bioequivalence study comparing 2 formulations for 4 mg risperidone tablet.

Conditions: Schizophrenia; Schizoaffective Disorders

Summary: the primary objective of this study is to demonstrate the bioequivalence, with respect to risperidone and its active moiety, of a single oral dose of risperidone given as a 4 mg orally-disintegrating tablet and as a 4 mg conventional risperdal tablet. in addition, their tolerability and safety will be documented.

this is a single-center, open, randomized, 2-way crossover bioequivalence study in 40 subjects with schizophrenia or schizoaffective disorder. the study will consist of 2 treatment periods, 5 days per period. the subjects will receive a single 4 mg risperdal conventional tablet in period 1 and a single 4 mg orally-disintegrating tablet in period 2; or the orally disintegrating tablet in period 1 and conventional tablet in period 2. a washout period of at least 10 days between day 1 of period 1 and day 1 of period 2 will separate the 2 treatments. in both treatment periods plasma concentrations of the drug will be measured. serial blood collections will be made beginning at 0 hour (immediately before study drug administration) and continuing up to 96 hours after study drug administration in each period. safety will be evaluated throughout the study using physical examinations, electrocardiogram recordings (ecg), clinical laboratory testing (hematology, serum chemistry, urinalysis), vital signs measurements, pregnancy testing, drug screening, and monitoring of adverse events. the study will be approximately 6 weeks long (including the screening period). subjects will enter the study facility 3 days before the first administration of study medication on day 1 of the first period. they will remain at the facility until all study-related procedures are completed on day 5 of the second study period, a period of approximately 18 days. 4 mg risperidone (either conventional tablet or orally-disintegrating tablet), single dose, oral intake

Eligibility criteria:
inclusion criteria: * patients with diagnosis of schizophrenia of any subtype * who have a normal weight as defined by body mass index in range of 18.0 to 35.0, extremes included * for whom an informed consent form signed by the patient or legally acceptable representative is available and who are healthy on the basis of a pre-trial physical examination, medical history, electrocardiogram (ecg), and the results of blood biochemistry and hematology tests and a urinalysis carried out less than 3 weeks before the first dose of study medication is taken exclusion criteria: * patients with a mental disorders other than schizophrenia or schizoaffective disorder, according to the dsm-iv * patients who received oral risperidone or paliperidone within 14 days of first drug administration, risperdal consta within 100 days of first drug administration or paliperidone palmitate within 10 months of first drug administration * patients who used medication known to be an hepatic enzyme inducer or inhibitor less than 2 weeks prior to first drug administration * patients with history of allergic reaction to risperidone or its excipients * patients with diagnosis of alcohol or substance abuse * patients with history of clinically relevant cardiac arrhythmia's, bronchospastic or cardiovascular disease, diabetes mellitus, thyrotoxicosis, parkinsonism, or drug allergy * female patients who are pregnant or are breastfeeding or are of childbearing potential without adequate contraception.

Keywords: schizophrenia risperidone orally-disintegrating tablet bioequivalence