Double-Blind Trial of a Probiotic Supplement to Reduce the Symptoms of Schizophrenia

NCT ID: NCT01242371

Last Updated: 2019-02-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

65 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-08-31

Study Completion Date

2012-08-31

Brief Summary

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The investigators intend to explore the hypothesis that symptoms of schizophrenia may be reduced by the administration of a probiotic supplement when used in addition to standard antipsychotic medications.

Detailed Description

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The primary aim of the current study is:

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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Schizophrenia Schizoaffective Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Probiotic Supplement

Probiotic supplement 1 tablet by mouth daily for 14 weeks after 2 week placebo run-in

Group Type ACTIVE_COMPARATOR

Probiotic Supplement

Intervention Type DIETARY_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

Group Type PLACEBO_COMPARATOR

Identical-appearing Placebo

Intervention Type DIETARY_SUPPLEMENT

Probiotic identical placebo 1 tablet by mouth daily

Interventions

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Probiotic Supplement

Probiotic Supplement 1 tablet by mouth daily

Intervention Type DIETARY_SUPPLEMENT

Identical-appearing Placebo

Probiotic identical placebo 1 tablet by mouth daily

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Age 18-65.
* 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

* Diagnosis of mental retardation.
* 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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stanley Medical Research Institute

OTHER

Sponsor Role collaborator

Sheppard Pratt Health System

OTHER

Sponsor Role lead

Responsible Party

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Faith Dickerson

Head, Stanley Research Program

Responsibility Role PRINCIPAL_INVESTIGATOR

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

Site Status

Countries

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United States

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.

Reference Type DERIVED
PMID: 24940526 (View on PubMed)

Other Identifiers

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SMRI/SPHS 2010-01

Identifier Type: -

Identifier Source: org_study_id

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