UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000045925
Receipt number R000052417
Scientific Title Real-world effectiveness of antipsychotic treatments in acutely hospitalized patients with schizophrenia: multi-center prospective observational study
Date of disclosure of the study information 2022/03/31
Last modified on 2023/08/31 14:48:20

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Basic information

Public title

Real-world effectiveness of antipsychotic treatments in acutely hospitalized patients with schizophrenia: multi-center prospective observational study

Acronym

Real-world effectiveness of antipsychotic treatments

Scientific Title

Real-world effectiveness of antipsychotic treatments in acutely hospitalized patients with schizophrenia: multi-center prospective observational study

Scientific Title:Acronym

Real-world effectiveness of antipsychotic treatments

Region

Japan


Condition

Condition

schizophrenia

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare the real-world effectiveness of antipsychotic treatments focusing on long-acting injectable antipsychotic medications (LAIs) and antipsychotic polytherapies except polytherapy involving clozapine (APEC) for patients with schizophrenia.

Basic objectives2

Others

Basic objectives -Others

Patients included in RCTs represent a minority of the patient population. Although the strength of observational studies using nationwide databases is that there are no missing data on rehospitalization or treatment failure (Tiihonen et al. 2017), such databases do not include information on clinical characteristics such as symptoms, illness severity, and non-adherence. To overcome this problem, a multicenter, prospective, cohort study in which acutely admitted patients with schizophrenia-spectrum disorders are followed-up is conducted. The objective of the study is to determine the effectiveness of antipsychotic treatments focusing on LAIs and antipsychotic polytherapy for the prevention of treatment failure in patients with schizophrenia.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Risk of treatment failure defined as psychiatric rehospitalization, discontinuation of medication, suicide, and death

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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Schizophrenia and Other Psychotic Disorders as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
2) Patients who do not refuse to participate (opt out)
3) Patients are newly admitted to psychiatric emergency wards because of acute onset or exacerbation

Key exclusion criteria

Diagnosis other than 1)

Target sample size

600


Research contact person

Name of lead principal investigator

1st name Kotaro
Middle name
Last name Hatta

Organization

Juntendo University Nerima Hospital

Division name

Department of Psychiatry

Zip code

177-8521

Address

Takanodai 3-1-10, Nerima-ku, Tokyo 177-8521, Japan

TEL

03-5923-3111

Email

khatta@juntendo.ac.jp


Public contact

Name of contact person

1st name Kotaro
Middle name
Last name Hatta

Organization

Juntendo University Nerima Hospital

Division name

Department of Psychiatry

Zip code

177-8521

Address

Takanodai 3-1-10, Nerima-ku, Tokyo 177-8521, Japan

TEL

03-5923-3111

Homepage URL


Email

khatta@juntendo.ac.jp


Sponsor or person

Institute

Juntendo University

Institute

Department

Personal name



Funding Source

Organization

Japanese Association for Emergency Psychiatry

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Juntendo University Faculty of Medicine, IRB

Address

3-1-3 Hongo, Bunkyo-ku, Tokyo

Tel

03-5802-1584

Email

hongo-rinri@juntendo.ac.jp


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

沼津中央病院(静岡県),旭川圭泉会病院(北海道),土佐病院(高知県)


Other administrative information

Date of disclosure of the study information

2022 Year 03 Month 31 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

481

Results


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

No longer recruiting

Date of protocol fixation

2021 Year 11 Month 01 Day

Date of IRB

2022 Year 02 Month 25 Day

Anticipated trial start date

2022 Year 04 Month 01 Day

Last follow-up date

2026 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

1. Enrollment: April,2022-March,2023; Follow-up:-March,2026
2. multi-center, prospective observational design
3. Patients are newly admitted to psychiatric emergency wards because of acute onset or exacerbation of Schizophrenia. The primary outcome is the risk of treatment failure defined as psychiatric rehospitalization, discontinuation of medication, suicide, or death for 3 years.


Management information

Registered date

2021 Year 10 Month 29 Day

Last modified on

2023 Year 08 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052417