About this trial
Previous studies found that some NMDA-enhancing agent was able to augment antioxidant activity and its adjunctive therapy was better than placebo in reducing clinical symptoms and cognitive deficits and revealed favorable safety in patients with chronic schizophrenia. Of note, a substantial portion of schizophrenia patients refuse or cannot tolerate antipsychotics due to poor response or severe side effects. Therefore, this study aims to examine the efficacy and safety of an NMDA enhancer (NMDAE) as a monotherapy for the treatment of schizophrenia.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Have a DSM-5 (American Psychiatric Association) diagnosis of schizophrenia
Refuse or are unable to tolerate antipsychotics due to poor response or adverse effects
PANSS total score ≥ 60
Free of antipsychotic drugs for at least 1 week
Disqualifiers
Current substance abuse or history of substance dependence in the past 3 months
History of epilepsy, head trauma, stroke or other serious medical or neurological illness which may interfere with the study
Use of depot antipsychotic in the past 3 months;
Clinically significant laboratory screening tests
Trial design
Parallel
Treatments tested in this trial
NMDAE
DrugUse of an NMDA enhancer for the treatment of schizophrenia
Placebo Cap
DrugUse of placebo as a comparator
Treatment groups
Trial outcomes
Primary outcomes
Change of Positive and Negative Syndrome Scale (PANSS)
Assessment of overall symptoms. Minimum value: 30, maximum value:210, the higher scores mean a worse outcome.
Change of scales for the Assessment of Negative Symptoms (SANS) total score
Assessment of negative symptoms. Minimum value: 0, maximum value:100, the higher scores mean a worse outcome.
Secondary outcomes
Positive subscale, Negative subscales, and General Psychopathology subscale of Positive and Negative Syndrome Scale (PANSS)
PANSS-positive: Assessment of positive symptoms. Minimum value: 7, maximum value:49, the higher scores mean a worse outcome. PANSS-negative: Assessment of negative symptoms. Minimum value: 7, maximum value:49, the higher scores mean a worse outcome. PANSS-general psychopathology: Assessment of general psychopathology. Minimum value: 16, maximum value:112, the higher scores mean a worse outcome.
Clinical Global Impression
Assessment of general impression. Minimum value: 1, maximum value:7, the higher scores mean a worse outcome.
Global Assessment of Functioning
Assessment of social, occupational, and psychological function. Minimum value: 1, maximum value:100, the higher scores mean better function.
Hamilton Rating Scale for Depression
Assessment of depressive symptoms. Minimum value: 0, maximum value:52, the higher scores mean a worse outcome.
Sponsors and contacts
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China Medical University Hospital
Lead sponsor
National Health Research Institutes, Taiwan
Collaborator