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PP3M eq.

Phase 3

Schizophrenia | Small molecule | Psychiatry |Johnson & Johnson|Last Updated: May 11, 2016

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment1,938
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01515423Study of Paliperidone Palmitate 3 Month and 1 Month Formulations for the Treatment of Patients With SchizophreniaPHASE3 COMPLETED 1,429May 1, 2012Mar 1, 2015May 2, 2016174 United States, Argentina +24
NCT01529515A Study of Paliperidone Palmitate 3 Month Formulation for the Treatment of Patients With SchizophreniaPHASE3 COMPLETED 509May 1, 2012Apr 1, 2014May 11, 201653 United States, Colombia +6
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Study Endpoints
Primary Endpoints
Percentage of Participants Without Relapse at Week 48 During the Double-Blind Phase
Up to 48 weeks

Relapse defined as: Psychiatric hospitalization;participant had an increase of 25 percent in total PANSS score from randomization for 2 consecutive assessments separated by 3-7 days if score at randomization was greater than (\>) 40; had a 10 point increase in total PANSS score from randomization for 2 consecutive assessments separated by 3-7 days if score at randomization was less than or equal to (\<=) 40; deliberate self-injury or exhibited violent behavior resulting in suicide, clinically significant injury;suicidal or homicidal ideation and aggressive behavior;For PANSS items-had a score of greater than or equal to (\>=) 5 after randomization for 2 consecutive assessments separated by 3-7 days on any of above items if maximum score for these above PANSS items was \<=3 at randomization; had a score of \>=6 after randomization for 2 consecutive assessments separated by 3-7 days on any of above items if maximum score for these above PANSS items was 4 at randomization.

Time to Relapse During the Double-Blind Phase
Approximately Week 60

Time to relapse defined as the time between participant randomization into the double blind Phase and the first documentation of a relapse event. Median time to relapse was estimated by the Kaplan-Meier method.

Secondary Endpoints
Change From Double-Blind (DB) Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Week 48
DB Baseline (Week 17) and 48 week or DB Endpoint
Change From DB Baseline in Clinical Global Impression Severity (CGI-S) Scale Score at Week 48
DB Baseline (Week 17) and 48 week or DB Endpoint
Change From DB Baseline in Personal and Social Performance (PSP) Total Score at Week 48
DB Baseline (Week 17) and 48 week or DB Endpoint
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Paliperidone palmitate 3-month (PP3M)EXPERIMENTALA formulation of paliperidone palmitate with a 3-month injection interval
Paliperidone palmitate 1-month (PP1M)ACTIVE_COMPARATORA formulation of paliperidone palmitate with a 1-month injection interval
PlaceboPLACEBO_COMPARATOR -
Interventions
NameTypeDescription
PP3M 175 mg eq.DRUGType= exact number, unit= mg eq., number= 175, form= injection, route= intramuscular use. One injection every third month for 48 weeks.
PP3M 263 mg eq.DRUGType= exact number, unit= mg eq., number= 263, form= injection, route= intramuscular use. One injection every third month for 48 weeks.
PP3M 350 mg eq.DRUGType= exact number, unit= mg eq., number= 350, form= injection, route= intramuscular use. One injection every third month for 48 weeks.
PP3M 525 mg eq.DRUGType= exact number, unit= mg eq., number= 525, form= injection, route= intramuscular use. One injection every third month for 48 weeks.
Placebo (20% Intralipid)DRUGForm= injection, route= intramuscular use. One injection monthly when not receiving active medication for 48 weeks.
PP1M 50 mg eq.DRUGType= exact number, unit= mg eq., number= 50, form= injection, route= intramuscular use. One injection every month for 48 weeks.
PP1M 75 mg eq.DRUGType= exact number, unit= mg eq., number= 75, form= injection, route= intramuscular use. One injection every month for 48 weeks.
PP1M 100 mg eq.DRUGType= exact number, unit= mg eq., number= 100, form= injection, route= intramuscular use. One injection every month for 48 weeks.
PP1M 150 mg eq.DRUGType= exact number, unit= mg eq., number= 150, form= injection, route= intramuscular use. One injection every month for 48 weeks.
Placebo (20% Intralipid emulsion)DRUGForm= injection, route= intramuscular use. One injection every three months up to the patient has a relapse event or meet discontinuation criteria.
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Eligibility Criteria
Age Range18 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites174

Inclusion Criteria: * Patients with schizophrenia for more than 1 year and whose symptoms are worsening in the opinion of the investigator * A total score in the Positive and Negative Syndrome Scale (PANSS) between 70 and 120 * Signed informed consent * Women must not be pregnant, breastfeeding, an...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilBulgariaCanadaChinaCzechiaFranceGermanyGreeceHungaryJapanMexicoPolandPortugalRomaniaRussiaSlovakiaSouth KoreaSpainSwedenTaiwanUkraineColombiaMalaysiaTurkey (Türkiye)
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