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CompletedNCT01400477Updated May 7, 2019Results posted

Nicotinic Receptors and Schizophrenia

A Phase 2 interventional study of DMXB-A-SR and Placebo in Schizophrenia and Schizoaffective Disorder, sponsored by University of Colorado, Denver. Completed at 2 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-05-07.

Sponsored by University of Colorado, Denver · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
97
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

The investigators hypothesize that sustained-release DMXB-A-SR (3-2,4 dimethoxybenzylidene anabaseine sustained release) will provide clinical improvement in cognition in patients with schizophrenia who are smokers and who are non-smokers. The study drug may also maintain abstinence from cigarette smoking and improve other symptoms in patients with schizophrenia.

Read the detailed description

Patients with schizophrenia will be screened then enrolled for one week placebo trial in addition to their existing antipsychotic medication. If pill compliance is greater than 80%, then they will receive baseline clinical, cognitive, and brain imaging and all clinical laboratory examinations and a physical examination, vital signs, and cardiogram. Then patients will receive in a randomized double blind trial either DMXB-A-SR (3-2,4 dimethoxybenzylidene anabaseine sustained release) or placebo comparator in addition to their existing antipsychotic medication. After one month patients will receive repeat clinical, cognitive, and brain imaging testing and all clinical laboratory examinations and a physical examination, vital signs, and cardiogram.

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Conditions studied

  • Schizophrenia
  • Schizoaffective Disorder

Keywords

  • Drug Trial
  • Smoking
  • Smoking Cessation
  • Cognition
  • Mental Focus
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In context

Schizophrenia

3,539 studies on the registry are indexed under Schizophrenia; 473 are open to participants now.

This study's enrollment of 97 is above the median of 70 across 2,924 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

University of Colorado, Denver is the lead sponsor of 1,538 studies on the registry; 319 are open to participants now.

Of its 146 completed or terminated interventional studies of FDA-regulated products, 92 (63%) 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 65 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

  • Subjects will be selected to be 18 to 65 years old and in good general health.
  • Subjects who fulfill Diagnostic and Statistical Manual -IV-Text Revision (DSM-IV-TR) criteria for schizophrenia or schizoaffective disorder.
  • Smokers will smoke at least 20 cigarettes per day.
  • Non-smokers will also be enrolled.
  • Subjects will have normal:

    • vital signs,
    • hematology,
    • serum chemistries,
    • EKG, and
    • urinalysis with a negative drug screen before entry into the study.
  • Subjects will be fluent in English.
  • Smoking subjects will be interested in stopping smoking in the near future and not interested in nicotine replacement therapy.

Exclusion criteria

Exclusion Criteria:

  • Subjects with histories of:

    • neurological illness,
    • liver disease,
    • severe hypertension (cut-off blood pressure 160/100) or
    • cardiac disease, or
    • renal failure (cut-off creatinine above 1.4).
  • Subjects who currently meet DSM-IV-TR criteria for substance dependence other than nicotine, cannabis, or alcohol will be excluded.
  • Women who are capable of pregnancy and not on acceptable forms of birth control will be excluded.
  • Subjects being treated with Clozapine will be excluded.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
97 participants (actual)

Study arms

  • Experimental
    DMXB-A-SR

    Study Drug: 3-2, 4 dimethoxybenzylidene anabaseine sustained release (DMXB-A-SR), 3-2, 4 dimethoxybenzylidene anabaseine sustained release (GTS-21)

    Drug: DMXB-A-SR

  • Placebo comparator
    Arm #2: Placebo Comparator

    Inert capsule to resemble active drug.

    Other: Placebo

Interventions

  • Experimental Study Drug: 3-2, 4 dimethoxybenzylidene anabaseine sustained release (DMXB-A-SR)

    Also known as: GTS-21

  • OtherPlacebo

    Placebo Comparator

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What researchers measure

Primary outcomes

  1. Neurocognitive Efficacy

    MATRICS CCB Neurocognitive T-score (Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Battery Statistically Adjusted-score). Higher scores indicate better neurocognitive functionality.

    Time frame: 4 weeks

Secondary outcomes

  1. Inhibition of Auditory Evoked Potential P50 to Repeated Stimuli

    The P50 evoked response paired of auditory stimuli S1, S2, is measured. The inhibition is expressed as the ratio P50 S2 amplitude divided by P50 S1 amplitude.

    Time frame: 4 weeks

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Results

Posted May 7, 2019

Participant flow

Participant flow — Overall Study
MilestoneDMXB-A-SRArm #2: Placebo Comparator
Started4040
Completed3840
Not completed20

Outcome measures

PrimaryNeurocognitive Efficacy

MATRICS CCB Neurocognitive T-score (Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Battery Statistically Adjusted-score). Higher scores indicate better neurocognitive functionality.

Time frame:
4 weeks
Reported as:
Mean · MATRICS Neurocognitive T score
Neurocognitive Efficacy
MATRICS Neurocognitive T scoreDMXB-A-SRArm #2: Placebo Comparator
Neurocognitive Efficacy0.6 ± 5.82.1 ± 8.2
Statistical analysis
  • DMXB-A-SR · ANOVA · p = 0.89 (A priori vape was \<0.05)df 1, 37
SecondaryInhibition of Auditory Evoked Potential P50 to Repeated Stimuli

The P50 evoked response paired of auditory stimuli S1, S2, is measured. The inhibition is expressed as the ratio P50 S2 amplitude divided by P50 S1 amplitude.

Time frame:
4 weeks
Reported as:
Mean · percentage of amplitude
Inhibition of Auditory Evoked Potential P50 to Repeated Stimuli
percentage of amplitudeDMXB-A-SRArm #2: Placebo Comparator
Inhibition of Auditory Evoked Potential P50 to Repeated Stimuli0.57 ± 0.120.52 ± 0.14

Adverse events

Collected over 4 weeks. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
DMXB-A-SR0/40 (0%)0/40 (0%)0/40 (0%)
Arm #2: Placebo Comparator0/40 (0%)0/40 (0%)0/40 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)DMXB-A-SRArm #2: Placebo ComparatorTotal
Mean46.5 ± 12.443.2 ± 13.644.8 ± 12.7
Sex: Female, Male
Sex: Female, Male(Participants)DMXB-A-SRArm #2: Placebo ComparatorTotal
Female81220
Male322860
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)DMXB-A-SRArm #2: Placebo ComparatorTotal
Hispanic or Latino134
Not Hispanic or Latino393776
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)DMXB-A-SRArm #2: Placebo ComparatorTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American61016
White323062
More than one race202
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)DMXB-A-SRArm #2: Placebo ComparatorTotal
United States404080
08

Study locations

2 sites
  • UColorado Denver
    Aurora, Colorado 80045, United States
  • University of Colorado-Anschutz Medical Campus, Department of Psychiatry
    Aurora, Colorado 80045, United States
09

References and documents

Publications

  • Olincy A, Harris JG, Johnson LL, Pender V, Kongs S, Allensworth D, Ellis J, Zerbe GO, Leonard S, Stevens KE, Stevens JO, Martin L, Adler LE, Soti F, Kem WR, Freedman R. Proof-of-concept trial of an alpha7 nicotinic agonist in schizophrenia. Arch Gen Psychiatry. 2006 Jun;63(6):630-8. doi: 10.1001/archpsyc.63.6.630. PubMed 16754836 ↗
  • Freedman R, Olincy A, Buchanan RW, Harris JG, Gold JM, Johnson L, Allensworth D, Guzman-Bonilla A, Clement B, Ball MP, Kutnick J, Pender V, Martin LF, Stevens KE, Wagner BD, Zerbe GO, Soti F, Kem WR. Initial phase 2 trial of a nicotinic agonist in schizophrenia. Am J Psychiatry. 2008 Aug;165(8):1040-7. doi: 10.1176/appi.ajp.2008.07071135. Epub 2008 Apr 1. PubMed 18381905 ↗
  • Kem WR, Olincy A, Johnson L, Harris J, Wagner BD, Buchanan RW, Christians U, Freedman R. Pharmacokinetic Limitations on Effects of an Alpha7-Nicotinic Receptor Agonist in Schizophrenia: Randomized Trial with an Extended-Release Formulation. Neuropsychopharmacology. 2018 Feb;43(3):583-589. doi: 10.1038/npp.2017.182. Epub 2017 Aug 21. PubMed 28825423 ↗

Related links

Individual participant data

Plan to share: Yes — Individual patient description can be obtained from Robert.Freedman@ucdenver.edu. It will be available December 1, 2017.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 7, 2019, 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
NCT01400477
Responsible party
Sponsor
First posted
Jul 22, 2011
Start date
Jul 2011
Primary completion
Jun 2015
Completion
Jun 2015
Results posted
May 7, 2019
Last update
May 7, 2019

Study contacts

Robert Freedman, MD
principal investigator · University of Colorado, Denver

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Gts-21

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