Anticholinergic Deprescription in Schizophrenia
NCT06562608 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 105
Last updated 2026-02-09
Summary
In this study, the investigators will examine whether a deprescription of unnecessary anticholinergic drugs (benztropine or trihexyphenidyl) can augment quality of life, functioning, and neurocognition in individuals who with schizophrenia. Individuals identified by clinical services who have unneeded prescriptions benztropine or trihexyphenidyl will be eligible for deprescription and study entry. Following a baseline evaluation and magnetic resonance imaging (MRI), participants will will be randomized to either staying on their anticholinergic drugs or undergoing deprescription per routine clinical care, and will undergo follow-up evaluations across 6 months. The investigators predict that reducing and deprescribing these drug, if clinically determined to be unnecessary will will enhance functioning, neurocognition
Conditions
- Schizophrenia
- Schizoaffective Disorder
Interventions
- DRUG
-
Anticholinergic Deprescription
per routine clinical care, people in the active arm of the study will undergo deprescription of benztropine or trihexyphenidyl per routine clinical care.
- DRUG
-
No Anticholinergic Deprescription
In this arm, no deprescription of benztropine or trihexyphenidyl will occur.
Sponsors & Collaborators
-
National Institute of Mental Health (NIMH)
collaborator NIH -
Deepak K. Sarpal, M.D.
lead OTHER
Principal Investigators
-
Deepak K Sarpal, M.D. · University of Pittsburgh
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2025-02-01
- Primary Completion
- 2028-12-31
- Completion
- 2029-06-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
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