Optimization of Treatment and Management of Schizophrenia in Europe (OPTIMISE): Substudy Site Copenhagen

NCT ID: NCT01555814

Last Updated: 2016-10-26

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

NA

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2016-10-31

Brief Summary

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The investigators want to relate disturbances in first-episode schizophrenic patients in (dopaminergic) D2 receptors, brain structure, brain function, and information processing to each other and to psychopathology. Additionally, the investigators want to examine the influence of D2 receptor blockade on these disturbances. The investigators expect disturbances in the dopaminergic system at baseline to correlate with specific structural and functional changes and with disruption in information processing as measured with psychophysiological and neurocognitive methods - and investigators expect D2 receptor blockade to reverse some of the functional and cognitive impairments. The investigators do not expect any effect of treatment on brain structure.

Detailed Description

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The study is designed as a 4 week case-control follow-up study of 90 FE pt. with SCZ and 90 controls matched with regard to age, gender, and parental socio-economic status. All subjects will be examined with a diagnostic interview (SCAN, Schedule for Clinical Assessment in Neuropsychiatry), medical and family history, and physical examination before inclusion. At baseline subjects will be examined with single photon emission computed tomography (SPECT), MRI, fMRI, psychophysiology, neurocognition. In addition, they will be screened for drugs, genetic testing, and ECG. Patients will further be examined with clinical validated rating scales to measure psychopathology, subjective well-being, and side-effects. After a period of 4 weeks all assessments are repeated. During that period patients will be treated with amisulpride, while healthy controls will receive no treatment at all. Efficacy of antipsychotic treatment will be evaluated after this initial period of 4 weeks. All subjects will be re-assessed in the same test battery as mentioned above, except for SPECT and fMRI, after a period of 6, 12, and 24 months.

Conditions

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Schizophrenia Schizophreniform Disorder Schizoaffective Disorder

Keywords

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dopamine first episode reward cognition MRI fMRI PPI P300 P50 gating endophenotypes

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Amisulpride

For 4 weeks, all patients will be treated with amisulpride open label.

Group Type EXPERIMENTAL

Amisulpride

Intervention Type DRUG

4-week open label amisulpride treatment

Interventions

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Amisulpride

4-week open label amisulpride treatment

Intervention Type DRUG

Other Intervention Names

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Solian

Eligibility Criteria

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Inclusion Criteria

* Schizophrenia, schizophreniform or schizoaffective disorder (DSM-IV)
* Age 18-40 years
* Written informed consent.

Exclusion Criteria

* A time interval between the onset of positive symptoms (hallucinations and/or delusions) and study entry exceeding two years.
* Prior use of antipsychotic medication longer than an episode of two weeks in the previous year and/or 6 weeks lifetime.
* Intolerance to one of the drugs in this study. Patients who are coercively treated at a psychiatric ward (based on a judicial ruling)
* Patients who are represented by a legal ward or under legal custody
* The presence of one or more of the contraindications against any of the study drugs as mentioned in the SPC texts
* Pregnancy, as determined through a pregnancy test, or lactation
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Glostrup University Hospital, Copenhagen

OTHER

Sponsor Role collaborator

Rigshospitalet, Denmark

OTHER

Sponsor Role collaborator

Institute of Psychiatry, London

OTHER

Sponsor Role collaborator

UMC Utrecht

OTHER

Sponsor Role collaborator

Copenhagen Hospital Corporation

OTHER

Sponsor Role collaborator

Birte Glenthoj

OTHER

Sponsor Role lead

Responsible Party

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Birte Glenthoj

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Birte Glenthøj, MD, DMSc

Role: PRINCIPAL_INVESTIGATOR

Center for Neuropsychiatric Schizophrenia Research, University of Copenhagen, Psychiatric Center Glostrup Glostrup, Denmark

Locations

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Center for Neuropsychiatric Schizophrenia Research, University of Copenhagen, Psychiatric Center Glostrup Glostrup, Denmark

Glostrup Municipality, , Denmark

Site Status

Countries

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Denmark

Related Links

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http://cnsr.dk

Site home page

http://www.cinsr.dk

Site home page

Other Identifiers

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H-1-2010-142

Identifier Type: -

Identifier Source: org_study_id