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Phase 4 N=215 Randomized Single-blind Treatment

Comparison of Antipsychotics for Metabolic Problems in Schizophrenia or Schizoaffective Disorder

Schizophrenia · Schizoaffective Disorder

Enrolled (actual)
215
Serious AEs
12.7%
Results posted
Dec 2012
Primary outcome: Primary: Change in Non-HDL Cholesterol Level for Patients Assigned to Stay and Patients Assigned to Switch Over 24 Weeks — -20.2; -10.8 mg/dL non-HDL cholesterol

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Risperidone (Drug); Olanzapine (Drug); Quetiapine (Drug); Aripiprazole (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
National Institute of Mental Health (NIMH)
Primary completion
Oct 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Non-HDL Cholesterol Level for Patients Assigned to Stay and Patients Assigned to Switch Over 24 Weeks
-20.2; -10.8
SECONDARY
Efficacy Failure, Defined as Psychiatric Hospitalization, a 25 Percent Increase From Baseline on the Positive and Negative Syndrome Scale or Substantial Clinical Deterioration on the Clinical Global Impressions-Change (CGI-C)
22; 18

Summary

The study will compare the effectiveness of antipsychotic medications for patients with schizophrenia or schizoaffective disorder for whom a medication change may be indicated because of an increased risk of cardiovascular disease.

Eligibility Criteria

Inclusion Criteria

  • Diagnosed with schizophrenia or schizoaffective disorder
  • Currently treated with olanzapine, quetiapine or risperidone
  • BMI greater than or equal to 27
  • Non-HDL cholesterol greater than or equal to 130 mg/dL (if non-HDL cholesterol is between 130 - 139 mg/dL, then LDL cholesterol must be greater than 100 mg/dL).

Exclusion Criteria

  • Diabetes (FBS greater than or equal to 126) or treatment with oral hypoglycemic drug or insulin
  • Non-HDL cholesterol greater than 300 mg/dL
  • Serum triglycerides greater than 500 mg/dL
  • Patients in the first episode of schizophrenia or schizoaffective disorder
  • Known hypersensitivity to aripiprazole
  • On weight loss medications
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00423878). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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