Status:

COMPLETED

Allopurinol in Schizophrenia: A Randomized Trial Administering Allopurinol vs Placebo as add-on Antipsychotics in Patients With Schizophrenia

Lead Sponsor:

Sheba Medical Center

Conditions:

Schizophrenia

Schizoaffective Disorder

Eligibility:

All Genders

18-65 years

Phase:

PHASE4

Brief Summary

The objective of the study is to evaluate the efficacy of allopurinol, compared to placebo, as add-on to anti-psychotics in the treatment of patients with schizophrenia.

Detailed Description

An emerging body of evidence supports a purinergic hypothesis for schizophrenia. Adenosine agonists have been shown to have properties similar to those of dopamine antagonists and there is a well char...

Eligibility Criteria

Inclusion

  • Male or female, 18-65 years of age, inclusive
  • Because gout is relatively rare in women of childbearing age, there are few reports describing the use of allopurinol during pregnancy; in those there were no adverse fetal outcomes attributable to allopurinol. Therefore, only females who are abstinent or practicing an established method of birth control (oral contraceptive tablets, hormonal implant device, hormone patch, injectable contraceptive, intrauterine device \[IUD\]) can be included in the trial.
  • Willing and able to provide informed consent, after the nature of the study has been fully explained
  • Current DSM-IV-TR diagnosis of schizophrenia as confirmed by SCID
  • Symptoms: 4 (moderate) or above on CGI-S AND \>= 4 (moderate) score on two of the following four PANSS items: delusions, hallucinatory behaviors, conceptual disorganization or suspiciousness/ persecution.
  • Must be on any antipsychotic drug for at least 2 weeks prior to the baseline visit, at doses within the PORT criteria. Patients receiving higher doses will have their records reviewed to insure that dose is required. Patients receiving two anti-psychotics, or IM depot antipsychotics can also be included.
  • Inpatients or outpatients.

Exclusion

  • Unwilling or unable, in the opinion of the Investigator, to comply with study instructions
  • Pregnant or breast-feeding
  • Unstable medical disease (malignancy, poorly controlled diabetes, active ischemic cardiac disease, or cardiomyopathy, serious pulmonary disease, , kidney disease, impaired liver functioning
  • Likely allergy or sensitivity to allopurinol
  • At significant risk of committing suicide, or in the opinion of the Investigator, currently is at imminent risk of suicide or harming others.
  • Suffers from a significant Substance Dependence disorder based on DSM-IV criteria within the 3 months prior to Screening, or is deemed by the Investigator to have a high risk of substance use during the study. Patients with a history of recreational use of cannabinoids or alcohol, and/or patients who smoke cigarettes can be included.
  • Concurrent delirium, mental retardation, drug-induced psychosis, or history of brain trauma.

Key Trial Info

Start Date :

August 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2010

Estimated Enrollment :

248 Patients enrolled

Trial Details

Trial ID

NCT00864825

Start Date

August 1 2009

End Date

January 1 2010

Last Update

May 8 2012

Active Locations (33)

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Page 1 of 9 (33 locations)

1

Abrabanel Mental Health Center

Bat Yam, Israel, 59436

2

Beer-Yaakov Mental Health Center

Beer-Yaakov, Israel, 70350

3

Shalvata Mental Health Center

Hod HaSharon, Israel

4

Jaffa Mental House Center

Jaffa, Israel, 66849