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Mirtazapine augmentation enhances cognitive and negative symptoms in schizophrenic patients treated with risperidone: a randomised controlled trial

The effect of mirtazapine augmentation of risperidone in the treatment of cognitive and negative symptoms of schizophrenia: a randomised controlled trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN54975957
Enrollment
25
Registered
2009-12-01
Start date
2008-10-01
Completion date
Unknown
Last updated
2015-01-13

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

Conditions

Schizophrenia Mental and Behavioural Disorders Schizophrenia

Interventions

Mirtazapine was added to the on-going pharmacotherapy with risperidone in the mirtazapine group. The initial dosage was 15 mg/day at bedtime for the first two weeks. Thereafter, a daily dose of 30 mg/

Sponsors

Bundang CHA Hospital (South Korea)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Aged between 21 and 70 years, either sex 2. Diagnosed with schizophrenia based on the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) (SCID) 3. Receiving treatment of oral risperidone (Risperdal Quicklet®) or RLAI (risperidone long acting-injection) as outpatients. In addition, the subjects had to have been stable for at least eight weeks in an outpatient setting immediately prior to initiation of this study. 4. Presence of positive or negative symptoms or both, resulting in the illness of at least moderate severity (greater than or equal to 4 on the Clinical Global Impression [CGI] Severity Scale)

Exclusion criteria

Exclusion criteria: 1. Evidence of organic mental disorder or mental retardation 2. Severe drug or alcohol dependence that required inpatient treatment and/or detoxification 3. Presence of a depressive episode. To exclude subjects with depressive episodes, the Hamilton Rating Scale for Depression (HAMD) was used (patients who scored more than 17 on HAMD were excluded). 4. Other conditions, such as a serious medical condition, a history of bipolar or schizoaffective disorder, substance misuse, suicidality, possibility of pregnancy, lactation, or inability/unwillingness to use contraception

Design outcomes

Primary

MeasureTime frame
1. Positive and Negative Syndrome Scale (PANSS), collected for each patient at week 0, week 2, week 4, and week 8 2. Scale for the Assessment of Negative Symptoms (SANS), collected for each patient at week 0, week 2, week 4, and week 8 3. Digit Span of K-WAIS (Korean-Wechsler Adult Intelligence Scale), collected at weeks 0 and 8 4. Controlled Oral Word Association Test (COWAT), collected at weeks 0 and 8 5. Korean-Complex Figure Test (K-CFT), collected at weeks 0 and 8 6. Korean-Auditory Verbal Learning Test (K-AVLT), collected at weeks 0 and 8 7. Estimated intelligence quotient (IQ) by the sum of Vocabulary scores and Block Design scores on the K-WAIS, collected at weeks 0 and 8 8. Timed Coding Test, collected at weeks 0 and 8

Secondary

MeasureTime frame
1. Barnes Akathisia Rating Scale, collected at weeks 0 and 8 2. Simpson-Angus Scale for Expyramidal Side-effects, collected at weeks 0 and 8 3. Clinical Global Impression (CGI), collected at weeks 0 and 8 4. Hamilton Rating Scale for Depression (HAMD), collected at weeks 0 and 8 5. Body weight, collected at weeks 0 and 8 6. Abdominal circumference, collected at weeks 0 and 8

Countries

Korea, South

Outcome results

None listed

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