Microglia Activation in Schizophrenia

This study has been completed.
Sponsor:
Collaborator:
UMC Utrecht
Information provided by:
VU University Medical Center
ClinicalTrials.gov Identifier:
NCT00205608
First received: September 13, 2005
Last updated: June 25, 2010
Last verified: July 2008

September 13, 2005
June 25, 2010
January 2004
March 2007   (final data collection date for primary outcome measure)
[11C]-(R)-Pk11195 binding [ Time Frame: within 5 years of start symptoms ] [ Designated as safety issue: No ]
microglia activation in schizophrenia
[11C]-(R)-Pk11195 binding
Complete list of historical versions of study NCT00205608 on ClinicalTrials.gov Archive Site
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Microglia Activation in Schizophrenia
Microglia Activation in Schizophrenia: a Pilot Study

Patients with schizophrenia have volume loss in gray matter. This study is designed to evaluate whether their is microglia activation in schizophrenia using [11C](R)-PK11195 PET.

Schizophrenia is a complex and chronic disease that affects different aspects of cognition and behaviour, including attention, perception, thought processes, emotion and volition. Schizophrenia is a brain disease particularly involving decrement in gray matter as has been supported by findings from many imaging studies. The pathophysiology of these gray matter changes has not been clarified. Microglia activation is the consequence of virtually all conditions associated with neuronal injury. When activated following neuronal damage, microglia show a marked increase in the expression of peripheral type benzodiazepine binding sites which are particularly abundant on cells of the mononuclear macrophage.

(R)-PK11195 [1-(2-chlorophenyl)-N-methyl-N-1(1-methylpropyl]-3 isoquinolinecarboxamide) is a highly selective ligand for the peripheral benzodiazepine binding site. (R)-PK11195, labelled with the positron emitter carbon-11, can be used to monitor the peripheral type benzodiazepine receptors using Positron Emission Tomography (PET). At the Vrije Universiteit Medical Centre (R)-[11C]PK11195 is used for studying microglia activation in-vivo in patients with traumatic brain damage, minimal cognitive impairment and Alzheimer disease.

The objective of this study is to determine whether and to what extent microglia activation occurs in schizophrenia. Ten patients with schizophrenia will be recruited and 10 controls, matched for age and gender. This is an open study. The study consists of one PET scan, which will be performed at the Clinical PET Centre of the Vrije Universiteit Medical Centre. All subjects will also get a MRI scan, which will be performed at the department of Radiology, University Medical Centre Utrecht.

Interventional
Phase 1
Allocation: Non-Randomized
Endpoint Classification: Pharmacokinetics/Dynamics Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Diagnostic
Schizophrenia
Device: Positron Emission Tomography
camera is new
Other Name: Siemens HR+
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*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
20
December 2007
March 2007   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Schizophrenia according to DSM-IV criteria confirmed by a diagnostic interview (CASH, only for patients) within the first 5 years after initial diagnosis
  • Male and Females
  • Good physical or mental (controls) Health which will be evaluated with medical history, a physical examination and screening laboratory tests (see appendix 1).
  • Age between 18 and 40 years (10 patients and 10 controls)
  • Mini Mental State score >27 .
  • Written informed consent of the subject.
  • Hb must be >8 mmol \ litre at the time of the screening.

Exclusion Criteria:

  • Previous neurotrauma with loss of consciousness
  • Any clinical significant abnormality of any clinical laboratory test, including drug screening.
  • Any subject who has received any investigational medication within 30 days prior to the start of this study, or who is scheduled to receive an investigational drug.

any other major current psychiatric diagnosis on axis-1 of DSM-IV (patients)

  • History of psychiatric or neurological illness (controls)
  • History of psychiatric or neurological illness in first-degree relatives (controls)
  • History of alcohol and/or drug abuse (DSM-IV criteria)
  • Blood donation within 3 months before the scan day
  • Claustrophobia
  • Metal objects in or around the body (braces, pacemaker, metal fragments); Pregnancy
Both
18 Years to 40 Years
Yes
Contact information is only displayed when the study is recruiting subjects
Netherlands
 
NCT00205608
2002/194
No
B.N.M. van Berckel, VU Medical Center
VU University Medical Center
UMC Utrecht
Principal Investigator: Bart van Berckel, MD; PhD UMC Utrecht
VU University Medical Center
July 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP