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Trial · NCT05838573

Registered outcomes13

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChanges of the score of the Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Battery of interventional participantsFrom baseline to 12th week;From baseline to 24th week;
At baseline and 12th week, the cognitive function of interventional participants will be assessed using the Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Battery. Evaluator convert raw scores to scale scores, then to normalized T scores. T scores of seven domains and composite score are further calculated. The changes of scores after 12-week metformin treatment will be used for assessing the improvement of cognitive function (higher score means better function).
PrimaryChanges of brain cerebral blood flow by arterial spin labeling of interventional participantsFrom baseline to 12th week;From baseline to 24th week
At baseline and 12th week, whole brain cerebral blood flow (CBF) will be recorded by arterial spin labeling (ASL). For interventional participants, the changes in CBF (c-CBF) before and after the application of 160 units nasal insulin spray of interventional participants will be calculated. The changes of c-CBF after 12-week metformin treatment will be reported.
SecondaryChanges of resting-state functional MRI of interventional participantsFrom baseline to 12th week; From baseline to 24th week
At each visit, the resting-state functional MRI(fMRI) will be conducted at fasting state. For interventional participants, the changes in fMRI (c-fMRI) before and after the application of 160 units nasal insulin spray will be analysed. The changes of c-fMRI after 24-week metformin treatment will be used for exploring underlying mechanism.
SecondaryChanges of social function by Personal and Social Performance ScaleFrom baseline to 24th week
The changes of Personal and Social Performance Scale of interventional participants at different follow up timepoint will be used for evaluating the improvement of personal life and social function.(higher score means better function)
SecondaryChanges of clinical symptoms by Scale for Assessment of Negative SymptomsFrom baseline to 24th week
The changes of Scale for Assessment of Negative Symptoms of interventional participants at different follow up timepoint will be used for recording the improvement of negative symptoms.(lower score means alleviation of symptoms)
SecondaryChanges of clinical symptoms by Positive And Negative Syndrome ScaleFrom baseline to 24th week
The changes of Positive And Negative Syndrome Scale of interventional participants at different follow up timepoint will be used for recording the improvement of psychiatric symptoms.(lower score means alleviation of symptoms)
SecondaryChanges of homoeostasis model assessment-estimated insulin resistanceFrom baseline to 24th week
Homoeostasis model assessment-estimated insulin resistance (HOMA-IR) represents systemic insulin resistance(higher value means worse outcome). For interventional participants, the changes of HOMA-IR will partly reflect the changes of peripheral insulin resistance after metfromin treament.
SecondaryThe difference of cerebral blood flow between schizophrenic participants and healthy volunteersBaseline
At baseline, whole brain cerebral blood flow (CBF) will be recorded by arterial spin labeling (ASL) for every participants, the changes in CBF (c-CBF) before and after the application of 160 units nasal insulin spray will be calculated. The difference of c-CBF of the brain between schizophrenic participants and healthy volunteers will be reported.
SecondaryThe difference of resting-state functional MRI between schizophrenic participants and healthy volunteersBaseline
At baseline, the resting-state functional MRI(fMRI) will be conducted at fasting state. For every participants, the changes in fMRI (c-fMRI) before and after the application of 160 units nasal insulin spray will be analysed. The c-fMRI between schizophrenic participants and healthy volunteers may reflect the underlying mechanism of disease.
SecondaryThe difference of the score of the Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Battery between schizophrenic participants and healthy volunteersBaseline
At baseline, the cognitive function will be assessed using the Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Battery, including schizophrenic participants and healthy volunteers. Evaluator convert raw scores to scale scores, then to normalized T scores. T scores of seven domains and composite score are further calculated(higher score means better function). The difference of scores and their relationships with cerebral blood flow (CBF) and resting-state functional MRI(fMRI) will be used for exploring underlying mechanism.
OtherHigh-resolution T1-weighted anatomical images and Diffusion Tensor Imaging by MRI at baseline for predicting efficacyFrom baseline to 24th week
T1-weighted images will be acquired using 3D inversion recovery-prepared fast spoiled gradient-echo sequences, while Diffusion Tensor Imaging (DTI) will be performed using diffusion-weighted echo planar imaging sequences. The T1-weighted mages and DTI acquired at baseline will be analysed for predicting efficacy of metformin on cognitive function for interventional participants.
OtherThe difference of Diffusion Tensor Imaging scanned by MRI between schizophrenic participants and healthy volunteersBaseline
Diffusion Tensor Imaging (DTI) will be performed using diffusion-weighted echo planar imaging sequences. The analysis of DTI will be conducted to investigate the difference of brain structure and morphology between schizophrenic participants and healthy volunteers.
OtherSafety evaluation through the Systematic Assessment for Treatment Emergent EventsFrom baseline to 24th weekThe participants will be asked to score the occurred side effects using the Systematic Assessment for Treatment Emergent Events at every visit. (higher score means worse side effect)

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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