Clozapine Versus Chlorpromazine for Treatment-Unresponsive Schizophrenia

NCT ID: NCT00169039

Last Updated: 2015-04-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

1994-12-31

Study Completion Date

2002-02-28

Brief Summary

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This study will examine the physical response to clozapine or chlorpromazine in people with schizophrenia that has not improved with treatment.

Detailed Description

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This is a longitudinal double-blind 12-week study of the clinical and biochemical response to clozapine or chlorpromazine in a group of treatment-refractory schizophrenic patients.

The study has 4 phases: (1) A recruitment period; (2) a period of discontinuation of psychotropic medication; (3) a drug-washout period; and (4) a 12-week double-blind trial of clozapine or chlorpromazine.

Conditions

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Schizophrenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Clozapine

Intervention Type DRUG

Chlorpromazine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 19-60 years of age
* Diagnosis of schizophrenia
* BPRS score \> 50
* Clinical Global Impressions rating \> 4
* One of the following: BPRS items rated greater than or equal to 4, conceptual disorganization, suspiciousness, hallucinations, unusual thought content.
* At least 2 six-week trials of different neuroleptics given at a dosage equivalent to at least 600 mg per day of chlorpromazine OR at least 1 eight-week trial of a neuroleptic given at a dosage equivalent to at least 800 mg per day of chlorpromazine.
* The patient (or the patient's authorized legal representative) must understand the nature of the study and sign the informed consent.

Exclusion Criteria

* History of substance dependence within the past 2 months
* Major medical problems precluding the use of clozapine
* Pregnancy or lactation
* A serious suicide/homicide risk
Minimum Eligible Age

19 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Dartmouth-Hitchcock Medical Center

OTHER

Sponsor Role collaborator

Commonwealth Research Center, Massachusetts

OTHER

Sponsor Role collaborator

Novartis

INDUSTRY

Sponsor Role collaborator

Harvard Medical School (HMS and HSDM)

OTHER

Sponsor Role lead

Responsible Party

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AlanGreen

Chair, Department of Psychiatry Geisel School of Medicine at Dartmouth

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alan I Green, MD

Role: PRINCIPAL_INVESTIGATOR

Harvard Medical School (HMS and HSDM)

Locations

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Commonwealth Research Center

Jamaica Plain, Massachusetts, United States

Site Status

Countries

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United States

References

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Green AI, Alam MY, Boshes RA, Waternaux C, Pappalardo KM, Fitzgibbon ME, Tsuang MT, Schildkraut JJ. Haloperidol response and plasma catecholamines and their metabolites. Schizophr Res. 1993 Jun;10(1):33-7. doi: 10.1016/0920-9964(93)90074-s.

Reference Type BACKGROUND
PMID: 8369230 (View on PubMed)

Green AI, Alam MY, Sobieraj JT, Pappalardo KM, Waternaux C, Salzman C, Schatzberg AF, Schildkraut JJ. Clozapine response and plasma catecholamines and their metabolites. Psychiatry Res. 1993 Feb;46(2):139-49. doi: 10.1016/0165-1781(93)90016-a.

Reference Type BACKGROUND
PMID: 8483973 (View on PubMed)

Other Identifiers

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R01MH049891

Identifier Type: NIH

Identifier Source: secondary_id

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R01MH049891

Identifier Type: NIH

Identifier Source: org_study_id

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