Rasagiline in the Treatment of Persistent Negative Symptoms of Schizophrenia
Recruitment status was Recruiting
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Purpose
This is a study of a new medication for the treatment of cognitive impairments (thinking difficulties) and negative symptoms in people with schizophrenia. The new medication is rasagiline. Rasagiline is a drug which has been approved by the Food and Drug Administration for the treatment of Parkinson's disease. It is used to treat cognitive problems.
| Condition | Intervention | Phase |
|---|---|---|
|
Schizophrenia |
Drug: rasagiline (Pharmacodynamics) Drug: Placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Rasagiline in the Treatment of Persistent Negative Symptoms of Schizophrenia |
- Scale for the Assessment of Negative Symptoms (SANS) [ Time Frame: Every 4 weeks ] [ Designated as safety issue: No ]
- Neuropsychological tests, including RBANS, probabilistic learning task, and N-Back task [ Time Frame: Beginning of treatment phase (week 0) and end of treatment phase (week 12) ] [ Designated as safety issue: No ]
- Simpson Angus Scale [ Time Frame: Every 4 weeks ] [ Designated as safety issue: Yes ]
- Side Effect checklist and vital signs [ Time Frame: Weekly ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 60 |
| Study Start Date: | January 2007 |
| Estimated Study Completion Date: | July 2011 |
| Estimated Primary Completion Date: | July 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Rasagiline
Treatment with Rasagiline
|
Drug: rasagiline (Pharmacodynamics)
Rasagiline 1 mg/day for 12 weeks
|
|
Placebo Comparator: Inactive pill
Treatment with Placebo
|
Drug: Placebo
Placebo 1 tablet each day
|
Detailed Description:
The study will consist of two phases: a 4-week continued stability phase (lead-in phase) and a 12-week double-blind treatment phase. In the lead-in phase, subjects receiving antipsychotic medication, who manifest moderate to severe and persistent negative symptoms, will remain on their maintenance regimen for at least four weeks. The treatment phase will be a 12-week, parallel groups, double-blind, placebo-controlled trial of adjunctive rasagiline (1 mg/day), a selective MAO-B oxidase inhibitor.
Eligibility| Ages Eligible for Study: | 18 Years to 64 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subjects will meet DSM-IV criteria for schizophrenia or schizoaffective disorder.
- Current treatment with one or more second generation antipsychotics, except ziprasidone
- On same second generation antipsychotic(s)for at least 56 days
- On same dose of second generation antipsychotic(s)for at least 30 days
- 22-item SANS: Total score (i.e.all items minus global items and poverty of content of speech)greater than 20 or global Rating of Affective Flattening greater than or equal to 3 or global Rating of alogia greater than or equal to 3
- BPRS: Sum of the four positive symptom items less than or equal to 16 (items 4,11,12,15)
- BPRS: Sum of the four Anxiety/Depression Factor items less than or equal to 14 (items 1,2,5,9)
- Simpson-Angus Scale: Total score less than or equal to 8
Exclusion Criteria:
- DSM-IV Major Depressive Disorder within last 6 months
- Current treatment with ziprasidone
- DSM-IV diagnosis of alcohol or substance dependence within the last 6 months
- DSM-IV criteria for alcohol or substance abuse within the last month
- evidence of illicit substance use, as identified with urine toxicology screen
- History of an organic brain disorder, mental retardation,epilepsy, or a medical condition, whose pathology or treatment could alter the presentation or treatment of schizophrenia or significantly increase the risk associated with the proposed treatment protocol. See those listed below
- Uncontrolled hypertension defined as BP exceeding 145/90 on 3 consecutive readings despite adequate treatment, pheochromocytoma, melanoma, hepatic insufficiency
- Pregnancy or lactation in females
- Pheochromocytoma
- Melanoma
- Hepatic insufficiency
Contacts and Locations| Contact: Melissa Blake | 410-402-6042 | mblake@mprc.umaryland.edu |
| United States, Maryland | |
| Baltimore VA Medical Center | Recruiting |
| Baltimore, Maryland, United States, 21201 | |
| Contact: Mary Olandu, NP 410-605-7284 Mary.Olandu@va.med.gov | |
| Principal Investigator: Robert W Buchanan, M.D. | |
| Maryland Psychiatric REsearch Center | Recruiting |
| Catonsville, Maryland, United States, 21228 | |
| Contact: M P Ball, RN 410-402-7548 pball@mprc.umaryland.edu | |
| Principal Investigator: Robert W Buchanan, M.D. | |
| Mosaic Community Mental health Center | Recruiting |
| Catonsville, Maryland, United States, 21228 | |
| Contact: Melissa Blake, B.A. 410-402-6042 mblake@mprc.umaryland.edu | |
| Principal Investigator: Robert W Buchanan, M.D. | |
| Keypoint Mental health Center | Recruiting |
| Catonsville, Maryland, United States, 21228 | |
| Contact: Melissa Blake, B.A. 410-402-6042 mblake@mprc.umaryland.edu | |
| Principal Investigator: Robert W Buchanan, M.D. | |
| Keypoint Mental health Center | Recruiting |
| Dundalk, Maryland, United States, 21222 | |
| Contact: Melissa Blake, B.A. 410-402-6042 mblake@mprc.umaryland.edu | |
| Principal Investigator: Robert W Buchanan, M.D. | |
| Principal Investigator: | Robert W Buchanan, M.D. | University of Maryland |
More Information
No publications provided
| Responsible Party: | Robert W. Buchanan, M.D., Maryland Psychiatric Research Center/University of Maryland Baltimore |
| ClinicalTrials.gov Identifier: | NCT00492336 History of Changes |
| Other Study ID Numbers: | HP-00043807, H-27877 |
| Study First Received: | June 26, 2007 |
| Last Updated: | April 23, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by University of Maryland:
|
Cognitive impairments Negative symptoms |
Additional relevant MeSH terms:
|
Schizophrenia Schizophrenia and Disorders with Psychotic Features Mental Disorders Rasagiline Monoamine Oxidase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
Pharmacologic Actions Neuroprotective Agents Protective Agents Physiological Effects of Drugs Central Nervous System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 19, 2013