Trial Outcomes & Findings for Study to Evaluate the Efficacy of ALKS 3831 on Body Weight in Young Adults Who Have Been Recently Diagnosed With Schizophrenia, Schizophreniform, or Bipolar I Disorder (NCT NCT03187769)

NCT ID: NCT03187769

Last Updated: 2023-01-19

Results Overview

The efficacy analyses were performed using the Final Analysis Set which is defined as all randomized subjects who received one dose of study drug and had at least 1 primary efficacy assessment after administration of study drug

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

426 participants

Primary outcome timeframe

Baseline and 12 weeks

Results posted on

2023-01-19

Participant Flow

Participant milestones

Participant milestones
Measure
ALKS 3831
Coated bilayer tablet ALKS 3831: Olanzapine + samidorphan, daily oral dosing
Olanzapine
Coated bilayer tablet Olanzapine: Daily oral dosing
Overall Study
STARTED
211
215
Overall Study
COMPLETED
165
161
Overall Study
NOT COMPLETED
46
54

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Full Analysis Set (FAS) includes all subjects in the Safety Population who have at least 1 post-baseline weight assessment. For the secondary efficacy endpoint, the LS mean (±SE \[95% CI\]) change from baseline in CGI S score was measured within the ALKS 3831 Group at Week 12.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ALKS 3831
n=211 Participants
Coated bilayer tablet ALKS 3831: Olanzapine + samidorphan, daily oral dosing
Olanzapine
n=215 Participants
Coated bilayer tablet Olanzapine: Daily oral dosing
Total
n=426 Participants
Total of all reporting groups
Age, Continuous
26.0 years
STANDARD_DEVIATION 6.12 • n=211 Participants
25.7 years
STANDARD_DEVIATION 5.92 • n=215 Participants
25.8 years
STANDARD_DEVIATION 24.5 • n=426 Participants
Sex: Female, Male
Female
69 Participants
n=211 Participants
75 Participants
n=215 Participants
144 Participants
n=426 Participants
Sex: Female, Male
Male
142 Participants
n=211 Participants
140 Participants
n=215 Participants
282 Participants
n=426 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
12 Participants
n=211 Participants
14 Participants
n=215 Participants
26 Participants
n=426 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
199 Participants
n=211 Participants
201 Participants
n=215 Participants
400 Participants
n=426 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=211 Participants
0 Participants
n=215 Participants
0 Participants
n=426 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=211 Participants
1 Participants
n=215 Participants
3 Participants
n=426 Participants
Race (NIH/OMB)
Asian
3 Participants
n=211 Participants
10 Participants
n=215 Participants
13 Participants
n=426 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=211 Participants
0 Participants
n=215 Participants
0 Participants
n=426 Participants
Race (NIH/OMB)
Black or African American
62 Participants
n=211 Participants
58 Participants
n=215 Participants
120 Participants
n=426 Participants
Race (NIH/OMB)
White
139 Participants
n=211 Participants
144 Participants
n=215 Participants
283 Participants
n=426 Participants
Race (NIH/OMB)
More than one race
4 Participants
n=211 Participants
2 Participants
n=215 Participants
6 Participants
n=426 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=211 Participants
0 Participants
n=215 Participants
1 Participants
n=426 Participants
Region of Enrollment
Austria
0 participants
n=211 Participants
2 participants
n=215 Participants
2 participants
n=426 Participants
Region of Enrollment
South Korea
0 participants
n=211 Participants
2 participants
n=215 Participants
2 participants
n=426 Participants
Region of Enrollment
United States
102 participants
n=211 Participants
104 participants
n=215 Participants
206 participants
n=426 Participants
Region of Enrollment
Ireland
1 participants
n=211 Participants
3 participants
n=215 Participants
4 participants
n=426 Participants
Region of Enrollment
Ukraine
35 participants
n=211 Participants
42 participants
n=215 Participants
77 participants
n=426 Participants
Region of Enrollment
Poland
1 participants
n=211 Participants
1 participants
n=215 Participants
2 participants
n=426 Participants
Region of Enrollment
Italy
9 participants
n=211 Participants
4 participants
n=215 Participants
13 participants
n=426 Participants
Region of Enrollment
United Kingdom
2 participants
n=211 Participants
1 participants
n=215 Participants
3 participants
n=426 Participants
Region of Enrollment
Israel
20 participants
n=211 Participants
12 participants
n=215 Participants
32 participants
n=426 Participants
Region of Enrollment
Germany
1 participants
n=211 Participants
2 participants
n=215 Participants
3 participants
n=426 Participants
Region of Enrollment
Russia
40 participants
n=211 Participants
42 participants
n=215 Participants
82 participants
n=426 Participants
Weight
71.57 Kilogram (kg)
STANDARD_DEVIATION 13.278 • n=211 Participants
70.09 Kilogram (kg)
STANDARD_DEVIATION 12.366 • n=215 Participants
70.83 Kilogram (kg)
STANDARD_DEVIATION 12.832 • n=426 Participants
Clinical Global Impression-Severity (CGI-S) Score
3.87 units on a scale
STANDARD_DEVIATION .809 • n=202 Participants • The Full Analysis Set (FAS) includes all subjects in the Safety Population who have at least 1 post-baseline weight assessment. For the secondary efficacy endpoint, the LS mean (±SE \[95% CI\]) change from baseline in CGI S score was measured within the ALKS 3831 Group at Week 12.
3.87 units on a scale
STANDARD_DEVIATION .809 • n=202 Participants • The Full Analysis Set (FAS) includes all subjects in the Safety Population who have at least 1 post-baseline weight assessment. For the secondary efficacy endpoint, the LS mean (±SE \[95% CI\]) change from baseline in CGI S score was measured within the ALKS 3831 Group at Week 12.

PRIMARY outcome

Timeframe: Baseline and 12 weeks

Population: The efficacy analyses were performed using the Final Analysis Set (FAS) which is defined as all randomized subjects who received one dose of study drug and had at least 1 primary efficacy assessment after administration of study drug

The efficacy analyses were performed using the Final Analysis Set which is defined as all randomized subjects who received one dose of study drug and had at least 1 primary efficacy assessment after administration of study drug

Outcome measures

Outcome measures
Measure
ALKS 3831
n=202 Participants
Coated bilayer tablet ALKS 3831: Olanzapine + samidorphan, daily oral dosing
Olanzapine
n=206 Participants
Coated bilayer tablet Olanzapine: Daily oral dosing
Percent Change From Baseline in Body Weight at Week 12
4.91 Percentage of change in body weight
Standard Error .597
6.77 Percentage of change in body weight
Standard Error .596

SECONDARY outcome

Timeframe: Baseline and 12 weeks

Population: The efficacy analyses were performed using the Final Analysis Set which is defined as all randomized subjects who received one dose of study drug and had at least 1 primary efficacy assessment after administration of study drug

Percentage of weight gain is analyzed based on the subject's assessment status (≥10% vs \<10%) at Week 12 using a logistic regression model including treatment group, diagnosis (schizophrenia/schizophreniform disorder vs bipolar I disorder), region (US vs non-US), and baseline BMI (\<25 vs ≥25) as factors and baseline weight as covariate.

Outcome measures

Outcome measures
Measure
ALKS 3831
n=202 Participants
Coated bilayer tablet ALKS 3831: Olanzapine + samidorphan, daily oral dosing
Olanzapine
n=206 Participants
Coated bilayer tablet Olanzapine: Daily oral dosing
Percentage of Subjects With ≥10% Weight Gain at Week 12
21.9 Percentage of participants
30.4 Percentage of participants

SECONDARY outcome

Timeframe: Baseline and 12 weeks

Population: The efficacy analyses were performed using the Final Analysis Set which is defined as all randomized subjects who received one dose of study drug and had at least 1 primary efficacy assessment after administration of study drug

Outcome measures

Outcome measures
Measure
ALKS 3831
n=202 Participants
Coated bilayer tablet ALKS 3831: Olanzapine + samidorphan, daily oral dosing
Olanzapine
n=206 Participants
Coated bilayer tablet Olanzapine: Daily oral dosing
Percentage of Subjects With ≥7% Weight Gain at Week 12
33.1 Percentage of participants
44.8 Percentage of participants

SECONDARY outcome

Timeframe: Up to 16 weeks

Population: The safety population included all subjects who received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
ALKS 3831
n=211 Participants
Coated bilayer tablet ALKS 3831: Olanzapine + samidorphan, daily oral dosing
Olanzapine
n=215 Participants
Coated bilayer tablet Olanzapine: Daily oral dosing
Number of Participants Experiencing of Adverse Events (AEs)
134 Participants
136 Participants

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: The efficacy analyses were performed using the Final Analysis Set which is defined as all randomized subjects who received one dose of study drug and had at least 1 primary efficacy assessment after administration of study drug

Outcome measures

Outcome measures
Measure
ALKS 3831
n=202 Participants
Coated bilayer tablet ALKS 3831: Olanzapine + samidorphan, daily oral dosing
Olanzapine
n=206 Participants
Coated bilayer tablet Olanzapine: Daily oral dosing
Change From Baseline in Waist Circumference at Week 12
2.99 Centimeters
Standard Error .464
3.90 Centimeters
Standard Error .477

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: The efficacy analyses were performed using the Final Analysis Set which is defined as all randomized subjects who received one dose of study drug and had at least 1 primary efficacy assessment after administration of study drug

Clinical Global Impression-Severity (CGI-S) Score is a 3-item, clinician-rated scale used to assess global illness severity, overall improvement from the start of treatment, and therapeutic response. It is a 7-point scale that requires the clinician to assess how mentally ill the patient is at a specific point in time. Based on the scale, patients are categorized as follows: "1: normal, not at all ill"; "2: borderline mentally ill"; "3: mildly ill"; "4: moderately ill"; "5: markedly ill"; "6: severely ill"; and "7: among the most extremely ill patients."

Outcome measures

Outcome measures
Measure
ALKS 3831
n=202 Participants
Coated bilayer tablet ALKS 3831: Olanzapine + samidorphan, daily oral dosing
Olanzapine
Coated bilayer tablet Olanzapine: Daily oral dosing
Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score Within the ALKS 3831 Group at Week 12
-.82 units on a scale
Standard Error .060

Adverse Events

ALKS 3831

Serious events: 8 serious events
Other events: 134 other events
Deaths: 1 deaths

Olanzapine

Serious events: 8 serious events
Other events: 136 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ALKS 3831
n=211 participants at risk
Coated bilayer tablet ALKS 3831: Olanzapine + samidorphan, daily oral dosing
Olanzapine
n=215 participants at risk
Coated bilayer tablet Olanzapine: Daily oral dosing
Injury, poisoning and procedural complications
Toxicity to various agents
0.47%
1/211 • 16 Weeks
0.93%
2/215 • 16 Weeks
Injury, poisoning and procedural complications
Intentional overdose
0.47%
1/211 • 16 Weeks
0.93%
2/215 • 16 Weeks
Nervous system disorders
Seizure
0.47%
1/211 • 16 Weeks
0.00%
0/215 • 16 Weeks
Psychiatric disorders
Suicidal ideation
0.47%
1/211 • 16 Weeks
0.00%
0/215 • 16 Weeks
Psychiatric disorders
Anxiety
0.00%
0/211 • 16 Weeks
0.93%
2/215 • 16 Weeks
Infections and infestations
Varicella
0.47%
1/211 • 16 Weeks
0.00%
0/215 • 16 Weeks
Musculoskeletal and connective tissue disorders
Limb deformity
0.47%
1/211 • 16 Weeks
0.00%
0/215 • 16 Weeks
Psychiatric disorders
Schizophrenia
1.4%
3/211 • 16 Weeks
0.93%
2/215 • 16 Weeks
Psychiatric disorders
Bipolar I Disorder
0.00%
0/211 • 16 Weeks
0.47%
1/215 • 16 Weeks

Other adverse events

Other adverse events
Measure
ALKS 3831
n=211 participants at risk
Coated bilayer tablet ALKS 3831: Olanzapine + samidorphan, daily oral dosing
Olanzapine
n=215 participants at risk
Coated bilayer tablet Olanzapine: Daily oral dosing
Investigations
Weight Increased
21.8%
46/211 • 16 Weeks
25.6%
55/215 • 16 Weeks
Nervous system disorders
Somnolence
10.9%
23/211 • 16 Weeks
9.3%
20/215 • 16 Weeks
Investigations
Alanine aminotransferase increased
7.6%
16/211 • 16 Weeks
6.5%
14/215 • 16 Weeks
Nervous system disorders
Headache
6.2%
13/211 • 16 Weeks
4.7%
10/215 • 16 Weeks
Nervous system disorders
Sedation
5.2%
11/211 • 16 Weeks
6.0%
13/215 • 16 Weeks
Investigations
Waist Circumference Increased
4.7%
10/211 • 16 Weeks
7.0%
15/215 • 16 Weeks
Gastrointestinal disorders
Nausea
4.3%
9/211 • 16 Weeks
2.3%
5/215 • 16 Weeks
Psychiatric disorders
Anxiety
3.8%
8/211 • 16 Weeks
5.6%
12/215 • 16 Weeks
Investigations
Blood creatine phosphokinase increased
3.8%
8/211 • 16 Weeks
2.3%
5/215 • 16 Weeks
General disorders
Fatigue
3.8%
8/211 • 16 Weeks
1.9%
4/215 • 16 Weeks
Investigations
Aspartate aminotransferase increased
3.3%
7/211 • 16 Weeks
3.7%
8/215 • 16 Weeks
Nervous system disorders
Dizziness
2.8%
6/211 • 16 Weeks
1.4%
3/215 • 16 Weeks
Gastrointestinal disorders
Dry mouth
2.8%
6/211 • 16 Weeks
0.47%
1/215 • 16 Weeks
Metabolism and nutrition disorders
Increased appetite
2.8%
6/211 • 16 Weeks
4.2%
9/215 • 16 Weeks
Gastrointestinal disorders
Vomiting
2.8%
6/211 • 16 Weeks
0.47%
1/215 • 16 Weeks
Musculoskeletal and connective tissue disorders
Back pain
2.4%
5/211 • 16 Weeks
0.93%
2/215 • 16 Weeks

Additional Information

Global Clinical Services

Alkermes

Phone: 888-253-8008

Results disclosure agreements

  • Principal investigator is a sponsor employee Should an Investigator desire to disclose study results, Sponsor will review the results disclosure prior to public release and can embargo the disclosure for a period of at least 60 days. Revisions to the disclosure will be negotiated in good faith. For a multicenter study the Investigators agree to publish/publicly present the results together with the other sites for the 12 month period after study results are available unless Sponsor grants written permission in advance.
  • Publication restrictions are in place

Restriction type: OTHER