NAPLS Omega-3 Fatty Acid Versus Placebo Study
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Purpose
The overall goal of the present study is to determine whether Omega-3 Fatty Acids potentially prevent onset of psychosis and improve clinical symptoms and functional outcome in youth and young adults at elevated clinical risk for schizophrenia and related disorders. The specific aims are: (1) To determine whether the rate of progression to psychosis is lower during six months of treatment with Omega-3 Fatty Acids compared to six months of treatment with placebo, (2) To determine whether Omega-3 Fatty Acids are more efficacious than placebo for prodromal symptoms, negative symptoms, and functioning, (3) To assess the safety and tolerability of Omega-3 Fatty Acids in this population, and (4) To conduct analyses of neuroimaging, neurocognitive, electrophysiological and other ancillary data to explore mechanistic explanations for the hypothesized benefits of Omega-3 Fatty Acids on clinical and functional outcomes (e.g., increases in white matter integrity and processing speed).
| Condition | Intervention | Phase |
|---|---|---|
|
Psychosis |
Drug: Omega-3 Long Chain Fatty Acid Drug: Placebo |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Bio-equivalence Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Randomized Double-Blind Trial of Omega 3 Fatty Acid Versus Placebo in Individuals at Risk for Psychosis |
- rate of conversion to psychosis [ Time Frame: 12 months ] [ Designated as safety issue: No ]The rate of conversion to psychosis among prodromal patients assigned at random to Omega-3 Fatty Acids at 12 months will be significantly lower than that among patients assigned to placebo.
- Scale of Prodromal Symptoms (SOPS) total score (indexing severity of positive, negative, and general symptoms) [ Time Frame: 6 months and 12 months ] [ Designated as safety issue: No ]The reduction from baseline in the Scale of Prodromal Symptoms (SOPS) total score (indexing severity of positive, negative, and general symptoms) at 6 and 12 months will be significantly greater in prodromal patients assigned at random to Omega-3 Fatty Acids than in patients assigned to placebo.
| Estimated Enrollment: | 128 |
| Study Start Date: | August 2011 |
| Estimated Study Completion Date: | February 2014 |
| Estimated Primary Completion Date: | August 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: Soybean-Corn Blend Capsule
The placebo is a soybean/corn blend. Both the Omega-3FA and placebo are colored with carob (so shell is brown) and flavored with natural lemon-lime, to mask them.
|
Drug: Placebo
The placebo is a soybean/corn blend. Both the Omega-3FA and placebo are colored with carob (so shell is brown) and flavored with natural lemon-lime, to mask them. The dose will be 2 capsules per day.
Other Name: Placebo
|
|
Experimental: Omega 3 long chain fatty acid
The Omega-3 Fatty Acid compound will be manufactured by Ocean Nutrition Canada and contain an 2:1 proportion of EPA to DHA in which each capsule includes 370 mg EPA and 200 mg DHA as well as 2 mg/g Tocopherol. The dose will be two capsules per day for a total of 740 mg of EPA and 400 mg of DHA.
|
Drug: Omega-3 Long Chain Fatty Acid
: The Omega-3FA compound will be manufactured by Ocean Nutrition Canada and contain an 2:1 proportion of EPA to DHA in which each capsule includes 370 mg EPA and 200 mg DHA as well as 2 mg/g Tocopherol. The dose will be two capsules per day for a total of 740 mg of EPA and 400 mg of DHA.
Other Name: Fish Oil, Ocean Nutrition
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 12 Years to 30 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subjects will be included if they are treatment-seeking patients between the ages of 12 and 30 who meet diagnostic criteria for a possible prodromal syndrome and are part of the ongoing NAPLS study.
Exclusion Criteria:
- use of antipsychotic medication in the previous month.
- concomitant medical or neurological illness.
- history of significant head injury.
- alcohol or drug abuse (excluding nicotine) in the past month or dependence in the past three months.
- screening full scale estimated IQ < 80.
- active suicidal or homicidal ideation.
- pregnancy or lactation.
- allergies to seafood or seafood related products or no history of seafood consumption
Contacts and Locations| Contact: Tracy Alderman, PhD | 619 543-7761 | talderman@ucsd.edu |
| United States, California | |
| University of California, Los Angeles | Recruiting |
| Los Angeles, California, United States, 90095 | |
| Contact: Serine Uguryan 310-206-5798 SUguryan@mednet.ucla.edu | |
| Contact: Jamie Zinberg, MA 310-206-6126 | |
| Principal Investigator: Carrie Bearden, PhD | |
| University of California, San Diego | Recruiting |
| San Diego, California, United States, 92093 | |
| Contact: Tracy Alderman, PhD 619-543-7761 talderman@ucsd.edu | |
| Principal Investigator: Kristin S Cadenhead, MD | |
| United States, Connecticut | |
| Yale University | Recruiting |
| New Haven, Connecticut, United States, 06519 | |
| Contact: John Saksa, PsyD 203-974-7043 john.saksa@yale.edu | |
| Contact: Scott Woods, MD 203-974-7038 scott.woods@yale.edu | |
| Principal Investigator: Scott W Woods, MD | |
| United States, Georgia | |
| Emory University | Recruiting |
| Atlanta, Georgia, United States, 30322 | |
| Contact: Joy Brasfield 404-727-7547 jbrasfi@emory.edu | |
| Contact: Erica Duncan, MD 404-321-6111 ext 7532 eduncan@emory.edu | |
| Principal Investigator: Elaine F Walker, PhD | |
| Sub-Investigator: Maryann Jacob, MD | |
| United States, Massachusetts | |
| Harvard | Recruiting |
| Boston, Massachusetts, United States, 02215 | |
| Contact: Kristen Woodberry, PhD kwoodber@bidmc.harvard.edu | |
| Contact: Rachael Serur rserur@caregroup.org | |
| Principal Investigator: Larry J Seidman, PhD | |
| United States, New York | |
| Zucker Hillside Hospital | Recruiting |
| Glen Oaks, New York, United States, 11004 | |
| Contact: Andrea Auther, PhD aauther@lij.edu | |
| Contact: Claudine Higdon, MD chigdon@lij.edu | |
| Principal Investigator: Barbara Cornblatt, PhD | |
| United States, North Carolina | |
| University of North Carolina | Recruiting |
| Chapel Hill, North Carolina, United States, 27599 | |
| Contact: Hadley Mates 919-843-6872 Hadley_Mates@med.unc.edu | |
| Contact: Diana Perkins, MD 919-966-3813 diana_perkins@med.unc.edu | |
| Principal Investigator: Diana Perkins, MD | |
| United States, Pennsylvania | |
| VA Pittsburgh Healthcare System | Recruiting |
| Pittsburgh, Pennsylvania, United States, 15206 | |
| Contact: Jeffrey Yao, PhD 412-365-5911 jkyao@pitt.edu | |
| Principal Investigator: Jeffrey Yao, PhD | |
| Canada, Alberta | |
| University of Calgary | Recruiting |
| Calgary, Alberta, Canada, T2N 1N4 | |
| Contact: Nicole McKenzie 403-210-6026 mckenzin@ucalgary.ca | |
| Contact: Jean Addington jmadding@ucalgary.ca | |
| Principal Investigator: Jean Addington | |
| Principal Investigator: | Kristin S Cadenhead, MD | UCSD |
More Information
No publications provided
| Responsible Party: | Kristin Cadenhead, M.D., Principal Investigator, University of California, San Diego |
| ClinicalTrials.gov Identifier: | NCT01429454 History of Changes |
| Other Study ID Numbers: | NAPLS- Omega3, U01MH081944 |
| Study First Received: | August 29, 2011 |
| Last Updated: | February 21, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by University of California, San Diego:
|
Prodromal Schizophrenia Psychosis Omega |
Additional relevant MeSH terms:
|
Mental Disorders Psychotic Disorders Schizophrenia and Disorders with Psychotic Features |
ClinicalTrials.gov processed this record on May 19, 2013