The purpose of this study is to evaluate the long-term safety and tolerability of cariprazine in the treatment of pediatric participants with schizophrenia, bipolar I disorder, or autism spectrum disorder (ASD) and to establish the benefit-risk profile of long-term treatment in this population.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
310
1 capsule to be taken orally at approximately the same time of day (morning or evening)
Dose solution (in milliliters) to be taken orally at approximately the same time of day (morning or evening)
Harmonex Neuroscience Research /ID# 234938
Dothan, Alabama, United States
Pillar Clinical Research /ID# 236434
Bentonville, Arkansas, United States
Advanced Research Center /ID# 241903
Anaheim, California, United States
Duplicate_Alliance for Research - Long Beach /ID# 236261
Long Beach, California, United States
CHOC Children's Hospital /ID# 251019
Orange, California, United States
Number of Participants With Treatment-emergent Adverse Events (TEAEs) in the Treatment Period
An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (i.e. laboratory value), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. A TEAE is an AE that occurs or worsens after receiving study drug.
Time frame: Baseline Day 1 to Week 59
Number of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory Parameters
Clinical laboratory parameters included tests of hematology, chemistry, urinalysis and prolactin. The investigator assessed the results for clinical significance.
Time frame: Baseline Day 1 to Week 52
Number of Participants With Clinically Significant Changes From Baseline in Vital Sign Parameters
Vital sign parameters included blood pressure, pulse rate, body mass index (BMI), weight, and waist circumference. The investigator assessed the results for clinical significance.
Time frame: Baseline Day 1 to Week 59
Number of Participants With Clinically Significant Changes From Baseline in Electrocardiograms (ECG)
A standard 12-lead ECG was performed. The investigator determined the clinical significance of the ECG findings using the central ECG interpretation laboratory report.
Time frame: Baseline Day 1 to Week 52
Number of Participants With Suicidal Ideation or Suicidal Behavior as Recorded on the Columbia-Suicide Severity Rating (C-SSRS) Scale
C-SSRS is a clinician-rated scale that reports the severity of both suicidal ideation and behavior. Suicidal ideation is classified on a 5-item scale: 1 "wish to be dead," and 5 "active suicidal ideation with specific plan and intent". Suicidal behavior is classified on a 5-item scale: 0 "no suicidal behavior, and 4 "actual attempt".
Time frame: Baseline Day 1 to Week 52
Change From Baseline in Abnormal Involuntary Movement Scale (AIMS)
AIMS assesses abnormal involuntary movements, such as tardive dyskinesia, associated with antipsychotic drugs; it measures facial, oral, extremities, and trunk movements, as well as the participant's awareness of abnormal movements. The first 10 items are rated on a none (0) to severe (4) scale. There are an additional 2 items on dental status that are answered yes or no.
Time frame: Baseline Day 1 to Week 52
Change From Baseline in Barnes Akathisia Rating Scale (BARS)
BARS is a 4-item rating scale used to assess drug-induced akathisia. The scale comprises items for rating the observable restless movements that characterize the condition, the subjective awareness of restlessness, and any distress associated with the akathisia (each on a 4-point scale from normal \[0\] to severe \[3\]). In addition, there is a global severity for akathisia rated on a 6-point scale (absent \[0\] to severe akathisia \[5\]).
Time frame: Baseline Day 1 to Week 52
Change From Baseline in Simpson-Angus Scale (SAS)
SAS is a 10-item rating scale for assessment of antipsychotic-induced parkinsonism in both clinical practice and research settings. Each item ranges from 0 (normal) to 4 (extreme symptoms). The scale consists of 1 item measuring gait (hypokinesia), 6 items measuring rigidity, and 3 items measuring glabella tap, tremor, and salivation, respectively.
Time frame: Baseline Day 1 to Week 52
Number of Participants With Clinically Significant Changes From Baseline in Opthalmologic Parameters
Ocular examination parameters included Intraocular pressure (IOP) measurement, Best-corrected visual acuity (BCVA), color fundus photography, color vision testing using Hardy Rand and Rittler (HRR) plates, and assessment of Optical coherence tomography (OCT) and cataracts. The investigator assessed the results for clinical significance.
Time frame: Baseline Day 1 to Week 52
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ATP Clinical Research- Orange /ID# 257095
Orange, California, United States
Prospective Research Innovations Inc /ID# 236098
Rancho Cucamonga, California, United States
University of California, San Diego Department of Psychiatry /ID# 236466
San Diego, California, United States
Pacific Clinical Research Management Group /ID# 234377
Upland, California, United States
D&H Doral Research Center-Doral /ID# 255459
Doral, Florida, United States
...and 32 more locations