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Ziprasidone

Phase 3

Schizophrenia | Small molecule | Psychiatry |Pfizer, Inc.|Last Updated: Mar 24, 2021

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
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials7
Total Enrollment1,074
FDA Designations
No designations recorded
Clinical Trials (7)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00645372A Study to Compare the Efficacy and Safety of Ziprasidone and Risperidone for the Treatment of Schizophrenia in Chinese PatientsPHASE3 COMPLETED 242Jul 1, 2004May 1, 2005Feb 21, 20215 China
NCT00143351Mozart Relapse StudyPHASE3 COMPLETED 75Jun 1, 2003Sep 1, 2005Feb 21, 202116 Italy
NCT00136994IM and Oral in Acute Exacerbation of Schizophrenia (BIZET Study)PHASE3 COMPLETED 160Mar 1, 2003Nov 1, 2005Feb 21, 202134 Italy
NCT00649844A Study Comparing the Efficacy and Tolerability of Ziprasidone vs. Clozapine for the Treatment of Schizophrenia in Patients Who Continue to Have Symptoms on or Cannot Tolerate Other Antipsychotic DrugsPHASE3 COMPLETED 147Jan 1, 2003Sep 1, 2004Feb 21, 202122 Italy
NCT00139737Extension Study: Evaluating the Safety of Oral Ziprasidone in the Treatment of Subjects With SchizophreniaPHASE3 COMPLETED 344Mar 1, 2002Jun 1, 2009Mar 3, 202187 Italy
NCT00174447Extension Study of Patients Successfully Treated by Ziprasidone in Study A1281031PHASE3 COMPLETED 43Oct 1, 2001Oct 1, 2008Mar 24, 202114 France
NCT00650611A Study of the Safety and Tolerability of Oral Ziprasidone in Children and Teens With Psychotic DisordersPHASE2 COMPLETED 63Dec 1, 2003Mar 1, 2005Feb 21, 202117 United States
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Study Endpoints
Primary Endpoints
Change from baseline in Positive and Negative Syndrome Scale (PANSS) total score
Week 6
long-term efficacy of oral Ziprasidone in the maintenance treatment
To evaluate efficacy and tolerability of Ziprasidone IM and oral in agitated patients with acute exacerbation of schizophrenia
Change from baseline to endpoint in Positive and Negative Syndrome Scale (PANSS) total scores
Until Final Visit (within 18 weeks)
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Baseline up to 72 months

All observed or volunteered treatment-emergent AEs and SAEs regardless of treatment group or suspected causal relationship to the investigational product were reported.

Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I)
Baseline, 3 months, 6 months, 1 year, 3 years, 5 years, End of Study [LOCF]

CGI-I consists of a 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale.

Change From Baseline in CGI-I at End of Study (up to 5 Years)
Baseline, up to 5 years (End of Study [LOCF])

CGI-I consists of a 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Change from baseline is score at observation minus score at baseline.

Number of Participants With Categorical Scores on Clinical Global Impression of Severity (CGI-S)
Baseline, 3 months, 6 months, 1 year, 3 years, 5 years, End of Study [LOCF]

CGI-S Scale: standardized assessment tool to rate severity of subject's illness; assessed investigator's impression of subject's current illness state. Score: 1 (normal - not ill at all) to 7 (among the most extremely ill patients).

Change From Baseline in CGI-S at End of Study (up to 5 Years)
Baseline, up to 5 years (End of Study [LOCF])

CGI-S Scale: standardized assessment tool to rate severity of subject's illness; assesses investigator's impression of subject's current illness state. Score: 1 (normal - not ill at all) to 7 (among the most extremely ill). Change: score at observation minus score at baseline.

Adverse events at Baseline, Day 4, and Weeks 1, 2, 3, 4, 8, 12, 18, and 27.
27 weeks
Electrocardiograms and vital signs at Screening, baseline, Day 4, and Weeks 1, 2, 3, 4, 8, 12, 18, and 27.
27 weeks
Laboratory data at Screening and Weeks 3, 12, and 27.
27 weeks
Secondary Endpoints
Adverse events, laboratory test changes, movement disorder scale scores
Weeks 1, 2, 4, and 6
Change from baseline in PANSS negative subscale score
Weeks 1, 2, 4, and 6
Change from baseline in PANSS general psychopathology subscale score
Weeks 1, 2, 4, and 6
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
AACTIVE_COMPARATOR -
BEXPERIMENTAL -
A1EXPERIMENTAL -
Low-Dose ZiprasidoneACTIVE_COMPARATOR -
High-Dose ZiprasidoneACTIVE_COMPARATOR -
Interventions
NameTypeDescription
RisperidoneDRUGOral risperidone capsules 1 and 2 mg; doses were 1 mg once daily on Days 1-2, 2 mg once daily on Days 3-4, 3 mg once daily on Days 5-7, and 1, 2, or 3 mg twice daily during Weeks 2-6
ZiprasidoneDRUGOral ziprasidone capsules 40, 60, and 80 mg; doses were 40 mg twice daily on Days 1-2, 60 mg twice daily on Days 3-7, and 40, 60, or 80 mg twice daily during Weeks 2-6
ClozapineDRUGClozapine 25 or 100 mg tablets. Patients were initially titrated over the first 10 days to 300 mg/day and remained at this dose for 1 week. Thereafter, the dose could be varied between 250 and 600 mg/day based on response and tolerability for a total treatment duration of 18 weeks
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * Hospitalized patients with schizophrenia * Miminum PANSS score of 60 when randomized Exclusion Criteria: * Planned, regular use of antipsyhotics within 1 week of randomization * Previous treatment with risperidone that resulted in intolerance or lack of response to risperido...

Countries:ChinaItalyFranceUnited States
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