Psychotic Disorders, Schizophrenia
Conditions
Brief summary
This study intends to compare novel antipsychotics ziprasidone and olanzapine, to confirm the findings of an open study -where stable patients receiving olanzapine switched to ziprasidone- which showed maintenance of clinical effect with improvements in all domains of cognitive function at 6 weeks (Daniel, 1999). Direct comparison of the two agents in a well-controlled double-blind fashion will allow an evaluation of the effect on cognitive function in the short and long-term management of patients with recent-onset schizophrenia, schizoaffective and schizophreniform disorder.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Duration of illness \< 5 years (according to DSM-IV and onset first psychotic episode); CGI severity score \> 4 (moderately ill) * maximum exposure to antipsychotic treatment of =\< 16 weeks.
Exclusion criteria
* Concurrent treatment with antipsychotic agents =\< 12 hours prior to randomization * for depot agents a period of two weeks or one cycle, whichever is the longer, must occur between last administration and randomization * Treatment with antidepressants or mood stabilizers =\< 7 days of randomization * for MAOIs and moclobemide this period must =\< 2 weeks * for fluoxetine =\< 5 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The effect on cognitive function of ziprasidone and olanzapine in the management of recent-onset psychosis, measured as the difference in efficacy in a 8 week period from the baseline visit to the end of week 8 visit. | — |
Secondary
| Measure | Time frame |
|---|---|
| - to demonstrate effect on cognitive function of ziprasidone and olanzapine in the management of recent-onset psychosis, measured as the difference in efficacy over a 24-week and one year period from baseline visit to the end of week 24 and week 52 visit | — |
Countries
Belgium, Netherlands