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Completed

NCT Number: NCT03150771

Study to Determine the Pharmacokinetics, Safety & Tolerability of Aripiprazole in Adults With Schizophrenia

This trial will determine the Pharmacokinetics, safety and tolerability of single-dose Aripiprazole administered intramuscularly in adults with schizophrenia

Completed

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Key information

Age range

18 year–64 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Woodland International Research Group, Little Rock, Arkansas, United States

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male and female individuals between 18 and 64 years, inclusive, at screening with a current diagnosis of schizophrenia as defined by Diagnostic and Statistical Manual of Mental Disorders: edition 5 (DSM-5)
  • Body mass index (BMI) between 18 and 35 kg/m^2 at screening
  • Male and female subjects who are surgically sterile, female subjects who have been postmenopausal for at least 12 consecutive months prior to screening or male/female subjects who agree to remain abstinent or practice 2 of the approved birth control methods from screening for at least 150 days after dose of Investigational Medical Product (IMP) for female subjects or 180 days after dose of IMP for male subjects.
  • Documented history of previously tolerating Aripiprazole per investigator's judgment.

Exclusion criteria

  • Met DSM-5 criteria for substance use disorder within past 180 days
  • Positive drug screen for drugs of abuse
  • Use of more than 1 antipsychotic medication at screening or baseline, except for oral Aripiprazole administered during tolerability testing and current antipsychotic medication
  • Subjects may not receive varenicline beyond the screening visit.
  • Subjects who had participated in any clinical trial involving a psychotropic medication within 1 month prior to administration of IMP
  • Major surgery within 30 days prior to administration of IMP or surgery during the trial
  • Subjects at significant risk of committing suicide based on history, psychiatric exams
  • Subjects currently in an acute relapse of schizophrenia
  • Subjects with a current DSM-5 diagnosis other than schizophrenia
  • Subjects with a history of neuroleptic malignant syndrome, seizure disorder, or clinically significant tardive dyskinesia
  • Subjects who have had electroconvulsive therapy within 2 months prior to administration of IMP
  • Females who are breast-feeding and/or who have a positive pregnancy test result prior to receiving IMP
  • History of or current hepatitis or Acquired Immunodeficiency Syndrome or carriers of Hepatitis B surface antigen (HBsAG), Hepatitis C antigen (anti-HCV) and/or Human Immunodeficiency Virus (HIV) antibodies

Treatment and study plan

Aripiprazole

Drug

Injection

Other names: Abilify Maintena

Primary outcomes

  1. Incidence of Adverse Events (AEs) [safety and tolerability]

    Time frame: Screening Days -30 to Day 182 post dose/Early Termination

    AEs will be monitored to assess safety and tolerability of drug

  2. Clinical Laboratory Tests [safety and tolerability]

    Time frame: Screening Days -30 to Day 182 post dose/Early Termination

    Hematology, clinical chemistry & urinalysis tests will be performed to assess the safety and tolerability of drug.

  3. Electrocardiograms (ECGs) [Safety and tolerability]

    Time frame: Screening Days -30 to Day 182 post dose/Early Termination

    Heart rate, RR, PR, WRS and WT intervals will be monitored to assess the safety and tolerability of the drug.

  4. Vital Signs [safety and tolerability]

    Time frame: Screening Days -30 to Day 182 post dose/Early Termination

    Systolic/diastolic blood pressure, heart rate and body temperature will be monitored to assess the safety and tolerability of the drug.

  5. Suicidality via Columbia-Suicide Severity Rating Scale (C-SSRS) [safety and tolerability]

    Time frame: Screening Days -30 to Day 182 post dose/Early Termination

    C-SSRS score will be monitored throughout the trial to assess the safety and tolerability of drug

  6. Extrapyramidal Symptoms (EPS) Rating Scales

    Time frame: Screening Days -30 to Day 182 post dose/Early Termination

    EPS score will be monitored to assess safety and tolerability of drug

  7. Investigator's Assessment of Injection Site

    Time frame: Screening Days -30 to Day 182 post dose/Early Termination

    The injection site will be monitored to assess the safety and tolerability of drug

  8. Visual Analog Scale (VAS) Scores for Pain Perception

    Time frame: Day 1 to Day 28 post dose

    VAS score will be monitored to assess safety and tolerability of drug

Secondary outcomes

  1. Pharmacokinetics - Maximum plasma concentration (Cmax)

    Time frame: Day 1 to Day 182/Early Termination

    The maximum plasma concentration of drug at injection site will be assessed for plasma Aripiprazole and its major metabolite dehydro-aripiprazole

  2. Pharmacokinetics - time of maximum plasma concentration (tmax)

    Time frame: Day 1 to Day 182/Early Termination

    The amount of time that the maximum plasma concentration of drug at injection site will be assessed for plasma Aripiprazole and its major metabolite dehydro-aripiprazole

  3. Pharmacokinetics - area under concentration-time curve (AUC) calculated from time zero to time t (AUCt)

    Time frame: Day 1 to Day 182/Early Termination

    AUCt will be assessed for plasma Aripiprazole and its major metabolite dehydro-aripiprazole to determine average concentration of drug over time

  4. Pharmacokinetics - AUC calculated from time to infinity

    Time frame: Day 1 to Day 182/Early Termination

    AUCinfinity will be assessed for plasma Aripiprazole and its major metabolite dehydro-aripiprazole to determine total drug exposure over time

  5. Pharmacokinetics - Terminal-phase elimination half-life (t1/2,z)

    Time frame: Day 1 to Day 182/Early Termination

    t1/2,z will be assessed for plasma Aripiprazole and its major metabolite dehydro-aripiprazole to determine drug persistence in the body

Sponsors and collaborators

Lead sponsor

Otsuka Pharmaceutical Development & Commercialization, Inc.

Industry

Collaborators

  • H. Lundbeck A/S

Registry information

Official study title

A Phase 1, Open-label, Single Ascending Dose, Parallel Arm Trial to Determine the Pharmacokinetics, Safety, and Tolerability of Aripiprazole 2 Month Intramuscular Depot Administered Gluteally in Adult Subjects With Schizophrenia

Important dates

Study start
2017
Primary completion
2018
Study completion
2018
First posted
May 12, 2017
Registry last updated
Jun 12, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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