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.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

93 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.

Results posted on

2024-07-30

Participant Flow

Participant milestones

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

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

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

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Schizophrenia Related Disorders: Tryptophan

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Healthy Controls: Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Schizophrenia Related Disorders: Placebo

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Healthy Controls: Screening

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Schizophrenia Related Disorders: Screening

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

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

Sam Kane-Gerard

Maryland Psychiatric Research Center

Phone: 410-402-6120

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place