DNA Diagnostics for Minimizing Metabolic Side-Effects of Antipsychotics

NCT ID: NCT00752960

Last Updated: 2008-09-16

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

UNKNOWN

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2007-01-31

Study Completion Date

2009-12-31

Brief Summary

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The purpose of this study is to assess patients treated with the antipsychotics aripiprazole (Abilify®), olanzapine (Zyprexa®), quetiapine (Seroquel®), risperidone (Risperdal®), or ziprasidone (Geodon®) and to identify genetic variations more commonly found in individuals who develop diabetic metabolic signs and symptoms, which include changes in blood lipids, blood glucose, blood pressure, and body weight.

Detailed Description

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As many as 30% of psychiatric patients experience weight gain, central deposition of fat, dyslipidemia, increased blood glucose and hypertension--diabetic metabolic symptoms--upon treatment with atypical antipsychotic medication. As a result, cardiovascular disease risk is significantly increased.

The long-term goal of this collaborative study is to identify, for each individual atypical antipsychotic (AAP) medication, the gene variations associated with elevated risk of diabetic metabolic symptoms (DiMS). If such genes are identified, in the future genetic testing may help mental health care professionals choose treatment while minimizing the risk of undesirable side effects of antipsychotics. We propose to develop a novel product termed "Physiotype" to deliver personalized information for each patient on the drug specific risks among aripiprazole, olanzapine, quetiapine, risperidone, and ziprasidone. The Physiotype consists of a multi-gene ensemble of single nucleotide polymorphisms (SNPs) that, interpreted with a biomathematical algorithm, may explain most of the inter-individual differences in DiMS among the 5 AAPs. If this study does identify related genes, genetic tests will be developed to provide patients and health care professionals with tools to identify those patients who are at risk of developing adverse metabolic side effects to antipsychotics.

Conditions

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Psychoses

Keywords

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single nucleotide polymorphism, SNP, aripiprazole, olanzapine, quetiapine, risperidone, ziprasidone, metabolic syndrome

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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A

Patients receiving olanzapine

No interventions assigned to this group

B

patients receiving risperidone

No interventions assigned to this group

C

Patients receiving quetiapine

No interventions assigned to this group

D

Patients receiving aripiprazole

No interventions assigned to this group

E

patients receiving ziprasidone

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* receiving atypical antipsychotic therapy (olanzapine, aripiprazole, quetiapine, risperidone, or ziprasidone) for 3 months
* who have taken \>50% of the prescribed dose for the last month.

Exclusion Criteria

* none
Minimum Eligible Age

18 Years

Maximum Eligible Age

59 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hartford Hospital

OTHER

Sponsor Role collaborator

University of Kentucky

OTHER

Sponsor Role collaborator

Genomas, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Genomas, Inc.

Principal Investigators

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Gualberto Ruano, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Genomas, Inc

Locations

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Hartford Hospital Institute of Living

Hartford, Connecticut, United States

Site Status RECRUITING

University of Kentucky

Lexington, Kentucky, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Steven Woolley, PhD

Role: CONTACT

Phone: 860-545-7329

Email: [email protected]

Facility Contacts

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Steven Woolley, PhD

Role: primary

John D. Goethe, MD

Role: backup

Jose de Leon, MD

Role: primary

References

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Ruano G, Blair CL, Bower B, Windemuth A, Kocherla M, Aleman Y, Pearlson G, Goethe JW, Schwartz HI. Somatic complications of psychotropic medications in a patient with multiple CYP2 drug metabolism deficiencies. Conn Med. 2007 Apr;71(4):197-200.

Reference Type BACKGROUND
PMID: 17487003 (View on PubMed)

de Leon J, Susce MT, Johnson M, Hardin M, Pointer L, Ruano G, Windemuth A, Diaz FJ. A clinical study of the association of antipsychotics with hyperlipidemia. Schizophr Res. 2007 May;92(1-3):95-102. doi: 10.1016/j.schres.2007.01.015. Epub 2007 Mar 8.

Reference Type BACKGROUND
PMID: 17346932 (View on PubMed)

Ruano G, Goethe JW, Caley C, Woolley S, Holford TR, Kocherla M, Windemuth A, de Leon J. Physiogenomic comparison of weight profiles of olanzapine- and risperidone-treated patients. Mol Psychiatry. 2007 May;12(5):474-82. doi: 10.1038/sj.mp.4001944. Epub 2007 Jan 2.

Reference Type BACKGROUND
PMID: 17199131 (View on PubMed)

Windemuth A, de Leon J, Goethe JW, Schwartz HI, Woolley S, Susce M, Kocherla M, Bogaard K, Holford TR, Seip RL, Ruano G. Validation of candidate genes associated with cardiovascular risk factors in psychiatric patients. Prog Neuropsychopharmacol Biol Psychiatry. 2012 Mar 30;36(2):213-9. doi: 10.1016/j.pnpbp.2011.08.001. Epub 2011 Aug 6.

Reference Type DERIVED
PMID: 21851846 (View on PubMed)

Related Links

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http://www.instituteofliving.org/

Institute of Living, Hartford Hospital, Hartford, CT

Other Identifiers

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50R44 MH073291-03

Identifier Type: -

Identifier Source: secondary_id

R44MH073291

Identifier Type: NIH

Identifier Source: org_study_id

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