UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002294
Receipt number R000002804
Scientific Title Predicting Antipsychotic Plasma Level Before Dosage Change: Population Pharmacokinetic Analysis
Date of disclosure of the study information 2009/08/20
Last modified on 2012/02/06 08:14:04

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Basic information

Public title

Predicting Antipsychotic Plasma Level Before Dosage Change: Population Pharmacokinetic Analysis

Acronym

Predicting Antipsychotic Plasma Level

Scientific Title

Predicting Antipsychotic Plasma Level Before Dosage Change: Population Pharmacokinetic Analysis

Scientific Title:Acronym

Predicting Antipsychotic Plasma Level

Region

Japan


Condition

Condition

schizophrenia

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

A close association between plasma antipsychotic level and dopamine D2 receptor occupancy suggests that the plasma antipsychotic level can be used to predict D2 receptor occupancy. Individualized dosing with the measurement of antipsychotic plasma levels, therefore, becomes a real potential clinical application. Given a high interindividual variability in peripheral pharmacokinetic parameters, the next hurdle is in robustly predicting antipsychotic plasma levels before changing a dose for each individual. In this study, we will attempt to test the validity and reliability of predicting plasma levels of risperidone and 9-hydroxyrisperidone before performing a dosage change, using population pharmacokinetic modeling.

Basic objectives2

Pharmacokinetics

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

An interclass correlation coefficient between predicted and observed plasma antipsychotic levels will be calculated.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) DSM-IV/SCID diagnosis of schizophrenia, schizoaffective disorder, schizophreniform disorder, delusional disorder, or psychotic disorder NOS
(2) Having been treated with oral risperidone or olanzapine at a steady dose for at least 7 days
(3) Antipsychotic dosage change is clinically indicated
(4) Capable to provide informed consent

Key exclusion criteria

(1) Past history of vasovagal reflection associated with injection
(2) History of treatment with long-acting risperidone within 3 months

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hiroyuki Uchida

Organization

Keio University School of Medicine

Division name

Department of Neuropsychiatry

Zip code


Address

160-8582 35 Schinanomachi, Shinjuku-ku

TEL

+81.3.5363.3829

Email



Public contact

Name of contact person

1st name
Middle name
Last name

Organization

Keio University School of Medicine

Division name

Department of Neuropsychiatry

Zip code


Address


TEL

81.3.5363.3829

Homepage URL


Email



Sponsor or person

Institute

Department of Neuropsychiatry, Keio University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2009 Year 08 Month 20 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

50 subjects participated in this study. The mean (95% CI) prediction errors (ng/mL) were as low as 0.0 (-1.3-1.4) for RIS and 1.0 (-1.1-3.0) for 9-OH-RIS. The observed and predicted concentrations of RIS and 9-OH-RIS were highly correlated, respectively (r=0.96, p<0.0001 and r=0.92, p<0.0001, respectively).

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2009 Year 05 Month 24 Day

Date of IRB


Anticipated trial start date

2009 Year 09 Month 01 Day

Last follow-up date

2011 Year 08 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

In this study, people who will need a dosage change of risperidone or olanzapine for clinical reasons(s) will be included. No dosage change will be performed only for the purpose of participating in this study.


Management information

Registered date

2009 Year 08 Month 05 Day

Last modified on

2012 Year 02 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002804


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name