Obesity
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age: 18 - 65 years Diagnosis in the schizophrenic spectrum (ICD-10: F20.x, F25.x) Treatment with a least one antipsyhcotic agent (FGS/SGA) for a least 3 months BMI = 30 kg/m2 HbA1c =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Active abuse of psychoactive drugs (ICD-10: F1x.2 (not nicotine)) Contradictions to MRI (metalimplant, pacemaker, claustrofobia, =150 kg (max. weight in the MR scanner)) Former headtrauma with loss of conciousness more than 5 minutes Pregnancy Severe medical condition/illness Allergi towards exenatide (Bydureon®) Suicidality Forensic psychiatry patient Conditions, who according to Sponsor or Invesigator are not fit for joining the investigation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate if 3 months treatment with a GLP-1-analogue can reduce antipsychotic associated obesity in non-diabetic patients with a diagnosis within the schizophrenic spectrum;Secondary Objective: Moreover we will investigate the associations between GLP-1-analogue treatment and peripheral metabolic parameters as well as associations with central psychological parameters such as magnetic resonance imaging (MRI) scans of the brain and cognitive tests.;Primary end point(s): The primary endpoint is weightloss after 3 moths treatment with the GLP-1-analogue, exenatide.;Timepoint(s) of evaluation of this end point: 1 week 1 month 3 moths | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): The effect of GLP-1-analogue treatment on a wide range of secondary endpoints will be examined. By means of MRI, potential neuroprotective effects and changes in cerebral blood flow will be explored. Changes in cerebral blood flow following GLP-1 analogue treatment, with particular focus on the blood flow in hypothalamus and prefrontal cortex, will be correlated to measures of global cognitive ability. Moreover, associations between GLP-1 analogue treatment, weight loss and improvement in secondary metabolic parameters will be associated with improvements in the patients' subjective quality of life. Finally, we will examine if possible GLP-1 analogue-induced volumetric changes in the striatum are correlated with reductions in the extrapyramidal side effects of antipsychotic medication. ;Timepoint(s) of evaluation of this end point: 3 months | — |
Countries
Denmark
Contacts
Center for Neuropsychiatric Schizophrenia Research