A Multicenter Study to Evaluate the Effects of Switching to Aripiprazole 12 Weeks on the Sexual Dysfunction From Risperidone or Paliperidone in Patients With Schizophrenia Spectrum Disorders or Bipolar Spectrum Disorders

NCT ID: NCT01742390

Last Updated: 2013-03-14

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

Clinical Phase

PHASE4

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-02-28

Study Completion Date

2014-06-30

Brief Summary

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This trial designed to investigate the effect of switching to aripiprazole from risperidone or paliperidone on reverse prolactin level, and consequently improve sexual dysfunction in adult patients with schizophrenia spectrum disorders and bipolar spectrum disorders.

Detailed Description

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Conditions

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Sexual Dysfunction Hyperprolactinemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Aripiprazole

Plateau switch to aripiprazole (ARI) from risperidone (RIS) or paliperidone (PALI)

Group Type EXPERIMENTAL

Aripiprazole

Intervention Type DRUG

Plateau switch to aripiprazole (ARI) from risperidone (RIS) or paliperidone (PALI)

risperidone or paliperidone

Stay on risperidone (RIS) or paliperidone (PALI)

Group Type ACTIVE_COMPARATOR

risperidone or paliperidone

Intervention Type DRUG

Interventions

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Aripiprazole

Plateau switch to aripiprazole (ARI) from risperidone (RIS) or paliperidone (PALI)

Intervention Type DRUG

risperidone or paliperidone

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age: 12-55 years (male), 12-40 (female)
2. Diagnosis: Schizophrenia spectrum disorders \& bipolar spectrum disorders (only Korea) by DSM-IV-TR
3. Receiving RIS or PALI with stable dose for \> 1 month by their physician;
4. Prolactin level Adult: \> 20 ng/ml (male), 25 ng/ml (female) Child/Adolescent: \> 20 ng/ml (male, female)
5. Children and adolescents (age: 12\~17 years) having more than one sexual system dysfunction measured by 5 of the 48 UKU items (galactorrhoea, gynecomastia and erectile dysfunction for male, galactorrhea, amenorrhoea/oligomenorrhoea, and dry vagina for female) or Adults (age: 18\~55 years) who are considered to have sexual/reproductive dysfunction if they had either a total score of 19 or higher; a score of 5 or higher on one question; or a score of 4 or higher on 3 questions.
6. Subjects who have consented to participate by signing an informed consent form.

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Exclusion Criteria

1. Medical disorder or psychiatric comorbidity or condition known to affect prolactin, sex hormone balance or bone metabolism (i.e., unstable medical disease, Cushing's disease, chronic renal failure, thyroid dysfunction, eating disorder)
2. History of hematological and/or solid malignancies
3. Physical or functional obstruction to food intake or impaired digestive/absorptive function
4. Known hypersensitivity to any study medication (risperidone, paliperidone, and aripiprazole)
5. Insulin requiring diabetes mellitus or poorly controlled diabetes mellitus (HbA1c \> 9% or change of antidiabetics treatment within the 12weeks prior to screening)
6. Uncontrolled hypertension (SBP/DBP 140/90 mmHg), congestive heart failure (NYHA class III or IV), other significant cardiovascular illness (myocardial infarction, unstable angina, cardiac arrhythmia etc.)
7. Baseline QTc interval of \> 450 msec
8. Hepatic and/or renal dysfunction

1\) Bilirubin level ≥ 1.5 upper normal limits 2) AST/ALT ≥ 3 UNL or 3) Serum creatinine ≥ 1.5 9. Any patient hospitalized for acute exacerbation of their condition within 2 months of randomization 10. Recent (within the past 1 month) or planned treatment with prohibited medications in the protocol

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Minimum Eligible Age

12 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Si Tianmei

OTHER

Sponsor Role lead

Responsible Party

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Si Tianmei

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Institute of mental health, Peking University

Beijing, Beijing Municipality, China

Site Status NOT_YET_RECRUITING

The first hospital of Hebei Province University

Shijiazhuang, Hebei, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Tianmei Si, MD.

Role: CONTACT

861082801948

Facility Contacts

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Tianmei Si, MD.

Role: primary

8610-82801948

Xueyi Wang, Professor

Role: primary

0311-85917290

Other Identifiers

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ARI_IIT_01/02

Identifier Type: -

Identifier Source: org_study_id

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