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Investigating the Effect of Diroximel Fumarate on Glutathione in Schizophrenia

RecruitingNAAges 18 Years - 65 YearsAllKing's College London
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In plain words

What the trial is, and whether it could suit you

Schizophrenia is a condition that causes symptoms like delusions, hallucinations, reduced motivation and muddled thinking. It is a common, severe and disabling psychiatric illness affecting about 1/100 (1%) of people. It is ranked the third most disabling illness worldwide. Six in seven patients do not recover from the illness in 6-12 months and continue to experience psychotic symptoms. Therefore, there is a strong unmet need for new evidence-based treatments to target the neurobiology underlying schizophrenia. There is increasing evidence to indicate that glutathione (GSH), the main brain antioxidant, is abnormal in schizophrenia and may provide a new treatment target. In this study, the investigators plan to determine whether Diroximel Fumarate (DRF) (currently a treatment for a brain disorder called multiple sclerosis) can increase GSH in the brain of patients with schizophrenia usin

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๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * 18 -65 years, diagnosis of schizophrenia (Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) * Stable antipsychotic dose (no change for 1 month) * Currently stable with no evidence of relapse within the last 2 months prior to study enrolment * Minimum of 60 on the Positive and Negative Syndrome Scale (PANSS) * Capacity to provide informed consent Exclusion Criteria: * History of significant co-morbid medical or neurological disorder including but not limited to HIV, malignancies, Systemic Lupus Erythematosus, sarcoidosis, autoimmune vasculitis, bone marrow transplantation * Current use of medication that is known to interact with DRF, live vaccines given within the period of DRF treatment, nephrotoxic medication (including but not limited to aminoglycosides, diuretics, non-steroidal anti-inflammatory drugs, Lithium) * Contraindications to DRF (pregnancy, women of childbearing potential not currently using effective contraception (combined pill (oestrogen \& progesterone), progesterone -only with inhibition of ovulation, intrauterine device, intrauterine hormone-releasing system, bilateral tubal occlusion, vasectomised partner, sexual abstinence), breast feeding, severe hepatic impairment, moderate renal impairment, severe active gastrointestinal disease, lymphocyte count - below the Lower Limit of Normal (LLN) for the local laboratory (e.g 1.30 x109/L LLN for Viapath King's College London), suspected or confirmed progressive multifocal leukoencephalopathy (PML), presence of risk factors for PML (previous and/or current immunosuppressant or immunomodulatory treatment (including natalizumab, other fumaric esters including Dimethyl Fumarate (DMF) (topical or systemic)), serious infection, current or recent herpes virus infection) * Substance dependence/abuse other than to cigarettes * Current high suicide risk * Participation in a clinical study of unlicensed medicines within the previous 30 days * Presence/history of other acute or chronic illness that would make participating unsafe or unsuitable, any contraindication to MRI scanning (e.g. claustrophobia, metallic implants, pacemaker, vascular clips, metal in eyes, pregnancy) * Allergies to any of DRFs ingredients * Taking part in a research study involving an unlicensed medicine within the last 30 days
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What it tests

  • Diroximel fumarate (DRF)
  • Placebo
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Where

3 sites
South London and Maudsley NHS Foundation Trust
London, United Kingdom
Department of Computer Science, Faculty of Engineering Science, University College London
London, United Kingdom
School of Psychology, University of birmingham
Birmingham, United Kingdom
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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