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Risperidone and Olanzapine for the Schizophrenic Patients With Neuroleptic-Induced Tardive Dyskinesia
This study has been completed.
First Received: February 13, 2008   No Changes Posted
Sponsors and Collaborators: Taoyuan Mental Hospital
Department of Health
Information provided by: Taoyuan Mental Hospital
ClinicalTrials.gov Identifier: NCT00621998
  Purpose

We initiate a study with research grant from department of health and Taoyuan mental hospital and choose risperidone and olanzapine as study medications.

We compare the effects of these 2 drugs in schizophrenic spectrum patients of Han ethnics with neuroleptic-induced tardive dyskinesia to test the hypothesis that these two medications have different effects in improving tardive dyskinesia.


Condition Intervention Phase
Neuroleptic-Induced Tardive Dyskinesia
Drug: risperidone
Drug: olanzapine
Phase IV

Genetics Home Reference related topics: familial paroxysmal nonkinesigenic dyskinesia
Drug Information available for: Risperidone Olanzapine
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind (Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study
Official Title: A Randomized Controlled Trial of Risperidone and Olanzapine for the Schizophrenic Patients With Neuroleptic-Induced Tardive Dyskinesia

Further study details as provided by Taoyuan Mental Hospital:

Primary Outcome Measures:
  • Total scores of AIMS [ Time Frame: The change from baseline to study endpoint ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Total scores of BPRS [ Time Frame: The change from baseline to study endpoint ] [ Designated as safety issue: No ]
  • Extrapyramidal syndrome rating scale [ Time Frame: The change from baseline to study endpoint ] [ Designated as safety issue: Yes ]

Enrollment: 60
Study Start Date: July 2000
Study Completion Date: June 2004
Primary Completion Date: December 2003 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Flexible dose of olanzapine
Drug: olanzapine
2.5-20 mg/day
2: Active Comparator
Flexible dose of risperidone
Drug: risperidone
0.5-6 mg/day

Detailed Description:

Objective: First generation antipsychotics would induce tardive dyskinesia in some schizophrenic patients. Second generation antipsychotics were the choices for these patients. But which one of second generation antipsychotic was the better choice did not have definitive results. We compared risperidone and olanzapine in schizophrenic patients with neuroleptic-induced tardive dyskinesia to see their effects in improving tardive dyskinesia. We also collected the data of average dose of risperidone and olanzapine to help the dosing strategy guidelines for the schizophrenic patients with neuroleptic-induced tardive dyskinesia.

Method: This randomized, rater-blind, parallel group, flexible dose study enrolled patients from Taoyuan Mental Hospital from July 2000 to December 2003.

Schizophrenia, schizophreniform or schizoaffective disorder (DSM-IV) patients who met the research criteria of neuroleptic-induced tardive dyskinesia research criteria of DSM-IV and no less than moderate severity (> or =4) of global impression of extrapyramidal syndrome rating scale (ESRS). 60 patients were random assignment to risperidone or olanzapine for 24 weeks. The primary outcome was to compare the change of total scores of abnormal involuntary movement scale from baseline to study endpoint.

  Eligibility

Ages Eligible for Study:   18 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age of 18-70 y/o
  • Female patients did not have pregnancy plans and must agree to use reliable pregnancy prevention methods if during childbearing age
  • Meet schizophrenia, schizophreniform or schizoaffective disorder criteria of DSM-IV
  • Fulfill DSM-IV neuroleptic-induced tardive dyskinesia research criteria, the severity of tardive dyskinesia was no less than moderate degree (> or =4) assessed by global impression of Extrapyramidal System Rating Scale (item 42 of ESRS)
  • Patients or legal responsible people agree to join study and sign informed consent

Exclusion Criteria:

  • Had other axis I diagnosis of DSM-IV
  • Unstable major systemic diseases
  • Had neurological disorder influenced to EPS assessment
  • Substance abuse or dependence other then coffee or tobacco within 6 months before study
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00621998

Locations
Taiwan
Taoyuan Mental Hospital
Taoyuan, Taiwan, 33058
Sponsors and Collaborators
Taoyuan Mental Hospital
Department of Health
Investigators
Study Chair: Hung-Yu Chan, M.D., M.S. Taoyuan Mental Hospital
  More Information

No publications provided

Responsible Party: Taoyuan Mental Hospital ( Hung-Yu Chan/ Attending Psychiatry and Director of General Psychiatry )
Study ID Numbers: TMH-91-02, DOH-890010
Study First Received: February 13, 2008
Last Updated: February 13, 2008
ClinicalTrials.gov Identifier: NCT00621998     History of Changes
Health Authority: Taiwan: Department of Health

Keywords provided by Taoyuan Mental Hospital:
Risperidone
Olanzapine
Tardive dyskinesia

Study placed in the following topic categories:
Neurotransmitter Agents
Tranquilizing Agents
Olanzapine
Risperidone
Psychotropic Drugs
Antiemetics
Central Nervous System Diseases
Central Nervous System Depressants
Antipsychotic Agents
Serotonin Uptake Inhibitors
Dyskinesias
Serotonin
Tardive Dyskinesia
Signs and Symptoms
Dopamine
Movement Disorders
Neurologic Manifestations
Dopamine Agents
Peripheral Nervous System Agents
Oral Facial Dyskinesia

Additional relevant MeSH terms:
Neurotransmitter Agents
Neurotransmitter Uptake Inhibitors
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Olanzapine
Psychotropic Drugs
Antiemetics
Signs and Symptoms
Serotonin Antagonists
Movement Disorders
Therapeutic Uses
Tranquilizing Agents
Nervous System Diseases
Gastrointestinal Agents
Risperidone
Central Nervous System Depressants
Central Nervous System Diseases
Dopamine Antagonists
Antipsychotic Agents
Dyskinesias
Serotonin Uptake Inhibitors
Pharmacologic Actions
Serotonin Agents
Autonomic Agents
Neurologic Manifestations
Dopamine Agents
Peripheral Nervous System Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on May 06, 2009