Melatonin Metabolism Abnormality in Patients With Schizophrenia or Schizoaffective Disorder Treated With Olanzapine

Condition(s) targeted: Schizophrenia; Schizoaffective Disorder; Obesity; Metabolic Syndrome

Intervention: olanzapine and melatonin (Drug)

Phase: N/A

Status: Recruiting

Sponsored by: Seattle Institute for Biomedical and Clinical Research

Official(s) and/or principal investigator(s):
Andre Tapp, M.D., Principal Investigator, Affiliation: VA Puget Sound Health Care System, Seattle and Tacoma, WA; University of Washington, Dept. of Psychiatry and Behavioral Sciences

Overall contact:
Annette Kennedy, Psy.D., Phone: (253) 583-1614, Email: Annette.Kennedy@va.gov

Atypical antipsychotic medications, such as olanzapine, cause metabolic side effects, including weight gain, extra fat around the middle of the body, high blood sugar, and high cholesterol. One of the mechanisms by which these medications may cause these effects is by reducing plasma melatonin. This study is a pilot project to evaluate 1) the effect of olanzapine on melatonin secretion levels and 2) the effect of melatonin on olanzapine-induced changes in melatonin secretion in patients with schizophrenia or schizoaffective disorder.

Official title: Melatonin Metabolism Abnormality in Patients With Schizophrenia or Schizoaffective Disorder Treated With Olanzapine and Melatonin Dose Finding for the Correction of the Metabolic Abnormality

Study design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Dose Comparison, Parallel Assignment, Safety/Efficacy Study

Primary outcome: Nocturnal melatonin production as estimated by assay of urinary 6-sulfatoxymelatonin (aMT6s) adjusted for creatinine

Secondary outcome: Metabolic indices including weight, waist and hip measurements, and metabolic tests

Detailed description: To investigate the relationship between olanzapine, melatonin, and metabolic functioning, this pilot study is evaluating 20 stable patients with schizophrenia or schizoaffective disorder over 15 weeks under three experimental conditions: 1) baseline (two weeks treatment with already established antipsychotic medication other than olanzapine or clozapine), 2) six weeks treatment with olanzapine only, and 3) six weeks treatment with olanzapine and melatonin. Half of the patients will receive 0. 3 mg of oral melatonin and half will receive 3. 0 mg of melatonin. Nocturnal melatonin production, as estimated by assay of urinary 6-sulfatoxymelatonin(aMT6s) adjusted for creatinine, will be measured weekly. In addition, weekly measurements of weight and other metabolic indices, including waist and hip measurements, fasting glucose, serum insulin, cholesterol, triglycerides, and leptin will be taken. It is anticipated that there will be an olanzapine-induced decrease in melatonin production. Furthermore, it is expected that the decrease in melatonin production associated with olanzapine treatment will be reversed by administration of melatonin with olanzapine.

Minimum age: 18 Years. Maximum age: 65 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

1. Age 18-65;

2. DSM-IV-TR diagnosis of schizophrenia or schizoaffective disorder;

3. Psychiatrically stable as evidenced by no psychiatric hospitalizations and no changes in psychiatric medications within the prior three months, and as confirmed by clinical interview during the screening phase (Clinical Global Impression Scale, Severity score rating < 5). (Minor changes, such as dose adjustment or PRN medications, in psychiatric medications may be allowed as per the discretion of the study doctor.);

4. Females must be of non-child bearing potential (i. e., surgically sterilized, or at least one year post-menopausal) or on an appropriate dose of oral/depot contraceptives or using barrier protection and not breast-feeding. Females must have a urine pregnancy test at screening;

5. Willingness and ability to take medications nightly at 10: 00 p. m.; and

6. The subject or his/her legal representative must provide informed, written consent.

Exclusion Criteria:

1. Females who are pregnant or lactating;

2. Concurrent participation or participation within the prior 30 days in any study involving investigational medications;

3. Current (within the prior 30 days) diagnosis of substance abuse or dependence;

4. Use of olanzapine within the prior three months;

5. History of allergy or intolerable side-effects to olanzapine in the past;

6. History of significant head trauma, defined as head trauma resulting in loss of consciousness for more than five minutes and/or neurological or cognitive sequelae;

7. Evidence of any clinically relevant disease (e. g., renal or hepatic impairment, significant coronary artery disease, cerebrovascular disease, or cancer) or any clinical finding that in the opinion of the investigator could potentially be negatively affected by study participation or that could potentially affect study participation is criterion for exclusion from the study;

8. Use of fluvoxamine, nifedipine, or warfarin for 30 days prior to Baseline Visit.

Annette Kennedy, Psy.D., Phone: (253) 583-1614, Email: Annette.Kennedy@va.gov

VA Puget Sound Health Care System, Tacoma and Seattle, Washington 98493, United States; Recruiting

Related publications:

Raskind MA, Burke BL, Crites NJ, Tapp AM, Rasmussen DD. Olanzapine-induced weight gain and increased visceral adiposity is blocked by melatonin replacement therapy in rats. Neuropsychopharmacology. 2007 Feb;32(2):284-8. Epub 2006 May 10.

Starting date: July 2007
Ending date: August 2009
Last updated: July 29, 2008