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Status unknownNCT02001103Updated Jul 12, 2016

Memantine add-on for Cognitive and Negative Symptoms of Schizophrenia

A Phase 3 interventional study of Memantine and Placebo in Schizophrenia, sponsored by National Taiwan University Hospital. Status unknown at 1 site in Taiwan. Open to participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2016-07-12.

Sponsored by National Taiwan University Hospital · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2016), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

The specific aim of this project is to test if memantine add-on therapy will be helpful for patients with first episode schizophrenia who present with or without cognitive impairments and negative symptoms, to examine the efficacy and safety of memantine as an adjuvant agent to their ongoing maintenance therapy with atypical antipsychotics. Our objectives include:

  1. Test memantine add-on by 2 different dosages comparing to a placebo-controlled group of clinically stable first episode schizophrenic patients who are under second-generation antipsychotic maintenance therapy. The results will give us information regarding effective dosage and the profile of adverse drug reactions while using on this population.
  2. Examine whether the effect of memantine add-on will be affected by any significant baseline clinical variables or predisposed cognitive deficits. That is to say, if memantine will only demonstrate adjunctive effect on those who are cognitively impaired or its effect is independent from baseline cognitive functioning or the severity of baseline psychopathology.
  3. Examine the changes in negative symptoms as the secondary outcomes to see if such a cognitive enhancing effect to be concurrent with an improvement in negative symptoms or independent from changes in negative symptoms.
  4. Treat the changes in positive symptoms and other clinical outcomes, such as readmission, being employed/going back to school, and psycho-social functioning scores as the tertiary outcomes to examine the effectiveness of memantine add-on.
Read the detailed description

Study design:

This is a 12-week double-blind randomized placebo-controlled trial of memantine add-on to concurrent antipsychotic therapy for clinically stable patients with first episode schizophrenia.

Study procedures:

Patients will be recruited from the outpatient clinic of the study hospital. We will hold information campaigns to encourage referrals once the clinical trial procedure is set. Patients will be assessed for eligibility based on the criteria detailed below. Written informed consent will be obtained from eligible subjects or the subjects' parents if they are younger than the age of 18 years. Baseline clinical and neuropsychological assessments will be done at first. Patients will receive a single dose of memantine 5 mg to test if any allergic reactions to those who have never used it before. And then they will be randomized into 3 groups: the first group receives a target dose of memantine 10 mg/day, the second group receives a target dose of memantine 20 mg/day, and the third is a placebo control group. Both the participants and the clinicians are blinded to the agents and dosage they are taking. The dose titrating schedule for medication groups will be 5 mg/day for the first week with an increment of 5 mg per week to reach their designated targeted dose. So the10 mg add-on group will reach their target dose by the beginning of the second week and the 20 mg/day add-on group will reach their target dose by the beginning of the fourth week. Participants will be scheduled to return visit on week 1, 2, 4, 8, and 12 for dispense of medication and clinical assessments. By the end of the 12-week trial, they will receive all clinical and neuropsychological assessments again.

To use the least resources and to make most use of the information, as well as take into account of attrition, we plan to recruit 40 patients for each group with a total of 120 participants.

02

Conditions studied

  • Schizophrenia

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Keywords

  • adjuvant therapy
  • cognitive deficits
  • first episode schizophrenia
  • glutamate hypothesis
  • memantine
  • negative symptoms
03

In context

Schizophrenia

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

This study's planned enrollment of 120 is above the median of 70 across 2,871 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

National Taiwan University Hospital is the lead sponsor of 2,563 studies on the registry; 569 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 2 (18%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Both male and female outpatients
  • Age 18-45 years old at the time of screening
  • A diagnosis of schizophrenia based on the Structured Clinical Interview for DSM-IV
  • Currently receiving treatment mainly by an atypical antipsychotic (risperidone, olanzapine, amisulpride, aripiprazole, quetiapine, ziprasidone, paliperidone), including long-acting injectable antipsychotic
  • A first generation antipsychotic agent only for a low-dose, as needed use purpose
  • No revised use of benzodiazepines, antidepressants, anticholinergics, or other concomitant medications during past 3 months

Exclusion criteria

Exclusion Criteria:

  • A score of 5 or more on any of the 7 positive symptom items of the PANSS rating at screening
  • Scores of 4 on at least 3 of the 7 positive symptom items of the PANSS rating at screening
  • Currently under clozapine treatment
  • A change of current antipsychotic medication in recent 3 months
  • Mental retardation known as IQ below 70 prior to the diagnosis of schizophrenia
  • A history of pervasive mental disorder or bipolar disorder
  • A medical condition with significant cognitive sequelae
  • A history of substance dependence
  • A history of hypersensitivity to memantine or other drugs of the same class, such as amantadine
  • Pregnancy, plan to get pregnant during the study period, or lactating women
  • Abnormal liver function (AST, ALT higher than doubling the upper limits of normal range) or abnormal renal function (blood creatinine > 1.3 mg/dL)
  • A history of epilepsy
  • A history of myocardial infarction, congestive heart failure, uncontrolled hypertension, stroke, or severe heart block.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
120 participants (estimated)

Study arms

  • Active comparator
    Memantine 10 mg/day

    Dosing titration with 5 mg incremental each week Clinical follow-up/assessment at week 1, 2, 4, 8, and 12 Treatment duration: 12 weeks

    Drug: Memantine · Drug: Placebo

  • Active comparator
    Memantine 20 mg/day

    Dosing titration with 5 mg incremental each week Clinical follow-up/assessment at week 1, 2, 4, 8, and 12 Treatment duration: 12 weeks

    Drug: Memantine

  • Placebo comparator
    Placebo

    Clinical follow-up/assessment at week 1, 2, 4, 8, and 12 Treatment duration: 12 weeks

    Drug: Placebo

Interventions

  • DrugMemantine

    Pills of memantine, including 5 or 10 mg, all prepared in the same capsules as used in the placebo arm. The Memantine 10 mg intervention arm will take 1 capsule of memantine and 1 capsule of placebo going into week 3.

    Also known as: Ebixa

  • DrugPlacebo

    Capsules with starch inside manufactured using the same capsules as used in the other 2 arms.

06

What researchers measure

Primary outcomes

  1. Change from baseline in neurocognitive function

    Continuous Performance Test (CPT), Wisconsin Card Sorting Test (WCST), Wechsler Adult Intelligence Scale-Third Edition (WAIS-III), Trail Making Tests, Mandarin version of Verbal Fluency Test and Wechsler Memory Scale-Third Edition (WMS-III).

    Time frame: Baseline, Week 12

Secondary outcomes

  1. Change from baseline in symptom severity during 12 weeks

    Mandarin version Positive and Negative Symptom Scale (PANSS) of Schizophrenia

    Time frame: Baseline, Week 1, 2, 4, 8, 12

  2. Change from baseline in adverse events during 12 weeks

    Udvalg for Kliniske Undersøgelser (UKU) Side Effect Rating Scale

    Time frame: Baseline, Week 1, 2, 4, 8, 12

07

Study locations

1 of 1 sites recruiting
  • National Taiwan University Hospital
    Taipei, Taiwan
    • Chen-Chung Liu, MD,PhD · Contact · chchliu@ntu.edu.tw · +886-2-23123456
    • Yi-Ting Lin, MD PhD · Sub investigator
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 12, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02001103
Lead sponsor
National Taiwan University Hospital
Responsible party
Sponsor
First posted
Dec 4, 2013
Start date
Jan 2014
Primary completion
Jul 2016 (estimated)
Completion
Dec 2017 (estimated)
Last update
Jul 12, 2016

Study contacts

Chen-Chung Liu, MD, PhD
Contact
chchliu@ntu.edu.tw
886-2-23123456 ext. 66130
Chen-Chung Liu, MD, PhD
principal investigator · National Taiwan University Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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