ClinicalTrials.gg
TerminatedNCT04742413RESPECTUpdated Sep 22, 2022

A 12-Month Observational Prospective Cohort Study to Analyze Cardiometabolic Profile Changes to Switch to Lurasidone in Patients With Schizophrenia. RESPECT Study.

An observational study in Schizophrenia, sponsored by Angelini Farmacéutica. Terminated at 10 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-09-22.

Sponsored by Angelini Farmacéutica (part of Angelini Pharma) · Observational

Why this study was terminated
Recruitment was not completed
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
9
Ages
18 Years and older
Sex
All
01

Study summary

A 12-Month Observational Prospective Multicentre Cohort Study based on existing and newly collected data of schizophrenia patients followed-up for one year in secondary care settings (psychiatric services). Schizophrenia patients will be enrolled in a consecutive manner over a period of 6 month into two cohorts according to their prescribing switching treatment: to lurasidone (cohort A) and to another SGA (cohort B).

Read the detailed description

Study design A 12-Month observational prospective multicentre cohort study based on existing and newly collected data of schizophrenia patients followed-up for one year in secondary care settings (psychiatric services).

Patients will be selected by the specialist when required to switch the SGA therapy for schizophrenia (index data). Schizophrenia patients will be enrolled in a consecutive manner over a period of 6 month into two cohorts:

  • Cohort A: patients who are prescribed to switch to lurasidone (lurasidone cohort)
  • Cohort B: patients who are prescribed to switch to any other monotherapy SGA (other SGA cohort) The decision to switch the SGA treatment and prescribe the new treatment is done previously and independent from the decision to enter the patient into the study.

Visit 0 will be performed when the investigator consider necessary to perform the treatment switch and patients give their informed consent to participate in the study. All patients will sign the Informed consent before starting the data collection.

The duration of the study will be 12 months of follow-up after switching (visit 0): month 1 (visit 1), month 3 (visit 2), month 6 (visit 3) and month 12 (visit 4). Moreover, the clinical data of the patients recorded previous the index data will be collected in order to ensure that these patients were on an SGA monotherapy for a minimum of 3 months before switching to maximize potential weight gain and dysmetabolic problems that occurs early during the treatment. Preferably, patients have to be on treatment for a year or more before switching so that they have reached a weight plateau.

02

Conditions studied

  • Schizophrenia

Browse trials for

03

In context

Schizophrenia

3,563 studies on the registry are indexed under Schizophrenia; 491 are open to participants now.

This study's enrollment of 9 is below the median of 178 across 506 observational studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Angelini Farmacéutica is the lead sponsor of 6 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
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients ≥ 18 years old, with schizophrenia based on the DSM-5, treated with oral SGA monotherapy for a minimum of 3 months before switching to lurasidone or another SGA, will be included.

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

  1. Female and male patients ≥ 18 years of age.
  2. Patients with schizophrenia based on the Diagnostic of Statistical Manual of Mental Disorders, Fifth Edition ().
  3. Patients currently treated with oral SGA monotherapy for a minimum of 3 months that are prescribed* to switch to another oral SGA medication. Patients will be included in a cohort depending on the switching treatment prescribed:

    • Cohort A: patients who are prescribed to switch to lurasidone (lurasidone cohort)
    • Cohort B: patients who are prescribed to switch to any other monotherapy SGA (other SGA cohort) *Treatment switch and overlap period will be performed according to clinical practice and medical criteria.
  4. Written prior to participation.

Exclusion criteria

Exclusion Criteria:

  1. Patients with a known cardiovascular disease or suspected of having a heart disease.
  2. Pregnant or breastfeeding women.
  3. Patients diagnosed with at least one of the following: depression with psychotic symptoms, schizoaffective disorder, bipolar disorder or organic brain syndromes; Patients with active suicidal ideation or patients who have habitual and sustained consumption of alcohol and / or other toxic substances are also excluded.
  4. Patients who had been treated with a long-acting within the last 6 months, or within last year in case of Trevicta®.
  5. Concomitant treatments with antipsychotics for insomnia or anxiety (i.e., low doses of quetiapine, etumine, levomepromazine or similar). Concomitant treatment with sedative substances not considered antipsychotics (i.e., benzodiazepines or similar) when they are being taking regularly and at unchanged low doses are allowed.
  6. Patients with history of seizures, stroke, neuroleptic malignant syndrome or epilepsy are excluded.
  7. Current participation in any clinical trial.
  8. Patients for whom further follow-up is not possible at the enrolling site.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
9 participants (actual)
Patient registry
No

Groups and cohorts

  • A

    Patients who are prescribed to switch to lurasidone (lurasidone cohort)

  • B

    Patients who are prescribed to switch to any other monotherapy SGA (other SGA cohort)

06

What researchers measure

Primary outcomes

  1. To analyze cardiometabolic profile changes based on metabolic syndrome factors changes from baseline to visit 2.

    Body mass index, BMI (kg/m\^2)

    Time frame: Month 3

  2. To analyze cardiometabolic profile changes based on metabolic syndrome factors changes from baseline to visit 2.

    Abdominal perimeter (cm)

    Time frame: Month 3

  3. To analyze cardiometabolic profile changes based on metabolic syndrome factors changes from baseline to visit 2.

    Triglycerides(mg/dL)

    Time frame: Month 3

  4. To analyze cardiometabolic profile changes based on metabolic syndrome factors changes from baseline to visit 2.

    High density lipoproteins-cholesterol (mg/dL)

    Time frame: Month 3

  5. To analyze cardiometabolic profile changes based on metabolic syndrome factors changes from baseline to visit 2.

    systolic blood pressure (mm Hg)

    Time frame: Month 3

  6. To analyze cardiometabolic profile changes based on metabolic syndrome factors changes from baseline to visit 2.

    Diastolic blood pressure (mm Hg)

    Time frame: Month 3

  7. To analyze cardiometabolic profile changes based on metabolic syndrome factors changes from baseline to visit 2.

    fasting glucose levels (mg/dL)

    Time frame: Month 3

Secondary outcomes

  1. To evaluate effectiveness from baseline.

    To evaluate effectiveness based on Brief Psychiatric Rating Scale scores from baseline. Smaller scores mean a better outcome. Min: 24; Max:168

    Time frame: Month 3, month 6 and month 12

  2. To evaluate effectiveness from baseline.

    To evaluate effectiveness based on Clinical Global Impressions Ratings scores from baseline. Smaller scores mean a better outcome

    Time frame: Month 3, month 6 and month 12

  3. Analyze cardiometabolic profile changes based on metabolic syndrome factors

    Body Mass Indez (kg/m\^2) changes from baseline to visit 1, 3 and 4.

    Time frame: Month 3, month 6 and month 12

  4. Analyze cardiometabolic profile changes based on metabolic syndrome factors

    abdominal perimeter (cm) changes from baseline to visit 1, 3 and 4.

    Time frame: Month 3, month 6 and month 12

  5. Analyze cardiometabolic profile changes based on metabolic syndrome factors

    Triglycerides (mg/dL) changes from baseline to visit 1, 3 and 4.

    Time frame: Month 3, month 6 and month 12

  6. Analyze cardiometabolic profile changes based on metabolic syndrome factors

    High Densitity Lipoproteins - cholesterol (mg/dL) changes from baseline to visit 1, 3 and 4.

    Time frame: Month 3, month 6 and month 12

  7. Analyze cardiometabolic profile changes based on metabolic syndrome factors

    Systolic Blood Preassure (mm Hg) changes from baseline to visit 1, 3 and 4.

    Time frame: Month 3, month 6 and month 12

  8. Analyze cardiometabolic profile changes based on metabolic syndrome factors

    Diastolic Blood Preassure (mm Hg) changes from baseline to visit 1, 3 and 4.

    Time frame: Month 3, month 6 and month 12

  9. Analyze cardiometabolic profile changes based on metabolic syndrome factors

    fasting glucose levels (mg/dL) changes from baseline to visit 1, 3 and 4.

    Time frame: Month 3, month 6 and month 12

  10. Analyze cardiometabolic profile based on other cardiovascular risk factors

    To analyze cardiometabolic profile based on other cardiovascular risk factors (LDL-c (mg/dL), TC (mg/dL), HbA1c (%), creatinine (mg/dL), eGFR and prolactin (ng/ml) changes from baseline

    Time frame: Month 1, month 3, month 6 and month 12

  11. Analyze cardiometabolic profile based on other cardiovascular risk factors

    Low Density Lipoproteins - cholesterol (mg/dL) changes from baseline

    Time frame: Month 1, month 3, month 6 and month 12

  12. Analyze cardiometabolic profile based on other cardiovascular risk factors

    Total Cholesterol (mg/dL) changes from baseline

    Time frame: Month 1, month 3, month 6 and month 12

  13. Analyze cardiometabolic profile based on other cardiovascular risk factors

    Hemoglobin A1c protein (%) changes from baseline

    Time frame: Month 1, month 3, month 6 and month 12

  14. Analyze cardiometabolic profile based on other cardiovascular risk factors

    creatinine (mg/dL) changes from baseline

    Time frame: Month 1, month 3, month 6 and month 12

  15. Analyze cardiometabolic profile based on other cardiovascular risk factors

    prolactine (ng/mL) changes from baseline

    Time frame: Month 1, month 3, month 6 and month 12

  16. QTc levels

    To compare QTc levels from baseline to visit 4 (month 12)

    Time frame: Month 12

  17. Change in weight

    To analyze the percentage of change in weight (kg) from baseline.

    Time frame: Month 1, month 3, month 6 and month 12

  18. Health-related quality of life (HRQoL) changes based on patient reported outcomes

    To describe the health-related quality of life (HRQoL) changes based on patient reported outcomes from baseline.

    Time frame: Month 3, month 6 and month 12

  19. Health resources use

    To analyze the health resources use during the study.

    Time frame: Month 3, month 6 and month 12

  20. Evaluate safety and tolerability

    To evaluate safety and tolerability based on adverse events / adverse drug reactions (serious and non-serious) reported along the study

    Time frame: through study completion, an average of 1 year

  21. Reason for SGA discontinuation

    To evaluate the reason for SGA discontinuation by antipsychotic therapy.

    Time frame: through study completion, an average of 1 year

07

Study locations

10 sites
  • Hospital Regional de Málaga
    Málaga, Andalucia, Spain
  • Hospital Son Llatzer
    Palma De Mallorca, Baleares, Spain
  • Hospital Universitario Son Espases
    Palma de Mallorca, Baleares, Spain
  • Complejo Asistencial de Zamora
    Zamora, Castilla Leon, Spain
  • Complejo Asistencial Universitario de León
    León, Castilla León, Spain
  • H. U. Salamanca
    Salamanca, Castilla León, Spain
  • CHU Santiago
    Santiago De Compostela, Galicia, Spain
  • Hospital Álvaro Cunqueiro
    Vigo, Galicia, Spain
  • Hospital 12 de Octubre
    Madrid, Spain
  • Hospital Universitario la Paz
    Madrid, Spain
08

References and documents

Individual participant data

Plan to share: No

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 Sep 22, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04742413
Responsible party
Sponsor
First posted
Feb 8, 2021
Start date
Dec 29, 2020
Primary completion
Feb 15, 2022
Completion
Mar 15, 2022
Last update
Sep 22, 2022
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Sep 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion