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Antidepressant Treatment in Older Adults With Schizophrenia

This study has been completed.

Sponsored by: National Institute of Mental Health (NIMH)
Information provided by: National Institute of Mental Health (NIMH)
ClinicalTrials.gov Identifier: NCT00047450
  Purpose

The purpose of this study is to evaluate the safety and effectiveness of citalopram (Celexa) for the treatment of depressive symptoms in middle-aged and elderly patients with schizophrenia.


Condition Intervention
Schizophrenia
Drug: Citalopram (Celexa)
Drug: Placebo

MedlinePlus related topics:   Antidepressants   Schizophrenia  

ChemIDplus related topics:   Escitalopram   Benzetimide   Citalopram   Citalopram hydrobromide   Dexetimide   Escitalopram oxalate  

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title:   Citalopram Augmentation in Older Patients With Schizophrenia

Further study details as provided by National Institute of Mental Health (NIMH):

Enrollment:   212
Study Start Date:   September 2001
Study Completion Date:   September 2007
Estimated Primary Completion Date:   September 2006 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1: Placebo Comparator
Participants will take placebo
Drug: Placebo
Placebo for 3 months
2: Active Comparator
Participants will take citalopram (Celexa)
Drug: Citalopram (Celexa)
Citalopram for 3 months

Detailed Description:

Older people with schizophrenia suffer from greater physical comorbidity, cognitive impairment, and medication side effects compared to their younger counterparts. Unfortunately, little research is available to guide the treatment of subsyndromal depressive symptoms in older adults. This study will compare the antidepressant citalopram to placebo to determine the most effective treatment for reducing depressive symptoms in older patients with schizophrenia

After patients have been on stable treatment with antipsychotic medication for at least 4 weeks, they are randomly assigned to receive antipsychotic medication plus either citalopram or placebo for 3 months. Depressive symptoms and side effects are assessed weekly for the first month, biweekly for the second month, and again at the end of the third month. Cognition, motor and daily functioning, quality of life, and medication adherence are assessed throughout the study.

  Eligibility
Ages Eligible for Study:   40 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Schizophrenia or schizoaffective disorder
  • HAM-D score of 8 or above
  • Antipsychotic medication treatment
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00047450

Locations
United States, California
San Diego VA Medical Center    
      San Diego, California, United States, 92161
United States, Ohio
Veterans Administration Hospital of Cincinnati    
      Cincinnati, Ohio, United States, 45220

Sponsors and Collaborators

Investigators
Principal Investigator:     Sidney Zisook, MD     University of California, San Diego    
  More Information

UCSD Geropsychiatry Advanced Clinical Intervention And Services Research Center  This link exits the ClinicalTrials.gov site
 

Responsible Party:   UCSD ( Sidney Zisook, MD )
Study ID Numbers:   R01 MH63931, DATR A4-GPX
First Received:   October 4, 2002
Last Updated:   March 4, 2008
ClinicalTrials.gov Identifier:   NCT00047450
Health Authority:   United States: Federal Government

Keywords provided by National Institute of Mental Health (NIMH):
Psychotic Disorders  

Study placed in the following topic categories:
Schizophrenia
Psychotic Disorders
Dexetimide
Citalopram
Serotonin
Schizophrenia and Disorders with Psychotic Features

Additional relevant MeSH terms:
Parasympatholytics
Neurotransmitter Uptake Inhibitors
Neurotransmitter Agents
Cholinergic Antagonists
Molecular Mechanisms of Pharmacological Action
Anti-Dyskinesia Agents
Physiological Effects of Drugs
Psychotropic Drugs
Antiparkinson Agents
Cholinergic Agents
Serotonin Uptake Inhibitors
Pharmacologic Actions
Muscarinic Antagonists
Serotonin Agents
Autonomic Agents
Mental Disorders
Therapeutic Uses
Peripheral Nervous System Agents
Antidepressive Agents, Second-Generation
Central Nervous System Agents

ClinicalTrials.gov processed this record on July 03, 2008




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