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N/A N=65 Randomized Triple-blind Treatment

Double-Blind Trial of a Probiotic Supplement to Reduce the Symptoms of Schizophrenia

Schizophrenia · Schizoaffective Disorder

Enrolled (actual)
65
Serious AEs
4.6%
Results posted
Nov 2013
Primary outcome: Primary: Change in Positive and Negative Syndrome Scale (PANSS) Score From the Start to the End of the Double-blind Treatment Phase (Week 0 to Week 14) — 67.55; 69.56; 67.42; 67.69 units on a scale

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Probiotic Supplement (Dietary_supplement); Identical-appearing Placebo (Dietary_supplement)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Sheppard Pratt Health System
Primary completion
Aug 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Positive and Negative Syndrome Scale (PANSS) Score From the Start to the End of the Double-blind Treatment Phase (Week 0 to Week 14)
67.55; 69.56; 67.42; 67.69
SECONDARY
Gastrointestinal Functioning From the Beginning to the End of the Double-blind Treatment Phase Weeks 0-14
SECONDARY
Measurement of Gliadin and Casein Antibody Levels

Summary

The investigators intend to explore the hypothesis that symptoms of schizophrenia may be reduced by the administration of a probiotic supplement when used in addition to standard antipsychotic medications.

Eligibility Criteria

Inclusion Criteria

  • Age 18-65.
  • Capacity for written informed consent.
  • Primary Axis I diagnosis (DSM-IV) of schizophrenia, any type, OR schizoaffective disorder (APA, 1994).
  • Currently an outpatient at the time of enrollment.
  • Residual psychotic symptoms which are at least moderately severe as evidenced by one or more PANSS positive symptom scores, and/or PANSS negative symptom scores of 4 or more; OR a total PANSS score of 50 or more, containing at least three positive or negative items with scores of 3 or more at screening.
  • Conformance to PORT Treatment Recommendation re Maintenance Antipsychotic Medication Dose (Buchanan et al., 2010).
  • Receiving antipsychotic medication for at least 8 weeks prior to starting the study with no medication changes within the previous 21 days.
  • Proficient in the English language.

Exclusion Criteria

  • Diagnosis of mental retardation.
  • Any clinically significant or unstable medical disorder as determined by the investigators, including congestive heart failure, abnormal liver function or disease, renal failure, acute pancreatitis, any diagnosis of cancer undergoing active treatment, HIV infection or other immunodeficiency condition.
  • History of IV drug use.
  • Primary diagnosis of substance abuse or dependence according to DSM-IV criteria within the last three months.
  • Participated in any investigational drug trial in the past 30 days.
  • Pregnant or planning to become pregnant during the study period.
  • Receipt of antibiotic medication within the previous 14 days (as anaerobic organisms residing in the gastrointestinal tract may be minimally affected by antibiotics).
  • Documented celiac disease (as such persons should be on a gluten-free diet as this is the standard care).
  • Of note, the investigators are not limiting the study to individuals with elevated levels of gliadin or casein antibodies as the investigators intend to look at these levels as a predictor of response.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01242371). 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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