The effect of minocycline on symptoms in schizophrenia: Results from a randomized controlled trial.


Journal

Schizophrenia research
ISSN: 1573-2509
Titre abrégé: Schizophr Res
Pays: Netherlands
ID NLM: 8804207

Informations de publication

Date de publication:
04 2019
Historique:
received: 16 08 2018
revised: 22 10 2018
accepted: 23 10 2018
pubmed: 21 11 2018
medline: 18 6 2020
entrez: 21 11 2018
Statut: ppublish

Résumé

Studies have hypothesized that immunological abnormalities might contribute to schizophrenia, and basic science studies, as well as several clinical trials suggest that minocycline could be efficacious in ameliorating both positive and negative symptoms of schizophrenia. In this study we examined the effect of minocycline on schizophrenia in a large randomized controlled trial. We performed a 16-week, multi-center, double-blind, randomized, placebo-controlled study on 200 subjects with schizophrenia or schizoaffective disorder randomized to receive either minocycline (200 mg/day, n = 100), or placebo (n = 100) as an add-on to anti-psychotic treatment. The primary outcome measure was the PANSS total score. Mixed models for repeated measures showed no significant difference between minocycline and placebo for total PANSS (p = 0.862), PANSS subscales, CGI or BACS. Minocycline did not improve symptoms or cognition in schizophrenia.

Sections du résumé

BACKGROUND
Studies have hypothesized that immunological abnormalities might contribute to schizophrenia, and basic science studies, as well as several clinical trials suggest that minocycline could be efficacious in ameliorating both positive and negative symptoms of schizophrenia. In this study we examined the effect of minocycline on schizophrenia in a large randomized controlled trial.
METHODS
We performed a 16-week, multi-center, double-blind, randomized, placebo-controlled study on 200 subjects with schizophrenia or schizoaffective disorder randomized to receive either minocycline (200 mg/day, n = 100), or placebo (n = 100) as an add-on to anti-psychotic treatment. The primary outcome measure was the PANSS total score.
RESULTS
Mixed models for repeated measures showed no significant difference between minocycline and placebo for total PANSS (p = 0.862), PANSS subscales, CGI or BACS.
CONCLUSIONS
Minocycline did not improve symptoms or cognition in schizophrenia.

Identifiants

pubmed: 30455075
pii: S0920-9964(18)30625-X
doi: 10.1016/j.schres.2018.10.023
pii:
doi:

Substances chimiques

Anti-Bacterial Agents 0
Antipsychotic Agents 0
Minocycline FYY3R43WGO

Banques de données

EudraCT
['2010-023982-23']

Types de publication

Journal Article Multicenter Study Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

325-332

Informations de copyright

Copyright © 2018 Elsevier B.V. All rights reserved.

Auteurs

Mark Weiser (M)

Department of Psychiatry, Sheba Medical Center, Tel Hashomer 52621, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address: mweiser@netvision.net.il.

Linda Levi (L)

Department of Psychiatry, Sheba Medical Center, Tel Hashomer 52621, Israel.

Shimon Burshtein (S)

Department of Psychiatry, Sheba Medical Center, Tel Hashomer 52621, Israel.

Roxana Chiriță (R)

Spitalul Clinic de Psihiatrie Socola, Iași. Șos. Bucium 36, Iași, Romania.

Diana Cirjaliu (D)

Clinica de Psihiatrie Palazu Mare, Constanta, Tomis 145, Constanța, Romania.

Ilan Gonen (I)

Tangent Alzheimer Care, Breaza, Romania.

Robert Yolken (R)

Dept. of Pediatrics, John's Hopkins School of Medicine, Baltimore, MD, USA.

Michael Davidson (M)

Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; University of Nicosia Medical School, Cyprus.

Daisy Zamora (D)

Dept. of Psychiatry, University of North Carolina, Chappel Hill, NC, USA.

John M Davis (JM)

Department of Psychiatry, University of Illinois, Chicago, IL 60607, USA.

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Classifications MeSH