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Varenicline Effects In Schizophrenic Smokers

Phase 4
Completed
Conditions
Schizophrenia
Tobacco Use Disorder
Nicotine Dependance
Interventions
Registration Number
NCT00548470
Lead Sponsor
Nathan Kline Institute for Psychiatric Research
Brief Summary

This is an open label pre-post study of the effects of clinical treatment with varenicline on 1) decreasing smoking in schizophrenic patients, 2) improving selected cognitive measures in schizophrenic patients, and 3) psychopathology in schizophrenic patients. Patients are assessed on subjective and objective measures of smoking, selected cognitive measures, and special chemical measures, during baseline testing and during 8 weeks of treatment with varenicline (1-2 mg/day).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
14
Inclusion Criteria
  • Clinical Diagnosis of Schizophrenia or Schizoaffective Psychosis
  • Recent History of Cigarette smoking
  • Ages 18-65
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
vareniclineVareniclineopen label varenicline 2mg/day
Primary Outcome Measures
NameTimeMethod
Self Report of SmokingBaseline and during 2 months of treatment

Patients self-report of smoking cigarettes. Patients were interviewed weekly about the number of cigarettes smoked. Number of cigarettes smoked in the past week.

CO (Carbon Monoxide) Breathalyzer Levelbaseline and during 2 months of treatment

Carbon Monoxide in breath ,parts per million

Plasma Cotininebaseline 1 month and 2 months

cotinine level in plasma ng/ml.

Secondary Outcome Measures
NameTimeMethod
RBANS Neuropsychological Batterybaseline and month 2 of treatment

The scale is Repeatable Battery for the Assessment to Neuropsychological Status (RBANS). This scale measures cognitive function in patients with schizophrenia. RBANS scores for list learning range from 0 to 40. RBANS Index scores for visual-spatial index, language index, and Total score range from 40-160. RBANS Total score is the sum of score of all the individual items ( items 1-12) on the RBANS scale. List Learning scores range from 0 to 40. Visual Spatial Construction index scores range from 0 to 30.. Higher scores on all these measures indicate better performance or better cognitive ability.

Change From Baseline in Psychiatric SymptomsBaseline and 2 months later

The Positive and Negative Syndrome Scale (PANSS) was used to measure psychiatric symptoms. Item scores ranged from 1 (Absent) to 6 (Severe) for symptoms on the Positive Scale (total subscale range: 7-42), the Negative Scale (total subscale range: 7-42), and the General Psychopathology Scale (total subscale range:16-96). All three subscales were summed for the PANSS total score (total scale range: 30-180). Higher numbers indicate more psychopathology. Therefore, if scores are reduced at post-baseline ratings, this would indicate lower psychopathology.

Trial Locations

Locations (1)

Manhattan Psychiatric Center

🇺🇸

New York, New York, United States

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