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CompletedNCT02573701ACERUpdated Feb 19, 2016

Guideline vs Usual Treatment in Schizophrenic Adolescents

An interventional study of Guideline treatment (Risperidone, administered orally) and "Psychosocial treatment" in Schizophrenia, sponsored by Hospital Psiquiatrico Infantil Dr. Juan N. Navarro, Mexico. Completed. Open to participants aged 12 Years to 17 Years. Per ClinicalTrials.gov, last updated 2016-02-19.

Sponsored by Hospital Psiquiatrico Infantil Dr. Juan N. Navarro, Mexico · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
91
Allocation
Randomized
Ages
12 Years to 17 Years
Sex
All
01

Study summary

The purpose of this study was to evaluate the applicability and usefulness of the guideline treatment for diagnosis and treatment of adolescents with schizophrenia, also to evaluate the compliance to the treatment according to the guidelines, and to compare the treatment compliance, severity of illness and social functioning of patients treated according to guideline treatment vs patients with the treatment as usual on a six month follow up.

Read the detailed description

The drug treatment of patients on the Guideline Treatment group followed an algorithm, where an atypical antipsychotic must be maintained during 6 weeks before the evaluation of medication change if the PANSS score did not show a reduction of 30% and the patients did not show functional improvement. Clozapine could be administered if two trials of antipsychotics were not effective. Benzodiazepines, antidepressants, anticholinergics or anticonvulsants were allowed for the treatment of comorbid disorders or side effects.

The psychosocial treatment included psychoeducation (three 90 min sessions with the family and two 45 min sessions with the patients), followed by a seven 45 min sessions training on social skills which focused on verbal and non-verbal communication, as well as in conversation skills. Patients were also trained in healthy life style habits and were included on a 30 min of exercise in group.

TAU included an antipsychotic and the psychosocial treatment decided by the clinician

02

Conditions studied

  • Schizophrenia

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Keywords

  • Schizophrenia
  • Adolescents
  • Treatment
  • Guidelines
03

In context

Schizophrenia

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

This study's enrollment of 91 is above the median of 70 across 2,872 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Hospital Psiquiatrico Infantil Dr. Juan N. Navarro, Mexico is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
12 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Total score ≥ 70 on the Positive and Negative Syndrome Scale (PANSS) and a score of at least 4 (moderate) on 3 of the follow core items (conceptual disorganization , hallucinatory behavior, suspiciousness, and unusual thought content).
  • Patients were required to have a score of ≥ 4 symptoms on the Clinical Global Impression Improvement Scale (CGI-S)
  • Had not received antipsychotic in proper doses/ a regular antipsychotic treatment for at least 4 weeks previous enrollment.

Exclusion criteria

Exclusion Criteria:

  • Unstable medical conditions
  • Their diagnosis changed during the study
  • Had a history of substance dependence or substance use (except cannabis), -Females with pregnancy
  • Refusal to practice contraception during the study.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
91 participants (actual)

Study arms

  • Experimental
    1 Guideline treatment

    Participants will receive the Guideline Treatment (risperidone, administered orally) plus Behavioral Intervention: "psychosocial treatment" included "psychoeducation" "social skills" "healthy life style habits" "exercise in group"

    Drug: Guideline treatment (Risperidone, administered orally) · Behavioral: "Psychosocial treatment"

  • Active comparator
    2 Treatment as Usual

    Participants will receive the Treatment as Usual (atypical antipsychotic) plus psychosocial treatment decided by clinician

    Drug: Treatment as Usual (any other antipsychotic)

Interventions

  • DrugGuideline treatment (Risperidone, administered orally)

    Participants will receive the Guideline Treatment (risperidone, administered orally) plus Behavioral Intervention: "psychosocial treatment" included "psychoeducation" "social skills" "healthy life style habits" "exercise in group"

    Also known as: Atypical antipsychotic

  • Behavioral"Psychosocial treatment"

    Participants will receive the Guideline Treatment (risperidone, administered orally) plus Behavioral Intervention: "psychosocial treatment" included "psychoeducation" "social skills" "healthy life style habits" "exercise in group"

    Also known as: "Psychoeducation", "Social Skills", "Healthy Life style", "Exercise in group"

  • DrugTreatment as Usual (any other antipsychotic)

    Participants will receive the Treatment as Usual (atypical antipsychotic) plus Behavioral Intervention: psychosocial treatment assigned by clinician.

    Also known as: Any other antipsychotic assigned by clinician

06

What researchers measure

Primary outcomes

  1. Responder status, >30% reduction in PANSS score and improvement on CGI score.

    Responder status, defined by \>30% reduction in PANSS scores and significant improvement on the CGI score. CGI significant improvement defined as a score of 1 (very much improved), or 2 (much improved).

    Time frame: six months

Secondary outcomes

  1. Functional outcomes assessed by the Personal and Social Performance Scale.

    Functional outcomes assessed by the Personal and Social Performance Scale. The lowest score represents lack of autonomy in the basic functioning and the highest score reflects excellent performance.

    Time frame: six months

  2. Cognition assessed using The MATRICS Consensus Cognitive Battery (MCCB)

    Cognition assessed using "The MATRICS Consensus Cognitive Battery"; includes ten trials evaluating seven cognitive domains; processing speed, verbal learning and visual, verbal working memory and non-verbal reasoning and problem solving, sustained attention, and social cognition.

    Time frame: six months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 19, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02573701
Lead sponsor
Hospital Psiquiatrico Infantil Dr. Juan N. Navarro, Mexico
Responsible party
Rosa E. Ulloa (Investigator in Medical Sciences, Hospital Psiquiatrico Infantil Dr. Juan N. Navarro, Mexico) — Principal investigator
First posted
Oct 12, 2015
Start date
Oct 2011
Primary completion
Jun 2015
Completion
Jul 2015
Last update
Feb 19, 2016

Study contacts

Rosa E. Ulloa, Md Phd
principal investigator · Secretaria de Salud

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2016. You cannot join it, but the record below documents what was studied.

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