CClinicalTrials.gg
TerminatedNCT01139125Updated Nov 20, 2014Results posted

An Open Trial of Cysteamine Treatment in Schizophrenia

An interventional study of (Cystagon) Cysteamine Bitartrate in Schizophrenia and Schizoaffective, sponsored by Augusta University. Terminated at 2 sites in United States. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2014-11-20.

Sponsored by Augusta University · Not applicable, Interventional, and Treatment

Why this study was terminated
The study was stopped after 4 years of recruitment difficulties.
Phase
Not applicable
Study type
Interventional
Enrollment
3
Allocation
Not applicable
Ages
18 Years to 60 Years
Sex
All
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Study summary

The purpose of this study is to determine the tolerability of the medication cysteamine bitartrate on schizophrenia patients and to evaluate the effect of the medication on the symptoms of schizophrenia.

Read the detailed description

Despite the availability of numerous antipsychotics, the treatment of schizophrenia is very unsatisfactory. Many patients have persistent positive psychotic symptoms or negative symptoms despite treatment, and any improvement in cognitive function is small. New approaches to the pharmacotherapy of schizophrenia that are not based primarily on dopaminergic blockade are needed.

The rationale for a trial of cysteamine comes from the evidence that cysteamine increases brain concentrations of brain-derived neurotrophic factor.

We will conduct an open-label study of tolerability and efficacy of cysteamine as an adjunct to second-generation antipsychotics in schizophrenia and schizoaffective subjects with partially responsive symptoms.

Our objectives are to determine the safety and tolerability of cysteamine administered as an adjunct to second-generation antipsychotic drugs in adult outpatients with partially-responsive schizophrenia. Additionally, we are evaluating the effect of cysteamine on the positive and negative symptoms of schizophrenia as measured by changes in the Positive and Negative Symptom Scale (PANSS), and on cognitive impairment as measured by the Brief Assessment of Cognition in Schizophrenia (BACS).

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Conditions studied

  • Schizophrenia
  • Schizoaffective

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In context

Schizophrenia

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

This study's enrollment of 3 is below the median of 70 across 2,872 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Augusta University is the lead sponsor of 177 studies on the registry; 24 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 3 (30%) have results posted.

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

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Who can participate

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

Inclusion criteria

  • Diagnosis of schizophrenia or schizoaffective disorder
  • 18-60 years of age
  • Residual symptoms, as defined by both 1 \& 2:

    1. At least one PANSS positive symptom item score > 4, or at least two items with a score > 3
    2. At least one PANSS negative symptom item score > 4, or at two items with a score > 3
  • No clinically significant change in symptoms for at least one month
  • On the same psychotropic medication(s) > 2 weeks
  • Taking a second-generation antipsychotic (olanzapine, risperidone, quetiapine, ziprasidone, aripiprazole, or clozapine)
  • Provision of written informed consent

Exclusion criteria

Exclusion Criteria:

  • Meets criteria for current major depressive disorder
  • Abnormal hepatic function (AST or ALT > 2.5 X the upper limit of normal, or bilirubin > 1.5 X the upper limit of normal)
  • Abnormal renal function (BUN or creatinine > 1.5 X the upper limit of normal)
  • Presence of any unstable or untreated medical disorder
  • Any history of seizure disorder, HIV, or diagnosis of AIDS
  • Any abnormal lab test result that is judged to be clinically significant by the investigators
  • Pregnancy, breast feeding, or female and of child-bearing potential who is not using any contraceptive method
  • Present danger to self or others
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    Cystagon, Cysteamine Bitartrate

    We are examining the safety and efficacy of this medication on the treatment of schizophrenia patients.

    Drug: (Cystagon) Cysteamine Bitartrate

Interventions

  • Drug(Cystagon) Cysteamine Bitartrate

    Cysteamine Bitartrate 300mg/day to 2100mg/day over a 4 month period. Number of cycles: until progression or unacceptable toxicity develops.

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What researchers measure

Primary outcomes

  1. Safety and Efficacy

    We are measuring if this medication is appropriate for use in schizophrenia patients.

    Time frame: 4 months

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Results

Posted Nov 20, 2014
Limitations and caveats
Recruitment challenges for this study are the number of pills that the subjects are required to take during treatment and the reported foul body odor that the subjects complianed of and was also noted by the Investigator and research staff.

Participant flow

Participant flow — Overall Study
MilestoneCystagon (Cysteamine Bitartrate)
Started3
Completed2
Not completed1
Withdrew: Withdrawal by subject1

Outcome measures

PrimarySafety and Efficacy

We are measuring if this medication is appropriate for use in schizophrenia patients.

Time frame:
4 months

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cystagon—0/3 (0%)1/3 (33.3%)
Most frequent other events
Most frequent other events
EventCystagon
Jaw Hair FolliculitisSkin and subcutaneous tissue disorders1/3

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Cystagon
<=18 years0
Between 18 and 65 years3
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Cystagon
Female0
Male3
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Cystagon
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American1
White2
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Cystagon
United States3
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Study locations

2 sites
  • Georgia Health Sciences University - Dept of Psychiatry
    Augusta, Georgia 30912, United States
  • Georgia Regents University- Dept of Psychiatry
    Augusta, Georgia 30912, United States
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 20, 2014, 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
NCT01139125
Lead sponsor
Augusta University
Responsible party
Dr. Peter F. Buckley (Dean of the Medical College at Georgia Health Sciences University, Augusta University) — Principal investigator
First posted
Jun 8, 2010
Start date
Sep 2009
Primary completion
Jun 2012
Completion
Jun 2012
Results posted
Nov 20, 2014
Last update
Nov 20, 2014

Study contacts

Peter Buckley, M.D.
principal investigator · Augusta University

Oversight

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

Not currently enrolling

This study is terminated, as verified in Nov 2014. You cannot join it, but the record below documents what was studied.

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