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临床试验/ACTRN12621001434886
ACTRN12621001434886招募中4 期

Open label randomised controlled trial of the glucagon like peptide-1 receptor agonist (GLP1RA) semaglutide vs usual care for metabolic risk in people with psychosis.

South Eastern Sydney Local Health District0 个研究点目标入组 100 人开始时间: 2021年10月25日最近更新:
适应症

试验速览

阶段
4 期
状态
招募中
入组人数
100

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Randomised controlled trial
主要目的
Prevention
盲法
Open (masking not used)

入排标准

年龄范围
18 Years 至 65 Years(—)
性别
All

入选标准

  • To be eligible for the study participants must:
  • Be aged 18-65 years inclusive
  • Be a client registered with SESLHD MHS with a documented psychotic illness
  • Have a BMI > 25
  • Have the ability to provide informed consent
  • Currently be prescribed antipsychotic therapy (clozapine or olanzapine) and have been for at least 6 months.

排除标准

  • Exclusion criteria for the study include people with the following conditions:
  • A personal or family history of medullary thyroid cancer.
  • Substance misuse or dependence except nicotine
  • Impaired liver function as indicated by lfts > 2 times upper limit of normal
  • Impaired pancreatic function as indicated by abdominal pain and a raised lipase, a history of pancreatitis or history of cancer of pancreas. Patients will be asked if they have abdominal pain. Patients with abdominal pain will be invited to have a blood lipase test irrespective of their participation in the trial. Those who consent and have a normal lipase will be included. Those who have an abnormal lipase will be excluded and referred to an emergency department
  • Unstable angina or New York heart association (nyha) class iii or iv cardiac failure within the last 12 months
  • Uncontrolled hypertension (sbp>180mm; dbp>110mm measured after 10 minutes rest)
  • Any condition the investigators feel would interfere with study participation and completion
  • Diabetes, including any person receiving insulin, sglt2 inhibitor or a gliptin or sulphonylurea. or who have HBA1c > 6.5 or fasting glucose >6.9mmol/L (and who therefore meet criteria for Type 2 Diabetes) will be excluded.
  • Females who are pregnant or planning to become pregnant during the period of administration of the study medication
  • Not maintained a stable weight (defined as a greater than 5% weight change since last weight one month earlier)
  • Or those currently receiving the following treatments:
  • Any investigational drug within the last 3 months
  • Pharmacotherapy for weight loss within the last 3 months
  • Metformin (and not on a stable dose < 3 months)
  • Oral medications requiring rapid gastro-intestinal absorption
  • Hormone therapy with the exception of contraceptive hormones. Clients who are stable on thyroxine and without a history of thyroid cancer may be considered for the study.
  • Additionally potential participants will be excluded if their treating psychiatrist believes they may be unable to consent to participate in the trial, or who are vulnerable to suasion so that it is unlikely that informed consent can be properly obtained, or those who become so during the study.

研究者

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