Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J 
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  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J, Invega Trinza (paliperidone palmitate extended-release 3-month injection) / J&J
    Review, Journal:  Evaluating the 6-month formulation of paliperidone palmitate: a twice-yearly injectable treatment for schizophrenia in adults. (Pubmed Central) -  Mar 12, 2024   
    PP6M allows a longer dosing interval than any other LAI antipsychotics, potentially reducing nonadherence and disease relapses. In future, an increase in the prescription rates of PP6M is expected and real-world efficacy and tolerability studies will be conducted.
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J, Invega Trinza (paliperidone palmitate extended-release 3-month injection) / J&J
    Clinical, Journal, HEOR, Cost-effectiveness, Cost effectiveness:  Cost-effectiveness analysis of monthly, 3-monthly, and 6-monthly long-acting injectable and oral paliperidone in adults with schizophrenia. (Pubmed Central) -  Aug 7, 2023   
    For patients with schizophrenia stabilized with paliperidone ER, switching to LAI formulations was not cost-effective, suggesting the high drug costs for LAI may not justify the improved quality of life within 5 years. Among LAI formulations, PP6M was cost-effective over PP1M and PP3M.
  • ||||||||||  Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J
    Review, Journal:  The Effect of Longer Dosing Intervals for Long-Acting Injectable Antipsychotics on Outcomes in Schizophrenia. (Pubmed Central) -  Mar 15, 2023   
    By eliminating the need for daily oral antipsychotic dosing, LAIs could increase the likelihood of patient acceptance, decrease stigma, and promote self-esteem. Longer intervals of medication coverage may be desirable for patients with higher risk of relapse including adults with recent-onset schizophrenia, those living in circumstances that may deprive them of regular access (eg, homeless), those that are in transitions between care settings or to reduce interpersonal contact during public health emergencies (eg, COVID-19 pandemic).
  • ||||||||||  Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J
    Long-Term Efficacy and Safety of Paliperidone 6-Month Formulation: An Open-Label Extension of a Double-Blind Study in Adult Patients with Schizophrenia () -  Mar 10, 2023 - Abstract #SIRS2023SIR_770;    
    P3
    Longer intervals of medication coverage may be desirable for patients with higher risk of relapse including adults with recent-onset schizophrenia, those living in circumstances that may deprive them of regular access (eg, homeless), those that are in transitions between care settings or to reduce interpersonal contact during public health emergencies (eg, COVID-19 pandemic). No deaths were reported during this study.Discussion The relapse rate with LAI PP6M, administered twice-yearly, was very low (<4%).Clinical improvements in PANSS, CGI-S, and PSP scales demonstrated in the DB study weremaintained during this 2-year OLE study and no new safety concerns were identified.KeywordKeywordsLong-acting injectablePaliperidone palmitate 6-monthPaliperidone palmitate 3-monthSchizophreniaRelapsePoster Award NoPlease list all co-authors for this poster submission.* Presenting AuthorFirst Name Last Name AffiliationDean Najarian Janssen Scientific Affairs, LLC,Titusville, NJ, USAIbrahim Turkoz Janssen Research & Development,LLC, Titusville, NJ, USASilvana Galderisi University of Campania
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J, Invega Trinza (paliperidone palmitate extended-release 3-month injection) / J&J
    Journal, HEOR:  Budget impact of introducing once-every-6-months paliperidone palmitate in US health care plans. (Pubmed Central) -  Mar 2, 2023   
    Aditya Raju was an employee of Xcenda at the time of the development and finalization of the manuscript, and Danmeng Huang is an employee of Xcenda, a health care consulting firm that was contracted by Janssen Scientific Affairs, LLC. Chih-Yuan Cheng is an employee of Janssen NV.
  • ||||||||||  Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J
    Journal:  Changes in maternal and paternal body composition during the transition to parenthood (TRANSPARENTS). (Pubmed Central) -  Dec 7, 2022   
    These changes were observed from the beginning of pregnancy up to 6 months post partum. Weight management for both women and men during pregnancy and the early postpartum period is recommended and fathers should be included in pre- and postnatal standard care.
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J, Invega Trinza (paliperidone palmitate extended-release 3-month injection) / J&J
    Efficacy and safety of paliperidone palmitate 6-month versus paliperidone palmitate 3-month long-acting injectable in patients with schizophrenia in Europe (Poster area [IN-PERSON]) -  Oct 13, 2022 - Abstract #ECNP2022ECNP_828;    
    P3
    The Result s of this sub-group analysis were consistent with the findings of global study [4]. Conclusion : PP6M demonstrated non-inferior efficacy to PP3M in patients with schizophrenia in Europe, as observed in the global study. Safety Result s for PP6M were consistent with the known profile of paliperidone and were indistinguishable from the safety profile of PP3M.
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J
    Trial completion:  A Study of Paliperidone Palmitate 6-Month Formulation (clinicaltrials.gov) -  Jun 22, 2022   
    P3,  N=178, Completed, 
    These findings provide patient-relevant information reinforcing the benefits of LAIs for schizophrenia treatment. Active, not recruiting --> Completed
  • ||||||||||  Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J
    Clinical, Journal:  Distribution characteristics of intestinal microbiota during pregnancy and postpartum in healthy women. (Pubmed Central) -  Jun 22, 2022   
    Therefore, the diversity and function of the gut microbiota in healthy pregnant women remained unchanged during pregnancy; however, the composition of the intestinal microbiota in the postpartum period changed significantly. Our results provide the basis for in-depth studies of the composition of perinatal gut microbial communities in women.
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J, Invega Trinza (paliperidone palmitate extended-release 3-month injection) / J&J
    Budget Impact of Introducing Once-Every-Six-Months Paliperidone Palmitate for the Management of Schizophrenia Among Medicaid Beneficiaries in Georgia () -  May 5, 2022 - Abstract #APA2022APA_842;    
    Introducing PP6M to the GA Medicaid program for managing adults with schizophrenia who are currently stabilized on PP1M or PP3M is projected to have a low impact on the state budget over 5 years. Modeling the impact of PP6M to the Medicaid budget of a state, like GA, can help policy makers with formulary decisions aimed at improving medication adherence and optimizing outcomes for beneficiaries with schizophrenia.
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J, Invega Trinza (paliperidone palmitate extended-release 3-month injection) / J&J
    Comparing Alternative Paliperidone Formulations for Relapse Prevention in Patients with Schizophrenia: A Cost-Utility Analysis (Virtual) -  Mar 8, 2022 - Abstract #ISPOR2022ISPOR_214;    
    Among paliperidone LAIs, PP3M has a preferable economic value over PP1M and PP6M. However, this conclusion is drawn based on results from clinical trials and might not be generalizable to real-world settings.
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J, Invega Trinza (paliperidone palmitate extended-release 3-month injection) / J&J
    Efficacy, Safety and Pharmacokinetics of Paliperidone Palmitate 6-Month Long-Acting Injectable in Patients With Schizophrenia: A Randomized, Double-Blind, Multicenter, Noninferiority Phase 3 Study ([VIRTUAL]) -  Nov 28, 2021 - Abstract #ACNP2021ACNP_937;    
    PK data from the current study as well as the PopPK simulations of concentration-time profiles indicated paliperidone plasma exposures were similar when switching from PP1M (after ≥4 months of treatment) or PP3M (after ≥1 cycle) to PP6M. Thus, PP6M provides consistent medication coverage with just two injections per year and may offer a viable option for maintenance treatment in cases where minimizing the frequency of injections can help meet treatment needs (e.g., patients with limited access to healthcare or medication adherence issues).
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J, Invega Trinza (paliperidone palmitate extended-release 3-month injection) / J&J
    Efficacy, Safety and Pharmacokinetics of Paliperidone Palmitate 6-Month Long-Acting Injectable in Patients With Schizophrenia: A Randomized, Double-Blind, Multicenter, Noninferiority Phase 3 Study (Exhibit Hall C) -  Nov 28, 2021 - Abstract #ACNP2021ACNP_642;    
    PK data from the current study as well as the PopPK simulations of concentration-time profiles indicated paliperidone plasma exposures were similar when switching from PP1M (after ≥4 months of treatment) or PP3M (after ≥1 cycle) to PP6M. Thus, PP6M provides consistent medication coverage with just two injections per year and may offer a viable option for maintenance treatment in cases where minimizing the frequency of injections can help meet treatment needs (e.g., patients with limited access to healthcare or medication adherence issues).
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J
    Enrollment closed:  A Study of Paliperidone Palmitate 6-Month Formulation (clinicaltrials.gov) -  Sep 22, 2020   
    P3,  N=178, Active, not recruiting, 
    Thus, PP6M provides consistent medication coverage with just two injections per year and may offer a viable option for maintenance treatment in cases where minimizing the frequency of injections can help meet treatment needs (e.g., patients with limited access to healthcare or medication adherence issues). Recruiting --> Active, not recruiting
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J, Invega Trinza (paliperidone palmitate extended-release 3-month injection) / J&J
    Trial completion, Trial completion date:  A Study of Paliperidone Palmitate 6-Month Formulation (clinicaltrials.gov) -  Jun 17, 2020   
    P3,  N=841, Completed, 
    Thus, additional mechanisms of action and agents require study to improve schizophrenia outcomes for total/positive symptoms with reduced adverse effects, but also cognitive symptoms, negative symptoms, and treatment resistance, the areas of greatest need in schizophrenia currently. Active, not recruiting --> Completed | Trial completion date: Aug 2020 --> May 2020
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J
    Enrollment open:  A Study of Paliperidone Palmitate 6-Month Formulation (clinicaltrials.gov) -  Sep 27, 2019   
    P3,  N=160, Recruiting, 
    Active, not recruiting --> Completed | Trial completion date: Aug 2020 --> May 2020 Not yet recruiting --> Recruiting
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J
    New P3 trial:  A Study of Paliperidone Palmitate 6-Month Formulation (clinicaltrials.gov) -  Aug 28, 2019   
    P3,  N=160, Not yet recruiting, 
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J, Invega Trinza (paliperidone palmitate extended-release 3-month injection) / J&J
    Enrollment closed:  A Study of Paliperidone Palmitate 6-Month Formulation (clinicaltrials.gov) -  Apr 8, 2019   
    P3,  N=840, Active, not recruiting, 
    Not yet recruiting --> Recruiting Recruiting --> Active, not recruiting
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J, Invega Trinza (paliperidone palmitate extended-release 3-month injection) / J&J
    Enrollment open:  A Study of Paliperidone Palmitate 6-Month Formulation (clinicaltrials.gov) -  Dec 26, 2017   
    P3,  N=765, Recruiting, 
    Recruiting --> Active, not recruiting Not yet recruiting --> Recruiting
  • ||||||||||  Invega Sustenna (paliperidone palmitate extended-release 1-month injection) / J&J, Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J, Invega Trinza (paliperidone palmitate extended-release 3-month injection) / J&J
    New P3 trial:  A Study of Paliperidone Palmitate 6-Month Formulation (clinicaltrials.gov) -  Nov 17, 2017   
    P3,  N=765, Not yet recruiting, 
  • ||||||||||  Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J
    Trial completion:  PALMFlexS: Paliperidone Palmitate Flexible Dosing in Schizophrenia (clinicaltrials.gov) -  Feb 3, 2014   
    P3,  N=1044, Completed, 
    Not yet recruiting --> Recruiting Active, not recruiting --> Completed
  • ||||||||||  Invega Hafyera (paliperidone palmitate extended-release 6-month injection) / J&J
    Trial initiation date:  PALMFlexS: Paliperidone Palmitate Flexible Dosing in Schizophrenia (clinicaltrials.gov) -  Dec 27, 2012   
    P3,  N=1044, Completed, 
    Active, not recruiting --> Completed Initiation date: Aug 2010 --> Nov 2010