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SchizophreniaFIRSTNCT02600741

Family Intervention in Recent Onset Schizophrenia Treatment (FIRST)

An observational study of Schizophrenia, run by Janssen Scientific Affairs, LLC at 34 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary purpose of this study is to evaluate the overall effect of caregivers receiving a study-provided caregiver psycho-education and skills training program on the number of treatment failures (psychiatric hospitalization, psychiatric emergency room (ER) visit, crisis center visit, mobile crisis unit… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Schizophrenia
What is being tested?
Caregiver psycho-education and skills training, Caregiver support available at the study site and Paliperidone palmitate
Type of treatment
Pill or oral medicine
How many people
296 participants
Where
34 sitesUnited States
Study dates
24 Jul 2015to 5 Jul 2018
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Study population will consist of a paired patient and caregiver. A caregiver is defined as a person who has accepted responsibility for providing the patient with both assistance with activities of daily living and protection from harm. The patient will have a diagnosis of schizophrenia, schizoaffective disorder, or schizophreniform disorder.

Who may be able to join

  • Caregivers
  • Each caregiver must sign an informed consent form (ICF) indicating that he or she understands the purpose of and procedures required for the study and are willing to participate for the duration of the study
  • Caregiver is able to have verbal interaction with the patient with schizophrenia, schizoaffective disorder, or schizophreniform disorder at least twice a week, per self-report
  • Patients
  • Patients must have a clinical diagnosis of schizophrenia, schizoaffective disorder, or schizophreniform disorder made by a clinician with understanding of the Diagnostic and Statistical Manual of Mental Disorders (DSM V) criteria for these disorders
  • Patients must be receiving ongoing psychiatric treatment at the study site and must be receiving oral antipsychotics or paliperidone palmitate long acting therapy

Who cannot join

  • A) Caregivers
  • Caregiver is mentally or physically incapable of adequately performing the required study procedures, as determined by the treatment team
  • Caregiver has received structured or manualized psycho-education or skills training within 1 year prior to Screening B) Patients
  • Patient is hospitalized (medical or psychiatric), incarcerated, or otherwise institutionalized at time of randomization
  • Patient is considered to have significant potential for imminent harm to self and/or others as based on the judgment of the treatment team
  • Patient is receiving assertive community treatment (ACT) or other high intensity case management services to prevent hospitalization

Trial locations and contacts

34 sites in 1 country.

34 sites in 1 country

United States34 sites
  • Study site

    Ann Arbor, Michigan

  • Study site

    Atlanta, Georgia

  • Study site

    Austin, Texas

  • Study site

    Bloomington, Indiana

  • Study site

    Bullhead City, Arizona

  • Study site

    Denver, Colorado

  • Study site

    Eugene, Oregon

  • Study site

    Farmington, Connecticut

  • Study site

    Fort Worth, Texas

  • Study site

    Grand Rapids, Michigan

  • Study site

    Granite City, Illinois

  • Study site

    Kansas City, Missouri

  • Study site

    Lauderdale Lakes, Florida

  • Study site

    Lawrenceburg, Indiana

  • Study site

    Leesburg, Florida

  • Study site

    Lincoln, Rhode Island

  • Study site

    Lombard, Illinois

  • Study site

    Miami, Florida

  • Study site

    Mount Pleasant, Michigan

  • Study site

    Nashville, Tennessee

  • Study site

    New York, New York

  • Study site

    Oceanside, California

  • Study site

    Oklahoma City, Oklahoma

  • Study site

    Orange City, Florida

  • Study site

    Richland, Washington

  • Study site

    Salt Lake City, Utah

  • Study site

    San Antonio, Texas

  • Study site

    Spokane, Washington

  • Study site

    Springfield, Illinois

  • Study site

    St Louis, Missouri

  • Study site

    Staten Island, New York

  • Study site

    Tallahassee, Florida

  • Study site

    Toledo, Ohio

  • Study site

    West Palm Beach, Florida

Other trials in United States

About this study

Official title: A 12-Month Randomized, Open-Label Study of Caregiver Psycho-education and Skills Training in Patients Recently Diagnosed With Schizophrenia, Schizoaffective Disorder, or Schizophreniform Disorder and Receiving Paliperidone Palmitate or Oral Antipsychotic Treatment

The primary purpose of this study is to evaluate the overall effect of caregivers receiving a study-provided caregiver psycho-education and skills training program on the number of treatment failures (psychiatric hospitalization, psychiatric emergency room (ER) visit, crisis center visit, mobile crisis unit intervention, arrest/incarceration, and suicide or suicide attempt) in patients under their care during a 12 month period.

Read the detailed description

This is a randomized, open-label, parallel group study of patients with schizophrenia, schizoaffective disorder, or schizophreniform disorder and their caregivers. Study will consist of a paired patient and caregiver. Patients will receive routine treatment, which may include oral antipsychotics or paliperidone palmitate, as directed by their treating physician. Caregivers for patients whose routine treatment is paliperidone palmitate will be randomized to receive either a study-provided caregiver psycho-education and skills training or usual caregiver support. Caregivers for patients whose routine treatment is oral antipsychotics will be randomized to the same Study Groups: Study Group 1: Study-provided caregiver psycho-education and skills training. Study Group 2: Usual caregiver support (caregiver support that is customarily provided by the study site, if any). Patients-caregiver pairs will be followed for up to 12 months following baseline assessment. Cumulative number of treatment failures over 12 months will be assessed primarily.

Conditions
Schizophrenia
Being tested
Caregiver psycho-education and skills training, Caregiver support available at the study site, Paliperidone palmitate, Chlorpromazine, Droperidol
Keywords
Schizophrenia, Caregiver, Psycho-education and skills training, Paliperidone Palmitate, Oral Antipsychotic
Medical subject headings
Schizophrenia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Caregiver psycho-education and skills trainingOther

    Caregivers will receive up to 16 sessions of study-provided caregiver psycho-education and skills training sessions they are able to attend within a 6-month period.

  • Caregiver support available at the study siteOther

    Caregivers will receive whatever caregiver support that is customarily available at the study site, if any.

  • Paliperidone palmitateDrug

    Patients enrolled in this study will continue to receive routine treatment of paliperidone palmitate, as directed by their treating physician.

  • ChlorpromazineDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • DroperidolDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • FluphenazineDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • HaloperidolDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • LoxapineDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • PerphenazineDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • PimozideDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • ProchlorperazineDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • ThiothixeneDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • ThioridazineDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • TrifluoperazineDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • AripiprazoleDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • AsenapineDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • ClozapineDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • IloperidoneDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • OlanzapineDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • PaliperidoneDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • QuetiapineDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • RisperidoneDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

  • ZiprasidoneDrug

    Patients enrolled in this study will continue to receive routine treatment of oral antipsychotics, as directed by their treating physician.

Study groups in NCT02600741
Study groupRoleWhat they receive
Study group 1Caregivers randomized to this group will receive up to 16 sessions of study-provided caregiver psycho-education and skills training sessions they are able to attend within a 6-month period. Each patient will be paired with a caregiver and patients will continue their routine antipsychotic treatments prescribed by their treating physician.
Receives: Other: Caregiver psycho-education and skills training; Drug: Paliperidone palmitate; Drug: Chlorpromazine; Drug: Droperidol; Drug: Fluphenazine; Drug: Haloperidol; Drug: Loxapine; Drug: Perphenazine; Drug: Pimozide; Drug: Prochlorperazine; Drug: Thiothixene; Drug: Thioridazine; Drug: Trifluoperazine; Drug: Aripiprazole; Drug: Asenapine; Drug: Clozapine; Drug: Iloperidone; Drug: Olanzapine; Drug: Paliperidone; Drug: Quetiapine; Drug: Risperidone; Drug: Ziprasidone
Study group 2Caregivers randomized to this group will receive whatever caregiver support that is customarily available at the study site, if any. Each patient will be paired with a caregiver and patients will continue their routine antipsychotic treatments prescribed by their treating physician.
Receives: Other: Caregiver support available at the study site; Drug: Paliperidone palmitate; Drug: Chlorpromazine; Drug: Droperidol; Drug: Fluphenazine; Drug: Haloperidol; Drug: Loxapine; Drug: Perphenazine; Drug: Pimozide; Drug: Prochlorperazine; Drug: Thiothixene; Drug: Thioridazine; Drug: Trifluoperazine; Drug: Aripiprazole; Drug: Asenapine; Drug: Clozapine; Drug: Iloperidone; Drug: Olanzapine; Drug: Paliperidone; Drug: Quetiapine; Drug: Risperidone; Drug: Ziprasidone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Treatment Failures Over 12 Months

    Treatment failure is defined as any of the following:

    1. Psychiatric hospitalization
    2. Psychiatric emergency room (ER) visit
    3. Crisis center visit
    4. Mobile crisis unit intervention
    5. Arrest/Incarceration
    6. Suicide or suicide attempt.

    Measured: 12 months

Secondary outcomes (6)
  1. Caregiver Burden Based on Involvement Evaluation Questionnaire (IEQ) Total Score at Month 12

    The IEQ is designed to measure levels of caregiver consequences among family members and friends of patients with schizophrenia. The 31 items included in this scale are answered on a 5 point Likert response scale and address consequences among 4 dimensions (tension, supervision, worrying, and urging).

    Measured: Month 12

  2. Number of Treatment Failures in Patients Taking Oral Antipsychotics

    Treatment failure is defined as any of the following:

    1. Psychiatric hospitalization
    2. Psychiatric emergency room (ER) visit
    3. Crisis center visit
    4. Mobile crisis unit intervention
    5. Arrest/Incarceration
    6. Suicide or suicide attempt.

    Measured: 12 months

  3. Number of Treatment Failures in Patients Taking Paliperidone Palmitate

    Treatment failure is defined as any of the following:

    1. Psychiatric hospitalization
    2. Psychiatric emergency room (ER) visit
    3. Crisis center visit
    4. Mobile crisis unit intervention
    5. Arrest/Incarceration
    6. Suicide or suicide attempt.

    Measured: 12 months

  4. Patient Recovery Based on Total Illness Management and Recovery (IMR) Score

    The IMR program was developed in order to help patients with schizophrenia or major mood disorders learn how to manage their illnesses more effectively in the context of pursuing their personal goals.

    Measured: Month 6 and Month 12

  5. Change From Baseline in Clinical Global Impression - Severity (CGI-S) at Month 12

    The CGI-S rating scale is used to rate the severity of a patient's overall clinical condition on a 7-point scale, with the severity of illness scale using a range of responses from 1 (normal) to 7 (amongst the most severely ill patients).

    Measured: Month 12

  6. Change From Baseline in 12- Item Short Form Health Survey (SF-12) at Month 12

    The 12-item Short Form Health Survey (SF-12) is a self-administered, generic, 12-item questionnaire designed to cover the same 8 domains of functional health status and well-being included in the longer 36-item Short Form Health Survey (SF 36): physical functioning, role limitations due to physical health problems, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health.

    Measured: Month 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Nov 2015 (estimated)
  2. Study start24 Jul 2015
  3. Primary completion5 Jul 2018
  4. Study completion5 Jul 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
296 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02600741
Sponsor's protocol ID
CR106399
Other IDs
R092670SCH4043
Acronym
FIRST
Status last verified
Jan 2019
First submitted
29 Sep 2015
Last updated
23 Jan 2019
Results posted
No
Data monitoring committee
No

Publications

  • Mueser KT, Achtyes ED, Gogate J, Mancevski B, Kim E, Starr HL. Telehealth-Based Psychoeducation for Caregivers: The Family Intervention in Recent-Onset Schizophrenia Treatment Study. JMIR Ment Health. 2022 Apr 15;9(4):e32492. doi: 10.2196/32492.

    PubMed 35436231

Questions about this trial

What is this clinical trial studying?

An observational study of Schizophrenia, run by Janssen Scientific Affairs, LLC at 34 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Treatment Failures Over 12 Months (time frame: 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02600741, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jan 2019.

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