Viewing Study NCT00893256


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Study NCT ID: NCT00893256
Status: COMPLETED
Last Update Posted: 2009-05-05
First Post: 2009-05-04
Is NOT Gene Therapy: False
Has Adverse Events: False

Brief Title: Effect of Add-on Citalopram to Risperidone on Negative Symptoms in Schizophrenia
Sponsor:
Organization:

Raw JSON

{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D012559', 'term': 'Schizophrenia'}], 'ancestors': [{'id': 'D019967', 'term': 'Schizophrenia Spectrum and Other Psychotic Disorders'}, {'id': 'D001523', 'term': 'Mental Disorders'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'D018967', 'term': 'Risperidone'}, {'id': 'D015283', 'term': 'Citalopram'}], 'ancestors': [{'id': 'D011744', 'term': 'Pyrimidinones'}, {'id': 'D011743', 'term': 'Pyrimidines'}, {'id': 'D006573', 'term': 'Heterocyclic Compounds, 1-Ring'}, {'id': 'D006571', 'term': 'Heterocyclic Compounds'}, {'id': 'D011437', 'term': 'Propylamines'}, {'id': 'D000588', 'term': 'Amines'}, {'id': 'D009930', 'term': 'Organic Chemicals'}, {'id': 'D009570', 'term': 'Nitriles'}, {'id': 'D001572', 'term': 'Benzofurans'}, {'id': 'D006574', 'term': 'Heterocyclic Compounds, 2-Ring'}, {'id': 'D000072471', 'term': 'Heterocyclic Compounds, Fused-Ring'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE4'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'QUADRUPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 48}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2004-12'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2009-05', 'completionDateStruct': {'date': '2007-09', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2009-05-04', 'studyFirstSubmitDate': '2009-05-04', 'studyFirstSubmitQcDate': '2009-05-04', 'lastUpdatePostDateStruct': {'date': '2009-05-05', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '2009-05-05', 'type': 'ESTIMATED'}, 'primaryCompletionDateStruct': {'date': '2007-09', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Change in PANSS negative symptom score', 'timeFrame': '12 weeks'}], 'secondaryOutcomes': [{'measure': 'Change in PANSS total score', 'timeFrame': '12 weeks'}]}, 'oversightModule': {'oversightHasDmc': True}, 'conditionsModule': {'keywords': ['schizophrenia', 'risperidone', 'citalopram', 'secondary negative symptoms'], 'conditions': ['Schizophrenia', 'Negative Symptoms']}, 'descriptionModule': {'briefSummary': 'Negative symptoms in schizophrenia present a challenge to the clinician owing to their poorer response to conventional treatment with antipsychotics. Negative symptoms in schizophrenia may be secondary to psychotic symptoms, depressive symptoms, drug-related side effects or lack of environmental stimulation. Alternately, they may represent core features of the illness, characterized as primary deficit symptoms. Previous studies have suggested that atypical antipsychotics may be beneficial in improving deficit symptoms of schizophrenia. This study aimed at characterizing the nature of improvement of negative symptoms in the early phase (12 weeks) of treatment with the atypical antipsychotic, risperidone. In order to account for factors contributing to improvement in secondary negative symptoms, ratings were carried out of change in positive symptoms, depressive symptoms and drug-related side effects. Further, add-on citalopram or placebo were administered in a double-blind design to study the effect of selective serotonin reuptake inhibitor (SSRI) augmentation of risperidone on negative symptoms. The investigators hypothesized that the improvement in negative symptoms during the initial phase (12 weeks) of treatment with risperidone will be largely accounted for by improvement in secondary negative symptoms, rather than of the primary deficit symptoms.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['CHILD', 'ADULT'], 'maximumAge': '50 Years', 'minimumAge': '17 Years', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\n* Patients fulfilling DSMIV Criteria for Schizophrenia\n* The patient should be drug naïve or drug free for one month (oral antipsychotic) or three months of parental antipsychotic\n* Duration from onset \\< 5 years\n* Informed consent\n\nExclusion Criteria:\n\n* Patient with any other current Axis I or Axis II comorbid disorders\n* Comorbid substance abuse or dependence except nicotine or caffeine\n* Presence of significant medical disorder such as epilepsy, uncontrolled hypertension and diabetes mellitus, thyroid disorder\n* Patient who has not responded to adequate course of risperidone (with reference to dose and duration)\n* Treatment-resistant schizophrenia defined as non-response to three different antipsychotics belonging to at least two different classes, one of which is an atypical agent and one of which is a depot neuroleptic\n* Patient who has received ECT in past 3 months'}, 'identificationModule': {'nctId': 'NCT00893256', 'acronym': 'RIS-CIT-SCH', 'briefTitle': 'Effect of Add-on Citalopram to Risperidone on Negative Symptoms in Schizophrenia', 'organization': {'class': 'OTHER', 'fullName': 'National Institute of Mental Health and Neuro Sciences, India'}, 'officialTitle': 'Prospective Double-Blind Randomized Comparison Study of Improvement in Negative Symptoms With Risperidone vs Risperidone +Citalopram Combination Therapy in Schizophrenia--a Clinical Study', 'orgStudyIdInfo': {'id': 'NFRPA/006/2004'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Risperidone and citalopram', 'description': '24 patients were randomized to receive add-on citalopram (20 mg/day) in a double-blind fashion to open-label risperidone (4-8 mg/day)', 'interventionNames': ['Drug: Risperidone', 'Drug: Citalopram']}, {'type': 'PLACEBO_COMPARATOR', 'label': 'Risperidone and placebo', 'description': '24 patients were randomized to receive add-on placebo in a double-blind fashion to open-label treatment with risperidone (4-8 mg/day)', 'interventionNames': ['Drug: risperidone', 'Drug: Placebo']}], 'interventions': [{'name': 'Risperidone', 'type': 'DRUG', 'otherNames': ['Respidon'], 'description': 'Risperidone: tablet; oral; 4-6 mg/day; once daily; 12 weeks', 'armGroupLabels': ['Risperidone and citalopram']}, {'name': 'risperidone', 'type': 'DRUG', 'otherNames': ['Respidon'], 'description': 'Risperidone: tablet; 4-8 mg/day; once daily; 12 weeks', 'armGroupLabels': ['Risperidone and placebo']}, {'name': 'Citalopram', 'type': 'DRUG', 'otherNames': ['Citopam'], 'description': 'Citalopram: tablet; oral; 20 mg/day; once daily; 12 weeks', 'armGroupLabels': ['Risperidone and citalopram']}, {'name': 'Placebo', 'type': 'DRUG', 'description': 'Placebo: once daily', 'armGroupLabels': ['Risperidone and placebo']}]}, 'contactsLocationsModule': {'locations': [{'zip': '560 029', 'city': 'Bangalore', 'state': 'Karnataka', 'country': 'India', 'facility': 'National Institute of Mental Health and Neurosciences (NIMHANS)', 'geoPoint': {'lat': 12.97194, 'lon': 77.59369}}], 'overallOfficials': [{'name': 'John P John, M.D.', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'National Institute of Mental Health and Neurosciences, Bangalore, INDIA'}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'National Institute of Mental Health and Neuro Sciences, India', 'class': 'OTHER'}, 'responsibleParty': {'oldNameTitle': 'Dean', 'oldOrganization': 'NIMHANS'}}}}