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Neuroleptics in adults with Aggressive CHallenging Behaviour and Intellectual Disability
ISRCTN ISRCTN11736448
ClinicalTrials.gov identifier
Public title Neuroleptics in adults with Aggressive CHallenging Behaviour and Intellectual Disability
Scientific title
Acronym NACHBID
Serial number at source HTA 01/07/02
Study hypothesis A multi-centre randomised controlled trial to recruit sufficient learning disability patients to test the null hypotheses that:
1. Compared to placebo antipsychotic drugs do not reduce the incidence of aggressive behaviour in those with learning disability and challenging behaviour.
2. There is no difference between the cost-effectiveness of prescribing risperidone, haloperidol or placebo in those with aggressive challenging behaviour.

More details can be found at: http://www.hta.ac.uk/1322
Protocol can be found at: http://www.hta.ac.uk/protocols/200100070002.pdf
Ethics approval Not provided at time of registration.
Study design Three-arm double blind parallel placebo controlled trial
Countries of recruitment United Kingdom, Australia
Disease/condition/study domain Mental and behavioural disorders: Schizophrenia and other psychoses
Participants - inclusion criteria Patients who have not taken any depot anti-psychotics in the past three months or oral anti-psychotics in the past week but may have received anti-psychotics in the past.
Participants - exclusion criteria Does not meet inclusion criteria
Anticipated start date 01/08/2002
Anticipated end date 30/11/2007
Status of trial Completed
Patient information material
Target number of participants 86 patients
Interventions A three-arm double blind parallel design trial of placebo, haloperidol and risperidone. Block randomisation utilised with even distribution of each drug in every block, thus no gross disparity. Assessments at baseline, four weeks, twelve weeks and six months. All patients have the option of other treatments as usual during this period with the exception of any other anti-psychotic drugs.
Primary outcome measure(s) 1. Multi-axial Classification - multi-axial classification DSM-IV format with ICD10 codes.
2. Mini PAS-ADD - for psychiatric symptoms.
3. Modified Overt Aggression Scale (MOAS) - for aggressive challenging behaviour (ACB). (primary outcome measure)
4. Aberrant Behaviour Checklist (ABC) - Community - for challenging behaviour (ACB). (secondary outcome measure)
5. Client Service Receipt Inventory (CSRI) - Short version for service costs. (secondary outcome measure)
6. Clinical Global Impressions Scale (CGI) - for illness and global improvement.
7. Uplift/Burden Scale - for burden of care of carers.
8. Quality of Life Questionnaire (QOL-Q) - client quality of life.
9. Udvalg for Kliniske Undersogelser (UKU) Side Effect Rating Scale - includes extra-pyramidal side effects.
Secondary outcome measure(s) Not provided at time of registration.
Sources of funding NIHR Health Technology Assessment Programme - HTA (UK)
Trial website
Publications 1. 2008 results in http://www.ncbi.nlm.nih.gov/pubmed/18177776
2. 2009 results in http://www.ncbi.nlm.nih.gov/pubmed/19397849
Contact name Prof  Peter  Tyrer
  Address Imperial College London
Room 4.02
The Paterson Centre
20 South Wharf Road
  City/town London
  Zip/Postcode W2 1PD
  Country United Kingdom
  Tel +44 (0) 20 7886 1648
  Fax +44 (0) 20 7886 1994/5
  Email p.tyrer@imperial.ac.uk
Sponsor Imperial College London (UK)
  Address South Kensington Campus
  City/town London
  Zip/Postcode SW7 2AZ
  Country United Kingdom
  Sponsor website: http://www3.imperial.ac.uk/
Date applied 25/04/2003
Last edited 23/07/2009
Date ISRCTN assigned 25/04/2003
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