Schizophrenia
Conditions
Keywords
Schizophrenia, Antipsychotic, Cognition
Brief summary
Cognition is one of the core symptoms of schizophrenia. This study is a head-to-head trial between olanzapine and sertindole with cognition as primary outcome. The design is a 12-week double-blinded randomized controlled flexible dose study.
Interventions
Sertindole 16-24 mg once daily
Olanzapine 10-20 mg
Sponsors
Study design
Eligibility
Inclusion criteria
* AnICD-10 schizophrenia diagnosis F20.0-F20.9. * Contraception. * A negative pregnancy test for women. * No known allergy to any of the substances in the study medication * Baseline QTc \< 450 milliseconds for men and \< 470 milliseconds for women * S-potassium and s-magnesium within normal reference range. * Suboptimally treated on current antipsychotic medication * Stable dosage of antidepressants and mood stabilizers one month before the inclusion * Signed informed consent and power of attorney
Exclusion criteria
* Withdrawal of consent * QTc prolongation \>500 milliseconds during the study * Patients with known clinical important cardiovascular disease * Significant substance abuse * Earlier partial or non-response in treatment or intolerability to sertindole or olanzapine. * Calgary Depression Scale score ≥ 7 * Treatment that interferes with the metabolism of sertindole or olanzapine, * Oxazepam, zopiclone or zolpidem treatment the last 48 hours before cognitive testing * Prescription of not-allowed medication, or a change in dosage of antidepressant, or mood stabilizers in the study period * Treatment with an anticholinergic after the first three weeks of the study * Somatic illness, as judged by investigator, interfering with cognition * Known risk of narrow angle glaucoma * Treatment with electroconvulsive therapy (ECT) the last three months before inclusion, or treatment with ECT in the study period * Treatment with clozapine or depot antipsychotics before inclusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| CANTAB cognitive test battery | Baseline - 6 and 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Fasting glucose, lipid profile, HbA1c, body weight, abdominal circumference, blood pressure | Baseline - 6 and 12 weeks |
| PANSS, CGI, Sf-36 (quality of life), GAF (social function), UKU (side effects), DAI (attitude towards medicine), Beck's insight scale, Specific Level of Functioning (SLOF) | Baseline, 6 and 12 weeks |
Countries
Denmark, Sweden