At a glance
ClinicalIndex Comparison Record- ✓Primary diagnosis of schizophrenia
- ✓At least 1 acute schizophrenia episode in the 3 years before screening
- ✓Continuous antipsychotic treatment for at least 1 year before screening
- ✓Clinically stable with at least 4 weeks of stable symptoms at entry
- ✕Uncontrolled, unstable clinically significant medical condition
- ✕History of suicide attempt or significant violence in past 2 years
- ✕Substance-induced psychotic disorder or behavioral disturbance due to substance abuse
- ✕Current substance abuse or dependence
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Randomized, Placebo-Controlled, Double-Blind Trial of Asenapine in the Prevention of Relapse After Long-Term Treatment of Schizophrenia
In Brief
A Phase 3 clinical trial evaluating Asenapine - Open Label, Placebo - Double Blind, and 1 other intervention for Schizophrenia. Completed, enrolled 831 participants.
Detailed Summary
Schizophrenia is a brain disease. The condition may be associated with acute psychotic episodes and long-term disability despite remission from the acute symptoms. Current management of schizophrenia focuses on the treatment of acute symptoms as well as long-term treatment aimed at preventing relapse after patients have experienced an improvement in acute symptoms. Patients who discontinue treatment have a high likelihood of experiencing relapse within 1-2 years after an acute episode of schizophrenia. Patients who remain on antipsychotic treatment have lower rates of relapse and have milder courses of exacerbation when relapse occurs.The symptoms of schizophrenia may be due to an imbalance in chemicals in the brain, primarily dopamine and serotonin, which enables brain cells to communicate with each other. Asenapine may help to correct the imbalance in dopamine and serotonin. The purpose of this clinical trial is to evaluate the efficacy of asenapine in preventing relapse/impending relapse (hereafter referred to as 'relapse') in subjects who have been treated with asenapine for symptoms of schizophrenia for 26 weeks. In addition, to determine the safety and tolerability of asenapine for up to 1-year of treatment.
Study Details
Timeline
Interventions
Open Label Phase: All subjects received 26 weeks of open label asenapine treatment (cross titration period up to first 4 weeks, with target dose of 10 mg twice daily by week 1).
Double Blind Phase: Following Open Label Phase, matching placebo sublingual twice daily for 26 weeks.
Double Blind Phase: Following the Open Label Phase, asenapine 5 or 10 mg sublingual twice daily for 26 weeks.