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N/A N=121 Randomized Double-blind Basic Science

Nicotine Effects on Endophenotypes of Schizophrenia

Schizophrenia

Enrolled (actual)
121
Serious AEs
0.0%
Results posted
Jan 2015
Primary outcome: Primary: Error Percentage in Antisaccade Task — 22.6; 29.1 Error Percentage in Antisaccade Task — p=<0.05

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Transdermal nicotine patch (Drug); Placebo patch (Drug)
Age
Adult · 18+ yrs
Sex
All
Sponsor
University Hospital, Bonn
Primary completion
Mar 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Error Percentage in Antisaccade Task
22.6; 29.1 <0.05 sig

Summary

The purpose of this study is to test the effects of nicotine on cognition with the following schizophrenia endophenotypes: prepulse inhibition, antisaccades, the continuous performance test, spatial working memory and a verbal memory task. Schizophrenia patients, unaffected first-degree relatives of schizophrenia patients and healthy controls receive transdermal nicotine in a double-blind, placebo-controlled, crossover study.

Eligibility Criteria

Inclusion Criteria

Patients:

  • Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM IV) diagnosis of schizophrenia
  • age 18-55 years old
  • able to provide informed consent
  • treated with antipsychotic medications at a stable dose for at least 6 weeks
  • normal or corrected to normal vision
  • smokers (Fagerström Test for Nicotine Dependence > 4)
  • non-smokers ( 4)
  • non-smokers (< 100 cigarettes/lifetime, not having smoked in the past year)

Unaffected First-Degree Relatives of Schizophrenia Patients:

  • same inclusion criteria as controls plus
  • having an adult first-degree relative (sibling, parent, child) with a DSM IV diagnosis of schizophrenia

Exclusion Criteria

Patients:

  • substance dependence
  • clinical instability
  • changes in medication in the last 6 weeks
  • anticholinergic medication
  • untreated hypertension
  • cardiovascular disease
  • insulin-dependent diabetes mellitus
  • phaeochromocytoma
  • uncontrolled hyperthyroidism
  • renal or hepatic impairment
  • central nervous system disease
  • pulmonary disease
  • generalised dermatological disorders (neurodermatitis, psoriasis, chronic dermatitis, urticaria, etc.)
  • gastric or intestinal ulcer
  • hypersensitivity to nicotine
  • allergy to patches
  • women: pregnancy, lactation

Controls:

  • substance dependence
  • having a first-, second-, or third-degree relative with a psychotic disorder
  • DSM IV Axis I disorder
  • anticholinergic medication
  • untreated hypertension
  • cardiovascular disease
  • insulin-dependent diabetes mellitus
  • phaeochromocytoma
  • uncontrolled hyperthyroidism
  • renal or hepatic impairment
  • central nervous system disease
  • pulmonary disease
  • generalised dermatological disorders (neurodermatitis, psoriasis, chronic dermatitis, urticaria, etc.)
  • gastric or intestinal ulcer
  • hypersensitivity to nicotine
  • allergy to patches
  • women: pregnancy, lactation

Unaffected First-Degree Relatives of Schizophrenia Patients:

  • same exclusion criteria as controls
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01315002). 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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