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Trial registered on ANZCTR
Registration number
ACTRN12613000982718
Ethics application status
Approved
Date submitted
29/08/2013
Date registered
3/09/2013
Date last updated
3/09/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Investigation of alpha-lipoic acid supplementation in patients with schizophrenia
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Scientific title
Investigation of alpha-lipoic acid supplementation on oxidative stress parameters in patients with schizophrenia
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Secondary ID [1]
283112
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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:
Schizophrenia
289959
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Metabolic sindrome
289960
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Cardiovascular disease
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Condition category
Condition code
Mental Health
290330
290330
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0
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Schizophrenia
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This study will evaluate the effect of alpha lipoic acid (LA) in patients with schizophrenia treated with antipsychotics drugs. In this open label, interventional study we will investigate LA effects (capsule with 500 mg LA, once day 30 min before meals for 90 days) on oxidative stress markers and antioxidative defence in patients with schizophrenia and compared to healthy controls. We hypothesize that LA will effects on increased oxidative stress in schizophrenia, as well as improve some metabolic risk factors, that are resulting in side effects of antipsychotic use. Compliance measured through the number of returned capsules.
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Intervention code [1]
287834
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Treatment: Other
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Intervention code [2]
287835
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Prevention
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Comparator / control treatment
The active healthy control group underwent
the exact same treatment (500 mg LA, once day 30 min before meals for 90 days) as the intervention group.
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Control group
Active
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Outcomes
Primary outcome [1]
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Effects of alpha-lipoic acid supplementation on oxidative stress (plasma superoxide anion levels, serum thiobarbituric acid-reacting substances concentrations, plasma advanced oxidation protein products levels, serum total oxidative status levels, serum proxidative-antioxidative balance levels) and antioxidative defence markers : plasma (superoxide dismutase) and erythrocyte antioxidant enzyme acitivities ( superoxide dismutase, glutathione peroxidase, catalase), total glutathione concentrations in erythrocytes, plasma total sulfhydryl groups, serum total antioxidant status, plasma PON1 actiivity
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Assessment method [1]
290368
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Timepoint [1]
290368
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All measurements were done at the point of the study start, after 45 days of supplementation with LA, and after 90 days of supplementation.
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Secondary outcome [1]
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Effects of alpha-lipoic acid supplementation on metabolic risk factors
Anthropometric measurements: weight and height were measured using a calibrated stadiometer and a balance beam scale , % body fat (bioimpedance analysis), waist and hip circumference were measured with a flexible tape.
Systolic and diastolic blood pressures were measured with a standard mercury sphygmomanometer
Laboratory analysis: plasma fasting glucose level and serum lipid status parameters [total cholesterol (t-C), LDL cholesterol (LDL-C), HDL cholesterol (HDL-C), triglycerides (TG)]
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Assessment method [1]
304364
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Timepoint [1]
304364
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All measurements were done at the point of the study start, after 45 days of supplementation with LA, and after 90 days of supplementation.
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Eligibility
Key inclusion criteria
A ICD 10 diagnosis of schizophrenia
Ability to give assent
All patients on stable dose of antipsychotic drugs
Otherwise medically stable
Inclusion criteria for healthy controls were absence of any psychiatric and somatic disease.
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Minimum age
18
Years
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Maximum age
65
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
History of substance abuse or dependence
Several medical disorders: severe head injury, seizure disorders diabetes, cancer, renal or liver diseases, pregnancy
Oral contraceptives, hormone replacement therapy, hypolipidemic drugs, any food supplements at least 30 days before and during the study.
Patients clinically unstable on current medication regimen
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
Combination single group and parallel design study:
different groups of participants receive same interventions during the three months period
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Phase
Not Applicable
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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
1/04/2011
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Actual
21/04/2011
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Date of last participant enrolment
Anticipated
1/05/2012
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Actual
12/04/2012
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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 outside Australia
Country [1]
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Serbia and Montenegro
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State/province [1]
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Belgrade
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Belgrade
Faculty of Pharmacy
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Address [1]
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Vojvode Stepe 450
11 000 Belgrade
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Country [1]
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Serbia and Montenegro
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Primary sponsor type
University
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Name
University of Belgrade, Faculty of Pharmacy
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Address
Vojvode Stepe 450
11 000 Belgrade
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Country
Serbia and Montenegro
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Secondary sponsor category [1]
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None
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Name [1]
286594
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Address [1]
286594
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Country [1]
286594
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
289809
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The Ethical Committee of the Clinical Centre of Serbia
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Ethics committee address [1]
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Clinical Centre of Serbia, Pasterova 2 11000 Belgrade
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Ethics committee country [1]
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Serbia and Montenegro
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Date submitted for ethics approval [1]
289809
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02/11/2010
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Approval date [1]
289809
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21/01/2011
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Ethics approval number [1]
289809
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Summary
Brief summary
Increasing evidence suggested that oxidative stress exists in schizophrenia. Oxidative stress also has been indicate to contribute to metabolic syndrome and related disorders, including diabetes and cardiovascular disease, which are higher prevalence in schizophrenia compared to general population. Alpha-lipoic acid is a naturally occurring compound that is synthesized in small amounts by humans. It is found in spinach, potatoes, broccoli, red meats and liver. Orally supply alpha-lipoic acid has potent antioxidant activity. Beside, quenching free radicals, there is evidence that alpha-lipoic acid lead to regeneration endogenous antioxidants such as vitamins C and E, and GSH. Alpha-lipoic acid has been reported to has beneficial effect in many disease associated with increased oxidative stress, which could be a consequence of either increased production of free radicals or reduced antioxidant defenses.We hypothesized that LA would effects on increased oxidative stress in schizophrenia, as well as improved some metabolic risk factors, that are resulting in side effects of antipsychotic use.
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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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Miss Bojana Vidovic
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Address
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University of Belgrade
Faculty of Pharmacy
Department of Bromatology
Vojvode Stepe 450,
11221 Belgrade
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Country
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Serbia and Montenegro
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Phone
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+381 11 3951-395
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Fax
42546
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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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Bojana Vidovic
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Address
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University of Belgrade
Faculty of Pharmacy
Department of Bromatology
Vojvode Stepe 450,
11221 Belgrade
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Country
42547
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Serbia and Montenegro
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Phone
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+381 11 3951-395
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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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Bojana Vidovic
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Address
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University of Belgrade
Faculty of Pharmacy
Department of Bromatology
Vojvode Stepe 450,
11221 Belgrade
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Country
42548
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Serbia and Montenegro
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Phone
42548
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+381 11 3951-395
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Fax
42548
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Email
42548
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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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