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Trial registered on ANZCTR
Registration number
ACTRN12611000682943
Ethics application status
Approved
Date submitted
28/06/2011
Date registered
6/07/2011
Date last updated
21/10/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Serum Brain Derived Neurotrophic Factor (BDNF) and cytokines in quetiapine treated psychosis
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Scientific title
Serum BDNF and cytokines in quetiapine treated first episode psychosis.
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Secondary ID [1]
262506
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Nil
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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:
First episode psychosis
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Condition category
Condition code
Mental Health
268315
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0
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Psychosis and personality disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
We seek to determine BDNF and cytokine levels in the serum of 19 drug-naive subjects with psychosis, before and after three months of treatment with quetiapine (an antipsychotic), as markers of neurotrophin activity and autoimmunity respectively, and compare with 19 age and sex matched healthy controls. The serum samples are from 19 subjects recruited from a first-episode cohort treated for three months with quetiapine during a dose-finding study at Orygen Youth Health, Parkville, Vic (AU-SEA-0003/ NHMRC 209 062) between 2004 and 2009.
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Intervention code [1]
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Not applicable
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Comparator / control treatment
19 age and sex matched healthy controls
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Control group
Active
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Outcomes
Primary outcome [1]
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BDNF serum levels at baseline and after three months treatment with quetiapine
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Assessment method [1]
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Timepoint [1]
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serum collected at baseline (before quetiapine is first prescribed) and three months aftwer quetiapine treatment, all samples already collected. We estimate analysis of samples will take 10 months
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Primary outcome [2]
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T1 cytokine levels at baseline and after three months treatment with quetiapine
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Assessment method [2]
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Timepoint [2]
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serum collected at baseline (before quetiapine is first prescribed) and three months aftwer quetiapine treatment, all samples already collected. We estimate analysis of samples will take 10 months
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Primary outcome [3]
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There has been no exploration of VEGF in schizophrenia or other psychoses. VEGF is one of the cytokines we sought to measure:
We seek to determine BDNF and cytokine levels in the serum of 19 drug-naive subjects with psychosis, before and after three months of treatment with quetiapine (an antipsychotic), as markers of neurotrophin activity and autoimmunity respectively, and compare with 19 age and sex matched healthy controls. The serum samples are from 19 subjects recruited from a first-episode cohort treated for three months with quetiapine during a dose-finding study at Orygen Youth Health, Parkville, Vic (AU-SEA-0003/ NHMRC 209 062) between 2004 and 2009.
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Assessment method [3]
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Timepoint [3]
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We hypothesised that baseline subjects would have lower VEGF levels than healthy controls, which would increase following quetiapine treatment. We also hypothesized that changes to VEGF levels would be negatively correlated to a number of outcome measures. Finally, we proposed that there would be a positive correlation between BDNF and VEGF levels.
We seek to determine BDNF and cytokine levels (including VEGF) in the serum of 19 drug-naive subjects with psychosis, before and after three months of treatment with quetiapine (an antipsychotic), as markers of neurotrophin activity and autoimmunity respectively, and compare with 19 age and sex matched healthy controls.
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Secondary outcome [1]
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Any change in BDNF and cytokine over time may correlate with quetiapine dose and with symptom ratings pre and post treatment (Correlation of BDNF and cytokines to clinical outcome)
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Assessment method [1]
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Timepoint [1]
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serum collected at baseline (before quetiapine is first prescribed) and three months aftwer quetiapine treatment, all samples already collected. We estimate analysis of samples will take 10 months
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Eligibility
Key inclusion criteria
For inclusion in the study patients must fulfil all of the following criteria:
1. Provision of written informed consent prior to any study specific procedures
2. A diagnosis of first-episode psychosis
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Minimum age
18
Years
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Maximum age
26
Years
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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
Any of the following is regarded as a criterion for exclusion from the study:
1. Subject returns form to withdraw consent
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Retrospective
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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
1/09/2011
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Actual
1/06/2004
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Date of last participant enrolment
Anticipated
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Actual
1/06/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
38
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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AstraZeneca Pty Ltd
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Address [1]
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Alma Road, North Ryde, NSW, 2113
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Southern Health
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Address
145 Cleeland Street, Dandenong, Victoria, 3175
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Other collaborator category [1]
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University
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Name [1]
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Howard Florey Institute
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Address [1]
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Melbourne University, Parkville, Victoria, 3052
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Southern Health HREC Monash Medical Centre, 246 Clayton Road Clayton, Victoria, 3168
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Ethics committee address [1]
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Monash Medical Centre, 246 Clayton Road Clayton, Victoria, 3168
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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18/02/2011
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Ethics approval number [1]
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11044L
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Summary
Brief summary
Psychosis in general and schizophrenia in particular are currently best understood as a group of illnesses whose symptoms are related to brain abnormalities that are the final common pathway from a multitude of aetiologies, due to the assorted interaction of specific genetic and environmental factors. The concept probably encompasses several primary disease processes (for example with a phospholipid, neurotrophin or autoimmune aetiology) that display a common endpoint in dopamine and other neurochemical abnormalities, and structural changes. While there has been a lot of research concerning the phospholipid hypothesis, there has been little around the neurotrophin and autoimmune aetiologies. We seek to determine BDNF and cytokine levels in the serum of 19 drug-naive subjects with psychosis, before and after treatment with quetiapine (an antipsychotic), as markers of neurotrophin activity and autoimmunity respectively, and compare with 19 age and sex matched healthy controls.
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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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A/Prof Brendan Murphy
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Address
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Southern Health Mental Health Service
145 Cleeland Street, Dandenong, Victoria, 3175
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Country
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Australia
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Phone
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+ 61 3 9767 8222
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Brendan Murphy
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Address
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145 Cleeland Street, Dandenong, Victoria, 3175
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Country
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Australia
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Phone
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+ 61 3 9767 8222
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Fax
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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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Brendan Murphy
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Address
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145 Cleeland Street, Dandenong, Victoria, 3175
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Country
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Australia
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Phone
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+61 3 9767 8222
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Fax
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Email
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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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