AP Metabolism Transcriptomics

NCT ID: NCT06814314

Last Updated: 2025-02-07

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

RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-04-30

Study Completion Date

2026-05-31

Brief Summary

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It is known from the literature that treatment with antipsychotic drugs (AP) induces, even before changes in blood chemistry parameters, changes in gene transcription that are evident at the level of peripheral blood mononuclear cells.

In this pilot study we intend to evaluate the transcriptomic profile of children and adolescents who are undergoing treatment with antipsychotics and show metabolic disorders, in order to compare it to the profile of similar patients who do not use antipsychotics, but show metabolic disorders, or who use antipsychotics, but do not show metabolic disorders.

The hypothesis is that a different transcriptomic profile can be identified between the three populations under study, such as to allow to hypothesize that a series of transcripts can be used as early biomarkers of whether treatment with antipsychotics can induce metabolic disorders in the individual patient or not. This information could be used to improve the management of antipsychotic therapies in the direction of personalized medicine, reducing metabolic risks.

Detailed Description

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Conditions

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Neurodevelopmental Disorders Irritability

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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AP+ / MetS+

Persons using antipsychotic drugs and meeting diagnostic criteria for the metabolic syndrome

Transcriptomic investigation

Intervention Type DIAGNOSTIC_TEST

Transcriptomic investigation followed by ontology classification

AP+ / MetS-

Persons using antipsychotic drugs not meeting diagnostic criteria for the metabolic syndrome

Transcriptomic investigation

Intervention Type DIAGNOSTIC_TEST

Transcriptomic investigation followed by ontology classification

AP- / MetS+

Persons meeting diagnostic criteria for the metabolic syndrome not using antipsychotic drugs

Transcriptomic investigation

Intervention Type DIAGNOSTIC_TEST

Transcriptomic investigation followed by ontology classification

Interventions

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Transcriptomic investigation

Transcriptomic investigation followed by ontology classification

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* age 5-17 years;
* group 1: antipsychotic users with metabolic disorders;
* group 2: antipsychotic users without metabolic disorders;
* group 3: non-antipsychotic users with metabolic disorders. The definition of antipsychotic use includes daily use for at least 3 months prior to enrollment.

The definition of metabolic disorders includes: BMI-Z for age, sex and height \> +1 Waist circumference \> 90th percentile for age, sex and height Diastolic or systolic blood pressure \> 90th percentile for age, sex and height Fasting blood glucose \> 99 mg/dl Fasting triglycerides \> 149 mg/dl Fasting cholesterol \< 41 mg/dl.

Patients with metabolic disorders are defined as those who meet at least one of the above criteria.

Patients without metabolic disorders are defined as those who do not present any of the above criteria.

Exclusion Criteria

* presence of diagnosed genetic conditions known to alter energy metabolism and/or nutrition;
* presence of diagnosed eating disorders;
* habitual use of supplements known to alter energy metabolism and/or nutrition;
* concomitant use of drugs known to alter energy metabolism and/or nutrition.
Minimum Eligible Age

5 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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IRCCS Eugenio Medea

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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IRCCS Eugenio Medea

Bosisio Parini, LC, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Marco Pozzi, PhD

Role: CONTACT

031877919 ext. +39

Facility Contacts

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Marco Pozzi, PhD

Role: primary

031877919 ext. +39

Other Identifiers

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9/24 (ex 995)

Identifier Type: -

Identifier Source: org_study_id

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