Identifying Predictors of Response to Antipsychotics Using a Treatment Algorithm
Study Details
Study Description
Brief Summary
The objective of this study is to evaluate predictors of response to antipsychotic medication in subjects with schizophrenia. The investigators will evaluate psychopathology,brain MRI, genetics and neuropsychological profile. Two groups of treatment will be compared: first generation antipsychotics vs. second generation antipsychotics. Participants will be randomized to one of the groups. Trial duration: 12 weeks.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: First generation antipsychotic Subjects randomized to this arm will receive treatment with haloperidol or chlorpromazine. |
Drug: Antipsychotics
Haloperidol 2,5-10 mg; chlorpromazine 25-600 mg.
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Experimental: Second generation antipsychotics Subjects randomized to this arm will receive treatment with a second-generation antipsychotic: risperidone or olanzapine or aripiprazole or quetiapine or ziprasidone |
Drug: Antipsychotics
Quetiapine 25-800 mg; ziprasidone 80-160 mg; olanzapine 5-20mg; risperidone 2-8 mg; aripiprazole 15-30 mg
Other Names:
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Outcome Measures
Primary Outcome Measures
- % responders to first generation antipsychotics vs. % responders to second generation antipsychotics [8-12 weeks]
Secondary Outcome Measures
- % of treatment abandon and respective causes [8-12 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Schizophrenia or schizoaffective disorder
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Age: 18-45 years olde
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Less than 10 years of diagnosis
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Acute exacerbation of psychotic symptoms
Exclusion Criteria:
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Use of clozapine
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Clinical unstable disease
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Delirium and cognitive disorders
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Instituto de Psiquiatria - Hospital das Clinicas FMUSP | Sao Paulo | Brazil | 05403-010 |
Sponsors and Collaborators
- University of Sao Paulo
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Projesq-IPAP