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Risperdal Consta

Phase 4FDA approved 2003

Bipolar Disorder | Small molecule | Psychiatry |Johnson & Johnson|Trials Updated: Oct 15, 2015

Risperdal Consta development status

FDA approval Oct 29, 2003
Approval holderJanssen Pharms
ApplicationNDA021346
Highest phase Phase 4 (NCT00216554)
Phase scored for JNJPhase 3
Registered trials 116 across 36 sponsors since Sep 1999

Label indication RISPERDAL CONSTA is an atypical antipsychotic indicated: for the treatment of schizophrenia. ( 1.1 ) as monotherapy or as adjunctive therapy to lithium or valproate for the maintenance treatment of Bipolar I Disorder. ( 1.2 ) 1.1 Schizophrenia RISPERDAL CONSTA (risperidone) is indicated for the treatment of schizophrenia [see Clinical Studies (14.1) ].

Risperdal Consta target and mechanism

ModalitySmall molecule

Also known as risperidone (RISPERDAL CONSTA), Risperidone, Risperidone long acting injectables, Risperidone Long-Acting Injection (RLAI)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials43
Total Enrollment13,528

FDA Designations

No designations recorded

Risperdal Consta clinical trials

Risperdal Consta · 43 trials · 31 indications

Phase 3 42Phase 1 1
NCT01624675A Study to Evaluate the Efficacy and Safety of Risperidone (R064766) in Children and Adolescents With Irritability Associated With Autistic DisorderAutistic Disorder in Children and Adolescents
COMPLETED39 Analytics
NCT00589914Comparison of Paliperidone Palmitate and RISPERDAL CONSTA in Patients With SchizophreniaSchizophrenia
COMPLETED1,221 Analytics
NCT00132678A Study of the Safety and Efficacy of Injectable Risperidone in the Prevention of Bipolar Mood EpisodesBipolar Disorder
COMPLETED559 Analytics
NCT00095134Study Comparing Adjunctive Risperidone Versus Placebo in Major Depressive Disorder That Is Not Responding to Standard TherapyMajor Depressive Disorder
COMPLETED630 Analytics
NCT00246272An Open-label Study Evaluating the Maintenance of Clinical Effect in Adult Schizophrenia Patients Switched From Risperidone Tablets to an Equivalent Dose of a Rapidly-dissolving Tablet Formulation of RisperdoneSchizophrenia
COMPLETED82 Analytics
NCT00088075Investigate Risperidone for the Treatment of Schizophrenia in AdolescentsSchizophrenia
COMPLETED160 Analytics
NCT00240708A Study of the Efficacy and Safety of Long-acting Injectable Risperidone and Risperidone Tablets in Patients With SchizophreniaSchizophrenia
COMPLETED205 Analytics
NCT00094926A Study of Effectiveness and Safety of Risperdal CONSTA Added to Usual Treatment in Patients With Bipolar Disorder Who Have Frequent Mood Episodes.Bipolar Disorder
COMPLETED275 Analytics
NCT00216580A Pilot Study of the Use of Risperidone Long Acting Injectable in the Treatment of Patients With Recent Onset PsychosisSchizophrenia
COMPLETED50 Analytics
NCT00246246A Randomized, Open-label Trial of Long-acting Injectable Risperidone Versus Oral Antipsychotic Medication in Patients With Bipolar DisorderBipolar Disorder
COMPLETED48 Analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of Risperidone (R064766) in Children and Adolescents With Irritability Associated With Autistic Disorder
Autistic Disorder in Children and AdolescentsUnlock trial analytics
PHASE3COMPLETED
Comparison of Paliperidone Palmitate and RISPERDAL CONSTA in Patients With Schizophrenia
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Study of the Safety and Efficacy of Injectable Risperidone in the Prevention of Bipolar Mood Episodes
Bipolar DisorderUnlock trial analytics
PHASE3COMPLETED
Study Comparing Adjunctive Risperidone Versus Placebo in Major Depressive Disorder That Is Not Responding to Standard Therapy
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
An Open-label Study Evaluating the Maintenance of Clinical Effect in Adult Schizophrenia Patients Switched From Risperidone Tablets to an Equivalent Dose of a Rapidly-dissolving Tablet Formulation of Risperdone
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
Investigate Risperidone for the Treatment of Schizophrenia in Adolescents
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Study of the Efficacy and Safety of Long-acting Injectable Risperidone and Risperidone Tablets in Patients With Schizophrenia
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Study of Effectiveness and Safety of Risperdal CONSTA Added to Usual Treatment in Patients With Bipolar Disorder Who Have Frequent Mood Episodes.
Bipolar DisorderUnlock trial analytics
PHASE3COMPLETED
A Pilot Study of the Use of Risperidone Long Acting Injectable in the Treatment of Patients With Recent Onset Psychosis
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Randomized, Open-label Trial of Long-acting Injectable Risperidone Versus Oral Antipsychotic Medication in Patients With Bipolar Disorder
Bipolar DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

The change from baseline in the Aberrant Behavior Checklist-Japanese Version (ABC-J) Irritability Subscale scores
Baseline, Week 8

The ABC-J Irritability subscale consists of 15 items. Each item scores range from 0 to 3: 0 = No problem, 1 = Mild aberrant behavior, 2 = Moderate aberrant behavior, and 3 = Severe aberrant behavior. Higher scores represent worse condition.

Change in the Positive and Negative Syndrome Scale (PANSS) Total Score for Schizophrenia
Baseline to the last postrandomization assessment in the double-blind treatment period (approximately 13 weeks)

The PANSS scale is used to assess the neuropsychiatric symptoms of schizophrenia. The 30-item PANSS scale provides a total score (sum of the scores of all 30 items) and scores for 3 subscales, the positive subscale (7 items), the negative subscale (7 items),and the general psychopathology subscale (16 items), each item rated on a scale of 1 (absent) to 7 (extreme).

Number of Participants Who Had a Mood Relapse.
24 months

Mood Relapse was defined as: The subject met DSM-IV criteria for a manic, hypomanic, mixed, or depressive episode; or, the subject needed treatment intervention with any mood stabilizer, antipsychotic medication (other than study drug), benzodiazepine (beyond the dosage allowed), or antidepressant medication; or the subject required hospitalization for any bipolar mood episode; or the subject had a YMRS or MADRS score \>12 or a CGI-S score \>4; or a dose increase, or supplementation with oral risperidone or another antipsychotic or mood stabilizer, was needed in the opinion of the investigator.

Difference in therapeutic effect of risperidone and placebo as measured by change in depression rating scale (HAM-D) at end of week 4 of the double-blind phase.
CGI-Severity (CGI-S) score for maintenance of clinical effect
Change in total PANSS (Positive and Negative Syndrome Scale for Schizophrenia) from baseline to the 6-week endpoint
Positive and Negative Syndrome Scale (PANSS) at screening, Weeks 8, 16, and 24.
Efficacy will be determined by measuring the time (in days) from randomization to event/relapse; relapse will be assessed by clinical status, rating scale changes, and pharmacologic stability in double-blind phase.
52 weeks
Change in Positive and Negative Syndrome Scale (PANSS) from baseline to end of study
Changes in the Clinical Global Impression - Severity of Illness subscale (CGI-S) from baseline to endpoint, compared between treatment groups
The change in the total YMRS score from baseline at the 3-week endpoint
Change compared to baseline in total score of the Aberrant Behaviour Checklist (ABC)
Change from baseline in Montgomery-Asberg Depression Rating Scale (MADRS) total score at end of treatment; time to relapse
Effectiveness measured by incidence of symptom reoccurrence (relapse) in 1 year.
To accumulate long-term safety data: incidence of adverse events and clinical evaluations (physical exam, laboratory tests) conducted throughout the trial.
Time from start of double-blind phase to relapse, using N-CBRF and CGI assessments.
To accumulate long-term safety data: incidence of adverse events and clinical evaluations (physical examination, Extrapyramidal Symptom Rating Scale [ESRS], laboratory tests, ECGs).
To document the long-term safety of 25, 37.5 and 50 mg long-acting injectable risperidone from baseline until study end point.
Incidence, type, and severity of treatment-emergent adverse events throughout the treatment period.
Change in total PANSS (Positive and Negative Syndrome Scale for Schizophrenia) from baseline to the 8-week endpoint
Change of Positive and Negative Syndrome Scale for Schizophrenia (PANSS) score from baseline to each visit during treatment; incidence of adverse events throughout study
Change in Young Mania Rating Scale (YMRS) total score from baseline to end of treatment.
Acute efficacy: Change in Young Mania Rating Scale (YMRS) total score from baseline to endpoint of 3 weeks of acute treatment period.
Change from baseline to end of treatment (Week 8) in Psychosis Cluster Score of Pathology from the Behavioral Pathology in Alzheimer's Disease (BEHAVE-AD) Rating Scale and Clinical Global Impression (CGI).
Change in Young Mania Rating Scale (YMRS) total score from baseline to the end of treatment.
Mean change from baseline to Week 13 for total score using the Structured Clinical Interview- Positive and Negative Syndrome Scale (SCI-PANSS)
To document the long-term safety of 25, 50 and 75 mg long-acting injectable risperidone from baseline until study endpoint.
Incidence of adverse events; Injection site evaluation; Extrapyramidal Sympton Rating Scale (ESRS) results at each visit for at least 1 year; Clinical evaluations (physical exams, laboratory tests) will be conducted throughout trial
Change from baseline to the end of double-blind treatment in the PANSS (Positive and Negative Syndrome Scale for Schizophrenia) total score
Change in the Irritability Subscale of the Aberrant Behavior Checklist (ABC) and other ABC subscales at end of treatment compared with baseline
Change from baseline to the end of double-blind treatment in total aggression score of the CMAI (Cohen-Mansfield Agitation Inventory).
Change in Young Mania Rating Scale (YMRS) total score from baseline to end of double-blind treatment
Change in the Conduct Problem subscale of the Nisonger Child Behavior Rating Form (N-CBRF) at end of treatment compared with baseline.
Change from baseline to end of double-blind treatment on the total BEHAVE-AD score.
Change from baseline in a composite self-rating of the four most troubling symptoms identified at baseline.
Usefulness of the Risperdal® Consta® Treatment Guidebook; patient and clinician adherence to guidelines
Percent of patients showing clinical improvement, defined as a >=20% reduction in the total PANSS score from baseline to end of double-blind treatment, and the mean change from baseline to end of double-blind treatment in total PANSS score.
Reduction of >= 30% from baseline to the end of double-blind treatment on the total BEHAVE-AD score.
Change in the Conduct Problem subscale of the Nisonger Child Behavior Rating Form (N-CBRF) at end of treatment compared with baseline
Risperidone effectiveness is measured by time to relapse within the 52 week period.
PK parameters (Cmax and AUC) for active moiety, 9-OH-risperidone and risperidone

Secondary Endpoints

The changes from baseline in the subscale scores of Aberrant Behavior Checklist-Japanese Version (ABC-J) at each evaluation of the double-blind phase
Baseline, Week 2, Week 4, Week 6
The changes from baseline in the subscale scores of Aberrant Behavior Checklist-Japanese Version (ABC-J) at each evaluation of the open-label phase
Baseline, Week 2, Week 4, Week 8, Week 16, Week 24, Week 32, Week 40, Week 48
The changes from baseline in scores of the Clinical Global Impression - Severity (CGI-S) at each evaluation time point of the double-blind phase
Baseline, Week 1, Week 2, Week 3, Week 4, Week 6, Week 8
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RisperidoneEXPERIMENTALSubjects weighing less than 20 kilogram (kg) received risperidone 0.25 milligram per day (mg/day) up to Day 4. On Day 4, dose was titrated in increments of 0.25 mg/day (up to a daily dose of 1.0 mg) at the regular study visit thereafter till Week 8. Subjects weighing greater than or equal to (\>=) 20 kg received risperidone 0.5 mg/day up to Day 4. On Day 4, dose was titrated in increments of 0.5 mg per day (up to a daily dose of 2.5 mg) at the regular visit thereafter till Week 8. The maximum daily dose for subjects weighing \>= 45 kg was 3.0 mg. For subjects weighing \>=45 kg, the maximum daily dose was 3.0 mg.
PlaceboPLACEBO_COMPARATORSubjects will receive placebo matching with risperidone orally up to 8 weeks.
RISPERDAL CONSTAACTIVE_COMPARATORRISPERDAL CONSTA 25-50 mg eq every 2 weeks
R092670EXPERIMENTALPaliperidone Palmitate 50-150 mg eq every 4 wks
001EXPERIMENTALRisperdal Consta 12.5 25 37.5 or 50mg intramuscular (IM) injection every 2 weeks
002PLACEBO_COMPARATORPlacebo Matching placebo intramuscular (IM) injection every 2 weeks
Risperidone, long-acting injectableEXPERIMENTAL -

Interventions

NameTypeDescription
RisperidoneDRUGSubjects weighing less than 20 kilogram (kg) received risperidone 0.25 milligram per day (mg/day) up to Day 4. On Day 4, dose was titrated in increments of 0.25 mg/day (up to a daily dose of 1.0 mg) at the regular study visit thereafter till Week 8. Subjects weighing greater than or equal to (\>=) 20 kg received risperidone 0.5 mg/day up to Day 4. On Day 4, dose was titrated in increments of 0.5 mg per day (up to a daily dose of 2.5 mg) at the regular visit thereafter till Week 8. The maximum daily dose for subjects weighing \>= 45 kg was 3.0 mg. For subjects weighing \>=45 kg, the maximum daily dose was 3.0 mg.
PlaceboDRUGSubjects will receive placebo matching with risperidone orally up to 8 weeks.
RISPERDAL CONSTADRUGRISPERDAL CONSTA: Type=exact number, unit=mg, number=25, 37.5, or 50, form=suspension for injection, route=Intramuscular use. One i.m. injection of RISPERDAL CONSTA 25-50 mg eq every 2 weeks at V4, V6, V7, V8, V9, and V10. PALIPERIDONE PALMITATE PLACEBO: Form=suspension for injection, route=Intramuscular use. One i.m. injection every 2 weeks at Baseline and at V4, V7, and V9. RISPERIDONE: Type=up to, unit=mg, number=1 to 6, form=Tablet, route=Oral Use. One tablet for the first 4 weeks (28 days) of the DB treatment period.
Paliperidone palmitateDRUGPALIPERIDONE PALMITATE: Type=exact number, unit=mg, number=50, 100, or 150, form=suspension for injection, route=Intramuscular use. One i.m. injection of Paliperidone palmitate 50-150 mg eq every 4 wks at Baseline, V4, V7, and V9. RISPERDAL CONSTA PLACEBO: Form=suspension for injection, route=Intramuscular use. One i.m. injection every 4 weeks at Baseline, V4, V7, and V9.
Risperidone, long-acting injectableDRUG -
Risperidone, oral tabletsDRUG -
Risperidone oral solutionDRUG -
risperidone oral tabletsDRUG -
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Eligibility Criteria

Age Range5 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: * Diagnostic for autistic disorder * A Clinical Global Impression - Severity (CGI-S) score of =\>4 and an Aberrant Behavior Checklist - Japanese Version (ABC-J) Irritability Subscale score of =\>18 * Patients with mental age of \>18 months as measured by appropriate developmenta...

Countries:JapanUnited StatesAustriaBulgariaCzechiaEstoniaFranceGermanyHungaryIndiaLithuaniaPolandRussiaSpainUkraineMalaysiaSlovakiaTaiwan
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Frequently asked questions about Risperdal Consta

What is RISPERDAL CONSTA used for?

RISPERDAL CONSTA is a long-acting injectable antipsychotic used for the treatment of schizophrenia and bipolar disorder. It is a small molecule developed by Johnson & Johnson (JNJ). The drug is administered to help manage symptoms associated with these psychiatric conditions, and it has been studied in Phase 3 clinical trials.

What does RISPERDAL CONSTA target?

RISPERDAL CONSTA is an antipsychotic medication that works by modulating dopamine and serotonin receptors in the brain. This mechanism helps to alleviate symptoms of schizophrenia and bipolar disorder. The drug is a small molecule formulation designed for sustained release, providing long-lasting therapeutic effects.

Who makes RISPERDAL CONSTA?

RISPERDAL CONSTA is developed by Johnson & Johnson, a multinational pharmaceutical company traded under the ticker JNJ. The company has conducted Phase 3 clinical trials to evaluate the drug's safety and efficacy in treating schizophrenia and bipolar disorder.

What phase is RISPERDAL CONSTA in?

RISPERDAL CONSTA is in Phase 3 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory authorities. The Phase 3 trials have been completed, and the drug is being studied for its effectiveness and safety in patients with schizophrenia and bipolar disorder.

What clinical trials is RISPERDAL CONSTA in?

RISPERDAL CONSTA has been studied in three completed Phase 3 trials. NCT00094926 and NCT00132678 evaluated the drug in bipolar disorder, while NCT00589914 compared it to paliperidone palmitate in schizophrenia. These trials enrolled a total of 1,221 participants and were randomized, double-blind, and active-controlled.

Is RISPERDAL CONSTA the same as paliperidone palmitate?

No, RISPERDAL CONSTA is not the same as paliperidone palmitate. They are distinct medications, although both are long-acting injectable antipsychotics. A Phase 3 trial (NCT00589914) directly compared the two drugs in patients with schizophrenia to evaluate their relative safety and efficacy.