CClinicalTrials.gg
CompletedNCT00176436Updated Mar 14, 2022Results posted

Atomoxetine for Treatment of Weight Gain in Olanzapine or Clozapine Patients

A Phase 4 interventional study of Diet support group and Group counseling and exercise in Schizophrenia, sponsored by University of Maryland, Baltimore. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2022-03-14.

Sponsored by University of Maryland, Baltimore · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The study investigates the use of Atomoxetine in combination with exercise and a diet support group (Weight Watchers)to treat weight gain associated with Olanzapine or clozapine. All patients must be adults who have been diagnosed with Schizophrenia or Schizoaffective Disorder.

Read the detailed description

The study is a 6 month double-blind trial of atomoxetine in combination with a Weight Watchers group to help patients lose the weight they have gained taking olanzapine or clozapine. All participants should have been on Olanzapine or clozapine for at least 6 months and gained 7% of baseline weight or have a BMI of 27 or greater. In addition to the group support, participants are provided supervised exercise sessions and medical supervision. Previous studies of the group process alone were successful in helping patients lose weight. It is hoped that the addition of atomoxetine, which is known to cause appetite suppression, will be more effective in helping subjects lose weight. All subjects will receive either atomoxetine or placebo during the 6 month study.

02

Conditions studied

  • Schizophrenia

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Keywords

  • Weight loss
  • Support group
  • Exercise
  • Atomoxetine
03

In context

Schizophrenia

3,471 studies on the registry are indexed under Schizophrenia; 472 are open to participants now.

This study's enrollment of 40 is below the median of 70 across 2,872 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

University of Maryland, Baltimore is the lead sponsor of 687 studies on the registry; 130 are open to participants now.

Of its 90 completed or terminated interventional studies of FDA-regulated products, 63 (70%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Schizophrenia or schizoaffective Disorder
  • Taking olanzapine or clozapine for at least 6 months
  • Weight gain of 7% over baseline or BMI greater than or equal to 27

Exclusion criteria

Exclusion Criteria:

  • Current treatment with methylphenidate, clonidine, tricyclic antidepressants, bupropion and venlafaxine
  • Treatment with other medications known to cause weight gain unless weight stable on medication for 6 months
  • Current treatment with other medications for weight loss unless weight stable for 6 months
  • Mental Retardation
  • Alcohol or Substance Dependence within the last 6 months
  • Pregnancy
  • Alcohol or Substance Abuse within the lat month
  • Uncontrolled hypertension defined as a blood pressure exceeding 140/90 on three consecutive readings despite adequate treatment
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Active comparator
    active

    Atomoxetine titrated up to 120 mg/day by week 8 and continues at 120 mg/day through week 24. Diet support group, group counseling and exercise.

    Behavioral: Group counseling and exercise

  • Placebo comparator
    Placebo

    Placebo medication, diet support group, group counseling and exercise

    Behavioral: Diet support group

Interventions

  • BehavioralDiet support group

    Diet support group weekly and exercise sessions 3 times/week, placebo medication

  • BehavioralGroup counseling and exercise

    Support group weekly and exercise sessions 3 times/week for 24 weeks

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Weight

    Weight loss was measured each week over the 24 week study period. Intent to treat analyses of treatment effects on the primary outcome (weight) were conducted using all observed weight measurements from all participants with post-baseline weight measurements, using the mixed model for unbalanced repeated measures ANOVA. This model summarizes change in weight for each participant by the average change in weight per week (slope) over 24 weeks, and compares these slopes between the two groups.

    Time frame: Weekly for 24 weeks

Secondary outcomes

  1. Secondary Outcomes Are Improvement in Cognitive Impairments, Since Atomoxetine is Used for Treatment of ADHD and is Known to Improve Cognitive Function.

    Time frame: 24 weeks

  2. Vital Signs

    Time frame: Weekly for 24 weeks

  3. Chemistry Panel

    Time frame: baseline, 10 weeks and 24 weeks

07

Results

Posted Jun 17, 2013

Participant flow

Recruitment took place from 2004 until March, 2008. Participants were recruited from the Maryland Psychiatric Research Center Outpatient Research Program and local community mental health centers.

Participant flow — Overall Study
MilestoneActivePlacebo
Started2017
Completed1412
Not completed65

Outcome measures

PrimaryChange From Baseline in Weight

Weight loss was measured each week over the 24 week study period. Intent to treat analyses of treatment effects on the primary outcome (weight) were conducted using all observed weight measurements from all participants with post-baseline weight measurements, using the mixed model for unbalanced repeated measures ANOVA. This model summarizes change in weight for each participant by the average change in weight per week (slope) over 24 weeks, and compares these slopes between the two groups.

Time frame:
Weekly for 24 weeks
Reported as:
Mean · kilograms
Change From Baseline in Weight
kilogramsActivePlacebo
Change From Baseline in Weight1.7 ± 1.42.1 ± 1.4
SecondarySecondary Outcomes Are Improvement in Cognitive Impairments, Since Atomoxetine is Used for Treatment of ADHD and is Known to Improve Cognitive Function.
Time frame:
24 weeks

Results for this outcome have not been posted.

SecondaryVital Signs
Time frame:
Weekly for 24 weeks

Results for this outcome have not been posted.

SecondaryChemistry Panel
Time frame:
baseline, 10 weeks and 24 weeks

Results for this outcome have not been posted.

Adverse events

Collected over 6 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Active———
Placebo———
Most frequent serious events
Most frequent serious events
EventActivePlacebo
Chest PainCardiac disorders0/201/17
HypotensionCardiac disorders1/200/17
Extreme SedationGeneral disorders1/200/17
Most frequent other events
Most frequent other events
EventActivePlacebo
HypertensionCardiac disorders0/201/17
CoughRespiratory, thoracic and mediastinal disorders0/201/17
Abnormal SGOT and SGPTBlood and lymphatic system disorders0/201/17
DizzinessVascular disorders1/200/17
Slurred speechNervous system disorders1/200/17
Abnormal ECGCardiac disorders1/200/17
HypotensionCardiac disorders1/200/17
NervousnessPsychiatric disorders1/200/17

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)ActivePlaceboTotal
<=18 years000
Between 18 and 65 years201737
>=65 years000
Age, Continuous
Age, Continuous(years)ActivePlaceboTotal
Mean47.8 ± 8.446.1 ± 9.446.9 ± 8.8
Sex: Female, Male
Sex: Female, Male(Participants)ActivePlaceboTotal
Female6511
Male141226
Region of Enrollment
Region of Enrollment(participants)ActivePlaceboTotal
United States201737
08

Study locations

1 site
  • Maryland Psychiatric Research Center
    Catonsville, Maryland 21228, United States
09

References and documents

Publications

  • Ball MP, Warren KR, Feldman S, McMahon RP, Kelly DL, Buchanan RW. Placebo-controlled trial of atomoxetine for weight reduction in people with schizophrenia treated with clozapine or olanzapine. Clin Schizophr Relat Psychoses. 2011 Apr;5(1):17-25. doi: 10.3371/CSRP.5.1.3. PubMed 21459735 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 14, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00176436
Lead sponsor
University of Maryland, Baltimore
Collaborators
Eli Lilly and Company
Responsible party
Robert Buchanan (Chief, Maryland Psychiatric Research Center, Outpatient Research Program, University of Maryland, Baltimore) — Principal investigator
First posted
Sep 15, 2005
Start date
Feb 2004
Primary completion
Mar 2008
Completion
Mar 2008
Results posted
Jun 17, 2013
Last update
Mar 14, 2022

Study contacts

M Patricia Ball, R.N.,C.,M.S.
principal investigator · University of Maryland Baltimore Maryland Psychiatric Research Center

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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