NCT01943019

Brief Summary

Approximately one third of patients with schizophrenia show a poor response to standard treatment with antipsychotic medications. This treatment resistant group of patients represents a major challenge in everyday psychiatry, and consumes a disproportionate amount of time from the clinicians, resulting in considerable costs to the society and government. Anecdotal evidence suggests that the enzyme dipeptidyl peptidase IV (DPPIV) may be altered in patients with schizophrenia, with a higher level DPPIV enzyme activity being noted. We postulate that this may play a role in the neuropathology of schizophrenia patients and by inhibiting the DPPIV enzyme activity with a DPPIV inhibitor such as linagliptin, we will be able to improve and even ameliorate the symptoms of schizophrenic patients. However, until now there have yet any studies on the potential of these inhibitors in schizophrenia patients. A pilot study is thus proposed to evaluate the potential of the DPPIV inhibitor, linagliptin as an adjunct in schizophrenia patients who are non-responsive to treatment, which will establish the feasibility of a larger trial.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1

participants targeted

Target at below P25 for phase_1 schizophrenia

Timeline
Completed

Started Aug 2013

Longer than P75 for phase_1 schizophrenia

Geographic Reach
1 country

1 active site

Status
terminated

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

August 1, 2013

Completed
21 days until next milestone

First Submitted

Initial submission to the registry

August 22, 2013

Completed
25 days until next milestone

First Posted

Study publicly available on registry

September 16, 2013

Completed
4.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2018

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2018

Completed
Last Updated

August 16, 2018

Status Verified

August 1, 2018

Enrollment Period

4.9 years

First QC Date

August 22, 2013

Last Update Submit

August 14, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • PANSS Score

    3 months

Secondary Outcomes (1)

  • Drug safety

    3 months

Other Outcomes (1)

  • DPP-4 enzyme levels

    3 months

Study Arms (1)

Linagliptin

EXPERIMENTAL

Linagliptin daily

Drug: Linagliptin

Interventions

Linagliptin

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years of age and above
  • Diagnosis of schizophrenia.
  • Clinically stable antipsychotic regimen for the last 3 months
  • A total score of 80 or greater at baseline on the Positive and Negative Syndrome Scale
  • Competent and willing to provide written, informed consent

You may not qualify if:

  • History of substance dependence within the past 2 months
  • Existing relevant physical health problems: such as uncontrolled cardiovascular disease and impaired liver/ renal function
  • History of diabetes
  • History of hepatic or biliary diseases / biliary obstruction
  • A serious suicide/homicide risk in the opinion of the investigator
  • Known allergy to linagliptin

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Pusat Perubatan Universiti Kebangsaan Malaysia

Bandar Tun Razak, Kuala Lumpur, 56000, Malaysia

Location

MeSH Terms

Conditions

Schizophrenia

Interventions

Linagliptin

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic DisordersMental Disorders

Intervention Hierarchy (Ancestors)

PurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsQuinazolines

Study Officials

  • Maniam Thambu

    Pusat Perubatan UKM

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr

Study Record Dates

First Submitted

August 22, 2013

First Posted

September 16, 2013

Study Start

August 1, 2013

Primary Completion

July 1, 2018

Study Completion

August 1, 2018

Last Updated

August 16, 2018

Record last verified: 2018-08

Locations