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Iloperidone crystalline formulation

Phase 1

Schizophrenia | Small molecule | Psychiatry |Novartis AG|Last Updated: Jan 22, 2014

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
RandomizedCONTROLLED
Total Trials1
Total Enrollment81
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01348100Safety, Tolerability, and Pharmacokinetics of Iloperidone Depot in Schizophrenic PatientsPHASE1 COMPLETED 81Apr 1, 2011Jul 1, 2012Jan 22, 20142 United States
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Study Endpoints
Primary Endpoints
Maximum Observed Plasma Concentration (Cmax) of Iloperidone Divided by the Average Plasma Concentration (Cav) of Iloperidone (Cmax/Cav) - Phase B
Pre-dose to 26 days post-dose

Blood samples for pharmacokinetic (PK) evaluation were drawn pre-dose and at 3, 6, and 12 hours on Day 1; at 0 and 12 hours on Day 2; and on Days 3, 4, 6, 8, 10, 14, 18, 22, and 26 following administration of iloperidone. PK parameters were calculated from plasma concentration-time data using non-compartmental methods.

The Average Plasma Concentration (Cav) of Iloperidone - Phase C
Pre-dose to 26 days post-dose

Blood samples for pharmacokinetic (PK) evaluation were drawn pre-dose and at 3, 6, and 12 hours on Day 1; at 0 and 12 hours on Day 2; and on Days 3, 4, 6, 8, 10, 14, 18, 22, and 26 following administration of iloperidone. Blood samples were collected after each depot injection. PK parameters were calculated from plasma concentration-time data using non-compartmental methods. Cav was calculated as AUC0-672h/672 h.

Secondary Endpoints
Time to Reach the Maximum Plasma Concentration (Tmax) of Iloperidone - Phase B
Pre-dose to 26 days post-dose
Maximum Observed Plasma Concentration (Cmax) of Iloperidone - Phase B
Pre-dose to 26 days post-dose
Area Under the Plasma Concentration-time Curve From 0 to the End of the Dosing Period (AUCtau) of Iloperidone - Phase B
Pre-dose to 26 days post-dose
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Iloperidone 50 mg crystalline formulation - Phase AEXPERIMENTALParticipants received a crystalline formulation of iloperidone 50 mg in a depot intramuscular (IM) injection 1 time. Prior to receiving IM iloperidone, participants were gradually titrated up with oral iloperidone for at least 7 days to stable doses of 12 to 24 mg daily.
Iloperidone 125 mg crystalline formulation - Phase AEXPERIMENTALParticipants received a crystalline formulation of iloperidone 125 mg in a depot IM injection 1 time. Prior to receiving IM iloperidone, participants were gradually titrated up with oral iloperidone for at least 7 days to stable doses of 12 to 24 mg daily.
Iloperidone 250 mg crystalline formulation - Phase BEXPERIMENTALParticipants received a crystalline formulation of iloperidone 250 mg in a depot IM injection 1 time. Prior to receiving IM iloperidone, participants were gradually titrated up with oral iloperidone for at least 10 to 14 days to stable doses of 12 to 24 mg daily.
Iloperidone 250 mg microparticle formulation - Phase BEXPERIMENTALParticipants received a microparticle formulation of iloperidone 250 mg in a depot IM injection 1 time. Prior to receiving IM iloperidone, participants were gradually titrated up with oral iloperidone for at least 10 to 14 days to stable doses of 12 to 24 mg daily.
Iloperidone 250 mg microparticle formulation - Phase CEXPERIMENTALParticipants received a microparticle formulation of iloperidone 250 mg in a depot IM injection 2 times 28 days apart. Prior to receiving IM iloperidone, participants were gradually titrated up with oral iloperidone for at least 10 to 14 days to stable doses of 12 to 24 mg daily.
Iloperidone 500 mg microparticle formulation - Phase CEXPERIMENTALParticipants received a microparticle formulation of iloperidone 500 mg in a depot IM injection 2 times 28 days apart. Prior to receiving IM iloperidone, participants were gradually titrated up with oral iloperidone for at least 10 to 14 days to stable doses of 12 to 24 mg daily.
Iloperidone 625 mg microparticle formulation - Phase CEXPERIMENTALParticipants received a microparticle formulation of iloperidone 625 mg in a depot IM injection 2 times 28 days apart. Prior to receiving IM iloperidone, participants were gradually titrated up with oral iloperidone for at least 10 to 14 days to stable doses of 12 to 24 mg daily.
Interventions
NameTypeDescription
Iloperidone crystalline formulationDRUGIloperidone was formulated as 100 µm crystals for IM depot injection.
Iloperidone microparticle formulationDRUGIloperidone was formulated as microparticles for IM depot injection.
Oral iloperidoneDRUGPrior to receiving an intramuscular (IM) injection of iloperidone, patients were gradually titrated up with oral iloperidone to stable doses of 12 to 24 mg daily. In Phase A, oral iloperidone dosing lasted for at least 7 days and, in Phases B and C, for at least 10 to 14 days.
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Patients with schizophrenia that have been stable for 3 months. Exclusion Criteria: * Women who can become or are currently pregnant or lactating. * Hypersensitivity to iloperidone or related drugs. Other protocol-defined inclusion/exclusion criteria may apply.

Countries:United States
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