Status:

TERMINATED

Effects of Acute Nicotine Treatment on Neuroplasticity and Memory in Patients With Schizophrenia

Lead Sponsor:

Centre for Addiction and Mental Health

Conditions:

Schizophrenia

Eligibility:

All Genders

18-55 years

Phase:

NA

Brief Summary

Patients with schizophrenia display cognitive impairments, such as reduced attention and problems with memory. Available medications for schizophrenia poorly alleviate memory problems however, researc...

Detailed Description

Background: Schizophrenia (SCZ) is frequently associated with marked working memory (WM) deficits whose pathophysiology is closely related to dorsolateral prefrontal cortex (DLPFC)-dependent dysfuncti...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • Age of 18-55 years
  • Non-smoker or past smoker, abstinent for at least the last 1 year, non-smoking status will be assessed on the test days by saliva cotinine levels \<15ng/mL and exhalation CO levels \<10ppm.
  • Females with potential childbearing must have a negative urine pregnancy test at inclusion.
  • Women with child-bearing potential must use contraceptives during the trial Acceptable means of contraception are hormonal methods (pill, injection, vaginal ring), male or female condom, abstinence, injectable contraceptives, intrauterine devices or abstinence.
  • Ability and willingness to speak English
  • Willingness to provide informed consent
  • Adequate hearing and visual capacity, or corrected by visual/ hearing aid • Right handedness
  • Patients with schizophrenia:
  • Current diagnosis of schizophrenia or schizoaffective disorder according to DSM-IV TR criteria
  • Stable antipsychotic treatment or dosage for the past 4 weeks prior to study entry
  • Clinically stable, i.e. no psychotic episode that required hospitalization within the last 3 months prior to study inclusion
  • Exclusion Criteria:
  • General
  • Current smoker or abstinent smoker for less than 1 year
  • Past or current history of drug abuse disorder or current elicit drug use, positive urine drug screen (for any other drug besides benzodiazepines) on any of the two test days
  • Current or past history of neurological disorder, i.e. meets criteria for a cognitive disorder secondary to a neurological or other medical disorder affecting the central nervous system (such as, traumatic brain injury, stroke, Parkinson).
  • Current or past history of seizures
  • Any metal implants
  • Mini Mental Status Examination score of ≤17
  • Diagnosis of bipolar disorder or current major depressive episode
  • Electroconvulsive Therapy (ECT) within 6 months prior to study participation
  • Allergy to any of the following: nicotine resin, xylitol, butylhydroxythyolen E 321, sodium carbonate, corn starch, magnesium oxide, D\&C Yellow No 10, menthol, acesulfam potassium, wax, titan oxide, maltitol, sorbitol, gum base, sucralose, palm oil, mannitol, glycerin, calcium carbonate, gum arabic.
  • Any of the following; breast feeding, immediate post-myocardial infarction period, life-threatening arrhythmias, angina pectoris, and active temporomandibular joint disease, oral or pharyngeal inflammation, or history of esophagitis or peptic ulcer.
  • Healthy controls:
  • Any psychiatric diagnosis except for simple phobias or an adjustment disorder as diagnosed by DSM IV TR
  • Psychotropic medication (except for sedative /hypnotics at a stable dose for at least 4 weeks).
  • Sedative /hypnotics at a stable dose less than 4 weeks
  • A first-degree relative with as past or present history of primary psychotic disorder

Exclusion

    Key Trial Info

    Start Date :

    November 1 2011

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    April 1 2013

    Estimated Enrollment :

    20 Patients enrolled

    Trial Details

    Trial ID

    NCT01465074

    Start Date

    November 1 2011

    End Date

    April 1 2013

    Last Update

    August 13 2013

    Active Locations (1)

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    1

    Centre for Addiction and Mental Health

    Toronto, Ontario, Canada, M5T 1R8