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CTRI Number  CTRI/2021/12/038783 [Registered on: 21/12/2021] Trial Registered Prospectively
Last Modified On: 26/09/2024
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Other 
Public Title of Study   To assess blood concentration of Paliperidone Prolonged Release Injectable Suspension at different times in patients with Schizophrenia following single dose  
Scientific Title of Study   A Randomized, Multicenter, Single-Dose, Two-Treatment, Single- Period, Parallel, Bioequivalence Study of Mylan’s Paliperidone Prolonged-Release Suspension for Injection, 25 mg and Janssen-Cilag’s Xeplion® Prolonged Release Suspension for Injection, 25 mg in Subjects with Schizophrenia. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Protocol no. PALI-ISR-1004, Version 2.0 dated 04 August 2021  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Dharmesh Domadia 
Designation  Vice President - Global Clinical Operations 
Affiliation  Cliantha Research Limited 
Address  Department Clinical Trials, Room no. 01, 1st floor,6, Arista@Eight, Corporate House, Near Satyam House, Behind Rajpath Club, Bodakdev

Ahmadabad
GUJARAT
380054
India 
Phone  079-66219555  
Fax  079-66219549  
Email  ddomadia@cliantha.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ankesh Barnwal 
Designation  Associate Director- I– Clinical Trial Medical Services 
Affiliation  Cliantha Research Limited 
Address  Department Clinical Trials, Room no. 01, 1st floor, 6, Arista@Eight, Corporate House, Near Satyam House, Behind Rajpath Club, Bodakdev

Ahmadabad
GUJARAT
380054
India 
Phone  079-66219500  
Fax  079-66219549  
Email  abarnwal@cliantha.com  
 
Details of Contact Person
Public Query
 
Name  Mr Deepak Chawla 
Designation  Project Manager - Clinical Trials 
Affiliation  Cliantha Research Limited 
Address  Department Clinical Trials, 2nd floor,6, Arista@Eight, Corporate House, Near Satyam House, Behind Rajpath Club, Bodakdev

Ahmadabad
GUJARAT
380054
India 
Phone  079-66219500  
Fax  079-66219549  
Email  dchawla@cliantha.com  
 
Source of Monetary or Material Support  
Mylan Laboratories Limited, Prestige Tech Park II, Varthur Hobli, Outer Ring Road, Kadubeesanahalli, Bengaluru-560 103, India 
 
Primary Sponsor  
Name  Mylan Laboratories Limited 
Address  Prestige Tech Park II, Varthur Hobli, Outer Ring Road, Kadubeesanahalli, Bengaluru-560 103, India 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NILL  NILL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 21  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Rakesh Sanghadiya  Aatman Hospital  A-405, 4th Floor, Radhe Krishan Complex, 132 Ring Road, Near Jaymala Bus Stand, Isanpur,
Ahmadabad
GUJARAT 
9825610315

r_sanghadia@yahoo.com 
Dr Aman Romesh Khanna  Aman Hospital and Research Centre  15, Shashwat, Opp. ESI Hospital, Gotri Road
Vadodara
GUJARAT 
9904402122

amankhanna1974@gmail.com 
Dr Rajendra Someshwar Anand  Anand Multispecialty Hospital & Research Center  Consulting Room No: 01, 4th Floor, Psychiatry Department, Anand Multispecialty hospital & research center, 4th floor, Sarthak Mall, Mahatma Mandir Road, Sargasan Cross Road
Gandhinagar
GUJARAT 
9824017400

drrajendraanand@yahoo.com 
Dr K Ramakrishnan  Athma Hospitals & Research Pvt Ltd.  No. 12, B&C, 10th Cross East, Thillainagar
Thiruvallur
TAMIL NADU 
8056536894

drdhana@athmahospitals.com 
Dr Chandrashekhar T R  Belagavi Institute of medical sciences  3rd Floor BIMS Building , DR. B. R Ambedkar Road
Belgaum
KARNATAKA 
9886769053

bimsclinicalresearch@gmail.com 
Dr Nishanth Vemana  Excel Hospital  1-5-56/29, Old Alwal Rd, beside Bharat Petroleum, Near IG Statue, Banda Basti, Old Alwal, Alwal, Secunderabad,
Hyderabad
TELANGANA 
7731030321

doctorresearch1212@gmail.com 
Dr Bhavesh Kathiriya  Global Hospital  4th Floor Global Point, Nr. Navjivan restaurant, Sarthana Jakat Naka,
Surat
GUJARAT 
9712026222

drbhaveshkathiriyacr@gmail.com 
Dr N Uma Jyothi  Government General Hospital  Room No. 117, Department of Psychiatry, Government General Hospital
Guntur
ANDHRA PRADESH 
9440062160

neelijyothi31@gmail.com 
Dr Sandeep J Mahammuni  Gunjkar Multispecialty Hospital  Plot No. 315, Sector No. 18, Shivtej Nagar, Chikhali, Pimpri Chinchwad
Pune
MAHARASHTRA 
9850110805

sandeepmahamuni@gmail.com 
Dr Amar Shinde  Jagruti Rehabilitation Centre  Zagade vasti, before loni toll plaza pune solapur road, hadapsar
Pune
MAHARASHTRA 
9371425026

dramar79@gmail.com 
Dr Suchita Goyal  Jeevan Anmol Hospital  Near MLA Guest House, Tagore Nagpur, -492001
Raipur
CHHATTISGARH 
9644206751

goyal.suchita4@gmail.com 
Dr Keyur Parmar  Kiran Neuro-Psychiatry Care  309-3rd Floor, Samved Complex, Jail Road
Bhavnagar
GUJARAT 
9909903513

drkeyurparmar@gmail.com 
Dr Sandeep Patil  KLES Dr. Prabhakar Kore Hospital And Medical Research Centre   KLEs Dr. Prabhakar Kore Hospital And MRC, Nehru Nagar
Belgaum
KARNATAKA 
7353201136

sandeep.04m1108@gmail.com 
Dr Malay Riteshkumar Patel  Lotus Multispeciality Hospital  Block N, Krupa Residency, Motera Stadium Road, Motera, Sabarmati
Ahmadabad
GUJARAT 
9428916387

malayrpatel93@gmail.com 
Dr Masthi Diwakar  Medstar Specialty Hospital  Second floor, 641/17/1/3, Kodigehalli Main Road, Sahakar Nagar
Bangalore
KARNATAKA 
9618942112

drmasthidiwakarmedstar@gmail.com 
Dr Yadav Ramashanker Rammurti  Pramukh Multispeciality Hospital  Nr. Railway crossing above Ilaj Medical Store, Maninagar (East), Khokhra Ahmedabad, Gujarat-380008
Ahmadabad
GUJARAT 
8264049261

yadavramashanker@gmail.com 
Dr Prashant Agrawal  Pulse Hospital  Gurudwara Road, Nehru Nagar(W), Bhilai, Durg-490020, Chhattisgarh.
Durg
CHHATTISGARH 
7000402146

pa181184@gmail.com 
Dr Akshay Gopal Chandurkar  Radiant Superspeciality Hospital  Sabnis Plot, Kalyan Nagar Square
Amravati
MAHARASHTRA 
8928863034

akshaychandurkar97@gmail.com 
Dr Vora Vaishal Nareshchandra   Ratandeep Multi-speciality Hospital  Nakshatra Complex, Above HDFC Bank, Maninagar Cross Roads, Maninagar
Ahmadabad
GUJARAT 
9825440891

vnvora@gmail.com 
Dr Amit Dharmadhikari  Shree Ashirwad Hospital  /3 Shree Complex, Opposite Mahavir Road, Manpada Road, Dombivali, thane
Thane
MAHARASHTRA 
9545272793

Amitdharmadhikari2015@gmail.com 
Dr Savan Shah  Shreeji Psychiatric Hospital  Room No-1- Opp. OrthoRAB Hospital,Near Spandan Hospital, 100 ft. Road Near Indira Statue, Anand-388001
Anand
GUJARAT 
9898045954

drshahsavan@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 21  
Name of Committee  Approval Status 
Alteeza Institutional Ethics Committee  Approved 
Anand Ethics Committee  Approved 
Anand Institutional Ethics Committee   Approved 
Excel Hospital Institutional Ethics Committee  Approved 
Global Ethics Committee  Approved 
HCG Hospital Institutional Ethics Committee  Approved 
IEC-Sai Sneh Hospital and Diagnostic Centre  Approved 
Institutional Ethics Committee Aman Hospital and Research Centre  Approved 
Institutional Ethics Committee BIMS  Approved 
Institutional Ethics Committee GMC and GGH  Approved 
Institutional Ethics Committee, KLE University, JNMC Campus  Approved 
Institutional Ethics Committee- Pulse Hospital  Approved 
Institutional Ethics Committee-Pulse Hospital  Approved 
Lotus Ethics Committee  Approved 
Manoj ENT Speciality Instutional Ethics Committee  Approved 
Medstar Speciality Hospital Ethics Committee  Approved 
Radiant Superspeciality Hospital Ethics Committee  Approved 
Ratandeep Institutional Ethics Committee   Approved 
Ratandeep Institutional Ethics Committee  Approved 
Riddhi Medical Nursing Home IEC   Approved 
Rising Medicare Hospital and IEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F209||Schizophrenia, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Paliperidone Prolonged-release Suspension for Injection, 25 mg (Equivalent to 39 mg of paliperidone palmitate)  Single dose 
Comparator Agent  Xeplion® Prolonged-release Suspension for Injection, 25 mg (Equivalent to 39 mg Paliperidone Palmitate)  Single dose 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Subject candidates must fulfill all of the following inclusion criteria to be eligible for participation in the study, unless otherwise specified:

1. Patients having a clinical diagnosis of schizophrenia as per DSM V
2. Subjects who are clinically stable with no hospitalizations for exacerbation of psychiatric symptoms.
3. Patients with established tolerability and responsiveness to oral paliperidone/risperidone or injectable paliperidone prior to screening
4. Male or non-pregnant, non-lactating female subjects between 18 and 65 years of age (both inclusive)
5. Weight: Each subject is required to weigh at least 50 kg (110 lbs) for men and 48 kg (106 lbs) for women and have a Body Mass Index (BMI) value less than or equal to 35.0 kg/m2 but greater than or equal to 18.0 kg/m2
 
 
ExclusionCriteria 
Details  Subject candidates must not be enrolled in the study if they meet any of the following criteria:

1. Institutionalized subjects.
2. Subjects with history of alcohol or drug-dependence as per DSM-V criteria.
3. Subjects with Ingestion of any alcoholic beverage within the 24 hours prior to the initial administration of study medication.
4. Subjects with ingestion of risperidone long-acting injection
5. Subjects with depot injection or implant of any drug other than hormonal contraceptive or hormone replacement therapy
6. Subjects currently being treated with Clozapine, monoamine oxidase inhibitor (MAOI) antidepressants, electroconvulsive therapy
7. Use of any medication, herbal supplement, or vitamin known to induce or inhibit hepatic enzyme activity
8. Subjects with dementia related psychosis
9. Subjects with Clinical Global Impression - Severity of illness (CGI-S) score of 5 or more
10. Subjects with suicidal ideation
11. Subjects with a history of Neuroleptic Malignant Syndrome (NMS)
12. History of any significant cardiovascular, hepatic, renal, pulmonary, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, psychological, genitourinary, musculoskeletal disease, uncontrolled metabolic diseases, clinically significant laboratory results or malignancies by the Principal Investigator or Medical Sub-Investigator.
13. Use of drugs that prolong the QTc interval,
14. Subjects with positive HIV, hepatitis B antigen, hepatitis C antibody, RPR or VDRL test
15. Subjects with positive urine drug screen
16. Subjects with history or presence of tardive dyskinesia, seizures idiopathic Parkinson’s disease, cognitive and motor impairment.
17. Subjects with donation or loss of blood or plasma
18. Subjects with participation in any interventional clinical study
19. Subjects with allergy or hypersensitivity to paliperidone, risperidone, other related products, or any inactive ingredients
20. Subjects has clinical signs and symptoms consistent with COVID-19 or had severe COVID-19
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To evaluate the bioequivalence of Mylan’s Paliperidone Prolonged-release Suspension for Injection 25 mg of Mylan Laboratories Limited, India with Janssen-Cilag’s Xeplion® 25 mg (equivalent to 39 mg Paliperidone Palmitate) in subjects with schizophrenia.  After 1st dose (Day 1) till day 140’ 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the safety and tolerability of Mylan’s Paliperidone Prolonged-release Suspension for Injection, 25 mg in subjects with schizophrenia.  Safety will be assessed throughout the study, i.e., from signing of ICF to end of study visit (Day 140) 
 
Target Sample Size   Total Sample Size="212"
Sample Size from India="212" 
Final Enrollment numbers achieved (Total)= "217"
Final Enrollment numbers achieved (India)="217" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/12/2021 
Date of Study Completion (India) 21/06/2023 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Nill 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

A Bioequivalence Study with Mylan’s Paliperidone Prolonged-Release Suspension for Injection, 25 mg in Subjects with Schizophrenia with following objectives:

 

To evaluate the bioequivalence of Mylan’s Paliperidone Prolonged-release Suspension for Injection 25 mg of Mylan Laboratories Limited, India with Janssen-Cilag’s Xeplion® 25 mg (equivalent to 39 mg Paliperidone Palmitate) in subjects with schizophrenia.

To evaluate the safety and tolerability of Mylan’s Paliperidone Prolonged-release Suspension for Injection, 25 mg in subjects with schizophrenia. 
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