The Impact of Quetiapine on the Drug Abuse Patterns of Addicted Schizophrenic Patients

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The lifetime of substance use disorders in schizophrenia is close to 50%. Substance abuse in schizophrenia is associated with negative consequences. Unfortunately, there no clear guidelines for the pharmacological treatment of this dual diagnosis population. Preliminary results suggest that second-generation antipsychotic drugs (mainly clozapine) may relieve drug cravings in schizophrenia. We...

Brief Summary

Official Title: “The Impact of Quetiapine on the Drug Abuse Patterns of Addicted Schizophrenic Patients”

The lifetime of substance use disorders in schizophrenia is close to 50%. Substance abuse in schizophrenia is associated with negative consequences. Unfortunately, there no clear guidelines for the pharmacological treatment of this dual diagnosis population. Preliminary results suggest that second-generation antipsychotic drugs (mainly clozapine) may relieve drug cravings in schizophrenia. We performed a 12-week pilot study to evaluate the impact of quetiapine, a second-generation antipsychotic, on substance abuse parameters, psychiatric symptoms and side effects in patients schizophrenia and comorbid substance use disorders.

Our expectation was a 20 % decrease in drug cravings from baseline to end-point.

  • Study Type: Interventional
  • Study Design: Allocation: Non-Randomized, Intervention Model: Single Group Assignment, Masking: Open Label

Intervention(s) in this Clinical Trial

  • Drug: quetiapine (drug)

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Patients with as schizophrenia spectrum disorder
  • Patients with a comorbid substance use disorder

Exclusion Criteria:

  • Patients already on quetiapine or clozapine
  • Patients hospitalized or acutely ill
  • Total score lower than 65 on the PANSS
  • Pregnancy
  • Female subjects of childbearing potential without adequate contraception
  • Abnormal liver function (hepatic enzymes more than 3 times the upper normal limits)
  • Any clinically meaningful unstable renal, hepatic, cardiovascular, respiratory, cerebrovascular disease or other serious, progressive physical disease.

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 18 Years

Maximum Age for this Clinical Trial: 55 Years

Clinical Trial Investigator Information

Lead Investigator: University of Montreal Other

Overall Clinical Trial Officials and Contacts

Emmanuel Stip, Md, MSc, CSPQ Principal Investigator Centre de recherche Fernand-Seguin, Hôpital Louis-H Lafontaine, Departement of Psychiatry, Faculty of medicine, University of Montreal  

Additional Information

Information obtained from ClinicalTrials.gov on February 12, 2012

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00295412

Study ID Number: 5077-99904

ClinicalTrials.gov Identifier: NCT00295412

Health Authority: Canada: Health Canada

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http://clinicaltrialsfeeds.org/clinical-trials/show/NCT00295412