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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06304233
Other study ID # 606103
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date December 13, 2023
Est. completion date June 2038

Study information

Verified date March 2024
Source Norwegian University of Science and Technology
Contact Morten A Høydal, PhD
Phone +47 48134843
Email morten.hoydal@ntnu.no
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

To study the association between DISC1 RNA expression levels and cardiac function in patients with schizophrenia.


Description:

Potential participants interested in the study will be screened for eligibility. Those who meet the eligibility criteria will be informed about the study, the expected investigations and its potential risks. All participants giving written informed consent will be enrolled into the study. Participants will be interviewed, given questionnaires, have blood and/or skin samples and clinical parameters taken. Cardiac function parameters will be measured using electrocardiography, echocardiography and magnetic resonance imaging.


Recruitment information / eligibility

Status Recruiting
Enrollment 120
Est. completion date June 2038
Est. primary completion date December 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years to 65 Years
Eligibility Inclusion Criteria: - Patients with ICD-10 schizophrenia, schizotypal or delusional disorders (F20 to F29) - Both inpatient and outpatient - Capable of giving informed consent Exclusion Criteria: - Current or previous diagnosis of cancer - Current or previous treatment with chemotherapy - Current pregnancy - Mothers less than 6 months post-partum

Study Design


Intervention

Diagnostic Test:
Echocardiography
ultrasound assessment of heart structure, volume and function
Cardiac Magnetic Resonance Imaging
MRI assessment of heart structure, volume, function and tissue characteristics
Electrocardiography
Assessment of cardiac rhythm and electrical activity
Other:
Blood sampling
To measure DISC1 mRNA expression and other potential biomarkers

Locations

Country Name City State
Norway Norwegian University of Science and Technology Trondheim
Norway St Olavs Hospital, Trondheim University Hospital Trondheim

Sponsors (2)

Lead Sponsor Collaborator
Norwegian University of Science and Technology St. Olavs Hospital

Country where clinical trial is conducted

Norway, 

Outcome

Type Measure Description Time frame Safety issue
Other Alcohol intake at baseline using The Alcohol Use Disorders Identification Test Consumption (AUDIT-C) questionnaire The AUDIT-C is a validated 3-item questionnaire for identification of alcohol misuse. Each item has 5 possible responses, each scored from 0 to 4 points. Possible scores range from 0 to 12. The score cut-off for alcohol misuse is 4 points in men and 3 points in women Baseline
Other Average length of inpatient stay for schizophrenia related admissions The average length of inpatient stays will be reported as number of days and derived from the total number of days spent admitted over the total number of admissions. Baseline
Other Need of Care based on number of total hospital admission for schizophrenia Number of hospital admissions Baseline
Other Severity scoring of psychiatric symptoms using Clinical Global Impressions (CGI) Scale - Severity CGI for severity is a validated scale used to assess psychiatric illness severity by a clinician. Possible scores range from 1 (Normal, not at all ill) to 7 (Among the most extremely ill patients) Baseline
Other Schizophrenia symptom severity as scored on the Positive and Negative Syndrome Scale (PANSS) PANSS/SCI-PANSS are validated clinician administered scale used to measure symptom severity in schizophrenia and consists of 30 items divided into 3 subscales: Positive Scale, Negative Scale and the General Pathology Scale. Each subscale can be scored from 1 (absent) to 7 (extreme). Possible scores for the Positive and Negative scales range from 7 - 49, and for the General Psychopathology Scale range from 16 - 112. The further developed SCI-PANSS (structured clinical interview - for the Positive and Negative Syndrome Scale). Baseline
Other Duration of schizophrenia Duration of schizophrenia as determined from self reported year of first episode of diagnosis/ or from date of diagnosis Baseline
Other Length of treatment with an antipsychotic medication The length of treatment with an antipsychotic medication will be reported in years Baseline
Other Antipsychotic dosage in daily equivalent dosage of chlorpromazine Antipsychotic dosages will also be converted to daily equivalent dosage of chlorpromazine for comparison across different medication will be reported in mg/day Baseline
Other Smoking status Number of participants who smoke will be reported in percent (%) Baseline
Other Waist Hip Ratio Waist Hip measurements will be reported as a ratio Baseline
Other Body Mass Index Body Mass Index, BMI will be derived from participants weight and height and reported as kg/m^2 Baseline
Other Body fat percent Body fat percent from body composition analysis will be reported in % Baseline
Other Physical Activity Baseline physical activity measured using the International Physical Activity Questionnaire (IPAQ) The IPAQ is validated in schizophrenia populations and the IPAQ has been validated in Norwegian populations. It is a self reported scoring system assessing physical activity over the last seven days. Physical activity can be then represented in minutes/week or MET-minutes/week. Baseline
Other Body muscle composition Body muscle mass will be reported in kg Baseline
Other Smoking history Smoking will be quantified and reported as pack/years Baseline
Other Age of participant Age of participant will be reported in years Baseline
Other Gender of participant Gender of participant will be reported as male or female Baseline
Primary Left Ventricular Ejection Fraction (LVEF) measured by 2D Echocardiography Left ventricular ejection fraction, LVEF will be reported in percentage (%) and obtained using Simpson's biplane method from 2D echocardiography. Baseline
Primary Left Ventricular Ejection Fraction (LVEF) measured by 3D Echocardiography Left ventricular ejection fraction, LVEF will be reported in percentage (%) and obtained using 3D echocardiography Baseline
Primary DISC1 mRNA quantification Measured from blood samples and reported as fold change Baseline
Primary Levels of high sensitive-CRP Levels of HS-CRP mg/L Baseline
Primary Levels of CK-MB Levels of CK-MB is reported in µg/L Baseline
Primary Levels of Troponin T Levels of Troponin T is reported in ng/L Baseline
Primary Levels of Troponin I Levels of Troponin I is reported in ng/L Baseline
Primary Normalized Left Ventricular End-Diastolic Volume (LV EDV), echocardiographic parameter LV EDV in milliliters (mL) will be normalized against body surface area (BSA) in m^2 to report LV EDV normalized by BSA in mL/m^2. Baseline
Primary Normalized Right Ventricular End-Diastolic Volume (RV EDV), echocardiographic parameter RV EDV in mL will be normalized against body surface area (BSA) in m^2 to report RV EDV normalized by BSA in mL/m^2. Baseline
Primary Normalized left Ventricular End-Systolic Volume (LV ESV), echocardiographic parameter LV ESV in mL will be normalized against body surface area (BSA) in m^2 to report LV ESV normalized by BSA in mL/m^2. Baseline
Primary Normalized Right Ventricular End-Systolic Volume (RV ESV), echocardiographic parameter RV ESV in mL will be normalized against body surface area (BSA) in m^2 to report RV ESV normalized by BSA in mL/m^2. Baseline
Primary Left ventricular mass measured by echocardiography Left ventricular mass in grams (g) will be normalized against BSA in m^2 and reported as g/m ^2 Baseline
Primary Left ventricular septal thickness, left ventricular posterior wall thickness and right ventricular wall thickness measured by echocardiography Left ventricular septal thickness, left ventricular posterior wall thickness and right ventricular wall thickness will be reported in centimeters (cm) Baseline
Primary Fractional shortening measured by echocardiography Fractional shortening will be reported as a percentage (%) Baseline
Primary Global longitudinal strain (GLS), echocardiographic parameter GLS(%) = (MLs - MLd)/MLd, where MLs is myocardial length at end-systole and MLd is the myocardial length at end-diastole. GLS will be reported in precentage (%) Baseline
Primary TAPSE echocardiographic parameter of right ventricular longitudinal systolic function TAPSE will be reported in millimeters (mm) baseline
Primary Echocardiographic parameter MPI, Myocardial performance index MPI is a unitless index derived from the sum of the isovolumic relaxation time (IVRT) and the isovolumic contraction time (IVCT) in milliseconds (ms) divided by the ejection time interval in (ms). Baseline
Primary Echocardiographic parameter Mitral E/A ratio Mitral E/A ratio is derived from the ratio of the E wave velocity to the A wave velocity Baseline
Primary Echocardiography parameter of peak E velocity peak E velocity is reported in cm/s Baseline
Primary Echocardiography parameter of E wave deceleration time E wave deceleration time is reported in milliseconds (ms) Baseline
Primary Echocardiography parameter of ratio of E/e' The E/e' ratio is derived from the E wave velocity to the e' velocity Baseline
Primary Echocardiographic parameters septal e' and lateral e' velocities Septal e' and lateral e' velocities are reported as cm/s Baseline
Primary Echocardiographic parameter LAVI, left atrial volume indexed LAVI is reported in mL/m^2 and is the volume (mL) of the left atrium indexed against the BSA in m^2. Baseline
Primary Echocardiographic parameter TRpV, Tricuspid Regurgitation peak Velocity TRpV is reported in m/s Baseline
Primary Echocardiographic parameter, S wave velocity S wave velocity is the peak systolic velocity of the tricuspid annulus and is reported in cm/s Baseline
Primary Echocardiographic parameter, Indexed LV and RV stroke volumes Indexed LV stroke volume and Indexed RV stroke volume will be reported in mL/m^2 by by indexing the volumes (mL) to BSA (m^2) Baseline
Primary Levels of NT-proBNP Levels of NT-proBNP from blood samples will be reported in ng/L Baseline
Primary Levels of IGF1 Levels of IGF1 from blood samples will be reported in nmol/L Baseline
Primary Levels of ANP Levels of ANP from blood samples will be reported in pg/mL Baseline
Primary Levels of BDNF, brain derived neurotrophic factor Levels of BDNF from blood samples will be reported in ng/mL Baseline
Primary Levels of Tumor Necrosis Factor alpha Levels of Tumor Necrosis Factor alpha from blood samples will be reported in pg/mL Baseline
Primary Levels of Transforming Growth Factor Beta Levels of Transforming Growth Factor Beta from blood samples will be reported in ng/mL Baseline
Primary Levels of cardiac Myosin-Binding Protein C Levels of cardiac Myosin-Binding Protein C from blood samples will be reported in ng/L Baseline
Primary Interleukin levels Interleukin levels from blood sample will be reported as pg/mL Baseline
Secondary native T1 time, cardiac MRI native myocardial T1 relaxation time is reported in milliseconds (ms) Baseline
Secondary Indexed LV and RV end-diastolic, end-systolic and stroke volumes, cardiac MRI Indexed LV and RV end-diastolic, end-systolic and stroke volumes will be reported in mL/m^2, by indexing the volumes (mL) to BSA (m^2) Baseline
Secondary Indexed LV mass, cardiac MRI Indexed LV mass will be reported in g/m^2 by indexing mass (g) to BSA (m^2) Baseline
Secondary LV Ejection Fraction, cardiac MRI LVEF will be reported in percent (%) Baseline
Secondary ECG corrected QT interval corrected QT interval will be reported in milliseconds (ms) Baseline
Secondary Number of participants with and abnormal ECG Number of participants with an abnormal ECG will be reported in % Baseline
Secondary Number of participants with abnormal liver function Number of participants with abnormal liver function will be reported as % Baseline
Secondary Number of participants with abnormal kidney function Number of participants with abnormal kidney function will be reported as % Baseline
Secondary Number of participants with abnormal thyroid function Number of participants with abnormal thyroid function will be reported as % Baseline
Secondary Number of participants with low Vitamin D levels Number of participants with low Vitamin D levels will be reported as % Baseline
Secondary Incidence of cardiovascular disease or mortality as registered in a health registry on follow up Extraction of information from the cardiovascular disease registry and deaths registry between 10 - 15 years from the start of the study to determine incidence of cardiovascular disease outcomes for the study cohort Within 15 years from start of study
Secondary Triglyceride levels Triglyceride will be reported in mmol/L Baseline
Secondary High-density lipoprotein, HDL-cholesterol levels HDL-cholesterol levels will be reported in mmol/L Baseline
Secondary Low-density lipoprotein, LDL-cholesterol levels LDL-cholesterol levels will be reported in mmol/L Baseline
Secondary Fasting glucose levels Fasting glucose levels will be reported in mmol/L Baseline
Secondary Glycated Hemoglobin (HbA1c) levels HbA1C will be reported in mmol/mol Baseline
Secondary Heart rate measured on ECG Heart rate measured on 12 lead ECG will be reported in beats per minute. Baseline
Secondary Systolic Blood Pressure Systolic Blood Pressure will be reported as mmHg Baseline
Secondary Diastolic Blood Pressure Diastolic Blood Pressure will be reported as mmHg Baseline
Secondary Lipoprotein a Lipoprotein a levels will be reported in mg/L Baseline
Secondary Magnesium levels Magnesium levels will be reported as mmol/L Baseline
Secondary Calcium levels Calcium levels will be reported as mmol/L Baseline
Secondary Sodium levels Sodium levels will be reported as mmol/L Baseline
Secondary Potassium levels Potassium levels will be reported as mmol/L Baseline
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