Adjunctive Treatment for Decreasing Symptoms of Schizophrenia

NCT ID: NCT00222235

Last Updated: 2019-08-20

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

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-01-31

Study Completion Date

2004-06-30

Brief Summary

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This study will determine the effectiveness of treatment with glycine or d-cycloserine in addition to a normal antipsychotic regimen in improving negative symptoms and cognitive impairments in patients with schizophrenia.

Detailed Description

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A double-blind, placebo controlled clinical trial to examine whether adjunctive treatment with glycine or d-cycloserine, compared to placebo, will improve negative symptoms and cognitive impairments in patients with schizophrenia who remain on their normal antipsychotic regimen.

Multicenter, randomized, double-blinded placebo controlled parallel-groups clinical trial designed to test the hypothesis that interventions (glycine or d-cycloserine) intended to increase glutamatergic activity by action at the NMDA receptor will reduce persistant negative symptoms and cognitive impairments of patients with schizophrenia or schizoaffective disorder. After an initial screening phase to establish clinical stability and eligibility, patients were assigned to one of three adjunctive treatments (placebo, d-cycloserine or glycine)for 16 weeks of double-blind treatment. Patients remained on a stable dose of antipsychotic therapy (other than clozapine) throughout the study.

Conditions

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Schizophrenia Schizoaffective Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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d-cycloserine

Intervention Type DRUG

glycine

Intervention Type DRUG

placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* diagnosis of schizophrenia or schizoaffective disorder
* stable, enduring negative symptoms above a certain level (SANS \>19)
* clinically stable, with psychotic symptoms measured on BPRS below 19, anxiety/depression on BPRS below 15
* extrapyramidal symptoms measured on SAS below 9
* on stable antipsychotic regimen (not including clozapine)

Exclusion Criteria

* alcohol or substance dependence within last six months
* alcohol or substance abuse within last month
* organic brain disorder
* medical condition whose pathology or treatment could alter the presentation or treatment of schizophrenia, including active tuberculosis or tuberculosis treatment, kidney stones, and uncontrolled diabetes mellitus
* Female participants could not be pregnant and were required to be using a documented method of contraception.
Minimum Eligible Age

18 Years

Maximum Eligible Age

54 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

The Zucker Hillside Hospital

OTHER

Sponsor Role collaborator

Nathan Kline Institute for Psychiatric Research

OTHER

Sponsor Role collaborator

University of California, Los Angeles

OTHER

Sponsor Role collaborator

Sarah Herzog Hospital

UNKNOWN

Sponsor Role collaborator

University of Maryland, College Park

OTHER

Sponsor Role collaborator

University of Maryland, Baltimore

OTHER

Sponsor Role lead

Responsible Party

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MPRC

P.I.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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William T Carpenter, MD

Role: STUDY_CHAIR

Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicien

Locations

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UCLA/VA Greater Los Angeles Health Care System

Los Angeles, California, United States

Site Status

Maryland Psychiatric Research Center

Baltimore, Maryland, United States

Site Status

Zucker Hillside Hospital

Glen Oaks, New York, United States

Site Status

Nathan S Kline Institute for Psychiatric Research

Orangeburg, New York, United States

Site Status

Ezrath Nashim Association, Sarah Herzog Memorial Hospital

Jerusalem, , Israel

Site Status

Countries

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United States Israel

References

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Buchanan RW, Javitt DC, Marder SR, Schooler NR, Gold JM, McMahon RP, Heresco-Levy U, Carpenter WT. The Cognitive and Negative Symptoms in Schizophrenia Trial (CONSIST): the efficacy of glutamatergic agents for negative symptoms and cognitive impairments. Am J Psychiatry. 2007 Oct;164(10):1593-602. doi: 10.1176/appi.ajp.2007.06081358.

Reference Type DERIVED
PMID: 17898352 (View on PubMed)

Other Identifiers

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R01MH059807

Identifier Type: NIH

Identifier Source: secondary_id

View Link

R01MH059807

Identifier Type: NIH

Identifier Source: org_study_id

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