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Trial registered on ANZCTR
Registration number
ACTRN12605000267651
Ethics application status
Approved
Date submitted
30/08/2005
Date registered
2/09/2005
Date last updated
2/09/2005
Type of registration
Retrospectively registered
Titles & IDs
Public title
Essential Fatty Acid Supplementation in Psychosis
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Scientific title
A study investigating the influence of eicosapentanoic acid (EPA) supplementation in First Episode Psychotic Patients on clinical outcome and cognition
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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
354
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Condition category
Condition code
Mental Health
415
415
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0
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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
2 g eicosapenaenoic acid added on to standard treatment
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Intervention code [1]
313
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Treatment: Drugs
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Comparator / control treatment
Standed treatment
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Control group
Placebo
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Outcomes
Primary outcome [1]
474
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Symptomatic improvement measured in change scores
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Assessment method [1]
474
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Timepoint [1]
474
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Primary outcome [2]
475
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Symptomatic improvement measured in time to remission
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Assessment method [2]
475
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Timepoint [2]
475
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Primary outcome [3]
476
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Symptomatic improvement measured in time to response
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Assessment method [3]
476
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Timepoint [3]
476
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Primary outcome [4]
477
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Symptomatic improvement measured in total commulative dose
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Assessment method [4]
477
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Timepoint [4]
477
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Secondary outcome [1]
1032
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Tolerability measures: Extra-pyramidal symptoms , niacin sensitivity as predictor for treatment response to EPA, effects of EPA on H-Magnetic Resonance spectroscpy, effects of EPA on cognition.
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Assessment method [1]
1032
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Timepoint [1]
1032
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Eligibility
Key inclusion criteria
Patients meeting criteria for first episode psychosis, living in the North Western region of Melbourne, encompassing patients with DSM IV diagnosis of schizoprenia, schizoprheniform psychosis, schizoaffective disorder, Psychosis NOS.
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Minimum age
15
Years
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Maximum age
29
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
No exclusion criteria
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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)
numbered containers (provided by clinical trials pharmacy of the Royal Melbourne Hospital)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computer generated randomization (no stratification)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
add on to standard antipsychotic treatment
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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
Completed
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Date of first participant enrolment
Anticipated
1/11/1999
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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
80
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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]
466
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Charities/Societies/Foundations
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Name [1]
466
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Swiss Natioanl Science Foudation
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Address [1]
466
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Country [1]
466
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Switzerland
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Funding source category [2]
467
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Charities/Societies/Foundations
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Name [2]
467
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M&W lichtenstein Foundation
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Address [2]
467
0
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Country [2]
467
0
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Funding source category [3]
468
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University
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Name [3]
468
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Laxdale Ltd.
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Address [3]
468
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Country [3]
468
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United Kingdom
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Funding source category [4]
469
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Other
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Name [4]
469
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ORYGEN Research Centre
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Address [4]
469
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Country [4]
469
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Australia
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Primary sponsor type
Government body
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Name
Swiss National Science Foundation
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Address
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Country
Switzerland
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Secondary sponsor category [1]
376
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Commercial sector/Industry
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Name [1]
376
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Laxdale Ltd
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Address [1]
376
0
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Country [1]
376
0
United Kingdom
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
1442
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North Western Mental Health Research & Ethics committee
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Ethics committee address [1]
1442
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Ethics committee country [1]
1442
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Australia
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Date submitted for ethics approval [1]
1442
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Approval date [1]
1442
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Ethics approval number [1]
1442
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Summary
Brief summary
This study investigates the influence of Eicosapentanoic acid (EPA) in first episode psychotic patients. The influence of EPA supplementation has been investigated only in neuroleptic-treated, mostly chronic patients with schizophrenia. The effect size of EPA supplementation in addition to antipsychotic treatment in these studies was approximately 20%. We suggest that the effect in early course of illness is even stronger and long-term consequences could be avoided. For ethical reasons at this point ALL patients get a standard treatment with an atypical antipsychotic (standard treatment for first episode patients at EPPIC) in a flexible dose regime. After inclusion into the study patients are randomised to two arms. One arm will be supplemented with a mineral oil (4 capsules of 0.5g) which is not absorbed by the gastrointestinal tract (placebo group). The other arm will be supplemented with purified Eicosapentanoic acid (4 capsules of 0.5g). Patients who give written informed consent will do standard clinical and neuropsychological tests (CANTAB) at baseline and after 12 weeks of supplementation (pre/post study design). A topical Niacin flush test (already approved by the research and ethics committee within following project: Psychobiology and Prevention of Transition to Psychosis 29/7/99) will also be applied at baseline and after 12weeks.
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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
35921
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Address
35921
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Country
35921
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Phone
35921
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Fax
35921
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Email
35921
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Contact person for public queries
Name
9502
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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
9502
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Australia
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Phone
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+61 3 93422800
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Fax
9502
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+61 3 93873003
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Email
9502
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[email protected]
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Contact person for scientific queries
Name
430
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Gregor Berger
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Address
430
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ORYGEN Research Centre
35 Poplar Rd
Parkville VIC 3052
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Country
430
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Australia
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Phone
430
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+61 3 93422800
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Fax
430
0
+61 3 93873003
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Email
430
0
[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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