Predictors of Functional Remission in Discharged Patients With Schizophrenia After Long-term Drug Discontinuation

NCT ID: NCT05667961

Last Updated: 2025-04-25

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

480 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-09-15

Study Completion Date

2025-03-31

Brief Summary

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Study objectives:

1. Describe the characteristics of discharged patients with schizophrenia achieving functional remission after drug discontinuation.
2. Establish a prediction model of patients with schizophrenia having good prognosis after drug discontinuation.

Detailed Description

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There are 2 clinically important and urgent questions to be explored in this study: 1. Who is more likely to benefit from guided drug reduction or discontinuation? How to design an individualized treatment plan which can balance the risk of relapse and side-effects from antipsychotics? 2. What are the predictors of functional remission in patients with schizophrenia after drug discontinuation? This will be the first related study to be conducted in China.

Conditions

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Schizophrenia

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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the function remitted off-medicine group

* Off-medicine definition: Continuous antipsychotic maintenance therapy for at least two years before drug discontinuation and drug discontinuation of all reasons (treatment benefits, adverse events, socioeconomic difficulties, migration, stigma, etc.) for at least one year;
* Function remitted definition: Meet the criteria of functional remission in both WHOQoL-BREF (overall points ≥ 60) and FROGS (social functioning dimension points ≥ 33, daily life dimension points ≥ 12, and treatment dimension points ≥ 12)

No interventions assigned to this group

the function not-remitted off-medicine group

* Off-medicine definition: Continuous antipsychotic maintenance therapy for at least two years before drug discontinuation and drug discontinuation of all reasons (treatment benefits, adverse events, socioeconomic difficulties, migration, stigma, etc.) for at least one year;
* Function not-remitted definition: Fail to meet the criteria of functional remission in both WHOQoL-BREF and FROGS

No interventions assigned to this group

the function remitted on-medicine group

* On-medicine definition: Continuous antipsychotic maintenance therapy during the time this study is conducted
* Function remitted definition: Meet the criteria of functional remission in both WHOQoL-BREF and FROGS

No interventions assigned to this group

the function not-remitted on-medicine group

* On-medicine definition: Continuous antipsychotic maintenance therapy during the time this study is conducted
* Function not-remitted definition: Fail to meet the criteria of functional remission in both WHOQoL-BREF and FROGS

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patients who met the diagnostic criteria of the International Classification of diseases, 10th edition (ICD-10) for a diagnosis of schizophrenia;
* Aged between 18 to 65 years old at time of investigation;
* Hospitalized in Shanghai Mental Health Center any time from the year 2013 to 2018;
* Informed consent.

Exclusion Criteria

* Patients with neurological diseases, severe somatic diseases, psychoactive substance abuse, mental retardation, agitation, stupor, or risk of suicide, and female patients who are pregnant or breast-feeding, will be excluded from the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Shanghai Mental Health Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dengtang Liu

Role: PRINCIPAL_INVESTIGATOR

Shanghai Mental Health Center

Locations

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Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

References

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Reference Type DERIVED
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Other Identifiers

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2022-TX-007

Identifier Type: -

Identifier Source: org_study_id

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