A Twelve Week, Open Label Extension Study in Patients With Schizophrenia

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01566162
Recruitment Status : Completed
First Posted : March 29, 2012
Results First Posted : November 20, 2014
Last Update Posted : November 20, 2014
Information provided by (Responsible Party):

Brief Summary:
This is a 12-week, multi-center, open-label extension study designed to evaluate the longer-term safety, tolerability and effectiveness of lurasidone for the treatment of subjects with schizophrenia.

Condition or disease Intervention/treatment Phase
Schizophrenia Drug: Lurasidone Phase 3

Detailed Description:
This is a 12-week, multi-center, open-label extension study designed to evaluate the longer-term safety, tolerability and effectiveness of lurasidone for the treatment of subjects with schizophrenia who have participated in Study D1050238, a double-blind, placebo-controlled, randomized withdrawal study of lurasidone for the maintenance treatment of subjects with schizophrenia. Subjects who have completed the 28-week double-blind phase or who have experienced a protocol-defined relapse event during the double-blind phase of study D1050238 will have the option to participate in this study. In addition, if/when the study is discontinued by the sponsor, all subjects participating in the open-label phase and the double-blind phase of study D1050238 will have the option to participate in this extension study

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 191 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Twelve Week, Multicenter, Open Label Extension Study in Subjects With Schizophrenia
Study Start Date : April 2012
Actual Primary Completion Date : November 2013
Actual Study Completion Date : November 2013

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Schizophrenia
Drug Information available for: Lurasidone
U.S. FDA Resources

Arm Intervention/treatment
Experimental: Lurasidone
Lurasidone 40 - 80mg flexible dose
Drug: Lurasidone
Lurasidone 40-80 mg taken orally taken once daily

Primary Outcome Measures :
  1. Safety - Treatment-emergent Adverse Events (TEAEs), TEAEs Leading to Discontinuation, and Serious AEs (SAEs) [ Time Frame: 12 weeks ]
    Number of subjects with treatment-emergent adverse events (TEAEs), TEAEs leading to discontinuation, and serious AEs (SAEs)

  2. Efficacy - Change in Positive and Negative Syndrome Scale (PANSS) Total Score [ Time Frame: Baseline to week 12 LOCF endpoint ]
    The PANSS is an interview-based measure of the severity of psychopathology in adults with psychotic disorders. The measure is comprised of 30 items. An anchored Likert scale from 1-7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. The PANSS total score is the sum of all 30 items and ranges from 30 through 210. A higher score is associated with greater illness severity.

  3. Efficacy - Change From Baseline in Clinical Global Impression-Severity of Illness (CGI-S) Score. [ Time Frame: Baseline to week 12 LOCF endpoint ]
    The CGI-S score is a single value, clinician-rated assessment of illness severity and ranges from 1= 'Normal, not at all ill' to 7= 'Among the most extremely ill patients'. A higher score is associated with greater illness severity.

Secondary Outcome Measures :
  1. Change From Baseline in Montgomery -Asberg Depression Rating Scale Total Score [ Time Frame: Baseline to week 12 LOCF endpoint ]
    The MADRS consists of 10 items, each rated on a Likert scale, from 0="Normal" to 6="Most Severe". The MADRS total score is calculated as the sum of the 10 items. The MADRS total score ranges from 0 to 60. Higher scores are associated with greater severity.

  2. Short Form-12 Health Survey (SF-12) [ Time Frame: Baseline to week 12 LOCF endpoint ]
    The SF-12v2 is a self-administered, multipurpose short-form (SF) generic measure of health status. It was developed to be a shorter, yet valid, alternative to the SF-36 for use in large surveys of general and specific populations as well as in large longitudinal studies of health outcomes. The 12 items in the SF-12v2 are a subset of those in the SF-36; SF-12v2 includes one or two items from each of the eight health concepts with higher scores indicative of higher functioning and better health. The Physical Component Score is a composite of the Physical Functioning, Role Functioning, Bodily Pain and General Health scales. Physical Composite Scores (PCS) is computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.

  3. Modified Specific Levels of Functioning (SLOF) Total Score. [ Time Frame: 12 weeks ]
    The modified SLOF scale is designed to measure directly observable behavioral functioning and daily living skills of patients with chronic mental illness. The modified SLOF consists of 24 items, each item is rated on a 5-point scale and mapped to 0 to 4. The total score will be the sum of all 24 items and ranges from 0 to 96. A higher score indicates worse condition.

  4. Brief Adherence Rating Scale (BARS) [ Time Frame: 12 weeks ]
    The Brief Adherence Rating Scale (BARS) is a clinician-administered adherence assessment instrument that consists of four items including three questions and a visual analog rating scale (VAS) to assess the percentage (0 100%) of doses taken by the subject in the previous month.

  5. Smoking Questionnaire [ Time Frame: 12 weeks ]
    Smoking questionnaire - average number of cigarettes per day at week 12 (LOCF).

  6. Intent to Attend Assessment [ Time Frame: 12 weeks ]
    The ITA assessment will be administered by a research staff member. The response is recorded on a 10-point scale, with 0 = "Not at all" and 9 = "Extremely". The ITA allowed the site to capture data regarding dropout risk. The following question was completed at the baseline visit: "How likely is it that you will complete the study?"

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Subject has agreed to participate by providing written informed consent.
  • Subject will be eligible to participate if one of the following criteria is met:
  • Subject has completed the 28-week double-blind phase of study D1050238
  • Subject has experienced a protocol-defined relapse event during the double- blind phase in study D1050238
  • Subject is participating in the open-label or double-blind phase of study D1050238 if/when study D1050238 is terminated by the sponsor.
  • Subject has completed all required assessments on the final study visit (Study Visit Number 42) in study D1050238.
  • Subject is judged by the Investigator to be suitable for participation in a 12-week clinical trial involving open-label lurasidone treatment and is able to comply with the protocol in the opinion of the Investigator.

Exclusion Criteria:

  • Subject is considered by the investigator to be at imminent risk of suicide or injury to self, others, or property.
  • Subject answers "yes" to "Suicidal Ideation" item 4 (active suicidal ideation with some intent to act, without specific plan) or item 5 (active suicidal ideation with specific plan and intent) on the C-SSRS at the extension baseline visit (Study Visit Number 42 in study D1050238). Subjects who answer "yes" to this question must be referred by the Investigator for appropriate follow-up evaluation and treatment.
  • Subject tests positive for drugs of abuse or is suspected of current alcohol abuse at the extension baseline visit (Study Visit Number 42 in study D1050238). In the event a subject tests positive for cannabinoids, the Investigator will evaluate the subject's ability to abstain from cannabis during the study.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01566162

  Hide Study Locations
United States, Arkansas
K and S Professional Research Services
Little Rock, Arkansas, United States, 72201
Woodland International Research Inc.
Little Rock, Arkansas, United States, 72211
United States, California
Comprehensive Clinical Development Inc.
Cerritos, California, United States, 90703
Diligent Clinical Trials
Downey, California, United States, 90241
Synergy Clinical Research Center
Escondido, California, United States, 92025
CNS Network
Garden Grove, California, United States, 92845
AXIS Clinical Trials
Los Angeles, California, United States, 90036
Synergy Clinical Research Center
National City, California, United States, 91950
Excell Research, Inc.
Oceanside, California, United States, 92056
CNRI-Los Angeles. LLC
Pico Rivera, California, United States, 90660
California Neuropsychopharmacolgoy Clinical Research Insitute
San Diego, California, United States, 92126
Neuropsychiatric Research Center of Orange County
Santa Ana, California, United States, 92701
Collaborative Neuroscience Network
Torrance, California, United States, 90502
United States, Florida
Florida Clinical Research Center, LLC
Bradenton, Florida, United States, 34208
Accurate Clinical Trials
Kissimme, Florida, United States, 34742
Galiz Research
Miami Springs, Florida, United States, 33166
Medical Research Group of Central Florida
Orange City, Florida, United States, 32763
United States, Georgia
Atlanta Center for Medical Research
Atlanta, Georgia, United States, 30308
Comprehensive NeuroScience Inc.
Atlanta, Georgia, United States, 30328
United States, Louisiana
Lake Charles Clinical Trials, LLC
Lake Charles, Louisiana, United States, 70601
Lousiana Clinical Research, LLC
Shreveport, Louisiana, United States, 71104
United States, Maryland
Center for Behavioral Health, LLC
Rockville, Maryland, United States, 20850
United States, Missouri
Psychiatric Care and Research Center
O'Fallon, Missouri, United States, 63368
Psych Care Consultants Research
St. Louis, Missouri, United States, 63128
United States, Nevada
Robert Lynn Horne, MD
Las Vegas, Nevada, United States, 89102
United States, New Jersey
CRI Worldwide LLC
Willingboro, New Jersey, United States, 08046
United States, New York
Erie County Medical Center, Corp
Buffalo, New York, United States, 14215
Neurobehavioral Research Inc.
Cedarhurst, New York, United States, 11516
Comprehensive Clinical Development, Inc
Fresh Meadows, New York, United States, 11366
Finger Lakes Clinical Research
Rochester, New York, United States, 14618
United States, Oklahoma
Oklahoma Clinical Research
Oklahoma City, Oklahoma, United States, 73116
United States, Pennsylvania
CRI Worldwide LLC at Kirkbride
Philadelphia, Pennsylvania, United States, 19139
United States, Rhode Island
Lincoln Research
Lincoln, Rhode Island, United States, 02865
United States, Texas
Community Clinical Research, Inc.
Austin, Texas, United States, 78754
FutureSearch Clinical Trials LP
Austin, Texas, United States, 78756
FutureSearch Clinical Trials, LP
Dallas, Texas, United States, 75231
Pillar Clinical Research, LLC
Dallas, Texas, United States, 75243
United States, Utah
Department of Psychiatry, University of Utah Health Sciences Center
Salt Lake City, Utah, United States, 84132
Centre Hospitalier Spécialisé (CHS) du Jura - Centre Médico Psychiatrique (CMP)
Dole, France, 39100
Hôpital Chalucet, Centre hospitalier intercommunal de Toulon la Seyne sur mer (CHITS)
Toulon, France, 83000
Dipartimento Salute Mentale ASL 1
Massa, Italy, 54100
A.O.U. Santa Chiara, U.O di Psichiatria 1 building n.4
Pisa, Italy, 56100
Russian Federation
Regional Government Institution (RGI) 'Lipetsk Regional Psychoneurology Hospital'
Lipetsk, Russian Federation, 398007
Limited Liability Company (LLC) 'Research Center For Treatment and rehabilitation 'Phoenix'
Rostov-on-Don, Russian Federation, 344000
St. Petersburg State Healthcare Institution (SPbSHI) "City Psychiatric Hospital #6"
St. Peterburg, Russian Federation, 191167
St. Petersburg State Budgetary Healthcare Institution 'City Psychoneurology Dispensary #7 (with In-Patient Department)', (SPb SBHI "CPNDD-7")
St. Petersburg, Russian Federation, 190005
St. Petersburg State Budgetary Healthcare Institution 'City Psychoneurology Dispensary #7 (with In-Patient Department)', (SPb SBHI "CPNDD-7"), at Daycare Facility #1
St. Petersburg, Russian Federation, 19005
St. Petersburg State Government Healthcare Institution "City Psychiatric Hospital #4" (St. Petersburg Insane Asylum Distributor)
St. Petersburg, Russian Federation, 191119
Military Medical Academy, Clnic for Psychiatry
Belgrade, Serbia, 11000
Institute of Mental Health
Dusica, Serbia, 11000
Clinical Centre Kragujevac, Clinic for psychiatry
Kragujevac, Serbia, 34000
Clinical Centre Nis, Clinic for mental health protection
Nis, Serbia, 18000
Specialized hospital for psychiatric diseases "Sveti Vracevi"
Novi Knezevac, Serbia, 23330
Clinical Centre Vojvodine, Clinic for Psychiatry
Novi Sad, Serbia, 21000
Nemocnica s poliklinikou v Prievidzi so sidlom v Bojniciach, Psychiatricke oddelenie
Bojnice, Slovakia, 972 01
Psychiatricka ambulancia Mentum s.r.o.
Bratislava, Slovakia, 82007
Psychiatricka nemocnica Michalovce n.o.
Michalovce, Slovakia, 071 01
PsychoLine s.r.o. Psychiatricka ambulancia
Rimavska Sobota, Slovakia, 97901
Nemocnica s poliklinikou sv Barbory Roznava a.s. Psychiatricke oddelenie
Roznava, Slovakia, 048 01
"Centrum zdravia R.B.K., spol. s.r.o.
Svidnik, Slovakia, 089 01
South Africa
Cape Trial Centre
Tygervalley, Western Cape, South Africa, 7530
Research Unit, Department of Psychiatry Free State Psychiatric Complex
Bloemfontein, South Africa, 9300
Denmar Hospital Consulting Rooms
Pretoria, South Africa, 0081
Sponsors and Collaborators
Study Director: Lurasidone Medical Director, MD Sunovion

Responsible Party: Sunovion Identifier: NCT01566162     History of Changes
Other Study ID Numbers: D1050307
2011-004790-90 ( EudraCT Number )
First Posted: March 29, 2012    Key Record Dates
Results First Posted: November 20, 2014
Last Update Posted: November 20, 2014
Last Verified: November 2014

Keywords provided by Sunovion:

Additional relevant MeSH terms:
Schizophrenia Spectrum and Other Psychotic Disorders
Mental Disorders
Lurasidone Hydrochloride
Antipsychotic Agents
Tranquilizing Agents
Central Nervous System Depressants
Physiological Effects of Drugs
Psychotropic Drugs
Adrenergic alpha-2 Receptor Antagonists
Adrenergic alpha-Antagonists
Adrenergic Antagonists
Adrenergic Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Serotonin 5-HT2 Receptor Antagonists
Serotonin Antagonists
Serotonin Agents
Dopamine D2 Receptor Antagonists
Dopamine Antagonists
Dopamine Agents