Pfizer/IVGTT/Ziprasidone/Olanzapine

Not Applicable
Completed
Conditions
Registration Number
NCT00205725
Lead Sponsor
Washington University School of Medicine
Brief Summary

Abnormalities in peripheral glucose regulation and type 2 diabetes can occur more commonly in individuals with schizophrenia than in healthy subjects or in other psychiatric conditions. Antipsychotic treatment may contribute significantly to abnormalities in glucose regulation. Hyperglycemia can contribute to long-term cardiovascular disease risk that may al...

Detailed Description

This proposal aims to use a well-characterized procedure, the modified Frequently Sampled Intravenous Glucose Tolerance Test (FSIGTT), to characterize the glucoregulatory effects of the two most commonly prescribed atypical antipsychotic medications, ziprasidone and olanzapine, in comparison to the conventional antipsychotic haloperidol. Abnormalities in per...

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
120
Inclusion Criteria
  • Patients: meets DSM-IV criteria for schizophrenia, any type, or schizoaffective disorder;
  • aged 18 to 60 years;
  • able to give informed consent;
  • no medication changes for 2 weeks prior to and during the period of study;
  • Patients: currently taking an antipsychotic.
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Exclusion Criteria
  • Controls: Axis I psychiatric disorder criteria met except for substance use disorders as below;

  • meets DSM-IV criteria for the diagnoses of substance abuse or dependence within the past six months;

  • involuntary legal status (as per Missouri law);

  • the presence of any serious medical disorder that may (as confirmed by peer-reviewed literature) confound the assessment of symptoms, relevant biologic measures or diagnosis;

  • the following conditions are currently identified:

    • insulin- or non-insulin-dependent diabetes mellitus;
    • any intra-abdominal or intrathoracic surgery or limb amputation within the prior 6 months;
    • any diagnosed cardiac condition causing documented hemodynamic compromise;
    • any diagnosed respiratory condition causing documented or clinically recognized hypoxia;
    • pregnancy or high dose estrogens, fever, narcotic therapy, acute sedative hypnotic withdrawal, corticosteroid or spironolactone therapy, dehydration, epilepsy, endocrine disease, high-dose benzodiazepine therapy (> 25 mg/day of diazepam), or any medical condition known to interfere with glucose utilization;
  • meets DSM-IV criteria for Mental Retardation (mild or worse).

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Effects of olanzapine/ziprasidone/haloperidol on glucose regulation
Secondary Outcome Measures
NameTimeMethod
Explore treatment-related effects on glucose effectiveness

Trial Locations

Locations (1)

Washington University School of Medicine, Psychiatry Dept.

🇺🇸

St. Louis, Missouri, United States

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