Effectiveness of Antipsychotic Combination With Psychosocial Intervention on Outcome of Patients With Schizophrenia

NCT ID: NCT00654576

Last Updated: 2008-04-08

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

PHASE4

Total Enrollment

1400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-02-28

Study Completion Date

2007-12-31

Brief Summary

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Antipsychotic alone is limit to improve the overall outcome of schizophrenia and has a high discontinue rate.To solve these problems, we provide practical and available psychosocial intervention. We hypothesize that there will be significant difference in the overall effectiveness between antipsychotic and antipsychotic combination with psychosocial intervention.

Detailed Description

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The study is designed as a national, multicenter, randomized, naturalistic trial, with research assessors intended to be blind to the intervention status.

We plan to recruit 1400 patients at 10 china sites and randomly assign them to two group. the control group only receive antipsychotic and the study group receive antipsychotic combination with psychosocial intervention. The course is 12 months. Patients use one of the seven study drugs (chlorpromazine, sulpiride, clozapine, olanzapine, risperidone, quetiapine, and aripitrazole)to the maintain treatment. The psychosocial intervention include psychoeducation, family intervention, skills training, and cognitive-behavioral therapy. The primary aim is to delineate differences in the overall effectiveness of the two treatment model.The assessments include the outcome of symptomatology,neurobiology,social psychology,medical economics.

Conditions

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Schizophrenia

Keywords

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schizophrenia antipsychotic outcome psychosocial intervention

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

the comparator arm will only receive one of the seven antipsychotic

Group Type ACTIVE_COMPARATOR

Chlorpromazine, Sulpiride, Clozapine, Olanzapine, Risperidone, Quetiapine, Aripitrazole

Intervention Type DRUG

patient will receive one of the seven study drugs (Chlorpromazine, Sulpiride, Clozapine, Olanzapine, Risperidone, Quetiapine, Aripitrazole) as the maintain treatment. the dose is flexible, is based on the study doctor's judgment.

2

the experimental group will receive one of the seven study drugs combination with psychosocial intervention

Group Type EXPERIMENTAL

psychosocial intervention

Intervention Type BEHAVIORAL

the psychosocial interventions include psychoeducaiton, family intervention, skill training, and cognitive-behavioral therapy.

Interventions

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Chlorpromazine, Sulpiride, Clozapine, Olanzapine, Risperidone, Quetiapine, Aripitrazole

patient will receive one of the seven study drugs (Chlorpromazine, Sulpiride, Clozapine, Olanzapine, Risperidone, Quetiapine, Aripitrazole) as the maintain treatment. the dose is flexible, is based on the study doctor's judgment.

Intervention Type DRUG

psychosocial intervention

the psychosocial interventions include psychoeducaiton, family intervention, skill training, and cognitive-behavioral therapy.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Eligible patients were 16 to 50 years of age;
* had received a diagnosed of schizophrenia in accordance with criteria set out in the Diagnostic and Statistical Manual of Mental Disorders-fourth edition (DSM-IV);
* were confirmed to be clinically stable by the investigator (the total score ≤60 on the Positive and Negative Syndrome Scale \[PANSS\] or a decrease of fifty percent from acute period in the total score on PANSS)
* and taken maintenance treatment with any one of the following seven oral antipsychotics:

* chlorpromazine
* sulpiride clozapine
* risperidone
* olanzapine
* quetiapine
* aripiprazole

Exclusion Criteria

* Patients were excluded if they had received a diagnosis of schizoaffective disorder, mental retardation, or other cognitive disorders;
* had a history of serious adverse reactions to the proposed treatment;
* were pregnant or breastfeeding; or had a serious and unstable medical condition.
* Patients were excluded if they were unable to provide informed consent
Minimum Eligible Age

16 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Mental Health Center

OTHER

Sponsor Role collaborator

Sichuan University

OTHER

Sponsor Role collaborator

Capital Medical University

OTHER

Sponsor Role collaborator

Nanjing Medical University

OTHER

Sponsor Role collaborator

Jiangxi Mental Hospital

UNKNOWN

Sponsor Role collaborator

Hunan Mental Hospital

OTHER

Sponsor Role collaborator

Guangzhou Mental Hospital

OTHER

Sponsor Role collaborator

Chongqing Metal Institute

UNKNOWN

Sponsor Role collaborator

Henan Mental Hospital

UNKNOWN

Sponsor Role collaborator

Central South University

OTHER

Sponsor Role lead

Locations

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Institute of Mental Health of The Second Xiangya Hospital, Central South University

Changsha, Hunan, China

Site Status

Countries

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China

References

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Zhang Z, Zhai J, Wei Q, Qi J, Guo X, Zhao J. Cost-effectiveness analysis of psychosocial intervention for early stage schizophrenia in China: a randomized, one-year study. BMC Psychiatry. 2014 Jul 26;14:212. doi: 10.1186/s12888-014-0212-0.

Reference Type DERIVED
PMID: 25064681 (View on PubMed)

Guo X, Fang M, Zhai J, Wang B, Wang C, Hu B, Sun X, Lv L, Lu Z, Ma C, Guo T, Xie S, Twamley EW, Jin H, Zhao J. Effectiveness of maintenance treatments with atypical and typical antipsychotics in stable schizophrenia with early stage: 1-year naturalistic study. Psychopharmacology (Berl). 2011 Aug;216(4):475-84. doi: 10.1007/s00213-011-2242-3. Epub 2011 Mar 3.

Reference Type DERIVED
PMID: 21369751 (View on PubMed)

Guo X, Zhai J, Liu Z, Fang M, Wang B, Wang C, Hu B, Sun X, Lv L, Lu Z, Ma C, He X, Guo T, Xie S, Wu R, Xue Z, Chen J, Twamley EW, Jin H, Zhao J. Effect of antipsychotic medication alone vs combined with psychosocial intervention on outcomes of early-stage schizophrenia: A randomized, 1-year study. Arch Gen Psychiatry. 2010 Sep;67(9):895-904. doi: 10.1001/archgenpsychiatry.2010.105.

Reference Type DERIVED
PMID: 20819983 (View on PubMed)

Other Identifiers

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2004BA720A22

Identifier Type: -

Identifier Source: org_study_id