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Antidepressant Treatment in Older Adults With Schizophrenia

Information source: National Institute of Mental Health (NIMH)
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Schizophrenia

Intervention: Citalopram (Celexa) (Drug); Placebo (Drug)

Phase: N/A

Status: Completed

Sponsored by: National Institute of Mental Health (NIMH)

Official(s) and/or principal investigator(s):
Sidney Zisook, MD, Principal Investigator, Affiliation: University of California, San Diego

Summary

The purpose of this study is to evaluate the safety and effectiveness of citalopram (Celexa) for the treatment of depressive symptoms in middle-aged and elderly patients with schizophrenia.

Clinical Details

Official title: Citalopram Augmentation in Older Patients With Schizophrenia

Study design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study

Detailed description: Older people with schizophrenia suffer from greater physical comorbidity, cognitive impairment, and medication side effects compared to their younger counterparts. Unfortunately, little research is available to guide the treatment of subsyndromal depressive symptoms in older adults. This study will compare the antidepressant citalopram to placebo to determine the most effective treatment for reducing depressive symptoms in older patients with schizophrenia

After patients have been on stable treatment with antipsychotic medication for at least 4 weeks, they are randomly assigned to receive antipsychotic medication plus either citalopram or placebo for 3 months. Depressive symptoms and side effects are assessed weekly for the first month, biweekly for the second month, and again at the end of the third month. Cognition, motor and daily functioning, quality of life, and medication adherence are assessed throughout the study.

Eligibility

Minimum age: 40 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Schizophrenia or schizoaffective disorder

- HAM-D score of 8 or above

- Antipsychotic medication treatment

Locations and Contacts

San Diego VA Medical Center, San Diego, California 92161, United States

Veterans Administration Hospital of Cincinnati, Cincinnati, Ohio 45220, United States

Additional Information

UCSD Geropsychiatry Advanced Clinical Intervention And Services Research Center

Starting date: September 2001
Ending date: September 2007
Last updated: March 4, 2008

Page last updated: June 20, 2008

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