Schizophrenia Clinical Trial
Official title:
A Randomized Double-blind Trial of Aripiprazole and Risperidone in Schizophrenia: An Evaluation of Neuroimaging, Neuropsychological, and Pharmacogenomic Markers of Differential Treatment Response
This study is being conducted to find a way to predict how individual schizophrenic patients will respond if they are treated with different types of antipsychotic drugs. This could help doctors prescribe the medication that will work best for each individual.
The primary objective of the proposed research project is to identify a practical method of
predicting differential antipsychotic drug treatment response in patients with schizophrenia.
In particular, we will examine differential response to two antipsychotic drugs, aripiprazole
and risperidone, that have contrasting pharmacologic activity at D2-type dopamine receptors,
i.e., partial agonism vs. antagonism, respectively. A number of candidate predictors will be
examined, including neuroimaging parameters (regional neuroanatomical and metabolic
variations, fallypride binding to D2-like receptors), neuropsychological testing, clinical
features, laboratory measures, and genetic studies.
Secondary objectives include: (1) extension of our previous efforts to characterize
abnormalities in cortico-striato-thalamic circuits in unmedicated schizophrenics using PET
and MR imaging; and, (2) examination of the role of omega-3 fatty acid activity in
schizophrenics as a predictor of dopaminergic activity.
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