Status:

COMPLETED

Quetiapine and the Dopaminergic Epigenetic Control

Lead Sponsor:

University of Erlangen-Nürnberg Medical School

Collaborating Sponsors:

AstraZeneca

Conditions:

Schizophrenia

Eligibility:

MALE

18-65 years

Phase:

PHASE4

Brief Summary

BACKGROUND: Epigenetic modifications such as DNA-methylation and histone acetylation are known to be involved in the pathophysiology of schizophrenia. Aim of the present study is to investigate 1. w...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • For inclusion in the study subjects must fulfil all of the following criteria:
  • Provision of written informed consent
  • A diagnosis of schizophrenia by Diagnostic and Statistical Manual of Mental Disorders- Fourth Edition (DSM-IV)
  • Able to understand and comply with the requirements of the study
  • Age 18 - 65 years
  • Exclusion criteria:
  • Any of the following is regarded as a criterion for exclusion from the study:
  • Any DSM-IV Axis I disorder not defined in the inclusion criteria
  • Patients who, in the opinion of the investigator, pose an imminent risk of suicide or a danger to self or others
  • Known intolerance or lack of response to quetiapine fumarate, as judged by the investigator
  • Use of any of the following cytochrome P450 3A4 inhibitors in the 14 days preceding enrolment including but not limited to: ketoconazole, itraconazole, fluconazole, erythromycin, clarithromycin, troleandomycin, indinavir, nelfinavir, ritonavir, fluvoxamine and saquinavir
  • Use of any of the following cytochrome P450 inducers in the 14 days preceding enrollment including but not limited to: phenytoin, carbamazepine, barbiturates, rifampin, St. John's Wort, and glucocorticoids
  • Administration of a depot antipsychotic injection within one dosing interval (for the depot) before inclusion
  • Substance or alcohol dependence at enrolment (except dependence in full remission, and except for caffeine or nicotine dependence), as defined by DSM-IV criteria
  • Opiates, amphetamine, barbiturate, cocaine, cannabis, or hallucinogen abuse by DSM-IV criteria within 4 weeks prior to enrolment
  • Medical conditions that would affect absorption, distribution, metabolism, or excretion of study treatment
  • Unstable or inadequately treated medical illness (e.g. diabetes, angina pectoris, hypertension) as judged by the investigator
  • Involvement in the planning and conduct of the study
  • Previous enrolment in the present study.
  • Participation in another drug trial within 4 weeks prior enrolment into this study or longer in accordance with local requirements
  • Actual treatment with clozapine or clozapine treatment during the previous three month. Other antipsychotic drugs will be allowed, if intake can be terminated during the two day wash out period.
  • Previous history of major head injuries or neurological disorders
  • Intake of homocysteine lowering vitamins (folate, B12, B6)
  • Renal failure
  • Intake of nutritional derivatives which influence epigenetic patterns (butyrate from milk products, tea polyphenol or epigallo-catechin-3-gallate which inhibits DNMT)

Exclusion

    Key Trial Info

    Start Date :

    April 1 2007

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    July 1 2008

    Estimated Enrollment :

    100 Patients enrolled

    Trial Details

    Trial ID

    NCT00370500

    Start Date

    April 1 2007

    End Date

    July 1 2008

    Last Update

    December 14 2020

    Active Locations (1)

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    Department of Psychiatry and Psychotherapy, University Erlangen-Nuremberg

    Erlangen, Germany, 91054