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
COMPLETED
PHASE3
426 participants
Baseline and 12 weeks
2023-01-19
Participant Flow
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
| 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 weeksPopulation: 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
| 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 weeksPopulation: 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
| 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 weeksPopulation: 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
| 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 weeksPopulation: The safety population included all subjects who received at least 1 dose of study drug.
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 12Population: 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
| 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 12Population: 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
| 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
Olanzapine
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
| 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
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