Assessment of Safety and Efficacy of Therapy for the Prevention of Weight Gain Associated With Olanzapine

NCT ID: NCT00401973

Last Updated: 2009-10-06

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

199 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-11-30

Study Completion Date

2008-09-30

Brief Summary

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The goal of this study is to answer the following questions:

* Whether treatment with amantadine, metformin or zonisamide can prevent or reverse the weight gain that is associated with olanzapine
* Whether taking amantadine, metformin or zonisamide can help patients decrease or eliminate some of the changes in body that occur with weight gain
* How weight gain associated with olanzapine can affect people
* Whether treatment with amantadine, metformin or zonisamide can help eliminate weight gain associated with olanzapine and not interfere with the positive effects of olanzapine on functioning of people with schizophrenia and other diseases

Detailed Description

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Conditions

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Schizophrenia Schizoaffective Disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Olanzapine

olanzapine plus behavioral information

Group Type EXPERIMENTAL

olanzapine

Intervention Type DRUG

5-20 milligrams (mg), oral, daily for 22 weeks.

Wellness education

Intervention Type BEHAVIORAL

weight management

Olanzapine + Amantadine

Olanzapine and Pharmacological Algorithm 1a - amantadine first plus behavioral information

Group Type EXPERIMENTAL

olanzapine

Intervention Type DRUG

5-20 milligrams (mg), oral, daily for 22 weeks.

amantadine

Intervention Type DRUG

Amantadine, 100 milligrams (mg), oral, 1 twice a day (BID). Patients who gained greater than 3 kilograms (kg) will switch to metformin. Patients who gained greater than 3 kg after switching to metformin will be switched to zonisamide.

metformin

Intervention Type DRUG

Metformin, 500 mg, oral, twice a day (BID) for 2 weeks titrated to 500mg three times a day (TID) thereafter. Patients who gain greater than 3 kilograms (kg) will be switched to amantadine. Patients who gained greater than 3 kg after switching to amantadine will be switched to zonisamide.

zonisamide

Intervention Type DRUG

Zonisamide, 100-400mg, oral, daily.

Wellness education

Intervention Type BEHAVIORAL

weight management

Olanzapine + Metformin

Olanzapine and Pharmacological Algorithm 1b - metformin first plus behavioral information

Group Type EXPERIMENTAL

olanzapine

Intervention Type DRUG

5-20 milligrams (mg), oral, daily for 22 weeks.

amantadine

Intervention Type DRUG

Amantadine, 100 milligrams (mg), oral, 1 twice a day (BID). Patients who gained greater than 3 kilograms (kg) will switch to metformin. Patients who gained greater than 3 kg after switching to metformin will be switched to zonisamide.

metformin

Intervention Type DRUG

Metformin, 500 mg, oral, twice a day (BID) for 2 weeks titrated to 500mg three times a day (TID) thereafter. Patients who gain greater than 3 kilograms (kg) will be switched to amantadine. Patients who gained greater than 3 kg after switching to amantadine will be switched to zonisamide.

zonisamide

Intervention Type DRUG

Zonisamide, 100-400mg, oral, daily.

Wellness education

Intervention Type BEHAVIORAL

weight management

Interventions

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olanzapine

5-20 milligrams (mg), oral, daily for 22 weeks.

Intervention Type DRUG

amantadine

Amantadine, 100 milligrams (mg), oral, 1 twice a day (BID). Patients who gained greater than 3 kilograms (kg) will switch to metformin. Patients who gained greater than 3 kg after switching to metformin will be switched to zonisamide.

Intervention Type DRUG

metformin

Metformin, 500 mg, oral, twice a day (BID) for 2 weeks titrated to 500mg three times a day (TID) thereafter. Patients who gain greater than 3 kilograms (kg) will be switched to amantadine. Patients who gained greater than 3 kg after switching to amantadine will be switched to zonisamide.

Intervention Type DRUG

zonisamide

Zonisamide, 100-400mg, oral, daily.

Intervention Type DRUG

Wellness education

weight management

Intervention Type BEHAVIORAL

Other Intervention Names

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LY170053 Zyprexa

Eligibility Criteria

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Inclusion Criteria

* You must have been diagnosed with schizophrenia or schizoaffective disorder
* You must be able to visit the doctor's office once every two weeks for three months, then once every four weeks for the next three months with a possible bi-weekly visit during the fifth month
* If you are currently taking a medication for schizophrenia or schizoaffective disorder, you have been taking it for at least 30 days without any changes
* If you are a female, you must have a negative pregnancy test and be using an effective method of contraception

Exclusion Criteria

* You have a diagnosis of bipolar I disorder, diabetes, very high triglyceride level (fasting triglycerides greater than or equal to 500 mg/dL), recent heart attack, stroke, uncontrolled seizures, serious infection, unstable heart disease (such as ischemic heart disease or congestive heart failure), an uncorrected narrow angle glaucoma or human immunodeficiency virus (HIV)
* You have diseases of the intestinal tract, lungs, liver, kidney, nervous or endocrine systems, or blood
* You have a diagnosis of an eating disorder
* You have a history of Parkinson's Disease or any related disorders
* You are allergic to sulfa drugs or any of the medications involved in this study
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Eli Lilly

Principal Investigators

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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

National City, California, United States

Site Status

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Canton, Ohio, United States

Site Status

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Johnson City, Tennessee, United States

Site Status

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Memphis, Tennessee, United States

Site Status

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DeSoto, Texas, United States

Site Status

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Rio de Janeiro, , Brazil

Site Status

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Salvador, , Brazil

Site Status

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Beer Yaacov, , Israel

Site Status

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Mexico City, , Mexico

Site Status

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Bayamón, , Puerto Rico

Site Status

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Ponce, , Puerto Rico

Site Status

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San Juan, , Puerto Rico

Site Status

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

San Juan, , Puerto Rico

Site Status

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Moscow, , Russia

Site Status

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Seoul, , South Korea

Site Status

Countries

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United States Brazil Israel Mexico Puerto Rico Russia South Korea

References

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Hoffmann VP, Case M, Jacobson JG. Assessment of treatment algorithms including amantadine, metformin, and zonisamide for the prevention of weight gain with olanzapine: a randomized controlled open-label study. J Clin Psychiatry. 2012 Feb;73(2):216-23. doi: 10.4088/JCP.09m05580. Epub 2011 May 17.

Reference Type DERIVED
PMID: 21672497 (View on PubMed)

Case M, Treuer T, Karagianis J, Hoffmann VP. The potential role of appetite in predicting weight changes during treatment with olanzapine. BMC Psychiatry. 2010 Sep 14;10:72. doi: 10.1186/1471-244X-10-72.

Reference Type DERIVED
PMID: 20840778 (View on PubMed)

Other Identifiers

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F1D-US-HGMM

Identifier Type: -

Identifier Source: secondary_id

10768

Identifier Type: -

Identifier Source: org_study_id

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