Reboxetine and Citalopram as an Adjunct Treatment to Second Generation Antipsychotics in the Treatment of Negative Symptoms of Schizophrenia
Double-blind Clinical Trial Controlled With Placebo of the Efficacy of Reboxetine and Citalopram as an Adjunct Treatment to Second Generation Antipsychotics in the Treatment of Negative Symptoms of Schizophrenia
1 other identifier
interventional
249
1 country
1
Brief Summary
Main objective: To assess the efficacy of two antidepressants of different pharmacological families: citalopram (Selective serotonin reuptake inhibitors, SSRI) and reboxetine (Norepinephrine Reuptake inhibitor, NRI) as adjunct treatments to risperidone and olanzapine for the treatment of negative symptoms of schizophrenia. Secondary objectives: To assess the efficacy of citalopram and reboxetine as adjunct treatments to risperidone and olanzapine for the treatment of cognitive symptoms of schizophrenia. To compare the efficacy of reboxetine and citalopram as adjunct treatments for the treatment of negative and cognitive symptoms of schizophrenia. Method: Multicentric, randomized double-blind clinical trial compared to placebo with a six months follow-up. A total of 249 patients with a diagnosis of schizophrenia (DSM-IV criteria) and significant negative symptoms, will be recruited in the 9 participating centres. Variables: sociodemographic and clinical variables (PANSS, SANS, CGI global, GAF,LSP, Hamilton scale, BACS)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 schizophrenia
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2008
CompletedFirst Submitted
Initial submission to the registry
February 18, 2011
CompletedFirst Posted
Study publicly available on registry
February 21, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2011
CompletedFebruary 21, 2011
November 1, 2008
3.1 years
February 18, 2011
February 18, 2011
Conditions
Outcome Measures
Primary Outcomes (1)
The primary efficacy end-point will be the change in the score of the PANSS negative subscale from baseline to follow-up assessment.
24 weeks
Secondary Outcomes (1)
Secondary efficacy endpoints will be the change in the scores of the total PANSS and all the other clinical, social and neuropsychological scales from baseline to follow-up evaluation.
24 weeks
Study Arms (3)
sugar pill
PLACEBO COMPARATORreboxetine (NRI)
ACTIVE COMPARATORcitalopram (SSRI)
ACTIVE COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Diagnosis of schizophrenia (DSM-IV criteria)
- Stable doses of antipsychotic medication (olanzapine, risperidone)for at least 60 days prior to study initiation
- Presence of significant negative symptoms (defined as one or more negative symptom score grater than 4 in the PANSS scale) (Kay 1987)
- Patients have to give written informed consent to participate in the study
You may not qualify if:
- Patients with a substance abuse/dependence diagnosis in the previous six months.
- Mental Retardation.
- Patients taking antidepressant in the last 4 months before the trial.
- Patients taking other antipsychotic medication, except: sinquan 100, Entumine 40, Largactil 100 and Seroquel 200.
- Patients who score more than 20 in Hamilton Rating Scale for Depression.
- Pregnancy or lactation.
- Serious impaired kidney function.
- History of hemorrhagic disorders.
- Reboxetine or citalopram allergy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Parc Sanitari Sant Joan de Déu
Sant Boi Llobregat, Barcelona, Spain
Related Publications (1)
Usall J, Lopez-Carrilero R, Iniesta R, Roca M, Caballero M, Rodriguez-Jimenez R, Oliveira C, Bernardo M, Corripio I, Sindreu SD, Gonzalez Piqueras JC, Felipe AE, Fernandez de Corres B, Ibanez A, Huerta R; Abordaje Sintomas Negativos Esquizofrenia Group. Double-blind, placebo-controlled study of the efficacy of reboxetine and citalopram as adjuncts to atypical antipsychotics for negative symptoms of schizophrenia. J Clin Psychiatry. 2014 Jun;75(6):608-15. doi: 10.4088/JCP.13m08551.
PMID: 25004184DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
February 18, 2011
First Posted
February 21, 2011
Study Start
November 1, 2008
Primary Completion
December 1, 2011
Last Updated
February 21, 2011
Record last verified: 2008-11