Pentoxifylline as an Adjunctive in Treatment of Negative Symptoms in Chronic Schizophrenia
The Phosphodiesterase Inhibitor Pentoxifylline as an Adjunctive in Treatment of Negative Symptoms in Chronic Schizophrenia: A Proof-of-Concept, Randomized, Double-Blind, Placebo-Controlled Trial
1 other identifier
interventional
80
1 country
1
Brief Summary
The aim of this study to evaluate the efficacy and safety of pentoxifylline, the novel phosphodiesterase inhibitor, as an adjunctive to risperidone in alleviating the negative symptoms of schizophrenia.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1 schizophrenia
Started Jan 2019
Longer than P75 for phase_1 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
January 1, 2019
CompletedFirst Submitted
Initial submission to the registry
September 15, 2019
CompletedFirst Posted
Study publicly available on registry
September 18, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
September 30, 2022
CompletedOctober 25, 2022
October 1, 2022
2.7 years
September 15, 2019
October 23, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Treatment-induced change in total score on Positive and Negative Syndrome Scale (PANSS)
PANSS total score will be used to examine treatment-induced change in psychaopthology. The PANSS is a 30-item rating scale used to assess symptoms of psychopathology. We will use the total PANSS score as the primary outcome measure which reflects total level of psychopathology including the positive and negative symptoms as well as general psychopathology.This measure will be administered at baseline, week 8 and week 16 of the study to assess if pentoxifylline treatment results in a significant reduction in PANSS total score as opposed to placebo.
Baseline to week 8 of the study
Secondary Outcomes (1)
Treatment-induced changes in plasma level of cytokines
Baseline and week 8 of the study
Study Arms (2)
Control group
PLACEBO COMPARATOREquivalent Placebo will be given
Pentoxifylline group
EXPERIMENTALPentoxifylline will be given orally at 800 mg a day for 8 weeks
Interventions
Pentoxifylline tablet PLUS Risperidone 2 mg tablet up to 6 mg/day
Eligibility Criteria
You may qualify if:
- Ages between 18-40 years
- Males \& females
- patients between the ages of 18 and 53 who met the diagnostic criteria for schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (20), with a minimum disease duration of two years.
- stable on risperidone for a minimum of 8 weeks
- clinically stable for at least 4 weeks prior to study.
- willing to give informed consent.
- able to take medication orally.
You may not qualify if:
- Acute, unstable, significant or untreated medical illness beside schizophrenia;
- Pregnant or breast-feeding females;
- History of substance abuse or dependence in the past 3 months.
- Known contraindication to pentoxifylline treatment.
- Any serious or life-threatening medical conditions or neurological problem, severe extrapyramidal symptoms, history of abnormal bleeding, presence of hypothyroidism, renal disease, cardiovascular problems, rising liver transaminases to 3 times the upper limit of normal or higher
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Faculty of Medicine
Shibīn al Kawm, Egypt
Related Publications (1)
Abdallah MS, Mosalam EM, Hassan A, Ramadan AN, Omara-Reda H, Zidan AA, Samman WA, El-Berri EI. Pentoxifylline as an adjunctive in treatment of negative symptoms in chronic schizophrenia: A double-blind, randomized, placebo-controlled trial. CNS Neurosci Ther. 2023 Jan;29(1):354-364. doi: 10.1111/cns.14010. Epub 2022 Nov 7.
PMID: 36341700DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
September 15, 2019
First Posted
September 18, 2019
Study Start
January 1, 2019
Primary Completion
September 30, 2021
Study Completion
September 30, 2022
Last Updated
October 25, 2022
Record last verified: 2022-10
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF