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A Phase IV Prospective, Double-blind, Double-dummy, Randomised, Crossover Study to Assess the Impact on Daily Cognitive Functioning of Quetiapine Fumarate Immediate Release (Seroquel IR®) Dosed twice Daily and Quetiapine Fumarate Extended Release (Seroquel XR®) Dosed once Daily in the Evening in Patients with Stable Schizophrenia

A Phase IV Prospective, Double-blind, Double-dummy, Randomised, Crossover Study to Assess the Impact on Daily Cognitive Functioning of Quetiapine Fumarate Immediate Release (Seroquel IR®) Dosed twice Daily and Quetiapine Fumarate Extended Release (Seroquel XR®) Dosed once Daily in the Evening in Patients with Stable Schizophrenia

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2010-020579-21-AT
Enrollment
100
Registered
2010-07-14
Start date
2010-08-19
Completion date
Unknown
Last updated
2012-03-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Schizophrenia MedDRA version: 12.1 Level: LLT Classification code 10039626 Term: Schizophrenia

Interventions

Trade Name: Seroquel Product Name: Seroquel Pharmaceutical Form: Tablet INN or Proposed INN: QUETIAPINE CAS Number: 111974697 Concentration unit: mg milligram(s) Concentration type: equal Concentratio

Sponsors

AstraZeneca AB
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1.Provision of written informed consent prior to any study specific procedures 2.Male and female patients aged 18 and 50 years 3. Documented clinical diagnosis of schizophrenia, paranoid type, for at least 2 years before randomisation meeting the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR, American Psychiatric Association 2000) criteria of schizophrenia (DSM-IV codes 295.30) confirmed by MINI version 5.0 4. Outpatient status at enrolment 5. 56 days period (8 weeks) of stable psychiatric status before randomisation 6.Treated with quetiapine IR or quetiapine XR in a dose range between 400-750 mg 7.Treated with quetiapine IR or quetiapine XR in a dose range between 400-750 mg 8.Dose of quetiapine IR or quetiapine XR unchanged during the last 56 days before randomisation Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: 1. Diagnosis of any DSM-IV Axis I disorder other than those included in inclusion criteria above within 6 months before randomisation (e.g., alcohol dependence or psychoactive substance dependence not in full remission, concurrent organic mental disorder, or mental retardation [axis II diagnosis]) of a degree that may interfere with the patient’s ability to co-operate. 2. Patients with substance abuse or dependence as defined by DSM-IV-TR criteria and not in full remission or if previous substance abuse or dependence have caused impaired cognition. A urine drug screen test will be performed at enrolment. The investigator will evaluate the toxicology results along with medical history to determine if the patient meets in DSM-IV-TR criteria for substance abuse. Patients are excluded with a single urine toxicology screen (UTS) positive for cocaine, heroin, or PCP 3. Last schizophrenic episode with disorganized (DSM-IV code 295.10), catatonic (DSM-IV code 295.20), residual (DSM-IV code 295.60) type, or undifferentiated type (295.90)

Design outcomes

Primary

MeasureTime frame
Main Objective: The primary objective of this study is to demonstrate that patients with stable schizophrenia show superior daytime cognitive performance when taking quetiapine XR once daily in the evening compared to taking quetiapine IR twice daily by using the CogState Test domains Detection (speed of processing) and Identification (attention/vigilance).;Secondary Objective: • To assess the safety and tolerability during treatment with quetiapine XR and treatment with quetiapine IR in patients with stable schizophrenia by incidence of AEs and changes in laboratory values, vital signs and weight from enrolment to end of study • To assess treatment satisfaction for patients with stable schizophrenia on quetiapine XR and quetiapine IR by using the Treatment Satisfaction Questionnaire of Medication (TSQM) • To assess differences in daytime cognitive performance with quetiapine IR and XR using CogState: o working memory o verbal learning o reasoning and problem solving ;Primary end point(s): The primary outcome variable is the relative performance in CogState Cognition Testing, Detection task (speed of processing) and Identification task (attention/vigilance) based on a standardized composite score from patients taking quetiapine XR once daily in the evening versus quetiapine IR twice daily. The composite change score can then be derived from scores on each of the tasks.

Countries

Austria, Denmark, Germany, Italy, Spain

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026