Neuroendocrine and Metabolite Substrates in Schizophrenia

NCT ID: NCT02423096

Last Updated: 2016-11-10

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

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-12-31

Study Completion Date

2016-12-31

Brief Summary

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Background: Schizophrenia is a serious mental illness. The diagnosis and severity evaluations of schizophrenia are generally based on patient behaviors. Biomarkers are objectively measured and used as indicators for diagnosis confirmation, symptom assessment, and evaluation of pharmacologic responses to therapeutic interventions. Neuroendocrine and metabolite substrates are potential biomarkers of the pathogenic processes in schizophrenia.

Aims: The aims of this study are to determine (a) the differences in neuroendocrine and metabolite substrates between patients diagnosed with schizophrenia and healthy controls; and (b) the associations among the neuroendocrine and metabolite substrates, cognitive function, clinical symptoms, and treatment responses of patients diagnosed with schizophrenia.

Methods: (a) The investigators plan to recruit 100 patients diagnosed with schizophrenia and 100 healthy controls as participants. (b) At the baseline and Week 12, patient blood samples will be obtained to measure the levels of neuroendocrine substrates and metabolite markers. Clinical symptoms and cognitive function will be evaluated. (c) For the healthy control participants, blood samples will be obtained once to measure neuroendocrine and metabolite marker levels.

Expected Results: The results of this study may contribute to identifying potential neuroendocrine and metabolite biomarkers of schizophrenia, and clarify the associations among the neuroendocrine and metabolite substrates, cognitive function, clinical symptoms, and treatment responses of patients diagnosed with schizophrenia. Such information is crucial for clinical evaluations and future research.

Detailed Description

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1. The investigators plan to recruit 100 patients with schizophrenia and 100 healthy control subjects.
2. For the patients, diagnoses of schizophrenia will be confirmed using the Chinese version of the Mini International Neuropsychiatric Interview (MINI). At the baseline and Week 12, patient blood samples will be obtained to measure the levels of neuroendocrine substrates (didehydroepiandrosterone, dehydroepiandrosterone sulfate, pregnenolone, and cortisol) and metabolite markers (lipid profiles, glycerate, eicosenoic acid, pyruvate, b-hydroxybutyrate, Cysteine). Cognitive function will be evaluated using the Brief Assessment of Cognition in Schizophrenia. The participants' clinical symptoms and daily activities will be assessed using the Positive and Negative Syndrome Scale, 17-item Hamilton Depression Rating Scale, and Personal and Social Performance Scale.
3. For the healthy control subjects, psychiatric diagnoses will be verified using MINI, and blood samples will be obtained once to measure neuroendocrine and metabolite marker levels.

Conditions

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Schizophrenia

Keywords

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biomarker neuroendocrine metabolite cognitive functioning clinical symptoms schizophrenia

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Schizophrenia

Patients with schizophrenia will be treated with antipsychotic drugs as routine care (i.e., risperidone, haloperidol, sulpiride, olanzapine, quetiapine).

Risperidone

Intervention Type DRUG

Patients with schizophrenia will be treated with antipsychotic drugs as routine care.

Healthy controls

No special intervention will be provided for healthy controls.

No interventions assigned to this group

Interventions

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Risperidone

Patients with schizophrenia will be treated with antipsychotic drugs as routine care.

Intervention Type DRUG

Other Intervention Names

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Haloperidol Sulpiride Olanzapine Quetiapine

Eligibility Criteria

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Inclusion Criteria

1. Diagnosed with schizophrenia and will be confirmed using the Chinese version of the Mini International Neuropsychiatric Interview (MINI).
2. Age between 18 to 79.
3. Have signed the informed consent.


1. Psychiatric diagnosis without schizophrenia will be confirmed using the Chinese version of MINI.
2. Age between 18 to 79.
3. Have signed the informed consent.

Exclusion Criteria

1\. Having history of illicit drug use or other major psychiatric disorders (e.g., bipolar disorder, major depressive disorder, or organic mental disorders).

Healthy Controls


1\. Having history of illicit drug use or other major psychiatric disorders (e.g., psychosis, bipolar disorder, major depressive disorder, or organic mental disorders).
Minimum Eligible Age

18 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Chang Gung Memorial Hospital

OTHER

Sponsor Role lead

Responsible Party

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Wang Liang-Jen

Associate Professor and Visiting Staff

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Liang-Jen Wang, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Chang Gung Memorial Hospital, Kaohsiung, Taiwan

Locations

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Liang-Jen Wang

Kaohsiung City, Kaohsiung, Taiwan

Site Status RECRUITING

Countries

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Taiwan

Central Contacts

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Liang-Jen Wang, MD, MPH

Role: CONTACT

Phone: 886-7-7317123

Other Identifiers

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103-0721C

Identifier Type: -

Identifier Source: org_study_id