The primary features of schizophrenia and schizoaffective disorder are positive (inability to think clearly and distinguish reality from fantasy) and negative symptoms (reduction or absence of normal behavior or emotions). Other symptoms include reduced ability to recall and learn information, difficulty in problem solving maintaining productive employment. Asenapine is an investigational drug that may help to correct the above schizophrenia by altering the inbalance of brain hormones such as dopamine serotonin. This is a long-term extension trial to further test the efficacy and safety asenapine and a comparator agent (olanzapine) in the treatment of patients with schizophrenia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
440
Flexible dose, 1-2 tablets sublingual two times per day (1 or 2 tablets in the morning and 1 or 2 tablets in the evening). Each tablet contains either 5 mg asenapine or matching placebo.
Flexible dose, 1-2 capsules oral once per day (in the morning). Each capsule contains 10 mg olanzapine or matching placebo.
Change in total PANSS score at endpoint
Time frame: Screening, Week 76, 100, and once every 24 weeks thereafter until endpoint
Changes in PANSS subscale scores and Marder factor scores
Time frame: Every 24 weeks after baseline
Changes in CGI-S
Time frame: Every 12 weeks after baseline
Patient functionality and subjective well-being (as measured by LOF, SF-12 and SWN)
Time frame: Every 48 weeks after baseline
Severity of depressed mood (as measured by the Calgary Depression Scale for Schizophrenia)
Time frame: Every 24 weeks after baseline
Resource utilization (as measured by frequency and length of hospital stay)
Time frame: During the entire study period
Safety and tolerability: EPS (AIMS, BARS, SARS)
Time frame: Every 24 weeks after baseline
Adverse Events
Time frame: Continuously and up to 7 days after endpoint
Pregnancy Test
Time frame: At endpoint
Blood Tests
Time frame: Every 12 weeks after baseline
Weight and vital signs
Time frame: Every 4 weeks after baseline
ECGs
Time frame: Every 24 weeks after baseline
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