| September 8, 2010 |
| August 2, 2011 |
| September 2010 |
| December 2011 (final data collection date for primary outcome measure) |
| A change in the Brief Psychotic Rating Scale (BPRS) [ Time Frame: baseline and 12 weeks ] [ Designated as safety issue: No ] |
- Brief Psychotic Rating Scale (BPRS) at baseline 4, 6 and 12 weeks [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- Clinical Global Impression (CGI) at baseline 4, 6 and 12 weeks [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- Global Assessment of Functioning (GAF) at baseline 4, 6 and 12 weeks [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
|
| Complete list of historical versions of study NCT01198353 on ClinicalTrials.gov Archive Site |
- A change in the Lipid profile (Triglyceride, HDL, LDL, Total cholesterol) [ Time Frame: baseline and 12 weeks ] [ Designated as safety issue: Yes ]
- A change in the Body Mass Index (BMI) [ Time Frame: baseline and 12 weeks ] [ Designated as safety issue: Yes ]
- A change in the Waist-to-hip ratio [ Time Frame: baseline and 12 weeks ] [ Designated as safety issue: Yes ]
- UKU side effect rating scale - patient (UKU-SERS-Pat) [ Time Frame: baseline ] [ Designated as safety issue: Yes ]
- UKU side effect rating scale - patient (UKU-SERS-Pat) [ Time Frame: 4 weeks ] [ Designated as safety issue: Yes ]
- UKU side effect rating scale - patient (UKU-SERS-Pat) [ Time Frame: 8 weeks ] [ Designated as safety issue: Yes ]
- UKU side effect rating scale - patient (UKU-SERS-Pat) [ Time Frame: 12 weeks ] [ Designated as safety issue: Yes ]
- A change in the Clinical Global Impression (CGI) [ Time Frame: Baseline and 12 weeks ] [ Designated as safety issue: No ]
- A change in the Global Assessment of Functioning (GAF) [ Time Frame: Baseline and 12 weeks ] [ Designated as safety issue: No ]
- Blood chemistry tests including CBC, electrolyte, LFT, Nitrogen Elements, and protein [ Time Frame: Baseline ] [ Designated as safety issue: Yes ]
- Blood chemistry tests including CBC, electrolyte, LFT, Nitrogen Elements, and protein [ Time Frame: 12 weeks ] [ Designated as safety issue: Yes ]
- Urinalysis [ Time Frame: Baseline ] [ Designated as safety issue: Yes ]
- Urinalysis [ Time Frame: 12 weeks ] [ Designated as safety issue: Yes ]
- Electrocardiogram (ECG) [ Time Frame: Baseline ] [ Designated as safety issue: Yes ]
- Electrocardiogram (ECG) [ Time Frame: 12 weeks ] [ Designated as safety issue: Yes ]
|
- Lipid profile (Triglyceride, HDL, LDL, Total cholesterol) at baseline 4, 6 and 12 weeks [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- Body Mass Index (BMI) at baseline 4, 6 and 12 weeks [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- Waist-to-hip ratio at baseline 4, 6 and 12 weeks [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- UKU side effect rating scale - patient (UKU-SERS-Pat) at baseline 4, 6 and 12 weeks [ Time Frame: 12 weeks ] [ Designated as safety issue: Yes ]
|
| Not Provided |
| Not Provided |
| |
| Effectiveness of Ziprasidone for Patients With Schizophrenia |
| Study Evaluating Effectiveness of Ziprasidone Using the Overlapped Switching Strategy in Patients With Schizophrenia or Schizoaffective Disorder |
Ziprasidone has been shown to be effective for treatment of positive and negative symptoms in schizophrenia and, to be associated with lower potential for extrapyramidal symptoms and weight gain. However there is little evidence of the effectiveness of switching to ziprasidone in Korean patients with schizophrenia. Although recent studies showed that there was no difference between switching strategies of ziprasidone, expert consensus guidelines prefer overlapped switching methods. Therefore this study is designed with the aim to evaluate the clinical effect of the overlapped switching to ziprasidone as well as the efficacy and safe metabolic profile of ziprasidone. |
| Not Provided |
| Interventional |
| Phase 4 |
Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
- Schizophrenia
- Schizoaffective Disorder
|
| Drug: Ziprasidone
100% of the past antipsychotic dose will be maintained in week 1, using flexible dosing of 0-100% during next 3 weeks and then discontinued. Ziprasidone will be maintained with flexible dosing of 40-160mg/day during the study period. |
| Not Provided |
- Kudla D, Lambert M, Domin S, Kasper S, Naber D. Effectiveness, tolerability, and safety of ziprasidone in patients with schizophrenia or schizoaffective disorder: results of a multi-centre observational trial. Eur Psychiatry. 2007 Apr;22(3):195-202. Epub 2006 Nov 29.
- Weiden PJ, Newcomer JW, Loebel AD, Yang R, Lebovitz HE. Long-term changes in weight and plasma lipids during maintenance treatment with ziprasidone. Neuropsychopharmacology. 2008 Apr;33(5):985-94. Epub 2007 Jul 18.
- Stip E, Zhornitsky S, Potvin S, Tourjman V. Switching from conventional antipsychotics to ziprasidone: a randomized, open-label comparison of regimen strategies. Prog Neuropsychopharmacol Biol Psychiatry. 2010 Aug 16;34(6):997-1000. Epub 2010 May 12.
- Montes JM, Rodriguez JL, Balbo E, Sopelana P, Martin E, Soto JA, Delgado JF, Diez T, Villardaga I. Improvement in antipsychotic-related metabolic disturbances in patients with schizophrenia switched to ziprasidone. Prog Neuropsychopharmacol Biol Psychiatry. 2007 Mar 30;31(2):383-8. Epub 2006 Nov 28.
- Alptekin K, Hafez J, Brook S, Akkaya C, Tzebelikos E, Ucok A, El Tallawy H, Danaci AE, Lowe W, Karayal ON. Efficacy and tolerability of switching to ziprasidone from olanzapine, risperidone or haloperidol: an international, multicenter study. Int Clin Psychopharmacol. 2009 Sep;24(5):229-38.
|
| |
| Recruiting |
| 70 |
| June 2012 |
| December 2011 (final data collection date for primary outcome measure) |
Inclusion Criteria:
- Male and female aged 18-55 years treated with risperidone, olanzapine, amisulpride, quetiapine and typical antipsychotics.
- Both in- and outpatients who met Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for schizophrenia or schizoaffective disorder.
- Their primary psychiatric clinician determined that they would benefit from a change in their medications, either because of suboptimal efficacy or because of side effects.
Exclusion Criteria:
- Those who are treated with medications that prolong the QTc interval.
- Those who have any other axis I DSM-IV diagnoses.
- Those who have a history of substance abuse or dependence within 1 month.
- Those who have clinically significant abnormal laboratory values or any other abnormal baseline laboratory findings considered by psychiatrists to be indicative of conditions that might affect the study results.
- Those who have a past history of hypersensitivity or intolerance to ziprasidone.
- Those who have history of clozapine use within 1 month.
- Those who participated in clinical trials within 1 month before entering the study entry.
- Those who have used depot antipsychotics within one cycle before entering the study.
- Those who are pregnant or are breast feeding.
- Those who have a immediate risk of harming self or others or history of suicide attempts in the year before the screening precluded inclusion in the study.
- The patients unable/unlikely to comprehend/follow the protocol.
|
| Both |
| 18 Years to 55 Years |
| No |
|
|
| Korea, Republic of |
| |
| NCT01198353 |
| IG-KOR-017-2009 |
| Yes |
| Han Yong Jung, SOONCHUNHYANG UNIVERSITY BUCHEOMN HOSPITAL |
| Soonchunhyang University Hospital |
| Pfizer |
| Principal Investigator: |
Han Yong Jung, MD, PhD |
DEPARTMENT OF PSYCHIATRY SOONCHUNHYANG UNIVERSITY BUCHEOMN HOSPITAL |
|
|
| Soonchunhyang University Hospital |
| July 2011 |