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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00361543
Registration number
NCT00361543
Ethics application status
Date submitted
7/08/2006
Date registered
8/08/2006
Date last updated
30/01/2015
Titles & IDs
Public title
Selective Estrogen Receptor Modulators - A Potential Treatment for Psychotic Symptoms of Schizophrenia
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Scientific title
Selective Estrogen Receptor Modulators - A Potential Treatment for Psychotic Symptoms of Schizophrenia?
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Secondary ID [1]
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03T-422
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Secondary ID [2]
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MAPrc 94/06
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Universal Trial Number (UTN)
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Trial acronym
SERM
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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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Schizoaffective Disorder
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Schizophreniform Disorder
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Condition category
Condition code
Mental Health
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Schizophrenia
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Mental Health
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Psychosis and personality disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Raloxifene hydrochloride
Other interventions - Lactose Capsules
Active comparator: 1 - Raloxifene Hydrochloride
Placebo comparator: 2 - placebo tablet
Treatment: Drugs: Raloxifene hydrochloride
120 mg per capsule (1 tablet daily)
Other interventions: Lactose Capsules
1 tablet daily for 12 weeks
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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PANSS score at trial completion (12 weeks)
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Assessment method [1]
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Timepoint [1]
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baseline, week 2,4,6,8,10,12
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Secondary outcome [1]
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MADRS score at trial completion (12 weeks)
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Assessment method [1]
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Timepoint [1]
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baseline, week 2,4,6,8,10,12
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Secondary outcome [2]
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Cognitive Test scores at trial completion (12weeks)
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Assessment method [2]
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Timepoint [2]
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baseline and week 12
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Secondary outcome [3]
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Adverse Symptom Checklist score at trial completion (12 weeks)
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Assessment method [3]
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Timepoint [3]
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baseline, week 2,4,6,8,10,12
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Secondary outcome [4]
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Hormone level change over study duration (12 weeks)
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Assessment method [4]
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Timepoint [4]
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baseline, weeks 4, 8, 12
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Eligibility
Key inclusion criteria
* Physically well.
* A current DSM-IV diagnosis of schizophrenia or related disorder.
* 45-70 years
* Able to give informed consent.
* PANSS total score > 60 (1 - 7 scale) and a score of 4 (moderate) or more on two or more of the following PANSS items: delusions, hallucinatory behaviour, conceptual disorganization or suspiciousness.
* No abnormality observed during physical breast examination.
* Documented normal PAP smear and pelvic examination in the preceding two years.
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Minimum age
45
Years
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Maximum age
70
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Patients with known abnormalities in the hypothalamo-pituitary gonadal axis, thyroid dysfunction, central nervous system tumours, active or past history of a venous thromboembolic event, or undiagnosed vaginal bleeding.
* Patients with any significant unstable medical illness such as epilepsy and diabetes or known active cardiac, renal or liver disease; presence of illness causing immobilisation.
* Patients whose psychotic illness is directly related to illicit substance use or who have a history of substance abuse or dependence during the last six months, or consumption of more than 30gm of alcohol (three standard drinks) per day.
* Smoking more than 20 cigarettes per day.
* Use of any form of estrogen, progestin or androgen as hormonal therapy, or antiandrogen including tibolone or use of phytoestrogen supplements as powder or tablet.
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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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
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/08/2006
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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
1/12/2014
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Sample size
Target
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Accrual to date
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Final
54
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Monash Alfred Psychiatry Research Centre - Melbourne
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Recruitment postcode(s) [1]
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3004 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
The Alfred
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Stanley Medical Research Institute
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Address [1]
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Other collaborator category [2]
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Other
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Name [2]
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National Health and Medical Research Council, Australia
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Address [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
The aim of the project is to investigate the use of Raloxifene (a new form of estrogen) in the treatment of women with schizophrenia and schizoaffective disorder. Raloxifene is a Selective Estrogen Receptor Modulator (SERM), which means that it can affect the central nervous system (CNS) effects of estrogen (eg. improving emotional symptoms, memory, information processing and concentration), without adversely affecting reproductive tissue/organs such as breast, uterus and ovaries. The investigators are conducting a double-blind, placebo controlled, three month study comparing the psychotic symptom response of women with schizophrenia in both groups. One group will receive standard antipsychotic medication plus 120mg Raloxifene, while the second group will receive standard antipsychotic medication plus oral placebo. Hypothesis 1: That the women receiving adjunctive Raloxifene would have a quicker recovery from psychotic symptoms, as measured on the rating scales, compared with the women receiving adjunctive placebo. Hypothesis 2: That the Raloxifene group would have better cognitive improvement than the placebo group.
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Trial website
https://clinicaltrials.gov/study/NCT00361543
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Trial related presentations / publications
Thomas N, Gurvich C, Hudaib AR, Gavrilidis E, Kulkarni J. Dissecting the syndrome of schizophrenia: Associations between symptomatology and hormone levels in women with schizophrenia. Psychiatry Res. 2019 Oct;280:112510. doi: 10.1016/j.psychres.2019.112510. Epub 2019 Aug 8. Kulkarni J, Gavrilidis E, Gwini SM, Worsley R, Grigg J, Warren A, Gurvich C, Gilbert H, Berk M, Davis SR. Effect of Adjunctive Raloxifene Therapy on Severity of Refractory Schizophrenia in Women: A Randomized Clinical Trial. JAMA Psychiatry. 2016 Sep 1;73(9):947-54. doi: 10.1001/jamapsychiatry.2016.1383.
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Public notes
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Contacts
Principal investigator
Name
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Jayashri Kulkarni, MBBS, MPM, FRANZCP, PhD
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Address
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Bayside Health, Alfred Hospital
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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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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 scientific queries
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00361543
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