Oxytocin or Galantamine Versus Placebo for the Treatment of Negative Symptoms and Cognitive Impairments in Schizophrenia (CIDAR-3)

January 10, 2022 updated by: Robert Buchanan, University of Maryland, Baltimore

Oxytocin or Galantamine vs. Placebo for the Treatment of Negative Symptoms and Cognitive Impairments in Schizophrenia

The project is designed to address the following two primary aims:

  1. To determine whether adjunctive oxytocin is superior to placebo for the treatment of persistent negative symptoms, as measured by the SANS total score, in people with schizophrenia.
  2. To determine whether adjunctive Galantamine is superior to placebo for the treatment of cognitive impairments, as measured by improvement on a composite neurocognitive score in people with schizophrenia.

The investigators will also address the following secondary aims:

  1. To determine whether people with schizophrenia treated with adjunctive oxytocin, compared to placebo, will show greater improvement on markers of negative symptom liability including: social affiliation, facial affect recognition, olfactory discrimination, initiation of smooth pursuit and latency of internally-driven saccades.
  2. To determine whether people with schizophrenia treated with adjunctive Galantamine, compared to placebo, will show greater improvement on markers of cognitive impairment liability including: predictive pursuit, P50 sensory gating and visual-spatial working memory.

The investigators will address the following exploratory aims:

  1. To determine whether changes in markers of negative symptom liability are correlated with changes in SANS total score.
  2. To determine whether changes in markers of cognitive impairment liability are correlated with changes in the composite neurocognitive score.
  3. To determine the response to oxytocin of all cognition domains assessed by the MATRICS battery, and to determine the response to Galantamine of all cognition domains assessed by the MATRICS, which are not included in the primary neurocognitive outcome score.
  4. To determine whether there is a differential response of oxytocin and Galantamine on the SANS total score, composite neurocognitive score, and with the phenotypic measures of negative symptom and cognitive impairment liability.
  5. To determine whether oxytocin and Galantamine are associated with:

    • adverse effects on positive or depressive symptoms;
    • adverse effects on motor symptoms;
    • adverse effects on laboratory and EKG measures;
    • increased occurrence of side effects;
    • social interest that is independent of sexual desire.

Study Overview

Study Type

Interventional

Enrollment (Actual)

86

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Maryland
      • Baltimore, Maryland, United States, 21228
        • Maryland Psychiatric Research Center
      • Baltimore, Maryland, United States, 21201
        • Baltimore VA Medical Center
      • Baltimore, Maryland, United States, 21201
        • Community Mental Health Centers
      • Baltimore, Maryland, United States, 21222
        • Keypoint Community Mental Health Centers
      • Catonsville, Maryland, United States, 21228
        • Maryland Psychiatric Research Center
      • Dundalk, Maryland, United States, 21222
        • Keypoint Mental health Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 64 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Any race
  • Subjects will meet DSM-IV criteria for schizophrenia or schizoaffective disorder
  • Judged clinically stable and will not exceed threshold levels of positive, depressive, and/or extrapyramidal symptoms
  • The minimum level of negative symptoms will be defined as follows:

    • Scale for the Assessment of Negative Symptoms (SANS) total score (minus the global items, and inappropriate affect, poverty of content of speech and attentional items) 20 or greater; OR
    • SANS alogia global item score 3 or greater
  • The maximum level of psychotic, depressive, and extrapyramidal symptoms at the beginning and end of leading in:

    • Brief Psychiatric Rating Scale (BPRS) psychotic factor score (4-items) less or equal to 16
    • BPRS Anxiety/Depression factor score (4-items) less than or equal to 14
    • Simpson-Angus-Scale (SAS) total score (13-items) less than or equal to 10
  • Subjects will be required to be on the same antipsychotic(s) for two months and on the same dose for the last month

Exclusion Criteria:

  • Participants with an organic brain disorder; mental retardation; or a medical condition, whose pathology or treatment could alter the presentation or treatment of schizophrenia or significantly increase the risk associated with the proposed treatment protocol
  • Participants with intermittent alcohol or substance use will not be excluded unless they have met DSM-IV criteria for alcohol or substance abuse (other than nicotine) within the last month.
  • Participants may be treated with one or more antipsychotics, except chlorpromazine, thioridazine, or mesoridazine. These latter antipsychotics are excluded because of the concern that their anticholinergic properties may interfere with the accurate assessment of galantamine efficacy.
  • Participants may not be treated with anticholinergic medications or have clinically significant extrapyramidal symptoms. Additionally, subjects treated with glycopyrrolate will be accepted.
  • Female participants may not be pregnant
  • Female subjects may not be taking olanzapine at doses higher than 30 mg . Male subjects may not be taking olanzapine at doses higher than 40 mg.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: 1: galantamine/placebo-oxytocin
Subjects randomized to galantamine will receive galantamine and placebo-oxytocin
Galantamine: 4 mg twice a day for 1 week, then 8 mg twice a day for 1 week, then 12 mg twice a day for 4 weeks
Saline nasal spray with a total of 6 puffs of the spray, 3 in each nostril at each administration
Active Comparator: 2: oxytocin/placebo-galantamine
Subjects randomized to oxytocin will receive oxytocin and placebo-galantamine
Oxytocin: 24 IU in the morning and 24 IU in the evening given by nasal spray with a total of 6 puffs of the spray, 3 in each nostril at each administration
Placebo tablets twice a day for 6 weeks
Placebo Comparator: 3: placebo-galantamine /placebo-oxytocin
Subjects randomized to placebo will receive placebo-galantamine and placebo-oxytocin
Saline nasal spray with a total of 6 puffs of the spray, 3 in each nostril at each administration
Placebo tablets twice a day for 6 weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Scale for the Assessment of Negative Symptoms (SANS) Total Score
Time Frame: Every other week for 6 weeks
Mean SANS Total Score by Treatment and Week. SANS total score range = 0-85. Higher scores indicate more severe negative symptoms.
Every other week for 6 weeks
Mean Z-Scores for Composite Cognitive Primary Outcome* by Treatment Group and Week
Time Frame: Treatment Week 0 and Week 6
* Composite Cognitive Primary Outcome = mean of z-scores from the Brief Assessment of Cognition in Schizophrenia (BACS) Symbol Digit test, the Hopkins Verbal Learning Test (HVLT), and the Rapid Visual Information Processing test (RVIP). Z-scores for each test were calculated as Z = (individual patient score - pooled baseline mean)/(pooled baseline standard deviation). Higher values of the composite score represent a better outcome.
Treatment Week 0 and Week 6

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Scale for the Assessment of Negative Symptoms (SANS) - Avolition
Time Frame: Every other week for 6 weeks
Mean score by treatment and week. Scores range from 0-5, with higher scores indicating a worse outcome.
Every other week for 6 weeks
Scale for the Assessment of Negative Symptoms (SANS) - Anhedonia
Time Frame: Every other week for 6 weeks
Mean score by treatment and week. Scores range from 0-5, with higher scores indicating a worse outcome.
Every other week for 6 weeks
Scale for the Assessment of Negative Symptoms (SANS) - Alogia
Time Frame: Every other week for 6 weeks
Mean score by treatment and week. Scores range from 0-5, with higher scores indicating a worse outcome.
Every other week for 6 weeks
Scale for the Assessment of Negative Symptoms (SANS) - Blunted Affect
Time Frame: Every other week for 6 weeks
Mean score by treatment and week. Scores range from 0-5, with higher scores indicating a worse outcome.
Every other week for 6 weeks
Brief Psychiatric Rating Scale (BPRS) - Total Score
Time Frame: Every other week for 6 weeks
The total BPRS score is calculated by adding the scores for scales #1-#18. Each scale ranges from "1=Not Present" to "7=Very Severe". Total scores range from a minimum score of 18 to a maximum score of 126. A higher total score indicates a more severe psychiatric symptom rating.
Every other week for 6 weeks
Brief Psychiatric Rating Scale (BPRS) - Psychosis Score
Time Frame: Every other week for 6 weeks
The psychosis score is calculated by adding the scores for scales #4 Conceptual Disorganization, #11 Suspiciousness, #12 Hallucinatory Behavior, and #15 Unusual Thought Content. Each scale ranges from "1=Not Present" to "7=Very Severe". The minimum psychosis score is 4 and the maximum psychosis score is 28. A higher score indicates a more severe psychosis rating.
Every other week for 6 weeks
Calgary Depression Scale (CDS) - Total Score
Time Frame: Every other week for 6 weeks
Total score calculated by adding scores for scales #1-#9. Each scale ranges from "0=Absent" to "3=Severe". The minimum total CDS score is 0 and the maximum total CDS score is 27. A higher score indicates a more severe depression rating.
Every other week for 6 weeks
Arizona Sexual Experience Questionnaire (ASEX) Female
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Mean ASEX total scores by treatment and week for female participants. Total scores are calculated by adding scores for scales #1-#5. Each scale ranges from "1=Easily/Extremely" to "6=Never/None". The minimum total ASEX score is 5 and the maximum score is 30. Lower scores indicate more positive sexual experiences.
Once during evaluation and once at the end of 6 weeks of study treatment
Arizona Sexual Experience Questionnaire (ASEX) Male
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Mean ASEX total scores by treatment and week for male participants. Total scores are calculated by adding scores for scales #1-#5. Total scores are calculated by adding scores for scales #1-#5. Each scale ranges from "1=Easily/Extremely" to "6=Never/None". The minimum total ASEX score is 5 and the maximum score is 30. Lower scores indicate more positive sexual experiences.
Once during evaluation and once at the end of 6 weeks of study treatment
Vital Signs - Diastolic Blood Pressure
Time Frame: Weekly for 6 weeks
Mean diastolic blood pressure by treatment and follow-up week
Weekly for 6 weeks
Vital Signs - Systolic Blood Pressure
Time Frame: Weekly for 6 weeks
Mean systolic blood pressure by treatment and follow-up week
Weekly for 6 weeks
Vital Signs - Weight
Time Frame: Weekly for 6 weeks
Mean weight (kg) by treatment and follow-up week
Weekly for 6 weeks
Vital Signs - Pulse
Time Frame: Weekly for 6 weeks
Mean sitting pulse (bpm) by treatment and follow-up week
Weekly for 6 weeks
Simpson-Angus Scale (SAS)
Time Frame: Baseline, week 3, and week 6
SAS total score for extrapyramidal side effects: Frequencies of greatest within-participant increase (worsening) from pre-treatment baseline, by treatment group. Total scores calculated by adding scores from scales #1-#11. Each scale ranges from "0=None/Normal" to "4=Extreme/Severe". The minimum total score is 0 and the maximum score is 44. Higher scores indicate a more severe extrapyramidal side effect rating.
Baseline, week 3, and week 6
Abnormal Involuntary Movement Scale (AIMS)
Time Frame: Treatment Week 0 and Week 6
AIMS Total Score: Frequencies of Maximum Within- Participant Increases (worsening) from Baseline by Treatment Group. Total score calculated by adding scores from scales #1-#10. Each scale ranges from "0=None" to "4=Severe". The minimum total AIMS score is 0 and the maximum score is 40. Higher scores indicate a more severe abnormal involuntary movement rating.
Treatment Week 0 and Week 6
Electrocardiogram (EKG)
Time Frame: Once during Evaluation and once at Treatment Week 6
Mean corrected QT interval (QTc) by study week and treatment.
Once during Evaluation and once at Treatment Week 6
Barnes Akathisia Scale (BAS) - Global Score
Time Frame: Treatment Week 0 and Week 6
For each subject, the largest increase from baseline in the global akathisia score at any visit during follow-up was calculated. The global akathisia score ranges from "0=Absent" to "5=Severe Akathisia". Higher scores indicate a more severe global rating of akathisia.
Treatment Week 0 and Week 6
Blood Oxytocin Levels
Time Frame: Treatment Week 0 and Week 6
Blood Oxytocin Levels by Treatment and Visit
Treatment Week 0 and Week 6
Laboratory Measures - ALT/SGPT
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Alanine transaminase/serum glutamic-pyruvic transaminase (ALT/SGPT) blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - AST/SGOT
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Aspartate aminotransferase/serum glutamic oxaloacetic transaminase (AST/SGOT) blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - Alkaline Phosphatase
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Alkaline phosphatase blood level by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - Calcium
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Calcium blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - Sodium
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Sodium blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - Potassium
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Potassium blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - Chloride
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Chloride blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - CO2
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Carbon Dioxide (CO2) blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - Cholesterol
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Total cholesterol blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - HDL
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
High-density lipoprotein (HDL) blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - LDL
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Low-density lipoprotein (LDL) blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - Triglycerides
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Triglyceride blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - VLDL
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Very low density lipoprotein (VLDL) blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - Glucose
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Glucose blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - Albumin
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Albumin blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - Globulin
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Globulin blood levels by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - A/G Ratio
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Albumin to Globulin (A/G) ratio in the blood by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - Bilirubin
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Bilirubin blood level by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - Protein
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
Protein blood level by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Laboratory Measures - BUN
Time Frame: Once during evaluation and once at the end of 6 weeks of study treatment
BUN blood level by treatment group and visit.
Once during evaluation and once at the end of 6 weeks of study treatment
Side Effect Checklist (SEC) - Abdominal Pain
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Abdominal Pain" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Anorexia
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Anorexia" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Bruising Easily
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Bruising Easily" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Constipation
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Constipation" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Diarrhea
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Diarrhea" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Dizziness
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Dizziness" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Dry Eye
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Dry Eye" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Dry Mouth
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Dry Mouth" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Enuresis
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Enuresis" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Excessive Tearing of the Eye
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Excessive Tearing of the Eye" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Fever
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Fever" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Headache
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Headache" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Hyperhydrosis
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Hyperhydrosis" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Hypersalivation
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Hypersalivation" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Insomnia
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Insomnia" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Malaise
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Malaise" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Mucosal Ulceration
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Mucosal Ulceration" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Nasal Irritation
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Nasal Irritation" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Nausea
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Nausea" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Rash
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Rash" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Restlessness
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Restlessness" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Sedation
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Sedation" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Sore Throat
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Sore Throat" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Stiffness
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Stiffness" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Tinnitus
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Tinnitus" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Tremor
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Tremor" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Urticaria
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Urticaria" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Uterine Contractions
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Uterine Contractions" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Vomiting
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Vomiting" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Weight Loss
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Weight Loss" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Side Effect Checklist (SEC) - Wheezing
Time Frame: Weekly for 6 weeks
Percentage of participants with new onset or worsening compared to baseline of "Wheezing" rating on the SEC, by Treatment Group.
Weekly for 6 weeks
Neurocognitive Assessment Battery (MCCB) - Composite Score
Time Frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Composite Score by Week ranging from -10-100 with a higher score indicating a better outcome.
Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
Neurocognitive Assessment Battery (MCCB) - Attention Vigilance
Time Frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).

MCCB Attention Vigilance domain score by week calculated from the Continuous Performance Test, Identical Pairs version. The domain score scale is 20-80, with higher scores indicating a better outcome.

.

Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
Neurocognitive Assessment Battery (MCCB) - Processing Speed
Time Frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Processing Speed domain score by week calculated from the Trail Making Test- Part A, Brief Assessment of Cognition in Schizophrenia- symbol coding subtest, and the Category fluency test- animal naming. The domain score scale is 20-80, with higher scores indicating a better outcome.
Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
Neurocognitive Assessment Battery (MCCB) - Reasoning/Problem Solving
Time Frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Reasoning/Problem Solving domain score by week calculated from the Neuropsychological Assessment Battery- mazes subtest. The domain score scale is 20-80, with higher scores indicating a better outcome.
Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
Neurocognitive Assessment Battery (MCCB) - Social Cognition
Time Frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Social Cognition domain score by week calculated from the Mayer-Salovey-Caruso Emotional Intelligence Test- managing emotions branch. The domain score scale is 20-80, with higher scores indicating a better outcome.
Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
Neurocognitive Assessment Battery (MCCB) - Verbal Learning
Time Frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Verbal Learning domain score by week calculated from the Hopkins Verbal Learning Test-Revised, immediate recall (three learning trials only). The domain score scale is 20-80, with higher scores indicating a better outcome.
Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
Neurocognitive Assessment Battery (MCCB) - Visual Learning
Time Frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Visual Learning domain score by week calculated from the Brief Visuospatial Memory Test-Revised. The domain score scale is 20-80, with higher scores indicating a better outcome.
Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
Neurocognitive Assessment Battery (MCCB) - Working Memory
Time Frame: Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
MCCB Working Memory domain score by week calculated from the Wechsler Memory Scale, 3rd ed., spatial span subtest. The domain score scale is 20-80, with higher scores indicating a better outcome.
Once at Treatment Week 0 (baseline) and again at Treatment Week 6 (end of treatment).
Positive and Negative Affect Schedule (PANAS) - Negative
Time Frame: Treatment Week 0 and Week 6
Participant reported responses after Brief Role Play rating how they felt during the role plays. Participants rated 12 negative affect items on a scale of 1-5, with 1 being "very slightly or not at all" and 5 being "extremely". The minimum score for this measure is 12 and the maximum score is 60. Higher scores indicate a higher rate of negative affect during the role plays.
Treatment Week 0 and Week 6
Positive and Negative Affect Schedule (PANAS) - Positive
Time Frame: Treatment Week 0 and Week 6
Participant reported responses after Brief Role Play rating how they felt during the role plays. Participants rated 12 positive affect items on a scale of 1-5, with 1 being "very slightly or not at all" and 5 being "extremely". The minimum score for this measure is 12 and the maximum score is 60. Higher scores indicate a higher rate of positive affect during the role plays.
Treatment Week 0 and Week 6
Reactions to Partner
Time Frame: Treatment Week 0 and Week 6
Participant reported responses after Brief Role Play. The Reactions to Partner item was calculated by totaling responses to 7 scales. Each scale score ranges from 1-5, which 1 being "completely agree" and 5 being "completely disagree". The minimum score for this measure is 7 and the maximum score is 35. Higher responses indicate a more negative reaction to their role play partner.
Treatment Week 0 and Week 6
Willingness to Interact
Time Frame: Treatment Week 0 and Week 6
Participant reported responses after Brief Role Play. The Willingness to Interact item calculated by totaling scores from items 1-6. Each score ranges from 1-5, with 1 being "definitely willing" and 5 being "definitely unwilling". The minimum score for this measure is 6 and the maximum score is 30. Lower scores indicate more willingness to interact with their role play partner again in the future.
Treatment Week 0 and Week 6

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: William T Carpenter, M.D., Maryland Psychiatric Research Center

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

February 1, 2010

Primary Completion (Actual)

July 1, 2014

Study Completion (Actual)

July 1, 2014

Study Registration Dates

First Submitted

April 28, 2009

First Submitted That Met QC Criteria

November 5, 2009

First Posted (Estimate)

November 11, 2009

Study Record Updates

Last Update Posted (Actual)

January 12, 2022

Last Update Submitted That Met QC Criteria

January 10, 2022

Last Verified

January 1, 2022

More Information

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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