Status:

COMPLETED

Early Pharmacological and Psychological Intervention for Late Prodromal States of Psychosis

Lead Sponsor:

University of Cologne

Collaborating Sponsors:

German Federal Ministry of Education and Research

German Research Network On Schizophrenia

Conditions:

Schizophrenia

Psychoses

Eligibility:

All Genders

14-36 years

Phase:

PHASE4

Brief Summary

The study will provide an empirical basis for a pharmacological treatment option. An open-label, randomized, multi-centre parallel group design is used. An intensified clinical management (CM), which ...

Detailed Description

The first diagnosis of schizophrenia is preceded by a long lasting period comprising an untreated psychotic and a prodromal state. The duration of untreated psychosis correlates with a significant wor...

Eligibility Criteria

Inclusion

  • General criteria
  • Age between 14 and 36 years
  • male or female, in- or outpatients
  • written informed consent, for patients below 18 years also signed by parents
  • Special criteria (present within the last three months prior to the study)
  • Attenuated Positive Symptoms (APS)
  • Presence of at least one of the following symptoms: ideas of reference, odd beliefs or magical thinking, unusual perceptual experiences, odd thinking and speech, suspiciousness or paranoid ideation
  • Symptoms have to appear several times per week for a period of at least one week
  • AND / OR
  • Brief Limited Intermittent Psychotic Symptoms (BLIPS)
  • Duration of episode less than one week, interval between episodes at least one week
  • Symptoms resolve spontaneously
  • Presence of at least one of the following symptoms: Hallucinations, Delusions, Formal thought disorder, Gross disorganized or catatonic behavior

Exclusion

  • Diagnostic and Statistical Manual of Mental Disorders (DSM) IV diagnosis of schizophrenia, schizophreniform,schizoaffective, delusional or bipolar disorder, at any time of life.
  • DSM-IV diagnosis of brief psychotic episode with a duration of more than one week, at any time time of life, or BLIPS within one week before inclusion.
  • DSM-IV diagnosis of delirium, dementia, amnestic and other cognitive disorders, mental retardation, mental disorders due to a general medical condition or mental disturbances due to psychotropic substances.
  • Abuse of alcohol or drugs within the last three months prior to the study; exception: cannabis user have to be drug-free during four weeks prior to the study. In case of drug abuse, it has to be determined, whether present prodromal symptoms appeared before any drug abuse; If not, symptoms have to be still present after a drug-free period of 3 months (hallucinogens, amphetamines), or four weeks (cannabis).

Key Trial Info

Start Date :

January 1 2001

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2005

Estimated Enrollment :

124 Patients enrolled

Trial Details

Trial ID

NCT00204061

Start Date

January 1 2001

End Date

June 1 2005

Last Update

December 24 2014

Active Locations (1)

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Department of Psychiatry and Psycotherapy University of Cologne

Cologne, North Rhine-Westphalia, Germany, 50924