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Unable to secure funding for second phase of study (i.e., niacin skin flush test in early psychosis patients).
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The purpose of this study is to gather normative data from healthy adults and to determine a sensitive and specific cut-off value for responders and non-responders to the Niacin Skin Flush Test in a sample of first episode psychosis patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy Control | Caucasian males and females between 19 and 30 years of age. |
| |
| First Episode Psychosis | Caucasian males and females between 19 and 30 years of age within twelve months of initial DSM IV TR diagnosis of schizophreniform psychosis, schizophrenia, schizoaffective disorder or psychotic disorder NOS. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| skin test | Other | four patches of 2 x 3cm thin blotting paper will be soaked with an equivalent amount (0.1 mL) of aqueous methyl nicotinate in four different concentrations: 0.1, 0.01, 0.001, 0.0001 M. The four patches will then be applied at the same time to the inner forearm for 60 seconds. |
| Measure | Description | Time Frame |
|---|---|---|
| change in visual rating of skin response (redness and oedema) | A 7-point visual rating scale, previously tested for reliability (Kerr 2008), to visually rate the skin response to aqueous methyl nicotinate (niacin) with respect to both redness and oedema as a function of increasing niacin concentrations.Ratings will be acquired every three minutes over a 12-minute period starting at the time of solution application. | ratings made at 3, 6, 9 and 12 minutes after application of methyl nicotinate |
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Inclusion Criteria:
Exclusion Criteria:
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Healthy young adults
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| Name | Affiliation | Role |
|---|---|---|
| Phillip G Tibbo, MD, FRCPC | Capital District Health Authority, Nova Scotia, Canada | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nova Scotia First Episode Psychosis Program; QEII health Sciences Centre; Capital District Health Authority | Halifax | Nova Scotia | B3H 2E2 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18656334 | Background | Kerr M, Cotton S, Proffitt T, McConchie M, Markulev C, Smesny S, McGorry P, Berger G. The topical niacin sensitivity test: an inter- and intra-rater reliability study in healthy controls. Prostaglandins Leukot Essent Fatty Acids. 2008 Jul-Aug;79(1-2):15-9. doi: 10.1016/j.plefa.2008.06.001. Epub 2008 Jul 24. | |
| 20305586 | Background |
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| ID | Term |
|---|---|
| D011618 | Psychotic Disorders |
| D012559 | Schizophrenia |
| D006967 | Hypersensitivity |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D012882 | Skin Tests |
| ID | Term |
|---|---|
| D007159 | Immunologic Tests |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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|
| Nadalin S, Buretic-Tomljanovic A, Rubesa G, Tomljanovic D, Gudelj L. Niacin skin flush test: a research tool for studying schizophrenia. Psychiatr Danub. 2010 Mar;22(1):14-27. |
| D008919 | Investigative Techniques |
| D007158 | Immunologic Techniques |