Wolfgang Strube, Aslihan Aksar, Ingrid Bauer, Susana Barbosa, Michael Benros, Christiane Blankenstein, Mattia Campana, Laetitia Davidovic, Nicolas Glaichenhaus, Peter Falkai, Thomas Görlitz, Maximilian Hansbauer, Daniel Heilig, Olfa Khalfallah, Marion Leboyer, Emanuela Martinuzzi, Susanne Mayer, Joanna Moussiopoulou, Irina Papazova, Natasa Perić, Elias Wagner, Thomas Schneider-Axmann, Judit Simon, Alkomiet Hasan
- Neuroinflammation has been proposed to impact symptomatology in patients with schizophrenia spectrum disorders. While previous studies have shown equivocal effects of treatments with add-on anti-inflammatory drugs such as Aspirin, N-acetylcysteine and Celecoxib, none have used a subset of prospectively recruited patients exhibiting an inflammatory profile. The aim of the study is to evaluate the efficacy and safety as well as the cost-effectiveness of a treatment with 400 mg Celecoxib added to an ongoing antipsychotic treatment in patients with schizophrenia spectrum disorders exhibiting an inflammatory profile. The “Add-on Celecoxib treatment in patients with schizophrenia spectrum disorders and inflammatory cytokine profile trial (TargetFlame)” is a multicentre randomized, placebo-controlled phase III investigator-initiated clinical trial with the following two arms: patients exhibiting an inflammatory profile receiving either add-on Celecoxib 400 mg/day or add-on placebo. A total ofNeuroinflammation has been proposed to impact symptomatology in patients with schizophrenia spectrum disorders. While previous studies have shown equivocal effects of treatments with add-on anti-inflammatory drugs such as Aspirin, N-acetylcysteine and Celecoxib, none have used a subset of prospectively recruited patients exhibiting an inflammatory profile. The aim of the study is to evaluate the efficacy and safety as well as the cost-effectiveness of a treatment with 400 mg Celecoxib added to an ongoing antipsychotic treatment in patients with schizophrenia spectrum disorders exhibiting an inflammatory profile. The “Add-on Celecoxib treatment in patients with schizophrenia spectrum disorders and inflammatory cytokine profile trial (TargetFlame)” is a multicentre randomized, placebo-controlled phase III investigator-initiated clinical trial with the following two arms: patients exhibiting an inflammatory profile receiving either add-on Celecoxib 400 mg/day or add-on placebo. A total of 199 patients will be assessed for eligibility by measuring blood levels of three pro-inflammatory cytokines, and 109 patients with an inflammatory profile, i.e. inflamed, will be randomized, treated for 8 weeks and followed-up for additional four months. The primary endpoint will be changes in symptom severity as assessed by total Positive and Negative Syndrome Scale (PANSS) score changes from baseline to week 8. Secondary endpoints include various other measures of psychopathology and safety. Additional health economic analyses will be performed. TargetFlame is the first study aimed at evaluating the efficacy, safety and cost-effectiveness of the antiphlogistic agent Celecoxib in a subset of patients with schizophrenia spectrum disorders exhibiting an inflammatory profile. With TargetFlame, we intended to investigate a novel precision medicine approach towards anti-inflammatory antipsychotic treatment augmentation using drug repurposing.…
MetadatenAuthor: | Wolfgang StrubeORCiDGND, Aslihan Aksar, Ingrid BauerGND, Susana Barbosa, Michael Benros, Christiane Blankenstein, Mattia Campana, Laetitia Davidovic, Nicolas Glaichenhaus, Peter Falkai, Thomas GörlitzGND, Maximilian HansbauerGND, Daniel Heilig, Olfa Khalfallah, Marion Leboyer, Emanuela Martinuzzi, Susanne Mayer, Joanna Moussiopoulou, Irina PapazovaGND, Natasa Perić, Elias WagnerGND, Thomas Schneider-Axmann, Judit Simon, Alkomiet HasanORCiDGND |
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URN: | urn:nbn:de:bvb:384-opus4-1006213 |
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Frontdoor URL | https://opus.bibliothek.uni-augsburg.de/opus4/100621 |
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ISSN: | 0300-9564OPAC |
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ISSN: | 1435-1463OPAC |
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Parent Title (English): | Journal of Neural Transmission |
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Publisher: | Springer Science and Business Media LLC |
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Type: | Article |
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Language: | English |
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Year of first Publication: | 2023 |
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Publishing Institution: | Universität Augsburg |
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Release Date: | 2023/01/09 |
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Tag: | Biological Psychiatry; Psychiatry and Mental health; Neurology (clinical); Neurology |
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Volume: | 130 |
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Issue: | 8 |
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First Page: | 1039 |
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Last Page: | 1048 |
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DOI: | https://doi.org/10.1007/s00702-022-02566-6 |
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Institutes: | Medizinische Fakultät |
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| Medizinische Fakultät / Lehrstuhl für Psychiatrie und Psychotherapie |
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| Medizinische Fakultät / Professur für Evidenzbasierte Psychiatrie und Psychotherapie |
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Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
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Licence (German): | CC-BY 4.0: Creative Commons: Namensnennung (mit Print on Demand) |
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