Trial Outcomes & Findings for Adjunctive Withania Somnifera (Ashwagandha) for Persistent Symptoms in People With Schizophrenia (NCT NCT03437668)

NCT ID: NCT03437668

Last Updated: 2024-10-08

Results Overview

The Positive and Negative Syndrome Scale (PANSS) is a medical scale used for measuring symptom severity of patients with schizophrenia. To assess a patient using PANSS, an approximately 45-minute clinical interview is conducted. The patient is rated from 1 to 7 on 30 different symptoms based on the interview as well as reports of family members or primary care hospital workers. Subjects can not score lower than 30 or higher than 210. Higher score indicates higher amount of psychopathology

Recruitment status

TERMINATED

Study phase

PHASE2/PHASE3

Target enrollment

47 participants

Primary outcome timeframe

12 weeks

Results posted on

2024-10-08

Participant Flow

Participant milestones

Participant milestones
Measure
Withania Somnifera Extract (WSE)
WSE 500 mg bid for 12 weeks WSE: WSE tablets
Placebo Tablets
Placebo oral tablet bid for 12 weeks Placebo Oral Tablet: Placebo tablet
Overall Study
STARTED
24
23
Overall Study
COMPLETED
20
19
Overall Study
NOT COMPLETED
4
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Adjunctive Withania Somnifera (Ashwagandha) for Persistent Symptoms in People With Schizophrenia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Withania Somnifera Extract (WSE)
n=24 Participants
WSE 500 mg bid for 12 weeks WSE: WSE tablets
Placebo Tablets
n=23 Participants
Placebo oral tablet bid for 12 weeks Placebo Oral Tablet: Placebo tablet
Total
n=47 Participants
Total of all reporting groups
Age, Continuous
43.7 years
STANDARD_DEVIATION 10.9 • n=5 Participants
43.8 years
STANDARD_DEVIATION 12.1 • n=7 Participants
43.7 years
STANDARD_DEVIATION 11.4 • n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
3 Participants
n=7 Participants
9 Participants
n=5 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants
20 Participants
n=7 Participants
38 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants
n=5 Participants
21 Participants
n=7 Participants
43 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 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
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 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
5 Participants
n=5 Participants
9 Participants
n=7 Participants
14 Participants
n=5 Participants
Race (NIH/OMB)
White
16 Participants
n=5 Participants
12 Participants
n=7 Participants
28 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 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

PRIMARY outcome

Timeframe: 12 weeks

The Positive and Negative Syndrome Scale (PANSS) is a medical scale used for measuring symptom severity of patients with schizophrenia. To assess a patient using PANSS, an approximately 45-minute clinical interview is conducted. The patient is rated from 1 to 7 on 30 different symptoms based on the interview as well as reports of family members or primary care hospital workers. Subjects can not score lower than 30 or higher than 210. Higher score indicates higher amount of psychopathology

Outcome measures

Outcome measures
Measure
Withania Somnifera Extract (WSE)
n=22 Participants
WSE 500 mg bid for 12 weeks WSE: WSE tablets
Placebo Tablets
n=21 Participants
Placebo oral tablet bid for 12 weeks Placebo Oral Tablet: Placebo tablet
Positive and Negative Symptom Scale
Week 0
65.0 score on a scale
Standard Error 2.6
75.1 score on a scale
Standard Error 2.6
Positive and Negative Symptom Scale
Week 6
63.2 score on a scale
Standard Error 2.4
72.0 score on a scale
Standard Error 2.5
Positive and Negative Symptom Scale
Week 12
61.3 score on a scale
Standard Error 2.7
68.8 score on a scale
Standard Error 2.7

SECONDARY outcome

Timeframe: 12 weeks

The Marder negative factor is a factor-analysis derived dimension of the Positive and Negative Syndrome Scale (PANSS) that measures negative symptoms of schizophrenia. It's made up of seven items from the PANSS, including: Blunted affect, Emotional withdrawal, Poor rapport, Passive/apathetic withdrawal, Motor retardation, Active social avoidance, Lack of spontaneity in conversation. Each item is scored from 1 to 7 with a higher score indicating greater severity. Minimum score is 7 and maximum is 49

Outcome measures

Outcome measures
Measure
Withania Somnifera Extract (WSE)
n=23 Participants
WSE 500 mg bid for 12 weeks WSE: WSE tablets
Placebo Tablets
n=23 Participants
Placebo oral tablet bid for 12 weeks Placebo Oral Tablet: Placebo tablet
PANSS Negative Factor Score Also Know as Marder Factors
Baseline
2.05 score on a scale
Standard Deviation .84
2.68 score on a scale
Standard Deviation .67
PANSS Negative Factor Score Also Know as Marder Factors
12 weeks
2.10 score on a scale
Standard Deviation .80
2.45 score on a scale
Standard Deviation .69

Adverse Events

Withania Somnifera Extract (WSE)

Serious events: 1 serious events
Other events: 12 other events
Deaths: 0 deaths

Placebo Tablets

Serious events: 3 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Withania Somnifera Extract (WSE)
n=24 participants at risk
WSE 500 mg bid for 12 weeks WSE: WSE tablets
Placebo Tablets
n=23 participants at risk
Placebo oral tablet bid for 12 weeks Placebo Oral Tablet: Placebo tablet
Infections and infestations
COVID 19
0.00%
0/24 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Psychiatric disorders
Suicidal ideation
4.2%
1/24 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
8.7%
2/23 • Number of events 2 • 12 weeks
Definitions consistent with clinicaltrials.gov

Other adverse events

Other adverse events
Measure
Withania Somnifera Extract (WSE)
n=24 participants at risk
WSE 500 mg bid for 12 weeks WSE: WSE tablets
Placebo Tablets
n=23 participants at risk
Placebo oral tablet bid for 12 weeks Placebo Oral Tablet: Placebo tablet
Ear and labyrinth disorders
Objective tinnitus
0.00%
0/24 • 12 weeks
Definitions consistent with clinicaltrials.gov
8.7%
2/23 • Number of events 2 • 12 weeks
Definitions consistent with clinicaltrials.gov
Gastrointestinal disorders
Abdominal pain
4.2%
1/24 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Gastrointestinal disorders
Acid reflux
4.2%
1/24 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
0.00%
0/23 • 12 weeks
Definitions consistent with clinicaltrials.gov
Gastrointestinal disorders
Constipation
8.3%
2/24 • Number of events 2 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Gastrointestinal disorders
Diarrhea
0.00%
0/24 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Gastrointestinal disorders
Dry Mouth
4.2%
1/24 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Gastrointestinal disorders
Nausea
8.3%
2/24 • Number of events 2 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Gastrointestinal disorders
Nausea and vomiting
4.2%
1/24 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
General disorders
Fatigue
0.00%
0/24 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Infections and infestations
Endometritis
0.00%
0/24 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Infections and infestations
Upper Respiratory Infection
0.00%
0/24 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Musculoskeletal and connective tissue disorders
Back injury
4.2%
1/24 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
0.00%
0/23 • 12 weeks
Definitions consistent with clinicaltrials.gov
Investigations
Weight loss
4.2%
1/24 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
0.00%
0/23 • 12 weeks
Definitions consistent with clinicaltrials.gov
Metabolism and nutrition disorders
Decrease appetite
4.2%
1/24 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/24 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Nervous system disorders
Headache
4.2%
1/24 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Psychiatric disorders
Anxiety
0.00%
0/24 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Psychiatric disorders
Auditory hallucinations
0.00%
0/24 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Psychiatric disorders
Depression
0.00%
0/24 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov
Respiratory, thoracic and mediastinal disorders
Sore throat
0.00%
0/24 • 12 weeks
Definitions consistent with clinicaltrials.gov
4.3%
1/23 • Number of events 1 • 12 weeks
Definitions consistent with clinicaltrials.gov

Additional Information

Stephen R Marder

UCaliforniaLA

Phone: 3102670221

Results disclosure agreements

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