Recent Updates
Recently added Catalysts

Asenapine

Phase 3

Schizophrenia | Small molecule | Psychiatry |Organon & Co.|Last Updated: Aug 15, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials17
Total Enrollment6,828
FDA Designations
No designations recorded
Clinical Trials (17)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01617187A Study of the Efficacy and Safety of Asenapine in Participants With an Acute Exacerbation of Schizophrenia (P05688)PHASE3 COMPLETED 360Dec 4, 2012Sep 9, 2014Jun 18, 2024 -
NCT01244828Long-term Study of Asenapine in Participants With Residual Subtype, Receiving Multiple or/and High Dose Drugs, or Treatment Refractory Schizophrenia (P06238)PHASE3 COMPLETED 157Apr 5, 2011Aug 21, 2014May 28, 2024 -
NCT01142596Long-term Extension Trial of Asenapine in Subjects With Schizophrenia (Study P06125)PHASE3 COMPLETED 201May 25, 2010Apr 22, 2015May 28, 2024 -
NCT010981106-week Trial of the Efficacy and Safety of Asenapine Compared to Placebo in Participants With an Acute Exacerbation of Schizophrenia (P06124)PHASE3 COMPLETED 532May 25, 2010Apr 14, 2014Jun 20, 2024 -
NCT002653436-Month Extension Trial of Asenapine With Olanzapine in Negative Symptom Patients Who Completed the Protocol 25543 (25544)(P05777)PHASE3 COMPLETED 306Dec 1, 2005Jan 1, 2008Feb 9, 2022 -
NCT00156065Long-Term Efficacy and Safety of Asenapine Using Haloperidol as a Positive Control (41513)(COMPLETED)(P05785)PHASE3 COMPLETED 187Sep 1, 2005Oct 1, 2007Feb 8, 2022 -
NCT00156104Efficacy and Safety of Asenapine With Placebo and Haloperidol (41023)(P05926)(COMPLETED)PHASE3 COMPLETED 460Jul 1, 2005Sep 16, 2006Aug 15, 2024 -
NCT001742656-Month Extension Trial of Asenapine With Olanzapine in Negative Symptoms Patients Who Completed the First 6- Month Trial (A7501014)(COMPLETED)(P05772)PHASE3 COMPLETED 196Jul 1, 2005May 1, 2009Feb 9, 2022 -
NCT00156117Efficacy and Safety of Asenapine With Placebo and Olanzapine (41021)(P05933)PHASE3 COMPLETED 417May 12, 2005May 30, 2006Aug 15, 2024 -
NCT00212836Efficacy and Safety of Asenapine Compared With Olanzapine in Patients With Persistent Negative Symptoms of Schizophrenia (25543)(COMPLETED)(P05817)PHASE3 COMPLETED 481Apr 21, 2005Aug 2, 2007Aug 15, 2024 -
NCT00150176To Determine Long Term Efficacy and Safety of Asenapine in Schizophrenic Patient Population (A7501012)(COMPLETED)(P05770)PHASE3 COMPLETED 831Apr 1, 2005Jul 1, 2008Feb 8, 2022 -
NCT00156091Long-Term Efficacy and Safety of Asenapine Using Olanzapine as a Positive Control (41512)(COMPLETED)(P05784)PHASE3 COMPLETED 260Apr 1, 2005Jun 1, 2007Feb 16, 2022 -
NCT00151424Efficacy and Safety of Asenapine With Placebo and Olanzapine (41022)(P05947)PHASE3 COMPLETED 277Feb 15, 2005Feb 6, 2006Aug 15, 2024 -
NCT00145496Efficacy and Safety of Asenapine Compared With Olanzapine in Patients With Persistent Negative Symptoms of Schizophrenia (A7501013)(COMPLETED)(P05771)PHASE3 COMPLETED 468Dec 1, 2004Dec 1, 2008Feb 8, 2022 -
NCT00212771Efficacy and Safety of Asenapine Using an Active Control in Subjects With Schizophrenia or Schizoaffective Disorder (25520)(P05846)PHASE3 COMPLETED 440Sep 1, 2004Oct 1, 2006Feb 16, 2022 -
NCT00212784Efficacy and Safety of Asenapine Using an Active Control in Subjects With Schizophrenia or Schizoaffective Disorder (25517)(P05935)PHASE3 COMPLETED 1,225Sep 4, 2003Mar 15, 2006Aug 15, 2024 -
NCT01206517A Study to Evaluate the Pharmacokinetics, Safety and Tolerability of Sublingual Asenapine in a Pediatric Population With Schizophrenia or Bipolar I Disorder (P06522 AM1)PHASE1 COMPLETED 30Jul 18, 2010Aug 4, 2011May 23, 2024 -
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Change From Baseline in PANSS Total Score at Day 42
Baseline and Day 42

The PANSS is a 30-item clinician-rated instrument for assessing schizophrenia symptoms. It consists of 3 subscales: positive subscale (7 items), negative subscale (7 items), and general psychopathology subscale (16 items). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The PANSS total score for each participant was sum of the rating assigned to each of the 30 PANSS items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. The reported measure is the change from baseline at Day 42; improvement in symptoms is represented by negative values.

Change From Baseline in Weight at Week 52
Baseline and Week 52

For each participant, change from baseline in weight was calculated as the Week 52 value minus the baseline value.

Change From Baseline in BMI at Week 52
Baseline and Week 52

For each participant, change from baseline in BMI was calculated as the Week 52 value minus the baseline value.

Number of Participants With Extrapyramidal Symptoms
Up to 30 days after last dose of study drug (Up to approximately 56 weeks)

This measure reports the overall number of participants with any of a group of adverse events that were defined to represent extrapyramidal symptoms. The number of participants with each of the individual adverse events within this definition is also presented, for terms that occurred in at least one participant. For this measure, all adverse event terms within the Medical Dictionary for Regulatory Activities (MedDRA) Standardized MedDRA Query (SMQ) for "extrapyramidal syndrome" were treated as extrapyramidal symptoms.

Change From Baseline in HbA1c at Week 52
Baseline and Week 52

Blood samples for determination of HbA1c were obtained at baseline and during the study. For each participant, change from baseline in HbA1c at Week 52 was calculated as the Week 52 value minus the baseline value.

Change From Baseline in Fasting Glucose at Week 52
Baseline and Week 52

Blood samples for determination of fasting glucose level were obtained at baseline and during the study. For each participant, change from baseline in fasting glucose at Week 52 was calculated as the Week 52 level minus the baseline level.

Change From Baseline in Insulin at Week 52
Baseline and Week 52

Blood samples for determination of insulin level were obtained at baseline and during the study. For each participant, change from baseline in insulin at Week 52 was calculated as the Week 52 level minus the baseline level.

Change From Baseline in Prolactin at Week 52
Baseline and Week 52

Blood samples for determination of prolactin level were obtained at baseline and during the study. For each participant, change from baseline in prolactin at Week 52 was calculated as the Week 52 level minus the baseline level.

Change From Baseline in PANSS Total Score at Week 52
Baseline and Week 52

The PANSS is a 30-item clinician-rated instrument for assessing the symptoms of schizophrenia. It consists of 3 subscales: positive subscale (7 items), negative subscale (7 items), and general psychopathology subscale (16 items). Positive symptoms refer to an excess or distortion of normal mental status (e.g., delusions). Negative symptoms represent a diminution or loss of normal functions (e.g., emotional withdrawal). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The PANSS total score for each participant was calculated as the sum of the rating assigned to each of the 30 PANSS items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. The reported measure is the change from baseline at Week 52 (calculated for a participant as Week 52 value minus baseline value); improvement in symptoms is represented by negative values.

Change From Baseline in PANSS Total Score at Final Assessment
Baseline up to Week 52

The PANSS is a 30-item clinician-rated instrument for assessing the symptoms of schizophrenia. It consists of 3 subscales: positive subscale (7 items), negative subscale (7 items), and general psychopathology subscale (16 items). Positive symptoms refer to an excess or distortion of normal mental status (e.g., delusions). Negative symptoms represent a diminution or loss of normal functions (e.g., emotional withdrawal). For each item, symptom severity was rated on a 7-point scale, from 1=absent to 7=extreme. The PANSS total score for each participant was calculated as the sum of the rating assigned to each of the 30 PANSS items, and ranged from 30 to 210 with a higher score indicating greater severity of symptoms. The reported measure is the change from baseline at the final assessment for a participant (calculated for a participant as final assessment value minus baseline value); improvement in symptoms is represented by negative values.

Percentage of Participants in Categories of Change in Weight From Study P06124 Baseline to Final Assessment
Study P06124 baseline and P06125 study from Day 1 up to Week 52

For each participant, change in weight from preceding 6-week double-blind Study P06124 baseline to the final assessment of extension study P06125 was determined (calculated as final assessment value minus baseline value). Final assessment was last evaluation of participant in study, whether participant completed or did not complete study. Participants were allocated to categories of percentage change from defined baseline to final assessment.

Percentage of Participants in Categories of Change in Weight From Study P06125 Baseline to Final Assessment
Study P06125 baseline up to Week 52

For each participant, change in weight from extension study P06125 baseline to the final assessment of extension study was determined (calculated as final assessment value minus baseline value). Final assessment was last evaluation of participant in study, whether participant completed or did not complete study. Participants were allocated to categories of percentage change from defined baseline to final assessment.

Change From Study P06124 Baseline in Body Mass Index (BMI) at Week 52
Study P06124 baseline and study P06125 Week 52

For each participant, change in BMI from preceding 6-week double-blind Study P06124 baseline to Week 52 of extension study P06125 was determined (calculated as Week 52 value minus baseline value).

Change From Study P06125 Baseline in BMI at Week 52
Study P06125 baseline and Week 52

For each participant, change in BMI from extension study P06125 baseline to Week 52 of extension study was determined (calculated as Week 52 value minus baseline value).

Change From Study P06124 Baseline in Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS) Total Score at Endpoint
Study P06124 baseline and P06125 study from Day 1 up to Week 52

Change in DIEPSS Total Score from preceding 6-week double-blind Study P06124 baseline to endpoint assessment of extension study P06125 was determined (calculated as endpoint value minus baseline value). Endpoint assessment was last evaluation of participant for this measure in study, whether participant completed or did not complete study. DIEPSS is a scale, rated by the investigator or rater appointed by the investigator, used to evaluate the severity of drug induced extrapyramidal symptoms occurring during antipsychotic drug treatment. It consists of 9 items: Items 1 through 8 assess individual symptoms; Item 9 is an assessment of global severity. Items 1 through 8 are classified into 4 categories of parkinsonism, akathisia, dystonia and dyskinesia. Each item is rated from 0 (none, normal) to 4 (severe). The Total Score is the sum of scores on Items 1 through 8, with a range from 0 (normal) to 32 (severe). Negative values of change from baseline represent improvement in symptoms.

Change From Study P06125 Baseline in DIEPSS Total Score at Endpoint
Study P06125 baseline up to Week 52

Change in DIEPSS Total Score from extension study P06125 baseline to the endpoint assessment of extension study was determined (calculated as endpoint value minus baseline value). Endpoint assessment was last evaluation of participant for this measure in study, whether participant completed or did not complete study. DIEPSS is a scale, rated by the investigator or rater appointed by the investigator, used to evaluate the severity of drug induced extrapyramidal symptoms occurring during antipsychotic drug treatment. It consists of 9 items: Items 1 through 8 assess individual symptoms; Item 9 is an assessment of global severity. Items 1 through 8 are classified into 4 categories of parkinsonism, akathisia, dystonia and dyskinesia. Each item is rated from 0 (none, normal) to 4 (severe). The Total Score is the sum of scores on Items 1 through 8, with a range from 0 (normal) to 32 (severe). Negative values of change from baseline represent improvement in symptoms.

Change From Study P06124 Baseline in DIEPSS Item 9 Score at Endpoint
Study P06124 baseline and P06125 study from Day 1 up to Week 52

Change in DIEPSS Item 9 (Global) Score from preceding 6-week double-blind Study P06124 baseline to endpoint assessment of extension study P06125 was determined (calculated as endpoint value minus baseline value). Endpoint assessment was last evaluation of participant for this measure in study, whether participant completed or did not complete study. DIEPSS is a scale, rated by the investigator or rater appointed by the investigator, used to evaluate the severity of drug induced extrapyramidal symptoms occurring during antipsychotic drug treatment. It consists of 9 items: Items 1 through 8 assess individual symptoms; Item 9 is an assessment of global severity. Each item is rated from 0 (none, normal) to 4 (severe). Negative values of change from baseline represent improvement in symptoms.

Change From Study P06125 Baseline in DIEPSS Item 9 Score at Endpoint
Study P06125 baseline up to Week 52

Change in DIEPSS Item 9 (Global) Score from extension study P06125 baseline to the endpoint assessment of extension study was determined (calculated as endpoint value minus baseline value). Endpoint assessment was last evaluation of participant for this measure in study, whether participant completed or did not complete study. DIEPSS is a scale, rated by the investigator or rater appointed by the investigator, used to evaluate the severity of drug induced extrapyramidal symptoms occurring during antipsychotic drug treatment. It consists of 9 items: Items 1 through 8 assess individual symptoms; Item 9 is an assessment of global severity. Each item is rated from 0 (none, normal) to 4 (severe). Negative values of change from baseline represent improvement in symptoms.

Change From Study P06124 Baseline in Glycosylated Hemoglobin (HbA1c) at Week 52
Study P06124 baseline and study P06125 Week 52

For each participant, change in HbA1c from preceding 6-week double-blind Study P06124 baseline to Week 52 of extension study P06125 was determined (calculated as Week 52 value minus baseline value).

Change From Study P06125 Baseline in HbA1c at Week 52
Study P06125 baseline and Week 52

For each participant, change in HbA1c from extension study P06125 baseline to Week 52 of extension study was determined (calculated as Week 52 value minus baseline value).

Change From Study P06124 Baseline in Fasting Glucose at Week 52
Study P06124 baseline and study P06125 Week 52

For each participant, change in fasting glucose from preceding 6-week double-blind Study P06124 baseline to Week 52 of extension study P06125 was determined (calculated as Week 52 value minus baseline value).

Change From Study P06125 Baseline in Fasting Glucose at Week 52
Study P06125 baseline and Week 52

For each participant, change in fasting glucose from extension study P06125 baseline to Week 52 of extension study was determined (calculated as Week 52 value minus baseline value).

Change From Study P06124 Baseline in Insulin at Week 52
Study P06124 baseline and study P06125 Week 52

For each participant, change in insulin from preceding 6-week double-blind Study P06124 baseline to Week 52 of extension study P06125 was determined (calculated as Week 52 value minus baseline value).

Change From Study P06125 Baseline in Insulin at Week 52
Study P06125 baseline and Week 52

For each participant, change in insulin from extension study P06125 baseline to Week 52 of extension study was determined (calculated as Week 52 value minus baseline value).

Change From Study P06124 Baseline in Prolactin at Week 52
Study P06124 baseline and study P06125 Week 52

For each participant, change in prolactin from preceding 6-week double-blind Study P06124 baseline to Week 52 of extension study P06125 was determined (calculated as Week 52 value minus baseline value).

Change From Study P06125 Baseline in Prolactin at Week 52
Study P06125 baseline and Week 52

For each participant, change in prolactin from extension study P06125 baseline to Week 52 of extension study was determined (calculated as Week 52 value minus baseline value).

Number of Participants With Serious Adverse Events (AEs)
Up to 30 days after last dose of study drug (Up to approximately 56 weeks)

An AE is defined as any untoward medical occurrence in a participant administered study drug and which does not necessarily have to have a causal relationship with the study drug. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with study drug administration, whether or not considered related to study drug. A serious AE (SAE) is any AE occurring at any dose that results in death, is life-threatening, results in hospitalization or prolongation of hospitalization, results in persistent or significant disability/incapacity, or is a congenital anomaly/birth defect. In addition, an important medical event that may not result in death, be life-threatening, or require hospitalization may be considered an SAE when it may jeopardize the participant and may require medical or surgical intervention to prevent one of the outcomes listed in this definition.

Number of Participants With Non-serious AEs
Up to 30 days after last dose of study drug (Up to approximately 56 weeks)

An AE is defined as any untoward medical occurrence in a participant administered study drug and which does not necessarily have to have a causal relationship with the study drug. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with study drug administration, whether or not considered related to study drug. This measure presents the number of participants with at least one AEs that was non-serious (i.e., was not determined to be an SAE).

Percentage of Participants With Abnormalities on Electrocardiogram (ECG) at Study P06124 Baseline, Study P06125 Baseline and Week 52
Study P06124 baseline and P06125 study baseline and Week 52

The percentage of participants with abnormal ECG findings is reported for three time points: 6-week double-blind study P06124 baseline, extension study P06125 baseline and extension study Week 52.

Number of Participants Who Took Antiparkinsonian Drugs
P06125 study from Day 1 up to Week 52

This measure presents the number of participants who used antiparkinsonian drugs started on or after the start of study treatment in extension study P06125. Antiparkinsonian drugs were defined as those categorized into the N04 code (antiparkinson drugs) of the World Health Organization (WHO) Anatomical Therapeutic Chemical (ATC) classification system.

Median Time to Loss of Effect in Responders
P06124 study baseline and Day 42, and P06125 study from Day 1 up to Week 52

Median time to loss of effect from P06125 extension study baseline was estimated using Kaplan-Meier product-limit method. Result reported in Responders, participants with ≥30% decrease from study P06124 baseline in Positive and Negative Syndrome Scale (PANSS, schizophrenia symptom scale) Total Score at the end of study P06124. Investigator or subinvestigator was to determine whether the study drug failed to maintain effect based on occurrence of any of the following: 1) Increase in PANSS Total Score ≥30% from P06125 extension study baseline, 2) Determination that participant's schizophrenic symptomatology had deteriorated requiring one or more of defined interventions (add new antipsychotic drug, increase in level of psychiatric outpatient care, or hospitalization/increase in level of hospitalization for psychiatric need), 3) Clinical Global Impression-Severity (CGI-S) score ≥6, 4) Discontinuation from study because of lack of efficacy, 5) AE/SAE of worsening of schizophrenia.

Median Time to Loss of Effect in Non-Responders
P06124 study baseline and Day 42, and P06125 study from Day 1 up to Week 52

Median time to loss of effect from P06125 extension study baseline was estimated using Kaplan-Meier product-limit method. Result reported in Non-Responders, participants without ≥30% decrease from study P06124 baseline in PANSS Total Score at the end of study P06124. Investigator or subinvestigator was to determine whether the study drug failed to maintain effect based on occurrence of any of the following: 1) Increase in PANSS Total Score ≥30% from P06125 extension study baseline, 2) Determination that participant's schizophrenic symptomatology had deteriorated requiring one or more of defined interventions (add new antipsychotic drug, increase in level of psychiatric outpatient care, or hospitalization/increase in level of hospitalization for psychiatric need), 3) Clinical Global Impression-Severity (CGI-S) score ≥6, 4) Discontinuation from study because of lack of efficacy, 5) AE/SAE of worsening of schizophrenia.

Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score.
Baseline and Day 42

PANSS total score measures symptoms of schizophrenia and consists of responses to 30 items: 7 items from the positive subscale (P1-P7), 7 items from the negative subscale (N1-N7) and 16 items from the general psychopathology subscale (G1-G16). Responses to each item range from 1 = absence of symptom, to 7 = most extreme symptoms. The PANSS total score is the sum of the scores for all 30 items, and ranges from 30 to 210, with a higher score indicating greater severity of symptoms. Change from baseline values that are negative represent an improvement in symptoms.

Long-term Change in Negative Symptoms of Schizophrenia Measured by the Negative Symptom Assessment (NSA) Scale
Baseline of Protocol 25543 (NCT 00212836) to 365 days (total time for both protocols 25543 & 25544)

Decrease from baseline in the NSA scores indicates improvement of efficacy. Range NSA total score is 16 \[best\]-96 \[worst\].

Loss of Effect Over Time
Throughout the 52 weeks of the trial.

Loss of effect in subjects who had \>=30% decrease from baseline in Positive and Negative Syndrome Scale (PANSS) score at the end of the original trial (NCT00156104) preceding the long-term extension. PANSS is a 30-item clinician-rated instrument for assessing symptoms of schizophrenia. Scores range from 30-210; higher scores indicate greater severity. Loss of effect = increase in total PANSS \>=30% from start of current study; subjective worsening of schizophrenia/request for dose increase; Clinical Global Impressions of Severity of Illness score \>=6; discontinuation for lack of efficacy.

Median Survival Time of Effect
52 Weeks

Kaplan-Meier estimate of median time to loss of effect in subjects who had \>=30% decrease from baseline in PANSS score at the end of the original trial (NCT00156104) preceding the long-term extension. PANSS is a 30-item clinician-rated instrument for assessing symptoms of schizophrenia. Scores range from 30-210; higher scores indicate greater severity. Loss of effect = increase in total PANSS \>=30% from start of current study; subjective worsening of schizophrenia/request for dose increase; Clinical Global Impressions of Severity of Illness score \>=6; discontinuation for lack of efficacy.

Improvement in schizophrenia (change in total PANSS score) from baseline to endpoint (LOCF/MMRM)
Primary outcome measured weekly for 6 weeks
Change From Baseline in Negative Symptoms of Schizophrenia Measured by the Negative Symptom Assessment (NSA) Scale Total Score
Baseline of A7501013 to Day 365

The NSA Scale is a 16-item clinician-rated instrument for rating the negative symptomatology of schizophrenia. Total score ranges from 16 (best) to 96 (worst), with greater scores indicating greater severity of symptoms.

Change in total PANSS score at endpoint (6-week double-blind or last assessment after baseline) from baseline
Screen, baseline, Days 4,7,14,21,28,35,42
Changes from baseline at 6-months in Negative symptoms of schizophrenia measured by the Negative Symptoms Assessment (NSA) scale
Change from baseline at 6-months
Time to Relapse or an Impending Relapse
time of first relapse up to Day 182 (double blind phase)

A relapse or impending relapse was declared if a subject meets 1 of 3 "symptomatic relapse criteria" which were all based on a combination of the Positive and Negative Syndrome Scale (PANSS) total score or PANSS items, and Clinical Global Impression-Severity (CGI-S); or if in the opinion of the investigator, the subject's symptoms of schizophrenia had deteriorated to such an extent or the risk of violence to self or others or risk of suicide had increased so that certain prespecified measures were necessary.

To assess long-term safety including overall symptoms (AEs; SAEs); Vital signs; ISST; EPS; and maintenance of effect; for asenapine with haloperidol control.
Weeks 1;2; 4; 8; 12; 16; 24; 32; 40; 52 (Endpoint)
Quality of Life and Patient Functionality (QLS; Q-LES-Q and PETIT)
Weeks 16; 32; 52(Endpoint)
Change in total Positive and Negative Syndrome Scale (PANSS) score at endpoint (6-week double-blind or last assessment after baseline) from baseline
Screen, baseline, days 4, 7, 14, 21, 28, 35, 42

A 30-item, clinician rated instrument for assessing the symptoms of schizophrenia. Ratings for each item could range from 1 (absent) to 7 (extreme).

Change in total PANSS score at endpoint
Screening, Week 76, 100, and once every 24 weeks thereafter until endpoint
Change in total PANSS score at endpoint (52-week double-blind or last assessment after baseline) from baseline
Screening, Baseline, Week 2, 4, 6, 8, 12, 20, 28, 36, 44, 52 (endpoint)
Maximum Plasma Concentration (Cmax) of Asenapine
Predose (0 hours) and 0.5, 1, 1.5, 2, 3, 4, 6, 12, 24, 36 and 48 hours after the final asenapine dose (administered on Day 7 for Cohorts 1 and 2; on Day 8 for Cohorts 3b, 3c and 3d; and on Day 12 for Cohort 3a)

Cmax is the peak plasma concentration following a dose of the study drug.

Time to Maximum Plasma Concentration (Tmax) of Asenapine
Predose (0 hours) and 0.5, 1, 1.5, 2, 3, 4, 6, 12, 24, 36 and 48 hours after the final asenapine dose (administered on Day 7 for Cohorts 1 and 2; on Day 8 for Cohorts 3b, 3c and 3d; and on Day 12 for Cohort 3a)

tmax is the time from dosing to maximum plasma drug concentration levels.

Area Under the Plasma Concentration-time Curve From 0 to 12 Hours Post Dose (AUC0-12) of Asenapine
Predose (0 hours) and 0.5, 1, 1.5, 2, 3, 4, 6 and 12 hours after the final asenapine dose (administered on Day 7 for Cohorts 1 and 2; on Day 8 for Cohorts 3b, 3c and 3d; and on Day 12 for Cohort 3a)

AUC0-12 is the area under the plasma drug-concentration time curve calculated for the 12 hour interval after dosing.

Terminal Phase (Elimination) Half-life (t1/2) of Asenapine
Predose (0 hours) and 0.5, 1, 1.5, 2, 3, 4, 6, 12, 24, 36 and 48 hours after the final asenapine dose (administered on Day 7 for Cohorts 1 and 2; on Day 8 for Cohorts 3b, 3c and 3d; and on Day 12 for Cohort 3a)

Elimination t1/2 is the time it takes for the concentration of the drug in the body to decrease by half during the elimination phase.

Secondary Endpoints
Change From Baseline in CGI-S Score at Day 42
Baseline and Day 42
Percentage of Participants Who Are PANSS Responders (≥30% Reduction From Baseline in PANSS Total Score) at Day 42
Baseline and Day 42
Change From Baseline in Body Weight at Day 42
Baseline and Day 42
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Asenapine 2.5 mg BIDEXPERIMENTAL -
Asenapine 5 mg BIDEXPERIMENTAL -
Olanzapine 15 mg QDACTIVE_COMPARATOR -
Placebo BIDPLACEBO_COMPARATOR -
AsenapineEXPERIMENTALAsenapine 5 mg twice daily (BID) for the first week of treatment, then either 5 mg or 10 mg BID.
Asenapine 10 mg BIDEXPERIMENTALParticipants continue in the same arm they were on in core trial P06124 (except placebo arm starts 5 mg bid at Week 2) and will be re-randomized after Week 6 to asenapine 5 mg BID or asenapine 10 mg BID, administered open-label for 46 weeks. Open label dose can be adjusted using dose options of 5 and 10 mg BID for efficacy and tolerability
1EXPERIMENTALasenapine
2ACTIVE_COMPARATORolanzapine
Haloperidol/HaloperidolACTIVE_COMPARATORHaloperidol in original study (NCT00156104) and in current long-term extension.
Asenapine/AsenapineEXPERIMENTALAsenapine in original study and asenapine in current long-term extension.
Placebo/AsenapineEXPERIMENTALDouble-Blind subjects randomized to only placebo medication for 6 weeks in the short-term 041023 asenapine trial, were randomized (double-blind) into the long-term 041513 asenapine extension trial and received asenapine 5 mg BID for Week 1. After Week 1, subjects received asenapine (either 5 mg BID or 10 mg BID) for the remainder of the 52-week trial.
3ACTIVE_COMPARATORHaloperidol 4m mg BID
4PLACEBO_COMPARATORplacebo
olanzapineACTIVE_COMPARATOR -
placeboPLACEBO_COMPARATOR -
Arm 1EXPERIMENTAL -
Arm 2ACTIVE_COMPARATOR -
Cohort 1EXPERIMENTALParticipants 10 or 11 years of age
Cohort 2EXPERIMENTALParticipants 10 or 11 years of age
Cohort 3a-dEXPERIMENTALCohort 3a: Participants 10 or 11 years of age Cohort 3b: Participants 12 or 13 years of age Cohort 3c: Participants 14 or 15 years of age Cohort 3d: Participants 16 or 17 years of age
Interventions
NameTypeDescription
AsenapineDRUG2.5 mg or 5 mg fast dissolving active asenapine tablets administered sublingually
Placebo AsenapineDRUGFast dissolving placebo asenapine tablets (to match 2.5 mg and 5 mg active asenapine tablets) administered sublingually
OlanzapineDRUG5 and 10 mg film-coated active olanzapine tablets administered orally QD. The time of the active olanzapine dose (either morning or evening) is not disclosed in order to preserve blinding
Placebo OlanzapineDRUGFilm-coated placebo olanzapine tablets (to match 5 and 10 mg active olanzapine tablets) administered orally
PlaceboDRUGPlacebo sublingual tablet BID (first 2 weeks, participants who were in placebo arm of P06124 study only)
Asenapine 5 mgDRUGAsenapine 5 mg fast dissolving tablets sublingually without water twice daily, in the morning (around 8 am) and in the evening (around 8 pm), on Day 1 only or for 6 weeks.
Asenapine 10 mgDRUGParticipants receive on Day 2, 10 mg BID of fast dissolving tablets sublingually without water twice daily, in the morning (around 8 am) and in the evening (around 8 pm), for 6 weeks.
HaloperidolDRUG2-8 mg BID
Placebo armOTHER -
Asenapine - Open LabelDRUGOpen Label Phase: All subjects received 26 weeks of open label asenapine treatment (cross titration period up to first 4 weeks, with target dose of 10 mg twice daily by week 1).
Placebo - Double BlindDRUGDouble Blind Phase: Following Open Label Phase, matching placebo sublingual twice daily for 26 weeks.
Asenapine - Double BlindDRUGDouble Blind Phase: Following the Open Label Phase, asenapine 5 or 10 mg sublingual twice daily for 26 weeks.
Asenapine 2.5 mgDRUGAsenapine tablet, sublingually (SL), 2.5 mg b.i.d. on Days 1-6 and one 2.5 mg tablet, SL, on Day 7.
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Current diagnosis of schizophrenia of paranoid, disorganized, or undifferentiated subtype * Minimum PANSS total score of 70 at Screening and Baseline * Score of at least 4 (moderate) in two or more of the five items in the positive subscale of the PANSS * Confirmed to be exper...

Unlock Eligibility Criteria