Coronary Artery Disease in Patients Suffering From Schizophrenia

NCT ID: NCT02885792

Last Updated: 2017-01-31

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

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2020-09-30

Brief Summary

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Schizophrenia is a severe mental illness associated with excess mortality and affecting nearly 1% of the population. The average life expectancy for patients diagnosed with schizophrenia has been 55-60 years through the last generations in Denmark, while the general population has over the same period of time experienced an increase in life expectancy. As a result, the standardized mortality rate for patients with schizophrenia has increased markedly over the last three decades and is currently a major public health concern. Causes of death are mainly cardiovascular disease and patients diagnosed with schizophrenia has a relative risk of cardiovascular disease that is about 2-fold higher than the general population.

Detailed Description

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Little is known about severe progression of premature coronary arteriosclerosis in patients suffering from schizophrenia. Coronary artery calcium score is a well-defined measure to predict cardiovascular disease events, however there has not yet been any attempt to investigate whether there is an association between coronary artery calcium score and premature morbidity and mortality in patients diagnosed with schizophrenia.

The objective of this study is to investigate the progression of arteriosclerosis in patients with schizophrenia at different stages of the disease, and to offer and implement adequate treatment for these patients according to their somatic condition. This study will identify risk factors of somatic diseases in these patients, with specific focus on early diagnoses, prevention, intervention and treatment of arteriosclerosis in schizophrenic patients.

The investigation is about the possibility of detecting any differences between developing arteriosclerosis in schizophrenia patients versus the general population, and how common risk factors are contributing to this process. The results of this study should provide important modifications in the clinical guidelines for treatment of patients diagnosed with schizophrenia.

Conditions

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Schizophrenia Cardiovascular Disease

Keywords

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Schizophrenia Cardiovascular disease Premature mortality Arteriosclerosis Risk factor Intervention Treatment Somatic morbidity

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Debuting and chronic schizophrenia

ILLNESS HISTORY:

* Existing psychiatric and somatic diagnosis and treatment
* Charlson co-morbidity

MEASURE OF SOCIAL CONDITIONS

\- For example Lubben Social Network Scale-6 and Brief Trauma Questionnaire.

MEASURE OF PSYCHIATRIC CONDITION::

* Positive and Negative Syndrome Scale (PANSS)
* Clinical Global Impression Scale (CGI)
* Columbia Suicide Severity Rating Scale (C-SSRS)
* Beck Cognitive Insight Scale
* Birchwood Insight Scale

CARDIOVASCULAR MEASUREMENT:

CT Coronary angiography (CT-CAG)

* Echocardiography
* Heart rate variability (HRV)
* Pulmonary function test (PFT)
* Toe blood pressure (TBP)
* Blood test
* Body composition analysis
* CT scan of upper abdomen
* Cardiovascular magnetic resonance imaging (CMR)
* Adipose tissue biopsy

Group Type EXPERIMENTAL

Illness history

Intervention Type OTHER

Existing psychiatric and somatic diagnosis and treatment. Charlson co-morbidity Index.

Measure of social conditions

Intervention Type OTHER

A self-report questionnaire measuring social isolation, including relations to family and friends.

Measure of psychiatric condition

Intervention Type OTHER

This method measures symptom severity, therapeutic response and general improvement, suicidal ideation, cognitive insight and awareness of illness and need for treatment and the ability to relabel symptoms.

Cardiovascular measurement

Intervention Type PROCEDURE

This procedure is used to detect early identification of cardiovascular disease progression.

Matched controls

CARDIOVASCULAR MEASUREMENT:

* CT Coronary angiography (CT-CAG)
* Echocardiography
* Heart rate variability (HRV)
* Pulmonary function test (PFT)
* Toe blood pressure (TBP)
* Blood test
* Body composition analysis
* CT scan of upper abdomen
* Cardiovascular magnetic resonance imaging (CMR)
* Adipose tissue biopsy

Group Type ACTIVE_COMPARATOR

Cardiovascular measurement

Intervention Type PROCEDURE

This procedure is used to detect early identification of cardiovascular disease progression.

Interventions

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Illness history

Existing psychiatric and somatic diagnosis and treatment. Charlson co-morbidity Index.

Intervention Type OTHER

Measure of social conditions

A self-report questionnaire measuring social isolation, including relations to family and friends.

Intervention Type OTHER

Measure of psychiatric condition

This method measures symptom severity, therapeutic response and general improvement, suicidal ideation, cognitive insight and awareness of illness and need for treatment and the ability to relabel symptoms.

Intervention Type OTHER

Cardiovascular measurement

This procedure is used to detect early identification of cardiovascular disease progression.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Participants with a diagnosis of F20 schizophrenia.
* Informed statement of consent
* Age \> 18

Exclusion Criteria

* Incompetency to create stabile relation or make agreements
* Pregnancy and also breastfeeding women
* Participants with severe claustrophobia
* Participants with lack of ability to cooperate with the planned study program.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aalborg Psychiatric Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jørgen Aagaard

Chief consultant, Professor, Dr.Med.Sci.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Svend E. Jensen, MD

Role: PRINCIPAL_INVESTIGATOR

Aalborg University Hospital, Psychiatric Hospital

Locations

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Aalborg University Hospital, Psychiatric Hospital

Aalborg, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Jørgen Aagaard, MD

Role: CONTACT

Phone: 97643626

Email: [email protected]

Svend E. Jensen, MD

Role: CONTACT

Email: [email protected]

Facility Contacts

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Jørgen Aagaard, MD

Role: primary

References

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Jorgensen LR, Hegtmann CL, Straszek SPV, Hoyer C, Polcwiartek C, Petersen LJ, Dalgaard MK, Jensen SE, Nielsen RE. Peripheral artery disease in patients with schizophrenia as compared to controls. BMC Cardiovasc Disord. 2023 Mar 8;23(1):126. doi: 10.1186/s12872-023-03143-9.

Reference Type DERIVED
PMID: 36890440 (View on PubMed)

Trab T, Attar R, Jensen SE, Grontved S, Frokjaer JB, Polcwiartek C, Nielsen RE. Coronary artery calcium in patients with schizophrenia. BMC Psychiatry. 2021 Aug 23;21(1):422. doi: 10.1186/s12888-021-03412-x.

Reference Type DERIVED
PMID: 34425769 (View on PubMed)

Other Identifiers

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N-20140047

Identifier Type: -

Identifier Source: org_study_id