258 patients who have been treated for at least 3 months with oral olanzapine, risperidone or quetiapine in the treatment of schizophrenia and currently presenting with metabolic syndrome, will be randomized to: i) aripiprazole for 16 weeks, with flexible dosing within a range of 10 to 30 mg once daily (QD); or ii) continue for 16 weeks on the same atypical antipsychotic treatment prior to the study enrollment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
125
Tablets, Oral, 5 to 30 mg, once daily, 16 weeks
Tablets, Oral, According to summary of product characteristics (SmPC)
Local Institution
Brussels, Belgium
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Brno, Czechia
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Brno, Czechia
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Havířov, Czechia
Local Institution
Hradec Králové, Czechia
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Prague, Czechia
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Prague, Czechia
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Prague, Czechia
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Přerov, Czechia
Local Institution
Roudnice nad Labem, Czechia
...and 20 more locations
Mean Percent Change From Baseline in Fasting Non-high Density Lipoprotein (HDL) Cholesterol at Week 16
Non-HDL cholesterol was calculated as fasting Total Cholesterol minus fasting HDL Cholesterol.
Time frame: Baseline, Week 16
Number of Participants Remaining on Metabolic Syndrome at Week 16
Metabolic syndrome is defined as the presence of at least 3 out of the following Adult Treatment Panel III-A (ATP III-A) criteria (all of which are to be assessed at the same visit): waist \>102 cm in males, \>88 cm in females; blood pressure (BP) systolic BP ≥130 or diastolic BP ≥85 mm Hg; fasting HDL \<40 mg/dL in males, \<50 mg/dL in females; fasting triglycerides ≥150 mg/dL; fasting glucose ≥100 mg/dL, and/or the start of a treatment for any of the parameters of metabolic syndrome during the course of the study.
Time frame: Week 16
Mean Percent Change From Baseline in Fasting Lipid Parameters Through Week 16
Mean percent change from baseline in total cholesterol, low-density lipoprotein (LDL), HDL, and triglycerides.
Time frame: Baseline, Week 4, Week 8, Week 12, Week 16
Mean Change From Baseline for Fasting Glucose Levels Through Week 16
Time frame: Baseline, Week 4, Week 8, Week 12, Week 16
Mean Change From Baseline in Body Weight Through Week 16
Time frame: Baseline, Week 4, Week 8, Week 12, Week 16
Median Change From Baseline in Body Mass Index (BMI) Through Week 16
Time frame: Baseline, Week 4, Week 8, Week 12, Week 16
Mean Change From Baseline in Clinical Global Impression-Severity (CGI-S) Scale Through Week 16
A CGI-S assessment (a 7-point scale to evaluate the severity of symptoms) was performed at baseline (1=normal; 7=among the most extremely ill patients). A decrease in value indicates improvement.
Time frame: Baseline, Week 4, Week 8, Week 12, Week 16
Mean Change From Baseline in Subjective Well-Being Under Neuroleptics Scale (SWN-short Form) Through Week 16
The SWN-short form is a 20-item self-report instrument that measures subjective well-being under neuroleptics. 10 positive and 10 negative items cover 5 health domains (subscales) (4 items each): emotional regulation, self-control, mental functioning, social integration, and physical functioning. Individual scores range from 1 (not at all) to 6 (very much). With negative item scores being reversed, Subscale scores range from 4 to 24 and Total score ranges from 20 to 120.
Time frame: Baseline, Week 4, Week 8,Week 12, Week 16
Mean Change From Baseline in the Impact of Weight on Quality of Life (IWQoL-Lite) Scale Through Week 16
IWQoL-Lite is a 31-item self-report inventory to assess the impact of weight on quality of life among patients with obesity. Subscales include: Physical Function, Self Esteem, Sexual Life, Public Distress and Work. The rescaled IWQoL-Lite Total Score is determined by the sum of the 1 to 5 scores on all 31 items and rescaling this sum to a 0-100 scoring with 0=the poorest and 100=the best quality of life. A change of 7.8 to 12.0 points on the rescaled IWQoL-Lite Total Score=a meaningful improvement. A change of -4.5 to -7.6 on the rescaled IWQoL-Lite Total Score=a meaningful deterioration.
Time frame: Baseline, Week 4, Week 8, Week 12, Week 16
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