Rasagiline in the Treatment of Persistent Negative Symptoms of Schizophrenia

The recruitment status of this study is unknown because the information has not been verified recently.
Verified April 2011 by University of Maryland.
Recruitment status was  Recruiting
Sponsor:
Collaborator:
Stanley Medical Research Institute
Information provided by:
University of Maryland
ClinicalTrials.gov Identifier:
NCT00492336
First received: June 26, 2007
Last updated: April 23, 2011
Last verified: April 2011
  Purpose

This is a study of a new medication for the treatment of cognitive impairments (thinking difficulties) and negative symptoms in people with schizophrenia. The new medication is rasagiline. Rasagiline is a drug which has been approved by the Food and Drug Administration for the treatment of Parkinson's disease. It is used to treat cognitive problems.


Condition Intervention Phase
Schizophrenia
Drug: rasagiline (Pharmacodynamics)
Drug: Placebo
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Rasagiline in the Treatment of Persistent Negative Symptoms of Schizophrenia

Resource links provided by NLM:


Further study details as provided by University of Maryland:

Primary Outcome Measures:
  • Scale for the Assessment of Negative Symptoms (SANS) [ Time Frame: Every 4 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Neuropsychological tests, including RBANS, probabilistic learning task, and N-Back task [ Time Frame: Beginning of treatment phase (week 0) and end of treatment phase (week 12) ] [ Designated as safety issue: No ]
  • Simpson Angus Scale [ Time Frame: Every 4 weeks ] [ Designated as safety issue: Yes ]
  • Side Effect checklist and vital signs [ Time Frame: Weekly ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 60
Study Start Date: January 2007
Estimated Study Completion Date: July 2011
Estimated Primary Completion Date: July 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Rasagiline
Treatment with Rasagiline
Drug: rasagiline (Pharmacodynamics)
Rasagiline 1 mg/day for 12 weeks
Placebo Comparator: Inactive pill
Treatment with Placebo
Drug: Placebo
Placebo 1 tablet each day

Detailed Description:

The study will consist of two phases: a 4-week continued stability phase (lead-in phase) and a 12-week double-blind treatment phase. In the lead-in phase, subjects receiving antipsychotic medication, who manifest moderate to severe and persistent negative symptoms, will remain on their maintenance regimen for at least four weeks. The treatment phase will be a 12-week, parallel groups, double-blind, placebo-controlled trial of adjunctive rasagiline (1 mg/day), a selective MAO-B oxidase inhibitor.

  Eligibility

Ages Eligible for Study:   18 Years to 64 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Subjects will meet DSM-IV criteria for schizophrenia or schizoaffective disorder.
  • Current treatment with one or more second generation antipsychotics, except ziprasidone
  • On same second generation antipsychotic(s)for at least 56 days
  • On same dose of second generation antipsychotic(s)for at least 30 days
  • 22-item SANS: Total score (i.e.all items minus global items and poverty of content of speech)greater than 20 or global Rating of Affective Flattening greater than or equal to 3 or global Rating of alogia greater than or equal to 3
  • BPRS: Sum of the four positive symptom items less than or equal to 16 (items 4,11,12,15)
  • BPRS: Sum of the four Anxiety/Depression Factor items less than or equal to 14 (items 1,2,5,9)
  • Simpson-Angus Scale: Total score less than or equal to 8

Exclusion Criteria:

  • DSM-IV Major Depressive Disorder within last 6 months
  • Current treatment with ziprasidone
  • DSM-IV diagnosis of alcohol or substance dependence within the last 6 months
  • DSM-IV criteria for alcohol or substance abuse within the last month
  • evidence of illicit substance use, as identified with urine toxicology screen
  • History of an organic brain disorder, mental retardation,epilepsy, or a medical condition, whose pathology or treatment could alter the presentation or treatment of schizophrenia or significantly increase the risk associated with the proposed treatment protocol. See those listed below
  • Uncontrolled hypertension defined as BP exceeding 145/90 on 3 consecutive readings despite adequate treatment, pheochromocytoma, melanoma, hepatic insufficiency
  • Pregnancy or lactation in females
  • Pheochromocytoma
  • Melanoma
  • Hepatic insufficiency
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00492336

Contacts
Contact: Melissa Blake 410-402-6042 mblake@mprc.umaryland.edu

Locations
United States, Maryland
Baltimore VA Medical Center Recruiting
Baltimore, Maryland, United States, 21201
Contact: Mary Olandu, NP     410-605-7284     Mary.Olandu@va.med.gov    
Principal Investigator: Robert W Buchanan, M.D.            
Maryland Psychiatric REsearch Center Recruiting
Catonsville, Maryland, United States, 21228
Contact: M P Ball, RN     410-402-7548     pball@mprc.umaryland.edu    
Principal Investigator: Robert W Buchanan, M.D.            
Mosaic Community Mental health Center Recruiting
Catonsville, Maryland, United States, 21228
Contact: Melissa Blake, B.A.     410-402-6042     mblake@mprc.umaryland.edu    
Principal Investigator: Robert W Buchanan, M.D.            
Keypoint Mental health Center Recruiting
Catonsville, Maryland, United States, 21228
Contact: Melissa Blake, B.A.     410-402-6042     mblake@mprc.umaryland.edu    
Principal Investigator: Robert W Buchanan, M.D.            
Keypoint Mental health Center Recruiting
Dundalk, Maryland, United States, 21222
Contact: Melissa Blake, B.A.     410-402-6042     mblake@mprc.umaryland.edu    
Principal Investigator: Robert W Buchanan, M.D.            
Sponsors and Collaborators
University of Maryland
Stanley Medical Research Institute
Investigators
Principal Investigator: Robert W Buchanan, M.D. University of Maryland
  More Information

No publications provided

Responsible Party: Robert W. Buchanan, M.D., Maryland Psychiatric Research Center/University of Maryland Baltimore
ClinicalTrials.gov Identifier: NCT00492336     History of Changes
Other Study ID Numbers: HP-00043807, H-27877
Study First Received: June 26, 2007
Last Updated: April 23, 2011
Health Authority: United States: Food and Drug Administration

Keywords provided by University of Maryland:
Cognitive impairments
Negative symptoms

Additional relevant MeSH terms:
Schizophrenia
Schizophrenia and Disorders with Psychotic Features
Mental Disorders
Rasagiline
Monoamine Oxidase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Neuroprotective Agents
Protective Agents
Physiological Effects of Drugs
Central Nervous System Agents
Therapeutic Uses

ClinicalTrials.gov processed this record on May 16, 2013