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Trial registered on ANZCTR
Registration number
ACTRN12605000254695
Ethics application status
Approved
Date submitted
25/08/2005
Date registered
1/09/2005
Date last updated
8/08/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Indicated Prevention of Psychotic Disorders with Low-dose Lithium
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Scientific title
An open-labeled, parallel-group, single-blinded (rater) pilot study to investigate the neuroprotective effects of of low-dose lithium in young subjects at ultra high risk (UHR) of developing a first-episode psychotic disorder
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Secondary ID [1]
262964
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NA
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prodrome of schizoprenia
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Condition category
Condition code
Mental Health
394
394
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0
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Schizophrenia
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
450mg lithium carbonate per day One year primary endpoint (three months), secondary endpoint (one year).
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Intervention code [1]
252
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Prevention
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Comparator / control treatment
no comparator drug; participants received councelling according to the PACE guidelines for the optimal treatment of prodromal patients
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Measurements of the neuroprotective effects of low dose lithium
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Assessment method [1]
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Timepoint [1]
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Measured at 3 and 12 months
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Primary outcome [2]
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The neuroprotective effects of low dose lithium were assessed using structural and metabolica imaging, as well as T-2 relation time (specification of the primary outcome mentioned above)
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Assessment method [2]
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Timepoint [2]
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Scanning at baseline and 3 months
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Secondary outcome [1]
987
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The effect of low dose lithium of neuroprotective proteins.
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Assessment method [1]
987
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Timepoint [1]
987
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Measured at 3 and 12 months.
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Eligibility
Key inclusion criteria
PACE criteria for identifying patients at high risk include subjects with a family history of psychosis and a decrease in functioning (30% GAF) AND/OR attenuated psychotic symptoms AND/OR brief psychotic symptoms (BLIPS) resolving without treatment.
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Minimum age
Not stated
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
No exclusion criteria
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
7/01/2001
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
446
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Other
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Name [1]
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stanley Medical Research Centre
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Address [1]
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The Stanley Medical Research Institute
8401 Connecticut Avenue, Suite 200
Chevy Chase, MD 20815
phone: 301-571-0760
fax: 301-571-0769
email:
[email protected]
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Country [1]
446
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United States of America
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Primary sponsor type
Charities/Societies/Foundations
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Name
stanley Medical Research Centre (USA)
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Address
The Stanley Medical Research Institute
8401 Connecticut Avenue, Suite 200
Chevy Chase, MD 20815
phone: 301-571-0760
fax: 301-571-0769
email:
[email protected]
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Country
United States of America
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Secondary sponsor category [1]
363
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Commercial sector/Industry
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Name [1]
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oRYGEN Research Centre
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Address [1]
363
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35 Poplar rd. Melbourne, Australia
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Country [1]
363
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
1419
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North Western Mental Health Research & Ethics committee
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Ethics committee address [1]
1419
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Ethics committee country [1]
1419
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Australia
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Date submitted for ethics approval [1]
1419
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Approval date [1]
1419
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Ethics approval number [1]
1419
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Summary
Brief summary
To investigate whether low-dose lithium is an effective agent in indicated prevention amongst subjects at ultra-high risk of developing a psychotic disorder. This aim will be achieved by treating a high-risk patient population with low-dose lithium (450mg/day) and investigating its effects using clinical, neuropsychological, neuroimaging and cell biological approaches. We will recruit 30 patients considered to be at ultra-high risk of developing a first psychotic episode, currently receiving treatment at the Personal Assessment and Crisis Evaluation (PACE) clinic in Melbourne, Australia. PACE criteria for identifying patients at high risk include subjects with a family history of psychosis and a decrease in functioning (30% GAF) AND/OR attenuated psychotic symptoms AND/OR brief psychotic symptoms (BLIPS) resolving without treatment. Patients who give informed consent will receive treatment with a slow release form of low dose lithium for a period of a year, plus supportive therapy. Patients who do not consent will receive supportive therapy only. Assessments will be conducted at baseline, twelve weeks and one year post-recruitment. Assessments will include cognitive functioning, structural MRI, 1H-MRS at 3Tesla and cell biological parameters (bcl-2, AP-1; NIMH, Washington DC). In addition, all patients will be seen on a monthly basis for a clinical interview, covering psychopathology, global functioning, and quality of life.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
35110
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Contact person for public queries
Name
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Gregor Berger
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Address
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ORYGEN Research Centre
35 Poplar Rd
Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 93422800
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Fax
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+61 3 93873003
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Email
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[email protected]
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Contact person for scientific queries
Name
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Gregor Berger
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Address
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ORYGEN Research Centre
35 Poplar Rd
Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 93422800
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Fax
369
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+61 3 93873003
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Email
369
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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