Trial Outcomes & Findings for Varenicline Adjunctive Treatment in Schizophrenia (NCT NCT00492349)

NCT ID: NCT00492349

Last Updated: 2022-01-05

Results Overview

Ham-D Total Score (range 0 to 54, higher score is worse). Definition is fully described in a peer-review journal reported at Arch Gen Psychiatry 2011 Dec;68(12):1195-206.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

91 participants

Primary outcome timeframe

Week 8

Results posted on

2022-01-05

Participant Flow

Participant milestones

Participant milestones
Measure
Varenicline
Varenicline Treatment Group
Placebo
Placebo Control Group
Overall Study
STARTED
35
34
Overall Study
Week 2
32
33
Overall Study
Week 8
32
27
Overall Study
COMPLETED
32
27
Overall Study
NOT COMPLETED
3
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Varenicline Adjunctive Treatment in Schizophrenia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Varenicline
n=35 Participants
Placebo
n=34 Participants
Total
n=69 Participants
Total of all reporting groups
Age, Continuous
Smoker
43.0 years
STANDARD_DEVIATION 2.5 • n=5 Participants
41.5 years
STANDARD_DEVIATION 2.5 • n=7 Participants
42.2 years
STANDARD_DEVIATION 2.5 • n=5 Participants
Age, Continuous
Non-Smoker
45.7 years
STANDARD_DEVIATION 2.6 • n=5 Participants
42.1 years
STANDARD_DEVIATION 3.2 • n=7 Participants
43.9 years
STANDARD_DEVIATION 2.8 • n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
10 Participants
n=7 Participants
22 Participants
n=5 Participants
Sex: Female, Male
Male
23 Participants
n=5 Participants
24 Participants
n=7 Participants
47 Participants
n=5 Participants
Region of Enrollment
United States
35 participants
n=5 Participants
34 participants
n=7 Participants
69 participants
n=5 Participants
BPRS Total
Smoker
36.2 units on a scale
STANDARD_DEVIATION 1.9 • n=5 Participants
35.0 units on a scale
STANDARD_DEVIATION 2.0 • n=7 Participants
35.6 units on a scale
STANDARD_DEVIATION 1.9 • n=5 Participants
BPRS Total
Non-Smoker
31.2 units on a scale
STANDARD_DEVIATION 2.0 • n=5 Participants
34.0 units on a scale
STANDARD_DEVIATION 2.5 • n=7 Participants
32.6 units on a scale
STANDARD_DEVIATION 2.2 • n=5 Participants
Ham-D Total Score
Smoker
5.0 units on a scale
STANDARD_DEVIATION 0.9 • n=5 Participants
5.76 units on a scale
STANDARD_DEVIATION 1.15 • n=7 Participants
5.38 units on a scale
STANDARD_DEVIATION 1.0 • n=5 Participants
Ham-D Total Score
Nonsmoker
5.2 units on a scale
STANDARD_DEVIATION 0.7 • n=5 Participants
6.6 units on a scale
STANDARD_DEVIATION 1.0 • n=7 Participants
5.8 units on a scale
STANDARD_DEVIATION 0.8 • n=5 Participants

PRIMARY outcome

Timeframe: Week 8

Ham-D Total Score (range 0 to 54, higher score is worse). Definition is fully described in a peer-review journal reported at Arch Gen Psychiatry 2011 Dec;68(12):1195-206.

Outcome measures

Outcome measures
Measure
Varenicline
n=32 Participants
Varenicline: Varenicline 0.5mg po qd x 7 days then titrated to Varenicline 0.5mg po bid x 7 weeks
Placebo
n=27 Participants
Placebo: Placebo 0.5mg po qd x 7 days then titrated to Placebo 0.5mg po bid x 7 weeks
Hamilton Depression Rating Scale (Ham-D)
Smoker
22.9 units on a scale
Standard Error 3.2
20.6 units on a scale
Standard Error 3.4
Hamilton Depression Rating Scale (Ham-D)
Nonsmoker
19.4 units on a scale
Standard Error 3.2
18.6 units on a scale
Standard Error 2.2

PRIMARY outcome

Timeframe: Week 8

A saccade is a quick eye movement. Spatial working memory was assessed by memory saccade. Participants were asked to focus on a target while a peripheral cue was flashed. Participants were signaled to look in the direction of the peripheral cue when the central target was removed, and the positional error was calculated as the distance between the saccadic and peripheral target positions. Definition is fully described in a peer-review journal reported at Arch Gen Psychiatry 2011 Dec;68(12):1195-206.

Outcome measures

Outcome measures
Measure
Varenicline
n=32 Participants
Varenicline: Varenicline 0.5mg po qd x 7 days then titrated to Varenicline 0.5mg po bid x 7 weeks
Placebo
n=27 Participants
Placebo: Placebo 0.5mg po qd x 7 days then titrated to Placebo 0.5mg po bid x 7 weeks
Memory Saccadic Positional Error, Degrees
Smoker
1.6 degrees
Standard Error 0.2
1.7 degrees
Standard Error 0.2
Memory Saccadic Positional Error, Degrees
Nonsmoker
1.7 degrees
Standard Error 0.1
1.8 degrees
Standard Error 0.2

PRIMARY outcome

Timeframe: Week 8

Pursuit gain is the averaged artifact-free eye velocity divided by target velocity. Participants are asked to track a target with their eyes. Participants may use a predictive mechanism to perform the tracking. The pursuit gain using the predictive mechanism is calculated. Further definition is fully described in a peer-review journal reported at Arch Gen Psychiatry 2011 Dec;68(12):1195-206.

Outcome measures

Outcome measures
Measure
Varenicline
n=32 Participants
Varenicline: Varenicline 0.5mg po qd x 7 days then titrated to Varenicline 0.5mg po bid x 7 weeks
Placebo
n=27 Participants
Placebo: Placebo 0.5mg po qd x 7 days then titrated to Placebo 0.5mg po bid x 7 weeks
Predictive Pursuit Gain
Smoker
0.31 velocity ratio
Standard Error 0.03
0.34 velocity ratio
Standard Error 0.04
Predictive Pursuit Gain
Nonsmoker
0.24 velocity ratio
Standard Error 0.04
0.31 velocity ratio
Standard Error 0.04

PRIMARY outcome

Timeframe: Week 8

Pursuit gain is the averaged artifact-free eye velocity divided by target velocity. Eye velocity during the regular eye-tracking period (without foveal stabilization) divided by target velocity was used to calculate the maintenance pursuit gain. Further definition is fully described in a peer-review journal reported at Arch Gen Psychiatry 2011 Dec;68(12):1195-206.

Outcome measures

Outcome measures
Measure
Varenicline
n=32 Participants
Varenicline: Varenicline 0.5mg po qd x 7 days then titrated to Varenicline 0.5mg po bid x 7 weeks
Placebo
n=27 Participants
Placebo: Placebo 0.5mg po qd x 7 days then titrated to Placebo 0.5mg po bid x 7 weeks
Maintenance Pursuit Gain
Smoker
0.8 velocity ratio
Standard Error 0.1
0.8 velocity ratio
Standard Error 0.04
Maintenance Pursuit Gain
Nonsmoker
0.8 velocity ratio
Standard Error 0.1
0.8 velocity ratio
Standard Error 0.1

PRIMARY outcome

Timeframe: Week 0, Week 2 and Week 8

Digit symbol test score (0 to no definite upper range, higher score is better). Definition is fully described in a peer-review journal reported at Arch Gen Psychiatry 2011 Dec;68(12):1195-206.

Outcome measures

Outcome measures
Measure
Varenicline
n=28 Participants
Varenicline: Varenicline 0.5mg po qd x 7 days then titrated to Varenicline 0.5mg po bid x 7 weeks
Placebo
n=28 Participants
Placebo: Placebo 0.5mg po qd x 7 days then titrated to Placebo 0.5mg po bid x 7 weeks
Digit Symbol Test
Week 0
53.9 units on a scale
Standard Deviation 19.3
53.2 units on a scale
Standard Deviation 19.1
Digit Symbol Test
Week 2
55.9 units on a scale
Standard Deviation 19.0
53.8 units on a scale
Standard Deviation 20.6
Digit Symbol Test
Week 8
54.2 units on a scale
Standard Deviation 20.3
54.3 units on a scale
Standard Deviation 21.7

PRIMARY outcome

Timeframe: Week 0, Week 2 and Week 8

Conner's CPT Detectability Score (no set normal range, higher is generally better). Definition is fully described in a peer-review journal reported at Arch Gen Psychiatry 2011 Dec;68(12):1195-206.

Outcome measures

Outcome measures
Measure
Varenicline
n=30 Participants
Varenicline: Varenicline 0.5mg po qd x 7 days then titrated to Varenicline 0.5mg po bid x 7 weeks
Placebo
n=26 Participants
Placebo: Placebo 0.5mg po qd x 7 days then titrated to Placebo 0.5mg po bid x 7 weeks
Conner's Continuous Performance Test (CPT) Detectability Score
Week 0
0.87 units on a scale
Standard Deviation 0.38
0.87 units on a scale
Standard Deviation 0.50
Conner's Continuous Performance Test (CPT) Detectability Score
Week 2
0.89 units on a scale
Standard Deviation 0.42
0.97 units on a scale
Standard Deviation 0.54
Conner's Continuous Performance Test (CPT) Detectability Score
Week 8
0.95 units on a scale
Standard Deviation 0.48
0.97 units on a scale
Standard Deviation 0.53

PRIMARY outcome

Timeframe: Week 0, Week 2 and Week 8

In antisaccade, participants were asked to focus on a central target. When a peripheral cue was presented, participants were asked to look in an equidistant and opposite direction of the peripheral cue. The error rate is calculated as the number of trials in which the participant looked toward the cue, rather than in the opposite direction, divided by the total number of trials. Further definition is fully described in a peer-review journal reported at Arch Gen Psychiatry 2011 Dec;68(12):1195-206.

Outcome measures

Outcome measures
Measure
Varenicline
n=31 Participants
Varenicline: Varenicline 0.5mg po qd x 7 days then titrated to Varenicline 0.5mg po bid x 7 weeks
Placebo
n=27 Participants
Placebo: Placebo 0.5mg po qd x 7 days then titrated to Placebo 0.5mg po bid x 7 weeks
Antisaccade Error Rates
Week 0
0.61 percentage errors
Standard Deviation 0.27
0.54 percentage errors
Standard Deviation 0.27
Antisaccade Error Rates
Week 2
0.49 percentage errors
Standard Deviation 0.27
0.54 percentage errors
Standard Deviation 0.26
Antisaccade Error Rates
Week 8
0.45 percentage errors
Standard Deviation 0.26
0.53 percentage errors
Standard Deviation 0.28

PRIMARY outcome

Timeframe: Week 0, Week 2 and Week 8

P50 response is a measure of the amplitude of the brain wave in response to a sound, where the positive going amplitude of the brain wave occurring at about 50 milliseconds after the sound. Further definition is fully described in a peer-review journal reported at Arch Gen Psychiatry 2011 Dec;68(12):1195-206.

Outcome measures

Outcome measures
Measure
Varenicline
n=31 Participants
Varenicline: Varenicline 0.5mg po qd x 7 days then titrated to Varenicline 0.5mg po bid x 7 weeks
Placebo
n=32 Participants
Placebo: Placebo 0.5mg po qd x 7 days then titrated to Placebo 0.5mg po bid x 7 weeks
P50
Week 2
3.2 microvolts
Standard Error 0.75
3.0 microvolts
Standard Error .72
P50
Week 0
3.2 microvolts
Standard Error 0.73
3.1 microvolts
Standard Error .71
P50
Week 8
3.2 microvolts
Standard Error 0.6
2.5 microvolts
Standard Error .77

Adverse Events

Varenicline

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

L. Elliot Hong, M.D.

University of Maryland

Phone: 410-402-6828

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place