Haloperidol for Brain Insulin Sensitivity

MA
MP
Overseen ByMaria Papoulias, MSc
Age: 18 - 65
Sex: Any
Trial Phase: Phase 4
Sponsor: Centre for Addiction and Mental Health
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how the medication haloperidol affects insulin's role in the brain. Insulin, a hormone that helps control sugar levels, can influence brain function. Researchers aim to determine if haloperidol, an antipsychotic drug, disrupts insulin's brain activity, potentially leading to side effects like weight gain or diabetes. Participants will take haloperidol or a placebo (a look-alike pill with no active ingredient) at night for a week. Individuals without a history of psychiatric illness, diabetes, or irregular menstrual cycles might be suitable for this trial. As a Phase 4 trial, this research seeks to understand how the already FDA-approved and effective treatment benefits more patients.

Will I have to stop taking my current medications?

The trial requires that you stop using certain medications, including hormonal birth control and any drugs that affect blood sugar levels. If you're taking painkillers or antihistamines, these need to be reviewed by the study's principal investigator.

What is the safety track record for haloperidol?

Research shows that haloperidol often treats mental health conditions like schizophrenia and bipolar disorder. With its long history of use, extensive information exists about its safety. Most people tolerate it well, but some side effects require attention. The most common side effects include movement problems, sometimes called muscle control issues.

Haloperidol can also cause weight gain and affect insulin use in the body, potentially increasing diabetes risk. This is crucial because the study examines how haloperidol affects insulin in the brain. In this Phase 4 trial, researchers build on existing knowledge, indicating a solid understanding of the drug's safety.12345

Why are researchers enthusiastic about this study treatment?

Unlike the standard treatments for brain insulin sensitivity, which often involve lifestyle changes and medications like metformin or pioglitazone, haloperidol offers a novel approach by potentially improving insulin sensitivity through its unique mechanism as an antipsychotic. Researchers are excited because haloperidol, typically used for psychiatric conditions, may influence dopamine pathways that indirectly affect insulin regulation in the brain. This could open up new avenues for treating insulin resistance, especially in cases where typical metabolic treatments fall short. Additionally, the short administration period of just 7 days could mean faster insights into its effectiveness compared to traditional therapies.

What evidence suggests that haloperidol might affect brain insulin sensitivity?

Research shows that haloperidol, a medication for mental health conditions, can affect insulin function in the brain. Insulin, a hormone, helps control blood sugar levels. Studies have found that haloperidol can impair the brain's ability to detect sugar, leading to reduced insulin effectiveness in the body. This may result in higher blood sugar levels. While haloperidol treats conditions like schizophrenia and bipolar disorder, it may also alter metabolism, causing weight gain and increasing diabetes risk. Understanding these effects is crucial for managing the long-term risks of antipsychotic medications. Participants in this trial will receive either haloperidol or a placebo to further investigate these effects on brain insulin sensitivity.56789

Who Is on the Research Team?

MA

Mahavir Agarwal, MBBS, MD, PhD

Principal Investigator

Centre for Addiction and Mental Health

Are You a Good Fit for This Trial?

This trial is for healthy individuals who can help researchers understand how the antipsychotic medication haloperidol affects insulin action in the brain. The study seeks to explore potential metabolic risks associated with this drug.

Inclusion Criteria

I understand the details of the clinical trial and can make decisions about my health.
Must sign and date the informed consent form
Body Mass Index (BMI) 18.5-24.9 kg/m2
See 3 more

Exclusion Criteria

I am currently using weight loss medications.
My menstrual cycles are irregular or I have conditions like PCOS, or I've had surgeries like a hysterectomy.
A parent or sibling of mine has diabetes.
See 14 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Treatment

Participants receive haloperidol or placebo for 7 days to assess its effect on insulin action in the brain

1 week
Daily self-administration

Follow-up

Participants are monitored for metabolic and cognitive outcomes, including glucose levels, insulin resistance, and cognitive tests

up to 5 months
Multiple MRI scanning visits

What Are the Treatments Tested in This Trial?

Interventions

  • Haloperidol
Trial Overview The study tests the effects of haloperidol on brain insulin sensitivity compared to a placebo. Insulin Lispro and saline are also used to assess cognition and insulin's role in the brain after eating.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: HaloperidolExperimental Treatment3 Interventions
Group II: PlaceboPlacebo Group3 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Centre for Addiction and Mental Health

Lead Sponsor

Trials
388
Recruited
84,200+

The Physicians' Services Incorporated Foundation

Collaborator

Trials
165
Recruited
31,700+

Citations

Haloperidol for Brain Insulin Sensitivity · Info for ParticipantsThis study aimed at helping researchers understand how a medication called haloperidol can affect insulin action in the brain. Insulin is a hormone in the ...
Chronic haloperidol exposure impairs neurodevelopment ...Long-term exposure to haloperidol reduced the size of brain organoids and decreased the ventricular zone and Notch1 signaling. When propionate, ...
O9.2. ANTIPSYCHOTIC DRUGS IMPAIR BRAIN GLUCOSE ...In summary, olanzapine and haloperidol both impaired central glucose sensing resulting in whole body insulin resistance.
Neuroadaptations to antipsychotic drugs: Insights from pre- ...In all these studies, we could not find statistically significant differences between the effects of haloperidol and olanzapine, although a full dose-response ...
Differential Long-Term Effects of Haloperidol and Risperidone ...These results in rats suggest that while long-term treatment with haloperidol or risperidone may not significantly affect spatial working or short-term memory,
Haloperidol: Uses, Interactions, Mechanism of ActionHaloperidol is a high potency first-generation (typical) antipsychotic and one of the most frequently used antipsychotic medications used worldwide.
Haloperidol (Haldol): Uses, Side Effects, and MoreFind patient medical information for Haloperidol (Haldol) on WebMD including its uses, side effects and safety, interactions, pictures, warnings
Haloperidol: uses, dosing, warnings, adverse events, ...Based on the pooled safety data, the most common adverse effects in patients treated with IM haloperidol lactate (>=5%) were extrapyramidal disorder ...
Association Between Antipsychotic Medication Use and ...Antipsychotics likely increase the risk of diabetes through weight gain and directly by adversely affecting insulin sensitivity and secretion.
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