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Pubchem

Risperidone


Developer(s)

Janssen Pharmaceuticals

Originator
https://www.janssen.com/

Belgium

Janssen Pharmaceuticals is a subsidiary company of Johnson & Johnson headquartered in Beerse, Belgium. They focus on manufacturing and developing pharmaceutical products for use in areas such as, Immunology, Infectious Diseases & Vaccines, Pulmonary Hypertension, Cardiovascular & Metabolism, Oncology, and Neuroscience.

Alkermes Inc

Originator
https://www.alkermes.com/

Ireland

Alkermes, Inc. is the U.S. R&D and manufacturing arm of Alkermes plc, a fully integrated, global biopharmaceutical company. The company focuses on developing innovative medicines for serious psychiatric and neurological disorders.


Drug structure

risperidone

risperidone

Pubchem


Drug information

Associated long-acting platforms

Polymer-based particles, Microspheres

Administration route

Oral, Subcutaneous, Intramuscular

Therapeutic area(s)

Mental health : "incl. schizophrenia"

Use case(s)

Treatment

Use of drug

Ease of administration

Administered by a nurse
Administered by a specialty health worker
Administered by a community health worker

Frequency of administration

Every 2 weeks

User acceptance

Not provided

Dosage

Available dose and strength

12.5 mg; 25 mg; 37.5 mg; 50 mg powder for injection

Maximum dose

50 mg IM every 2 weeks

Recommended dosing regimen

1. Initial Treatment Dose for Schizophrenia & Bipolar: • Administer 25 mg intramuscularly (IM) every 2 weeks. 2. Dose Adjustment for Non-Responders: • If inadequate response at 25 mg, consider increasing to 37.5 mg or 50 mg IM every 2 weeks. • Do not exceed 50 mg every 2 weeks. 3. Special Populations (Renal or Hepatic Impairment): • Initiate treatment at a reduced dose of 12.5 mg IM every 2 weeks. 4. Previously Treated Patients: • Previous antipsychotics should be continued for 3 weeks after the first injection of risperidone LAI to ensure that therapeutic concentrations are maintained until the main release phase of risperidone from the injection site has begun

Additional comments

Risperidone LAI must be reconstituted only in the diluent supplied in the dose pack and must be administered with only the appropriate needle supplied in the dose pack for gluteal (2-inch needle) or deltoid (1-inch needle) administration. All components are required for administration. Do not substitute any components of the dose pack. To ensure that the intended dose of risperidone is delivered, the full contents from the vial must be administered. Administration of partial contents may not deliver the intended dose of risperidone.


Drug information

Drug's link(s)

https://go.drugbank.com/drugs/DB00734

Generic name

Risperidone

Brand name

RISPERDAL CONSTA®, PERSERIS®, RYKINDO®, UZEDY®

Compound type

Small molecule

Drug class/category

Not provided

Summary

Risperidone LAI is an atypical antipsychotic indicated for schizophrenia and maintenance treatment of Bipolar I Disorder. It acts via dopamine D₂ and serotonin 5-HT₂ receptor antagonism. The apparent half-life for risperidone + hydroxyrisperidone is 3–6 days, and clearance is 13.7 L/h (in extensive metabolisers) and 3.3 L/h (in poor metabolisers). Following intramuscular injection, risperidone is released gradually, with therapeutic levels sustained for up to 6 weeks. It is metabolised hepatically via CYP2D6 to active 9-hydroxyrisperidone. Common adverse effects include extrapyramidal symptoms, weight gain, and hyperprolactinemia. Clinical trials demonstrate efficacy in reducing relapse rates in schizophrenia and bipolar disorder, with a favourable safety profile under monitored use.

Approval status

Risperidone microsphere LAI formulation is approved in 54 countries including Canada, United States, European Union countries, UAE, Switzerland, Brazil, Chile, China, Russia, Hong Kong, Malaysia, India, New Zealand, Australia, Israel, Philippines, Saudi Arabia, South Africa, Taiwan, Thailand, the United Kingdom, South Korea, Turkey, Japan, United Arab Emirates, Argentina and Mexico.

Regulatory authorities

Risperdal Consta (12.5 mg, 25 mg, 37.5 mg, and 50 mg) has received marketing authorization from multiple regulatory agencies, including Health Canada, the U.S. FDA, and authorities such as DOH, Swissmedic, ANVISA, ISP, NMPA, MINZDRAV, NPRA, CDSCO, MedSafe, TGA, MOH, FDA Philippines, SFDA, SAHPRA, TFDA, THAI FDA, MHRA, MFDS, TMMDA, PMDA, MOHAP, ANMAT, and COFEPRIS. In addition, approvals have been granted by European national agencies such as CBG, AGES, FAMHP, ANMDMR, SUKL (Czechia), SUKL (Slovakia), DMA, IMA, FIMEA, ANSM, BFARM, EOF, NNGYK, and HPRA. Other European authorities have also provided authorization. However, the European Medicines Agency (EMA) has issued only a positive opinion following a referral from BFARM (Germany), rather than granting centralized approval.

Delivery device(s)

No delivery device


Scale-up and manufacturing prospects

Scale-up prospects

Not provided

Tentative equipment list for manufacturing

Static Mixer: Cole Parmer L04667-14. Gear Pumps: Cole Parmer L07149-04, L07002-16. Quench Tank: 55 L capacity. Sieves: 25 µm and 180 µm stainless steel mesh. Lyophilizer: Pilot-scale, ramped cycle (max 30°C, 50 h). Gamma Irradiator: Co-60 source.

Manufacturing

Risperidone microspheres are synthesized by dissolving PLGA (75:25 lactide:glycolide) in ethyl acetate and benzyl alcohol, then adding risperidone base. This organic phase is emulsified with an aqueous phase containing 1% polyvinyl alcohol using a static mixer. The emulsion is quenched in chilled water with buffer, stirred for solvent removal, sieved (25–180 µm), washed, and dried. Optional steps include lyophilization and gamma sterilization for stability and sterility, ensuring controlled release for 14–60 days.

Specific analytical instrument required for characterization of formulation

1. Laser Diffraction Analyzer 2. Scanning Electron Microscope (SEM) 3. High-Performance Liquid Chromatography (HPLC) 4. UV-Vis Spectrophotometer 5. Gas Chromatography (GC) 6. Differential Scanning Calorimetry (DSC) 7. Thermogravimetric Analysis (TGA)


Clinical trials

RIS-PSY-405

Identifier

NCT00177164

Link

https://clinicaltrials.gov/study/NCT00177164

Phase

Phase III

Status

Completed

Sponsor

University of Pittsburgh

More details

We recruited 50 consenting adult subjects with DSM-IV TR diagnoses of bipolar disorder who were about to initiate or switch their current antipsychotic agent. Only 48 patients (23 in the risperidone LAI group and 25 in the oral AAP group) contributed data to the assessments. Patients were titrated and cross-tapered during a 3 month titration and stabilization phase. They were followed for an additional 12 months. Clinical outcomes such as study drop out, adverse events, worsening of symptoms, crisis interventions, need for additional medication, hospitalizations etc. were evaluated from months 3 to 15. The numbers of clinical events (pooled) will be used to evaluate if the long acting injectable form of risperidone has an advantage over the oral second generation antipsychotic agents in te

Purpose

Risperdal Consta for Bipolar Disorder

Interventions

Intervention 1

Injectable Risperidone (Consta) or oral antipsychotic

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2003-11-01

Anticipated Date of Last Follow-up
2016-03-17

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2008-03-01

Actual Completion Date
2009-12-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * DSM-IV - TR diagnoses of bipolar disorder (I or II or NOS). * Age 18 to 70 years * Men or women * Any Ethnicity * Currently receiving or willing to receive treatment at sites associated with the Western Psychiatric Institute and Clinic -University of Pittsburgh Medical Center (inpatient or ambulatory) or Mon Yough Community Services, Inc. or at Mayview State Hospital, Bridgeville, PA (inpatient) * Able to provide competent and sign an informed consent document * It is clinically appropriate in the eligible individual to consider antipsychotic treatment for at least 15 months (clinician and investigator determined) * It is clinically appropriate to switch antipsychotic treatment to one of the second generation antipsychotic agents being evaluated in this study. * Ther

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

50

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

Consta

Identifier

NCT00571688

Link

https://clinicaltrials.gov/study/NCT00571688

Phase

Marketed

Status

Completed

Sponsor

Vanderbilt University

More details

This study will evaluate the relative effectiveness of risperidone Consta injections occurring every 2 weeks in contrast to treatment as usual in preventing symptomatic relapse and rates of rehospitalization or admission into respite care for bipolar patients. Hypothesis: Risperdal Consta injections every 2 weeks will reduce the number of symptomatic relapses into mania, hypomania, mixed state, or depression, as shown by key indicators that include symptomatic relapse, rehospitalizations, emergency or urgent care visits, respite care, and intensive outpatient treatment as compared to treatment as usual.

Purpose

Does Risperidone Consta Reduce Relapse and Rehospitalization in Bipolar Disorder?

Interventions

Intervention 1

Risperdal (risperidone) Consta

Intervention 2

Treatment as usual

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2007-11-01

Anticipated Date of Last Follow-up
2017-06-30

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2009-02-01

Actual Completion Date
2009-02-01

Studied populations

Age Cohort

  • Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Be physically healthy * 18-60 years of age * Have a DSM-IV diagnosis of bipolar disorder in any phase, but without current psychotic features; with a history of symptomatic relapse on four or more occasions over the last year prior to the initiation of study for the treatment of bipolar disorder (type I or II, manic, hypomanic, mixed, or depressive type), with at least 1 in the previous 6 months. * Have a screening Hamilton Rating Scale for Depression-17 item (HAM-D17) score of \> 8 or a Young Mania Rating Scale (YMRS) \> 8. Exclusion Criteria: * Have any medical condition that would preclude treatment with Risperdal Consta(TM) * Have type 2 diabetes * Have hyperlipidemia (baseline total cholesterol \>280) * Have any clinically significant unstable medical conditio

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

50

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Single blind masking

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Not provided

Use case

Treatment

Key resources

Not provided

HSC20070020H

Identifier

NCT00845572

Link

https://clinicaltrials.gov/study/NCT00845572

Phase

Not provided

Status

Completed

Sponsor

The University of Texas Health Science Center at San Antonio

More details

This study will establish a bi-weekly Consta Club. Participants will begin taking Risperdal Consta after being recommended by their treating physician. As a part of the Consta Club attendees will receive their injection of Risperdal Consta and be educated about important mental health issues. Interviews with study participants will be completed every three months to determine the effectiveness of the change to Risperdal Consta and the bi-weekly group. The overall hypothesis is that the individuals in Consta Club will have a decrease in walk-in visits, emergency procedures and hospitalizations. It is also believed that individuals in Consta Club will have fewer symptoms and better levels of functioning.

Purpose

The Consta Club: A Demonstration Project for Setting up a Consta Club in a Community Mental Health Center

Interventions

Intervention 1

Consta Club

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2007-01-01

Anticipated Date of Last Follow-up
2012-09-17

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2010-06-01

Actual Completion Date
2010-06-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: 1. Males and females who are able to understand the consent form and who have given informed consent. 2. Between the ages of 18 and 65. 3. Diagnosis of schizophrenia or schizoaffective disorder 4. Receiving treatment with an oral atypical antipsychotic medication for at least two months prior to study 5. Only partial adherence (80% or less) to antipsychotic medication 6. If they have tried Consta but did not receive an adequate trial and did not experience any adverse symptoms. 7. Some responsibility for attending Consta Club meetings and injections. 8. Able to understand and complete rating scales. Exclusion Criteria: 1. History of significant head trauma, seizure disorder, or mental retardation. 2. Has a legal guardian. 3. Alcohol or drug abuse or dependence within

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

30

Allocation

Not provided

Intervention model

Single group assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Once

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR005071

Identifier

NCT00294008

Link

https://clinicaltrials.gov/study/NCT00294008

Phase

Not provided

Status

Completed

Sponsor

Janssen Korea, Ltd., Korea

More details

This study is a non-interventional web based registry designed to assess demographic, treatment and outcomes data in patients receiving treatment with long-acting injectable risperidone. One year retrospective data and 2 year prospective data will be collected.

Purpose

A Study to Evaluate Treatment Adherence in Schizophrenia With Long Acting Risperidone Microspheres (e-STAR)

Interventions

Not provided

Countries

Not provided

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2004-12-01

Anticipated Date of Last Follow-up
2014-04-02

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2009-06-01

Actual Completion Date
2009-06-01

Studied populations

Age Cohort
Unspecified

Genders
Unspecified

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
Unspecified

Comments about the studied populations

Not provided

Health status

Not provided

Study type

Not provided

Enrollment

230

Allocation

Not provided

Intervention model

Not provided

Intervention model description

Not provided

Masking

Not provided

Masking description

Not provided

Frequency of administration

Not provided

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

SOURCE

Identifier

NCT00246194

Link

https://clinicaltrials.gov/study/NCT00246194

Phase

Not provided

Status

Completed

Sponsor

Janssen, LP

More details

The purpose of this study is to examine treatment practices of adult schizophrenia patients by their own doctors, and to assess patient outcomes when treated with long-acting risperidone injection over a two-year period of observation.

Purpose

Observational Study in Patients With Schizophrenia Treated With Long-Acting Risperidone Injection (RISPERDAL CONSTA)

Interventions

Intervention 1

risperidone (RISPERDAL CONSTA)

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2004-09-01

Anticipated Date of Last Follow-up
2014-04-02

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2007-11-01

Actual Completion Date
2007-11-01

Studied populations

Age Cohort
Unspecified

Genders
Unspecified

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
Unspecified

Comments about the studied populations

Not provided

Health status

Not provided

Study type

Not provided

Enrollment

532

Allocation

Not provided

Intervention model

Not provided

Intervention model description

Not provided

Masking

Not provided

Masking description

Not provided

Frequency of administration

Not provided

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

LY03004 MD

Identifier

NCT02091388

Link

https://clinicaltrials.gov/study/NCT02091388

Phase

Phase I

Status

Completed

Sponsor

Luye Pharma Group Ltd.

More details

This study is to assess the bioavailability of LY03004 compared to Risperdal Consta as well as the evaluate the safety and tolerability and preliminary efficacy of LY03004 with repeat injections

Purpose

Bioavailability of LY03004 and Risperdal® Consta®

Interventions

Intervention 1

LY03004

Intervention 2

Risperdal® Consta®

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2014-09-01

Anticipated Date of Last Follow-up
2015-03-03

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2015-01-01

Actual Completion Date
2015-01-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: 1. Male or female patients aged 18 to 65 years old 2. Patients must have a DSM-IV-TR diagnosis of schizophrenia or schizoaffective disorder based on the Mini-International Neuropsychiatric Interview (MINI) 3. Patients must be clinically stable on antipsychotic medications other than risperidone or paliperidone or clozapine for at least 4 weeks prior to screening, based on clinical assessments AND a Positive and Negative Syndrome Scale (PANSS) total score less than or equal 70 at Screening Visit 4. Patients with a Body Mass Index in range of 18.0 to 35.0 5. Patients with an Informed Consent Form signed by the patient or legally authorized representative Exclusion Criteria: 1. Patients with a mental disorders other than schizophrenia or schizoaffective disorder, accord

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

108

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Other/Variable/Unknown : "every 22 days "

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR002257

Identifier

NCT00216671

Link

https://clinicaltrials.gov/study/NCT00216671

Phase

Marketed

Status

Completed

Sponsor

Janssen Pharmaceutica N.V., Belgium

More details

The primary objective of this randomized trial was to investigate whether early initiation of treatment with Risperdal Consta after an acute episode was not inferior to the routine approach (oral treatment for 12 weeks followed by treatment with Risperdal Consta). .

Purpose

Long-acting Injectable Risperidone in Patients With Schizophrenia After an Acute Episode

Interventions

Intervention 1

early initiation of treatment with Risperdal Consta

Intervention 2

routine initiation of treatment with Risperdal Consta

Countries

Denmark
Finland
France
Greece
Israel
Norway
Slovenia
Sweden
Switzerland
United Kingdom

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2005-11-01

Anticipated Date of Last Follow-up
2013-07-12

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2009-12-01

Actual Completion Date
2009-12-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Diagnosis of schizophrenia by criteria of Diagnostic and Statistical Manual of Mental Diseases, Fourth Edition (DSM-IV) * acute episode of schizophrenia within 2 weeks of study entry * o subjects currently not treated or treated with oral antipsychotics or short-acting injectable antipsychotics (zuclopenthixol acutard is allowed) at doses not exceeding the registered dose * Positive And Negative Syndrome Scale (PANSS) score \>=80 * Clinical Global Impression - Severity (CGI-S) score \>=5 Exclusion Criteria: * DSM-IV axis I diagnosis other than schizophrenia * known hypersensitivity or lack of response to risperidone * pregnant or nursing females, or those without adequate contraception * alcohol or drug abuse or dependence diagnosed in the last month prior to entry

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

220

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

RIS-EMR-4033

Identifier

NCT00148083

Link

https://clinicaltrials.gov/study/NCT00148083

Phase

Phase III

Status

Completed

Sponsor

University of Illinois at Chicago

More details

The specific aim of this study is to determine whether the new, long-acting, form of risperidone, Risperdal Consta, improves the ability of schizophrenia patients to benefit from skills training. The hypothesis guiding this study is that Risperdal Consta, by improving verbal memory, will improve the ability to benefit from skills training interventions among schizophrenia patients. The primary objective of this study is to compare patients on Risperdal Consta to patients on other atypical antipsychotic medications in terms of their ability to benefit from skills training interventions. A secondary objective of this study is to determine whether patients taking Risperdal Consta improve in other areas of cognitive functioning and social functioning.

Purpose

Effects of Risperdal Consta on Ability to Benefit From Social Skills Training in Schizophrenia

Interventions

Intervention 1

Risperdal Consta (drug)

Intervention 2

Social Skills Training

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2005-09-01

Anticipated Date of Last Follow-up
2019-05-14

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2006-03-01

Actual Completion Date
2006-03-01

Studied populations

Age Cohort

  • Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: 1. Schizophrenia or schizoaffective disorder 2. Ages 18-55 3. Ability to give informed consent 4. Good general physical health or stable chronic medical conditions 5. Ability to be on a single antipsychotic medication 6. History of inattentiveness in psychosocial treatment settings 7. Poor social skills 8. Must be receiving a single antipsychotic medication 9. Must be clinically stable - defined by the absence of prominent delusions, hallucinations, disorganized speech, or grossly disorganized or catatonic behavior. However, there must also be continuing evidence of impairment, as indicated by the presence of negative symptoms or two or more symptoms of schizophrenia listed in Criterion A of the DSM-IV, in attenuated form (e.g., odd beliefs, unusual perceptual experien

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

5

Allocation

Randomized

Intervention model

Factorial assignment

Intervention model description

Not provided

Masking

Single blind masking

Masking description

Not provided

Frequency of administration

Not provided

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

070580

Identifier

NCT00539071

Link

https://clinicaltrials.gov/study/NCT00539071

Phase

Marketed

Status

Completed

Sponsor

Northwestern University

More details

The purpose of this study is to look at two doses of long-acting injectable risperidone (Risperdal Consta). The study will use a usual dose of Risperdal Consta (50 mg given every two weeks) or a higher dose (75 mg-100 mg given every two weeks) to see which one is better at improving symptoms of schizophrenia or schizoaffective disorder.

Purpose

High Dose Risperidone Consta for Patients With Schizophrenia With Poor Response to Risperidone

Interventions

Intervention 1

long-acting injectable risperidone

Intervention 2

long acting injectable risperidone, Conventional Dose Group

Intervention 3

long acting injectable risperidone, High Dose Group

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2008-03-01

Anticipated Date of Last Follow-up
2025-09-15

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2012-05-01

Actual Completion Date
2012-05-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Patients diagnosed with schizophrenia or schizoaffective disorder * Able to give written informed consent. * Moderate psychosis persists although compliant with medication * Patients must have an inadequate response to two antipsychotic medications (can be risperidone, oral or long acting - but not required), at doses that are within the upper end of the standard dosage range * Patients must have a Clinical Global Impression - Severity (CGI-S) scale score at screening of at least moderate severity and a Personal and Social Performance Scale (PSP) score of 60 or below. * At the time of screening, eligible patients will be receiving or have received treatment with risperidone oral or Consta, or a combination that does not exceed 50 mg q 2 weeks of Consta or oral risper

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

160

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Quadruple-blind masking

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR013483

Identifier

NCT01894984

Link

https://clinicaltrials.gov/study/NCT01894984

Phase

Not provided

Status

Terminated

Sponsor

Xian-Janssen Pharmaceutical Ltd.

More details

The purpose of this study is to evaluate the long-term treatment efficacy, and safety of risperidone long-acting injection in participants with schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self).

Purpose

An Observational Study to Evaluate Efficacy and Safety of Risperidone Long-Acting Injection for Treatment of Schizophrenia

Interventions

Not provided

Countries

Not provided

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2007-01-01

Anticipated Date of Last Follow-up
2014-04-22

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2009-12-01

Actual Completion Date
2009-12-01

Studied populations

Age Cohort
Unspecified

Genders
Unspecified

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
Unspecified

Comments about the studied populations

Not provided

Health status

Not provided

Study type

Not provided

Enrollment

640

Allocation

Not provided

Intervention model

Not provided

Intervention model description

Not provided

Masking

Not provided

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

17359

Identifier

NCT00130923

Link

https://clinicaltrials.gov/study/NCT00130923

Phase

Marketed

Status

Completed

Sponsor

Dartmouth-Hitchcock Medical Center

More details

The purpose of this study is to compare the efficacy of oral risperidone (Risperdal) to risperidone long-acting (Consta) in reducing alcohol use in persons diagnosed with schizophrenia or schizoaffective disorder.

Purpose

Risperidone Long-acting Versus Oral Risperidone in Patients With Schizophrenia and Alcohol Use Disorder

Interventions

Intervention 1

Risperidone Long Acting

Intervention 2

oral risperidone

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2005-09-01

Anticipated Date of Last Follow-up
2019-04-16

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2009-06-01

Actual Completion Date
2010-07-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Ages 18-65 * Schizophrenia or schizoaffective disorder * Meets the Structured Clinical Interview for DSM-IV (SCID) criteria for an alcohol use disorder * Alcohol use on at least 5 days during the 4 weeks prior to randomization * Patient is medically stable to start either form of risperidone. Exclusion Criteria: * Current treatment with clozapine. * Current treatment with injectable risperidone long-acting. * Currently pregnant, planning to become pregnant, or unwilling to use an acceptable form of birth control. * Change in medications (dose of current medication, discontinuation of medication, or new medication) in past 30 days. * History of or current breast cancer. * History of intolerance of or allergy to risperidone or risperidone long-acting. * Currently res

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

95

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR011992

Identifier

NCT00378092

Link

https://clinicaltrials.gov/study/NCT00378092

Phase

Marketed

Status

Completed

Sponsor

Janssen Cilag N.V./S.A.

More details

The purpose of this study is to evaluate the outcome of medication discontinuation, the safety and effectiveness of re-initiating risperidone long acting injection (RLAI) in case of relapse (the return of a medical problem) of schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self) during the study observation period of 36 months.

Purpose

A Follow-Up Study of Schizophrenic Participants Following Treatment Discontinuation After Remission From a First Psychotic Episode

Interventions

Intervention 1

Oral risperidone

Intervention 2

Risperidone Long-Acting Injection (RLAI)

Intervention 3

Risperidone Long-Acting Injection (RLAI)

Countries

South Africa

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2006-04-01

Anticipated Date of Last Follow-up
2014-05-07

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2010-03-01

Actual Completion Date
2010-03-01

Studied populations

Age Cohort

  • Children
  • Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: - Participants who completed 24 months RIS-PSY-301 study - Surgically sterile female participants or practicing an effective method of birth control before entry and throughout the study; and must have shown a negative urine serum pregnancy test at baseline before study entry - Participants who have signed informed consent document Exclusion Criteria: - Participants requiring treatment with mood stabilizers or antidepressants at study entry - Participants with evidence of alcohol or drug abuse or dependence (except for nicotine and caffeine dependence) according to Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria diagnosed in the last month before entry - Participants with a history of severe drug allergy, drug hypersensitivity, or neuroleptic mal

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

33

Allocation

Not provided

Intervention model

Single group assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks
Every 6 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR012289

Identifier

NCT00589914

Link

https://clinicaltrials.gov/study/NCT00589914

Phase

Phase III

Status

Completed

Sponsor

Johnson & Johnson Pharmaceutical Research & Development, L.L.C.

More details

The purpose of this study is to demonstrate the effectiveness of paliperidone palmitate in patients with Schizophrenia.

Purpose

Comparison of Paliperidone Palmitate and RISPERDAL CONSTA in Patients With Schizophrenia

Interventions

Intervention 1

RISPERDAL CONSTA

Intervention 2

Paliperidone palmitate

Countries

United States of America
Austria
Bulgaria
Czechia
Estonia
Germany
Hungary
India
Lithuania
Poland
Russian Federation
Spain
Ukraine

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2007-03-01

Anticipated Date of Last Follow-up
2014-06-11

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2009-06-01

Actual Completion Date
2009-06-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Meet diagnostic criteria for schizophrenia according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria as specified by the protocol for at least 1 year before screening * Prior medical records, written documentation or verbal information obtained from previous psychiatric providers obtained by the investigator must be consistent with the diagnosis of schizophrenia * A total PANSS score between 60 and 120, inclusive, at screening and baseline; Body mass index (BMI) at the screening visit BMI at least 17 kg/m2 * Female patients must be postmenopausal for at least 2 years, surgically sterile, abstinent, or, if sexually active, be practicing an effective method of birth control before study entry and throughout the study as specif

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

1221

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Quadruple-blind masking

Masking description

Not provided

Frequency of administration

Not provided

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR012484

Identifier

NCT01726335

Link

https://clinicaltrials.gov/study/NCT01726335

Phase

Marketed

Status

Completed

Sponsor

Janssen-Cilag Ltd.

More details

The purpose of this study is to evaluate efficacy, safety and tolerance of long-acting risperidone when switching from oral antipsychotics in participants with schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self).

Purpose

Switching From Oral Antipsychotics to Long-Acting Risperidone in Participants With Schizophrenia

Interventions

Intervention 1

Risperidone prolonged release

Countries

Brazil

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2006-01-01

Anticipated Date of Last Follow-up
2014-04-10

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2008-03-01

Actual Completion Date
2008-03-01

Studied populations

Age Cohort

  • Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Have schizophrenia diagnosis by Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) * Be on treatment with oral antipsychotic of first or second generation, for a minimum time of 12 months * Previous history of bad adhesion to oral antipsychotic treatment in the last 12 months * Total Positive and Negative Syndrome Scale score less than or equal to 90, the conceptual disorganization, hallucinatory behavior, suspicion and not usual content of thought must be less than or equal to 4 * Be not pregnant as showed on negative pregnancy serum test Exclusion Criteria: * Contraindication or known hypersensitivity to risperidone * Previous history of unsatisfactory response to risperidone * Previous history of refractivity to the other second gener

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

53

Allocation

Not provided

Intervention model

Single group assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR002278

Identifier

NCT00132678

Link

https://clinicaltrials.gov/study/NCT00132678

Phase

Phase III

Status

Completed

Sponsor

Johnson & Johnson Pharmaceutical Research & Development, L.L.C.

More details

The purpose of this study is to determine if risperidone is effective and safe in the prevention of mood episodes in patients with bipolar 1 disorder.

Purpose

A Study of the Safety and Efficacy of Injectable Risperidone in the Prevention of Bipolar Mood Episodes

Interventions

Intervention 1

Risperdal Consta

Intervention 2

Placebo

Countries

United States of America
Austria
India
Malaysia
Poland
Russian Federation
Spain
Taiwan, Province of China
Ukraine

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2005-02-01

Anticipated Date of Last Follow-up
2013-07-23

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2007-10-01

Actual Completion Date
2007-12-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Diagnosis of bipolar 1 disorder, currently experiencing a mixed or manic episode or stable * Two or more bipolar mood episodes in the last 2 years excluding current episode * Negative pregnancy test Exclusion Criteria: * History of \> than 4 mood episodes a year during the last two years * patients experiencing a depressive episode * History of antisocial or borderline personality illness * Has unstable or serious general medical illness * Has received medications disallowed by study criteria.

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

559

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Quadruple-blind masking

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR006121

Identifier

NCT00299702

Link

https://clinicaltrials.gov/study/NCT00299702

Phase

Marketed

Status

Completed

Sponsor

Johnson & Johnson Pharmaceutical Research & Development, L.L.C.

More details

The purpose of this study is to compare the effectiveness of two antipsychotic medications, Risperdal® Consta® versus Abilify®, over a 2-year treatment period in the long-term maintenance of patients with schizophrenia.

Purpose

Evaluation of Effectiveness of Risperdal® Consta® Compared to Abilify® Over a Two-year Period in Patients With Schizophrenia

Interventions

Not provided

Countries

Not provided

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2006-02-01

Anticipated Date of Last Follow-up
2011-12-22

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2009-01-01

Actual Completion Date
2009-01-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Patients with diagnosis of schizophrenia * Patient has had at least 2 psychotic relapses in the two years prior to study entry * patient is not adequately benefiting from their current antipsychotic medication Exclusion Criteria: * Patients that have been hospitalized or had major medication changes within 2 months of study entry * Patients currently experiencing, or who have experienced worsening of disease symptoms within 2 months of study entry * Patients currently using clozapine or carbamazepine * Patients who have undergone electroconvulsive therapy or depot antipsychotic treatment within 6 months prior to study entry * pregnant or breast-feeding

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

355

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR002269

Identifier

NCT00216476

Link

https://clinicaltrials.gov/study/NCT00216476

Phase

Phase III

Status

Completed

Sponsor

Janssen-Cilag International NV

More details

The purpose of this study is to investigate whether a long-acting injectable formulation of risperidone provides better effectiveness over 2 years, as measured by the time to relapse, compared with quetiapine tablets in a routine psychiatric care setting. Aripiprazole will be investigated in a descriptive manner.

Purpose

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

Interventions

Intervention 1

Aripiprazole

Intervention 2

Risperidone Long Acting Injectable (LAI)

Intervention 3

Quetiapine

Countries

Austria
Bulgaria
Croatia
Czechia
Denmark
Estonia
France
Greece
Hungary
Ireland
Lithuania
Poland
Portugal
Romania
Saudi Arabia
Slovakia
Slovenia
Spain
Sweden
Türkiye
United Kingdom

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2004-10-01

Anticipated Date of Last Follow-up
2014-03-25

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2007-11-01

Actual Completion Date
2007-11-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Diagnosis of schizophrenia or schizoaffective disorder according to the Diagnostic and Statistical Manual of Mental Diseases, 4th edition (DSM-IV) * Patients currently treated with oral risperidone, olanzapine or a conventional neuroleptic monotherapy at doses not exceeding 6 mg risperdal, 20 mg olanzapine, or a conversion dose of 10 mg haloperidol for oral conventional agents * Patients who are stable (judged clinically stable by the investigator and on a stable dose of medication for 4 weeks or longer) but not optimally treated (non-satisfactory treatment regarding symptoms or adverse events) Exclusion Criteria: * Diagnosis other than schizophrenia or schizoaffective disorder by DSM-IV Axis I criteria * Patients being treated with antipsychotic agents other than

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

753

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

ZX003-1401

Identifier

NCT02411526

Link

https://clinicaltrials.gov/study/NCT02411526

Phase

Phase I

Status

Completed

Sponsor

Zogenix, Inc.

More details

This is an open-label, multiple dose, PK and safety study in patients with chronic, stable schizophrenia or schizoaffective disorder.

Purpose

Safety and PK Trial With Injectable ZX003 (Risperidone-SABER®) Compared to Risperdal® Consta® in Stable Schizophrenia

Interventions

Intervention 1

ZX003 (Risperidone-SABER®)

Intervention 2

Risperdal Consta

Intervention 3

Oral Risperidone

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2015-02-01

Anticipated Date of Last Follow-up
2022-10-27

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2015-09-01

Actual Completion Date
2015-09-01

Studied populations

Age Cohort

  • Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: 1. Male or female patients 18 - 60 years of age, inclusive. 2. Diagnosis of schizophrenia, or schizoaffective disorder as per DSM-V criteria in the past 6 months or more, dependent on diagnosis. 3. Currently on maintenance antipsychotic medication (ie, patients treated with antipsychotic medication with stable doses in the 4 weeks prior to Screening and no psychosis-related dose changes in the 8 weeks prior to Screening). 4. Body Mass Index (BMI) ≥20 and ≤40 kg/m2. 5. Female patients who are non-childbearing potential (surgically sterile \[hysterectomy\]) or post-menopausal ≥2 years; or non-pregnant, non-lactating females of childbearing potential who agree to use medically acceptable forms of birth control (hormonal contraception, abstinence, diaphragm with spermicide

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

60

Allocation

Not provided

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR013873

Identifier

NCT00526877

Link

https://clinicaltrials.gov/study/NCT00526877

Phase

Marketed

Status

Completed

Sponsor

Johnson & Johnson Taiwan Ltd

More details

The purpose of this study is to evaluate the efficacy and safety of long-acting risperidone microspheres (small uniformly-sized spherical particles, of micrometer dimensions, frequently labeled with radioisotopes or various reagents acting as tags or markers) in participants with schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self) and schizoaffective disorders (a mixed psychiatric disorder relating to a complex psychotic state that has features of both schizophrenia and a mood disorder such as bipolar disorder), who are receiving psychiatric home-care treatment .

Purpose

An Efficacy and Safety Study of Long-acting Risperidone in Participants With Schizophrenia or Schizoaffective Disorders Who Are Receiving Psychiatric Home Care Treatment

Interventions

Not provided

Countries

Not provided

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2007-07-01

Anticipated Date of Last Follow-up
2014-02-27

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2009-01-01

Actual Completion Date
2009-01-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Meet the diagnostic criteria for schizophrenia or schizoaffective disorder according to Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) * Participant has been given an adequate dose of an appropriate antipsychotic for an adequate period of time prior to enrollment, but previous treatment is considered unsatisfactory due to one or more of the following reasons: lack of efficacy, lack of tolerability or safety, lack of compliance and/or other reasons to switch to another antipsychotic medication * Female participants must be postmenopausal, surgically sterile, or practicing an effective method of birth control before entry and throughout the study; have a negative urine betahuman chorionic gonadotropin (HCG) pregnancy test at screening; a

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

31

Allocation

Not provided

Intervention model

Single group assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

P50MH066286

Identifier

NCT00330551

Link

https://clinicaltrials.gov/study/NCT00330551

Phase

Marketed

Status

Completed

Sponsor

University of California, Los Angeles

More details

This study will determine the effectiveness of oral risperidone versus long-acting injectable risperidone in treating people with first-episode schizophrenia.

Purpose

Oral Versus Injectable Risperidone for Treating First-Episode Schizophrenia

Interventions

Intervention 1

Oral Risperidone

Intervention 2

Risperidone in Long-Acting Injectable Form (Consta)

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2006-03-01

Anticipated Date of Last Follow-up
2023-02-04

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2012-11-01

Actual Completion Date
2012-11-01

Studied populations

Age Cohort

  • Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
Yes

Comments about the studied populations

Inclusion Criteria: * DSM-IV diagnosis of schizophrenia, schizoaffective disorder (depressed type), or schizophreniform disorder * First major episode of psychotic symptoms occurred within 2 years prior to study entry * Participant in the UCLA Center for Neurocognition and Emotion in Schizophrenia Exclusion Criteria: * Neurological disorder or injury (e.g., encephalitis, epilepsy, traumatic brain injury) * Mental retardation (e.g., premorbid IQ less than 70) * Significant alcohol or substance abuse within 6 months prior to study entry * Inability to complete research measures in English * Any condition that may make risperidone use medically inadvisable

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

126

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

LY03004/CT-USA-104

Identifier

NCT02186769

Link

https://clinicaltrials.gov/study/NCT02186769

Phase

Phase I

Status

Completed

Sponsor

Luye Pharma Group Ltd.

More details

A review of the amount of drug in your blood over time.

Purpose

An Randomized Open-Label PK Study of LY03004 Compared to Risperdal® Consta® in Stable Patients With Schizophrenia or Schizoaffective Disorder

Interventions

Intervention 1

Risperdal® Consta®

Intervention 2

LY03004

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2014-07-01

Anticipated Date of Last Follow-up
2015-06-17

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2015-04-01

Actual Completion Date
2015-04-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: 1. Male or female patients aged 18 to 65 years old; 2. Patients must have a DSM-IV diagnosis of schizophrenia or schizoaffective disorder based on the Mini-International Neuropsychiatric Interview (MINI); 3. Patients must be clinically stable on antipsychotic medications other than risperidone or paliperidone or clozapine for at least 4 weeks prior to screening, based on clinical assessments and a Positive and Negative Syndrome Scale (PANSS) total score less than or equal 70 at screening visit; 4. Patients with a Body Mass Index in range of 18.0 to 35.0; 5. Patients with an Informed consent form signed by the patient or legally acceptable representative Exclusion Criteria: 1. Patients with a mental disorders other than schizophrenia or schizoaffective disorder, accor

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

16

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

RIS-EMR-4021

Identifier

NCT00385801

Link

https://clinicaltrials.gov/study/NCT00385801

Phase

Phase II

Status

Completed

Sponsor

Massachusetts General Hospital

More details

The purpose of this study is to examine the effects of the administration of Risperidal-Consta on the brain's reward circuitry using Magnetic resonance Imaging (MRI), behavioral tests and measuring cocaine craving and use among people with active cocaine dependence.

Purpose

Study of the Effects of Risperdal Consta on Brain Reward Circuitry Function, Craving and Cocaine Use in Active Cocaine Dependence

Interventions

Intervention 1

Risperidone

Intervention 2

Placebo

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2005-09-01

Anticipated Date of Last Follow-up
2017-03-20

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2010-09-01

Actual Completion Date
2010-09-01

Studied populations

Age Cohort

  • Adults

Genders

  • Male

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
Yes

Comments about the studied populations

Inclusion Criteria: * current cocaine dependence who use cocaine at least every 2 weeks * Non-treatment seekers who intend to continue using cocaine * Male 18-60 years of age * Potential participants must be literate in the English language, and be able to understand and complete rating scales and questionnaires accurately * Able to provide informed consent * Potential participants must be able to identify at least one "locator" person to assist in tracking the participant for follow-up assessments Exclusion Criteria: * Other current substance dependence requiring immediate detoxification * Diagnosis of schizophrenia, bipolar disorder, current major depressive disorder * Currently suicidal or at high risk for suicide in the judgment of the investigator * Carrying a medical device incomp

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

31

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Triple-blind masking

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR015841

Identifier

NCT00992407

Link

https://clinicaltrials.gov/study/NCT00992407

Phase

Marketed

Status

Completed

Sponsor

Janssen Korea, Ltd., Korea

More details

The purpose of this study is to evaluate the efficacy and safety of long acting injectable (LAI) risperidone and oral risperidone treatment on participants with schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self) or schizoaffective disorder (a mixed psychiatric disorder relating to a complex psychotic state that has features of both schizophrenia and a mood disorder such as bipolar disorder).

Purpose

An Efficacy and Safety Study of Long Acting Injectable Risperidone and Oral Risperidone in Participants With Schizophrenia or Schizoaffective Disorder

Interventions

Intervention 1

Risperidone long acting injectables

Intervention 2

Risperidone tablets

Countries

Korea, Republic of

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2007-12-01

Anticipated Date of Last Follow-up
2014-02-06

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2010-12-01

Actual Completion Date
2010-12-01

Studied populations

Age Cohort

  • Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: - Participants who will understand the objectives and necessary procedures of the study and have signed the informed consent form which specified that they were willing to participate in the study - Participants with schizophrenia or schizoaffective disorder requiring long-term antipsychotic drug therapy - Participants with pre-morbid global assessment of functioning score of 71 or higher at Screening - Participants who do not present clinically significant abnormality in biochemistry and electrocardiography - Participants who will be compliant with the study requirements (that is, filling in the questionnaire by themselves) and who are capable of actually performing and willing to implementing them Exclusion Criteria: - Participants who had taken clozapine for the pas

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

75

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

PHAR-1701

Identifier

NCT03390712

Link

https://clinicaltrials.gov/study/NCT03390712

Phase

Not provided

Status

Unknown status

Sponsor

Réseau de Santé Vitalité Health Network

More details

The primary objective of this single-center multi-site retrospective chart review is to determine if paliperidone palmitate and/or risperidone long-acting injection can decrease the number of psychiatric relapses following their initiation in an inpatient acute psychiatric unit compared to oral antipsychotic therapy and determine if one treatment is superior to the other in this regard. This study will utilize a mirror-image design and incorporate up to a 3 years of follow-up following the index admission. Secondary objectives of this study will be to determine the change in hospital resource utilization for psychiatric reasons following treatment initiation, and to determine the difference in time to relapse.

Purpose

Mirror-image Study of Paliperidone Palmitate and Risperidone Long-acting Injection

Interventions

Intervention 1

Paliperidone Palmitate

Intervention 2

Risperidal Consta

Intervention 3

Antipsychotic

Countries

Canada

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
2018-01-02

Actual Start Date
Not provided

Anticipated Date of Last Follow-up
2017-12-28

Estimated Primary Completion Date
2018-09-01

Estimated Completion Date
2018-12-01

Actual Primary Completion Date
Not provided

Actual Completion Date
Not provided

Studied populations

Age Cohort

  • Adults

Genders
Unspecified

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
Unspecified

Comments about the studied populations

Not provided

Health status

Not provided

Study type

Not provided

Enrollment

328

Allocation

Not provided

Intervention model

Not provided

Intervention model description

Not provided

Masking

Not provided

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR003211

Identifier

NCT00216632

Link

https://clinicaltrials.gov/study/NCT00216632

Phase

Marketed

Status

Completed

Sponsor

Janssen Pharmaceutica N.V., Belgium

More details

The purpose of the study is to evaluate the maintained effectiveness of long-acting injectable risperidone (RISPERDAL® CONSTA™) compared with the previous treatment with oral olanzapine in non-acute subjects with schizophrenia or schizoaffective disorder considered in need of a therapy change.

Purpose

A Study of Treatment Success in Changing From Olanzapine to Long-acting Injectable Risperidone (RISPERDAL® CONSTA™)

Interventions

Intervention 1

Amantadine Hydrochloride, USP

Intervention 2

Amantadine Hydrochloride, USP

Intervention 3

Placebo

Countries

Not provided

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2005-03-01

Anticipated Date of Last Follow-up
2012-12-06

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2007-07-01

Actual Completion Date
2007-07-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Diagnosis of schizophrenia or schizoaffective disorder according to criteria of Diagnostic and StatisticalManual of Mental Diseases, 4th edition (DSM-IV) * patients must have been symptomatically non-acute on a stable dose of olanzapine the last month before the screening visit * patients must be currently treated with oral olanzapine at doses stable for the last month and willing to switch to long-acting injectable risperidone for one of the following reasons: insufficient treatment response, adverse events, compliance issues, or patient's request. Exclusion Criteria: * Patients not treated with effective doses of olanzapine (acc. to SmPC) prior to study initiation * known hypersensitivity, intolerance, or unresponsiveness to risperidone * history of drug allergy

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

99

Allocation

Not provided

Intervention model

Single group assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Not provided

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

5631

Identifier

NCT00215579

Link

https://clinicaltrials.gov/study/NCT00215579

Phase

Marketed

Status

Completed

Sponsor

Duke University

More details

As many as 75 percent of patients with schizophrenia have difficulty taking their oral medication on a regular basis. This may lead to worsening of symptoms. Clinicians commonly respond to these problems by adding adjunctive medications, despite the absence of systematic studies that support such practices. It is possible, however, that in many of these cases, the unstable course and/or unsatisfactory treatment response reflects incomplete adherence with the originally prescribed oral antipsychotic, rather than a need for adjunctive medications. This study will examine whether switching patients who demonstrate an unstable course and/or an unsatisfactory clinical response to a long-acting injectable preparation as the primary antipsychotic may enhance medication adherence and improve outco

Purpose

Determining the Effects of Risperdal Consta in Patients With Psychotic Disorders and Incomplete Adherence

Interventions

Intervention 1

Depot Risperidone Microsphere (Consta)

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2004-04-01

Anticipated Date of Last Follow-up
2014-09-19

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2006-04-01

Actual Completion Date
2006-04-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Eligible patients will be male or female * Between 18-65 years of age and will meet DSM-IV criteria for schizophrenia or schizoaffective disorder. * The subject must have, in their physicians opinion, an unstable course and must have been treated with an oral antipsychotic. Exclusion Criteria: * Pregnant and breast feeding females will be excluded. * Because fluoxetine is known to change the plasma level of CONSTA, subjects taking fluoxetine within two weeks of starting the study will be excluded. * Patients who are known to have a hypersensitivity to oral Risperdal will be excluded.

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

64

Allocation

Not provided

Intervention model

Single group assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Not provided

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

R01MH037705-06

Identifier

NCT00333177

Link

https://clinicaltrials.gov/study/NCT00333177

Phase

Marketed

Status

Completed

Sponsor

University of California, Los Angeles

More details

This study will determine the effectiveness of various combinations of psychosocial therapy and risperidone treatment in improving work or school performance in people with first-episode schizophrenia.

Purpose

Psychosocial Therapy and Risperidone Treatment in Work Performance in Recent-Onset Schizophrenia

Interventions

Intervention 1

Cognitive remediation training (CT)

Intervention 2

Healthy behavior training (HBT)

Intervention 3

Risperidone, administered orally (Oral Ris)

Intervention 4

Risperidone, administered via injection (RLAI)

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2006-03-01

Anticipated Date of Last Follow-up
2020-03-04

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2013-01-01

Actual Completion Date
2013-01-01

Studied populations

Age Cohort

  • Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
Yes

Comments about the studied populations

Inclusion Criteria: * Diagnosis of schizophrenia, schizoaffective disorder (depressed type), or schizophreniform disorder * First major episode of psychotic symptoms occurred within 2 years prior to study entry Exclusion Criteria: * Neurological disorder or injury (e.g., encephalitis, epilepsy, traumatic brain injury) * Mental retardation (e.g., premorbid intelligence quotient (IQ) less than 70) * Significant alcohol or substance use during last 6 months * Unable to complete research measures in English * Any condition that may make risperidone use medically inadvisable

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

92

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR005959

Identifier

NCT00246259

Link

https://clinicaltrials.gov/study/NCT00246259

Phase

Marketed

Status

Completed

Sponsor

Janssen-Ortho Inc., Canada

More details

The purpose of this study is to evaluate the effectiveness, safety and tolerability of risperidone long-acting injection (LAI) versus oral antipsychotics in participants with recent onset psychosis (abnormal thinking and/or hallucinations).

Purpose

A Trial Comparing Risperidone Long-Acting Injection With Oral Antipsychotic in the Treatment of Early Psychosis

Interventions

Intervention 1

Risperidone long-acting injection (LAI)

Intervention 2

Oral Antipsychotic

Countries

Canada

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2004-10-01

Anticipated Date of Last Follow-up
2013-11-15

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2008-12-01

Actual Completion Date
2008-12-01

Studied populations

Age Cohort

  • Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * In-patients or out-patients * Primary Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) diagnosis of schizophrenia, schizophreniform disorder or schizoaffective disorder for no longer than 3 years after diagnosis and treatment of a psychotic illness * Positive and Negative Syndrome Scale (PANSS) score of 60-120 at Visit 1 and 2 * Currently on monotherapy atypical antipsychotic treatment below local label guidelines or treatment naive * Able to complete self-assessments in either English or French Exclusion Criteria: * Current primary Axis-1 diagnosis other than schizophrenia, schizophreniform disorder or schizoaffective disorder, according to DSM-IV * Current drug or alcohol dependence * Treatment with a depot antipsychotic within 3 mon

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

77

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

ALKS 9072-A403N

Identifier

NCT03919994

Link

https://clinicaltrials.gov/study/NCT03919994

Phase

Not provided

Status

Completed

Sponsor

Alkermes, Inc.

More details

The objectives of this study are to describe characteristics, treatment patterns, and outcomes of patients with schizophrenia newly initiated on 1 of 4 FDA-approved atypical Long Acting Injectable (LAI) antipsychotics (ABILIFY MAINTENA®, ARISTADA®, INVEGA SUSTENNA® or RISPERDAL CONSTA®)

Purpose

Observational Study of Long Acting Injectable Medications (LAIs) in Schizophrenia (OASIS)

Interventions

Not provided

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2019-03-28

Anticipated Date of Last Follow-up
2023-02-01

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2023-01-04

Actual Completion Date
2023-01-04

Studied populations

Age Cohort
Unspecified

Genders
Unspecified

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
Unspecified

Comments about the studied populations

Not provided

Health status

Not provided

Study type

Not provided

Enrollment

338

Allocation

Not provided

Intervention model

Not provided

Intervention model description

Not provided

Masking

Not provided

Masking description

Not provided

Frequency of administration

Not provided

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Not provided

Use case

Treatment

Key resources

Not provided

CR006016

Identifier

NCT00256997

Link

https://clinicaltrials.gov/study/NCT00256997

Phase

Marketed

Status

Terminated

Sponsor

Janssen-Ortho Inc., Canada

More details

The purpose of this study is to evaluate risperidone long-acting injection (an antipsychotic medication) versus oral antipsychotics in schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self) participants with a history of being poorly compliant with taking their medication.

Purpose

A Study of Risperidone Long-Acting Injection Versus Oral Antipsychotics in Schizophrenia Participants With a History of Being Poorly Compliant With Taking Their Medication

Interventions

Intervention 1

Risperidone long-acting injection (LAI)

Intervention 2

Oral atypical Antipsychotic

Countries

Australia
Canada
Ireland
United Kingdom

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2006-01-01

Anticipated Date of Last Follow-up
2013-11-12

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2009-04-01

Actual Completion Date
2009-04-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: - Diagnosis of schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self) as per Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Text revision (DSM-IV TR)- Have had at least 2 hospitalizations or 2 clinical worsening of symptoms, over the past 2 years because of deteriorating adherence - Is currently receiving treatment with an antipsychotic per local product label guidelines, and has a history in the last 5 years of a satisfactory response (minimum of 6 weeks) to oral antipsychotics (excluding clozapine) - On monotherapy antipsychotic treatment as per local product label guidelines, at Baseline -Female participants must be surgically st

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

167

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

ORP

Identifier

NCT00314327

Link

https://clinicaltrials.gov/study/NCT00314327

Phase

Marketed

Status

Terminated

Sponsor

Northwell Health

More details

The purpose of this project is to evaluate the efficacy of long-acting risperidone for patients with first episode schizophrenia spectrum who did not improve sufficiently with the first antipsychotic medication they tried during their initial treatment trial.

Purpose

Optimizing Response in Psychosis Study

Interventions

Intervention 1

Abilify Maintena

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2006-04-01

Anticipated Date of Last Follow-up
2018-04-18

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2013-11-01

Actual Completion Date
2013-11-01

Studied populations

Age Cohort

  • Children
  • Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Current DSM-IV-defined diagnosis of schizophrenia, schizophreniform disorder, schizoaffective disorder, or psychotic disorder NOS as assessed using the Structured Clinical Interview for Axis I DSM-IV Disorders (SCID-I/P) (First et al, 1998) * Is in the first episode of illness. First episode is defined as having had 6 months or less of lifetime treatment with an antipsychotic. * Has not responded sufficiently to treatment with an antipsychotic. Lack of response is defined as a rating at study entry of 4 (moderate) or more on at least one of the following BPRS-A items: conceptual disorganization, grandiosity, hallucinatory behavior, unusual thought content. * Continuous antipsychotic treatment at the time of study entry of a minimum of 12 weeks with the same antipsych

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

1

Allocation

Not provided

Intervention model

Single group assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR014845

Identifier

NCT01855074

Link

https://clinicaltrials.gov/study/NCT01855074

Phase

Marketed

Status

Completed

Sponsor

Janssen-Cilag Ltd.

More details

The purpose of this study is to evaluate the efficacy and safety of long acting injectable microspheres of risperidone in participants with schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self), schizophreniform or schizoaffective disorders (disorders in which there is a loss of ego boundaries or a gross impairment in reality testing with delusions or prominent hallucinations).

Purpose

An Efficacy and Safety Study of Risperidone Long-Acting Microspheres in Participants With Schizophrenia, Schizophreniform or Schizoaffective Disorders

Interventions

Intervention 1

Risperidone

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2007-11-01

Anticipated Date of Last Follow-up
2013-08-06

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2009-02-01

Actual Completion Date
2009-02-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Symptomatically stable participants defined as a) participants with treatment on outpatient and inpatient basis for at least 4 weeks before entering the study, and b) Positive and Negative Syndrome Scale (PANSS) Positive Subscale Score less than or equal to (\<= ) 3 (1-7), including conceptual disorganization, suspicion, hallucinatory conduct and delirium (state of violent mental agitation) * Participants under antipsychotic treatment with extrapyramidal symptoms, persistent negative symptoms or lack of adherence defined as irregular administration of medication in the last 2 weeks * Participants who have given their informed consent in writing, or at least, by their family member or personal representative Exclusion Criteria: * Participants taking first antipsycho

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

80

Allocation

Not provided

Intervention model

Single group assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

e-STAR

Identifier

NCT00774085

Link

https://clinicaltrials.gov/study/NCT00774085

Phase

Not provided

Status

Completed

Sponsor

Janssen Cilag N.V./S.A.

More details

The purpose of this study is to assess treatment and outcomes data in patients receiving treatment with long-acting injectable risperidone.

Purpose

An Observational Study to Assess Treatment & Outcomes Data in Patients Receiving Long-Acting Injectable Risperidone

Interventions

Not provided

Countries

Not provided

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2004-11-01

Anticipated Date of Last Follow-up
2012-04-26

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2007-12-01

Actual Completion Date
2007-12-01

Studied populations

Age Cohort
Unspecified

Genders
Unspecified

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
Unspecified

Comments about the studied populations

Not provided

Health status

Not provided

Study type

Not provided

Enrollment

408

Allocation

Not provided

Intervention model

Not provided

Intervention model description

Not provided

Masking

Not provided

Masking description

Not provided

Frequency of administration

Not provided

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Not provided

Use case

Treatment

Key resources

Not provided

CR016630

Identifier

NCT01026285

Link

https://clinicaltrials.gov/study/NCT01026285

Phase

Not provided

Status

Completed

Sponsor

Janssen-Cilag International NV

More details

International Observational Registry on Schizophrenia

Purpose

InORS - International Observational Registry on Schizophrenia With Injectable Risperidone and Oral Antipsychotics

Interventions

Intervention 1

Risperidone Long-Acting injectable or oral antipsychotics

Countries

Czechia
France
Germany
Greece
Russian Federation
South Africa
Spain
Türkiye

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2009-06-01

Anticipated Date of Last Follow-up
2013-06-21

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2012-03-01

Actual Completion Date
2012-03-01

Studied populations

Age Cohort
Unspecified

Genders
Unspecified

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
Unspecified

Comments about the studied populations

Not provided

Health status

Not provided

Study type

Not provided

Enrollment

1085

Allocation

Not provided

Intervention model

Not provided

Intervention model description

Not provided

Masking

Not provided

Masking description

Not provided

Frequency of administration

Not provided

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR002089

Identifier

NCT00269919

Link

https://clinicaltrials.gov/study/NCT00269919

Phase

Marketed

Status

Completed

Sponsor

Janssen Korea, Ltd., Korea

More details

The purpose of this study is to evaluate the long-term efficacy and safety of a long-acting injectable formulation of risperidone (an antipsychotic medication) and its influence on quality of life, in participants with schizophrenia (psychiatric disorder with symptoms of emotional instability, detachment from reality, often with delusions and hallucinations, and withdrawal into the self).

Purpose

An Efficacy and Safety Study of Long-Term Risperidone Microspheres in Participants With Schizophrenia

Interventions

Intervention 1

Risperidone Long-Acting Injectable (RLAI)

Countries

Korea, Republic of

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2005-08-01

Anticipated Date of Last Follow-up
2014-03-25

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2008-08-01

Actual Completion Date
2008-08-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Participants diagnosed with schizophrenia or schizoaffective disorder (in-patients or out-patients) * Participants currently having their symptoms well controlled with a stable dose of oral antipsychotic medication * Participants who have signed informed consent form Exclusion Criteria: * Participants who have never received any previous antipsychotic treatment * Participants who have received clozapine during the last 3 months * Participants with a serious unstable medical condition, including laboratory abnormalities * Participants with a history of, or current symptoms of tardive dyskinesia (a complication of neuroleptic therapy involving involuntary movements of facial muscles) or neuroleptic malignant syndrome (a rare psychotropic-drug reaction, which may be cha

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

40

Allocation

Not provided

Intervention model

Single group assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

PROACTIVE

Identifier

NCT00330863

Link

https://clinicaltrials.gov/study/NCT00330863

Phase

Marketed

Status

Completed

Sponsor

Northwell Health

More details

This study is designed to find out whether taking antipsychotic medication once every two weeks by injection compared to taking daily oral medication will help people with schizophrenia maintain better control of their symptoms.

Purpose

Preventing Relapse in Schizophrenia: Oral Antipsychotics Compared To Injectables: Evaluating Efficacy

Interventions

Intervention 1

Risperidone microspheres

Intervention 2

Risperidone

Intervention 3

Olanzapine

Intervention 4

Quetiapine

Intervention 5

Ziprasidone

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2006-05-01

Anticipated Date of Last Follow-up
2018-06-12

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2011-01-01

Actual Completion Date
2011-01-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * All schizophrenia and schizoaffective patients whose clinicians are considering long-term treatment with an "atypical" (second generation) antipsychotic medication * Worsening of illness (schizophrenia) within 12 months of study entry as defined by: hospitalization, increased level of clinical care, and/or present clinical Global Impressions Severity rating of moderate or worse Exclusion Criteria: * First episode patients as defined by a patient who: has never received antipsychotic medication and has never been hospitalized for psychiatric illness; or, is receiving antipsychotic medication for the first time associated with a first diagnosis of schizophrenia. * Pregnant or breastfeeding * Patients with unstable medical conditions * Patients with previous history o

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

357

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 2 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

GCO 98-924

Identifier

NCT00044655

Link

https://clinicaltrials.gov/study/NCT00044655

Phase

Marketed

Status

Completed

Sponsor

Icahn School of Medicine at Mount Sinai

More details

This study will evaluate the effectiveness of switching medications in decreasing schizophrenia symptoms in individuals who are currently taking an antipsychotic medication for the treatment of schizophrenia.

Purpose

Switching Medication to Treat Schizophrenia

Interventions

Not provided

Countries

Not provided

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2001-07-01

Anticipated Date of Last Follow-up
2016-03-28

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2009-03-01

Actual Completion Date
2009-03-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion criteria: * SCID diagnosis of schizophrenia or schizoaffective disorder * Partially remitted outpatients, defined as persons who have received clear symptomatic benefit from antipsychotic medication but remain symptomatic (due to lack of efficacy or inability to tolerate an efficacious dose) or suffer significant side effects * Treatment with antipsychotic medications for at least 2 months * Received at least 1 outpatient mental health service every 3 months for the past 6 months Exclusion criteria: * Severe symptoms or side effects that indicate the necessity for a medication change * Currently taking 3 or more antipsychotic medications for ongoing daily administration (PRN medications and mood stabilizers are allowable) * Treatment with clozapine * One or more nights spent i

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

219

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Single blind masking

Masking description

Not provided

Frequency of administration

Not provided

Studied LA-formulation(s)

Not provided

Studied route(s) of administration

Not provided

Use case

Treatment

Key resources

Not provided

CR017107

Identifier

NCT01181960

Link

https://clinicaltrials.gov/study/NCT01181960

Phase

Marketed

Status

Completed

Sponsor

Janssen Scientific Affairs, LLC

More details

The purpose of this study is to build a data repository that can be used to understand pharmaceutical utilization patterns among patients being treated in community behavioral health organizations (CBHOs) for schizophrenia or bipolar I disorder.

Purpose

Research and Evaluation of Antipsychotic Treatment in Community Behavioral Health Organizations

Interventions

Intervention 1

Risperidone long acting injectable - New Starts

Intervention 2

Risperidone long acting injectable - Continuous Users

Intervention 3

Paliperidone Palmitate -New and Continuous Users

Intervention 4

Other Antipsychotics - New Starts

Intervention 5

Aripiprazole

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2010-08-01

Anticipated Date of Last Follow-up
2014-02-11

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2013-11-01

Actual Completion Date
2013-11-01

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion criteria: * SCID diagnosis of schizophrenia or schizoaffective disorder * Partially remitted outpatients, defined as persons who have received clear symptomatic benefit from antipsychotic medication but remain symptomatic (due to lack of efficacy or inability to tolerate an efficacious dose) or suffer significant side effects * Treatment with antipsychotic medications for at least 2 months * Received at least 1 outpatient mental health service every 3 months for the past 6 months Exclusion criteria: * Severe symptoms or side effects that indicate the necessity for a medication change * Currently taking 3 or more antipsychotic medications for ongoing daily administration (PRN medications and mood stabilizers are allowable) * Treatment with clozapine * One or more nights spent i

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

1066

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Single blind masking

Masking description

Not provided

Frequency of administration

Not provided

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

Excipients

Proprietary excipients used

Not provided

Novel excipients or existing excipients at a concentration above Inactive Ingredients Database (IID) for the specified route of administration

The list of excipients used is: 1. Polysorbate 20 2. Sodium carboxymethyl cellulose 3. Disodium hydrogen phosphate dihydrate 4. Citric acid anhydrous 5. Sodium chloride 6. Sodium hydroxide 7. Water for injection

Residual solvents used

Not provided


Patent info

Description

Microparticles

Brief description

The invention provides a process for the preparation of biodegradable biocompatible microparticles, said process comprising: contacting microparticles comprising a biodegradable biocompatible polymer matrix containing an active (e.g. pharmaceutical or diagnostic) agent and an organic solvent with an aqueous solvent system whereby the content of said organic solvent in said particles is reduced to 2 % or less of the weight of said particles, said solvent system being such as to satisfy at least one of the conditions (a) that it is at an elevated temperature (e.g. from 25 to 40 °C) during at least part of the time that it is in contact with said particles, and (b) that it comprises water and water-miscible solvent for said organic solvent; and recovering said particles from said aqueous solv

Representative patent

WO1997041837A2

Category

Not provided

Patent holder

Alkermes Controlled Therapeutics Inc

Exclusivity

Not provided

Expiration date

Not provided

Status

Not provided

Description

Microencapsulated 3-piperidinyl-substituted 1,2-benzisoxazoles and 1,2-benzisothiazoles

Brief description

Not provided

Representative patent

WO1995013814A1

Category

Not provided

Patent holder

Janssen Pharmaceutica N.V.

Exclusivity

Not provided

Expiration date

Not provided

Status

Not provided


Supporting material

Publications

Eerdekens, Mariëlle et al. “Pharmacokinetics and tolerability of long-acting risperidone in schizophrenia.” Schizophrenia research vol. 70,1 (2004): 91-100. doi:10.1016/j.schres.2003.11.001

The pharmacokinetics and tolerability of long-acting risperidone (Risperdal Consta) were evaluated in a multicenter, prospective, open-label, 15-week study of 86 patients with schizophrenia. Subjects stabilized on 2, 4 or 6 mg of oral risperidone once daily for at least 4 weeks were assigned to receive i.m. injections of 25, 50 or 75 mg of risperidone, respectively, every 2 weeks for 10 weeks. The 90% confidence intervals for the i.m./oral ratios of the mean steady-state plasma-AUC, corrected for dosing interval, and of the average plasma concentration of the active moiety (risperidone plus 9-hydroxyrisperidone) were within the range of 80-125%, indicating bioequivalence of the i.m. and oral formulations. However, mean steady-state peak concentrations of the active moiety were 25-32% lower with i.m. than oral dosing (P < 0.05) and fluctuations in plasma active-moiety levels were 32-42% lower with the i.m. than oral regimen. Symptoms of schizophrenia continued to improve after switching from oral to i.m. dosing. Long-acting risperidone was well tolerated locally and systematically. Although overall bioequivalence of the two formulations was established, the differences in pharmacokinetic profiles between the two formulations indicate potential benefits for long-acting risperidone.

Kemp, D. E., Canan, F., Goldstein, B. I., & McIntyre, R. S. (2009). Long-acting risperidone: a review of its role in the treatment of bipolar disorder. Advances in therapy26(6), 588–599. https://doi.org/10.1007/s12325-009-0039-0

Bipolar disorder is a multidimensional illness typified by fluctuating periods of depression and mania, cognitive dysfunction, abnormal circadian rhythms, and multiple comorbid psychiatric and general medical conditions. Indefinite pharmacological treatment is often required, yet the modest effects of available treatments and frequent difficulties with tolerability and adherence present complex challenges to patients. Long-acting injectable medications offer a therapeutic alternative to oral mood stabilizers and may help facilitate long-term treatment adherence. This article will provide a succinct review of the latest data on the use of long-acting injectable risperidone (LAR) during the maintenance phase treatment of bipolar disorder. The specific role of LAR in comparison to other atypical antipsychotics, and the limitations of available studies will be discussed from the perspectives of efficacy, tolerability, and sequential positioning in treatment guidelines.

Lasser, Robert A et al. “Clinical improvement in 336 stable chronically psychotic patients changed from oral to long-acting risperidone: a 12-month open trial.” The international journal of neuropsychopharmacology vol. 8,3 (2005): 427-38. doi:10.1017/S1461145705005225

Modern atypical antipsychotics have advantages over older neuroleptics. We hypothesize that their utility may be further enhanced by sustained drug delivery without daily oral self-dosing. This report examines the effects of a year of treatment with long-acting risperidone for chronically psychotic patients previously stabilized with oral risperidone. This open trial of long-acting risperidone involved 336 patients diagnosed with DSM-IV schizophrenia or schizoaffective disorder judged clinically stable on a consistent daily oral dose of risperidone for > or =4 wk. Based on oral doses, subjects were assigned clinically to bi-weekly intramuscular injections of 25-75 mg of long-acting risperidone for up to 50 wk. Clinical assessments at regular intervals included the Positive and Negative Syndrome Scale (PANSS), Clinical Global Impressions (CGI) scale, adverse event reports, and the Extrapyramidal Symptom Rating Scale (ESRS). PANSS total scores improved overall from a moderate baseline score of 64.5+/-17.7 to 58.8+/-19.9 at end-point (p<0.001), by> or =20% in 50% of patients, with greatest improvement in negative symptoms. Prevalence of favourable CGI - Severity ratings increased by 2.4-fold (p<0.0001). Ratings of extrapyramidal symptoms also improved [e.g. physician-rated parkinsonism scores decreased by 20% (p<0.0001)]. Tissue reactions and other adverse effects of repeated intramuscular injections were rare and mild. Psychotic patients considered stable but symptomatic with oral risperidone treatment showed further improvements in symptom ratings and extrapyramidal dysfunction during a year of bi-weekly injections of long-acting risperidone.


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Access principles

Collaborate for development

Consider on a case by case basis, collaborating on developing long acting products with potential significant public health impact, especially for low- and middle-income countries (LMICs), utilising the referred to long-acting technology

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Share technical information for match-making assessment

Provide necessary technical information to a potential partner, under confidentiality agreement, to enable preliminary assessment of whether specific medicines of public health importance in LMICs might be compatible with the referred to long-acting technology to achieve a public health benefit

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Work with MPP to expand access in LMICs

In the event that a product using the referred to long-acting technology is successfully developed, the technology IP holder(s) will work with the Medicines Patent Pool towards putting in place the most appropriate strategy for timely and affordable access in low and middle-income countries, including through licensing

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Comment & Information

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