762
Participants
Start Date
February 12, 2019
Primary Completion Date
September 27, 2023
Study Completion Date
September 27, 2023
Phase 1: Olanzapine
Initial dosage: 5-10 mg; recommended dosage: 5-20 mg/d; dosage form: po. duration: 8 weeks
Phase 1: Risperidone
Initial dosage: 1-2 mg; recommended dosage: 2-6 mg/d; dosage form: po. duration: 8 weeks
Phase 1: Amisulpride
Initial dosage: 200-400 mg; recommended dosage: 400-1200 mg/d; dosage form: po. duration: 8 weeks
Phase 1: Aripiprazole
Initial dosage: 5-10 mg; recommended dosage: 10-30 mg/d; dosage form: po. duration: 8 weeks
Phase 1: Perphenazine
Initial dosage: 2-4 mg; recommended dosage: 6-36 mg/d; dosage form: po. duration: 8 weeks
Phase 2: Olanzapine
Initial dosage: 5-10 mg; recommended dosage: 5-20 mg/d; dosage form: po. duration: 8 weeks
Phase 2: Amisulpride
Initial dosage: 200-400 mg; recommended dosage: 400-1200 mg/d; dosage form: po. duration: 8 weeks
Phase 2: Clozapine
Initial dosage: 25-50 mg; recommended dosage: 200-400 mg/d; dosage form: po. duration: 8 weeks
Phase 3A: Clozapine extended treatment or Combined clozapine-MECT therapy
"Clozapine extended treatment:~dosage: 200-600 mg/d; dosage form: po.~Combined clozapine-MECT therapy:~Dosage of clozapine: 200-600 mg/d; The modified electroconvulsive therapy (MECT) will be administered three times per week for the first 2 weeks, then twice a week for the next 2 weeks. The total treatment duration is about one month."
Phase 3B: Clozapine or another SGAs
"Clozapine:~Initial dosage: 25-50 mg; recommended dosage: 200-600 mg/d; duration: 8 weeks~Another Second generation antipsychotics (SGAs) (not previously used in phase 1 and 2): Olanzapine, risperidone, amisulpride, or aripiprazole The dosage of each drug is the same as that of phase 1 and phase 2."
Beijing Anding Hospital of Capital Medical University, Beijing
Dalian Seventh People's Hospital, Dalian
Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai
Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing
Hangzhou Seventh People's Hospital, Hangzhou
Renmin Hospital of Wuhan University, Wuhan
First Affiliated Hospital of Kunming Medical University, Kunming
Shanghai Mental Health Center
OTHER