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| Sponsor: | Seattle Institute for Biomedical and Clinical Research |
|---|---|
| Collaborator: |
Eli Lilly and Company |
| Information provided by: | Seattle Institute for Biomedical and Clinical Research |
| ClinicalTrials.gov Identifier: | NCT00512070 |
Purpose
Atypical antipsychotic medications, such as olanzapine, cause metabolic side effects, including weight gain, extra fat around the middle of the body, high blood sugar, and high cholesterol. One of the mechanisms by which these medications may cause these effects is by reducing plasma melatonin. This study is a pilot project to evaluate 1) the effect of olanzapine on melatonin secretion levels and 2) the effect of melatonin on olanzapine-induced changes in melatonin secretion in patients with schizophrenia, schizoaffective, or bipolar disorder.
| Condition | Intervention |
|---|---|
|
Schizophrenia Schizoaffective Disorder Bipolar Disorder Obesity Metabolic Syndrome |
Drug: olanzapine and melatonin |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Control: Dose Comparison Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Melatonin Metabolism Abnormality in Patients With Schizophrenia or Schizoaffective Disorder Treated With Olanzapine and Melatonin Dose Finding for the Correction of the Metabolic Abnormality |
| Estimated Enrollment: | 20 |
| Study Start Date: | July 2007 |
| Estimated Study Completion Date: | June 2010 |
| Estimated Primary Completion Date: | June 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| IIA: Experimental |
Drug: olanzapine and melatonin
In treatment phase I, all subjects will receive olanzapine, 10-25 mg/day. In treatment phase II, all subjects will receive olanzapine (10-25 mg/day) plus melatonin. Subjects will be randomized at a ratio of 1:1 to receive melatonin, 0.3 mg/day or 3.0 mg/day. Group IIA will receive 0.3mg day melatonin. Group IIB will receive 3.0 mg/day melatonin.
|
| IIB: Experimental |
Drug: olanzapine and melatonin
In treatment phase I, all subjects will receive olanzapine, 10-25 mg/day. In treatment phase II, all subjects will receive olanzapine (10-25 mg/day) plus melatonin. Subjects will be randomized at a ratio of 1:1 to receive melatonin, 0.3 mg/day or 3.0 mg/day. Group IIA will receive 0.3mg day melatonin. Group IIB will receive 3.0 mg/day melatonin.
|
To investigate the relationship between olanzapine, melatonin, and metabolic functioning, this pilot study is evaluating 20 patients with schizophrenia, schizoaffective disorder, or bipolar disorder over 15 weeks under three experimental conditions: 1) baseline (two weeks treatment with already established antipsychotic medication other than olanzapine or clozapine), 2) six weeks treatment with olanzapine only, and 3) six weeks treatment with olanzapine and melatonin. Half of the patients will receive 0.3 mg of oral melatonin and half will receive 3.0 mg of melatonin. Nocturnal melatonin production, as estimated by assay of urinary 6-sulfatoxymelatonin(aMT6s) adjusted for creatinine, will be measured weekly. In addition, weekly measurements of weight and other metabolic indices, including waist and hip measurements, fasting glucose, serum insulin, cholesterol, triglycerides, and leptin will be taken. It is anticipated that there will be an olanzapine-induced decrease in melatonin production. Furthermore, it is expected that the decrease in melatonin production associated with olanzapine treatment will be reversed by administration of melatonin with olanzapine.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| Contact: Annette Kennedy, Psy.D. | (253) 583-1614 | Annette.Kennedy@va.gov |
| United States, Washington | |
| VA Puget Sound Health Care System | Recruiting |
| Tacoma and Seattle, Washington, United States, 98493 | |
| Principal Investigator: | Nael Kilzieh, M.D. | VA Puget Sound Health Care System, Seattle and Tacoma, WA; University of Washington, Dept. of Psychiatry and Behavioral Sciences |
More Information
| Responsible Party: | VA Puget Sound Health Care System ( Nael Kilzieh, M.D., Principal Investigator ) |
| Study ID Numbers: | F1D-MC-X302 |
| Study First Received: | August 3, 2007 |
| Last Updated: | November 16, 2009 |
| ClinicalTrials.gov Identifier: | NCT00512070 History of Changes |
| Health Authority: | United States: Institutional Review Board |
|
schizophrenia schizoaffective disorder bipolar disorder olanzapine |
melatonin obesity metabolic syndrome |
|
Neurotransmitter Agents Neurotransmitter Uptake Inhibitors Antioxidants Molecular Mechanisms of Pharmacological Action Physiological Effects of Drugs Psychotropic Drugs Olanzapine Antiemetics Overweight Body Weight Schizophrenia Signs and Symptoms Affective Disorders, Psychotic Mental Disorders Therapeutic Uses |
Nutrition Disorders Psychotic Disorders Melatonin Congenital Abnormalities Schizophrenia and Disorders with Psychotic Features Obesity Tranquilizing Agents Bipolar Disorder Gastrointestinal Agents Central Nervous System Depressants Antipsychotic Agents Serotonin Uptake Inhibitors Protective Agents Pharmacologic Actions Serotonin Agents |