Gamma-Amino Butyric Acid (GABA)-A Alpha2/3 Study
Treatment of Cognitive Disability in Schizophrenia With a GABA-A Alpha2/3 Receptor Agonist
1 other identifier
interventional
16
1 country
1
Brief Summary
The purpose of this research study is to determine whether a short-term administration of an investigational study drug may provide evidence of improvement in cognitive functioning in a group of stable male subjects with schizophrenia.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2 schizophrenia
Started Aug 2005
Typical duration for phase_2 schizophrenia
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2005
CompletedFirst Submitted
Initial submission to the registry
August 10, 2005
CompletedFirst Posted
Study publicly available on registry
August 11, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2008
CompletedResults Posted
Study results publicly available
October 17, 2011
CompletedOctober 17, 2011
October 1, 2011
2.4 years
August 10, 2005
May 25, 2011
October 14, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
N-back Task - Reaction Time
The N-back task is a sequential-letter memory task for which working memory load is varied, as the respondent must indicate when the current stimulus matches the one from 'n' steps earlier in the sequence. The dependent measure for the N-back task was performance in the 2-back condition, which provides the best index of performance and dorsolateral prefrontal cortex disturbances in subjects with schizophrenia.
Week 4
N-back Task - Error Rate
The N-back task is a sequential-letter memory task for which working memory load is varied, as the respondent must indicate when the current stimulus matches the one from 'n' steps earlier in the sequence. The dependent measure for the N-back task was performance in the 2-back condition, which provides the best index of performance and dorsolateral prefrontal cortex disturbances in subjects with schizophrenia.
Week 4
AX Continuous Performance Test Task D-prime
For the AX Continuous Performance Test, subjects are required to maintain an attentional set across a delay interval in order to overcome a prepotent response tendency (target responses are required when an X is presented but only in the context of a preceding A; non-target conditions are AY, BX and BY). The dependent measure was d-prime at the long delay (calculated as AX hits minus BX false alarms, which is particularly sensitive to context processing impairments in individuals with schizophrenia.
Week 4
Preparing to Overcome Prepotency (POP) Task - Reaction Time
The POP task is a cued stimulus-response reversal paradigm that, similar to the AX Continuous Performance Test, requires increases in cognitive control through the maintenance and use of context information to overcome prepotent response tendencies.
Week 4
Preparing to Overcome Prepotency Task - Error Rate
The POP task is a cued stimulus-response reversal paradigm that, similar to the AX Continuous Performance Test, requires increases in cognitive control through the maintenance and use of context information to overcome prepotent response tendencies.
Week 4
Secondary Outcomes (3)
Brief Psychiatric Rating Scale Total Score
Week 4
Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Total Score
Week 4
Repeatable Battery for the Assessment of Neuropsychological Status - Delayed Memory Subindex
Week 4
Study Arms (2)
Merck L-830982
EXPERIMENTALSugar pill
PLACEBO COMPARATORInterventions
The initial dose of L-830982 was 3.0 mg twice daily (b.i.d.) the dosage increased to 5.0 mg b.i.d. at the end of week 1 and 8.0 mg b.i.d. at the end of week 2, which was continued for the remaining 2 weeks of the trial. Medications were dispensed weekly in blister packs by the hospital pharmacy.
Medications were dispensed weekly in blister packs by the hospital pharmacy, using the same number of pills as those on active drug.
Eligibility Criteria
You may qualify if:
- Male participants
- Between the ages of 18 and 50
- Meet diagnostic criteria for schizophrenia or schizoaffective disorder
- Are clinically stable for a minimum of 3 months on current dose of medication
- Are unemployed (i.e., work less than 20 hours per week at competitive employment)
You may not qualify if:
- Psychoactive substance dependence within the past 6 months or substance abuse within the past month
- History of head trauma or other neurological disorder
- Medical illness or medications, such as benzodiazepine treatment or HIV medications, that may be affected by study participation (the study doctor will discuss this with potential subjects)
- Mental retardation
- Seizure disorder
- History of a heart attack, arrhythmia, or other heart disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Pittsburghlead
- Merck Sharp & Dohme LLCcollaborator
Study Sites (1)
University of Pittsburgh
Pittsburgh, Pennsylvania, 15213, United States
Related Publications (3)
Lewis DA, Hashimoto T, Volk DW. Cortical inhibitory neurons and schizophrenia. Nat Rev Neurosci. 2005 Apr;6(4):312-24. doi: 10.1038/nrn1648.
PMID: 15803162BACKGROUNDLewis DA, Volk DW, Hashimoto T. Selective alterations in prefrontal cortical GABA neurotransmission in schizophrenia: a novel target for the treatment of working memory dysfunction. Psychopharmacology (Berl). 2004 Jun;174(1):143-50. doi: 10.1007/s00213-003-1673-x. Epub 2003 Dec 9.
PMID: 15205885BACKGROUNDLewis DA, Cho RY, Carter CS, Eklund K, Forster S, Kelly MA, Montrose D. Subunit-selective modulation of GABA type A receptor neurotransmission and cognition in schizophrenia. Am J Psychiatry. 2008 Dec;165(12):1585-93. doi: 10.1176/appi.ajp.2008.08030395. Epub 2008 Oct 15.
PMID: 18923067RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Small sample size; RBANS may lack appropriate sensitivity for short-term study; between-group differences in baseline clinical symptoms \& neuropsychological function; excluding those with more modest cognitive impairments (RBANS standard score \>90).
Results Point of Contact
- Title
- David A. Lewis, MD
- Organization
- University of Pittsburgh
Study Officials
- PRINCIPAL INVESTIGATOR
David A Lewis, MD
University of Pittsburgh
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 10, 2005
First Posted
August 11, 2005
Study Start
August 1, 2005
Primary Completion
January 1, 2008
Study Completion
January 1, 2008
Last Updated
October 17, 2011
Results First Posted
October 17, 2011
Record last verified: 2011-10