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CompletedNCT00158366Updated Aug 22, 2018

Reducing the Weight of Overweight Schizophrenia Patients

An interventional study of Behavioral training and Social skills training in Schizophrenia and Obesity, sponsored by University of Pittsburgh. Completed at 1 site in United States. Open to participants aged 14 Years to 60 Years. Per ClinicalTrials.gov, last updated 2018-08-22.

Sponsored by University of Pittsburgh · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
261
Allocation
Randomized
Ages
14 Years to 60 Years
Sex
All
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Study summary

This study will determine the effectiveness of a group-based behavioral program for weight reduction in overweight and obese schizophrenia patients.

Read the detailed description

Researchers have found a link between schizophrenia, high blood pressure, and insulin resistance; this link puts people with schizophrenia at an increased risk for diabetes and obesity. Weight reduction and maintenance is essential for decreasing these risks. Although data indicate that nonpharmacological interventions for weight loss are viable options, studies to determine their effectiveness have not been conducted. This study will determine the effectiveness of behavioral training for reducing weight in schizophrenia patients. This study will also determine the effects of weight reduction on cardiovascular risk factors in this population.

This study comprises two phases. In Phase 1, participants will be randomly assigned to receive either behavioral training or social skills training for 14 weeks. The behavioral training will teach participants ways to control their diet and increase their physical activity. The social skills training will teach participants how to indirectly control their weight by making social contacts and seeking social support. After 14 weeks, participants in the social skills training group and any participants who have not lost a specified amount of weight will complete the study; participants in the behavioral training group who have a 4% or more weight loss will be enrolled in Phase 2, a 24-month program designed to help participants maintain their weight loss. All participants in Phase 2 will continue to receive weekly behavioral training, but they will be randomly assigned to receive either behavioral training alone or behavioral training combined with biweekly booster treatments where participants discuss their response to different diet and exercise regimens and researchers discuss strategies for increasing one's success with the regimens. Interviews, self-report scales, and blood tests will be used to assess participants at study entry, after Phase 1, and at the end of the study. Assessments will include quality of life, self esteem, exercise frequency, blood pressure, serum lipids, and blood glucose.

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Conditions studied

  • Schizophrenia
  • Obesity

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Keywords

  • Weight Loss
03

In context

Schizophrenia

3,470 studies on the registry are indexed under Schizophrenia; 471 are open to participants now.

This study's enrollment of 261 is above the median of 70 across 2,871 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

University of Pittsburgh is the lead sponsor of 1,384 studies on the registry; 166 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 4 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
14 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of schizophrenia or schizoaffective disorder
  • Body mass index (BMI) greater than 27
  • Stable on antipsychotic drug regimen for at least 1 month prior to study entry
  • Parent or guardian willing to provide informed consent, if applicable
  • Positive and negative syndrome scale score less than 90
  • Willing to use acceptable methods of contraception during the study

Exclusion criteria

Exclusion Criteria:

  • Medical contraindication for participating in a weight reduction/exercise program
  • Mental retardation
  • Current enrollment in another weight management program
  • Current use of weight reduction medication
  • Unstable cardiovascular or thyroid disease
  • Active or end-stage renal disease
  • Psychiatric hospitalization within 1 month prior to study entry
  • Current use of more than one anti-psychotic medication
  • Pregnancy or breastfeeding
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
261 participants (actual)

Study arms

  • Experimental
    1

    Phase 1 participants who will receive behavioral training for 14 weeks

    Behavioral: Behavioral training

  • Active comparator
    2

    Phase 1 participants who will receive social skills training for 14 weeks

    Behavioral: Social skills training

  • Experimental
    3

    Participants in the Phase 1 behavioral training group who have a 4% or more weight loss and will be enrolled in weekly behavioral training alone for 24 months in Phase 2

    Behavioral: Behavioral training

  • Experimental
    4

    Participants in the Phase 1 behavioral training group who have a 4% or more weight loss and will be enrolled in weekly behavioral training plus biweekly booster treatments for 24 months in Phase 2

    Behavioral: Behavioral training booster sessions

Interventions

  • BehavioralBehavioral training

    The behavioral training will teach participants ways to control their diet and increase their physical activity.

  • BehavioralSocial skills training

    The social skills training will teach participants how to indirectly control their weight by making social contacts and seeking social support.

  • BehavioralBehavioral training booster sessions

    During biweekly booster treatment sessions, participants will discuss their response to different diet and exercise regimens, and researchers will discuss strategies for increasing one's success with the regimens.

06

What researchers measure

Primary outcomes

  1. Weight reduction

    Time frame: Measured at Week 14 and Month 24

Secondary outcomes

  1. Weight maintenance

    Time frame: Measured at Week 14 and Month 24

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Study locations

1 site
  • Western Psychiatric Institute and Clinic of University of Pennsylvania Medical Center
    Pittsburgh, Pennsylvania 15213, United States
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References and documents

Publications

  • Brar JS, Ganguli R, Pandina G, Turkoz I, Berry S, Mahmoud R. Effects of behavioral therapy on weight loss in overweight and obese patients with schizophrenia or schizoaffective disorder. J Clin Psychiatry. 2005 Feb;66(2):205-12. doi: 10.4088/jcp.v66n0208. PubMed 15705006 ↗
  • Ganguli R, Brar JS, Ayrton Z. Weight gain over 4 months in schizophrenia patients: a comparison of olanzapine and risperidone. Schizophr Res. 2001 Apr 30;49(3):261-7. doi: 10.1016/s0920-9964(00)00080-3. PubMed 11356587 ↗
  • Ganguli R. Weight gain associated with antipsychotic drugs. J Clin Psychiatry. 1999;60 Suppl 21:20-4. PubMed 10548138 ↗
  • Janney CA, Ganguli R, Richardson CR, Holleman RG, Tang G, Cauley JA, Kriska AM. Sedentary behavior and psychiatric symptoms in overweight and obese adults with schizophrenia and schizoaffective disorders (WAIST Study). Schizophr Res. 2013 Apr;145(1-3):63-8. doi: 10.1016/j.schres.2013.01.010. Epub 2013 Feb 12. Erratum In: Schizophr Res. 2013 Aug;148(1-3):188. PubMed 23410710 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 22, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00158366
Lead sponsor
University of Pittsburgh
Collaborators
National Institute of Mental Health (NIMH)
Responsible party
Rohan Ganguli (Professor of Psychiatry, University of Pittsburgh) — Principal investigator
First posted
Sep 12, 2005
Start date
May 2004
Primary completion
May 2010
Completion
Jul 1, 2018
Last update
Aug 22, 2018

Study contacts

Rohan Ganguli, MD
principal investigator · Western Psychiatric Institute and Clinic of University of Pennsylvania Medical Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2018. You cannot join it, but the record below documents what was studied.

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