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| 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
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
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| No text entered. |
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
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| 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. |
| Olanzapine Group | Clozapine Group | |
|---|---|---|
| STARTED | 13 | 12 |
| COMPLETED | 12 | 12 |
| NOT COMPLETED | 1 | 0 |
Baseline Characteristics
| 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. |
| Olanzapine Group | Clozapine Group | Total | |
|---|---|---|---|
|
Number of Participants
[units: participants] |
13 | 12 | 25 |
|
Age
[units: participants] |
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| <=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] |
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| Female | 6 | 4 | 10 |
| Male | 7 | 8 | 15 |
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Race (NIH/OMB)
[units: participants] |
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| 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] |
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| United States | 13 | 12 | 25 |
Outcome Measures
| 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 ] |
More Information
| All Principal Investigators ARE employed by the organization sponsoring the study. |
| 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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| No text entered. |
| 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 |