NCT04312503

Brief Summary

The aim of this study is observation, in an Italian real-world setting, of metabolic effects in patients with schizophrenia who will switch from any mono-therapy or poly-therapy antipsychotic regimen to monotherapy with lurasidone or to one of the other four most used atypical antipsychotics.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
95

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Jul 2020

Typical duration for all trials

Geographic Reach
1 country

18 active sites

Status
completed

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

First Submitted

Initial submission to the registry

March 16, 2020

Completed
2 days until next milestone

First Posted

Study publicly available on registry

March 18, 2020

Completed
4 months until next milestone

Study Start

First participant enrolled

July 13, 2020

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 31, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2022

Completed
Last Updated

May 6, 2023

Status Verified

May 1, 2023

Enrollment Period

2.3 years

First QC Date

March 16, 2020

Last Update Submit

May 5, 2023

Conditions

Keywords

schizophrenialurasidoneantipsychoticsmetabolic syndromeswitch

Outcome Measures

Primary Outcomes (1)

  • Change in the metabolic parameters

    Change in metabolic syndrome in 3 of 5 parameters: 1. Arterial hypertension defined as. systolic pressure ≥ 130 mmHg and/or diastolic pressure ≥85 mmHg or treatment for hypertension. 2. Waist Circumference ≥ 90 cm in men or ≥ 80 cm in women. 3. Fasting Plasma Glucose ≥5.6 mmol/l and/or known treatment for hyperglycemia. 4. Triglycerides ≥1.7 mmol/l or medication for elevated triglycerides. 5. HDL Cholesterol ≤ 1.0 mmol/l in men and ≤1.3 mmol/l for women or taking medication.

    4 weeks

Secondary Outcomes (1)

  • Retrospective investigation of the metabolic effects of switches to any atypical antipsychotic occurred in the previous 12 months

    12 months before baseline (switch to any atypical antipsychotics)

Study Arms (2)

COHORT A: Lurasidone

Patients treated with Lurasidone

Drug: Lurasidone

COHORT B: aripiprazole, olanzapine, quetiapine or risperidone)

Patients treated with other atipical antypsicothic as aripiprazole, olanzapine, quetiapine or risperidone)

Drug: aripiprazole, olanzapine, quetiapine or risperidone

Interventions

Patients are treated with dosages according clinical practice

Also known as: Latuda
COHORT A: Lurasidone

Patients are treated with dosages according clinical practice

COHORT B: aripiprazole, olanzapine, quetiapine or risperidone)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The study population will include adult patients (aged \> 18 years) affected by schizophrenia according to DSM-5 (Appendix A).

You may qualify if:

  • Patients with a diagnosis of schizophrenia according to DSM-5.
  • Patients who gave their written consent for participation in the study and for personal data processing and willing to comply with all study procedures.
  • Male and female patients ≥ of 18 years old at baseline.
  • Patients treated or in treatment with any typical or atypical antipsychotic monotherapy or polytherapy.
  • Patients switched from the pre-existing therapy to lurasidone, aripiprazole, olanzapine, quetiapine or risperidone in monotherapy within the preceding 2 weeks. The date of the switch is considered as baseline.

You may not qualify if:

  • Female patients who are pregnant or lactating
  • Patients fulfilling DSM-5 criteria for diagnosis of bipolar disorder and/or dementia.
  • Amphetamines and/or Opiates abuse or dependence , as defined by DSM-5 criteria.
  • Patients with no history of antipsychotics use.
  • Patients recruited in another study as follows:
  • currently enrolled in any pharmacological or non-pharmacological, interventional or observational study:
  • who participated in the last 30 days to any observational or no-profit interventional study;
  • who participated in the last 12 months to any interventional commercially sponsored study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (18)

Ospedali Riuniti SOD di Clinica Psichiatrica

Ancona, AN, 60126, Italy

Location

Spedali Civili di Brescia Dipartimento di Salute Mentale 1

Brescia, BS, 25123, Italy

Location

A.O.U. di Cagliari Corso Vittorio Emanuele II, 6 09124 Cagliari (CA)

Cagliari, CA, 09124, Italy

Location

P.O. Gaspare Rodolico - U.O.C. di Psichiatria

Catania, CT, 95125, Italy

Location

AO Mater Domini U.O. Psichiatria

Catanzaro, CZ, 88100, Italy

Location

A.O.U. Ospedali Riuniti di Foggia - S.P.D.C. Viale Pinto 71121 Foggia (FO)

Foggia, FG, 71121, Italy

Location

IRCCS Ospedale Policlinico San Martino

Genova, GE, 16132, Italy

Location

DSM Dipartimento Salute Mentale

Lecce, LE, 73100, Italy

Location

Ospedale S. Gerardo Università Bicocca Dipartimento di Salute Mentale

Monza, MB, 209900, Italy

Location

Ospedale Maggiore Policlinico di Milano U.O. C. di Psichiatria

Milan, MI, 20122, Italy

Location

Ospedale San Raffaele U.O.C. Psichiatria Generale e Riabilitazione

Milan, MI, 20127, Italy

Location

Ospedale Luigi Sacco, S.C. Psichiatria 2

Milan, MI, 20157, Italy

Location

III S.P.D.C. Azienda Ospedaliera di Padova 35128 Padova - (PD)

Padua, PD, 35128, Italy

Location

Clinica Von Sibenthal Via della Madonnina, 1

Genzano di Roma, RM, 00045, Italy

Location

Azienda Ospedaliero Universitaria Sant'Andrea

Roma, RM, 00189, Italy

Location

A.O.U. San Luigi Gonzaga - S.C.D.U. di Psichiatria Regione Gonzole, 10

Orbassano, TO, 10043, Italy

Location

Azienda Ospedaliera Universitaria Federico II - U.O. Psichiatria

Napoli, 80131, Italy

Location

Azienda Ospedaliera - Universitaria Senese

Siena, 53100, Italy

Location

MeSH Terms

Conditions

SchizophreniaMetabolic Syndrome

Interventions

Lurasidone HydrochlorideAripiprazoleOlanzapineQuetiapine FumarateRisperidone

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic DisordersMental DisordersInsulin ResistanceHyperinsulinismGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

ThiazolesSulfur CompoundsOrganic ChemicalsAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsIsoindolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingPiperazinesQuinolonesQuinolinesBenzodiazepinesBenzazepinesDibenzothiazepinesThiazepinesThiepinsHeterocyclic Compounds, 3-RingPyrimidinonesPyrimidines

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 16, 2020

First Posted

March 18, 2020

Study Start

July 13, 2020

Primary Completion

October 31, 2022

Study Completion

October 31, 2022

Last Updated

May 6, 2023

Record last verified: 2023-05

Locations