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Trial registered on ANZCTR
Registration number
ACTRN12609000184279
Ethics application status
Not yet submitted
Date submitted
31/10/2008
Date registered
17/04/2009
Date last updated
17/04/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
Tailoring Adjunct Glycine Therapy in Schizophrenia
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Scientific title
Tailoring Adjunct Glycine Therapy to Improve Cognitive Function and Clinical Symptoms in Schizophrenia
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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:
Schizophrenia
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Condition category
Condition code
Mental Health
4015
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Schizophrenia
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Glycine, 0.8g/kg oral administration per day for 6 weeks, in conjunction with patient's current antipsychotic medication
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Intervention code [1]
3550
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Treatment: Drugs
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Comparator / control treatment
Placebo (0.8g/kg glucose) oral administration per day for 6 weeks, in conjunction with patient's current antipsychotic medication
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Cognition as measured by the CogState Schizophrenia Cognitive Test Battery
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Assessment method [1]
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Timepoint [1]
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at baseline, 3 weeks, and 6 weeks after treatment commencement
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Primary outcome [2]
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Mismatch Negativity (MMN) amplitude as measured by electroencephalography (EEG)
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Assessment method [2]
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Timepoint [2]
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at baseline and 6 weeks after treatment commencement
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Primary outcome [3]
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Positive and Negative Symptom Scale (PANSS) score
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Assessment method [3]
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Timepoint [3]
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at baseline, 3 weeks, and 6 weeks after treatment commencement
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Secondary outcome [1]
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Calgary Depression Rating Scale (CDRS) score
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Assessment method [1]
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Timepoint [1]
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at baseline, 3 weeks, and 6 weeks after treatment commencement
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Secondary outcome [2]
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Work and Social Adjustment Scale (WSAS) score
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Assessment method [2]
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Timepoint [2]
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at baseline, 3 weeks, and 6 weeks after treatment commencement
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Eligibility
Key inclusion criteria
* Currently meet Diagnostic & Statistical Manual of Mental Disorders - 4th Edition (DSM-IV) criteria for a diagnosis of chronic schizophrenia
* Aged 18-45 years
* Clinically stable for 3 months
* Currently on stable atypical antipsychotic (other than Clozapine) therapy, where type of medication has been unaltered for 2 months and medication dose has been unaltered for 1 month prior to start of study
* Capacity to provide consent
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Minimum age
18
Years
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Maximum age
45
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
* Comorbid diagnosis of other Axis 1 conditions including alcohol or substance dependence
* Currently on Clozapine (patients on Clozapine will not be used due its effects on the NDMA receptor)
* History of head injury
* History of hearing difficulties (patient report)
* Pregnant or breastfeeding
* Use of prescription or non-prescription drugs (other than antipsychotic drugs for schizophrenia patients), including vitamins, herbal and dietary supplements within 7 days (or 14 days if the drug is a potential enzyme inducer) or 5 half-lives (whichever is longer) prior to the first study visit, unless in the opinion of the Investigator the medication will not interfere with the study procedures or compromise subject safety.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The patient will be randomly allocated to either the glycine or placebo treatment by a member of the research team who is 'offsite' and not involved in the recruitment or testing of study participants. Treatment will be counterbalanced amongst patients and both the patient and investigator will be blind to the assigned treatment.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomization table created by a computer software (i.e., computerised sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Factorial
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/02/2009
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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
50
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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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Recruitment postcode(s) [1]
1203
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3000
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council (NHMRC)
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Address [1]
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Alfred Hospital
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Address
The Alfred Hospital
Commercial Rd
Melbourne
VIC 3004
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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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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Ethics committee address [1]
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Ethics committee country [1]
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Date submitted for ethics approval [1]
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23/03/2009
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Approval date [1]
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Ethics approval number [1]
6092
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Summary
Brief summary
‘Glycine’ is an amino acid that can be purchased at health food shops in Australia. Some studies have suggested that glycine, when administered in conjunction with typical medications, improve schizophrenia symptoms. However, glycine doesn’t work in all patients. Much more research is needed to determine how and whether glycine affects brain activity, cognitive processes and other schizophrenia symptoms. The purpose of this project is to investigate the use of glycine as an adjunct treatment for improving cognition in schizophrenia. We will investigate whether glycine treatment, in combination with standard antipsychotic medication, is more effective at improving cognitive and clinical symptoms of schizophrenia than antipsychotic medication alone. We will measure schizophrenia patient's baseline level of glycine and we will examine whether glycine treatment affects brain activity, cognition and clinical symptoms differently, depending on the patient's baseline level of glycine.
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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
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Contact person for public queries
Name
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Dr Sumie Leung
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Address
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Brain Sciences Institute
400 Burwood Rd
Hawthorn, VIC 3122
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Country
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Australia
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Phone
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+613 9214 5462
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Fax
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+613 9214 5525
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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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Professor Rodney Croft
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Address
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University of Wollongong
Northfields Avenue
Wollongong, NSW 2522
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Country
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Australia
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Phone
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+61 2 42213652
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Fax
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+61 2 42214163
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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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