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The primary objective of this protocol is to assess the efficacy of two dose strengths of varenicline (0.5 mg BID and 1mg BID) as adjunctive treatment for cognitive impairment in symptomatically stable outpatient schizophrenic subjects who are receiving treatment with atypical antipsychotic medications.
A secondary objective is to evaluate the safety and tolerability of two doses of varenicline in symptomatically stable schizophrenic subjects who are receiving treatment with atypical antipsychotic medications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| placebo | Placebo Comparator |
| |
| varenicline 0.5 mg BID | Active Comparator |
| |
| varenicline 1mg BID | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| placebo | Drug | Subjects randomized to placebo will receive matching placebo and follow the titration schedule and dosing schedule of those randomized to varenicline. |
|
| Measure | Description | Time Frame |
|---|---|---|
| CNS Vital Signs Cognition Battery (CNS-VS-M) normed composite score | screening, wk -1, baseline, wk 1,3,6 |
| Measure | Description | Time Frame |
|---|---|---|
| CNS-VS-M un-normed composite score | screening, wk-1,baseline,wk1,3,6 | |
| CNS-VS-M un-normed and normed domain scores | screening, wk-1,baseline, wk1,3,6 | |
| University of California San Diego Performance Skills Assessment Brief (UPSA-B) total score |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pfizer CT.gov Call Center | Pfizer | Study Director |
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| Label | URL |
|---|---|
| To obtain contact information for a study center near you, click here. | View source |
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| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D000068580 | Varenicline |
| ID | Term |
|---|---|
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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| varenicline | Drug | Subjects randomized to the 0.5 mg arm will be titrated to the full dose during the first week in the following manner: 0.5mg QD x 7 days, then 0.5mg BID for the remainder of the 6 week trial. |
|
|
| varenicline | Drug | Subjects randomized to the 1mg arm will be titrated to the full dose during the first week in the following manner: 0.5mg QD x 3 days, 0.5mg BID x 4 days, then 1mg BID for the remainder of the 6 week trial. |
|
|
| baseline, wk 1,3,6 |
| Severity Item for Cognitive Impairment-Clinician and Patient Versions (SICI-CV; SICI-PV) | baseline, wk6 |
| Global Improvement in Cognition Clinician and Patient Versions (GIC-CV;GIC-PV) | wk 1,3,6 |
| Safety assessments, including adverse events, electrocardiographic assessments, neuropsychiatric assessments (performed weekly), physical exam, and laboratory measures | weekly |
| D011810 | Quinoxalines |