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Status unknownNCT00664274COMTUpdated Apr 17, 2015

Relation of Catechol-O-methyltransferase (COMT) Genotype and Response to Cognitive Remediation Schizophrenia

An interventional study of Cognitive remediation therapy and COMT Genotyping in Chronic Schizophrenia, sponsored by Manhattan Psychiatric Center. Status unknown at 1 site in United States. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2015-04-17.

Sponsored by Manhattan Psychiatric Center · Not applicable, Interventional, and Basic science

The sponsor has not verified this record recently (last verified Apr 2015), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
142
Allocation
Not applicable
Ages
18 Years to 55 Years
Sex
All
01

Study summary

This project will explore the relationship between catechol-O-methyltransferase (COMT) Val158/108Met genotype and response to a 12-week computerized neurocognitive rehabilitation (CRT) given to chronic schizophrenic patients.

Read the detailed description

Cognitive deficits play a crucial role in both the pathogenesis and prognosis of schizophrenia. The COMT gene is functionally expressed in neural systems considered important in a range of healthy brain functions and brain disorders, including schizophrenia. The COMT Met allele has been shown to be associated with a lower activity form of COMT, and with better performance on neurocognitive tests, while the COMT Val allele is associated with poorer executive cognition. This study will investigate the relationship of COMT polymorphism in patients with chronic schizophrenia with the response to CRT targeting visuospatial processing, attention, and cognitive flexibility using MATRICS Consensus Cognitive Battery (MCCB) developed by the NIH-MATRICS initiative.

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Conditions studied

  • Chronic Schizophrenia

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03

In context

Schizophrenia

3,563 studies on the registry are indexed under Schizophrenia; 491 are open to participants now.

This study's planned enrollment of 142 is above the median of 71 across 2,944 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Manhattan Psychiatric Center is the lead sponsor of 9 studies on the registry; 1 is open to participants now.

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

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Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Participation in the active arm of the neurocognitive remediation program
  2. Age 18 - 55
  3. Inpatients
  4. diagnosis of schizophrenia (all subtypes) with illness duration >5 years
  5. Auditory and visual acuity adequate to complete cognitive tests
  6. Stable dose of oral atypical antipsychotic for at least 4 weeks
  7. Total PANSS score > 60
  8. RBANS total score ≤ 80
  9. score of greater than or equal to 24
  10. Good physical health determined by physical examination, laboratory tests
  11. Capacity and willingness to give written

Exclusion criteria

Exclusion Criteria:

  1. Inability to read or speak English
  2. Documented disease of the central nervous system
  3. History of intellectual impairment pre-dating onset of symptoms of psychosis (e.g. mental retardation)
  4. or unstable cardiovascular, renal, hepatic, gastrointestinal, pulmonary or hematologic conditions
  5. +
  6. Patients diagnosed with substance dependence
  7. Currently participating in another experimental study, except for the parent study.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

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Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

HIV

The human immunodeficiency virus, which weakens the immune system.

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05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
142 participants (estimated)

Study arms

  • Other
    CRT Group

    Behavioral: Cognitive remediation therapy · Genetic: COMT Genotyping

Interventions

  • BehavioralCognitive remediation therapy

    36 sessions of Computerized Cognitive Skills Training, 3 per week for 12 weeks.

    Also known as: educational and behavioral training techniques

  • GeneticCOMT Genotyping

    One time saliva sample is taken to genotype catechol-O-methyltransferase Val158/108Met alleles.

    Also known as: COMT polymorphism, 22q11.21-q11.23

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What researchers measure

Primary outcomes

  1. To evaluate the effect of the association of COMT Val108/158 Met genotype with the response to a computerized neurocognitive rehabilitation treatment in patients with chronic schizophrenia.

    Time frame: 12 weeks

Secondary outcomes

  1. To expand the response to a computerized neurocognitive rehabilitation treatment in patients with chronic schizophrenia to other haplotypes or identified genes.

    Time frame: 12 weeks

  2. To assess the differences in demographic variables (e.g. ethnicity, intellectual functioning as measured by WRAT III Reading test, and age) with response to computerized neurocognitive rehabilitation treatment in patients with chronic schizophrenia.

    Time frame: 12 weeks

  3. To assess the differences between antipsychotic treatment and response to computerized neurocognitive rehabilitation treatment in patients with chronic schizophrenia.

    Time frame: 12 weeks

07

Study locations

1 site
  • Manhattan Psychiatric Center
    Wards Island, New York 10035, United States
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References and documents

Publications

  • Woodward ND, Jayathilake K, Meltzer HY. COMT val108/158met genotype, cognitive function, and cognitive improvement with clozapine in schizophrenia. Schizophr Res. 2007 Feb;90(1-3):86-96. doi: 10.1016/j.schres.2006.10.002. Epub 2006 Nov 22. PubMed 17123785 ↗
  • Bosia M, Bechi M, Marino E, Anselmetti S, Poletti S, Cocchi F, Smeraldi E, Cavallaro R. Influence of catechol-O-methyltransferase Val158Met polymorphism on neuropsychological and functional outcomes of classical rehabilitation and cognitive remediation in schizophrenia. Neurosci Lett. 2007 May 7;417(3):271-4. doi: 10.1016/j.neulet.2007.02.076. Epub 2007 Mar 2. PubMed 17383818 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 17, 2015, 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
NCT00664274
Lead sponsor
Manhattan Psychiatric Center
Responsible party
Jean-Pierre Lindenmayer (Clinical Director, Manhattan Psychiatric Center) — Principal investigator
First posted
Apr 22, 2008
Start date
Apr 2007
Primary completion
Jan 2015
Completion
Oct 2016 (estimated)
Last update
Apr 17, 2015

Study contacts

Jean-Pierre Lindenmayer, M.D.
principal investigator · Manhattan Psychiatric Center
Herbert Lachman, M.D.
study chair · Albert Einstein College of Medicine
Susan Mc Gurk, PhD
study chair · New Hampshire-Dartmouth Psychiatric Research Center
Anzalee Khan, PhD
study chair · Manhattan Psychiatric Center

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Apr 2015. You cannot join it, but the record below documents what was studied.

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