Clozapine for the Prevention of Violence in Schizophrenia: a Randomized Clinical Trial

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-65
SponsorNew York State Psychiatric Institute

About this trial

Two-hundred and eighty individuals with schizophrenia who have a recent history of violent acts will be randomized in this 2-arm, parallel-group, 24-week, open-label, 7-site clinical trial to examine the effects of treatment with clozapine vs antipsychotic treatment as usual (TAU) for reducing the risk of violent acts in real-world settings

Eligibility criteria

Qualifiers

Diagnostic and Statistical Manual-5 (DSM-5) diagnosis of schizophrenia or schizoaffective disorder by the Structured Clinical Interview for DSM-5 (SCID-5)

commission of a minor or serious act of violence as measured by the MCVI in the last six months

willing and able to provide informed consent

medically stable in judgment of physician providing study treatment

Disqualifiers

An unstable of serious medical or neurological condition including a myeloproliferative disorder or condition that surprises the bone marrow

A history of intolerance/allergy to clozapine (e.g., agranulocytosis, small bowel obstruction, or myocarditis)

A history of intellectual impairment

pregnant or lactating women; women who are able to become pregnant but who are not willing to sue effective methods of birth control

Trial design

Treatments tested in this trial

  • Clozapine
  • treatment as usual

Treatment groups

280 Participants
are divided into 2 treatment groups

Sponsors and collaborators

New York State Psychiatric Institute

Lead sponsor

National Institute of Mental Health (NIMH)

Collaborator