Schizophrenia
Conditions
Keywords
SB-773812, SPECT, D2 RO, pharmacokinetics, schizophrenic patients, 5HT2A RO
Brief summary
This study is being conducted in 2 groups of schizophrenic patients: in group 1 the relationship between the dopaminergic D2 receptor occupancy (D2 RO ) and serotoninergic 5HT2A receptor occupancy at stable plasma concentration (Cp) of SB-773812 will be investigated using SPECT scan in up to 15 chronic schizophrenic patients in an open- label design. In group 2 up to 80 patients will receive SB-773812 or Risperidone for 6 weeks to obtain at least 10 patients showing clinical improvement with SB-773812. The relationship of D2 RO, measured at steady state after chronic dosing at Cmax (6+/-2 h) and Ctrough (24+/-4 h), and PK at steady state after repeated doses, to efficacy readouts will be investigated. The SB-773812 dose administered will be selected as the highest dose proven to be safe and well tolerated from a previous study.
Interventions
SB-773812 tablets will be available with dose strength of 60 mg
Risperidone tablets will be available with dose strength of 3 and 6 mg
Sponsors
Study design
Eligibility
Inclusion criteria
* schizophrenic patients as diagnosed by DSM IV criteria. * In group 2, subject has schizophrenia or schizophreniform disorder and show moderate disease exacerbation, a PANSS score \> 65 and a score in the PANSS positive scale (PANSS-P) =25. * Women of childbearing potential must agree to acceptable method of birth control.
Exclusion criteria
* Subject shows severe exacerbation, extreme instability, high risk for suicide or serious violent behaviour. * Any clinically or laboratory significant abnormality. * Subjects receiving a radiation dose from other activities of more than 10 mSv over any 3 year period. * Subjects with organic brain disease and history of severe head trauma. * Heart pacemaker, metallic prosthesis or other metallic body implants. * Significant head deformity. * Smokers with associated COPD. * History or presence of clinically significant gastro-intestinal, hepatic or renal disease. * History of cholecystectomy or biliary tract disease. * Positive for HBV, HCV or HIV. * Pregnant or lactating women.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To investigate in schizophrenic patients the relationship between D2 RO, 5HT2A RO and stable plasma concentrations of SB-773812 (gr.1) and the relationship of D2 RO and PK over time at steady state to efficacy readouts after 6 w treatment (gr.2) | 6 weeks |
Secondary
| Measure | Time frame |
|---|---|
| To assess the effect of 6 week treatment of SB-773812 on clinical symptoms as measured by Positive and Negative Symptoms Scale (PANSS), cognitive performance and CGI Severity and Improvement as a function of duration of dosing (group 2). | 6 weeks |
Countries
Spain