Family Intervention in Recent Onset Schizophrenia Treatment (FIRST)

NCT ID: NCT02600741

Last Updated: 2019-01-23

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

COMPLETED

Total Enrollment

296 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-07-24

Study Completion Date

2018-07-05

Brief Summary

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The primary purpose of this study is to evaluate the overall effect of caregivers receiving a study-provided caregiver psycho-education and skills training program on the number of treatment failures (psychiatric hospitalization, psychiatric emergency room (ER) visit, crisis center visit, mobile crisis unit intervention, arrest/incarceration, and suicide or suicide attempt) in patients under their care during a 12 month period.

Detailed Description

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This is a randomized, open-label, parallel group study of patients with schizophrenia, schizoaffective disorder, or schizophreniform disorder and their caregivers. Study will consist of a paired patient and caregiver. Patients will receive routine treatment, which may include oral antipsychotics or paliperidone palmitate, as directed by their treating physician. Caregivers for patients whose routine treatment is paliperidone palmitate will be randomized to receive either a study-provided caregiver psycho-education and skills training or usual caregiver support. Caregivers for patients whose routine treatment is oral antipsychotics will be randomized to the same Study Groups: Study Group 1: Study-provided caregiver psycho-education and skills training. Study Group 2: Usual caregiver support (caregiver support that is customarily provided by the study site, if any). Patients-caregiver pairs will be followed for up to 12 months following baseline assessment. Cumulative number of treatment failures over 12 months will be assessed primarily.

Conditions

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Schizophrenia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Study group 1

Caregivers randomized to this group will receive up to 16 sessions of study-provided caregiver psycho-education and skills training sessions they are able to attend within a 6-month period. Each patient will be paired with a caregiver and patients will continue their routine antipsychotic treatments prescribed by their treating physician.

Caregiver psycho-education and skills training

Intervention Type OTHER

Caregivers will receive up to 16 sessions of study-provided caregiver psycho-education and skills training sessions they are able to attend within a 6-month period.

Paliperidone palmitate

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of paliperidone palmitate, as directed by their treating physician.

Chlorpromazine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Droperidol

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Fluphenazine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Haloperidol

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Loxapine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Perphenazine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Pimozide

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Prochlorperazine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Thiothixene

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Thioridazine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Trifluoperazine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Aripiprazole

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Asenapine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Clozapine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Iloperidone

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Olanzapine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Paliperidone

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Quetiapine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Risperidone

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Ziprasidone

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Study group 2

Caregivers randomized to this group will receive whatever caregiver support that is customarily available at the study site, if any. Each patient will be paired with a caregiver and patients will continue their routine antipsychotic treatments prescribed by their treating physician.

Caregiver support available at the study site

Intervention Type OTHER

Caregivers will receive whatever caregiver support that is customarily available at the study site, if any.

Paliperidone palmitate

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of paliperidone palmitate, as directed by their treating physician.

Chlorpromazine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Droperidol

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Fluphenazine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Haloperidol

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Loxapine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Perphenazine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Pimozide

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Prochlorperazine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Thiothixene

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Thioridazine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Trifluoperazine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Aripiprazole

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Asenapine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Clozapine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Iloperidone

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Olanzapine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Paliperidone

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Quetiapine

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Risperidone

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Ziprasidone

Intervention Type DRUG

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Interventions

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Caregiver psycho-education and skills training

Caregivers will receive up to 16 sessions of study-provided caregiver psycho-education and skills training sessions they are able to attend within a 6-month period.

Intervention Type OTHER

Caregiver support available at the study site

Caregivers will receive whatever caregiver support that is customarily available at the study site, if any.

Intervention Type OTHER

Paliperidone palmitate

Patients enrolled in this study will continue to receive routine treatment of paliperidone palmitate, as directed by their treating physician.

Intervention Type DRUG

Chlorpromazine

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Droperidol

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Fluphenazine

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Haloperidol

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Loxapine

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Perphenazine

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Pimozide

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Prochlorperazine

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Thiothixene

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Thioridazine

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Trifluoperazine

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Aripiprazole

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Asenapine

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Clozapine

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Iloperidone

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Olanzapine

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Paliperidone

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Quetiapine

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Risperidone

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Ziprasidone

Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

A) Caregivers

* Each caregiver must sign an informed consent form (ICF) indicating that he or she understands the purpose of and procedures required for the study and are willing to participate for the duration of the study
* Caregiver is able to have verbal interaction with the patient with schizophrenia, schizoaffective disorder, or schizophreniform disorder at least twice a week, per self-report

B) Patients

* Patients must have a clinical diagnosis of schizophrenia, schizoaffective disorder, or schizophreniform disorder made by a clinician with understanding of the Diagnostic and Statistical Manual of Mental Disorders (DSM V) criteria for these disorders
* Patients must be receiving ongoing psychiatric treatment at the study site and must be receiving oral antipsychotics or paliperidone palmitate long acting therapy

Exclusion Criteria

* A) Caregivers
* Caregiver is mentally or physically incapable of adequately performing the required study procedures, as determined by the treatment team
* Caregiver has received structured or manualized psycho-education or skills training within 1 year prior to Screening B) Patients
* Patient is hospitalized (medical or psychiatric), incarcerated, or otherwise institutionalized at time of randomization
* Patient is considered to have significant potential for imminent harm to self and/or others as based on the judgment of the treatment team
* Patient is receiving assertive community treatment (ACT) or other high intensity case management services to prevent hospitalization
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Scientific Affairs, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Scientific Affairs, LLC Clinical Trial

Role: STUDY_CHAIR

Janssen Scientific Affairs, LLC

Locations

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Bullhead City, Arizona, United States

Site Status

Oceanside, California, United States

Site Status

Denver, Colorado, United States

Site Status

Farmington, Connecticut, United States

Site Status

Lauderdale Lakes, Florida, United States

Site Status

Leesburg, Florida, United States

Site Status

Miami, Florida, United States

Site Status

Orange City, Florida, United States

Site Status

Tallahassee, Florida, United States

Site Status

West Palm Beach, Florida, United States

Site Status

Atlanta, Georgia, United States

Site Status

Granite City, Illinois, United States

Site Status

Lombard, Illinois, United States

Site Status

Springfield, Illinois, United States

Site Status

Bloomington, Indiana, United States

Site Status

Lawrenceburg, Indiana, United States

Site Status

Ann Arbor, Michigan, United States

Site Status

Grand Rapids, Michigan, United States

Site Status

Mount Pleasant, Michigan, United States

Site Status

Kansas City, Missouri, United States

Site Status

St Louis, Missouri, United States

Site Status

New York, New York, United States

Site Status

Staten Island, New York, United States

Site Status

Toledo, Ohio, United States

Site Status

Oklahoma City, Oklahoma, United States

Site Status

Eugene, Oregon, United States

Site Status

Lincoln, Rhode Island, United States

Site Status

Nashville, Tennessee, United States

Site Status

Austin, Texas, United States

Site Status

Fort Worth, Texas, United States

Site Status

San Antonio, Texas, United States

Site Status

Salt Lake City, Utah, United States

Site Status

Richland, Washington, United States

Site Status

Spokane, Washington, United States

Site Status

Countries

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United States

References

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Mueser KT, Achtyes ED, Gogate J, Mancevski B, Kim E, Starr HL. Telehealth-Based Psychoeducation for Caregivers: The Family Intervention in Recent-Onset Schizophrenia Treatment Study. JMIR Ment Health. 2022 Apr 15;9(4):e32492. doi: 10.2196/32492.

Reference Type DERIVED
PMID: 35436231 (View on PubMed)

Other Identifiers

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R092670SCH4043

Identifier Type: OTHER

Identifier Source: secondary_id

CR106399

Identifier Type: -

Identifier Source: org_study_id

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