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Oxytocin Add on Study for Stable Schizophrenic Patients

The recruitment status of this study is unknown because the information has not been verified recently.
Verified September 2010 by University of California, San Diego.
Recruitment status was  Recruiting
Sponsor:
Collaborator:
Stanley Medical Research Institute
Information provided by:
University of California, San Diego
ClinicalTrials.gov Identifier:
NCT00506909
First received: July 23, 2007
Last updated: August 8, 2011
Last verified: September 2010

July 23, 2007
August 8, 2011
March 2008
March 2012   (final data collection date for primary outcome measure)
total score in the Positive and Negative Syndrome Scale (PANSS) [ Time Frame: performed at each visit (weekly) ] [ Designated as safety issue: No ]
total score in the Positive and Negative Syndrome Scale (PANSS)
Complete list of historical versions of study NCT00506909 on ClinicalTrials.gov Archive Site
  • Clinical Global Impression-Severity of Illness [ Time Frame: performed at each visit (weekly) ] [ Designated as safety issue: No ]
  • Calgary Depression Scale for Schizophrenia [ Time Frame: performed at each visit (weekly) ] [ Designated as safety issue: No ]
  • Clinical Global Impression-Global Improvement [ Time Frame: Performed at Visits 2-8 (weekly) ] [ Designated as safety issue: No ]
  • Global Assessment of Functioning [ Time Frame: performed at each visit (weekly) ] [ Designated as safety issue: No ]
  • Hamilton Anxiety Scale [ Time Frame: performed at each visit (weekly) ] [ Designated as safety issue: No ]
  • Peabody Picture Vocabulary Test [ Time Frame: Visit 1 only ] [ Designated as safety issue: No ]
  • Letter Number Sequencing Memory Test [ Time Frame: Visits 1, 4, and 8 (every 4 weeks) ] [ Designated as safety issue: No ]
  • Reading Trust in the Eyes Test (RTET) [ Time Frame: Visits 1, 4, 5 and 8 (every 4 weeks) ] [ Designated as safety issue: No ]
  • California Verbal Learning Test-Second Edition [ Time Frame: Visits 1, 4, and 8 (every 4 weeks) ] [ Designated as safety issue: No ]
  • Profile of Mood States [ Time Frame: Visits 1 and 5 (first visit and 5 weeks later) ] [ Designated as safety issue: No ]
  • Paranoid Thought Scale [ Time Frame: Visits 1-8 (weekly) ] [ Designated as safety issue: No ]
  • Arizona Sexual Experience Scale (ASEX) [ Time Frame: Visits 1-8 (weekly) ] [ Designated as safety issue: No ]
•CGI-S/CGI-I •GAF(Global Assessment of Functioning) •HAMA Hamilton Anxiety) •Calgary Depression Scale for Schizophrenia •Adverse Events •Peabody Picture Vocabulary Test •Letter Number Sequencing Memory Test. •blood tests
Not Provided
Not Provided
 
Oxytocin Add on Study for Stable Schizophrenic Patients
Double-Blind, Randomized, Placebo-Controlled, Cross-Over Study of Intranasal Oxytocin Augmentation of Antipsychotic Medication in Schizophrenia Patients

The objective of the study is to compare the efficacy of intranasal oxytocin versus intranasal placebo to improve symptoms in schizophrenia patients who have residual symptoms despite being on adequate treatment with antipsychotic medication.

Schizophrenia patients treated with even the best currently available antipsychotic drugs continue to experience significant symptoms. There is a strong need for better treatments including treatments that can safely be given as adjunct to current antipsychotics in order to improve overall efficacy of treatment.

Oxytocin is a neurohypophyseal peptide best known for its role as a neurohormone involved in parturition and lactation. In addition to these well established peripheral effects, there is a compelling body of converging evidence indicating that oxytocin plays a critical role in the regulation of a number of diverse centrally-mediated behavioral and cognitive processes that are highly relevant to Schizophrenia, including social attachment and memory , (see Argiolas and Gessa 1990; McCarthy and Aaltemus 1997).Furthermore, several lines of research suggest that oxytocin receptors may be an important target for development of novel treatments for schizophrenia. Oxytocin and its receptors exist in several areas of the brain which have been heavily implicated in the pathophysiology of schizophrenia, such as the nucleus accumbens and the hippocampus, (Van Leeuwan et al 1985). Oxytocin administered peripherally inhibits dopamine transmission in the mesolimbic pathway (Sarnyai 1992) et al, 1990). Antipsychotics have been found to elevate the secretion of oxytocin in rats (Uvnas-Moberg et al 1992a) suggesting that endogenous oxytocin may play a role in the therapeutic effects of antipsychotic drugs.

Each subject will be enrolled for 6 week treatment period after a screening phase Study procedure involves weekly clinic visits as an outpatient. Forty patients will be randomly assigned to either 40 IU oxytocin twice daily or vehicle placebo. After 3 weeks, treatments will be crossed over such that subjects that received oxytocin will receive placebo and vice versa. The study ratio is 1:1. Dose of oxytocin is based upon previous studies in humans showing improvement in schizophrenia related changes in behavior and brain function (Kosfeld et al, 2005; Kirsch 2005; Heinrich M 2003).

The total study duration for each individual subject will be approximately 7 weeks, which includes up to 7-day screening period, a baseline (randomization) visit, three week treatment period, 1 week washout, baseline, and three weeks cross over treatment.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Crossover Assignment
Masking: Double Blind (Subject, Caregiver, Investigator)
Primary Purpose: Treatment
Schizophrenia
  • Drug: Oxytocin
    20 IU BID or 40 IU BID
  • Drug: Placebo
    20 IU BID or 40 IU BID
  • Experimental: Group 1
    Group 1: 20 IU BID for the first week, 40IU BID for the following two weeks, 1 week washout, 3 week placebo trial.
    Interventions:
    • Drug: Oxytocin
    • Drug: Placebo
  • Experimental: Group 2
    Group 2: 3 week placebo trial, 1 week washout, 20 IU BID for the first week, 40IU BID for the following two weeks.
    Interventions:
    • Drug: Oxytocin
    • Drug: Placebo

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
40
March 2012
March 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  1. Adult men or women, 18 years of age or older.
  2. Meet DSM-IV criteria for Schizophrenia.
  3. Women of childbearing potential must test negative for pregnancy at the time of enrollment based on urine pregnancy test and agree to use a reliable method of birth control during the study.
  4. Must be on a therapeutic dose of an atypical antipsychotic medication (examples but not limited to Clozapine Olanzapine, Risperidone, Ziprasidone, Aripiprazole, Seroquel) with no major dose changes for at least 4 weeks.
  5. A minimum PANSS total score of 55 at screening and baseline and a score of at least 4 (moderate) on the subscale of the PANSS (suspiciousness/persecution) at screening.
  6. Have a Clinical Global Impressions-Severity (CGI-S) scale score of at least 4 (moderately ill) at baseline.
  7. Must be able to communicate effectively with the investigator and study coordinator and have the ability to provide informed consent.
  8. Must be able to use nasal spray.
  9. Must demonstrate an acceptable degree of compliance with medication and procedures in the opinion of the investigator.

Exclusion Criteria:

Subjects will be excluded from the study of they meet any of the following criteria:

  1. Are pregnant or are breastfeeding (negative pregnancy test at screening).
  2. A urine drug screen performed at screening must not show evidence of recent use of drugs of abuse.
  3. Any active medical condition that in the opinion of the investigator will interfere with the objectives of the study.
  4. Are unsuitable in any way to participate in this study, in the opinion of the investigator.
  5. Another current DSM-IV diagnosis other than Schizophrenia.

Permitted:

Subjects on one SSRI, and/or sleep medication (diphenhydramine, zolpidem, zaleplon, or diazepam), at a reasonable dose, as judged by the investigator, is permitted in this study.

Both
18 Years and older
No
Contact: Nicholas Schaffner 619-543-5978 nschaffner@ucsd.edu
Contact: Patrice Cobb 619-543-6495 pcobb@ucsd.edu
United States
 
NCT00506909
Oxytocin Schizophrenia
No
David Feifel, MD, PhD, University Of CA, San Diego
University of California, San Diego
Stanley Medical Research Institute
Principal Investigator: David Feifel, MD, PhD University of California, San Diego
University of California, San Diego
September 2010

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