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Paliperidone OROS

Phase 3

Schizophrenia | Small molecule | Psychiatry |Johnson & Johnson|Trials Updated: Jun 8, 2011

Paliperidone OROS target and mechanism

Molecular targetHTR2A, DRD2
Target classAntagonist
ModalitySmall molecule

Also known as Paliperidone ER OROS

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials3
Total Enrollment349

FDA Designations

No designations recorded

Paliperidone OROS clinical trials

Paliperidone OROS · 3 trials · 1 indication

Phase 3 2Phase 1 1
NCT0075242724-Week Open Label Extension to a Randomized, 6-Week Double Blind, Placebo Controlled Study, to Evaluate the Safety and Tolerability of Flexible Doses of Extended Release OROS® Paliperidone in the Treatment of Geriatric Subjects With SchizophreniaSchizophrenia
COMPLETED86 Analytics
NCT00210769A Study of the Long-term Safety and Tolerability and the Long-term Effectiveness of Extended-release Oral Paliperidone in Patients Diagnosed With SchizophreniaSchizophrenia
COMPLETED203 Analytics
PHASE3COMPLETED
24-Week Open Label Extension to a Randomized, 6-Week Double Blind, Placebo Controlled Study, to Evaluate the Safety and Tolerability of Flexible Doses of Extended Release OROS® Paliperidone in the Treatment of Geriatric Subjects With Schizophrenia
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Study of the Long-term Safety and Tolerability and the Long-term Effectiveness of Extended-release Oral Paliperidone in Patients Diagnosed With Schizophrenia
SchizophreniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Long-term assessment of safety and tolerability of Extended Release (ER) OROS paliperidone (3 mg to 12 mg/day) in subjects (>65 years of age) with schizophrenia
Standard safety evaluations, and monitoring of extrapyramidal symptoms (tardive dyskinesia, akathisia) by the Abnormal Involuntary Movement Scale (AIMS), Barnes Akathisia Rating Scale (BARS), and Simpson Angus Scale (SAS), throughout the long-term study.
Safety and tolerability of extended-release (ER) OROS paliperidone in healthy Japanese and Caucasian adults. Paliperidone plasma concentrations, time profiles and PK parameters after single and multiple dosing for Japanese and Caucasian patients.

Secondary Endpoints

Assessment of long-term efficacy of Extended Release (ER) OROS paliperidone (3 mg to 12 mg/day) in subjects (>65 years of age) with schizophrenia, .
Assessment of long-term effectiveness by the Positive and Negative Syndrome Scale (PANSS), Clinical Global Impression Scale - Severity (CGI-S), Personal and Social Performance Scale (PSP), and Schizophrenia Quality of Life Scale, Revision 4 (SQLS-R4).
Pharmacogenomics: Relationships between composite genetic description or predicted observable traits and the pharmacokinetic parameters of paliperidone and its enantiomers were explored graphically.
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Interventions

NameTypeDescription
Paliperidone ER OROS®DRUG -
paliperidone ER OrosDRUG -
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Eligibility Criteria

Age Range65 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Subjects who had completed the double-blind phase or discontinued due to lack of efficacy after at least 21 days of treatment, who signed the informed consent for the open-label phase, and who the investigator agreed that open-label treatment was in the best interest of the su...

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Frequently asked questions about Paliperidone OROS

What is Paliperidone OROS?

Paliperidone OROS is an extended-release oral formulation of paliperidone, a small molecule antipsychotic developed by Johnson & Johnson. It is being studied for the treatment of schizophrenia. The OROS designation refers to the osmotic controlled-release oral delivery system used to release the drug over time.

What is Paliperidone OROS used for in schizophrenia?

Paliperidone OROS is being studied for the treatment of schizophrenia, including in geriatric patients aged 65 and older. Clinical trials have evaluated its safety, tolerability, and long-term effectiveness in patients diagnosed with schizophrenia. It remains an investigational formulation in clinical development rather than an approved product.

What does Paliperidone OROS target?

Paliperidone OROS targets the serotonin 5-HT2A receptor, encoded by HTR2A, and the dopamine D2 receptor, encoded by DRD2. It acts as an antagonist at both receptors. This dual serotonin and dopamine receptor antagonism is the pharmacological basis for its activity in schizophrenia.

Who makes Paliperidone OROS?

Paliperidone OROS is developed by Johnson & Johnson, which trades under the ticker JNJ. The company has sponsored the clinical trial program evaluating the extended-release oral formulation in schizophrenia, including pharmacokinetic studies and Phase 3 safety and tolerability trials.

What phase is Paliperidone OROS in?

Paliperidone OROS is in Phase 3 clinical development. Three trials have been completed, including two Phase 3 studies and one Phase 1 pharmacokinetic study, with no trials currently active. It is an investigational formulation and is not approved by the FDA.

What clinical trials is Paliperidone OROS in?

Paliperidone OROS has been evaluated in three completed trials: NCT00758030, a Phase 1 pharmacokinetic study in healthy Japanese and Caucasian adults; NCT00752427, a Phase 3 open-label extension in geriatric schizophrenia patients; and NCT00210769, a Phase 3 long-term safety and effectiveness study in adults with schizophrenia.

Is Paliperidone OROS the same as Paliperidone ER OROS?

Yes, Paliperidone OROS is also known as Paliperidone ER OROS and Paliperidone ER OROS®. These names refer to the same extended-release oral paliperidone formulation developed by Johnson & Johnson for schizophrenia, so searches using any of these names point to the same investigational asset.