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.