Effect of Varenicline on Cognitive Function in Cigarette Smokers With Schizophrenia

• Status: Completed
• Trial end date: 2016-08-01
• Target enrollment: 0
• Participant gender: All

Summary

Smokers with schizophrenia have more difficulties quitting smoking than smokers without a mental disorder. Varenicline (Champix) is a new stop smoking medication with a unique mechanism of action. It is a nicotine-like drug which is not addictive and not associated with the health risks of tobacco smoking.

Varenicline (VAR) binds to sites in the brain called nicotine receptors that play an important role in nicotine dependence. People with schizophrenia have difficulties in concentrating and remembering. Scientists believe that people with schizophrenia use smoking to remedy their cognitive problems. We will test VAR to see if it improves cognitive problems in smokers with schizophrenia in comparison to non-mentally ill smokers to determine whether people with schizophrenia get direct benefit from this nicotine-like drug. It is hypothesized that VAR (in comparison to a placebo) will reduce aspects of cognitive impairment in smokers and nonsmokers with schizophrenia.

• Phase: Phase 2
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Centre for Addiction and Mental Health
• Collaborator: Pfizer
• Treatments: Varenicline

Criteria

Inclusion Criteria:

I) For all subjects

• Age 18-55

• Estimated IQ ≥80 using the Shipley scale

• Capable of giving informed consent

• Not taking any form of nicotine replacement therapy

II) Additional inclusion criteria for smokers:

1. Non-treatment seeking cigarette smokers:

• A score of 5 or higher on the Fagerstrom Test for Nicotine Dependence (FTND)

• Self reported smoking of at least 10 cigarettes per day as measured by the Weekly Smoking Inventory (NOTE: Cigarette smoking is verified by a Smokerlyzer® test, with a cut off of 10 ppm and plasma cotinine levels ≥150 ng/ml)

2. Cigarette smokers with Schizophrenia:

• Diagnosis of schizophrenia/schizoaffective disorder (confirmed by the SCID for DSM-IV)

• Stable remission from positive symptoms of psychosis as judged by a score of <70 on the The Positive and Negative Syndrome Scale (PANSS) for schizophrenia and a psychiatric evaluation

• Receiving a stable dose of antipsychotic medication(s)for the past month

III) Additional inclusion criteria for healthy smokers and non-smokers:

• No diagnosis for any Axis I psychiatric disorder (Except past history of major depression)

Exclusion Criteria:

For all subjects

• Substance abuse other than cigarette smoking.

• History of alcohol/drug abuse in the 3 months before study enrollment

• Hypersensitivity to varenicline (Champix)

• Use of opioids (meperidine, oxycodone, methadone, etc).

• A history of renal insufficiency

• Gastrointestinal problems including irritable bowel syndrome

• Exposure to chemotherapy

• A history of dementia and other neurological illness like epilepsy or medical condition known to significantly influence neurocognitive function

• Inability to learn the neuropsychological tasks during the training session

• Failure to demonstrate a deficit of at least 0.5 standard deviations below average levels of non-psychiatric control performance the on the Visuospatial Working Memory (VSWM) task

• Pregnancy

• Nursing women