E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
cannabis induced psychosis/schizophrenic patients with cannabis abuse |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To test the effect of quetiapine on positive and negative symptoms of schizophrenia on schizophrenic patients associated with cannabis abuse and patients with psychotic disorders through cannabis abuse. |
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E.2.2 | Secondary objectives of the trial |
• Change of craving • Change of CGI values • Change of depression, anxiety and sleep disturbances • Safety and tolerability of quetiapineXR sustained-release
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Females and/or males aged 18 to 60 years. 2. Provision of written informed consent. In case of acute psychosis written informed consent has to be obtained from the legal representative of the patient, if applicable or from two independent physicians not involved in the study. When the patient recovers, the written informed consent has to be signed by the patient itself. 3. A diagnosis of schizophrenia (ICD10: F20.0, F20.1, F20.2, F20.4, F20.5) with associated cannabis abuse and/or psychotic disorders through cannabis (ICD 10: F12.5, F12.7). 4. A score of at least 15 on the positive scale of the PANSS. 5. Female patients of childbearing potential must be using a reliable method of contraception and have a negative blood human chorionic gonadotropin (HCG) test at enrolment. 6. Able to understand and comply with the requirements of the study. In case of acute psychosis only those patients are included that are expected to understand the requirements under healthy conditions.
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E.4 | Principal exclusion criteria |
1. Pregnancy or lactation. 2. Any ICD10 F-criteria not defined in the inclusion criteria. 3. Patients who, in the opinion of the investigator, pose an imminent risk of suicide or a danger to themselves or others. 4. Known intolerance or lack of response to quetiapine fumarate as judged by the investigator. 5. Use of any of the following cytochrome P450 3A4 inhibitors in the 14 days preceding enrolment including but not limited to: ketoconazole, itraconazole, fluconazole, erythromycin, clarithromycin, troleandomycin, indinavir, nelfinavir, ritonavir, fluvoxamine and saquinavir. 6. Use of any of the following cytochrome P450 3A4 inducers in the 14 days preceding enrollment including but not limited to: phenytoin, carbamazepine, barbiturates, rifampin, St. John’s Wort, and glucocorticoids. 7. Patients who require treatment with one or more additional neuroleptics to quetiapine. 8. Administration of a depot antipsychotic injection within one dosing interval (for the depot) before randomisation. 9. Substance or alcohol dependence within 4 weeks prior to enrolment, at enrolment and during the study (except for cannabis, caffeine or nicotine dependence), as defined by DSM-IV criteria. 10. Medical conditions that would affect absorption, distribution, metabolism, or excretion of study treatment. 11. Unstable or inadequately treated medical illness (e.g. congestive heart failure, angina pectoris, hypertension) as judged by the investigator. 12. An absolute neutrophil count (ANC) of ≤ 1.5 x 109 per liter. 13. Involvement in the planning and conduct of the study. 14. Previous enrolment or randomisation of treatment in the present study. 15. A patient with Diabetes Mellitus (DM) fulfilling one of the following criteria: •Unstable DM as defined as enrolment glycosylated haemoglobin (HbA1c) >8.5 %. •Admitted to hospital for treatment of DM or DM related illness in past 12 weeks. •Not under physicians care for DM. •Physicians responsible for patient´s DM care has not indicated that patient´s DM is controlled. Physician responsible for patient´s DM care has not approved patient´s participation in the study. •Has not been on the same dose of oral hypoglycaemic drug(s) and/or diet for the 4 weeks prior to inclusion. For thiazolidinediones (glitazones) this period should be at least 8 weeks. •Taking insulin whose daily dose on one occasion in the past 4 weeks has been more than 10% above or below their mean dose in the preceding 4 weeks. Note: If a diabetic patient meets one of these criteria, the patient is to be excluded even if the treating physician believes that the patient is stable and can participate in the study. 16. Previous treatment with study medication within the last 4 weeks prior to enrolment into this study. 17. Participation in another drug trial within 4 weeks prior enrolment into this study or current participation in another clinical trial.
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary variable will be the proportion of patients with a 30% reduction from screening visit to month 3 in PANSS total score |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | No |
E.8.5.1 | Number of sites anticipated in the EEA | 3 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 12 |
E.8.9.1 | In the Member State concerned days | 0 |