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https://patentimages.storage.googleapis.com/f5/0e/3d/3137d5835be148/US10143693.pdf

Paliperidone Palmitate Once-Monthly (PP1M)


Developer(s)

Janssen/Johnson & Johnson

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.

Neuraxpharm

Generic
https://www.neuraxpharm.com/

Spain & Germany

Neruaxpharm is a European biopharmaceutical company headquartered in both Barcelona, Spain and Langenfeld, Germany. Neuraxpharm specialises in developing medicines and generics for diseases of the central nervous system (CNS). Their portfolio consists of more than 120 molecules for the treatment of Anxiety, Depression, Schizophrenia, Epilepsy, Alzheimer’s, Parkinson’s and other CNS disorders.


Drug structure

Paliperidone palmitate chemical structure

Paliperidone palmitate chemical structure

https://patentimages.storage.googleapis.com/f5/0e/3d/3137d5835be148/US10143693.pdf


Drug information

Associated long-acting platforms

Aqueous drug particle suspension, Lipid Prodrug Depot - Nanocrystal technology

Administration route

Intramuscular

Therapeutic area(s)

Mental health : "Schizophrenia (naive and previously treated) , Psychotic or manic symptoms of schizoaffective disorde"

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

Monthly

User acceptance

Not provided

Dosage

Available dose and strength

39 mg, 78 mg, 156 mg, and 234 mg

Maximum dose

234 mg

Recommended dosing regimen

1. For both schizophrenia and schizoaffective disorder, the initiation regimen is the same: (i) Day 1: 234 mg (administered in the deltoid muscle) IM (ii) Day 8: 156 mg (administered in the deltoid muscle) IM 2. Maintenance: (i) Schizophrenia: 39 mg to 234 mg monthly - Recommended maintenance dose: 117 mg monthly (ii) Schizoaffective disorder: 78 mg to 234 mg monthly

Additional comments

Contraindicated: Cerebrovascular ADRs, Neuroleptic malignant syndrome, QT Prolongation, Tardive dyskinesia, Metabolic changes, Orthostatic hypotension and syncope, Hyperprolactinemia, Cognitive impairment, and Seizures.


Drug information

Drug's link(s)

https://go.drugbank.com/salts/DBSALT001464

Generic name

Paliperidone Palmitate Once-Monthly (PP1M)

Brand name

INVEGA SUSTENNA®, XEPLION®, Niapelf

Compound type

Small molecule

Drug class/category

Central Dopamine (D2) type 2 and serotonin (5HT2A) type 2 Receptor Antagonist

Summary

Paliperidone palmitate administered as a once monthly long-acting injectable (PP1M) is indicated for the maintenance treatment of schizophrenia and schizoaffective disorder. INVEGA SUSTENNA® and XEPLION® are manufactured by Janssen Pharmaceuticals and available in dosage strengths of 25mg, 50mg, 100mg, and 150mg. Prior to the initiation of treatment, oral-lead periods to establish tolerability are required for patients naïve to either oral paliperidone or oral or injectable risperidone. Due to its extremely low water solubility, PP1M dissolves slowly following intramuscular injection, prior to being hydrolysed to paliperidone and subsequent absorption. Release of the active paliperidone substance lasts up to 4 months, with maximum plasma concentrations achieved after 13 days (median Tmax).

Approval status

PP1M has been approved under the trade name of INVEGA SUSTENNA® (Janssen-Cilag Ltd) by the US Food and Drug Administration for the treatment of schizophrenia (approved Aug 2009) & schizoaffective disorder (approved Nov 2015) as monotherapy and as an adjunct to mood stabilisers or antidepressants. The safety and effectiveness of INVEGA SUSTENNA® in patients < 18 years of age have not been established. PP1M is approved by the European Medicines Agency (EMA) under the trade name XEPLION® (Janssen-Cilag Ltd) for the maintenance treatment of schizophrenia in adults whose disease has already been stabilised on treatment with paliperidone or risperidone. The European Commission granted a marketing authorisation valid throughout the European Union for XEPLION® on 4 March 2011.

Regulatory authorities

PP1M is authorised in 102 countries/territories worldwide as of December 6th 2022.

Delivery device(s)

No delivery device


Scale-up and manufacturing prospects

Scale-up prospects

PP1M is commercially manufactured.

Tentative equipment list for manufacturing

NanoCrystal® Colloidal Dispersion Nanomill™ apparatus.

Manufacturing

NanoCrystal technology enables intrinsically high loading of insoluble drugs as dosage forms consist mostly of pure API packed as a solid crystal, which is the most efficient form possible in relation to weight-to-volume. Paliperidone palmitate particles are dispersed in an aqueous suspension and transformed into smaller nanocrystals through particle-size reduction. These nanocrystals have a greater surface area than the larger original particles, resulting in increased water solubility. This medicinal product does not require any special storage conditions and has a shelf life of two years.

Specific analytical instrument required for characterization of formulation

Digital microscope and scanning electron microscopy (SEM) to determine shape of the particles. Differential scanning calorimetric (DSC) and Fourier transforms infrared spectroscopy (FTIR) for quality control.


Clinical trials

PsiProsper

Identifier

NCT03666715

Link

https://clinicaltrials.gov/study/NCT03666715

Phase

Not provided

Status

Completed

Sponsor

Janssen-Cilag Farmaceutica Ltda.

More details

The purpose of this study is to investigate the mean number of schizophrenia-related hospital admissions, in adult participants with schizophrenia, occurred during 12 months before and 12 months after initiation of Paliperidone Palmitate 1-month formulation treatment.

Purpose

A Study to Analyze the Impact of Treatment With Paliperidone Palmitate on Clinical Outcomes and Hospital Resource Utilization in Adult Participants With Schizophrenia in Portugal

Interventions

Intervention 1

Oral Antipsychotics (OAPs)

Intervention 2

Paliperidone Palmitate 1-Month Formulation (PP1M)

Countries

Portugal

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2018-08-07

Anticipated Date of Last Follow-up
2025-04-25

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2021-05-31

Actual Completion Date
2021-05-31

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

55

Allocation

Not provided

Intervention model

Not provided

Intervention model description

Not provided

Masking

Not provided

Masking description

Not provided

Frequency of administration

Monthly

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR108551

Identifier

NCT03713658

Link

https://clinicaltrials.gov/study/NCT03713658

Phase

Marketed

Status

Completed

Sponsor

Janssen Research & Development, LLC

More details

The purpose of this study is to evaluate the feasibility of conducting a study of oral risperidone followed by paliperidone palmitate for once monthly (PP1M) and paliperidone palmitate for every 3 months (PP3M) in rwandan healthcare facilities with mental healthcare capabilities.

Purpose

A Study to Evaluate the Ability of Conducting a Study of Oral Risperidone Followed by Paliperidone Palmitate in Rwandan Healthcare Facilities

Interventions

Intervention 1

Risperidone 3 mg

Intervention 2

Paliperidone Palmitate 50 mg eq.

Intervention 3

Paliperidone Palmitate 75 mg eq.

Intervention 4

Paliperidone Palmitate 100 mg eq.

Intervention 5

Paliperidone Palmitate 150 mg eq.

Countries

Rwanda

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2018-10-18

Anticipated Date of Last Follow-up
2025-04-25

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2019-12-02

Actual Completion Date
2019-12-02

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Participants with diagnosis of schizophrenia by mini international neuropsychiatric interview (MINI)- Screen/ MINI (Module K) that requires treatment initiation or a change in treatment to better address safety or efficacy limitations of current treatment * Participants at least moderately ill as measured by the clinical global impressions - severity of schizophrenia (CGI-SS) scale for schizophrenia, or experiencing poorly tolerated side effects from their current medications, or having difficulty with adequate adherence to treatment, per the investigator's judgement * Participants have a primary caregiver who is willing to participate in this study (caregiver should be knowledgeable about the participant's condition and is expected to be with the participant for gre

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

34

Allocation

Not provided

Intervention model

Sequential assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Monthly

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

SYHF2036-001

Identifier

NCT07268430

Link

https://clinicaltrials.gov/study/NCT07268430

Phase

Not provided

Status

Completed

Sponsor

CSPC Zhongnuo Pharmaceutical (Shijiazhuang) Co., Ltd.

More details

This multicenter, randomized, open-label, parallel-group, multiple-dose study is designed to evaluate the bioequivalence, at pharmacokinetic steady state, of a paliperidone palmitate injection manufactured by CSPC Zhongnuo Pharmaceutical (Shijiazhuang) Co., Ltd. (Test Group) and a paliperidone palmitate injection manufactured by Janssen Pharmaceutica N.V. (Reference Group) in patients with schizophrenia in China. Bioequivalence will be assessed based on steady-state pharmacokinetic parameters after repeated intramuscular administration (e.g., Cmax,ss and AUCτ). The safety and tolerability of the test and reference products will also be evaluated.

Purpose

Bioequivalence Study of Long-Acting Paliperidone Palmitate in Patients With Schizophrenia

Interventions

Intervention 1

Paliperidone Palmitate Injection(PP1M)

Intervention 2

Paliperidone Palmitate Injection(PP1M)(Reference Group)

Countries

China

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2023-12-18

Anticipated Date of Last Follow-up
2025-11-25

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2024-12-25

Actual Completion Date
2024-12-25

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: 1. Age 18 to 65 years inclusive at the time of consent. 2. Diagnosis of schizophrenia (ICD-10 criteria) prior to screening. 3. PANSS total score ≤70 at screening and at baseline. 4. CGI-S score ≤4 at screening and at baseline. 5. Body weight at screening: ≥50.0 kg (male) or ≥45.0 kg (female); body mass index (BMI) 19.0 to 35.0 kg/m2 (inclusive). 6. The participant and/or partner have no plans for pregnancy during the study and for 6 months after the last dose, and agree to use effective contraception (oral contraceptives are not allowed). 7. Signed informed consent and willingness and ability to comply with all study requirements. Exclusion Criteria: 1. Known or suspected hypersensitivity to the study drug (paliperidone palmitate) or any of its components. 2. Diagnos

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

256

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Monthly

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CR100662

Identifier

NCT01515423

Link

https://clinicaltrials.gov/study/NCT01515423

Phase

Phase III

Status

Completed

Sponsor

Janssen Research & Development, LLC

More details

The purpose of this study is to demonstrate that a paliperidone palmitate 3 month formulation (PP3M) is as effective as the paliperidone palmitate 1 month formulation (PP1M) in the treatment of patients with schizophrenia who have been stabilized on PP1M.

Purpose

Study of Paliperidone Palmitate 3 Month and 1 Month Formulations for the Treatment of Patients With Schizophrenia

Interventions

Intervention 1

PP3M 175 mg eq.

Intervention 2

PP3M 263 mg eq.

Intervention 3

PP3M 350 mg eq.

Intervention 4

PP3M 525 mg eq.

Intervention 5

Placebo (20% Intralipid)

Countries

United States of America
Argentina
Australia
Austria
Belgium
Brazil
Bulgaria
Canada
China
Czechia
France
Germany
Greece
Hungary
Japan
Mexico
Poland
Portugal
Romania
Russian Federation
Slovakia
Spain
Sweden
Taiwan, Province of China
Ukraine

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2012-05-01

Anticipated Date of Last Follow-up
2016-04-28

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2015-02-01

Actual Completion Date
2015-03-01

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Patients with schizophrenia for more than 1 year and whose symptoms are worsening in the opinion of the investigator * A total score in the Positive and Negative Syndrome Scale (PANSS) between 70 and 120 * Signed informed consent * Women must not be pregnant, breastfeeding, and if capable of pregnancy must practice an effective method of birth control * Men must agree to use a double-barrier method of birth control * Be medically stable on the basis of clinical laboratory tests, physical examination, medical history, vital signs, and electrocardiogram (ECG) Exclusion Criteria: * A diagnosis other than schizophrenia, e.g., dissociative disorder, bipolar disorder, major depressive disorder, schizoaffective disorder, schizophreniform disorder, autistic disorder, prima

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

1429

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Double-blind masking

Masking description

Not provided

Frequency of administration

Monthly

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

100-046

Identifier

NCT04754750

Link

https://clinicaltrials.gov/study/NCT04754750

Phase

Phase I/II

Status

Completed

Sponsor

Calo Psychiatric Center

More details

Schizophrenia is a chronic and severe psychiatric disorder, these patients suffer from positive symptoms, negative symptoms and cognitive deficits, of which working memory problems are considered a central cognitive impairment. Atypical antipsychotics are believed to have a superior effect in reducing both positive and negative symptoms of schizophrenia, coupled with a low risk of extrapyramidal symptoms. Particularly, 2nd-generation antipsychotic medications are commonly used in treatment of schizophrenia. An antipsychotic drug, Paliperidone palmitate (PDP), is administered to patients with schizophrenia as injections at one-month (PP1M) or three-month (PP3M) intervals. This study was compare the effects of treatment, social function, and side effects between PP1M and PP3M in patients wit

Purpose

Differences in Schizophrenia With One-month and 3-month Paliperidone Palmitate Treatment

Interventions

Intervention 1

Paliperidone Palmitate 156 MG/ML Prefilled Syringe [Invega]

Intervention 2

Paliperidone Palmitate 546 MG Intramuscular Suspension, Extended Release [INVEGA TRINZA]

Countries

Not provided

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2015-01-01

Anticipated Date of Last Follow-up
2021-02-12

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2017-06-01

Actual Completion Date
2017-06-01

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * All of them had to meet the diagnostic criteria for schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Exclusion Criteria: * Patients who had comorbid serious medical illnesses, and may therefore present substantial clinical risk due to pharmacotherapy, were excluded from the sample, as were pregnant and lactating women.

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

72

Allocation

Not provided

Intervention model

Sequential assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Monthly

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

CASPAR

Identifier

NCT04940039

Link

https://clinicaltrials.gov/study/NCT04940039

Phase

Marketed

Status

Completed

Sponsor

Janssen-Cilag International NV

More details

The purpose of this study is to assess the long-term symptomatic response (Visit 2 \[Week 1\] to Visit 14/Week 66 \[End of Study {EOS}\]) measured by change in the Clinical Global Impressions -Severity for Schizophrenia (CGI-SS) in participants with schizophrenia who are treated in Rwandan real-world healthcare settings with the antipsychotic regimen that starts with oral anti-psychotic (AP) formulation followed by continued treatment with (paliperidone palmitate 1-month \[PP1M\] and 3-month \[PP3M\] formulations).

Purpose

A Study to Assess the Treatment of Schizophrenia With Paliperidone Palmitate in Rwandan Healthcare Settings

Interventions

Intervention 1

Risperidone 3 mg

Intervention 2

Paliperidone Palmitate 50 mg eq.

Intervention 3

Paliperidone Palmitate 75 mg eq.

Intervention 4

Paliperidone Palmitate 100 mg eq.

Intervention 5

Paliperidone Palmitate 150 mg eq.

Countries

Rwanda

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2021-07-22

Anticipated Date of Last Follow-up
2025-04-25

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2024-04-16

Actual Completion Date
2024-04-16

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: * Diagnosis of schizophrenia by Mini International Neuropsychiatric Interview (MINI)-Screen / MINI (Module K) that requires treatment initiation or a change in treatment to better address safety, efficacy, or adherence limitations of current treatment * Eligible for treatment in the Rwandan mental healthcare system * At least moderately ill as measured by the Clinical Global Impression - Severity of Schizophrenia (CGI-SS) scale for schizophrenia (rating of greater than or equal to \[\>=\] 4). This criterion needs to be re-confirmed at Visit 2 * Has a primary caregiver who is willing to participate in this study (caregiver should be knowledgeable about the participant's condition, provide economic/cost of care information, and is expected to be with the participant for

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

93

Allocation

Not provided

Intervention model

Single group assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Monthly

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

JiangsuPNBH

Identifier

NCT07075237

Link

https://clinicaltrials.gov/study/NCT07075237

Phase

Marketed

Status

Not yet recruiting

Sponsor

Jiangsu Province Nanjing Brain Hospital

More details

To evaluate the efficacy of Paliperidone Palmitate Injection in replacing oral antipsychotics for the treatment of schizophrenia and its impact on social function

Purpose

Efficacy and Functional Recovery After Switching From Paliperidone Palmitate Injection to Oral Antipsychotics in Schizophrenia

Interventions

Intervention 1

Paliperidone Palmitate Injection (PP1M)

Countries

China

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
2025-10-01

Actual Start Date
Not provided

Anticipated Date of Last Follow-up
2025-09-24

Estimated Primary Completion Date
2026-10-01

Estimated Completion Date
2027-03-01

Actual Primary Completion Date
Not provided

Actual Completion Date
Not provided

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: 1. Outpatients or inpatients meeting DSM-5 diagnostic criteria forschizophrenia; 2. Aged 18-65 years (inclusive), regardless of gender; 3. Currently receiving first- or second-generation oral antipsychotics (excluding clozapine) with stable condition as assessed by the investigator, and PANSS total score ≤80 at screening and baseline; 4. Signed informed consent by the patient and/or guardian; Exclusion Criteria: 1. Comorbid psychiatric diagnoses other than schizophrenia; 2. Severe physical diseases, intellectual disability, organic brain disorders, or mental disorders due to physical illnesses; 3. QTc interval \>450 ms (male) or \>460 ms (female); 4. History of psychoactive substance abuse (excluding tobacco) within the past 12 months, or significant suicidal/violent

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

120

Allocation

Not provided

Intervention model

Single group assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Monthly

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

DREaM

Identifier

NCT02431702

Link

https://clinicaltrials.gov/study/NCT02431702

Phase

Phase III

Status

Completed

Sponsor

Janssen Scientific Affairs, LLC

More details

The purpose of the study is to compare effectiveness of paliperidone palmitate (PP: paliperidone palmitate once-monthly and 3-month injections) versus oral antipsychotic (OAP \[that is oral paliperidone extended release {ER}, oral risperidone, or another OAP\]) in delaying time to treatment failure. The study will also evaluate changes in cognition, functioning, brain intracortical myelin (ICM) volume following treatment with PP compared with OAP in participants with recent-onset schizophrenia or schizophreniform disorder.

Purpose

A Study to Compare Disease Progression and Modification Following Treatment With Paliperidone Palmitate Long-Acting Injection or Oral Antipsychotics in Participant's With Recent-onset Schizophrenia or

Interventions

Intervention 1

Aripiprazole

Intervention 2

Haloperidol

Intervention 3

Olanzapine

Intervention 4

Oral Paliperidone ER

Intervention 5

Perphenazine

Countries

United States of America
Brazil
Mexico

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2015-07-08

Anticipated Date of Last Follow-up
2025-04-25

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2019-11-12

Actual Completion Date
2019-11-12

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
Yes

Comments about the studied populations

Inclusion Criteria: * Participant must have a current diagnosis of schizophrenia (295.90) or schizophreniform disorder (295.40) as defined by Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) and confirmed by the Structured Clinical Interview for DSM-5 Disorders (SCID) with a first psychotic episode within the last 24 months prior to the screening visit * Participant requires treatment with an antipsychotic medication * Participant must sign an informed consent form (ICF) indicating that he or she understands the purpose of and procedures required for the study and are willing to participate in the study * Participant must have available a designated individual (example, family member, significant other, friend) who has knowledge of the participant and is generall

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

337

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Monthly

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intramuscular

Use case

Treatment

Key resources

Not provided

Excipients

Proprietary excipients used

No proprietary excipient used

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

No novel excipient or existing excipient used

Residual solvents used

No residual solvent used


Patent info

Formulation patent families

Patent informations
Patent description Representative patent Categories Patent holder Licence with MPP Patent source
Paliperidone dosing regimen
Expiry date: 2028-12-17
The present invention provides a method of treating patients in need of treatment with long acting injectable paliperidone palmitate formulations.
WO2009080651 Dose/Regimen Janssen Pharmaceutica Nv No
Patent status
Patent status/countries Low, Low- middle and upper-middle High income
Granted Belarus, Azerbaijan, Moldova, Republic of, Armenia, Kazakhstan, Albania, Serbia, Bosnia and Herzegovina, Türkiye, North Macedonia, Ukraine, Malaysia, Philippines, Mexico, Sri Lanka, South Africa Australia, Canada, Russian Federation, Liechtenstein, Italy, Norway, Malta, Denmark, Belgium, United Kingdom, Greece, Netherlands, Hungary, Croatia, Switzerland, Spain, Slovenia, Austria, Romania, Iceland, Cyprus, Finland, France, Bulgaria, Slovakia, Poland, Latvia, Ireland, Estonia, Germany, Luxembourg, Portugal, Czechia, Lithuania, Monaco, Sweden, Hong Kong, Japan, Korea, Republic of, New Zealand, United States of America, Singapore
Filed Ecuador, Guatemala, Nicaragua, Indonesia Finland, Hong Kong, Israel, Korea, Republic of
Not in force World Intellectual Property Organization (WIPO), Brazil, China, Colombia, Tajikistan, Turkmenistan, Kyrgyzstan, Albania, Serbia, Bosnia and Herzegovina, Türkiye, North Macedonia, India World Intellectual Property Organization (WIPO), Liechtenstein, Italy, Norway, Malta, Denmark, Belgium, United Kingdom, Greece, Netherlands, Hungary, Croatia, Switzerland, Spain, Slovenia, Austria, Romania, Iceland, Cyprus, Finland, France, Bulgaria, Slovakia, Poland, Latvia, Ireland, Estonia, Germany, Luxembourg, Portugal, Czechia, Lithuania, Monaco, Sweden, Israel, United States of America
Patent informations
Patent description Representative patent Categories Patent holder Licence with MPP Patent source
Paliperidone depot formulation for injection
Expiry date: 2018-11-10
The present invention is concerned with a pharmaceutical composition suitable as a depot formulation for administration via intramuscular or subcutaneous injection, comprising: (1) as an active ingredient a therapeutically effective amount of a 9-hydroxy-risperidone fatty acid ester or a salt, or a stereoisomer or a stereoisomeric mixture thereof in submicron form and (2) a pharmaceuticall acceptable carrier; wherein the pharmaceutically acceptable carrier is water and the active ingredient is suspended therein: and with a process of preparing such a composition. The invention further concerns such a pharmaceutical composition for use as a medicament in the treatment of psychosis, schizophrenia, schizoaffective disorders, non-schizophrenic psychoses, behavioural disturbances associated with neurodegenerative disorders, e.g. in dementia, behavioural disturbances in mental retardation and autism, Tourette's syndrome, bipolar mania, depression, anxiety.
WO9925354 Composition Janssen Pharmaceutica N.V No
Patent status
Patent status/countries Low, Low- middle and upper-middle High income
Granted
Filed
Not in force World Intellectual Property Organization (WIPO), Eswatini, Uganda, Zambia, Zimbabwe, Malawi, Ghana, Sudan, Botswana, Lesotho, Kenya, Gambia (the), Argentina, Brazil, China, Tajikistan, Belarus, Azerbaijan, Moldova, Republic of, Turkmenistan, Armenia, Kyrgyzstan, Kazakhstan, Albania, North Macedonia, Indonesia, Malaysia, Congo, Mauritania, Guinea-Bissau, Niger, Senegal, Cameroon, Mali, Togo, Burkina Faso, Benin, Côte d'Ivoire, Central African Republic, Guinea, Gabon, Chad, Türkiye, Ukraine, South Africa, Viet Nam, Mexico World Intellectual Property Organization (WIPO), Australia, Bulgaria, Canada, Czechia, Russian Federation, Estonia, Liechtenstein, Italy, Denmark, Belgium, United Kingdom, Greece, Netherlands, Switzerland, Spain, Slovenia, Austria, Romania, Cyprus, Finland, France, Latvia, Ireland, Germany, Luxembourg, Portugal, Lithuania, Monaco, Sweden, Hong Kong, Croatia, Hungary, Israel, Japan, Korea, Republic of, Norway, New Zealand, Poland, Slovakia, United States of America, Singapore, Brunei Darussalam
Patent informations
Patent description Representative patent Categories Patent holder Licence with MPP Patent source
Paliperidone aqueous suspensions
Expiry date: 2017-05-12
The present invention is concerned with a pharmaceutical composition suitable as a depot formulation for administration via intramuscular or subcutaneous injection, comprising: (1) as an active ingredient a therapeutically effective amount of a 9-hydroxyrisperidone fatty acid ester or a salt, or a stereoisomer or a stereoisomeric mixture thereof and (2) a pharmaceutically acceptable carrier; wherein the pharmaceutically acceptable carrier is water and the active ingredient is suspended therein; and with a process of preparing such a composition. The invention further concerns such a pharmaceutical composition for use as a medicament in the treatment of schizophrenia, non-schizophrenic psychoses, behavioural disturbances associated with neurodegenerative disorders, e.g. in dementia, behavioural disturbances in mental retardation and autism, bipolar mania, depression, anxiety.
WO9744039 Composition JANSSEN PHARMACEUTICA NV [BE] No
Patent status
Patent status/countries Low, Low- middle and upper-middle High income
Granted
Filed
Not in force World Intellectual Property Organization (WIPO), Argentina, Brazil, China, Tajikistan, Belarus, Azerbaijan, Moldova, Republic of, Turkmenistan, Armenia, Kyrgyzstan, Kazakhstan, Albania, Indonesia, Mexico, Malaysia, Türkiye, Ukraine, South Africa World Intellectual Property Organization (WIPO), Australia, Bulgaria, Canada, Cyprus, Czechia, Germany, Russian Federation, Estonia, Liechtenstein, Italy, Denmark, Belgium, United Kingdom, Greece, Netherlands, Switzerland, Spain, Slovenia, Austria, Romania, Finland, France, Latvia, Ireland, Luxembourg, Portugal, Lithuania, Monaco, Sweden, Hong Kong, Croatia, Hungary, Israel, Japan, Korea, Republic of, Norway, New Zealand, Poland, Slovakia, Taiwan, Province of China, United States of America
Patent informations
Patent description Representative patent Categories Patent holder Licence with MPP Patent source
Paliperidone compound and analogues and their use as antipsychotics
Expiry date: 2009-10-16
There is disclosed a process for preparing an enantiomeric form of the compound having the formula:or a pharmaceutically acceptable acid addition salt thereof,wherein said process comprises the steps of:(a) reacting a racemic mixture of said compound with a chiral acid or acid chloride selected from the group consisting of tartaric acid, malic acid, mandelic acid, camphor sulfonic acid, 4,5-dihydro-1H-2-benzopyran-2-carboxylic acid, and the acid chlorides thereof, to form a mixture of diastereomeric salts or esters;(b) physically separating said mixture of diastereomeric salts or esters by selective crystallization or chromatography; and(c) converting said separated diastereomeric salts or esters into the corresponding enantiomeric forms of said compound by hydrolysis in an acidic or basic aqueous medium.
CA2000786 Compound Janssen Pharmaceutica, N. V No
Patent status
Patent status/countries Low, Low- middle and upper-middle High income
Granted
Filed
Not in force South Africa Canada, Australia, Chile, Cyprus, Germany, Denmark, Liechtenstein, Italy, Belgium, United Kingdom, Greece, Netherlands, Switzerland, Spain, Austria, France, Luxembourg, Sweden, Finland, Hong Kong, Ireland, Israel, Japan, Korea, Republic of, Norway, New Zealand, Portugal, United States of America

Supporting material

Publications

Bishara D. Once-monthly paliperidone injection for the treatment of schizophrenia. Neuropsychiatr Dis Treat. 2010 Sep 7;6:561-72. doi: 10.2147/NDT.S8505. PMID: 20856919; PMCID: PMC2938305.

Paliperidone palmitate is a new long-acting antipsychotic injection for the treatment of acute and maintenance therapy in schizophrenia. Paliperidone (9-hydroxyrisperidone) is the major active metabolite of risperidone and acts at dopamine D2 and serotonin 5HT2A receptors. As with other atypical antipsychotics, it exhibits a high 5HT2A:D2 affinity ratio. It also has binding activity as an antagonist at α1-and α2 adrenergic receptors and H1 histaminergic receptors, but has virtually no affinity for cholinergic receptors. Paliperidone palmitate has been shown to be effective in reducing Positive and Negative Syndrome Scale total scores in four short-term trials in acute schizophrenia. It was also effective as maintenance therapy in a long-term trial in which time to recurrence of symptoms was significantly longer in paliperidone-treated patients compared with placebo. In addition, paliperidone was shown to be noninferior to risperidone long-acting injection in one study, but this noninferiority was not established in another longer study comparing the two drugs. Treatment should be initiated with 234 mg on day 1 and 156 mg on day 8, followed by a recommended monthly maintenance dose of 39–234 mg based on efficacy and tolerability. Paliperidone palmitate is generally well tolerated, although it can cause weight gain and a rise in prolactin levels, which is generally greater in women than in men. Overall, paliperidone palmitate may have advantages over other currently available long-acting injections, and therefore may be a useful alternative for the treatment of schizophrenia, although further long-term trials comparing it with active treatments are warranted.

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Comment & Information

Three bioequivalence studies were conducted to compare Niapelf (a generic paliperidone palmitate prolonged-release injectable suspension) to the reference PP1M product. Two pivotal studies (TOL3033D and TOL3033B) demonstrated bioequivalence through 90% CIs for geometric LS mean ratio of test vs. reference within the acceptance range of 80.00%-125.00% for PK parameters (e.g. AUC0-∞, AUC0-τ, Cmax,ss and Cτ,ss). The TOL3033A study was considered supportive due to a lack of statistical power after excluding a significant number of subjects following methodological deficiencies and GCP non-compliance. Notably, the test product (Niapelf) exhibits consistently lower exposure across all three BE studies (TOL3033D, TOL3033B, TOL3033A), however it was considered unlikely to be of clinical relevance.