Effects of NAC on Symptoms of CHR Patients
NCT05142735 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 90
Last updated 2026-03-27
Summary
Schizophrenia is a chronic debilitating psychotic disorder. Identifying persons with "clinical high-risk" (CHR) symptoms, which are like those of schizophrenia but less severe, and providing psychiatric care to these individuals has been shown to help prevent psychosis. Current medications used for CHR symptoms, however, are associated with substantial side effect burden. Therefore, practice guidelines do not recommend current medications as routine treatment for the CHR state, and there is a need to identify new treatments for this condition.
Research suggests that abnormal brain oxidative stress may contribute to schizophrenia, offering a potential novel treatment target in the CHR state. Oxidative stress is an excess of free radicals, which are generated from normal metabolism and environmental exposures, and can damage cells. Antioxidants in the body normally neutralize free radicals. Antioxidant deficiency could result in excess oxidative stress that damages brain cells, leading to schizophrenia. Recent studies suggest that N-acetylcysteine (NAC), a precursor of the most abundant brain antioxidant, glutathione, may be a safe, well-tolerated treatment for schizophrenia. In light of this, NAC may also reduce symptoms and brain abnormalities in CHR patients.
Conditions
- Prodromal Schizophrenia
Interventions
- DIETARY_SUPPLEMENT
-
N-Acetylcysteine
2000 mg (4 x 500-mg tablets) every morning
- DIETARY_SUPPLEMENT
-
Placebo
4 placebo tablets every morning
Sponsors & Collaborators
-
Centre for Addiction and Mental Health
lead OTHER
Principal Investigators
-
Michael Kiang, MD, PhD · Centre for Addiction and Mental Health
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 16 Years
- Max Age
- 35 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-01-13
- Primary Completion
- 2026-11-01
- Completion
- 2026-12-31
Countries
- Canada
Study Locations
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