Trial Outcomes & Findings for Tryptophan MRI in People With Schizophrenia and Healthy Controls (NCT NCT02067975)
NCT ID: NCT02067975
Last Updated: 2024-07-30
Results Overview
The following assessment was used to assess the outcome measure: the Hopkins Verbal Learning Test-Revised (HVLT-R). HVLT total scores range from 0 to 36. In order to conduct group comparisons, the HVLT raw total scores are converted to a t-score (range: -10 to 80). The mean t-scores for each condition are below (see outcome measure data table). Higher scores represent better performance. Participants performed the same task before pre- and post-treatment with Tryptophan and again with placebo (2 weeks between conditions). Change in scores pre- and post-treatment were compared between the Tryptophan and placebo conditions.
COMPLETED
PHASE2/PHASE3
93 participants
The order in which participants received either the tryptophan or placebo was randomized. The HVLT was administered 90 minutes prior to treatment and 4 hours post treatment. There were at least two weeks between the challenge days.
2024-07-30
Participant Flow
Participant milestones
| Measure |
Schizophrenia Related Disorders: Tryptophan First, Then Placebo
All participants received 6gs of placebo on the 2nd visit, and then received 6gs of tryptophan at the 3rd visit no less than two weeks apart at time zero of 7-hour visits 2 and 3. The order in which participants received either placebo or tryptophan was be randomized. The participant and the study staff did not know the order; only the pharmacist distributing the meds knew. These participants were diagnosed with Schizophrenia, Schizoaffective, or Schizophreniform.
|
Healthy Control: Tryptophan First, Then Placebo
All participants received 6gs of placebo on the 2nd visit, and then received 6gs of tryptophan at the 3rd visit no less than two weeks apart at time zero of 7-hour visits 2 and 3. The order in which participants received either placebo or tryptophan was be randomized. The participant and the study staff did not know the order; only the pharmacist distributing the meds knew. These participants had no psychiatric conditions.
|
Schizophrenia Related Disorders: Placebo First, Then Tryptophan
All participants received 6gs of placebo on the 2nd visit, and then received 6gs of tryptophan at the 3rd visit no less than two weeks apart at time zero of 7-hour visits 2 and 3. The order in which participants received either placebo or tryptophan was be randomized. The participant and the study staff did not know the order; only the pharmacist distributing the meds knew. These participants were diagnosed with Schizophrenia, Schizoaffective, or Schizophreniform.
|
Healthy Control: Placebo First, Then Tryptophan
All participants received 6gs of placebo on the 2nd visit, and then received 6gs of tryptophan at the 3rd visit no less than two weeks apart at time zero of 7-hour visits 2 and 3. The order in which participants received either placebo or tryptophan was be randomized. The participant and the study staff did not know the order; only the pharmacist distributing the meds knew. These participants had no psychiatric conditions.
|
Schizophrenia Related Disorders: Screening Only/Not Randomized
All participants had not yet completed the screening phase or been randomized. These participants were diagnosed with Schizophrenia, Schizoaffective, or Schizophreniform.
|
Healthy Control: Screening Only/Not Randomized
All participants had not yet completed the screening phase or been randomized. These participants had no psychiatric conditions.
|
|---|---|---|---|---|---|---|
|
Overall Study
STARTED
|
20
|
18
|
21
|
18
|
8
|
8
|
|
Overall Study
COMPLETED
|
16
|
16
|
19
|
14
|
0
|
0
|
|
Overall Study
NOT COMPLETED
|
4
|
2
|
2
|
4
|
8
|
8
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Tryptophan MRI in People With Schizophrenia and Healthy Controls
Baseline characteristics by cohort
| Measure |
Healthy Controls
n=44 Participants
All participants will receive both 6gm of tryptophan at least two weeks apart at time zero of 7 hour visits 2 and 3, and will also receive Placebo will be a liquid drink without tryptophan. 6mg at least two weeks apart at time zero of the 7 hour visits 2 and 3. The order in which participants receive either placebo or tryptophan will be randomized (ie. placebo first study visit day tryptophan on second study day, or tryptophan on first study day and placebo on second study day). Note that some of the participants included only participated in the screening and did not participate in the challenge phase of the study.
|
Schizophrenia Related Disorders
n=49 Participants
All participants will receive both 6gm of tryptophan at least two weeks apart at time zero of 7 hour visits 2 and 3, and will also receive Placebo will be a liquid drink without tryptophan. 6mg at least two weeks apart at time zero of the 7 hour visits 2 and 3. The order in which participants receive either placebo or tryptophan will be randomized (ie. placebo first study visit day tryptophan on second study day, or tryptophan on first study day and placebo on second study day). Note that some of the participants included only participated in the screening and did not participate in the challenge phase of the study.
|
Total
n=93 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
44 Participants
n=5 Participants
|
49 Participants
n=7 Participants
|
93 Participants
n=5 Participants
|
|
Age, Categorical
>=65 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Age, Continuous
|
34.75 years
STANDARD_DEVIATION 11.70 • n=5 Participants
|
35.97959184 years
STANDARD_DEVIATION 9.847778506 • n=7 Participants
|
35.39784946 years
STANDARD_DEVIATION 10.72293335 • n=5 Participants
|
|
Sex: Female, Male
Female
|
24 Participants
n=5 Participants
|
16 Participants
n=7 Participants
|
40 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
20 Participants
n=5 Participants
|
33 Participants
n=7 Participants
|
53 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
2 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
18 Participants
n=5 Participants
|
26 Participants
n=7 Participants
|
44 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
19 Participants
n=5 Participants
|
21 Participants
n=7 Participants
|
40 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
5 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
5 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Region of Enrollment
United States
|
44 participants
n=5 Participants
|
49 participants
n=7 Participants
|
93 participants
n=5 Participants
|
PRIMARY outcome
Timeframe: The order in which participants received either the tryptophan or placebo was randomized. The HVLT was administered 90 minutes prior to treatment and 4 hours post treatment. There were at least two weeks between the challenge days.The following assessment was used to assess the outcome measure: the Hopkins Verbal Learning Test-Revised (HVLT-R). HVLT total scores range from 0 to 36. In order to conduct group comparisons, the HVLT raw total scores are converted to a t-score (range: -10 to 80). The mean t-scores for each condition are below (see outcome measure data table). Higher scores represent better performance. Participants performed the same task before pre- and post-treatment with Tryptophan and again with placebo (2 weeks between conditions). Change in scores pre- and post-treatment were compared between the Tryptophan and placebo conditions.
Outcome measures
| Measure |
Healthy Controls: Placebo
n=30 Participants
All participants received 6gm of placebo dissolved in water. The HVLT was administered 90 minutes prior to placebo and 4 hours post placebo administration.
|
Schizophrenia Related Disorders: Placebo
n=37 Participants
All participants received 6gm of placebo dissolved in water. The HVLT was administered 90 minutes prior to placebo and 4 hours post placebo administration.
|
Healthy Controls: Tryptophan
n=31 Participants
All participants received 6gm of tryptophan dissolved in water. The HVLT was administered 90 minutes prior to placebo and 4 hours post placebo administration.
|
Schizophrenia Related Disorders: Tryptophan
n=37 Participants
All participants received 6gm of tryptophan dissolved in water. The HVLT was administered 90 minutes prior to placebo and 4 hours post placebo administration.
|
|---|---|---|---|---|
|
Change in Verbal Memory Scores From Baseline to 4 Hours Post-Treatment
|
53.90 score on a scale
Standard Deviation 8.01
|
40.49 score on a scale
Standard Deviation 11.27
|
53.03 score on a scale
Standard Deviation 9.53
|
38.49 score on a scale
Standard Deviation 10.77
|
Adverse Events
Healthy Control: Tryptophan
Schizophrenia Related Disorders: Tryptophan
Healthy Controls: Placebo
Schizophrenia Related Disorders: Placebo
Healthy Controls: Screening
Schizophrenia Related Disorders: Screening
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Healthy Control: Tryptophan
n=36 participants at risk
All participants received 6gm of tryptophan dissolved in water.
|
Schizophrenia Related Disorders: Tryptophan
n=41 participants at risk
All participants received 6gm of tryptophan dissolved in water.
|
Healthy Controls: Placebo
n=36 participants at risk
All participants received 6gm of placebo dissolved in water.
|
Schizophrenia Related Disorders: Placebo
n=41 participants at risk
All participants received 6gm of placebo dissolved in water.
|
Healthy Controls: Screening
n=8 participants at risk
All participants had not yet completed the screening phase or been randomized.
|
Schizophrenia Related Disorders: Screening
n=8 participants at risk
All participants had not yet completed the screening phase or been randomized.
|
|---|---|---|---|---|---|---|
|
General disorders
Nausea
|
19.4%
7/36 • Number of events 7 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
7.3%
3/41 • Number of events 3 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/36 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
2.4%
1/41 • Number of events 1 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
12.5%
1/8 • Number of events 1 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
|
General disorders
Syncope
|
2.8%
1/36 • Number of events 1 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/41 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/36 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
2.4%
1/41 • Number of events 1 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
|
General disorders
Vomiting
|
11.1%
4/36 • Number of events 4 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
2.4%
1/41 • Number of events 1 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/36 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/41 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
|
General disorders
Solemnence
|
0.00%
0/36 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
2.4%
1/41 • Number of events 1 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/36 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/41 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
|
General disorders
Sedation
|
5.6%
2/36 • Number of events 2 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/41 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/36 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/41 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
|
General disorders
Hypotension
|
0.00%
0/36 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/41 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/36 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
2.4%
1/41 • Number of events 1 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
12.5%
1/8 • Number of events 1 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
|
General disorders
Headache
|
2.8%
1/36 • Number of events 1 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
4.9%
2/41 • Number of events 2 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/36 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/41 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
|
General disorders
Drowsniess
|
2.8%
1/36 • Number of events 1 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/41 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/36 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/41 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
|
General disorders
Dizziness
|
5.6%
2/36 • Number of events 2 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
2.4%
1/41 • Number of events 1 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/36 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
4.9%
2/41 • Number of events 2 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
|
General disorders
Anxiety
|
0.00%
0/36 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
2.4%
1/41 • Number of events 1 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/36 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
2.4%
1/41 • Number of events 1 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
|
General disorders
Abdominal Pain
|
2.8%
1/36 • Number of events 1 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/41 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/36 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/41 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
0.00%
0/8 • A minimum of 5 weeks (there are a minimum of 2 weeks between visits and there are 3 visits)
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place