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Optimization of Acute Treatment in First Episode Schizophrenia
This study is ongoing, but not recruiting participants.
Sponsors and Collaborators: Ludwig-Maximilians - University of Munich
Janssen-Cilag Ltd.
German Research Network On Schizophrenia
Department of Psychiatry University of Bonn
Heinrich-Heine University, Duesseldorf
Department of Psychiatry University FU Berlin
University of Göttingen
University of Cologne
Mainz University
University Hospital Tuebingen
Univeristat Duisburg-Essen
University of Mannheim
University of Jena
Martin-Luther-Universität Halle-Wittenberg
RWTH Aachen University
University of Wuerzburg
Information provided by: Ludwig-Maximilians - University of Munich
ClinicalTrials.gov Identifier: NCT00157378
  Purpose

The study is a multicenter, double-blind, randomized, parallel-group study with first episode schizophrenic patients. During a treatment phase of 8 weeks the patients are treated with Risperidone or Haloperidol. Aim of the project is to compare the effects of the atypical neuroleptic Risperidone with those of the conventional neuroleptic Haloperidol and to evaluate whether the assumed advantages of atypical neuroleptics compared to conventional neuroleptics are also present when both medications are administered in rather low daily dosages (min. 2 mg/d; max. 8 mg/d).


Condition Intervention Phase
Schizophrenia, First-Episode
Drug: Risperidone, Haloperidol
Phase IV

MedlinePlus related topics: Schizophrenia
Drug Information available for: Risperidone Haloperidol Haloperidol decanoate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Optimization of Acute Treatment in First Episode Schizophrenic Patients by New Pharmacological Treatments

Further study details as provided by Ludwig-Maximilians - University of Munich:

Primary Outcome Measures:
  • weekly assessment of psychopathology (e.g.PANSS)and side-effects

Secondary Outcome Measures:
  • cognitive disability
  • depression
  • life quality at time of admission & end of study

Estimated Enrollment: 300
Study Start Date: November 2000
Estimated Study Completion Date: December 2004
Detailed Description:

Considering that first episode schizophrenic patients compared to multiple episode patients respond to lower dosages of neuroleptics, the study aims to reach neuroleptic response under the lowest possible dosage of the study medication (haloperidol or risperidone). Therefore the initial dosage of the study medication is 2 mg/d. Depending on the patients` symptomatology, the daily dosage of the study medication can be increased by 2 mg in weekly intervals up to a maximum dosage of 8 mg/d. Patients with the diagnosis of schizophrenia (F20, according to ICD-10-criteria) are consecutively enrolled in the study. The patients are assessed at weekly intervals during the acute inpatient treatment phase of 8 weeks. Apart from the weekly psychopathological characterisation additionally neuropsychobiological data are assessed at the time of admission and at the end of the study. Major questions of the study are, whether patients, who have been treated with risperidone compared with those, who have been treated with haloperidol show a better treatment outcome regarding negative symptoms and exhibit fewer extra-pyramidal motor side effects. Furthermore it is hypothesised, that the treatment with Risperidone has better effects on cognitive disorders/dysfunctions and depressive symptoms and that the patients, who receive Risperidone are more compliant and have a higher quality of life.

  Eligibility

Ages Eligible for Study:   18 Years to 55 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • ICD-10 criteria for first episode schizophrenia
  • age between 18 and 55
  • informed consent

Exclusion Criteria:

  • legal reasons
  • insufficient knowledge of the german language
  • substance abuse or addiction
  • pregnancy
  • serious physical illness
  • organic brain disease
  • contraindication to neuroleptic treatment
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00157378

Locations
Germany
Department of Psychiatry, Ludwig-Maximilians-University
Munich, Germany, 80336
Sponsors and Collaborators
Ludwig-Maximilians - University of Munich
Janssen-Cilag Ltd.
German Research Network On Schizophrenia
Department of Psychiatry University of Bonn
Heinrich-Heine University, Duesseldorf
Department of Psychiatry University FU Berlin
University of Göttingen
University of Cologne
Mainz University
University Hospital Tuebingen
Univeristat Duisburg-Essen
University of Mannheim
University of Jena
Martin-Luther-Universität Halle-Wittenberg
RWTH Aachen University
University of Wuerzburg
Investigators
Study Chair: Hans-Jürgen Möller, Professor Department of Psychiatry, Ludwig-Maximilians-University Munich
  More Information

Related Info  This link exits the ClinicalTrials.gov site

Study ID Numbers: 01GI9933-P2.1.2.1
Study First Received: September 8, 2005
Last Updated: September 8, 2005
ClinicalTrials.gov Identifier: NCT00157378  
Health Authority: Germany: Ethics Commission

Keywords provided by Ludwig-Maximilians - University of Munich:
first episode,
schizophrenia,
atypical neuroleptics,
negative symptoms

Study placed in the following topic categories:
Haloperidol
Schizophrenia
Haloperidol decanoate
Dopamine
Mental Disorders
Risperidone
Psychotic Disorders
Serotonin
Schizophrenia and Disorders with Psychotic Features

Additional relevant MeSH terms:
Neurotransmitter Agents
Tranquilizing Agents
Molecular Mechanisms of Pharmacological Action
Anti-Dyskinesia Agents
Physiological Effects of Drugs
Gastrointestinal Agents
Psychotropic Drugs
Antiemetics
Central Nervous System Depressants
Dopamine Antagonists
Antipsychotic Agents
Pharmacologic Actions
Serotonin Antagonists
Serotonin Agents
Autonomic Agents
Therapeutic Uses
Dopamine Agents
Peripheral Nervous System Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on January 15, 2009