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SchizophreniaPhase 4NCT00014001

CATIE- Schizophrenia Trial

A Phase 4 study testing perphenazine, olanzapine and quetiapine in people with Schizophrenia, run by National Institute of Mental Health (NIMH) at 54 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The CATIE Schizophrenia Trial is part of the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) Project. The schizophrenia trial is being conducted to determine the long-term effects and usefulness of antipsychotic medications in persons with schizophrenia. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Schizophrenia
What is being tested?
perphenazine, olanzapine and quetiapine
How many people
1,600 participants
Where
54 sitesUnited States
Study dates
Dec 2000to Dec 2004
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18-65 years old
  • DSM-IV diagnosis of schizophrenia
  • adequate capacity to consent

Who cannot join

  • Intolerance or failure to respond to one of the treatments
  • Diagnoses of schizoaffective disorder, mental retardation, pervasive developmental disorder, delirium, dementia, amnesia
  • First episode of schizophrenia
  • Women currently pregnant or breast-feeding

Trial locations and contacts

54 sites in 1 country.

54 sites in 1 country

United States54 sites
  • Albuquerque VA Medical Center

    Albuquerque, New Mexico, 87124

  • Appalachian Psychiatric Healthcare System

    Athens, Ohio, 45701

  • Emory University School of Medicine

    Atlanta, Georgia, 30319

  • North East Ohio Health Services

    Beachwood, Ohio, 44122

  • Mental Health Advocates Inc.

    Boca Raton, Florida, 33432

  • Massachusetts General Hospital-Freedom Trial Clinic Schizophrenia Program

    Boston, Massachusetts, 02114

  • St. Elizabeth's Medical Center

    Boston, Massachusetts, 02135

  • SUNY Downstate Medical Center

    Brooklyn, New York, 11203

  • Duke University Medical Center-John Umstead Hospital

    Butner, North Carolina, 27509

  • University of North Carolina School of Medicine

    Chapel Hill, North Carolina, 27599

  • Veterans Affairs Medical Center

    Charleston, South Carolina, 29401

  • Behavioral Health Center

    Charlotte, North Carolina, 28203

  • Northwestern Medical School Department of Psychiatry

    Chicago, Illinois, 60634

  • Synergy Clinical Research

    Chula Vista, California, 91910

  • Tri-County MHMR Services

    Conroe, Texas, 77304

  • University of Texas Southwestern Medical Center

    Dallas, Texas, 75390

  • Life Management Center for MH/MR Services

    El Paso, Texas, 98493

  • Corrigan Mental Health Center

    Fall River, Massachusetts, 02720

  • Clinical Insights, Inc.

    Glen Burnie, Maryland, 21061

  • The Queen's Medical Center

    Honolulu, Hawaii, 96813

  • Baylor College of Medicine

    Houston, Texas, 77030

  • MHMRA of Harris County-Northwest Community Service Center

    Houston, Texas, 77092

  • University of Iowa Hospital

    Iowa City, Iowa, 52242

  • University of Mississippi VA Medical Center

    Jackson, Mississippi, 39216

  • University of Missouri Kansas City Medical School

    Kansas City, Missouri, 64108

  • LA County-University of Southern California Medical Center

    Los Angeles, California, 90033

  • VA Medical Center

    Miami, Florida, 33125

  • University of Miami School of Medicine

    Miami, Florida, 33316

  • University of Minnesota School of Medicine

    Minneapolis, Minnesota, 55454

  • Vanderbilt University Schizophrenia Research

    Nashville, Tennessee, 37212

  • New Britain General Hospital

    New Britain, Connecticut, 06050

  • Yale University/Connecticut Mental Health Center

    New Haven, Connecticut, 06519

  • Mount Sinai Medical Center

    New York, New York, 10029

  • University of California, Irvine

    Orange, California, 92868

  • Philadelphia VA Medical Center

    Philadelphia, Pennsylvania, 19104

  • Eastern Pennsylvania Psychiatric Institute

    Philadelphia, Pennsylvania, 19129

  • Belmont Center for Comprehensive Treatment

    Philadelphia, Pennsylvania, 19131

  • Dorothea Dix Hospital

    Raleigh, North Carolina, 27603

  • University of Rochester Medical Center

    Rochester, New York, 14620

  • Valley Mental Health Psychopharmacology Research Center

    Salt Lake City, Utah, 84117

  • University of Utah Medical Center

    Salt Lake City, Utah, 84132

  • The Center for Health Care Services

    San Antonio, Texas, 78208

  • University of California,San Diego/VA Medical System

    San Diego, California, 92161

  • Louisiana State University Health Services Center

    Shreveport, Louisiana, 71130

  • Southern Illinois University School of Medicine

    Springfield, Illinois, 62702

  • Burrell Behavioral Health-Cox North Hospital

    Springfield, Missouri, 65802

  • Washington University School of Medicine

    St Louis, Missouri, 63112

  • Stanford University School of Medicine

    Stanford, California, 94305

  • Staten Island University Hospital

    Staten Island, New York, 10305

  • VA Puget Sound Health Care System

    Tacoma, Washington, 98493

  • Mount Sinai Medical Center-Bronx VA Medical Center

    The Bronx, New York, 10468

  • Harbor UCLA Research & Education Institute

    Torrance, California, 90502

  • Psychiatric Research Institute, Outpatient Clinic

    Wichita, Kansas, 67214

  • University Of Massachusetts Memorial Health Care

    Worcester, Massachusetts, 01605

Other trials in United States

About this study

Official title: Comparative Effectiveness of Antipsychotic Medications in Patients With Schizophrenia (CATIE Schizophrenia Trial)

The CATIE Schizophrenia Trial is part of the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) Project. The schizophrenia trial is being conducted to determine the long-term effects and usefulness of antipsychotic medications in persons with schizophrenia. It is designed for people with schizophrenia who may benefit from a medication change. The study involves the newer atypical antipsychotics (olanzapine, quetiapine, risperidone, clozapine, and ziprasidone)and the typical antipsychotics (perphenazine and fluphenazine decanoate). All participants will receive an initial comprehensive medical and psychiatric evaluation and will be closely followed throughout the study. For most participants the study will last up to 18 months. Everyone in the study will be offered an educational program about schizophrenia and family members will be encouraged to participate.

Read the detailed description

This trial will consist of 1600 patients with schizophrenia for whom a medication change may be indicated for reasons of limited efficacy or tolerability. All patients will receive some psychosocial treatment through study participation. Research participants and their family members will be offered psychosocial interventions directed at improving patient and family understanding of the illness, decreasing the burden of illness in the family, maximizing treatment adherence, minimizing relapse, enhancing access to a range of community-based rehabilitative services and improving study retention.

Phase I: Patients will be randomly assigned to one of five treatment conditions for up to 18 months:

  1. 320 begin double-blind treatment with perphenazine (PER)
  2. 320 begin double-blind treatment with olanzapine (OLZ)
  3. 320 begin double-blind treatment with quetiapine (QUET)
  4. 320 begin double-blind treatment with risperidone (RIS)
  5. 220 begin double-blind treatment with ziprasidone (ZIP)

Phase IA: 100 patients screened and found to have tardive dyskinesia who would otherwise be eligible for the study will be randomly assigned to one of the four atypical drugs in Phase IA.

Phase IB: Patients who fail treatment with perphenazine in Phase I will be randomly assigned to olanzapine, quetiapine, or risperidone in Phase IB.

Phase II: Patients who discontinue their initial assigned atypical antipsychotic treatment in Phase I, IA, or IB for any non-administrative reason will proceed to their second assigned treatment (third for Phase IB patients) and will be followed for up to the remainder of their 18-month participation, as follows:

  1. Patients originally assigned to one of the newer atypical antipsychotics who discontinue due to efficacy failure will be randomly assigned to double-blind treatment with one of the other two newer atypical antipsychotics (OLZ, RIS, QUET) which they had not previously received (50%) or with open label clozapine (50%).
  2. Patients originally assigned to one of the newer atypical antipsychotics who discontinue due to tolerability failure will be randomly assigned to double-blind treatment with one of the other newer atypical antipsychotics (OLZ, RIS, QUET) which they had not previously received (50%), or with ziprasidone (50%). Until ziprasidone is activated, all patients will be assigned to one of the other atypical antipsychotics.

Phase II will last at least 6 months, even if that means participants stay in the study for more than 18 months

Phase III: Patients who discontinue Phase II will be recommended open treatment with the preferred regimen based on their treatment history in the study. The treatment options include clozapine, newer atypical antipsychotic (olanzapine, risperidone, quetiapine, ziprazidone, and aripiprazole), fluphenazine decanoate, perphenazine, and dual antipsychotic therapy using two of these drugs.

Note: All treatments will be double-blinded in treatment Phases I and II except for clozapine.

Conditions
Schizophrenia
Being tested
perphenazine, olanzapine, quetiapine, risperidone, ziprasidone
Keywords
Antipsychotic Treatment, Effectiveness
Medical subject headings
Schizophrenia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • perphenazineDrug

  • olanzapineDrug

  • quetiapineDrug

  • risperidoneDrug

  • ziprasidoneDrug

  • clozapineDrug

  • fluphenazine decanoateDrug

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Apr 2001 (estimated)
  2. Study startDec 2000
  3. Study completionDec 2004

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Enrolment
1,600 participants
IDs, dates and publications
ClinicalTrials.gov ID
NCT00014001
Sponsor's protocol ID
N01 MH090001-06
Other IDs
N01MH90001-SZ, DSIR AT, N01MH90001, N01MH090001
Status last verified
Oct 2006
First submitted
6 Apr 2001
Last updated
17 Jun 2015
Results posted
No

Publications

  • Davis SM, Koch GG, Davis CE, LaVange LM. Statistical approaches to effectiveness measurement and outcome-driven re-randomizations in the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) studies. Schizophr Bull. 2003;29(1):73-80. doi: 10.1093/oxfordjournals.schbul.a006993.

    PubMed 12908662
  • Keefe RS, Mohs RC, Bilder RM, Harvey PD, Green MF, Meltzer HY, Gold JM, Sano M. Neurocognitive assessment in the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) project schizophrenia trial: development, methodology, and rationale. Schizophr Bull. 2003;29(1):45-55. doi: 10.1093/oxfordjournals.schbul.a006990.

    PubMed 12908660
  • Lieberman JA, Stroup TS. Guest editors' introduction: what can large pragmatic clinical trials do for public mental health care? Schizophr Bull. 2003;29(1):1-6. doi: 10.1093/oxfordjournals.schbul.a006979. No abstract available.

    PubMed 12908656
  • Rosenheck R, Doyle J, Leslie D, Fontana A. Changing environments and alternative perspectives in evaluating the cost-effectiveness of new antipsychotic drugs. Schizophr Bull. 2003;29(1):81-93. doi: 10.1093/oxfordjournals.schbul.a006994.

    PubMed 12908663
  • Sernyak MJ, Leslie D, Rosenheck R. Use of system-wide outcomes monitoring data to compare the effectiveness of atypical neuroleptic medications. Am J Psychiatry. 2003 Feb;160(2):310-5. doi: 10.1176/appi.ajp.160.2.310.

    PubMed 12562578
  • Stroup TS, McEvoy JP, Swartz MS, Byerly MJ, Glick ID, Canive JM, McGee MF, Simpson GM, Stevens MC, Lieberman JA. The National Institute of Mental Health Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) project: schizophrenia trial design and protocol development. Schizophr Bull. 2003;29(1):15-31. doi: 10.1093/oxfordjournals.schbul.a006986.

    PubMed 12908658
  • Swartz MS, Perkins DO, Stroup TS, McEvoy JP, Nieri JM, Haak DC. Assessing clinical and functional outcomes in the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) schizophrenia trial. Schizophr Bull. 2003;29(1):33-43. doi: 10.1093/oxfordjournals.schbul.a006989.

    PubMed 12908659
  • Stroup TS, Appelbaum PS. Evaluation of "subject advocate" procedures in the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) schizophrenia study. Schizophr Bull. 2006 Jan;32(1):147-52. doi: 10.1093/schbul/sbj026. Epub 2005 Nov 10.

    PubMed 16282635
  • Lieberman JA, Stroup TS, McEvoy JP, Swartz MS, Rosenheck RA, Perkins DO, Keefe RS, Davis SM, Davis CE, Lebowitz BD, Severe J, Hsiao JK; Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) Investigators. Effectiveness of antipsychotic drugs in patients with chronic schizophrenia. N Engl J Med. 2005 Sep 22;353(12):1209-23. doi: 10.1056/NEJMoa051688. Epub 2005 Sep 19.

    PubMed 16172203
  • McEvoy JP, Lieberman JA, Stroup TS, Davis SM, Meltzer HY, Rosenheck RA, Swartz MS, Perkins DO, Keefe RS, Davis CE, Severe J, Hsiao JK; CATIE Investigators. Effectiveness of clozapine versus olanzapine, quetiapine, and risperidone in patients with chronic schizophrenia who did not respond to prior atypical antipsychotic treatment. Am J Psychiatry. 2006 Apr;163(4):600-10. doi: 10.1176/ajp.2006.163.4.600.

    PubMed 16585434
  • Stroup TS, Lieberman JA, McEvoy JP, Swartz MS, Davis SM, Rosenheck RA, Perkins DO, Keefe RS, Davis CE, Severe J, Hsiao JK; CATIE Investigators. Effectiveness of olanzapine, quetiapine, risperidone, and ziprasidone in patients with chronic schizophrenia following discontinuation of a previous atypical antipsychotic. Am J Psychiatry. 2006 Apr;163(4):611-22. doi: 10.1176/ajp.2006.163.4.611.

    PubMed 16585435
  • Rosenheck RA, Leslie DL, Sindelar J, Miller EA, Lin H, Stroup TS, McEvoy J, Davis SM, Keefe RS, Swartz M, Perkins DO, Hsiao JK, Lieberman J; CATIE Study Investigators. Cost-effectiveness of second-generation antipsychotics and perphenazine in a randomized trial of treatment for chronic schizophrenia. Am J Psychiatry. 2006 Dec;163(12):2080-9. doi: 10.1176/ajp.2006.163.12.2080.

    PubMed 17151158
  • Essock SM, Covell NH, Davis SM, Stroup TS, Rosenheck RA, Lieberman JA. Effectiveness of switching antipsychotic medications. Am J Psychiatry. 2006 Dec;163(12):2090-5. doi: 10.1176/ajp.2006.163.12.2090.

    PubMed 17151159
  • Strobl EV, Kim S. Learning Outcomes That Maximally Differentiate Psychiatric Treatments. Int J Methods Psychiatr Res. 2026 Jun;35(2):e70074. doi: 10.1002/mpr.70074.

    PubMed 42030496
  • Fabbri C, Leggio GM, Drago F, Serretti A. Imputed expression of schizophrenia-associated genes and cognitive measures in patients with schizophrenia. Mol Genet Genomic Med. 2022 Jun;10(6):e1942. doi: 10.1002/mgg3.1942. Epub 2022 Apr 30.

    PubMed 35488718

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing perphenazine, olanzapine and quetiapine in people with Schizophrenia, run by National Institute of Mental Health (NIMH) at 54 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Jun 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 54 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00014001, which also lists 49 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jun 2015.

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