Long Term Study of RBP 7000 in the Treatment of Subjects With Schizophrenia



Status:Completed
Conditions:Schizophrenia
Therapuetic Areas:Psychiatry / Psychology
Healthy:No
Age Range:18 - 65
Updated:9/30/2018
Start Date:June 2014
End Date:September 2016

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An Open-Label, Long-Term Safety and Tolerability Study of RBP-7000 in the Treatment of Subjects With Schizophrenia

This is a Phase 3, open label study administering RBP-7000 in the treatment of patients with
schizophrenia. Study will assess the long-term safety and tolerability of RBP-7000
subcutaneous (SC) injections in subjects with schizophrenia and to continue collecting
clinical outcome data with RBP-7000 SC injections in subjects with schizophrenia using the
Positive and Negative Syndrome Scale (PANSS) and Clinical Global Impression-Severity Illness
(CGI-S) scale.

Patients to be screened must be diagnosed with schizophrenia with a designated score based on
the PANSS, as confirmed by a State, Assessability, Face, Ecological and Rule (SAFER)
interview. "De novo" patients are patients who are already receiving 3- or 4-mg oral
risperidone/day and will not have to complete the "run-in" or "conversion" phases (see below)
and will be assigned to receive RBP-7000 after eligibility has been confirmed. Patients who
completed the double-blind, placebo-controlled, efficacy study of RBP-7000 (RB-US-09-0010,
NCT02109562), conducted in patients with acute schizophrenia (referred to as "roll-over"
patients) will be screened.

All patients will be assigned the 120 mg dose of RBP-7000, which is subject to a one-time
down-titration to 90-mg RBP-7000 for tolerability, at the investigator's discretion. Patients
receiving the 90-mg dose of RBP-7000 who exhibit a worsening in psychiatric symptoms,
confirmed by a total PANSS score >70 or a 20% increase in the PANSS score from the previous
assessment at the 120-mg dose level (before the dose was decreased to 90 mg), can receive a
one-time, up-titration back to 120-mg RBP-7000 at the discretion of the investigator.

"De novo" patients entering into the study are those patients who did not participate in
study RB-US-09-0010 (NCT02109562) and are allocated into three groups with different
pre-study procedures to prepare for the treatment period:

- "Run-in" patients are patients who are not already receiving oral risperidone (as no
other antipsychotic medications are allowed during study participation) and will begin a
14-day run-in period by titrating up to a dose of 3 or 4 mg oral risperidone/day before
the first injection of RBP-7000.

- "Conversion" patients are patients who are receiving oral risperidone doses other than 3
or 4mg/day and will begin a 7-day conversion period to achieve an oral risperidone dose
level of 3 or 4-mg before the first injection of RBP-7000, only if clinically indicated.

- De novo patients taking an oral risperidone dose of 3 or 4 mg/day prestudy will (once
screened/enrolled) receive the first injection of RBP-7000.

"Roll-over" patients entering into the study are patients who completed 56 days of
double-blind treatment in Study RB-US-09-0010. These patients will be eligible to enter the
current study provided that continuation of treatment is clinically warranted, as judged by
the investigator, and that there have been no significant protocol deviations or clinically
relevant adverse events (AEs) that would preclude inclusion in this study. Roll-over patients
will not undergo the complete screening process and will not require either a run-in or
conversion period with oral risperidone. On Day 1 of the open-label study (which is Day 57 of
Study RB-US-09-0010), patients will receive their first injection (120 mg) of open label
RBP-7000.

Inclusion Criteria:

"De Novo" Patients

- Diagnosis of schizophrenia as defined by Diagnostic and Statistical Manual, Edition 4,
text revision (DSM-IV-TR) criteria

- Total PANSS score <=70 at the time of screening (Visit 1)

- Otherwise healthy on the basis of physical examinatIon

- Provided written informed consent

"Roll-over Patients

- Provided written consent to participate in this study

- Be considered eligible to enroll based on End of Study (EOS) (Day 57 of Study
RB-US-09-0010) assessments and the medical judgment of the investigator

Exclusion Criteria:

"De Novo" Patients

- Patients taking daily oral risperidone at a dose plus/minus 6 mg/day

- Patients taking any risperidone or 9-hydroxyrisperidone long-acting injectable
formulation within 120 days of study screening (Visit 1)

- Patients who have received a long-acting injectable antipsychotic within 120 days of
screening (Visit 1)

- Patients with evidence or history (in the past six months prior to screening) of a
significant hepatic disorder that may either compromise patient safety or interfere
with the safety and/or outcome evaluation of the study drug, including:

- Acute or chronic hepatitis, including but not limited to hepatitis B or C

- Total bilirubin greater than 1.5 times the upper limit of normal (ULN), or

- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) greater than 2
times ULN

- Patients with a history of drug-induced leukopenia

- Patients with other medical conditions including, but not limited to, history of heart
attack (myocardial infarction) or brain injury (traumatic injury with loss of
consciousness and/or cerebrovascular accident), and clinically significant low blood
pressure or arrhythmias as interpreted by the primary investigator (PI) or medically
qualified sub-investigator

- Patients with epilepsy or other seizure disorders, Parkinson's disease or dementia

"Roll-over" Patients

- Patients requiring an inpatient treatment setting at the end of Study RB-US-09-0010

- Patients with an unstable medical condition developed during Study RB-US-09-0010

- Women of childbearing potential who have a positive pregnancy test at screening (Visit
1), who are pregnant or breastfeeding, seeking pregnancy, or failing to use adequate
contraceptive methods during the study
We found this trial at
48
sites
Maitland, Florida 32751
2543
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Maitland, FL
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3212 Cutshaw Ave
Richmond, Virginia 23230
804-353-4494
2349
mi
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Richmond, VA
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1100 N. St. Francis
Wichita, Kansas 67214
316-291-4774
1434
mi
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Wichita, KS
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Atlanta, Georgia
2178
mi
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Atlanta, GA
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Austin, Texas 78754
1770
mi
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Austin, TX
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Austin, Texas 78756
1768
mi
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Austin, TX
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8043 Cooper Creek Boulevard Suite 107
Bradenton, Florida 34201
(941) 747-7900
Florida Clinical Research Center, LLC Led by Andrew J. Cutler, M.D., Florida Clinical Research Center,...
2545
mi
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Bradenton, FL
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Brooklyn, New York 11201
2403
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Brooklyn, NY
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Cedarhurst, New York 11516
2417
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Cedarhurst, NY
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Cerritos, California 90703
976
mi
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Cerritos, CA
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Charlotte, North Carolina 28204
2282
mi
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Charlotte, NC
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Chicago, Illinois 60640
1733
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Chicago, IL
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Dallas, Texas 75231
1678
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Dallas, TX
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Dallas, Texas 75243
1676
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Dallas, TX
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Decatur, Georgia 30030
2182
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Decatur, GA
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Escondido, California 92025
1039
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Escondido, CA
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Fort Lauderdale, Florida 33308
2717
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Fort Lauderdale, FL
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Glendale, California 91204
956
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Glendale, CA
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Hickory, North Carolina 28601
2238
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Hickory, NC
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Hoffman Estates, Illinois 60169
1705
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Hoffman Estates, IL
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Hollywood, Florida 33021
2722
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Hollywood, FL
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Houston, Texas 77024
1884
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Houston, TX
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2412
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Jamaica, NY
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Lake Charles, Louisiana 70601
1954
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Lake Charles, LA
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Las Vegas, Nevada 89102
874
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Las Vegas, NV
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Little Rock, Arkansas 72211
1782
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Little Rock, AR
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Long Beach, California 90813
982
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Long Beach, CA
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Long Beach, California 90806
979
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Long Beach, CA
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Marlton, New Jersey 08053
2386
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Marlton, NJ
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Memphis, Tennessee 38119
1864
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Memphis, TN
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Miami, Florida 33122
2731
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Miami, FL
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Naperville, Illinois 60563
1709
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Naperville, IL
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Norristown, Pennsylvania 19403
2359
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Norristown, PA
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Norwalk, Connecticut 06851
2416
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Norwalk, CT
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Oakland, California 94612
678
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Oakland, CA
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Oceanside, California 92056
1031
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Oceanside, CA
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Oklahoma City, Oklahoma 73116
1518
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Oklahoma City, OK
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Oklahoma City, Oklahoma 73112
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Philadelphia, Pennsylvania 19139
2370
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Pico Rivera, California 90660
968
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Pico Rivera, CA
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Reading, Pennsylvania 19604
2325
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Reading, PA
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Rochester, New York 14618
2164
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Saint Charles, Missouri 63304
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Saint Louis, Missouri 63141
1706
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San Diego, California 92102
1066
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Shaker Heights, Ohio 44122
2028
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Springdale, Arkansas 72764
1639
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Washington, District of Columbia 20016
2318
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Washington,
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