International Suicide Prevention Trial InterSePT Study Design Efficacy and Safety Results

11/7/02


Click here to start


Table of Contents

International Suicide Prevention Trial InterSePT Study Design Efficacy and Safety Results

InterSePT: Overview of Presentation

International Suicide Prevention Trial (InterSePT): Objective

Study Design

Study Schematic

Patient Selection Criteria

Choice of Comparison Medication

Rationale for Open-Label Design

Primary Efficacy Endpoint

Type 1 Event

Suicide Attempt

Type 2 Event

Secondary Efficacy Assessments

Data Flow: Determination of Suicide Attempt/Hospitalization to Prevent Suicide

Independent Suicide Monitoring Board (SMB)

SMB: Members

SMB: Role

SMB: Material Used in Determination of Type 1 Events

SMB: Cases Reviewed for Determination of Type 1 Events

Suicide Monitoring Board: Summary

Statistical Methods

Primary Efficacy Analysis

Supportive Analyses

Sample Size

InterSePT Results

InterSePT Study Centers and Dates

Patient Disposition

Demographics at Baseline

Diagnosis and History of Treatment Resistance

Clinical Characteristics at Baseline

Study Discontinuations

Study Medication: Total Daily Dose

InterSePT Results

Patients Experiencing SMB-Determined Type 1 Events: Suicide Attempts and Hospitalizations

Distribution of Patients by Number of Suicide Attempts or Hospitalizations to Prevent Suicide

Patients Experiencing Type 2 Events: Worsening of Suicidality, Suicide Attempt, Hospitalization to Prevent Suicide

Results of WLW and Cox’s Analyses

Kaplan-Meier Estimates of Cumulative Probabilities of a Type 1 or Type 2 Event

Cox’s Analyses of Type 1 Events by Subgroups

InterSePT Results

Change in Severity of Suicidality CGI-SS-BP at Week 104

LS Mean Change From Baseline ISST-BP, PANSS-T, CDS and Covi at Week 104

LS Mean Daily Dose (mg) of Concomitant Psychotropic Medications

Safety

Incidence of Adverse Events and Serious Adverse Events

Clozaril® Adverse Events of Interest

Zyprexa® Adverse Events of Interest

Neuropsychiatric Adverse Events

Deaths

Examination of the Process of Referral of Potential Type 1 Events to the SMB

InterSePT Design: Potential Bias in Referrals to SMB

Method to Review the Process of Referral of Potential Type 1 Events to SMB

Review of Referral Process: Summary of Findings

Conclusions From InterSePT (1)

Conclusions From InterSePT (2)

Overall Conclusion

Author: Pro ED