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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04113993
Registration number
NCT04113993
Ethics application status
Date submitted
26/06/2019
Date registered
3/10/2019
Date last updated
28/11/2023
Titles & IDs
Public title
Bazedoxifene -Treatment for Women With Schizophrenia
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Scientific title
Bazedoxifene - A New Selective Estrogen Receptor Modulator Treatment for Women With Schizophrenia: a Double-blind, Randomized, Placebo Controlled Trial
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Secondary ID [1]
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HREC Reference 47262
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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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Schizophreniform Disorders
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Schizo Affective 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 - Bazedoxifene Acetate
Treatment: Drugs - Placebo
Experimental: Oral Bazedoxifene - Oral Bazedoxifene dosed at 40 mg daily
Placebo comparator: Placebo - Identically packaged placebo capsule daily
Treatment: Drugs: Bazedoxifene Acetate
Oral Bazedoxifene dosed at 40 mg daily for 12 weeks
Treatment: Drugs: Placebo
Identically packaged placebo capsule daily
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Intervention code [1]
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Treatment: Drugs
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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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Schizophrenia symptoms
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Assessment method [1]
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Symptoms of schizophrenia as measured on the Positive and Negative Symptom Scale (PANSS).
Subscales: Positive, Negative, General Psychopathology.
Positive scale: 7 Items, (minimum score = 7, maximum score = 49). Negative scale: 7 Items, (minimum score = 7, maximum score = 49). General Psychopathology scale:16 Items, (minimum score = 16, maximum score = 112).
PANSS Total score (summed from subscales): minimum = 30, maximum = 210
For all items, higher values indicate increased symptom severity.
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Timepoint [1]
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12 Weeks
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Secondary outcome [1]
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Cognition
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Assessment method [1]
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The neuropsychological battery will include subtests from the following batteries:
MATRICS Consensus Cognitive Battery (MCCB) comprises 7 domains: speed of processing, attention/vigilance, working memory, verbal learning, visual learning, reasoning and problem solving and social cognition.
The Repeatable Battery for Neuropsychological Status (RBANS) comprises 12 subtests that are used to calculate five index scores (Immediate Memory; Visuospatial/Constructional; Language; Attention and Delayed Memory) and a total score.
A verbal fluency task (Controlled Oral Word Association Task; COWAT), visual attention task (Trails A and B) and measures of premorbid intellect (Test of Premorbid Functioning; TOPF) will also be included.
Eye tracking will be an optional extra and will be recorded using The EyeLink (SR Research Ltd). Participants will fixate and/or shift their gaze in response to a number of stimuli, appearing on the screen, as requested by the assessor.
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Timepoint [1]
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12 Weeks
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Eligibility
Key inclusion criteria
* Physically well.
* A current DSM-V diagnosis of schizophrenia or related disorder.
* 18- 65 years
* Able to give informed consent.
* PANSS total score between 40 and 90 and a score of 4 (moderate) or more on two or more of the following PANSS items: delusions, hallucinatory behaviour, conceptual disorganization or suspiciousness.
* Documented normal PAP smear and pelvic examination in the preceding two years.
* Stable psychotropic medication for previous 4 weeks
* Normal breast ultrasound
* IQ > 70 (as determined by the WAIS IV subtests)
* English language proficiency (in order to provide informed consent and complete cognitive test battery)
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Minimum age
18
Years
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Maximum age
65
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.
* Patients with a history of severe traumatic brain injury or significant neurological or 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 dependence during the last six months (with the exclusion of caffeine and/or nicotine dependence).
* Women aged 40 or over who have not had a normal mammogram in the last 24 months
* Use of any form of estrogen, progestin or androgen as hormonal therapy in preceding 4 weeks including the pill.
* Pregnant (HCG will be measured at screening)
* Breastfeeding
* Planned changes to psychotropic medication or psychotherapy regimen.
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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 administering the treatment/s
The people assessing the outcomes
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
Recruiting
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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
7/10/2019
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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
31/12/2025
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Actual
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Sample size
Target
160
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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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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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Country
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Other collaborator category [1]
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Other
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Name [1]
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Monash University
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Monash Health
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
To study the effect of adjunctive bazedoxifene - a selective estrogen receptor modulator (SERM) in a double blind, placebo-controlled adjunctive study in the treatment of women with schizophrenia. All patients receive standardized antipsychotic medication.
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Trial website
https://clinicaltrials.gov/study/NCT04113993
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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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Anthony de Castella, Applied Scince
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Address
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Country
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Phone
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+61 390766564
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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
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/NCT04113993
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