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Completed

NCT Number: NCT00535574

Bexarotene Augmentation of Antipsychotic Treatment for Chronic Schizophrenia

Background: Bexarotene (Targretin) is a synthetic retinoid mainly used for treatment of patients suffer from oncological or dermatological diseases. The present study is based on: evidence that retinoids are involved in neurodevelopment ("the retinoid dysregulation hypothesis"); an assumption that the combined effect of antipsychotic agents and bexarotene will have a beneficial effect on schizophrenia patients; and the positive findings from our pilot open-label clinical trial (ClinicalTrials.gov Identifier: NCT00141947). However, clinical efficacy of bexarotene should be investigated in a placebo-controlled trial.

Methods: In a 6-week, randomized, double-blind placebo-controlled trial Targretin (75 mg/day) or placebo capsules will be added to the stable ongoing antipsychotic treatment of 90 schizophrenia patients. Participants will be assessed at baseline and after 2, 4 and 6 weeks of treatment. A battery of research instruments will be used for assessment of psychopathology, side effects, general functioning and quality of life. In addition, cholesterol and triglyceride levels, liver and thyroid function tests and a blood cell count will be monitored at baseline and during the study

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Key information

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Be'er Sheva Mental Health Center, Beersheba, Be'er Sheva, Israel

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About this study

Recruiting was beginning on November 2008

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 18-60 years, male or female
  • DSM-IV criteria for schizophrenia, or schizoaffective disorder.
  • Ability and willingness to sign informed consent for participation in the study
  • Stable blood parameters including adequate hematologic function, defined as WBC ≥ 4.300/μL, absolute neutrophil count ≥3.000/μL (> 50%), and platelet count ≥ 180,000/μL; normal coagulation parameters; bilirubin ≤1.5 times the upper limit of normal (ULN); AST/ALT ≤ 2.5 × ULN; and serum creatinine ≤1.5 mg/dL.
  • Only patients who had a normal baseline fasting triglyceride (FTG) level will be entered into the study; triglycerides may be normalized before study entry with use of an antilipemic agent.

Exclusion criteria

  • Lipid abnormalities. Fasting triglyceride normal (normalization with an antilipemic allowed prior to study entry).
  • Leucopenia or neutropenia. Hematopoietic: Hemoglobin at least 12.5 g/dL; WBC< 4300/μL; Absolute neutrophil count < 3000/μL; Platelet count < 155,000/μL
  • Evidence of organic brain damage, mental retardation, alcohol or drug abuse
  • Impairment of renal function
  • Hepatic dysfunction
  • A history of pancreatitis
  • Thyroid axis alterations
  • Suicide attempt in past year.
  • Cataracts.
  • Systemic treatment with more than 15,000 IU of vitamin A daily.
  • Patients with a known hypersensitivity to bexarotene or other components of the product.
  • Pregnant women or a woman who intends to become pregnant.

Treatment and study plan

Bexarotene (Targretin LGD1069)

Drug

75 mg per day for 6 weeks

Bexarotene

Drug

75 mg/day 6 weeks

Primary outcomes

  1. PANSS, CDSS, GAF, QLS

    Time frame: every two weeks

Sponsors and collaborators

Lead sponsor

Beersheva Mental Health Center

Other Gov

Registry information

Official study title

Bexarotene Augmentation of Antipsychotic Treatment for Chronic Schizophrenia: a 6-week, Randomized, Double-blind Placebo-controlled Trial

Important dates

Study start
2008
Primary completion
2010
Study completion
2011
First posted
Sep 26, 2007
Registry last updated
Jul 26, 2012

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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