The purpose of this study is to assess the safety, pharmacokinetics and efficacy of 3 fixed doses of MP-214 orally administered once daily to patients with schizophrenia. MP-214 tablets will be administered to patients starting at an initial dose, followed by up-titration to a fixed dose (low, medium or high) for 14 days.
Inclusion Criteria:
Patients meeting DSM-IV-TR criteria for schizophrenia
PANSS total score <= 120 during the observation period
Patients who have been treated with oral antipsychotics within 4 weeks before informed consent
Patients whose consent is obtained from themselves in written form
Exclusion Criteria:
Patients who have defined as any mental disorder other than "Schizophrenia" based on the criteria of DSM-IV-TR
History of drug or alcohol abuse
Concurrent Parkinson's disease
History of, or concurrent spastic disorders like epilepsy, cerebrovascular disease, anuresis or adynamic(= paralytic) ileus, malignant syndrome, diabetes, hepatic disorder
Patients who exhibit abnormalities on Physical Examination, have abnormal vital signs, ECG, or clinical laboratory values
Current cataract during the observation period
History of shock or anaphylactoid symptoms to drugs
The information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Summary
Cariprazine 3 mg
Cariprazine 6 mg
Cariprazine 12.5 mg
All Events
Event Type
Organ System
Event Term
Cariprazine 3 mg
Cariprazine 6 mg
Cariprazine 12.5 mg
Number of Participants With Adverse Event and Adverse Drug Reaction
Cariprazine 3 mg
Number of Participants With Adverse drug Reaction
Number of Participants With Adverse event
Cariprazine 6 mg
Number of Participants With Adverse drug Reaction
Number of Participants With Adverse event
Cariprazine 12.5 mg
Number of Participants With Adverse drug Reaction
Number of Participants With Adverse event
Maximum Plasma Concentration of Unchanged MP-214, M7 (Desmethyl Cariprazine) and M6 (Didesmethyl Cariprazine) at Day 14
Cariprazine 3 mg
M6 (didesmethyl cariprazine)
13.79
ng/mL (Mean)
Standard Deviation: 5.74
M7 (desmethyl cariprazine)
3.14
ng/mL (Mean)
Standard Deviation: 1.26
Unchanged MP-214
9.19
ng/mL (Mean)
Standard Deviation: 3.47
Cariprazine 6 mg
M6 (didesmethyl cariprazine)
28.08
ng/mL (Mean)
Standard Deviation: 14.52
M7 (desmethyl cariprazine)
5.83
ng/mL (Mean)
Standard Deviation: 1.87
Unchanged MP-214
19.43
ng/mL (Mean)
Standard Deviation: 4.80
Cariprazine 12.5 mg
M6 (didesmethyl cariprazine)
54.99
ng/mL (Mean)
Standard Deviation: 14.97
M7 (desmethyl cariprazine)
11.37
ng/mL (Mean)
Standard Deviation: 3.00
Unchanged MP-214
36.39
ng/mL (Mean)
Standard Deviation: 8.53
Time to Maximum Plasma Concentration of Unchanged MP-214, M7 (Desmethyl Cariprazine) and M6 (Didesmethyl Cariprazine) at Day 14
Cariprazine 3 mg
M6 (didesmethyl cariprazine)
4.79
hour (Mean)
Standard Deviation: 2.23
M7 (desmethyl cariprazine)
5.25
hour (Mean)
Standard Deviation: 1.99
Unchanged MP-214
3.71
hour (Mean)
Standard Deviation: 0.99
Cariprazine 6 mg
M6 (didesmethyl cariprazine)
5.37
hour (Mean)
Standard Deviation: 2.14
M7 (desmethyl cariprazine)
5.1
hour (Mean)
Standard Deviation: 1.94
Unchanged MP-214
3.48
hour (Mean)
Standard Deviation: 1.11
Cariprazine 12.5 mg
M6 (didesmethyl cariprazine)
5.22
hour (Mean)
Standard Deviation: 2.08
M7 (desmethyl cariprazine)
4.36
hour (Mean)
Standard Deviation: 1.80
Unchanged MP-214
3.22
hour (Mean)
Standard Deviation: 0.45
Area Under the Plasma Concentration-Time Curve From Time Zero to Last of Unchanged MP-214, M7 (Desmethyl Cariprazine) and M6 (Didesmethyl Cariprazine) at Day 14
Cariprazine 3 mg
M6 (didesmethyl cariprazine)
1884.24
ng*hr/mL (Mean)
Standard Deviation: 785.73
M7 (desmethyl cariprazine)
135.25
ng*hr/mL (Mean)
Standard Deviation: 64.80
Unchanged MP-214
298.36
ng*hr/mL (Mean)
Standard Deviation: 128.04
Cariprazine 6 mg
M6 (didesmethyl cariprazine)
3397.12
ng*hr/mL (Mean)
Standard Deviation: 2395.44
M7 (desmethyl cariprazine)
232.38
ng*hr/mL (Mean)
Standard Deviation: 113.31
Unchanged MP-214
522.38
ng*hr/mL (Mean)
Standard Deviation: 194.61
Cariprazine 12.5 mg
M6 (didesmethyl cariprazine)
5950.73
ng*hr/mL (Mean)
Standard Deviation: 1928.05
M7 (desmethyl cariprazine)
437.64
ng*hr/mL (Mean)
Standard Deviation: 131.76
Unchanged MP-214
1017.96
ng*hr/mL (Mean)
Standard Deviation: 419.24
Change From Baseline in the Clinical Global Impression-Severity (CGI-S) Score at Day 14 (Last Observation Carried Forward; LOCF)
CGI-S is a 7-point scale to assess the global severity of the participant's illness. CGI-S scores range from 1 (normal, not ill at all) to 7 (extremely ill).
Cariprazine 3 mg
0.3
units on a scale (Mean)
Standard Deviation: 0.8
Cariprazine 6 mg
-0.1
units on a scale (Mean)
Standard Deviation: 0.9
Cariprazine 12.5 mg
-0.1
units on a scale (Mean)
Standard Deviation: 0.7
Change From Baseline in Positive and Negative Syndrome Scale (PANSS) Total Score at Day 14 (Last Observation Carried Forward; LOCF)
PANSS score is a 30-item rating scale to assess both the positive and negative symptom syndromes of patients with schizophrenia. Each item is scored on a 7-point scale, from 1 (absent) to 7 (extreme). The PANSS total score of the 30 PANSS items ranges from 30 to 210. High scores indicate greater severity of symptoms.
Cariprazine 3 mg
-0.2
units on a scale (Mean)
Standard Deviation: 12.8
Cariprazine 6 mg
-0.6
units on a scale (Mean)
Standard Deviation: 15.6
Cariprazine 12.5 mg
-3.9
units on a scale (Mean)
Standard Deviation: 10.8
The Clinical Global Impression-Improvement (CGI-I) Score at Day 14 (Last Observation Carried Forward; LOCF)
CGI-I is a 7-point scale to assess the global improvement of the participant's illness relative to baseline. CGI-I scores range from 1 (very much improved) to 7 (very much worse).