Efficacy Study Exploring the Effects on Cognition of Sertindole Versus Comparator in Patients With Schizophrenia

NCT ID: NCT00654706

Last Updated: 2014-05-28

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

PHASE3

Total Enrollment

264 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-03-31

Study Completion Date

2010-03-31

Brief Summary

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The objective of this study is to explore the neurocognitive efficacy of Sertindole versus comparator in patients with schizophrenia using the MCCB.

Detailed Description

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Sertindole is an atypical antipsychotic approved in the European Union (EU) for use in patients with schizophrenia who are intolerant to at least one other antipsychotic agent. During clinical development sertindole was found to be as effective in the treatment of schizophrenia as the first-generation antipsychotic haloperidol and as the second-generation antipsychotic risperidone.

Sertindole is generally well tolerated and has a benign side-effect profile, including an absence of sedation, no effect on plasma prolactin levels, moderate weight gain, no anticholinergic-mediated cognitive impairment and a low rate of extrapyramidal symptoms (EPS). Sertindole has been shown to prolong the QT interval and is contraindicated in patients with prolonged QT interval and in patients receiving drugs known to significantly prolong the QT interval.

The study is designed to provide data on the neurocognitive properties of sertindole versus quetiapine in patients with schizophrenia. Efficacy for cognitive impairment is assessed in patients who are in a stable phase of their illness, with a predefined maximum level of symptoms that will allow them to be included in the study. Prior antipsychotic medication will be withdrawn (down-tapered) and patients will be randomly assigned to one of the study drugs.

Cognitive deficiencies are an important feature of schizophrenia and correlate strongly with functional impairment. Improving functional outcomes in schizophrenia has a high priority and has resulted in the initiation of a program called Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) leading to the development of a neuropsychological test battery, the MCCB which is used in this study.

Conditions

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Schizophrenia Cognition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Sertindole

Group Type EXPERIMENTAL

Sertindole

Intervention Type DRUG

Once daily oral dose. Day 1-20: 4-16 mg/day (titration period). Day 21-84: 12, 16 or 20 mg/day (flexible treatment period).

Quetiapine

Group Type ACTIVE_COMPARATOR

Quetiapine

Intervention Type DRUG

Twice daily oral dose. Day 1-20: 50-500 mg/day (titration period). Day 21-84: 400, 500 or 600 mg/day (flexible treatment period).

Interventions

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Sertindole

Once daily oral dose. Day 1-20: 4-16 mg/day (titration period). Day 21-84: 12, 16 or 20 mg/day (flexible treatment period).

Intervention Type DRUG

Quetiapine

Twice daily oral dose. Day 1-20: 50-500 mg/day (titration period). Day 21-84: 400, 500 or 600 mg/day (flexible treatment period).

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Primary diagnosis of schizophrenia
* Man or woman, aged between 18 and 55 years

Exclusion Criteria

* Current Axis I primary psychiatric diagnosis other than schizophrenia
* Not previously received antipsychotic drugs for schizophrenia
* Acute exacerbation requiring hospitalisation within the last 3 months
* Clinically significant extrapyramidal symptoms
* Clinically significant cardiovascular disease, congestive heart failure, cardiac hypertrophy, arrhythmia or bradycardia
* Congenital long QT syndrome or a family history of this disease, or known acquired QT interval prolongation
* Significant ECG abnormalities
* Hypokalaemia or hypomagnesaemia
* In concurrent treatment with drugs inhibiting the P450 enzymes system CYP3A
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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H. Lundbeck A/S

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Email contact via H. Lundbeck A/S

Role: STUDY_DIRECTOR

[email protected]

Locations

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US017

Garden Grove, California, United States

Site Status

US008

National City, California, United States

Site Status

US001

Pasadena, California, United States

Site Status

US006

Pico Rivera, California, United States

Site Status

US011

San Diego, California, United States

Site Status

US014

Stanford, California, United States

Site Status

US026

Torrance, California, United States

Site Status

US016

Aurora, Colorado, United States

Site Status

US015

Orange City, Florida, United States

Site Status

US010

Tampa, Florida, United States

Site Status

US007

Atlanta, Georgia, United States

Site Status

US024

Chicago, Illinois, United States

Site Status

US002

Joliet, Illinois, United States

Site Status

US012

Baltimore, Maryland, United States

Site Status

US027

Glen Burnie, Maryland, United States

Site Status

US019

Lebanon, New Hampshire, United States

Site Status

US021

Clementon, New Jersey, United States

Site Status

US013

Brooklyn, New York, United States

Site Status

US025

Staten Island, New York, United States

Site Status

US005

Charlotte, North Carolina, United States

Site Status

US018

Durham, North Carolina, United States

Site Status

US022

Philadelphia, Pennsylvania, United States

Site Status

US023

Austin, Texas, United States

Site Status

US020

Dallas, Texas, United States

Site Status

US004

DeSoto, Texas, United States

Site Status

US028

Houston, Texas, United States

Site Status

Countries

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United States

References

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Nielsen J, Matz J, Mittoux A, Polcwiartek C, Struijk JJ, Toft E, Kanters JK, Graff C. Cardiac effects of sertindole and quetiapine: analysis of ECGs from a randomized double-blind study in patients with schizophrenia. Eur Neuropsychopharmacol. 2015 Mar;25(3):303-11. doi: 10.1016/j.euroneuro.2014.12.005. Epub 2015 Jan 3.

Reference Type DERIVED
PMID: 25583364 (View on PubMed)

Other Identifiers

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11723A

Identifier Type: -

Identifier Source: org_study_id

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