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Berberine Effect on Cytokine, CRP, Metabolic Disturbance as an Adjunctive Therapy in Schizophrenia Patients

Not Applicable
Completed
Conditions
Schizophrenia
Interventions
Drug: Placebo
Registration Number
NCT02936414
Lead Sponsor
Tianjin Anding Hospital
Brief Summary

The etiology and pathogenesis of schizophrenia remains unclear. Immune dysfunction hypothesis for schizophrenia has attracted increasing attention of the researchers, substantial evidences suggested the levels of C-reaction protein and cytokine such as IL-1β, IL-6, TNF-α markedly elevated in patients with schizophrenia which may be particularly relevant for the cognitive impairment and metabolic disturbance of schizophrenia. In recent years, it has been demonstrated the beneficial effects of berberine on regulating lipid and glucose metabolism, reducing the proinflammatory status and improving cognition. As the investigators known, the report of berberine being used in schizophrenia is rare. This protocol is aim to evaluate berberine, as an adjunctive therapy, on inflammatory markers, lipid and glucose metabolism, cognition in patients with schizophrenia.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Individuals who age 18 to 60 years diagnose schizophrenia according the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID).
  • The patients have illness for less than 5 years and have stable dose of the current antipsychotic drug for at least one month.
  • Well established compliance with inpatient treatment per treating clinician's judgment. On baseline, at least 60 for Positive and Negative Syndrome Scale (PANSS) total score.
  • Able to complete the cognitive assessment battery Female subjects will be eligible to participate in the study if they are of non-childbearing potential or of child-bearing potential and willing to practice appropriate birth control methods during the study.
Exclusion Criteria
  • Individuals who refuse to provide informed consent.
  • Currently substance abuse or psychiatrically unstable per treating clinician's judgment.
  • One with significant medical illnesses including uncontrolled hypertension, diabetes, seizure disorder, severe cardiovascular, cerebrovascular, pulmonary, or thyroid diseases also not suitable for this trial.
  • Currently on anti-inflammatory or immunosuppressant medication including oral steroids and history of chronic infection (including tuberculosis, HIV and hepatitis), malignancy, organ transplantation, blood dyscrasia, central nervous system demyelinating disorder, and any other known autoimmune or inflammatory condition pregnancy or breastfeeding.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo groupPlaceboAccept placebo(300 mg/tid)+SGAs monotherapy.
Berberine groupBerberineBerberine (300 mg/tid), as an adjuvant therapy will be used on the basis of the SGAs monotherapy.
Primary Outcome Measures
NameTimeMethod
The change of IL-6Change from Baseline IL-6 at 12 weeks
The change of glucoseChange from Baseline Glucose at 12 weeks
The change of CRPChange from Baseline CRP at 12 weeks
The change of IL-1βChange from Baseline IL-1β at 12 weeks
The change of lipid profileChange from Baseline lipid profile at 12 weeks
The change of Cognitive function assessed with The MATRICS Consensus Cognitive Battery (MCCB)Change from Baseline Cognitive function at 12 weeks

The MATRICS Consensus Cognitive Battery (MCCB) for Cognitive function

The change of insulinChange from Baseline insulin at 12 weeks
The change of HbA1cChange from Baseline HbA1c at 12 weeks
The change of TNF-αChange from Baseline TNF-α at 12 weeks
Secondary Outcome Measures
NameTimeMethod
The change of clinical symptoms assessed with The Positive and Negative Syndrome ScaleChange from Baseline clinical symptoms at 12 weeks

The Positive and Negative Syndrome Scale for clinical symptoms

Adverse eventAt 12 weeks

Trial Locations

Locations (1)

Tianjin Anding Hospital

🇨🇳

Tianjin, Tianjin, China

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