SchizophreniaPhase 3NCT01626456
A Long-term Safety Study of ALKS 9072 (Also Known as ALKS 9070)
A Phase 3 study testing ALKS 9072, Low and ALKS 9072, High in people with Schizophrenia, run by Alkermes, Inc. at 82 sites in 8 countries.
Trial summary
This study will evaluate the safety and durability of effect of ALKS 9072 (also known as ALKS 9070) during long-term treatment of subjects with stable schizophrenia. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Schizophrenia
- What is being tested?
- ALKS 9072, Low and ALKS 9072, High
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 478 participants
- Where
- 82 sitesin 8 countries
- Study dates
- Jun 2012to Apr 2015
- 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 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- (Subjects who participated in ALK9072-003)
- Completed the ALK9072-003 Day 85 visit
- Continues to require treatment with an antipsychotic medication
- (New Subjects)
- On a stable dose of oral antipsychotic medication
- Diagnosis of chronic schizophrenia based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria that is clinically stable
Show all 9Show fewer
- Has been able to achieve outpatient status for more than 3 months prior to screening
- Body Mass Index (BMI) of 18.5 to 40.0 kg/m2 (inclusive)
- Resides in a stable living situation
Who cannot join
- (Subjects who participated in ALK9072-003)
- Abnormal clinical laboratory, vital sign, or electrocardiogram (ECG) finding during participation in study ALK9072-003 that was clinically relevant and related to study drug
- Missed more than 1 scheduled study visit during participation in study ALK9072-003
- Has a significant or unstable medical condition that would preclude safe completion of the current study
- Subject is pregnant or breastfeeding
- Subject expects to be incarcerated in the next 12 months, or has pending legal action which may impact compliance with study participation or procedures
Show all 15Show fewer
- (New Subjects)
- History of poor or inadequate clinical response to treatment with aripiprazole
- History of treatment resistance
- Diagnosis of current substance dependence (including alcohol)
- Pregnant, lactating, or breastfeeding
- Has received any long-acting intramuscular antipsychotic medication within 60 days prior to screening
- Currently under involuntary hospitalization
- Current or expected incarceration
- Additional inclusion/exclusion criteria may apply
Trial locations and contacts
82 sites in 8 countries.
82 sites in 8 countries
United States25 sites
Alkermes Investigational Site
Atlanta, Georgia, 30308
Alkermes Investigational Site
Austin, Texas, 78731
Alkermes Investigational Site
Austin, Texas, 78754
Alkermes Investigational Site
Charleston, South Carolina, 29407
Alkermes Investigational Site
Chicago, Illinois, 60611
Alkermes Investigational Site
Chicago, Illinois, 60640
Alkermes Investigational Site
Creve Coeur, Missouri, 63141
Alkermes Investigational Site
Dallas, Texas, 75231
Alkermes Investigational Site
Dallas, Texas, 75243
Alkermes Investigational Site
Fort Lauderdale, Florida, 33308
Alkermes Investigational Site
Garden Grove, California, 92845
Alkermes Investigational Site
Hoffman Estates, Illinois, 60169
Alkermes Investigational Site
La Habra, California, 90631
Alkermes Investigational Site
Leesburg, Florida, 34748
Alkermes Investigational Site
Little Rock, Arkansas, 72201
Alkermes Investigational Site
Little Rock, Arkansas, 72211
Alkermes Investigational Site
Oakland, California, 94612
Alkermes Investigational Site
Oceanside, California, 92056
Alkermes Investigational Site
Overland Park, Kansas, 66212
Alkermes Investigational Site
Philadelphia, Pennsylvania, 19139
Alkermes Investigational Site
Rockville, Maryland, 20850
Alkermes Investigational Site
San Diego, California, 92123
Alkermes Investigational Site
Springdale, Arkansas, 72764
Alkermes Investigational Site
St Louis, Missouri, 63118
Alkermes Investigational Site
Washington D.C., District of Columbia, 20016
Russia14 sites
Alkermes Investigational Site
Khot'kovo
Alkermes Investigational Site
Lipetsk
Alkermes Investigational Site
Moscow
Alkermes Investigational Site
Nikol’skoye, Gatchinckiy
Alkermes Investigational Site
Nizhny Novgorod
Alkermes Investigational Site
Rostov-on-Don
Alkermes Investigational Site
Saint Petersburg
Alkermes Investigational Site
Samara
Alkermes Investigational Site
Saratov
Alkermes Investigational Site
Staritsa, Orenburg Oblast
Alkermes Investigational Site
Stavropol
Alkermes Investigational Site
Talagi
Alkermes Investigational Site
Voronezh
Alkermes Investigational Site
Yaroslavl
Bulgaria13 sites
Alkermes Investigational Site
Burgas
Alkermes Investigational Site
Kazanlak
Alkermes Investigational Site
Novi Iskar
Alkermes Investigational Site
Pazardzhik
Alkermes Investigational Site
Pleven
Alkermes Investigational Site
Plovdiv
Alkermes Investigational Site
Radnevo
Alkermes Investigational Site
Rousse
Alkermes Investigational Site
Sofia
Alkermes Investigational Site
Stara Zagora
Alkermes Investigational Site
Targovishte
Alkermes Investigational Site
Veliko Tarnovo
Alkermes Investigational Site
Vratsa
Ukraine12 sites
Alkermes Investigational Site
Chernihiv
Alkermes Investigational Site
Donetsk
Alkermes Investigational Site
Kharkiv
Alkermes Investigational Site
Kyiv
Alkermes Investigational Site
Luhansk
Alkermes Investigational Site
Lviv
Alkermes Investigational Site
Poltava
Alkermes Investigational Site
Simferopol
Alkermes Investigational Site
Stepanivka, Kherson Oblast
Alkermes Investigational Site
Ternopil
Alkermes Investigational Site
Uzhhorod
Alkermes Investigational Site
Vinnytsia
Philippines6 sites
Alkermes Investigational Site
Cebu City
Alkermes Investigational Site
Iloilo City
Alkermes Investigational Site
Mandaluyong
Alkermes Investigational Site
Manila
Alkermes Investigational Site
Mariveles, Bataan
Alkermes Investigational Site
Pasig
Romania5 sites
Alkermes Investigational Site
Bucharest
Alkermes Investigational Site
Craiova
Alkermes Investigational Site
Iași
Alkermes Investigational Site
Oradea
Alkermes Investigational Site
Târgu Mureş, Mureș County
Malaysia4 sites
Alkermes Investigational Site
Cheras
Alkermes Investigational Site
Johor Bahru
Alkermes Investigational Site
Kuala Lumpur
Alkermes Investigational Site
Kuching
South Korea3 sites
Alkermes Investigational Site
Jeju City
Alkermes Investigational Site
Jeollanam-do
Alkermes Investigational Site
Seoul
About this study
Official title: A Phase 3, Multicenter, Extension of Study ALK9072-003 to Assess the Long-term Safety and Durability of Effect of ALKS 9072 in Subjects With Stable Schizophrenia
This study will evaluate the safety and durability of effect of ALKS 9072 (also known as ALKS 9070) during long-term treatment of subjects with stable schizophrenia.
- Conditions
- Schizophrenia
- Being tested
- ALKS 9072, Low, ALKS 9072, High
- Medical subject headings
- Schizophrenia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ALKS 9072, LowDrug
IM injection, given monthly
ALKS 9072, HighDrug
IM injection, given monthly
| Study group | Role | What they receive |
|---|---|---|
| ALKS 9072, Low | Experimental | Not described Receives: Drug: ALKS 9072, Low |
| ALKS 9072, High | Experimental | Not described Receives: Drug: ALKS 9072, High |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Subjects With Treatment-emergent Adverse Events (TEAEs)
This measure includes incidences >5%.
Measured: 52 weeks
Secondary outcomes (5)
Mean Change From Baseline to Endpoint in Clinical Global Impression Scale for Severity (CGI-S)
The CGI-S is a 7-point scale that requires the clinician to assess how mentally ill the patient is in a specific point in time. Results indicate participants evaluated at one of the following categories: "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 patients". Results indicate a change in CGI-S score from baseline to Day 365 based on the observed data.
Measured: 52 weeks
Discontinuation From Study Due to Adverse Events (AEs)
Number of subjects who discontinued the study due to AE.
Measured: 52 weeks
Suicidal Ideation and Behavior Using the Columbia Suicide Severity Rating Scale (C-SSRS)
The C-SSRS is a questionnaire used for suicide assessment. Subjects are asked a series of questions that determine whether or not the patient demonstrates any suicidal ideation or behavior. The C-SSRS was administered to subjects at each study visit.
Measured: 52 weeks
Incidence of Clinically Significant Changes Will be Calculated for Movement Disorders, Vital Signs and Routine Laboratory Tests
Includes incidence >2% but <5%.
Measured: 52 weeks
Mean Change From Baseline to Endpoint Using the Positive and Negative Symptom Scale (PANSS) Total Score and Subscale Scores
This scale consists of symptom constructs (7 positive, 7 negative, 16 general psychopathology), each to be rated on a 7-point Likert-type scale of severity with 1 being absent to 7 being extreme. Minimum scores (best outcome) equals 30 (total scale), 7 (positive/negative subscales), and 16 (general subscale); maximum scores (worst outcome) equals 210 (total scale), 49 (positive/negative subscales), and 112 (general subscale).
Measured: 52 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jun 2012 (estimated)
- Study startJun 2012
- Primary completionApr 2015
- Study completionApr 2015
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 (5)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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 478 participants (actual)
Sponsor and investigators
- Lead sponsor
- Alkermes, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Alkermes Medical Director, Study director, Alkermes, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01626456
- Sponsor's protocol ID
- ALK9072-003EXT
- Status last verified
- Aug 2018
- First submitted
- 15 Jun 2012
- Last updated
- 25 Sep 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Hard ML, Mills RJ, Sadler BM, Turncliff RZ, Citrome L. Aripiprazole Lauroxil: Pharmacokinetic Profile of This Long-Acting Injectable Antipsychotic in Persons With Schizophrenia. J Clin Psychopharmacol. 2017 Jun;37(3):289-295. doi: 10.1097/JCP.0000000000000691.
PubMed 28350572McEvoy JP, Weiden PJ, Lysaker PH, Sun X, O'Sullivan AK. Long-term effect of aripiprazole lauroxil on health-related quality of life in patients with schizophrenia. BMC Psychiatry. 2021 Mar 24;21(1):164. doi: 10.1186/s12888-021-03124-2.
PubMed 33761928Lauriello J, Claxton A, Du Y, Weiden PJ. Beyond 52-Week Long-Term Safety: Long-Term Outcomes of Aripiprazole Lauroxil for Patients With Schizophrenia Continuing in an Extension Study. J Clin Psychiatry. 2020 Aug 18;81(5):19m12835. doi: 10.4088/JCP.19m12835.
PubMed 32841554Nasrallah HA, Aquila R, Du Y, Stanford AD, Claxton A, Weiden PJ. Long-term safety and tolerability of aripiprazole lauroxil in patients with schizophrenia. CNS Spectr. 2019 Aug;24(4):395-403. doi: 10.1017/S1092852918001104. Epub 2018 Aug 15.
PubMed 30109845Weiden PJ, Du Y, Liu CC, Stanford AD. Switching stable patients with schizophrenia from their oral antipsychotics to aripiprazole lauroxil: a post hoc safety analysis of the initial 12-week crossover period. CNS Spectr. 2019 Aug;24(4):419-425. doi: 10.1017/S1092852918000986. Epub 2018 Jun 26.
PubMed 29941057
Study at a glance
From the registry record, last updated by the sponsor on 25 Sep 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multicenter, Extension of Study ALK9072-003 to Assess the Long-term Safety and Durability of Effect of ALKS 9072 in Subjects With Stable Schizophrenia
- ClinicalTrials.gov ID
- NCT01626456
- Acronym / sponsor ID
- ALK9072-003EXT
- Conditions
- Schizophrenia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 478 participants (actual)
- Lead sponsor
- Alkermes, Inc.Industry (pharma, biotech, devices)
- Study start
- Jun 2012
- Primary completion
- Apr 2015 (actual)
- Study completion
- Apr 2015 (actual)
- First posted
- 22 Jun 2012 (estimated)
- Results
- Posted 27 Oct 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the safety and durability of effect of ALKS 9072 (also known as ALKS 9070) during long-term treatment of subjects with stable schizophrenia.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| ALKS 9072, Low | Experimental | Drug: ALKS 9072, Low |
| ALKS 9072, High | Experimental | Drug: ALKS 9072, High |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- (Subjects who participated in ALK9072-003)
- Completed the ALK9072-003 Day 85 visit
- Continues to require treatment with an antipsychotic medication
- (New Subjects)
- On a stable dose of oral antipsychotic medication
Key exclusion criteria (15 listed)
- (Subjects who participated in ALK9072-003)
- Abnormal clinical laboratory, vital sign, or electrocardiogram (ECG) finding during participation in study ALK9072-003 that was clinically relevant and related to study drug
- Missed more than 1 scheduled study visit during participation in study ALK9072-003
- Has a significant or unstable medical condition that would preclude safe completion of the current study
- Subject is pregnant or breastfeeding
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 |
|---|---|---|
| ALKS 9072, LowIM injection, given monthly | Drug | ALKS 9072, Low |
| ALKS 9072, HighIM injection, given monthly | Drug | ALKS 9072, High |
Primary outcome
Number of Subjects With Treatment-emergent Adverse Events (TEAEs)
Time frame: 52 weeks
This measure includes incidences >5%.
5 secondary outcomes
Mean Change From Baseline to Endpoint in Clinical Global Impression Scale for Severity (CGI-S)
Time frame: 52 weeks
Discontinuation From Study Due to Adverse Events (AEs)
Time frame: 52 weeks
Suicidal Ideation and Behavior Using the Columbia Suicide Severity Rating Scale (C-SSRS)
Time frame: 52 weeks
Incidence of Clinically Significant Changes Will be Calculated for Movement Disorders, Vital Signs and Routine Laboratory Tests
Time frame: 52 weeks
Mean Change From Baseline to Endpoint Using the Positive and Negative Symptom Scale (PANSS) Total Score and Subscale Scores
Time frame: 52 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Sep 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 28350572Hard ML, Mills RJ, Sadler BM, Turncliff RZ, Citrome L. Aripiprazole Lauroxil: Pharmacokinetic Profile of This Long-Acting Injectable Antipsychotic in Persons With Schizophrenia. J Clin Psychopharmacol. 2017 Jun;37(3):289-295. doi: 10.1097/JCP.0000000000000691.
- Derived from this study: PubMed 33761928McEvoy JP, Weiden PJ, Lysaker PH, Sun X, O'Sullivan AK. Long-term effect of aripiprazole lauroxil on health-related quality of life in patients with schizophrenia. BMC Psychiatry. 2021 Mar 24;21(1):164. doi: 10.1186/s12888-021-03124-2.
- Derived from this study: PubMed 32841554Lauriello J, Claxton A, Du Y, Weiden PJ. Beyond 52-Week Long-Term Safety: Long-Term Outcomes of Aripiprazole Lauroxil for Patients With Schizophrenia Continuing in an Extension Study. J Clin Psychiatry. 2020 Aug 18;81(5):19m12835. doi: 10.4088/JCP.19m12835.
- Derived from this study: PubMed 30109845Nasrallah HA, Aquila R, Du Y, Stanford AD, Claxton A, Weiden PJ. Long-term safety and tolerability of aripiprazole lauroxil in patients with schizophrenia. CNS Spectr. 2019 Aug;24(4):395-403. doi: 10.1017/S1092852918001104. Epub 2018 Aug 15.
- Derived from this study: PubMed 29941057Weiden PJ, Du Y, Liu CC, Stanford AD. Switching stable patients with schizophrenia from their oral antipsychotics to aripiprazole lauroxil: a post hoc safety analysis of the initial 12-week crossover period. CNS Spectr. 2019 Aug;24(4):419-425. doi: 10.1017/S1092852918000986. Epub 2018 Jun 26.
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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.
Alkermes Medical Director study director
Alkermes, Inc.
82 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing ALKS 9072, Low and ALKS 9072, High in people with Schizophrenia, run by Alkermes, Inc. at 82 sites in 8 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 9 inclusion and 15 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 25 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 82 sites in United States, Russia, Bulgaria, Ukraine, Philippines and 3 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 27 Oct 2016). 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?
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) (time frame: 52 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 NCT01626456, which also lists 5 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 25 Sep 2018.