 04655
Forest Investigative Site
Odesa, Odesa Oblast, 65006
Forest Investigative Site
Ternopil, Ternopil Oblast, 46020
Malaysia5 sites
Forest Investigative Site
Ipoh, Perak, 30990
Forest Investigative Site
Johor Bahru, Johor, 80100
Forest Investigative Site
Kota Bharu, Kelantan, 15586
Forest Investigative Site
Lembah Pantai, Kuala Lumpur, 59100
Forest Investigative Site
Ulu Kinta, Perak, 31250
About this study
Official title: Evaluation of the Safety and Efficacy of RGH-188 in the Acute Exacerbation of Schizophrenia
This is a study to evaluate the safety, efficacy, and tolerability of cariprazine (RGH-188) relative to placebo in adult patients (18-60 years of age) with acute exacerbation of schizophrenia.
- Conditions
- Schizophrenia
- Being tested
- Placebo, Cariprazine, Risperidone
- Medical subject headings
- Schizophrenia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Placebo was supplied in capsules.
CariprazineDrug
Also called RGH-188
Cariprazine was supplied in capsules
RisperidoneDrug
Also called Risperdal
Risperidone was supplied in capsules
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants received placebo orally once a day for 6 weeks. Receives: Drug: Placebo |
| Cariprazine 1.5 mg | Experimental | Participants received cariprazine 1.5 mg orally once a day for 6 weeks. Receives: Drug: Cariprazine |
| Cariprazine 3.0 mg | Experimental | Participants received cariprazine 3.0 mg orally once a day for 6 weeks. Receives: Drug: Cariprazine |
| Cariprazine 4.5 mg | Experimental | Participants received cariprazine 4.5 mg orally once a day for 6 weeks. Receives: Drug: Cariprazine |
| Risperidone 4.0 mg | Active comparator | Participants received risperidone 4.0 mg orally once a day for 6 weeks. Receives: Drug: Risperidone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline to Week 6 in the PANSS Total Score
The Positive and Negative Syndrome Scale (PANSS) is a 30-item rating scale that assesses the positive and negative symptoms of individuals with schizophrenia. Responses to the 30 items are based on a structured clinical interview with the patient and on supporting clinical information obtained from family, hospital staff, or other reliable informants. Of the 30 psychiatric parameters measured by the scale, 7 assess positive symptoms (eg, delusions, grandiosity); 7 assess negative symptoms (eg, blunted affect, emotional withdrawal); and 16 assess general psychopathology (eg, poor attention, active social avoidance). Each item is scored on a 7-point scale (1 = absent, 2 = minimal, 3 = mild, 4 = moderate, 5 = moderately severe, 6 = severe, and 7 = extreme). The PANSS total score can range from 30 to 210. A higher score indicates worse symptoms. A negative change score indicates improvement.
Measured: Baseline to Week 6
Secondary outcomes (1)
Change From Baseline to Week 6 in the CGI-S Score
The Clinical Global Impressions-Severity (CGI-S) scale is a 7-point scale that measures the overall severity of the illness compared with the severity of illness in other patients the Investigator has observed. The Investigator assesses the severity of the patient's illness as one of the following: 1 = Normal, not at all ill; 2 = Borderline ill; 3 = Mildly ill; 4 = Moderately ill; 5 = Markedly ill; 6 = Severely ill; 7 = Among the most extremely ill patients. The CGI-S score can range from 1 to 7. A higher score indicates more severe illness. A negative change score indicates improvement.
Measured: Baseline to Week 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jun 2008 (estimated)
- Study start30 Jun 2008
- Primary completion31 Aug 2009
- Study completion31 Aug 2009
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 (6)Papers the sponsor has linked to this study.
- Other trials for SchizophreniaStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 732 participants (actual)
Sponsor and investigators
- Lead sponsor
- Forest Laboratories
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Gedeon Richter Ltd.
- Responsible party
- Sponsor
- Investigators
- Suresh Durgam, MD, Study director, Forest Laboratories
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00694707
- Sponsor's protocol ID
- RGH-MD-16
- Status last verified
- May 2019
- First submitted
- 6 Jun 2008
- Last updated
- 12 Jun 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Laszlovszky I, Barabassy A, Nemeth G. Cariprazine, A Broad-Spectrum Antipsychotic for the Treatment of Schizophrenia: Pharmacology, Efficacy, and Safety. Adv Ther. 2021 Jul;38(7):3652-3673. doi: 10.1007/s12325-021-01797-5. Epub 2021 Jun 6.
PubMed 34091867Barabassy A, Sebe B, Acsai K, Laszlovszky I, Szatmari B, Earley WR, Nemeth G. Safety and Tolerability of Cariprazine in Patients with Schizophrenia: A Pooled Analysis of Eight Phase II/III Studies. Neuropsychiatr Dis Treat. 2021 Apr 7;17:957-970. doi: 10.2147/NDT.S301225. eCollection 2021.
PubMed 33854317Marder S, Fleischhacker WW, Earley W, Lu K, Zhong Y, Nemeth G, Laszlovszky I, Szalai E, Durgam S. Efficacy of cariprazine across symptom domains in patients with acute exacerbation of schizophrenia: Pooled analyses from 3 phase II/III studies. Eur Neuropsychopharmacol. 2019 Jan;29(1):127-136. doi: 10.1016/j.euroneuro.2018.10.008. Epub 2018 Nov 20.
PubMed 30470662Earley W, Durgam S, Lu K, Laszlovszky I, Debelle M, Kane JM. Safety and tolerability of cariprazine in patients with acute exacerbation of schizophrenia: a pooled analysis of four phase II/III randomized, double-blind, placebo-controlled studies. Int Clin Psychopharmacol. 2017 Nov;32(6):319-328. doi: 10.1097/YIC.0000000000000187.
PubMed 28692485Citrome L, Durgam S, Lu K, Ferguson P, Laszlovszky I. The effect of cariprazine on hostility associated with schizophrenia: post hoc analyses from 3 randomized controlled trials. J Clin Psychiatry. 2016 Jan;77(1):109-15. doi: 10.4088/JCP.15m10192.
PubMed 26845266Durgam S, Starace A, Li D, Migliore R, Ruth A, Nemeth G, Laszlovszky I. An evaluation of the safety and efficacy of cariprazine in patients with acute exacerbation of schizophrenia: a phase II, randomized clinical trial. Schizophr Res. 2014 Feb;152(2-3):450-7. doi: 10.1016/j.schres.2013.11.041. Epub 2014 Jan 10.
PubMed 24412468
Study at a glance
From the registry record, last updated by the sponsor on 12 Jun 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of the Safety and Efficacy of RGH-188 in the Acute Exacerbation of Schizophrenia
- ClinicalTrials.gov ID
- NCT00694707
- Acronym / sponsor ID
- RGH-MD-16
- Conditions
- Schizophrenia
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 732 participants (actual)
- Lead sponsor
- Forest LaboratoriesIndustry (pharma, biotech, devices)
- Collaborators
- Gedeon Richter Ltd.
- Study start
- 30 Jun 2008 (actual)
- Primary completion
- 31 Aug 2009 (actual)
- Study completion
- 31 Aug 2009 (actual)
- First posted
- 10 Jun 2008 (estimated)
- Results
- Posted 12 Jun 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a study to evaluate the safety, efficacy, and tolerability of cariprazine (RGH-188) relative to placebo in adult patients (18-60 years of age) with acute exacerbation of schizophrenia.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: PlaceboParticipants received placebo orally once a day for 6 weeks. |
| Cariprazine 1.5 mg | Experimental | Drug: CariprazineParticipants received cariprazine 1.5 mg orally once a day for 6 weeks. |
| Cariprazine 3.0 mg | Experimental | Drug: CariprazineParticipants received cariprazine 3.0 mg orally once a day for 6 weeks. |
| Cariprazine 4.5 mg | Experimental | Drug: CariprazineParticipants received cariprazine 4.5 mg orally once a day for 6 weeks. |
| Risperidone 4.0 mg | Active comparator | Drug: RisperidoneParticipants received risperidone 4.0 mg orally once a day for 6 weeks. |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Male or female, 18 to 60 years of age.
- Meets Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) criteria for schizophrenia (paranoid type, disorganized type, catatonic type, or undifferentiated type) based on a Structured Clinical Interview for DSM-IV (SCID).
- Total Positive and Negative Syndrome Scale (PANSS) score ≥ 80 and ≤ 120.
- Diagnosis of schizophrenia for at least 1 year.
Key exclusion criteria (2 listed)
- Abnormalities on physical examination or abnormal vital signs, electrocardiogram, or clinical laboratory values.
- First episode of psychosis.
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 |
|---|---|---|
| PlaceboPlacebo was supplied in capsules. | Drug | Placebo |
| CariprazineAlso: RGH-188Cariprazine was supplied in capsules | Drug | Cariprazine 1.5 mg, Cariprazine 3.0 mg, Cariprazine 4.5 mg |
| RisperidoneAlso: RisperdalRisperidone was supplied in capsules | Drug | Risperidone 4.0 mg |
Primary outcome
Change From Baseline to Week 6 in the PANSS Total Score
Time frame: Baseline to Week 6
The Positive and Negative Syndrome Scale (PANSS) is a 30-item rating scale that assesses the positive and negative symptoms of individuals with schizophrenia. Responses to the 30 items are based on a structured clinical interview with the patient and on supporting clinical information obtained from family, hospital staff, or other reliable informants. Of the 30 psychiatric parameters measured by the scale, 7 assess positive symptoms (eg, delusions, grandiosity); 7 assess negative symptoms (eg, blunted affect, emotional withdrawal); and 16 assess general psychopathology (eg, poor attention, active social avoidance). Each item is scored on a 7-point scale (1 = absent, 2 = minimal, 3 = mild, 4 = moderate, 5 = moderately severe, 6 = severe, and 7 = extreme). The PANSS total score can range from 30 to 210. A higher score indicates worse symptoms. A negative change score indicates improvement.
1 secondary outcome
Change From Baseline to Week 6 in the CGI-S Score
Time frame: Baseline to Week 6
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Jun 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 34091867Laszlovszky I, Barabassy A, Nemeth G. Cariprazine, A Broad-Spectrum Antipsychotic for the Treatment of Schizophrenia: Pharmacology, Efficacy, and Safety. Adv Ther. 2021 Jul;38(7):3652-3673. doi: 10.1007/s12325-021-01797-5. Epub 2021 Jun 6.
- Derived from this study: PubMed 33854317Barabassy A, Sebe B, Acsai K, Laszlovszky I, Szatmari B, Earley WR, Nemeth G. Safety and Tolerability of Cariprazine in Patients with Schizophrenia: A Pooled Analysis of Eight Phase II/III Studies. Neuropsychiatr Dis Treat. 2021 Apr 7;17:957-970. doi: 10.2147/NDT.S301225. eCollection 2021.
- Derived from this study: PubMed 30470662Marder S, Fleischhacker WW, Earley W, Lu K, Zhong Y, Nemeth G, Laszlovszky I, Szalai E, Durgam S. Efficacy of cariprazine across symptom domains in patients with acute exacerbation of schizophrenia: Pooled analyses from 3 phase II/III studies. Eur Neuropsychopharmacol. 2019 Jan;29(1):127-136. doi: 10.1016/j.euroneuro.2018.10.008. Epub 2018 Nov 20.
- Derived from this study: PubMed 28692485Earley W, Durgam S, Lu K, Laszlovszky I, Debelle M, Kane JM. Safety and tolerability of cariprazine in patients with acute exacerbation of schizophrenia: a pooled analysis of four phase II/III randomized, double-blind, placebo-controlled studies. Int Clin Psychopharmacol. 2017 Nov;32(6):319-328. doi: 10.1097/YIC.0000000000000187.
- Derived from this study: PubMed 26845266Citrome L, Durgam S, Lu K, Ferguson P, Laszlovszky I. The effect of cariprazine on hostility associated with schizophrenia: post hoc analyses from 3 randomized controlled trials. J Clin Psychiatry. 2016 Jan;77(1):109-15. doi: 10.4088/JCP.15m10192.
- Derived from this study: PubMed 24412468Durgam S, Starace A, Li D, Migliore R, Ruth A, Nemeth G, Laszlovszky I. An evaluation of the safety and efficacy of cariprazine in patients with acute exacerbation of schizophrenia: a phase II, randomized clinical trial. Schizophr Res. 2014 Feb;152(2-3):450-7. doi: 10.1016/j.schres.2013.11.041. Epub 2014 Jan 10.
Related trials for Schizophrenia
RecruitingPhase 3
A Study to Evaluate the Long-term Safety and Tolerability of Xanomeline and Trospium Chloride for the Treatment of Psychiatric Disorders in Children and Adolescents
Schizophrenia, Autism-Related Irritability
Not yet recruiting
Deep Brain Stimulation for Treatment-Resistant Schizophrenia
Treatment Resistant Disorders
Not yet recruitingObservational study
Sleep Monitoring for Early Detection of Relapse in People With Schizophrenia or Bipolar Disorder Receiving Usual Treatment
Bipolar Disorder (BD), SCHIZOPHRENIA 1 (Disorder)
Not yet recruitingPhase 1
Pharmacokinetics and Relative Bioavailability of Intranasal vs Intramuscular Olanzapine in Healthy Adult Participants
Healthy Adult Participants
Active, not recruiting
Designing and Evaluating a Classroom-Based Mental Health Programme for Adolescents.
Mental Health Promotion
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.
Suresh Durgam, MD study director
Forest Laboratories
65 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Cariprazine and Risperidone in people with Schizophrenia, run by Forest Laboratories at 65 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 4 inclusion and 2 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 12 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 65 sites in United States, India, Russia, Ukraine, Malaysia. 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 12 Jun 2019). 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?
Change From Baseline to Week 6 in the PANSS Total Score (time frame: Baseline to Week 6). 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 NCT00694707, which also lists 6 linked publications.
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 12 Jun 2019.