Famotidine in Schizophrenia

NCT ID: NCT01946295

Last Updated: 2015-04-14

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

PHASE2/PHASE3

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-31

Study Completion Date

2016-08-31

Brief Summary

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Objective of the trial is to study if famotidine add-on treatment is more effective than placebo add-on in reducing symptoms of schizophrenia among patients receiving insufficient response to ongoing antipsychotic treatment.

Detailed Description

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Conditions

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Schizophrenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Famotidine

Famotidine 100mg x 2 orally

Group Type EXPERIMENTAL

Famotidine

Intervention Type DRUG

100mg x 2 p.o.

Placebo

Placebo control

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Famotidine

100mg x 2 p.o.

Intervention Type DRUG

Placebo

Intervention Type DRUG

Other Intervention Names

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Famotidine Hexal SUB07503MIG

Eligibility Criteria

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Inclusion Criteria

* ICD-10 diagnosis of schizophrenia (F20.00-20.39, F20.5, F20.9) who have had the disorder for at least 5 years and who are on disability pension. (This means that their treatment response is not satisfactory and for the purpose of this study, the subjects are potentially treatment resistant).
* Clinical Global Impression (CGI) severity score of at least 3.
* No changes in schizophrenia treatment within 12 weeks before study inclusion.
* Written informed consent
* The subjects must fulfil schizophrenia criteria both according to DSM- IV (295.10, .20, .30, .60, .90) (American Psychiatric association) and the Research Diagnostic Criteria for schizophrenia (RDC) \[40\]. They must also have at least mild residual symptoms (CGI 3 points). The DSM-IV diagnosis will be verified by use of the SCID-I \[41\]. The DSM-IV is clearly the most commonly used in psychiatric research, so this is important to be able to generalize the findings. However, several previous studies have used the RDC, so to be able to compare the results, we will diagnose the patients according to both systems.
* Women of child-bearing age will be included only of they use adequate contraception, or if we can otherwise verify that the subject is not pregnant (s-HCG), the possibility of pregnancy is negligible (e.g. the personnel of the housing facility reports that the person has not had sexual relationships for years) and the subject approves to remain sexually abstinent for the duration of the study.

Exclusion Criteria

* Epilepsy or a history of unclear seizures, stroke, Parkinson's disease, AIDS
* History of substance addiction or abuse within 3 months prior to enrolment.
* Individuals who are deemed at risk for aggressive behaviour or suicide
* If their laboratory tests, EKG or other clinical observation warrants exclusion, they will be excluded
* Women who are pregnant or breast-feeding subjects will not be included in the study.
* Patients with any serious unstable physical illness will also be excluded
* Patients who have been deemed to be legally incapacitated according to Finnish or Swedish law.
* Regular Uuse of H2-antagonists as prescribed by a physician.
* Known allergy to famotidine or any other component of interventional drug will be excluded.
* Ongoing treatment with clozapine and dixyrazine.
* Clinical condition "very much improved" or "much improved", assessed by CGI, during the placebo lead-in
* Renal insufficiency (P-creatinine not within normal range. Glomerular filtration rate \<30 ml/min according to the Cockcroft-Gault formula. )
* Liver insufficiency (S-ALAT elevated more than 2-fold above the laboratory specific normal range)
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Karolinska Institutet

OTHER

Sponsor Role collaborator

Region Stockholm

OTHER_GOV

Sponsor Role collaborator

City of Helsinki

OTHER

Sponsor Role collaborator

Stanley Medical Research Institute

OTHER

Sponsor Role collaborator

Ahokas foundation, Finland

UNKNOWN

Sponsor Role collaborator

Jesper Ekelund

OTHER

Sponsor Role lead

Responsible Party

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Jesper Ekelund

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jesper Ekelund, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Helsinki

Locations

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Helsinki University Central Hospital Psychiatry Centre

Helsinki, , Finland

Site Status RECRUITING

Helsinki University

Helsinki, , Finland

Site Status ACTIVE_NOT_RECRUITING

Social services and Healthcare, City of Helsinki

Helsinki, , Finland

Site Status RECRUITING

Kellokoski Hospital

Hyvinkää, , Finland

Site Status RECRUITING

Karolinska Institutet

Stockholm, , Sweden

Site Status RECRUITING

Norra Stockholms Psykiatri, Stockholm County Council

Stockholm, , Sweden

Site Status RECRUITING

Countries

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Finland Sweden

Central Contacts

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Jesper Ekelund, MD,PhD

Role: CONTACT

+358503317987

Facility Contacts

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Jesper Ekelund, MD, PhD

Role: primary

Viacheslav Terevnikov, MD, PhD

Role: primary

Jari Tiihonen, MD, PhD

Role: primary

References

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Meskanen K, Ekelund H, Laitinen J, Neuvonen PJ, Haukka J, Panula P, Ekelund J. A randomized clinical trial of histamine 2 receptor antagonism in treatment-resistant schizophrenia. J Clin Psychopharmacol. 2013 Aug;33(4):472-8. doi: 10.1097/JCP.0b013e3182970490.

Reference Type BACKGROUND
PMID: 23764683 (View on PubMed)

Other Identifiers

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2012-005513-40

Identifier Type: -

Identifier Source: org_study_id

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