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. 2021 Nov 13;25(3):238–251. doi: 10.1093/ijnp/pyab071

Table 4.

Summary of Treatment-Emergent Adverse Events During the OL and DB Phases (DB Safety Analysis Set)

ITT-OL ITT-DB safety analysis sets
No. of patients (%)
PP1M/PP3M (n = 838) PP6M (n = 478) PP3M (n = 224)
Patients with ≥1 TEAEs 341 (40.7) 297 (62.1) 131 (58.5)
Patients with ≥1 serious TEAEs 23 (2.7) 24 (5.0) 15 (6.7)
Most common (>5 patients) serious TEAE
 Schizophrenia 6 (0.7) 8 (1.7) 1 (0.4)
TEAEs leading to drug withdrawala 31 (3.7) 16 (3.3) 6 (2.7)
Most common (>5 patients) TEAEs leading to drug withdrawala
 Schizophrenia 6 (0.7) 8 (1.7%) 1 (0.4)
TEAEs leading to death 1 (0.1) 1 (0.2) 2 (0.9)
Most common (≥2% of patients) TEAEs
 Weight increase 8 (1.0) 40 (8.4) 17 (7.6)
 Injection site pain 72 (8.6) 37 (7.7) 9 (4.0)
 Headache 16 (1.9) 32 (6.7) 12 (5.4)
 Upper respiratory tract infection 19 (2.3) 24 (5.0) 9 (4.0)
 Nasopharyngitis 22 (2.6) 22 (4.6) 13 (5.8)
 Akathisia 21 (2.5) 17 (3.6) 8 (3.6)
 Insomnia 27 (3.2) 15 (3.1) 5 (2.2)
 Anxiety 25 (3.0) 15 (3.1) 1 (0.4)
 Influenza 11 (1.3) 13 (2.7) 4 (1.8)
 Urinary tract infection 4 (0.5) 13 (2.7) 2 (0.9)
 Schizophrenia 9 (1.1) 11 (2.3) 3 (1.3)
 Weight decrease 4 (0.5) 8 (1.7) 7 (3.1)
 Suicidal ideation 9 (1.1) 4 (0.8) 6 (2.7)
Patients with ≥1 EPS-related TEAEs 53 (6.3) 46 (9.6) 19 (8.5)
Most common (>5 patients) EPS-related TEAEs
 Parkinsonian rest tremor 11 (1.3) 9 (1.9) 2 (0.9)
 Muscle rigidity 7 (0.8) 2 (0.4) 0 (0.0)
 Parkinsonism 7 (0.8) 6 (1.3) 2 (0.9)
 Akathisia 21 (2.5) 17 (3.6) 8 (3.6)
 Dyskinesia 11 (1.3) 6 (1.3) 2 (0.9)
 Dystonia 3 (0.4) 1 (0.2) 0
 Tremor 1 (0.1) 1 (0.2) 0 (0.0)
Patients with ≥1 injection site-related TEAEs 89 (10.6) 59 (12.3) 11 (4.9)
 Injection site pain 72 (8.6) 37 (7.7) 9 (4.0)
 Injection site swelling 8 (1.0) 8 (1.7) 1 (0.4)
 Injection site induration 8 (1.0) 7 (1.5) 2 (0.9)
 Pain in extremity 6 (0.7) 7 (1.5) 3 (1.3)
 Injection site discomfort 2 (0.2) 3 (0.6) 1 (0.4)
 Injection site erythema 2 (0.2) 3 (0.6) 1 (0.4)
 Musculoskeletal pain 2 (0.2) 3 (0.6) 0 (0.0)
 Injection site haemorrhage 0 1 (0.2) 0 (0.0)
 Injection site nodule 0 1 (0.2) 0 (0.0)
 Injection site oedema 3 (0.4) 1 (0.2) 0 (0.0)

Abbreviations: DB, double-blind; EPS, extrapyramidal syndrome; ITT, intent-to-treat; OL, open label; PP1M, paliperidone palmitate 1-month formulation; PP3M, paliperidone palmitate 3-month formulation; PP6M, paliperidone palmitate 6-month formulation; TEAE, treatment-emergent adverse event.

a An adverse event that started in the open-label phase and resulted in study drug being discontinued in the double-blind phase is counted as treatment-emergent in the open-label phase.