Double-Blind Trial of a Probiotic Supplement to Reduce the Symptoms of Schizophrenia
NCT ID: NCT01242371
Last Updated: 2019-02-05
Study Results
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View full resultsBasic Information
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COMPLETED
NA
65 participants
INTERVENTIONAL
2010-08-31
2012-08-31
Brief Summary
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Detailed Description
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1. To evaluate the safety and efficacy of a supplemental probiotic therapy, containing the microorganisms Lactobacillus rhamnosus GG and Bifidobacterium lanimalis subsp. lactis (BB12), for individuals with schizophrenia who have residual psychotic symptoms of at least moderate severity.
Secondary aims of the study are:
2. To assess the effect of probiotic treatment on patients' gastrointestinal functioning
3. To study the effect of probiotic treatment in lowering the levels of antibodies to casein and gliadin.
4. To investigate the association between the efficacy of probiotic therapy and initial levels of antibodies to gliadin and casein.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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Probiotic Supplement
Probiotic supplement 1 tablet by mouth daily for 14 weeks after 2 week placebo run-in
Probiotic Supplement
Probiotic Supplement 1 tablet by mouth daily
Identical-appearing Placebo
Identical appearing placebo 1 tablet by mouth daily for 14 weeks after 2 week placebo run-in
Identical-appearing Placebo
Probiotic identical placebo 1 tablet by mouth daily
Interventions
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Probiotic Supplement
Probiotic Supplement 1 tablet by mouth daily
Identical-appearing Placebo
Probiotic identical placebo 1 tablet by mouth daily
Eligibility Criteria
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Inclusion Criteria
* Capacity for written informed consent.
* Primary Axis I diagnosis (DSM-IV) of schizophrenia, any type, OR schizoaffective disorder (APA, 1994).
* Currently an outpatient at the time of enrollment.
* Residual psychotic symptoms which are at least moderately severe as evidenced by one or more PANSS positive symptom scores, and/or PANSS negative symptom scores of 4 or more; OR a total PANSS score of 50 or more, containing at least three positive or negative items with scores of 3 or more at screening.
* Conformance to PORT Treatment Recommendation re Maintenance Antipsychotic Medication Dose (Buchanan et al., 2010).
* Receiving antipsychotic medication for at least 8 weeks prior to starting the study with no medication changes within the previous 21 days.
* Proficient in the English language.
Exclusion Criteria
* Any clinically significant or unstable medical disorder as determined by the investigators, including congestive heart failure, abnormal liver function or disease, renal failure, acute pancreatitis, any diagnosis of cancer undergoing active treatment, HIV infection or other immunodeficiency condition.
* History of IV drug use.
* Primary diagnosis of substance abuse or dependence according to DSM-IV criteria within the last three months.
* Participated in any investigational drug trial in the past 30 days.
* Pregnant or planning to become pregnant during the study period.
* Receipt of antibiotic medication within the previous 14 days (as anaerobic organisms residing in the gastrointestinal tract may be minimally affected by antibiotics).
* Documented celiac disease (as such persons should be on a gluten-free diet as this is the standard care).
* Of note, the investigators are not limiting the study to individuals with elevated levels of gliadin or casein antibodies as the investigators intend to look at these levels as a predictor of response.
18 Years
65 Years
ALL
No
Sponsors
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Stanley Medical Research Institute
OTHER
Sheppard Pratt Health System
OTHER
Responsible Party
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Faith Dickerson
Head, Stanley Research Program
Principal Investigators
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Faith B Dickerson, PhD, MPH
Role: PRINCIPAL_INVESTIGATOR
Sheppard Pratt Health System
Locations
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Sheppart Pratt Health System
Towson, Maryland, United States
Countries
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References
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Dickerson FB, Stallings C, Origoni A, Katsafanas E, Savage CL, Schweinfurth LA, Goga J, Khushalani S, Yolken RH. Effect of probiotic supplementation on schizophrenia symptoms and association with gastrointestinal functioning: a randomized, placebo-controlled trial. Prim Care Companion CNS Disord. 2014;16(1):PCC.13m01579. doi: 10.4088/PCC.13m01579. Epub 2014 Feb 13.
Other Identifiers
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SMRI/SPHS 2010-01
Identifier Type: -
Identifier Source: org_study_id
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