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OCTUMI-4: Evaluation of Mirtazapine and Folic Acid for Schizophrenia

Not Applicable
Completed
Conditions
Schizophrenia
Mental and Behavioural Disorders
Registration Number
ISRCTN32434568
Lead Sponsor
niversity of Oxford (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
334
Inclusion Criteria

1. Diagnosis of DSM-IV schizophrenia
2. Active psychotic symptoms - i.e. hallucinations, delusions, thought disorder
3. Inpatient or outpatient
4. Aged 18 to 70 years.
5. Able and willing to consent to participate
6. Minimum score on PANSS 60
7. Drug treatment stable
8. Currently taking effective dose of antipsychotic
9. Adjunctive mirtazapine appears reasonable and both investigator and patient are uncertain whether it will offer any benefit
10. Clinically appropriate to change or augment treatment. Participants for whom random allocation of folic acid or placebo is not appropriate will be allocated mirtazapine or placebo only.

Ammended 22/09/10:
4. 16-70 years

Exclusion Criteria

1. Not meeting criteria for current manic episode including schizoaffective disorder
2. No antidepressant treatment within last two weeks and not considering treatment for depression
3. Not taking clozapine
4. No contraindication to investigational medicinal products
5. Not pregnant, breast-feeding or planning a pregnancy

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Reduction of symptoms of schizophrenia assessed using the PANSS<br>Both primary and secondary outcomes will be measured at baseline and then at 4, 8 and 12 weeks
Secondary Outcome Measures
NameTimeMethod
1. Reduction of negative symptoms of schizophrenia assessed using the PANSS<br>2. Change in depressive symptoms<br>3. Tolerability of trial treatment<br>4. Adverse effects including akathisia and extra pyramidal symptoms
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