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Study Results
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Comparison of Clozapine vs Olanzapine in Childhood-Onset Psychotic Disorders
This study has been completed.
Study NCT00001656   Information provided by National Institutes of Health Clinical Center (CC)

First Received on November 3, 1999.   Last Updated on March 11, 2011   History of Changes
Results First Received: March 2, 2011  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Efficacy Study;   Intervention Model: Parallel Assignment;   Masking: Double Blind (Subject, Caregiver, Investigator);   Primary Purpose: Treatment
Conditions: Childhood Schizophrenia
Psychotic Disorder
Schizophrenia
Interventions: Drug: Olanzapine
Drug: Clozapine

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
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Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
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Reporting Groups
  Description
Olanzapine Group All medications were given by mouth, in identical tablet form. Day 1, patient was given 5mg olanzapine or 12.5mg clozapine. Clozapine dose was then increased every other day, the first increase by 12.5mg (to a total dose of 25mg/day) and then in steps of 25mg. When the clozapine dose reached 150mg/day, the olanzapine dose was increased to 10mg/day. When the clozapine dose reached 300mg/day, the olanzapine dose was increased to 15mg/day. Further increases were guided by clinical judgment to a maximum of 20mg/day of olanzapine and 900mg/day of clozapine.
Clozapine Group All medications were given by mouth, in identical tablet form. Day 1, patient was given 5mg olanzapine or 12.5mg clozapine. Clozapine dose was then increased every other day, the first increase by 12.5mg (to a total dose of 25mg/day) and then in steps of 25mg. When the clozapine dose reached 150mg/day, the olanzapine dose was increased to 10mg/day. When the clozapine dose reached 300mg/day, the olanzapine dose was increased to 15mg/day. Further increases were guided by clinical judgment to a maximum of 20mg/day of olanzapine and 900mg/day of clozapine.

Participant Flow:   Overall Study
    Olanzapine Group     Clozapine Group  
STARTED     13     12  
COMPLETED     12     12  
NOT COMPLETED     1     0  



  Baseline Characteristics
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Reporting Groups
  Description
Olanzapine Group All medications were given by mouth, in identical tablet form. Day 1, patient was given 5mg olanzapine or 12.5mg clozapine. Clozapine dose was then increased every other day, the first increase by 12.5mg (to a total dose of 25mg/day) and then in steps of 25mg. When the clozapine dose reached 150mg/day, the olanzapine dose was increased to 10mg/day. When the clozapine dose reached 300mg/day, the olanzapine dose was increased to 15mg/day. Further increases were guided by clinical judgment to a maximum of 20mg/day of olanzapine and 900mg/day of clozapine.
Clozapine Group All medications were given by mouth, in identical tablet form. Day 1, patient was given 5mg olanzapine or 12.5mg clozapine. Clozapine dose was then increased every other day, the first increase by 12.5mg (to a total dose of 25mg/day) and then in steps of 25mg. When the clozapine dose reached 150mg/day, the olanzapine dose was increased to 10mg/day. When the clozapine dose reached 300mg/day, the olanzapine dose was increased to 15mg/day. Further increases were guided by clinical judgment to a maximum of 20mg/day of olanzapine and 900mg/day of clozapine.

Baseline Measures
    Olanzapine Group     Clozapine Group     Total  
Number of Participants  
[units: participants]
  13     12     25  
Age  
[units: participants]
     
<=18 years     13     12     25  
Between 18 and 65 years     0     0     0  
>=65 years     0     0     0  
Age  
[units: years]
Mean ± Standard Deviation
  12.8  ± 2.4     11.7  ± 2.3     12.2  ± 2.1  
Gender  
[units: participants]
     
Female     6     4     10  
Male     7     8     15  
Race (NIH/OMB)  
[units: participants]
     
American Indian or Alaska Native     0     0     0  
Asian     1     0     1  
Native Hawaiian or Other Pacific Islander     0     0     0  
Black or African American     4     3     7  
White     7     8     15  
More than one race     1     0     1  
Unknown or Not Reported     0     1     1  
Region of Enrollment  
[units: participants]
     
United States     13     12     25  



  Outcome Measures
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1.  Primary:   Change in the Scale for the Assessment of Negative Symptoms   [ Time Frame: 8 week double-blind study period; baseline and 8 weeks ]

2.  Primary:   Change in the Clinical Global Impression Severity of Symptoms Scale   [ Time Frame: 8 week double-blind study period; baseline and 8 weeks ]

3.  Primary:   Change in the Brief Psychiatric Rating Scale-24   [ Time Frame: 8 week double-blind study period; baseline and 8 weeks ]

4.  Primary:   Change in the Scale for the Assessment of Positive Symptoms   [ Time Frame: 8 week double-blind study period; baseline and 8 weeks ]

5.  Primary:   Change in the Bunney-Hamburg Rating Scale for Psychosis   [ Time Frame: 8 week double-blind study period; baseline and 8 weeks ]

6.  Primary:   Change in Bunney-Hamburg Rating Scale for Depression   [ Time Frame: 8 week double-blind study period; baseline and 8 weeks ]

7.  Primary:   Change in Bunney-Hamburg Rating Scale for Mania   [ Time Frame: 8 week double-blind study period; baseline and 8 weeks ]

8.  Primary:   Change in the Bunney-Hamburg Rating Scale for Anxiety   [ Time Frame: 8 week double-blind study period; baseline and 8 weeks ]

9.  Other Pre-specified:   Change in Weight   [ Time Frame: 8 week double-blind study period; baseline and 8 weeks ]

10.  Other Pre-specified:   Change in Body Mass Index (BMI)   [ Time Frame: 8 week double-blind study period; baseline and 8 weeks ]

11.  Other Pre-specified:   Change in Extrapyramidal Movements as Measured by the Abnormal Involuntary Movements Scale (AIMS)   [ Time Frame: 8 week double-blind study period; baseline and 8 weeks ]

12.  Other Pre-specified:   Change in Extrapyramidal Movements as Measured by the Simpson Angus Scale Score   [ Time Frame: 8 week double-blind study period; baseline and 8 weeks ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
All Principal Investigators ARE employed by the organization sponsoring the study.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
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Results Point of Contact:  
Name/Title: Judith L. Rapoport, M.D.
Organization: National Institute of Mental Health
phone: 301-496-6080
e-mail: rapoporj@mail.nih.gov


Publications of Results:
Other Publications:

Responsible Party: Judith L. Rapoport, M.D./National Institute of Mental Health, National Institutes of Health
ClinicalTrials.gov Identifier: NCT00001656     History of Changes
Other Study ID Numbers: 970126, 97-M-0126
Study First Received: November 3, 1999
Results First Received: March 2, 2011
Last Updated: March 11, 2011
Health Authority: United States: Institutional Review Board;   United States: Federal Government