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Risperidone long acting injectable

Phase 3

Bipolar Disorder | Small molecule | Psychiatry |Johnson & Johnson|Last Updated: May 9, 2014

Target and mechanism

ModalitySmall molecule

Also known as Risperidone long-acting injectable, Risperidone Long Acting Injectable (LAI), Risperidone Long-acting Injectable

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment585

FDA Designations

No designations recorded

Clinical trial landscape

Risperidone long acting injectable · 7 trials · 4 indications

Phase 3 6Phase 1 1
NCT00391222A Study to Evaluate the Efficacy and Safety of Risperidone for the Prevention of Mood Episodes in the Treatment of Patients With Bipolar I DisorderBipolar Disorder
COMPLETED585 Analytics
NCT00828958Injection Site Tolerability of Multiple Dose Treatment With Long-acting Injectable Risperidone Administered Via Deltoid Muscle in Chronic Schizophrenia Patients.Schizophrenia
COMPLETED53 Analytics
NCT00843687A Comparison of the Pharmacokinetics and Safety of Long-acting Injectable Risperidone When Administered to Gluteal or Deltoid Intramuscular Injection Sites in Stable Schizophrenia Patients.Schizophrenia
COMPLETED188 Analytics
NCT01888107Maintenance of Efficacy With Risperidone Long Acting Injectable (R-LAI) in Patients With Schizophrenia or Schizoaffective DisorderSchizophrenia
COMPLETED347 Analytics
NCT00216476A Study of Relapse Prevention and the Effectiveness of Long-acting Injectable Risperidone and Quetiapine Tablets in the Treatment of Patients With Schizophrenia or Schizoaffective DisorderSchizophrenia
COMPLETED753 Analytics
NCT00249223A Comparison of the Effectiveness and Safety of Injectable Risperidone With That of Risperidone Tablets in the Treatment of Patients With Chronic SchizophreniaSchizophrenia
COMPLETED641 Analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of Risperidone for the Prevention of Mood Episodes in the Treatment of Patients With Bipolar I Disorder
Bipolar DisorderUnlock trial analytics
PHASE3COMPLETED
Injection Site Tolerability of Multiple Dose Treatment With Long-acting Injectable Risperidone Administered Via Deltoid Muscle in Chronic Schizophrenia Patients.
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Comparison of the Pharmacokinetics and Safety of Long-acting Injectable Risperidone When Administered to Gluteal or Deltoid Intramuscular Injection Sites in Stable Schizophrenia Patients.
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
Maintenance of Efficacy With Risperidone Long Acting Injectable (R-LAI) in Patients With Schizophrenia or Schizoaffective Disorder
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Study of Relapse Prevention and the Effectiveness of Long-acting Injectable Risperidone and Quetiapine Tablets in the Treatment of Patients With Schizophrenia or Schizoaffective Disorder
SchizophreniaUnlock trial analytics
PHASE3COMPLETED
A Comparison of the Effectiveness and Safety of Injectable Risperidone With That of Risperidone Tablets in the Treatment of Patients With Chronic Schizophrenia
SchizophreniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Time to Recurrence of a Mood Episode (Risperidone LAI Versus Placebo)
Assessed at every visit from the moment of randomization to a treatment arm (baseline Period III) until the end of treatment (Month 21 or earlier)

Recurrence was estimated using the Kaplan-Meier method and defined as meeting any of the following: DSM-IV-TR criteria for a hypomanic, manic, mixed, or depressive episode; in need of mood stabilizer, antipsychotic medication, benzodiazepine or antidepressant; requiring hospitalization for mood episode; either Young Mania Rating Scale (YMRS) \>12 or Montgomery-Åsberg Depression Rating Scale (MADRS) \>12 combined with Clinical Global Impression - Severity (CGI-S) \>=4; in need of increase in study medication dose or supplementation with oral risperidone or another antipsychotic or mood stabilizer.

The proportion of patients who discontinued from the study after having received at least 2 deltoid injections will be recorded.
Comparison of the pharmacokinetic parameters AUC and Cmax for 37.5 mg deltoid versus 25 mg gluteal, and for 50 mg deltoid versus 50 mg gluteal based on blood sampling at predefined intervals up to 85 days.
Change from Baseline in Positive and Negative Syndrome Scale (PANSS) total and subscales score
Baseline and after 4, 12, 26, 38 and 52 weeks

Maintenance= Symptom severity assessed with PANSS scale vs baseline (Total, positive, negative, general psychopathology and cognitive cluster score); Remission= percentage of patients with 8 specific items PANSS simultaneously scoring \<= 3 for at least 6 months

Mean Relapse Free Period(Risperidone LAI Versus Quetiapine)
Assessed at each visit from the moment the subject was randomized to a treatment arm (baseline visit) until the end of treatment (Week 104 or earlier)

Relapse was defined as meeting any of the predefined criteria (adapted from Csernansky et al., 2002) on 2 consecutive evaluations during treatment, 3 to 5 days apart. The relapse rate in each treatment arm was estimated using the Kaplan-Meier method.

Change from baseline to end of double-blind treatment in the total score for PANSS.
The max and min plasma concentrations, average plasma concentration, and time to reach the max plasma concentration at steady-state (2 weeks after 6th dose). Safety data for all timepoints will be summarized.

Secondary Endpoints

Time to Recurrence of an Elevated Mood (Hypomanic, Manic, or Mixed) Episode
Assessed at every visit from the moment of randomization to a treatment arm (baseline Period III) until the end of treatment (Month 21 or earlier)
Time to Recurrence of a Depressive Episode
Assessed at every visit from the moment of randomization to a treatment arm (baseline Period III) until the end of treatment (Month 21 or earlier)
Time to Early Study Discontinuation for Any Reason
Assessed at every visit from the moment of randomization to a treatment arm (baseline Period III) until the end of treatment (Month 21 or earlier)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
001EXPERIMENTALRisperidone Long Acting Injectable (LAI) Intramuscular injections of risperidone LAI (25 37.5 or 50 mg) every 2 weeks and oral placebo daily
002PLACEBO_COMPARATORPlacebo Intramuscular injections of placebo every 2 weeks and oral placebo daily
003ACTIVE_COMPARATOROlanzapine Intramuscular injections of placebo every 2 weeks and oral olanzapine 10 mg daily
Risperidone Long-acting Injectable (LAI)EXPERIMENTALRisperidone LAI will be administered in dosages of 25, 37.5, and 50 mg.

Interventions

NameTypeDescription
OlanzapineDRUGIntramuscular injections of placebo every 2 weeks and oral olanzapine 10 mg daily
PlaceboDRUGIntramuscular injections of placebo every 2 weeks and oral placebo daily
Risperidone Long Acting Injectable (LAI)DRUGIntramuscular injections of risperidone LAI (25, 37.5, or 50 mg) every 2 weeks and oral placebo daily
Risperidone long-acting injectableDRUG -
Risperidone Long-acting Injectable (LAI) 25 mgDRUGRisperidone LAI will be administered as a gluteal intramuscular injection given every 2 weeks for 52 weeks.
Risperidone LAI 37.5 mgDRUGRisperidone LAI will be administered as a gluteal intramuscular injection given every 2 weeks for 52 weeks.
Risperidone LAI 50 mgDRUGRisperidone LAI will be administered as a gluteal intramuscular injection given every 2 weeks for 52 weeks.
AripiprazoleDRUG10-30 mg oral once daily for 104 weeks
QuetiapineDRUGOral tablets are titrated from 50 mg daily to 300-400 mg daily in first 4 days. Subsequently treatment is maintained for 104 weeks and dosage can be adjusted with increments or decrements of 25 to 50 mg.
Risperidone Long acting injectableDRUG -
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites63

Inclusion Criteria: * Diagnosis of bipolar I disorder as defined by DSM-IV-TR criteria. All diagnoses will be confirmed by the Mini International Neuropsychiatric Interview (M.I.N.I.). Patients who present with additional signs or symptoms compatible with Axis I diagnoses of social anxiety disorder...

Countries:ChinaColombiaGermanyGreeceIndiaIndonesiaJordanLebanonMalaysiaMexicoPeruPhilippinesRussiaSouth AfricaTaiwanAustriaBulgariaCroatiaCzechiaDenmarkEstoniaFranceHungaryIrelandIsraelLatviaLithuaniaPolandPortugalRomaniaSaudi ArabiaSlovakiaSloveniaSpainSwedenTurkey (Türkiye)United Kingdom
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