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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03289026
Other study ID # 320-57-1706-1101-0001
Secondary ID
Status Completed
Phase Phase 4
First received
Last updated
Start date September 1, 2017
Est. completion date February 2, 2021

Study information

Verified date February 2021
Source Peking University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study attempts to observe the effectiveness and safety of aripiprazole in hospitalized patients with acute schizophrenia episode, and to compare the different drug regimens that may be involved in order to clarify the characteristics of the population for taking aripiprazole and provide reference for clinical rational drug use.


Description:

The control of acute schizophrenia effectively and rapidly will build up the confidence of patients on treatments. These early effects may influence the long-term compliance and prognosis of patients. Aripiprazole is an important drug in first line treatment of schizophrenia. However, at present in China, the application of aripiprazole in some patients with acute schizophrenia is not appropriate, leading to poor control of the positive symptoms of the acute phase. The purpose of this single-arm, open-label trial is to study the situation of the use of aripiprazole in hospitalized patients with acute schizophrenia episode, and to compare the different drug regimens that may be involved in order to supply important information for optimizing treatment strategies of hospitalized patients characterized by positive symptom. The hospitalized patients characterized by positive symptom with acute schizophrenia episode were recruited. At the time of enrollment, the demographic, symptomatic and laboratory data was collected. After the completion of the baseline assessment and examination, the patients were given aripiprazole. Clinical evaluation was performed at 1、2、4 and 8 weeks after treatment, including the therapeutic efficacy and adverse drug reactions ,and monitoring of laboratory data.


Recruitment information / eligibility

Status Completed
Enrollment 770
Est. completion date February 2, 2021
Est. primary completion date January 23, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years to 65 Years
Eligibility Inclusion Criteria: - Patients meeting International Classification of Diseases (tenth version, ICD-10) criteria for schizophrenia. - acute episode; inpatients - Age from 18-65 years old (inclusion), male or female - PANSS total score at least 70 - scoring = 4 on at least two of the following PANSS items: P1 (delusions), P2 (conceptual disorganisation), P3 (hallucinations), P6 (suspiciousness/persecution) ; and PANSS positive score is higher than PANSS negative score - Written informed consent Exclusion Criteria: - other serious diseases; - Pregnant or breast feeding women or planning a pregnancy - Patients in a state of drug-induced malignant syndrome or serious extrapyramidal side effect, or with a history of malignant syndrome or serious extrapyramidal side effect; - Patients who, in the opinion of the investigator, pose an imminent risk of suicide or a danger to self or others - Allergy to Aripiprazole - History of alcohol or drug abuse or dependence in the past 1-year before screening - mental retardation; bipolar disorder; major depressive disorder; - Currently using one kind of antipsychotic drug at a dose that exceeds the recommended maximum dose for two weeks, but no improvement in core symptoms; or currently using two kinds of antipsychotic drugs, at least one of which reaches or exceeds the recommended maximum dose for two weeks, but no improvement in core symptoms; or currently using three kinds of antipsychotic drugs or more; - Refractory schizophrenia patients who did not respond to treatments of two different type antipsychotics with adequate dose and course - Patients with clinically significant abnormalities on electrocardiogram or laboratory tests - Patients with clinically significant abnormalities on liver function (ALT or AST>2 times of higher limit of normal range) - Patients who had Electroconvulsive Therapy (ECT) in the past 2 months - Participation in a clinical trial of another drug within 4 weeks prior to study entry

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Aripiprazole
Doses were flexibly titrated to between 10 and 30 mg once daily based on the individual needs of the patient as determined by the investigator.

Locations

Country Name City State
China Beijing Anding Hospital, Capital Medical University Beijing Beijing
China Beijing HuiLongGuan Hospital Beijing Beijing
China Peking University Sixth Hospital Beijing Beijing
China 102 Miltary Hospital of China Changzhou Jiangsu
China The Fourth People's Hospital of Chengdu Chengdu Sichuan
China The First Haerbin Psychiatric Hospital Ha'erbin Heilongjiang
China Hangzhou Seventh People's Hospital Hanzhou Zhejiang
China The Fourth People's Hospital of Hefei Hefei Anhui
China Shandong Mental Health Center Jinan Shandong
China Shanghai Mental Health Center Shanghai Shanghai
China Wuhan Mental Health Center Wuhan Hubei
China The First Affiliated Hospital of Zhengzhou University Zhengzhou Henan

Sponsors (1)

Lead Sponsor Collaborator
Peking University

Country where clinical trial is conducted

China, 

Outcome

Type Measure Description Time frame Safety issue
Other Fasting blood lipids Levels of fasting blood lipids baseline,4,8 weeks
Other Fasting blood glucose Levels of fasting blood glucose baseline, 4,8 weeks
Other Serum prolactin Levels of serum prolactin baseline, 4,8 weeks
Other BMI (body mass index) weight and height will be combined to report BMI in kg/m^2 baseline,1,2,4,8 weeks
Other Waist circumference measurement of waist circumference in centimeters baseline,1,2,4,8 weeks
Other Hip circumference measurement of hip circumference in centimeters baseline,1,2,4,8 weeks
Other Occurrence of adverse reactions Occurrence of adverse reactions will be recorded baseline,1,2,4,8 weeks
Primary PANSS (positive and negative symptoms scale) total score Change from baseline PANSS (positive and negative symptoms scale) total score at 8 weeks baseline,8 weeks
Primary PANSS positive score Change from baseline PANSS positive score at 8 weeks baseline,8 weeks
Primary CGI-S (clinical general impression-severity) Change from baseline CGI-S (clinical general impression-severity) at 8 weeks baseline,8 weeks
Secondary PANSS negative score Change from baseline PANSS negative score at 8 weeks baseline,8 weeks
Secondary MSQ (Medication Satisfaction Questionnaire)score MSQ score at each assessment time point baseline,8 weeks