Schizophrenia
Conditions
Brief summary
To assess the efficacy and safety of celecoxib as add-on therapy to risperidone versus risperidone alone in patients with schizophrenia
Interventions
200 mg oral capsules twice daily as add-on therapy to risperidone twice daily (range 2-8 mg/day) for 11 weeks
Matched oral placebo as add-on to risperidone twice daily (range 2-8 mg/day) for 11 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of schizophrenia (according to Diagnostic and Statistical Manual of Mental Disorders \[DSM\]-IV-TR criteria and made by a specialist in psychiatry) and acute exacerbation of schizophrenia requiring hospitalization * Total PANSS score of ?60 at screening * History of schizophrenia of ?10 years (from onset of prodromal symptoms)
Exclusion criteria
* Axis-I DSM-IV-TR diagnosis other than schizophrenia * Less than a full cycle has lapsed at time of screening following the last injection of a depot antipsychotic * Currently taking celecoxib or other selective cyclo-oxygenase 2 inhibitors, or other antiinflammatory medication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in total Positive and Negative Syndrome Scale (PANSS) score | Week 11 |
Secondary
| Measure | Time frame |
|---|---|
| Physical examination | Week 11 |
| Laboratory exams | Weeks 1, 2, 4, 6, 8, 11 |
| Change from baseline in Global Improvement and Efficacy Index scores of Clinical Global Impressions scale of Psychosis | Weeks 4, 6, and 11 |
| Change from baseline in total PANSS score | Weeks 4 and 6 |
| Patient-Reported Outcomes using Treatment Satisfaction Questionnaire for Medication | Week 4 and 11 |
| Change from baseline in combined PANSS Negative plus General Psychopathology Subscale Score and the separate PANSS Psychopathology Subscale Scores | Weeks 4, 6, and 11 |
| Change from baseline in PANSS five-factor component scores | Weeks 4, 6, and 11 |
| Time to onset of clinically meaningful improvement in total PANSS score | Weeks 1, 2, 4, 6, 8, and 11 |
| Adverse events | Weeks 1, 2, 4, 6, 8, 11 |
| Change from baseline in PANSS-derived Brief Psychiatric Rating Scale score | Weeks 4, 6, and 11 |
Countries
Argentina, Brazil, Germany, Mexico, Philippines, Taiwan