Proposal To Develop A Rapid And Cost-Effective Diagnostic Test For Schizophrenia
University of Arizona
Summary
Schizophrenia is a severe psychotic illness of unknown cause that affects 1% of the population worldwide. Currently, there is no diagnostic test for schizophrenia. Instead, the diagnosis is typically established through a psychiatric interview of the patient, who is evaluated against a set of established criteria of signs and symptoms. It can take many months to years to establish a diagnosis of schizophrenia and achieve an appropriate treatment regimen to attain resolution of the patient's symptoms. This process is particularly challenging in areas of limited access to specialists a problem not only in third world countries and rural regions, but throughout the United States where there can be long waits to obtain an appointment with a psychiatrist. The present research experiment investigates a potential novel method for diagnosing schizophrenia. The overall objective of the study is to test the hypothesis that patients with schizophrenia will have a heightened tolerance to the sedating effects of anti-psychotic medications, which will be reflected in differences in their electroencephalogram (EEG) when compared to healthy normal controls. The investigators expect that the schizophrenia patients will score on the "more alert" and "less sleepy" ends of these scales, and that the normal control subjects will show the opposite response. A patient that fails to become sedated or experience the sleepiness side effects, typically caused by the anti-psychotic medication, may support the existing diagnosis of schizophrenia. Measures of the subjects' level of sedation that are found to correlate significantly with EEG response and diagnosis will be used to create a diagnostic test. This simple and inexpensive test will consist of a single dosage of anti-psychotic medication, and a rapid assessment tool with scores that have a high degree of predictive validity for the diagnosis of schizophrenia.
Description
The overall objective of the study is to test the hypothesis that patients with schizophrenia will have a heightened tolerance to the sedating effects of antipsychotic medications, which will be reflected in differences in the participants' electroencephalogram response (EEG), when compared to healthy control participants.The following Specific Aims are designed to test this hypothesis and create the diagnostic tool. Specific Aim 1: The investigators will first conduct a pilot dose-response evaluation of the anti-psychotic drugs ziprasidone (Geodon) (20, 40, or 60 mg tablet) and olanzapine (Z…
Eligibility
- Age range
- 18–40 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria Healthy Control 1. Be between 18 and 40 years of age 2. Be able to understand English 3. Have no history of psychosis 4. Have no history of sleep apnea, heart condition or seizure 5. Have no known drug allergies 6. The ability to swallow a pill Exclusion Criteria Healthy control 1. Refuse to sign the consent form 2. Drink caffeine or alcohol within 24 hours of the study 3. Have the EKG readout report borderline or abnormal ECG 4. Have the 12 panel urine drug screen show a positive result 5. Be pregnant Inclusion Criteria Schizophrenic subject 1. Be between 18 and 40 yea…
Interventions
- DrugZiprasidone
anti-psychotic drug proposed for use as rapid diagnostic tool
- DrugOlanzapine
anti-psychotic drug proposed for use as rapid diagnostic tool
- DrugPlacebo Comparator
A non drug oral placebo capsule will be given as a control
Location
- Banner University Medical CenterPhoenix, Arizona