CClinicalTrials.gg
Status unknownNCT02088983Updated Mar 17, 2014

Effects of CDP-Choline on Gating and Cognitive Deficits in First Episode Schizophrenia

A Phase 2 interventional study of CDP-Choline and Cellulose in First Episode Schizophrenia, sponsored by University of Ottawa. Status unknown at 1 site in Canada. Open to participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2014-03-17.

Sponsored by University of Ottawa · Phase 2 and Interventional

The sponsor has not verified this record recently (last verified Mar 2014), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
All
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Study summary

People with schizophrenia tend to have problems with attention and concentration. Studies found that these patients are unable to block or gate out non-relevant and distracting information (e.g., noises). This may lead to brain overload. Cognitive abilities like concentration, memory, and learning may worsen. This ability to filter sensory information has been linked to a gene that affects the way nicotine acts in the brain. Patients with schizophrenia have a high rate of cigarette smoking. 60% to 90% smoke compared with 25% of the general population. It has been suggested that these patients may use nicotine to improve their ability to block out distracting information. Brain wave activity (EEG) in response to sounds has been proved useful in understanding this gating problem. The present study uses EEG measures and performance tasks to find out what a new nicotine-like treatment, which will be added to ongoing treatment medications, does to gating and cognition. It is hoped that this new treatment will improve the way in which patients process information, as this may help them in day-to-day activities.

Read the detailed description
  • A sample of 40 patients will be recruited from the Champlain First Episode Psychosis Program, a service of The Ottawa Hospital, which is run in conjunction with the Schizophrenia Program of the Royal Ottawa Mental Health Center.
  • In this randomized, double-blind, placebo-controlled, cross-over design study, participants will attend the laboratory for four test sessions and will receive either a single dose of CDP-choline (500 mg, 1000 mg or 2000 mg) or placebo at each test session
  • EEG recordings (with a focus on the P50 ERP) and cognitive testing measures will be collected in each test session to determine any possible gating or cognitive effects of CDP-choline. A saliva sample will also be collected to determine any genetic differences in the effects of CDP-choline
  • The investigators carefully engineered study aims to assess the optimal dosing of a nicotinic cholinergic agonist, CDP-choline to increase P50 suppression and cognitive efficacy in an early schizophrenia population with abnormal P50 suppression.
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Conditions studied

03

In context

Schizophrenia

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

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

Browse Schizophrenia studies →

Lead sponsor

University of Ottawa is the lead sponsor of 123 studies on the registry; 33 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female
  • 18 - 60 years old
  • Meet DSM-IV/DSM-IV-TR criteria for First Episode Schizophrenia
  • Clinical stability of the past 2 months [assessed with the PANSS]
  • Treatment with a single antipsychotic medication (concomitant psychiatric medications allowing on an "if needed basis".
  • Smoker or non-smoker

Exclusion criteria

Exclusion Criteria:

  • Any comorbid Axis I disorder including a current or recent history of alcohol/substance abuse
  • A clinically significant medical illness or organic brain disorder known to cause psychosis or cognitive impairment
  • Recent head trauma (\<6mos)
  • Major learning disability
  • Body mass index >38kg/m¬2
  • Use of illicit drugs
  • Abnormal hearing
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Study design

Phase
Phase 2
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    CDP-Choline

    Single dose of 500 mg, 1000 mg, or 2000 mg given in one of 4 test sessions

    Dietary Supplement: CDP-Choline

  • Placebo comparator
    Placebo (cellulose)

    Given randomly in one of the 4 testing sessions as a comparison

    Dietary Supplement: Cellulose

Interventions

  • Dietary supplementCDP-Choline

    Capsule

    Also known as: citicoline

  • Dietary supplementCellulose

    Capsule

06

What researchers measure

Primary outcomes

  1. Acute Effects of CDP-Choline

    To examine the acute effects of CDP-choline on P50 auditory gating deficits in FES. Complementing this, we will measure CDP-choline response as a function of dose, administering doses at 3 clinically recommended levels (500 mg, 1000 mg, 2000 mg).

    Time frame: 1 year

Secondary outcomes

  1. Acute Effects of CDP-Choline on Cognition

    Although sensory processing and neurocognitive processing show poor interrelatedness in SZ (vs. healthy controls) and evidence supporting a relationship between sensory gating and specific cognitive domains is mixed, auditory gating consistently predicts variance in tasks of attention, working memory and less so in executive functioning. Its nicotinic improvements in relatively low-level sensory processes might also be expected to translate into benefits for more complex cognitive processes that are required for functional daily living. A secondary objective of this research will assess the acute effects of CDP-choline on cognitive operations. This will be conducted using a test battery assessing seven orthogonal domains of cognition designated by MATRICS as targets for clinical assessment of potential cognitive enhancers for SZ.

    Time frame: 1 year

Other outcomes

  1. Exploratory Objective: Genetic Differences

    Although the sample size is relatively small, this study will begin to explore differences in CDP-choline response by classifying patients by CHRNA7 levels.

    Time frame: 1 year

07

Study locations

1 site
  • University of Ottawa Institute of Mental Health Research
    Ottawa, Ontario K1Z 7K4, Canada
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 17, 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
NCT02088983
Lead sponsor
University of Ottawa
Collaborators
The Ottawa Hospital
Responsible party
Dr. Verner Knott (Director, Clinical Neuroelectrophysiology and Cognitive Research Laboratory, University of Ottawa) — Principal investigator
First posted
Mar 17, 2014
Start date
Apr 2014
Primary completion
Apr 2015 (estimated)
Completion
Apr 2016 (estimated)
Last update
Mar 17, 2014

Study contacts

Verner Knott, Ph.D.
Contact
verner.knott@theroyal.ca
613-722-6521 ext. 6843
Verner Knott, PhD
principal investigator · University of Ottawa
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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