Trial Outcomes & Findings for Decreasing Risk of Coronary Artery Disease in Schizophrenia by Omega-3 Fatty Acid Supplementation (NCT NCT00167310)

NCT ID: NCT00167310

Last Updated: 2017-04-10

Results Overview

Biochemical measures: Plasma levels of triglycerides, small dense LDL (LDL3- and LDL4-) cholesterol, large buoyant LDL (LDL1- and LDL2-) cholesterol, and HDL2-cholesterol.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

57 participants

Primary outcome timeframe

4 months

Results posted on

2017-04-10

Participant Flow

Participant milestones

Participant milestones
Measure
Omega-3 Fatty Acid
Eicosapentaenoic acid (omega-3 fatty acid, 2 g in 4x500 mg softgels daily) + Antipsychotic drug (doctor's choice) treatment for baseline, 1 month, 2 months and 4 months duration. Eicosapentaenoic acid (omega-3 fatty acid): 2 g of Eicosapentaenoic acid in 4 x 500 mg capsules daily for baseline, 1 month, 2 months and 4 months
Placebo
Placebo (soy bean oil, 2 g in 4x500 mg softgels daily) + Antipsychotic drug (doctor's choice) treatment for baseline, 1 month, 2 months and 4 months duration. Placebo: 2 g of Placebo (soy bean oil) in 4 x 500 mg capsules daily for baseline, 1 month, 2 months and 4 months
Overall Study
STARTED
29
28
Overall Study
COMPLETED
21
18
Overall Study
NOT COMPLETED
8
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Omega-3 Fatty Acid
Eicosapentaenoic acid (omega-3 fatty acid, 2 g in 4x500 mg softgels daily) + Antipsychotic drug (doctor's choice) treatment for baseline, 1 month, 2 months and 4 months duration. Eicosapentaenoic acid (omega-3 fatty acid): 2 g of Eicosapentaenoic acid in 4 x 500 mg capsules daily for baseline, 1 month, 2 months and 4 months
Placebo
Placebo (soy bean oil, 2 g in 4x500 mg softgels daily) + Antipsychotic drug (doctor's choice) treatment for baseline, 1 month, 2 months and 4 months duration. Placebo: 2 g of Placebo (soy bean oil) in 4 x 500 mg capsules daily for baseline, 1 month, 2 months and 4 months
Overall Study
Protocol Violation
5
3
Overall Study
Withdrawal by Subject
3
7

Baseline Characteristics

Decreasing Risk of Coronary Artery Disease in Schizophrenia by Omega-3 Fatty Acid Supplementation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Omega-3 Fatty Acid
n=28 Participants
Eicosapentaenoic acid (omega-3 fatty acid, 2 g in 4x500 mg softgels daily) + Antipsychotic drug (doctor's choice) treatment for baseline, 1 month, 2 months and 4 months duration. Eicosapentaenoic acid (omega-3 fatty acid): 2 g of Eicosapentaenoic acid in 4 x 500 mg capsules daily for baseline, 1 month, 2 months and 4 months
Placebo
n=24 Participants
Placebo (soy bean oil, 2 g in 4x500 mg softgels daily) + Antipsychotic drug (doctor's choice) treatment for baseline, 1 month, 2 months and 4 months duration. Placebo: 2 g of Placebo (soy bean oil) in 4 x 500 mg capsules daily for baseline, 1 month, 2 months and 4 months
Total
n=52 Participants
Total of all reporting groups
Age, Continuous
56 years
STANDARD_DEVIATION 8 • n=99 Participants
54 years
STANDARD_DEVIATION 8 • n=107 Participants
55 years
STANDARD_DEVIATION 8 • n=206 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Sex: Female, Male
Male
26 Participants
n=99 Participants
24 Participants
n=107 Participants
50 Participants
n=206 Participants
Region of Enrollment
United States
28 participants
n=99 Participants
24 participants
n=107 Participants
52 participants
n=206 Participants
Body Mass Index
31 kg/m^2
STANDARD_DEVIATION 7 • n=99 Participants
31 kg/m^2
STANDARD_DEVIATION 6 • n=107 Participants
31 kg/m^2
STANDARD_DEVIATION 6 • n=206 Participants

PRIMARY outcome

Timeframe: 4 months

Population: Plasma triglyceride levels

Biochemical measures: Plasma levels of triglycerides, small dense LDL (LDL3- and LDL4-) cholesterol, large buoyant LDL (LDL1- and LDL2-) cholesterol, and HDL2-cholesterol.

Outcome measures

Outcome measures
Measure
Omega-3 Fatty Acid
n=21 Participants
Eicosapentaenoic acid (omega-3 fatty acid, 2 g in 4x500 mg softgels daily) + Antipsychotic drug (doctor's choice) treatment for baseline, 1 month, 2 months and 4 months duration. Eicosapentaenoic acid (omega-3 fatty acid): 2 g of Eicosapentaenoic acid in 4 x 500 mg capsules daily for baseline, 1 month, 2 months and 4 months
Placebo
n=18 Participants
Placebo (soy bean oil, 2 g in 4x500 mg softgels daily) + Antipsychotic drug (doctor's choice) treatment for baseline, 1 month, 2 months and 4 months duration. Placebo: 2 g of Placebo (soy bean oil) in 4 x 500 mg capsules daily for baseline, 1 month, 2 months and 4 months
Plasma Levels of Triglycerides and Lipoprotein Cholesterol
Plasma triglyceride
155 mg/dL
Standard Deviation 78
182 mg/dL
Standard Deviation 67
Plasma Levels of Triglycerides and Lipoprotein Cholesterol
Plasma LDL-1 cholesterol
12.68 mg/dL
Standard Deviation 4.93
16.92 mg/dL
Standard Deviation 7.10
Plasma Levels of Triglycerides and Lipoprotein Cholesterol
Plasma LDL-2 cholesterol
14.62 mg/dL
Standard Deviation 11.36
15.79 mg/dL
Standard Deviation 12.37
Plasma Levels of Triglycerides and Lipoprotein Cholesterol
Plasma LDL-3 cholesterol
40.93 mg/dL
Standard Deviation 14.69
43.47 mg/dL
Standard Deviation 23.44
Plasma Levels of Triglycerides and Lipoprotein Cholesterol
Plasma LDL-4 cholesterol
15.61 mg/dL
Standard Deviation 10.47
17.66 mg/dL
Standard Deviation 12.50
Plasma Levels of Triglycerides and Lipoprotein Cholesterol
Plasma HDL-2 cholesterol
8.00 mg/dL
Standard Deviation 3.96
8.56 mg/dL
Standard Deviation 2.41

SECONDARY outcome

Timeframe: 4 months

Biochemical Measures: Plasma levels of total cholesterol, LDL-cholesterol, HDL-cholesterol, VLDL-cholesterol, Lp(a) cholesterol, IDL-cholesterol, HDL3-cholesterol, VLDL1,2-cholesterol, and VLDL3-cholesterol.

Outcome measures

Outcome measures
Measure
Omega-3 Fatty Acid
n=21 Participants
Eicosapentaenoic acid (omega-3 fatty acid, 2 g in 4x500 mg softgels daily) + Antipsychotic drug (doctor's choice) treatment for baseline, 1 month, 2 months and 4 months duration. Eicosapentaenoic acid (omega-3 fatty acid): 2 g of Eicosapentaenoic acid in 4 x 500 mg capsules daily for baseline, 1 month, 2 months and 4 months
Placebo
n=18 Participants
Placebo (soy bean oil, 2 g in 4x500 mg softgels daily) + Antipsychotic drug (doctor's choice) treatment for baseline, 1 month, 2 months and 4 months duration. Placebo: 2 g of Placebo (soy bean oil) in 4 x 500 mg capsules daily for baseline, 1 month, 2 months and 4 months
Plasma Cholesterol Levels in Various Lipoprotein Fractions
Plasma total cholesterol
158 mg/dL
Standard Deviation 38
175 mg/dL
Standard Deviation 45
Plasma Cholesterol Levels in Various Lipoprotein Fractions
Plasma LDL cholesterol
98.14 mg/dL
Standard Deviation 30.50
109.83 mg/dL
Standard Deviation 37.55
Plasma Cholesterol Levels in Various Lipoprotein Fractions
Plasma HDL cholesterol
38.95 mg/dL
Standard Deviation 11.79
40.22 mg/dL
Standard Deviation 8.61
Plasma Cholesterol Levels in Various Lipoprotein Fractions
Plasma VLDL cholesterol
21.24 mg/dL
Standard Deviation 5.27
24.67 mg/dL
Standard Deviation 6.06
Plasma Cholesterol Levels in Various Lipoprotein Fractions
Plasma Lp(a) cholesterol
6.10 mg/dL
Standard Deviation 4.06
4.83 mg/dL
Standard Deviation 2.71
Plasma Cholesterol Levels in Various Lipoprotein Fractions
Plasma IDL cholesterol
8.24 mg/dL
Standard Deviation 5.70
11.17 mg/dL
Standard Deviation 6.14
Plasma Cholesterol Levels in Various Lipoprotein Fractions
Plasma HDL3 cholesterol
31.00 mg/dL
Standard Deviation 8.26
31.61 mg/dL
Standard Deviation 7.28
Plasma Cholesterol Levels in Various Lipoprotein Fractions
Plasma VLDL1 + VLDL2 cholesterol
9.62 mg/dL
Standard Deviation 2.85
11.45 mg/dL
Standard Deviation 3.26
Plasma Cholesterol Levels in Various Lipoprotein Fractions
Plasma VLDL3 cholesterol
11.67 mg/dL
Standard Deviation 2.82
13.39 mg/dL
Standard Deviation 3.09

Adverse Events

Omega-3 Fatty Acid

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Omega-3 Fatty Acid
n=28 participants at risk
Eicosapentaenoic acid (omega-3 fatty acid, 2 g in 4x500 mg softgels daily) + Antipsychotic drug (doctor's choice) treatment for baseline, 1 month, 2 months and 4 months duration. Eicosapentaenoic acid (omega-3 fatty acid): 2 g of Eicosapentaenoic acid in 4 x 500 mg capsules daily for baseline, 1 month, 2 months and 4 months
Placebo
n=24 participants at risk
Placebo (soy bean oil, 2 g in 4x500 mg softgels daily) + Antipsychotic drug (doctor's choice) treatment for baseline, 1 month, 2 months and 4 months duration. Placebo: 2 g of Placebo (soy bean oil) in 4 x 500 mg capsules daily for baseline, 1 month, 2 months and 4 months
Cardiac disorders
EKG report indicated sinus bradycardia with HR of 39. Patient asymptomatic.
3.6%
1/28 • Number of events 1 • 4 months
0.00%
0/24 • 4 months
Psychiatric disorders
Patient experiences mental problem
3.6%
1/28 • Number of events 1 • 4 months
4.2%
1/24 • Number of events 1 • 4 months

Additional Information

Dr. Jeffrey K. Yao, Research Professor

UPittsburgh

Phone: 412-360-6781

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place