A Pharmacogenetic Investigation of Antipsychotics in Schizophrenia and Schizophrenia-Like Psychoses
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Purpose
An individual's genetic make-up is known to determine their response to antipsychotic medication. Genetic markers that determine efficacy and side effects of medication may be identified and used to predict treatment outcome.
The study is a naturalistic study of routinely prescribed antipsychotics using outcome measures undertaken as part of the routine clinical care of the cohort. These clinical data are linked with genetic information obtained from DNA and RNA from blood samples undertaken as part of the study.
No alteration is made to the subjects treatment regime or medication.
The study is a two stage investigation:
- The first stage involves the collection of a databank of clinical information and blood samples for DNA and RNA extraction from patients treated with antipsychotic medication.
- The second stage is a molecular genetic investigation of treatment-related genetic factors that may contribute to response prediction and predisposition to side effects.
From these genetic studies pharmacogenetic prediction tests will be validated and/or developed.
| Condition |
|---|
|
Schizophrenia Schizoaffective Disorder |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only |
| Official Title: | A Pharmacogenetic Investigation of Antipsychotics in Schizophrenia and Schizophrenia-Like Psychoses |
Whole blood DNA RNA
| Enrollment: | 24 |
| Study Start Date: | May 2008 |
| Study Completion Date: | March 2009 |
| Primary Completion Date: | March 2009 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Olanzapine
Subjects treated with olanzapine as part of their routine clinical care
|
|
Risperidone
Subjects treated with risperidone as part of their routine clinical care
|
|
Quetiapine
Subjects treated with quetiapine as part of their routine clinical care
|
Eligibility| Ages Eligible for Study: | 19 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients of Vancouver Coastal Health
Inclusion Criteria:
- Written informed consent must be obtained
DSM-IV diagnosis must be one of:
- schizophrenia
- schizophreniform
- schizoaffective
- delusional disorder
- brief reactive psychosis
- psychosis not otherwise specified
- Ethnic origin of both parents must be known
- A minimum of 6 weeks continuous treatment completed with the given antipsychotic, prescribed at least at minimum recommended doses
- Prospectively collected outcome data available (pre-treatment and after at least 6 weeks on treatment)
Exclusion criteria:
Significant psychiatric or medical co-morbidity including history of:
- head injury with loss of consciousness
- seizures
- neurological disorder
- mental retardation (DSM-IV)
- drug or alcohol dependence (DSM-IV)
- serious physical illness e.g. malignancy, hepatic/renal insufficiency
- Concomitant psychotropic medication that may influence ratings
- Concomitant antipsychotics, antidepressants or mood stabilisers prescribed for >2 weeks during the antipsychotic treatment period rated
Contacts and Locations| Canada, British Columbia | |
| Vancouver Coastal Health | |
| Vancouver, British Columbia, Canada | |
| Principal Investigator: | Soma Ganesan, MD | Vancouver Coastal Health |
| Study Director: | Janet Munro, MB BS | TheraGenetics Limited |
More Information
No publications provided
| Responsible Party: | Dr Janet Munro, TheraGenetics Ltd |
| ClinicalTrials.gov Identifier: | NCT00701753 History of Changes |
| Other Study ID Numbers: | TheraGenetics-002 |
| Study First Received: | June 17, 2008 |
| Last Updated: | March 11, 2009 |
| Health Authority: | Canada: Health Canada |
Keywords provided by TheraGenetics Limited:
|
Pharmacogenetic DNA RNA Antipsychotic |
Olanzapine Risperidone Quetiapine Personalized medicine |
Additional relevant MeSH terms:
|
Psychotic Disorders Schizophrenia Schizophrenia and Disorders with Psychotic Features Mental Disorders Antipsychotic Agents Risperidone Quetiapine Olanzapine Tranquilizing Agents Central Nervous System Depressants Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents Therapeutic Uses |
Psychotropic Drugs Serotonin Antagonists Serotonin Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Dopamine Antagonists Dopamine Agents Serotonin Uptake Inhibitors Neurotransmitter Uptake Inhibitors Antiemetics Autonomic Agents Peripheral Nervous System Agents Gastrointestinal Agents |
ClinicalTrials.gov processed this record on May 21, 2013