SchizophreniaNCT03548155
Berberine Effects on Clinical Symptoms and Metabolic Disturbance in Patients With Schizophrenia
A study testing Berberine and atypical antipsychotic in people with Schizophrenia and Therapeutics, run by Tianjin Anding Hospital.
Trial summary
The study was a 8-week, randomized, double-blind, placebo-controlled trial. Berberine (300 mg,three times a day), as an adjuvant therapy has been used on the basis of the Second-generation antipsychotics(SGAs) monotherapy. Read more about this study
- Who is it for?
- Ages 18 to 62 years
- Conditions the study is for
- Schizophrenia, Therapeutics
- What is being tested?
- Berberine and atypical antipsychotic
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 65 participants
- Where
- No sites listed yet
- Study dates
- 24 Jul 2014to 8 May 2017
- Phase
- Interventional
- 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 62 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Individuals who aged 18 to 65 years
- Meet the diagnosis of schizophrenia according to DSM-IV
- Monotherapy of atypical antipsychotics for 4 weeks or more
- At least 60 for Positive and Negative Syndrome Scale (PANSS)
- Female subjects will be eligible to participate in the study if they are of non-childbearing potential or of child-bearing potential
- Sign the informed consent form
Who cannot join
- Individuals who with diagnosis of other psychiatric disorders except schizophrenia according to DSM-IV
- Refused to provide informed consent
- Significant medical illnesses including uncontrolled hypertension, diabetes, seizure disorder, severe cardiovascular, cerebrovascular, pulmonary, or thyroid diseases
- Currently on anti-inflammatory or immunosuppressant medication including oral steroids and history of chronic infection (including tuberculosis, HIV and hepatitis), malignancy, organ transplantation, blood dyscrasia, central nervous system demyelinating disorder, and any other known autoimmune or inflammatory condition.
About this study
Official title: Berberine Effects on Clinical Symptoms and Metabolic Disturbance as an Adjunctive Therapy in Patients With Schizophrenia: a Randomized Double-blind Placebo-controlled Study
The study was a 8-week, randomized, double-blind, placebo-controlled trial. Berberine (300 mg,three times a day), as an adjuvant therapy has been used on the basis of the Second-generation antipsychotics(SGAs) monotherapy. All participants were randomly divided into two groups.Any SGA + berberine (BBR) or any SGA +placebo.Positive and Negative Syndrome Scale (PANSS) has been used for psychiatric symptoms.The treatment Emergent Symptom Scale(TESS) has been used for evaluate adverse effects.Glucose and lipid profile, inflammatory factors,adiponectin,leptin were obtained at 0, 4,8 weeks.
Read the detailed description
Glucose and lipid profile:Fasting blood samples for Fasting blood glucose(FBG),Insulin, Hemoglobin A1c(HbA1c), Total cholesterol(TC), Low-density lipoprotein cholesterol(LDL-C),High-density lipoprotein cholesterol(HDL-C), Triglycerides (TG),Apolipoprotein A(ApoA),Apolipoprotein B(ApoB),Lipoprotein-a(Lp-a) .
Inflammatory factors:C-reaction protein(CRP),Interleukine-1 beta(IL-1β), Interleukine-6 (IL-6), Tumor necrosis factor-α (TNF-α).
- Conditions
- Schizophrenia, Therapeutics
- Being tested
- Berberine, atypical antipsychotic, placebo
- Keywords
- schizophrenia;berberine;symptoms;inflammation
- Medical subject headings
- Schizophrenia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BerberineDrug
Berberine 300mg(three times a day) plus any atypical antipsychotic drug
atypical antipsychoticDrug
Any atypical antipsychotic drug as the basic treatment
placeboDrug
The placebo were matched to Berberine in shape, smell and colour and capsules were sealed in identical bottles
| Study group | Role | What they receive |
|---|---|---|
| berberine group | Experimental | Not described Receives: Drug: Berberine; Drug: atypical antipsychotic |
| control group | Placebo comparator | Not described Receives: Drug: atypical antipsychotic; Drug: placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes of negative symptoms
Positive and Negative Syndrome Scale(PANSS)has been used to assess symptom severity in schizophrenia.Of the items included in PANSS ,seven constitute a Positive scale,seven form a Negative scale and sixteen constitute a General Psychopathology scale.7-point rating instrument was conceived.A total Score is computed three subscales.Minimum scores is 30 and maximum scores is 210.The higher score are considered the psychiatric symptoms more serious.
Measured: changes within 0,4,8weeks
Secondary outcomes (11)
Changes of Fasting blood samples for Fasting blood glucose(FBG)
The levels of FBG has been obtained at 3 point intervals: 0, 4, 8 weeks
Measured: changes within 0,4,8 weeks
Changes of Insulin
The levels of Insulin has been obtained at 3 point intervals: 0, 4, 8 weeks
Measured: changes within 0,4,8 weeks
Changes of TC
The levels of TC has been obtained at 3 point intervals: 0, 4, 8 weeks
Measured: changes within 0,4,8 weeks
Changes of TG
The levels of TG has been obtained at 3 point intervals: 0, 4, 8 weeks
Measured: changes within 0,4,8weeks
Changes of HDL-C
The levels of HDL-C has been obtained at 3 point intervals: 0, 4, 8 weeks
Measured: changes within 0,4,8weeks
Changes of LDL-C
The levels of LDL-C has been obtained at 3 point intervals: 0, 4, 8 weeks
Measured: changes within 0,4,8weeks
Safety
Evaluate the safety of berberine
Measured: changes within 0,4,8weeks
Changes of CRP
The levels of CRP has been obtained at 3 point intervals: 0, 4, 8 weeks
Measured: changes within 0,4,8weeks
Changes of IL-1β
The levels of IL-1β has been obtained at 3 point intervals: 0, 4, 8 weeks
Measured: changes within 0,4,8weeks
Changes of IL-6
The levels of IL-6 has been obtained at 3 point intervals: 0, 4, 8 weeks
Measured: changes within 0,4,8weeks
Changes of TNF-α
The levels of TNF-α has been obtained at 3 point intervals: 0, 4, 8 weeks
Measured: changes within 0,4,8weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jun 2018
- Study start24 Jul 2014
- Primary completion14 Dec 2015
- Study completion8 May 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for SchizophreniaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 65 participants (actual)
Sponsor and investigators
- Lead sponsor
- Tianjin Anding Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03548155
- Sponsor's protocol ID
- BBR-SCH-2015
- Status last verified
- May 2018
- First submitted
- 14 May 2018
- Last updated
- 25 Jul 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Li M, Qiu Y, Zhang J, Zhang Y, Liu Y, Zhao Y, Jia Q, Fan X, Li J. Improvement of adjunctive berberine treatment on negative symptoms in patients with schizophrenia. Eur Arch Psychiatry Clin Neurosci. 2022 Jun;272(4):633-642. doi: 10.1007/s00406-021-01359-4. Epub 2022 Jan 17.
PubMed 35037116
Study at a glance
From the registry record, last updated by the sponsor on 25 Jul 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Berberine Effects on Clinical Symptoms and Metabolic Disturbance as an Adjunctive Therapy in Patients With Schizophrenia: a Randomized Double-blind Placebo-controlled Study
- ClinicalTrials.gov ID
- NCT03548155
- Acronym / sponsor ID
- BBR-SCH-2015
- Conditions
- Schizophrenia, Therapeutics
- Keywords
- schizophrenia;berberine;symptoms;inflammation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 65 participants (actual)
- Lead sponsor
- Tianjin Anding HospitalUniversity, hospital or other
- Study start
- 24 Jul 2014 (actual)
- Primary completion
- 14 Dec 2015 (actual)
- Study completion
- 8 May 2017 (actual)
- First posted
- 7 Jun 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study was a 8-week, randomized, double-blind, placebo-controlled trial. Berberine (300 mg,three times a day), as an adjuvant therapy has been used on the basis of the Second-generation antipsychotics(SGAs) monotherapy. All participants were randomly divided into two groups.Any SGA + berberine (BBR) or any SGA +placebo.Positive and Negative Syndrome Scale (PANSS) has been used for psychiatric symptoms.The treatment Emergent Symptom Scale(TESS) has been used for evaluate adverse effects.Glucose and lipid profile, inflammatory factors,adiponectin,leptin were obtained at 0, 4,8 weeks.
Detailed description
Glucose and lipid profile:Fasting blood samples for Fasting blood glucose(FBG),Insulin, Hemoglobin A1c(HbA1c), Total cholesterol(TC), Low-density lipoprotein cholesterol(LDL-C),High-density lipoprotein cholesterol(HDL-C), Triglycerides (TG),Apolipoprotein A(ApoA),Apolipoprotein B(ApoB),Lipoprotein-a(Lp-a) .
Inflammatory factors:C-reaction protein(CRP),Interleukine-1 beta(IL-1β), Interleukine-6 (IL-6), Tumor necrosis factor-α (TNF-α).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| berberine group | Experimental | Drug: Berberine, Drug: atypical antipsychotic |
| control group | Placebo comparator | Drug: atypical antipsychotic, Drug: placebo |
Who may qualify
- Ages
- 18 to 62 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Individuals who aged 18 to 65 years
- Meet the diagnosis of schizophrenia according to DSM-IV
- Monotherapy of atypical antipsychotics for 4 weeks or more
- At least 60 for Positive and Negative Syndrome Scale (PANSS)
- Female subjects will be eligible to participate in the study if they are of non-childbearing potential or of child-bearing potential
Key exclusion criteria (4 listed)
- Individuals who with diagnosis of other psychiatric disorders except schizophrenia according to DSM-IV
- Refused to provide informed consent
- Significant medical illnesses including uncontrolled hypertension, diabetes, seizure disorder, severe cardiovascular, cerebrovascular, pulmonary, or thyroid diseases
- Currently on anti-inflammatory or immunosuppressant medication including oral steroids and history of chronic infection (including tuberculosis, HIV and hepatitis), malignancy, organ transplantation, blood dyscrasia, central nervous system demyelinating disorder, and any other known autoimmune or inflammatory condition.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BerberineBerberine 300mg(three times a day) plus any atypical antipsychotic drug | Drug | berberine group |
| atypical antipsychoticAny atypical antipsychotic drug as the basic treatment | Drug | berberine group, control group |
| placeboThe placebo were matched to Berberine in shape, smell and colour and capsules were sealed in identical bottles | Drug | control group |
Primary outcome
Changes of negative symptoms
Time frame: changes within 0,4,8weeks
Positive and Negative Syndrome Scale(PANSS)has been used to assess symptom severity in schizophrenia.Of the items included in PANSS ,seven constitute a Positive scale,seven form a Negative scale and sixteen constitute a General Psychopathology scale.7-point rating instrument was conceived.A total Score is computed three subscales.Minimum scores is 30 and maximum scores is 210.The higher score are considered the psychiatric symptoms more serious.
11 secondary outcomes
Changes of Fasting blood samples for Fasting blood glucose(FBG)
Time frame: changes within 0,4,8 weeks
Changes of Insulin
Time frame: changes within 0,4,8 weeks
Changes of TC
Time frame: changes within 0,4,8 weeks
Changes of TG
Time frame: changes within 0,4,8weeks
Changes of HDL-C
Time frame: changes within 0,4,8weeks
Changes of LDL-C
Time frame: changes within 0,4,8weeks
Safety
Time frame: changes within 0,4,8weeks
Changes of CRP
Time frame: changes within 0,4,8weeks
Changes of IL-1β
Time frame: changes within 0,4,8weeks
Changes of IL-6
Time frame: changes within 0,4,8weeks
Changes of TNF-α
Time frame: changes within 0,4,8weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Jul 2023.
- Derived from this study: PubMed 35037116Li M, Qiu Y, Zhang J, Zhang Y, Liu Y, Zhao Y, Jia Q, Fan X, Li J. Improvement of adjunctive berberine treatment on negative symptoms in patients with schizophrenia. Eur Arch Psychiatry Clin Neurosci. 2022 Jun;272(4):633-642. doi: 10.1007/s00406-021-01359-4. Epub 2022 Jan 17.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
A study testing Berberine and atypical antipsychotic in people with Schizophrenia and Therapeutics, run by Tianjin Anding Hospital.
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 6 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 25 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
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.
What does the primary outcome measure?
Changes of negative symptoms (time frame: changes within 0,4,8weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03548155, which also lists 1 linked publication.
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 25 Jul 2023.