Oxytocin
DrugOxytocin: 24 IU in the morning and 24 IU in the evening given by nasal spray with a total of 6 puffs of the spray, 3 in each nostril at each administration
NCT Number: NCT01012167
The project is designed to address the following two primary aims:
1. To determine whether adjunctive oxytocin is superior to placebo for the treatment of persistent negative symptoms, as measured by the SANS total score, in people with schizophrenia. 2. To determine whether adjunctive Galantamine is superior to placebo for the treatment of cognitive impairments, as measured by improvement on a composite neurocognitive score in people with schizophrenia.
The investigators will also address the following secondary aims:
1. To determine whether people with schizophrenia treated with adjunctive oxytocin, compared to placebo, will show greater improvement on markers of negative symptom liability including: social affiliation, facial affect recognition, olfactory discrimination, initiation of smooth pursuit and latency of internally-driven saccades. 2. To determine whether people with schizophrenia treated with adjunctive Galantamine, compared to placebo, will show greater improvement on markers of cognitive impairment liability including: predictive pursuit, P50 sensory gating and visual-spatial working memory.
The investigators will address the following exploratory aims:
1. To determine whether changes in markers of negative symptom liability are correlated with changes in SANS total score. 2. To determine whether changes in markers of cognitive impairment liability are correlated with changes in the composite neurocognitive score. 3. To determine the response to oxytocin of all cognition domains assessed by the MATRICS battery, and to determine the response to Galantamine of all cognition domains assessed by the MATRICS, which are not included in the primary neurocognitive outcome score. 4. To determine whether there is a differential response of oxytocin and Galantamine on the SANS total score, composite neurocognitive score, and with the phenotypic measures of negative symptom and cognitive impairment liability. 5. To determine whether oxytocin and Galantamine are associated with:
* adverse effects on positive or depressive symptoms; * adverse effects on motor symptoms; * adverse effects on laboratory and EKG measures; * increased occurrence of side effects; * social interest that is independent of sexual desire.
Looking for future studies?
Notify Me18 year–64 year
All sexes
Interventional
Phase 2
Baltimore VA Medical Center, Baltimore, Maryland, United States
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Oxytocin: 24 IU in the morning and 24 IU in the evening given by nasal spray with a total of 6 puffs of the spray, 3 in each nostril at each administration
Galantamine: 4 mg twice a day for 1 week, then 8 mg twice a day for 1 week, then 12 mg twice a day for 4 weeks
Saline nasal spray with a total of 6 puffs of the spray, 3 in each nostril at each administration
Placebo tablets twice a day for 6 weeks
Time frame: Every other week for 6 weeks
Mean SANS Total Score by Treatment and Week. SANS total score range = 0-85. Higher scores indicate more severe negative symptoms.
Time frame: Treatment Week 0 and Week 6
Time frame: Every other week for 6 weeks
Mean score by treatment and week. Scores range from 0-5, with higher scores indicating a worse outcome.
Time frame: Every other week for 6 weeks
Mean score by treatment and week. Scores range from 0-5, with higher scores indicating a worse outcome.
Time frame: Every other week for 6 weeks
Mean score by treatment and week. Scores range from 0-5, with higher scores indicating a worse outcome.
Time frame: Every other week for 6 weeks
Mean score by treatment and week. Scores range from 0-5, with higher scores indicating a worse outcome.
Time frame: Every other week for 6 weeks
The total BPRS score is calculated by adding the scores for scales #1-#18. Each scale ranges from "1=Not Present" to "7=Very Severe". Total scores range from a minimum score of 18 to a maximum score of 126. A higher total score indicates a more severe psychiatric symptom rating.
Time frame: Every other week for 6 weeks
The psychosis score is calculated by adding the scores for scales #4 Conceptual Disorganization, #11 Suspiciousness, #12 Hallucinatory Behavior, and #15 Unusual Thought Content. Each scale ranges from "1=Not Present" to "7=Very Severe". The minimum psychosis score is 4 and the maximum psychosis score is 28. A higher score indicates a more severe psychosis rating.
Time frame: Every other week for 6 weeks
Total score calculated by adding scores for scales #1-#9. Each scale ranges from "0=Absent" to "3=Severe". The minimum total CDS score is 0 and the maximum total CDS score is 27. A higher score indicates a more severe depression rating.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Mean ASEX total scores by treatment and week for female participants. Total scores are calculated by adding scores for scales #1-#5. Each scale ranges from "1=Easily/Extremely" to "6=Never/None". The minimum total ASEX score is 5 and the maximum score is 30. Lower scores indicate more positive sexual experiences.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Mean ASEX total scores by treatment and week for male participants. Total scores are calculated by adding scores for scales #1-#5. Total scores are calculated by adding scores for scales #1-#5. Each scale ranges from "1=Easily/Extremely" to "6=Never/None". The minimum total ASEX score is 5 and the maximum score is 30. Lower scores indicate more positive sexual experiences.
Time frame: Weekly for 6 weeks
Mean diastolic blood pressure by treatment and follow-up week
Time frame: Weekly for 6 weeks
Mean systolic blood pressure by treatment and follow-up week
Time frame: Weekly for 6 weeks
Mean weight (kg) by treatment and follow-up week
Time frame: Weekly for 6 weeks
Mean sitting pulse (bpm) by treatment and follow-up week
Time frame: Baseline, week 3, and week 6
SAS total score for extrapyramidal side effects: Frequencies of greatest within-participant increase (worsening) from pre-treatment baseline, by treatment group. Total scores calculated by adding scores from scales #1-#11. Each scale ranges from "0=None/Normal" to "4=Extreme/Severe". The minimum total score is 0 and the maximum score is 44. Higher scores indicate a more severe extrapyramidal side effect rating.
Time frame: Treatment Week 0 and Week 6
AIMS Total Score: Frequencies of Maximum Within- Participant Increases (worsening) from Baseline by Treatment Group. Total score calculated by adding scores from scales #1-#10. Each scale ranges from "0=None" to "4=Severe". The minimum total AIMS score is 0 and the maximum score is 40. Higher scores indicate a more severe abnormal involuntary movement rating.
Time frame: Once during Evaluation and once at Treatment Week 6
Mean corrected QT interval (QTc) by study week and treatment.
Time frame: Treatment Week 0 and Week 6
For each subject, the largest increase from baseline in the global akathisia score at any visit during follow-up was calculated. The global akathisia score ranges from "0=Absent" to "5=Severe Akathisia". Higher scores indicate a more severe global rating of akathisia.
Time frame: Treatment Week 0 and Week 6
Blood Oxytocin Levels by Treatment and Visit
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Alanine transaminase/serum glutamic-pyruvic transaminase (ALT/SGPT) blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Aspartate aminotransferase/serum glutamic oxaloacetic transaminase (AST/SGOT) blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Alkaline phosphatase blood level by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Calcium blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Sodium blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Potassium blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Chloride blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Carbon Dioxide (CO2) blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Total cholesterol blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
High-density lipoprotein (HDL) blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Low-density lipoprotein (LDL) blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Triglyceride blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Very low density lipoprotein (VLDL) blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Glucose blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Albumin blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Globulin blood levels by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Albumin to Globulin (A/G) ratio in the blood by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Bilirubin blood level by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
Protein blood level by treatment group and visit.
Time frame: Once during evaluation and once at the end of 6 weeks of study treatment
BUN blood level by treatment group and visit.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Abdominal Pain" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Anorexia" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Bruising Easily" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Constipation" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Diarrhea" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Dizziness" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Dry Eye" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Dry Mouth" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Enuresis" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Excessive Tearing of the Eye" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Fever" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Headache" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Hyperhydrosis" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Hypersalivation" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Insomnia" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Malaise" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Mucosal Ulceration" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Nasal Irritation" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Nausea" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Rash" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Restlessness" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Sedation" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Sore Throat" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Stiffness" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Tinnitus" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Tremor" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Urticaria" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Uterine Contractions" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Vomiting" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Weight Loss" rating on the SEC, by Treatment Group.
Time frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Wheezing" rating on the SEC, by Treatment Group.
Time frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Composite Score by Week ranging from -10-100 with a higher score indicating a better outcome.
Time frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Attention Vigilance domain score by week calculated from the Continuous Performance Test, Identical Pairs version. The domain score scale is 20-80, with higher scores indicating a better outcome.
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Time frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Processing Speed domain score by week calculated from the Trail Making Test- Part A, Brief Assessment of Cognition in Schizophrenia- symbol coding subtest, and the Category fluency test- animal naming. The domain score scale is 20-80, with higher scores indicating a better outcome.
Time frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Reasoning/Problem Solving domain score by week calculated from the Neuropsychological Assessment Battery- mazes subtest. The domain score scale is 20-80, with higher scores indicating a better outcome.
Time frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Social Cognition domain score by week calculated from the Mayer-Salovey-Caruso Emotional Intelligence Test- managing emotions branch. The domain score scale is 20-80, with higher scores indicating a better outcome.
Time frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Verbal Learning domain score by week calculated from the Hopkins Verbal Learning Test-Revised, immediate recall (three learning trials only). The domain score scale is 20-80, with higher scores indicating a better outcome.
Time frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Visual Learning domain score by week calculated from the Brief Visuospatial Memory Test-Revised. The domain score scale is 20-80, with higher scores indicating a better outcome.
Time frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Working Memory domain score by week calculated from the Wechsler Memory Scale, 3rd ed., spatial span subtest. The domain score scale is 20-80, with higher scores indicating a better outcome.
Time frame: Treatment Week 0 and Week 6
Participant reported responses after Brief Role Play rating how they felt during the role plays. Participants rated 12 negative affect items on a scale of 1-5, with 1 being "very slightly or not at all" and 5 being "extremely". The minimum score for this measure is 12 and the maximum score is 60. Higher scores indicate a higher rate of negative affect during the role plays.
Time frame: Treatment Week 0 and Week 6
Participant reported responses after Brief Role Play rating how they felt during the role plays. Participants rated 12 positive affect items on a scale of 1-5, with 1 being "very slightly or not at all" and 5 being "extremely". The minimum score for this measure is 12 and the maximum score is 60. Higher scores indicate a higher rate of positive affect during the role plays.
Time frame: Treatment Week 0 and Week 6
Participant reported responses after Brief Role Play. The Reactions to Partner item was calculated by totaling responses to 7 scales. Each scale score ranges from 1-5, which 1 being "completely agree" and 5 being "completely disagree". The minimum score for this measure is 7 and the maximum score is 35. Higher responses indicate a more negative reaction to their role play partner.
Time frame: Treatment Week 0 and Week 6
Participant reported responses after Brief Role Play. The Willingness to Interact item calculated by totaling scores from items 1-6. Each score ranges from 1-5, with 1 being "definitely willing" and 5 being "definitely unwilling". The minimum score for this measure is 6 and the maximum score is 30. Lower scores indicate more willingness to interact with their role play partner again in the future.
University of Maryland, Baltimore
Other
Oxytocin or Galantamine vs. Placebo for the Treatment of Negative Symptoms and Cognitive Impairments in Schizophrenia
Acronym: CIDAR-3
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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