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Efficacy Study Exploring the Effects on Cognition of Sertindole Versus Comparator in Patients With Schizophrenia
This study is currently recruiting participants.
Verified by H. Lundbeck A/S, April 2009
First Received: April 3, 2008   Last Updated: April 16, 2009   History of Changes
Sponsored by: H. Lundbeck A/S
Information provided by: H. Lundbeck A/S
ClinicalTrials.gov Identifier: NCT00654706
  Purpose

The objective of this study is to explore the neurocognitive efficacy of Sertindole versus comparator in patients with schizophrenia using the MCCB.


Condition Intervention Phase
Schizophrenia
Cognition
Drug: Sertindole
Drug: Quetiapine
Phase III

MedlinePlus related topics: Schizophrenia
Drug Information available for: Sertindole Quetiapine Quetiapine fumarate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Parallel Assignment, Safety/Efficacy Study
Official Title: A Randomised, Double-Blind, Parallel-Group, Flexible-Dose Study Exploring the Neurocognitive Effect of Sertindole Versus Comparator in Patients With Schizophrenia Using the MATRICS Consensus Cognitive Battery (MCCB)

Further study details as provided by H. Lundbeck A/S:

Primary Outcome Measures:
  • Neurocognitive effect of treatment based on the overall composite score on the MCCB [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Domain specific scores on MCCB; PANSS total score, PANSS positive symptom subscale score, PANSS negative symptom subscale score, and PANSS general psychopathology subscale score; CGI-S, CDSS and GAF scores; QLS and UPSA total and subscale scores; ECGs [ Time Frame: 12 weeks ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 260
Study Start Date: March 2008
Estimated Study Completion Date: June 2009
Estimated Primary Completion Date: May 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental Drug: Sertindole
Once daily oral dose. Day 1-20: 4-16 mg/day (titration period). Day 21-84: 12, 16 or 20 mg/day (flexible treatment period).
2: Active Comparator Drug: Quetiapine
Twice daily oral dose. Day 1-20: 50-500 mg/day (titration period). Day 21-84: 400, 500 or 600 mg/day (flexible treatment period).

Detailed Description:

Sertindole is an atypical antipsychotic approved in the European Union (EU) for use in patients with schizophrenia who are intolerant to at least one other antipsychotic agent. During clinical development sertindole was found to be as effective in the treatment of schizophrenia as the first-generation antipsychotic haloperidol and as the second-generation antipsychotic risperidone.

Sertindole is generally well tolerated and has a benign side-effect profile, including an absence of sedation, no effect on plasma prolactin levels, moderate weight gain, no anticholinergic-mediated cognitive impairment and a low rate of extrapyramidal symptoms (EPS). Sertindole has been shown to prolong the QT interval and is contraindicated in patients with prolonged QT interval and in patients receiving drugs known to significantly prolong the QT interval.

The study is designed to provide data on the neurocognitive properties of sertindole versus quetiapine in patients with schizophrenia. Efficacy for cognitive impairment is assessed in patients who are in a stable phase of their illness, with a predefined maximum level of symptoms that will allow them to be included in the study. Prior antipsychotic medication will be withdrawn (down-tapered) and patients will be randomly assigned to one of the study drugs.

Cognitive deficiencies are an important feature of schizophrenia and correlate strongly with functional impairment. Improving functional outcomes in schizophrenia has a high priority and has resulted in the initiation of a program called Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) leading to the development of a neuropsychological test battery, the MCCB which is used in this study.

  Eligibility

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

Inclusion Criteria:

  • Primary diagnosis of schizophrenia
  • Man or woman, aged between 18 and 55 years

Exclusion Criteria:

  • Current Axis I primary psychiatric diagnosis other than schizophrenia
  • Not previously received antipsychotic drugs for schizophrenia
  • Acute exacerbation requiring hospitalisation within the last 3 months
  • Clinically significant extrapyramidal symptoms
  • Clinically significant cardiovascular disease, congestive heart failure, cardiac hypertrophy, arrhythmia or bradycardia
  • Congenital long QT syndrome or a family history of this disease, or known acquired QT interval prolongation
  • Significant ECG abnormalities
  • Hypokalaemia or hypomagnesaemia
  • In concurrent treatment with drugs inhibiting the P450 enzymes system CYP3A
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00654706

Contacts
Contact: Email contact via H. Lundbeck A/S LundbeckClinicalTrials@lundbeck.com

Locations
United States, California
US006 Recruiting
Pico Rivera, California, United States, 90660
US001 Recruiting
Pasadena, California, United States, 91107
US008 Recruiting
National City, California, United States, 91950
US011 Recruiting
San Diego, California, United States, 92126
US017 Recruiting
Garden Grove, California, United States, 92845
United States, Florida
US010 Recruiting
Tampa, Florida, United States, 33613
US015 Recruiting
Orange City, Florida, United States, 32763
United States, Georgia
US007 Recruiting
Atlanta, Georgia, United States, 30308
United States, Illinois
US002 Recruiting
Joliet, Illinois, United States, 60435
United States, Maryland
US012 Recruiting
Baltimore, Maryland, United States, 21204
United States, New Jersey
US021 Recruiting
Clementon, New Jersey, United States, 08021
United States, Texas
US004 Recruiting
Desoto, Texas, United States, 75115
Sponsors and Collaborators
H. Lundbeck A/S
Investigators
Study Director: Email contact via H. Lundbeck A/S LundbeckClinicalTrials@lundbeck.com
  More Information

No publications provided

Responsible Party: H. Lundbeck A/S ( H. Lundbeck A/S )
Study ID Numbers: 11723A
Study First Received: April 3, 2008
Last Updated: April 16, 2009
ClinicalTrials.gov Identifier: NCT00654706     History of Changes
Health Authority: United States: Food and Drug Administration;   United States: Institutional Review Board

Keywords provided by H. Lundbeck A/S:
Schizophrenia
Cognition
MATRICS Consensus Cognitive Battery

Study placed in the following topic categories:
Schizophrenia
Quetiapine
Tranquilizing Agents
Mental Disorders
Psychotropic Drugs
Central Nervous System Depressants
Psychotic Disorders
Sertindole
Antipsychotic Agents
Schizophrenia and Disorders with Psychotic Features

Additional relevant MeSH terms:
Tranquilizing Agents
Physiological Effects of Drugs
Psychotropic Drugs
Central Nervous System Depressants
Antipsychotic Agents
Pharmacologic Actions
Schizophrenia
Quetiapine
Mental Disorders
Therapeutic Uses
Sertindole
Central Nervous System Agents
Schizophrenia and Disorders with Psychotic Features

ClinicalTrials.gov processed this record on May 07, 2009